Iibhubhu zase-Eustachian eziye zavulwa
Iibhubhu zakho ze-eustachian zihamba zivela entle yakho yangaphakathi ukuya kumqolo wakho. Ngokuqhelekileyo, ityhubhu yakho ye-eustachian isendaweni evaliweyo, ekhusela indlebe yakho yangaphakathi kwiibhaktheriya, kwiintsholongwane kunye nangoketshezi. Ukuze ulinganise uxinzelelo kwaye ucofe naluphi na umbane ngaphakathi kwindlebe yangaphakathi, ityhubhu yakho ye-eustachian ivula kanye okanye kabini ngeyure. Kuya kuvuleka xa uginya, u-ywn, okanye udibanise kwaye ngokuqhelekileyo kuya kuhlala uvulekile ukuvula u-0.3 ukuya kweyesi-0.5 imizuzwana.
I-tube eustachian ephakamileyo (PET) iyenzeka xa u-tube eustachian ihlala evulekile okanye ikhulu . Ngokuqhelekileyo kuthintela kuphela abantu aba-3 kwabangama-1000.
Iimbangela zeTaphuphu eTyitachian
Nangona ungayazi isizathu se-disorder kunokuphazamisa, unganakho ukufumanisa imbangela yakho ye-tube ye-eustachian, enobangela ukuba ingaziwa. Nangona kunjalo kukho izinto eziliqela ezinokusibeka phambili ekuphuhliseni izibhabhane ze-eustachian ezingapheliyo, eziquka:
- unyango lwamayeza (kubangelwa ukuba kunzima ukuvela)
- Amanqanaba aphezulu e-estrogen (Ukukhulelwa, ukulawula ukuzala okuphezulu, okanye unyango lwe-hormonal ye-prostate cancer)
- abagqithisi bomzimba
- ukukhathala, uxinzelelo okanye uxhalabisayo
- syorrome ehlangeneyo
- ukulahleka kwamandla
- ukuphazamiseka kwengqondo (isifo, isifo se-sclerosis, ukuphazamiseka kwesifo somzimba)
- ukugquma i-gum chewing okanye ukunyuka kwempumlo
Iimpawu ezihambelanayo neTatus Eustachian Tube
Ngokuqhelekileyo iibhobho ze-eustachian zivaliwe ngaphandle kokulinganisela uxinzelelo phakathi kwendlebe ephakathi.
Xa unesiponti esikhulu se-eustachian, i-tube eustachian evulekile endaweni leyo ingaba neziphumo ezilandelayo:
- i-autophony - eli liphawu oluqhelekileyo kunye nomqondiso weklasi we-tube eustachian eninzi
- i-tinnitis (ukukhala kwiindlebe)
- uvakalelwa kukuba indlebe ifakwe phezulu okanye ivalwe
Autophony
Kwaziwa nangokuthi: autophonia, tympanophony, tympanophonia
I-Autophony yimeko yokugqoka uyiva ingxelo engavamile yezwi lakho, ukuphefumula kunye nentliziyo. Eli liphawu lokubonisa uphawu lwe-tube eustachian eninzi kunye kwaye kunokuphawulwa kwezinye iziphazamiso ezibandakanya ityhubhu yakho ye-eustachian efana ne- canal dehiscence . Ukuze ulungise iimpawu zokuzimela, uzakufuneka uxoxe ngamanyathelo enyango kwi-tube eustachian eninzi kunye nogqirha wakho.
Unyango olungabonakaliyo lweTyudu enkulu ye-Eustachian
Ngaphambi kokufumana unyango, unokufumanisa ukuba ukucima okanye ukunciphisa intloko yakho kunokubangela ukukhululeka kwesikhashana kwe-autophony. Izimpawu ezincinci zingafuneki naluphina unyango. Nangona kunjalo ukuba iimpawu zomelele kwaye ziqhubekeka ngaphezu kweeveki ezi-6, ngoko uya kufuna ukuqala unyango olujoliswe ekujonganeni ne-tube eousachian. Iipilisi zokuqala zibandakanya i-hydration efanelekileyo; ukusela amanzi aneleyo kubalulekile kwaye kunokuxhaswa ngamanzi amancinci okanye ukunkcenkceshela kwempumlo ukuze uncede ukugcina iimbumba zakho ezinamanzi zimanzi.
Unyango oluqhelekileyo kunyango ye-eustachian ephakamileyo i-spray. I-Saline yinto ekhethekileyo kakhulu, nangona ungabona kwakhona: 1 inxenye ye-salicylic kunye neengxenye ezine ze-boric acid powder, i-hydrochloric acid ehlanjululwayo, i-chlorobutanol, okanye i-benzyl alcohol kunye ne-iodide e-potassium egcwele.
Ezi zenye iifom ze-spray spray azifumani inkxaso ye-FDA e-United States.
Nangona iimeko ezininzi zeendlebe zangaphakathi zingafumana ukukhululeka kwempawu ekusebenziseni izidumbu ze-nasal or steroids , le ndlela iya kuphazamisa iimpawu zakho kwaye akufanele iqhubeke. Nangona kunjalo ungayeki nayiphi na imithi ngaphandle kokubonisana nodokotela wakho. Ukuba ugqirha ufuna ukuba uyeke ukuthatha i-steroids, baya kukunika i-timer schedule. Ukuyeka i-steroids ngokukhawuleza kungonakalisa. I-nasal estrogen creams inenkxaso enkulu ye-anecdotal, nangona kungekho nzululwazi eyenziwe ukuxhasa okanye ukuphazamisa lo mkhuba.
Ukunyangwa okuManyeneyo kweTyhubhu e-Eustachian
Xa iindlela ezingaphantsi kwe-invasive zingabonakali ukuba zixazulule iimpawu ze-tube eustachian eninzi, Ukuba unyango olugqithisileyo luya kusebenza ngakumbi. Ukungenelela okugqithiseleyo kunokubekwa kwe-tympanostomy tube , okanye i-tubes ear. Olu unyango lungama-50% osebenzayo kwizigulane kwaye lunokunceda ukuxazulula iimpawu okanye ukwandisa ukungakhululeki. Ngelishwa akukho ubungqina obaneleyo bokuqikelela ukuba ngaba uya kuphendula ngokuthe ngqo kumatope. Nangona kunjalo, ukufakwa kwetyhubhu yendlebe inenhlanhla inqubo elula yokwenza kwaye ingasuswa ukuba ayikunikezeli ukukhulula.
Enye indlela encinci yokusingatha iipatus ezidityanisiweyo ze-eustachian ibhekiswa ukulayishwa ngokukhulu. Kule nkqubo, ugqirha uya kubumba i-Blu Tack (i-adhesive-sensitive adhesive) kwi-drum yakho indlebe. Awuyi kufuna i-aneshesia kule nkqubo kwaye ngokuqhelekileyo ixhomekeke kakuhle. Oku kucingelwa ukuba luncedo ngokunciphisa ukuvalelwa kwe-echo kwindlebe yakho yangaphakathi ngokunyusa intonga yakho yeendlebe, okunciphisa ukusabela kwayo kwizandi ezisezantsi.
Ezinye iindlela ezingaphangeliyo eziqhubekayo zifundiswa, kwaye azifumaneki kuzo zonke iinkalo ziquka:
- ukujoba i-eustachian tube iTeflon, i-silicon, i-cartilage, okanye ezinye izalathisi zokuzalisa - kufuneka uqaphele, njengokuba umjovo wengozi emkhombeni we-carotid ungabangela iingxaki ezinzima
- ukufakwa kwendawo yokugonywa kwe-cartilage ngaphakathi kwiphubhu ye-eustachian
- i-cauterizing kwi-tube eustachian
- ukuxhaphazwa kwemisundu ejikelezayo kwi-tube eustachian
Iinkqubo ezichazwe ngasentla zininzi ezingenayo kunokuba zibe neendlebe ezibekwe, nangona kuxhomekeke kubukhulu beempawu zakho kunye nempumelelo yamanye amanyathelo angenelelo olongezelelweyo kuwe. Ukufakela i-catheter ngaphakathi kwiphubhu ye-eustachian, ukujoba i-eustachian tube, okanye i-musculature manipulation, ivumela ukunciphisa i-eustachian tube. Nangona le nto ingabuyi umsebenzi oqhelekileyo webhubhu, inciphisa umlinganiselo womoya ophakathi kwendlebe ephakathi, oku kunceda ukunciphisa iimpawu zokuzimela.
Ukubeka i-cartilage ngaphakathi kwiphubhu ye-eustachian inomxholo ofanayo kunye nokufakwa kwe-catheter kwaye isetyenziswe kuphela xa i-catheter iphumelele. Njengokugqiba kokugqibela, unokuhlinzwa apho i- otolaryngologist yakho ivala i-eustachian tube. Le nkqubo kuphela ayinelisekanga ukunceda ukulawula iimpawu, njengoko ulahlekelwa yikhono lokulawula uxinzelelo kwindlebe ephakathi. Ngenxa yesi sizathu, ugqirha wakho uya kufaka neendlebe ze-ear . Uya kuhlala ufuna iindlebe zendlebe ukuba unayo le nkqubo, ngoko isetyenziswe kuphela njengesigqibo sokugqibela.
> Imithombo:
> Bartlett, C1, Pennings, R, Ho, A, Kirkpatrick, D, van Wijhe, R, & Bance M. (2010). Ukulayishwa okulula kwe-membrane ye-tympanic ukunciphisa iimpawu ze-tube eustachian. J Otolaryngol Head Neck Surg. 39 (3): 259-68.
> Luu, K, Remillard, A, Fandino, M, Saxby, A & Westerberg BD. (2015). Ukuphumelela kweMpawu zeMpawu zoTyhutyana enkulu ye-Eustachian: Uhlolo lokuHlola. Otol Neurotol. 36 (10): 1593-600. i-doi: 10.1097 / MAO.0000000000000900.
> I-Eustachian Tube. Isiko leSizwe soPhuhliso lweeNkonzo zeeNguqulelo zeNkonzo. https://rarediseases.info.nih.gov/gard/10812/plancial-eustachian-tube/resources/1. Ukuhlaziywa ngoFebruwari 17, 2017. Kufumaneka ngoJulayi 5, 2017.
> I-Poe. D & Hanna, B.MN. (2015). I-tube yase-Eustachian inobungozi. http://www.uptodate.com (Ubhaliso olufunekayo). Ukuhlaziywa kweSeptemba 21, 2016. Kufumaneka ngoJulayi 5, 2017.