Binciken Auditory
Batirin eustachian, ko tube na binciken, ya haɗa kunne na tsakiya zuwa nasopharynx wanda shine babban ɓangare na makogwaro a bayan hanci. Gilasar tana samuwa a saman bene na tsakiyar kunne kuma tana da nau'i mai kwakwalwa zuwa samfurin gyare-gyare a cikin iyakar biyu. Kashi, guringuntsi, da nama mai laushi yana haifar da bututun eustachian. A cikin bututun kanta, akwai magunguna daban-daban, ɓangaren babba na tube yana da santsi, yayin da ɓangaren ƙananan tube yana ƙunshe da nau'i, ko tsarin gashi.
Eustachian Tube Differences a Yara da Manya
Nau'in tube a jarirai yana da kusan 17.5 mm, wanda ya ci gaba da girma zuwa kusan 37.5 mm lokacin da ya kai girma.
Jiki na tube a cikin jarirai da yara ne kawai kimanin digiri 10 daga goshin ido (Frankfort) a kwance. Wannan ya bambanta a cikin balagagge, inda kusurwa yake mai zurfi a kimanin digiri 45. Wannan bambanci na digiri 30 an dauke su daya daga cikin abubuwan da ke haifar da haɗari ga yara masu tasowa daga tsakiya.
Amfanin tsoka yana bambanta a cikin yara da manya. Akwai tsokoki 4 da suka taimakawa wajen budewa da kuma rufe gashin eustachian: tensor veli palatine, levator veli palatine, salpingopharyngeus, da tensor tympani. A cikin kwanciyar hankali, waɗannan tsokoki sun fi tsayi, yayin da suke da manya, suna da ƙwarewar aiki. Wannan bambanci kuma ana tunanin zai taimaka wajen kara yawan haɗari ga yara masu tasowa daga tsakiya.
Eustachian Tube Function
Kwayar eustachian mafi yawancin sananne ne ga rawar da yake takawa wajen daidaita rikici a tsakiyar kunne. Wannan shi ne muhimmiyar rawa, duk da haka jaririn eustachian yana aiki guda uku:
- Daidaitawar ƙarfin murfin tsakiya
- Rage tsakiyar filin kunne
- Kare hoto na tsakiya don kwayoyin cuta ko ƙwayoyin cuta
A matsakaicin mayakan eustachian zai buɗe 1 zuwa 2 sau kowane sa'a. Lokacin da aka bude, yana zama kawai ya kasance a bude game da 0.3 zuwa 0.5 seconds. Ƙararren eustachian yana buɗewa akai-akai kuma don tsawon lokaci lokacin da ya yi.
Ƙarfafa Ƙungiyar
Yunkurin yanayi yana canje-canje yayin da kake canja wuri da yanayin sauyawa. Lokacin da motsi na yanayi ya sauya, murfin kunnen kunne yana canza siffar saboda matsa lamba ba a cikin kunnen tsakiya ba. Idan ba tare da matsawar matsa lamba ba, ƙwaƙwalwar kunne ba zai iya amsa sauti a hanya ɗaya ba kuma ana jin jinka. Idan matsa lamba a kunnen tsakiya ba a daidaita ba kuma ana amfani da matsa lamba mafi girma, zaku iya samun ciwo kuma a cikin matsanancin yanayi wani katangar kunnen ruptured zai iya faruwa. Lokacin da kunnenka ya daidaita daidai za ku iya samun kwarewar "farfadowa".
Rashin kula da Ƙasashen Tsakiyar
Domin kula da aikin kunne na tsakiyar kunnen, sararin yana buƙatar samun ruwa daga sauran ruwa da wasu tarkace. Tsakanin launin gashi, wanda ake kira Cilia, yana motsawa kayan motsa jiki don buɗewa na bututun eustachian. Wannan tsari ba ƙarfin dogara ba ne kuma zai faru kullum sai dai idan akwai matsala tare da inji; kamar a cikin dyskinesia ciliary na farko.
Da zarar kunnen tsakiya, ƙananan bututu na da ƙwaƙwalwa da cilia wanda ya doke (ko kuma ya motsa baya a cikin wani motsi kamar motsi); tana motsa kayan abu daga tube na eustachian a baya na makogwaro.
Abubuwa da yawa zasu iya rinjayar aikin al'ada ta wannan tsari ta hanyar canza danko, ko kuma kauri na ƙuduri a cikin bututun eustachian. Misalan cuta wanda zai iya canza lokacin kauri na ƙwaƙwalwar ya haɗa da: cystic fibrosis, otitis media , da sinusitis . Kwayoyin cuta da cututtukan cututtukan cututtuka na iya rinjayar aikin al'ada na wannan tsari kuma zai iya ɗauka har zuwa wata 1 bayan dawowa don aiki na al'ada don komawa.
Sauran matsaloli na iya ɓoye ko ɓangare na toshe murfin eustachian a buɗe bayan makogwaro. Ƙara yawan adenoids da adenoids a kananan yara zai iya zama dalilin wannan rikici.
Idan ya cancanta za'a iya yin adenoidectomy don yada sararin samaniya a kusa da tube na eustachian.
Kariya
A karkashin yanayi na al'ada, an rufe bakin motar eustachian a baya na makogwaro. Wannan yana aiki 3 ayyuka masu tsaro:
- Baryar da kwayoyin cuta da ƙwayoyin cuta daga barin tarkon eustachian
- Ya haramta sauti daga hanyar sadarwa ta hanyar tafiya zuwa tsakiyar kunne
- Taimako don cire murfin sauti a tsakiyar kunne saboda sakamakon sauti mai ƙarfi
An katange wannan kariya ta hanyar cuta wanda zai sa tubar eustachian ta buɗe a baya na makogwaro don kasancewa bude. Kwafaccen eustachian tube shine misalin wannan kuma an gane ta da kyau ta hanyar alamar autophony, ko kuma muryar murya ta murya ko murhunta.
Hanyoyi don Bude Eustachian Tube
Lokacin da kake canza canji, yana da sabawa don jin kunnen kunnuwa . Yayinda wannan jin dadin shine kawai fushi, ba tare da daidaitaccen daidaituwa ba, zafi zai iya ci gaba yayin da kake cigaba da canza canjin. Domin taimakawa jin daɗi ko jin zafi, kana buƙatar fara buɗe bugun na eustachian. Ga wasu hanyoyi don gwadawa:
- yawning
- sneezing
- mai shan taba
- Toynbee maneuver - hadiye yayin squeezing your hanci rufe
Sources:
O'Reilly, RC & Levi, J. (2015). Cummings Otolaryngology. 6th ed. Anatomy da Physiology na Eustachian Tube. Samun damar shiga ranar 2/21/2016 daga http://www.clinicalkey.com (Abubuwan da ake bukata)
Siebert, JW & Danner, CJ (2006). Eustachian Tube Function da Tsakiyar Tsakiyar. Otolaryngologic Clinics na Arewacin Amirka. 39 (6), 1221-1235.