Sanadin Raunin, Rubucewar La'akari, da "Fugawa" a cikin Ƙarshe
Shin kun ji cewa an rufe kunnuwanku don ku kasa ji? Shin kun taba yin kullun ko danna a cikin kunnuwan ku ko kuma da matsala ku kiyaye ma'auni?
Waɗannan su ne kawai wasu daga cikin alamun bayyanar da ke tattare da dasfunction na tube auditive (wanda aka sani da dysfunction eustachian tube). Ana iya haifar shi ta kowane yanayi amma yana da dangantaka da ko dai haɗuwa da ƙuduri ko rashin daidaituwa na iska a tsakiyar kunne.
Anatomy
Gwanin mai gwadawa , wani lokacin da ake kira tube eustachian, wani tashar tasiri ne daga tsakiyar kunne zuwa baya na makogwaro (nasopharynx). Gilashin binciken yana da ayyuka masu muhimmanci:
- Ya buɗe kuma ya rufe saboda amsawar canje-canje a cikin iska mai tasiri ta iska don daidaita matsala a tsakiyar kunne.
- Zai iya rufewa don amsa murya mai ƙarfi don kare kullun kunne.
- Yana ƙusar da ƙuƙwalwa daga kunne na tsakiya, yana barin shi ya nutse a cikin bayan makogwaro.
Jigon gwaji a cikin yara yana gudanar da kwaskwarima fiye da na manya. Tare da tsufa, bututu ya kara girma kuma ya zama mafi sauƙi don sauƙaƙe mafi sauƙi. Wannan ya bayyana dalilin da ya sa yara sun fi dacewa da matsalolin maganin matsalolin.
Yayin da aka kulle magunan auditik din, yana buɗewa lokaci-lokaci irin su lokacin da muka haɗiye, yawn, ko yaduwa. Wannan ya bayyana dalilin da yasa muke buƙatar haɗiye domin mu "kunna" kunnuwan mu a lokacin da muka kwashe dutse ko kuma tashi a cikin jirgi.
Lokacin da ka haɗiye, bututu mai dubawa yana buɗewa kuma yana daidaita matsin a cikin ta atomatik.
Sanadin cututtuka
Yayin da yake magana, dasfun kwaikwayo na tube yana faruwa a lokacin da kogin eustachian ya kasa daidaitawa da iska ko kuma ba zai iya kawar da ƙuduri daga kunne na tsakiyar ba.
Idan sauyin iska ya sauya canji, zai iya haifar da rashin jin daɗi, ciwo, har ma da ruptured eardrum .
Idan ba'a tsaftace kullun ba, zai iya haifar da cututtuka na kunnen tsakiya ( maganin otitis ), ruwa a cikin kunne ( magunguna ta otitis ), ko lalacewar saura ta hanyar canje-canje a cikin wuri na eardrum ( kunne mai kunnen kunne ). Wadannan yanayi zasu iya haifar da ciwo, jin ƙyamar jiki, damuwa, har ma da lalacewar kunne.
Dalili ne daga rashin lafiya da ilimin lissafin jiki don canzawa a matsin lamba, ciki har da:
- wani jariri mai gwadawa wanda yake da ƙananan ƙananan (musamman yara)
- ciwon da aka haifar da saurin canje-canje a yanayin iska mai iska ( barotrauma)
- wani motsi na auditive da aka katange ta karaɗa nama (kamar adenoids )
- ƙuntataccen ƙwayar cuta ta hanyar ciwo ko cututtuka
- kamuwa da cuta a kunnen kanta
- ciyayi masu girma ko ciwace-ciwacen da ke toshe kwayar gashin
Sanin asali
Akwai hanyoyi da yawa don bincikar maganganu na dysfunction na tube. Wani likita na ENT, wanda aka sani da shi ne masanin ilimin lissafi , wani kwararren kwararren likita ne don tantance waɗannan yanayi.
Bayan nazari akan tarihin lafiyarka ko alamun bayyanar, likita zai fara nazarin matsalar tare da amfani da kayan aiki daban daban:
- Za'a yi amfani da kayan aikin da ake kira otoscope don duba kullun ka ( membrane tympanic ). Canje-canje a bayyanar ko motsi yana iya nuna ruwa a kunne. Za a iya gane drum mai kunnen doki kuma za a iya bincikar da shi.
- Za a iya amfani da endoscope fiber optic, wanda aka sanya kayan aiki ta hanci don ganin ko duk wani ƙwayar da aka shimfiɗa yana ƙuntata tubar audit.
- Maganin tatsuniya shine wani kayan aiki na musamman wanda zai iya auna murfin iska a tsakiyar kunnen kunne, tare da karatun matsin lamba wanda ya nuna rashin tayar da ƙarancin tube.
Gwaje-gwajen na da kyau sosai kuma ba sa damuwa fiye da ciwon zazzabi da aka sanya a cikin kunne.
Idan akwai damuwa mai tsanani, za a iya yin gwaje-gwaje na hotunan kamar kamfanonin kwamfuta (CT scans) ko Magnetic Resonance Image (MRI) don neman samfurori ko ƙananan da za su iya hana shi.
Idan likitanku ya gaskata cewa cutar ta lalacewa ta hanyar rashin lafiyar jiki, mai ciwo ko kuma za'a iya neman ƙarin bincike.
Jiyya
Jiyya don gyaran ƙwaƙwalwar tube yana da bambanci kuma yana dogara ne akan tushen matsalar.
A game da ruwa a cikin kunnen, mutane da yawa suna iya kawar da ruwa a kan kansu a tsawon lokaci. Idan ruwan ya kasance har yanzu bayan watanni uku zuwa wata shida, likita zai iya zaɓar ya rage ruwan da ya wuce ruwa ta amfani da tubes mai iska .
Idan an kara girman nama (kamar adenoid , polyp , turbinate , ko tumo), za'a iya cire su ta hanyar yin amfani da hanyar da ake kira aikin sinusoshin endoscopic .
Yana da muhimmanci a bi da duk wani yanayi mai mahimmanci, ciki har da allergies, cututtuka, ko growths, wanda zai iya haifar ko taimakawa ga matsalar.
Rigakafin
Rigakafin ya fi kyau fiye da jiyya, kuma, a cikin yanayin rashin lafiya na kayan aiki, kayan aikin rigakafi bazai iya zama mafi sauƙi ba.
Don hana ciwo ko lalacewa ta hanyar saurin canje-canje a matsa lamba na iska, haɗiye ko yawn a kai a kai a lokacin da ya tashi a cikin jirgin sama ko tukuna dutse mai tsayi. Idan kunyi numfashi, sauka sannu a hankali don ba da damar matsa lamba don daidaitawa.
A wasu lokuta, zai iya taimakawa wajen ɗaukar tsauri, kamar pseudoephedrine, kafin tashi ko ruwa. Har ila yau, ya kamata ka sami duk wani abin da ke cikin matsala ko matsalolin sinus da aka bi don hana barotrauma.
Idan kayi kwarewar yanayin iska da ke kunnen da ke kunne, ba lokaci zuwa warkar. Drum mai kunnen doki zai zama mafi alhẽri a kanta a cikin 'yan kwanaki. A lokuta mafi tsanani, tilas ana buƙatar yin aikin tiyata, amma wannan ya fi banda doka.
> Source
- > Schilder, A ;; Bhutta, M .; Butler, C. et al. "Eustachian tube dysfunction: ra'ayi yarjejeniya game da definition, iri, gabatarwa na asibiti, da kuma ganewar asali." Clinical Otolaryngology. Oktoba 2015; 40 (5): 407-411.