Ukuvuza kwiNtetho yangaphakathi
I-fistula ye-perilymph iyenzeka xa kukho inyembezi kwi-membrane elincinci ebizwa ngokuba yi-oval okanye ngewindow ejikelezileyo eyahlula indlebe yangaphakathi kwindlebe ephakathi. Indlebe yangaphakathi izaliswe ngumsiza obizwa nge-perilymph, ngoko ke xa iinyembezi zivela kule mithombo yokuvuza ephakathi kwendlebe.
Yintoni ebangela i-Perilymph Fistula?
Isizathu esona siqhelo se-fistula ye-perilymph yintlungu.
Inokubangela ukuba ibangelwe yi- barotrauma , imeko edlalwa yindiza okanye xa i-scuba diving (xa kukho utshintsho olukhawulezileyo uxinzelelo lwangaphakathi). I-fistula engaphelelanga yinto engabonakaliyo eyenzekayo ngexesha lokubeletha, ukuzalwa komntwana (ngaphambi kokuzalwa), okanye ezinye izizathu ezingaziwa.
Iimpawu zePerilymph Fistula
- ukulahlekelwa kwindlebe
- i-tinnitis
- i-vertigo (utywala, isicathulo, ukuhlanza)
- uxinzelelo kwindlebe
Ukufumanisa i-Perilymph Fistula
Ukuxilongwa kwe-fistula ye-perilymph kunokuba nzima kuba iimpawu zihamba kunye nezinye iingxaki zendlebe ezinjenge- Meneire's disease . Kukho akukho "vavanyo lwegolide" oluvakalayo lokufumanisa i-fistula ye-perilymph, nangona kunjalo ngezinye izihlandlo ungayifumanisa kwi- MRI okanye kwi- CT scan . I-American Hearing and Research Foundation ineziphakamiso ezithile malunga nokufumanisa i-perilymph fistula ngakumbi xa i-barotrauma ingabandakanyeki. Ekubeni i-diagnostic ingaba nzima kakhulu kwaye unyango lunokuthi lubandakanye ukungenelelo ngoncedo olucwangcisiweyo, bacebisa ukuba bafumane umbono wesibini kunye nezi zilandelayo zivavanyo ukwenzela ukuba bandise amathuba okuxilongwa ngokuchanekileyo:
- vavanyo lwe fistula
- Vavanyo lweFraser
- vavanyo lwe valsalva
- i-audiometry
- I-Electrocochleography (ECOG) (uvavanyo olurekhoda umsebenzi weendlebe zangaphakathi)
- Electronystagmography (ENG)
- Amathambo esithuba se-CT scan, isisombululo esiphezulu
- MRI
Imbali epheleleyo ingabalulekanga kakhulu ekuncedeni ugqirha wakho ukuba acinge ukuba ngaba i-fistula ye-perilymph ingxaki ebonakalayo ebangela iimpawu zakho.
Kuqhelekile ukuba iimpawu zakho zibe zibi nakakhulu xa udibanisa, ugxininisa, okanye ukhwehlela, kwaye kufuneka uhlanganyele kunye nogqirha wakho. Olunye uphawu oluqhelekileyo luyinto yeTullio , eyenza ukuba ube ne-vertigo xa ubonakala ngezwi elikhulu.
Kwiimvavanyo ezibalwe apha ngasentla, kukho uphando olubonisa ukuba indlela efanelekileyo yokwenza ukuxilongwa kwe-perilymph fistula yimbali yonyango kunye ne-fistula okanye uvavanyo lwe-Fraser .
Ukuphatha i-Perilymph Fistula
Ngokuqhelekileyo ukuphumla kwebhedlele oluqinileyo kunconywa ukuvumela umzimba wakho ukulungisa i-fistula yedwa. Ngethuba nje iimpawu ziphucula ugqirha wakho unokuqhubeka nokuphumla kombhede okanye ukukhawulelana nomsebenzi osisigxina ukuya kwiinyanga ezintandathu ngaphambi kokuqwalasela ukulungiswa kocwangco lwe-fistula ye-perilymph.
Amanye amayeza angakunceda ekuphatheni iimpawu kodwa aziyi kuba nempembelelo kwi-fistula ngokwayo. Ngokomzekelo, amayeza afana neZofran kunye nePhenergen angasetyenziswa ukulawula isicupunu. Ukuchithwa yipilisi esetyenziswa ukuphatha iintlobo ezahlukeneyo ze-vertigo kwaye inokuba luncedo ekuphatheni iimpawu. I-Valium yenye yonyango edlalwa ngamanye amaxesha.
Ukulungiswa kokugada kufaka i-tissue graft yokulungisa iindwangu kwiwindow ejikelezileyo. Ngelishwa le ndlela ayisoloko iphumelele ekuphatheni i-perilymph fistula.
Ngokwe- American Hearing Research Foundation ekuhloliseni abantu abayi-160 malunga neepesenti ezingama-90 zezigulane zinezinyathelo ezizinzile okanye ziphuculwe emva kokuhlinzwa. Akukho nanye yezigulane ezibizileyo ezibizileyo.
Imithombo:
I-American Hearing Research Foundation. Perilymph Fistula. Kufumaneka: ngoJuni 4, 2011 kwi-http: //www.american-hearing.org/disorders/perilymph-fistula/
Meldrum, JA & Prinsley, PR. (2016). I-Perilymph fistula: amava ezigulane. Umbhalo weLaryngology & Otology. 130, 526-531. I-doi: 10.1017 / S002221511600030X
Association Vestibular Disorders. Perilymph Fistula. Kufumaneka: Agasti 1, 2009 ukusuka ku-http://vestibular.org/perilymph-fistula