Izibhubhe Zama-Eustachian Ezivulwe Evulekile
Ama-tubes akho eustachian avela endlebeni yakho yangaphakathi kuze kube ngemuva komphimbo wakho. Ngokuvamile, ithubhu yakho ye-eustachian isendaweni evaliwe, evikela indlebe yakho yangaphakathi kuma-bacterium, amagciwane, kanye nohlobo oluthile. Ukuze ulinganise ukucindezela futhi uchithe noma yikuphi uketshezi ngaphakathi kwezindlebe zangaphakathi, ithubhu yakho eustachian ivula kanye noma kabili ngehora. Kuzovulwa futhi uma ugwinya, i-yawn, noma i-sneeze futhi evamile iyohlala ivulekile ukuvula imizuzu engu-0.3 kuya ku-0.5.
I-tube eustachian eningi (PET) eyenzeka lapho u-eustachian tube ihlala evulekile noma egcwele . Kuyinto engavamile kuphela ithinta abantu abangaba ngu-3 kwabangu-1000.
Izimbangela ZeThubhu Elikhulu Lase-Eustachian
Nakuba ungazi ukuthi imbangela yesifo ingadikibalaza, ungase ungakwazi ukubona imbangela yesikhumba sakho se-eustachian esinezintathu, ngoba imbangela evame ukungaziwa. Kodwa kunezici ezimbalwa ezingakunqanda ukuthuthukisa amashubhu e-eustachian avulekile, okufaka:
- ukwelashwa kwemisebe (izimbangela zokulimala)
- amazinga aphezulu e-estrogen (ukukhulelwa, ukulawulwa kokubeletha okuphezulu, noma ukwelashwa kwama-hormonal for cancer cancer)
- ama-decongestants angamazinyo
- ukukhathala, ukucindezeleka noma ukukhathazeka
- syndrome ehambisanayo ye-temporomandibular
- ukulahleka kwesisindo esibalulekile
- ukuphazamiseka kwengqondo (isifo, isifo sofuba, ukuhlukumezeka kwesifo somzimba)
- ukugaya okweqile ngokweqile noma ukuphuza ekhaleni eliphoqelelwe njalo
Izimpawu ezihlobene neThubhu Elikhulu Le-Eustachian
Ngokuvamile amashubhu e-eustachian ahlala avaliwe ngaphandle kokulinganisa ukucindezelwa ngaphakathi kwendlebe ephakathi.
Uma uneshubhu eustachian enezintathu, i-eustachian tube ivulekile kunalokho okungabangela izimpawu ezilandelayo:
- ukuzitholela - lesi yisimpawu esivame kakhulu nesibonakaliso sangempela se-tube eustachian eningi
- i-tinnitis (ukukhala ezindlebeni)
- umuzwa wokuthi indlebe ifakwe phezulu noma ivinjiwe
I-Autophony
Kuyaziwa nangokuthi: i- autophonia, i-tympanophony, i-tympanophonia
I-Autophony yisimo esikugqoka uzwa ukuphendula okungavamile kwezwi lakho siqu, ukuphefumula, nokushaya kwenhliziyo. Lesi yisibonakaliso esiyingqayizivele sesibonakaliso se-tube eustachian eningi futhi singabonakala kwezinye iziphazamiso ezibandakanya ithubhu yakho ye-eustachian efana ne -canal deimcence ye-canal ephakeme kakhulu . Ukuze uxazululwe izimpawu zokuzenzekelayo, kuzodingeka uxoxe ngezinketho zokwelapha ze-tube eustachian eningi nodokotela wakho.
Ukwelashwa Okungavamile Kwishubhu Eustachian Eningi
Ngaphambi kokuthola ukwelashwa, ungathola ukuthi ukuchofoza noma ukwehla ikhanda lakho kungabangela ukukhululeka okwesikhashana kokuzimela. Izimpawu ezincane zingase zingadingi ukwelashwa. Kodwa uma izimpawu zinzima ngokwanele futhi ziye zaqhubeka isikhathi esingaphezu kwamaviki ayisithupha, khona-ke uzofuna ukuqala ukwelashwa okugxile ekuxazululeni ithanga elinamafutha eustachian. Ukwelashwa kokuqala kuqukethe i-hydration efanele; ukuphuza amanzi okwanele kubalulekile futhi kungenziwa ukwesekwa ngamaconsi emanzini omnumzane noma ukuchelela kwempumpo ukusiza ukugcina imfucumfucu yakho emanzini.
Ukwelashwa okuvame kakhulu kwipayipi eustachian enezintambo ezincane. I-saline yiyona ndlela ejwayelekile kunazo zonke, kodwa ungase ubone: ingxenye eyodwa ye-salicylic nezingxenye ezingu-4 ze-boric acid powder, i-hydrochloric acid ehlanjululwe, i-chlorobutanol, noma i-benzyl utshwala ne-iodide egcwele i-potassium.
Lezi zindlela ezihlukile ze-spray yangasese ayitholanga ukwesekwa kwe-FDA okwamanje e-United States.
Nakuba izimo eziningi zezindlebe zangaphakathi zingathola imithi yokuphumula ekusebenziseni ama-decongestant noma ama-steroids emisipha, lo mkhuba uzodala kakhulu izimpawu zakho futhi akufanele uqhubeke. Kodwa ungayeki imithi ngaphandle kokubonisana nodokotela wakho. Uma udokotela wakho efuna ukuthi uyeke ukuthatha i-steroids, bayokunika isimiso se-taper. Ukuyeka ngokushesha ama-steroid kungalimaza. I-nasal estrogen creams inezinsizakalo eziningi ze-anecdotal, kodwa akukho isayensi eyenziwe ukusekela noma ukunciphisa lo mkhuba.
Ukwelashwa Okumangalisa KweThubhu Elikhulu Elitokisi
Lapho izindlela ezincane ezingavamile zibonisa ukuthi aziwanele ukuxazulula izimpawu ze-tube eustachian enezintathu, Uma izindlela zokwelapha zingasebenza kakhulu. Ukungenelela okuvame kakhulu ukufakwa kwe-tube tympanostomy , noma amashubhu endlebe. Le thrafikhi isebenza kuphela ngamaphesenti angama-50 kuphela kweziguli futhi kungasiza ekuxazululeni izimpawu noma kwandisa ukungakhululeki. Ngeshwa akekho ubufakazi obanele ukubikezela ukuthi uzophendula kahle yini ezindlebeni zezindlebe. Noma kunjalo, ukubekwa kwe-tube indlebe ngenhlanhla kuyinkqubo elula yokwenza futhi ingasuswa uma inganikeli ukuphumula.
Enye indlela encane engavamile yokwelapha amashubhu amakhulu eustachian kubhekiswa ngokulayisha okuningi. Kule nqubo, udokotela wakho uzobumba i-Blu Tack (i-adhesive sensitive-sensitive) kumgqomo wakho wezindlebe. Ngeke udinga i-anesthesia kule nqubo futhi ngokuvamile ibekezelela kahle. Lokhu kucatshangwa ukuthi kuyasiza ngokunciphisa ukuzwa kwe-echo ezindlebeni zakho zangaphakathi ngokukhulisa indubhu yakho yezindlebe, okunciphisa ukusabela kwayo emisindo ephansi-imvamisa.
Ezinye izindlela zokwelapha ezingavamile eziqhubekayo zifundiswa, futhi azikho kuzo zonke izindawo zihlanganisa:
- ukujova i-eustachian tube iTeflon, i-silicon, u-cartilage, noma amanye ama-agent okugcwala - ukuqaphela kufanele kusetshenziswe, njengoba injection yengozi emgodini we-carotid ingabangela izinkinga ezinkulu
- ukufakwa kwe-cartilage ngaphakathi kwe-tube eustachian
- ukucubungula i-eustachian tube
- ukuxhaphazwa kwemisipha ezungeze ithubhu eustachian
Izinqubo ezibalwe ngenhla ziyingozi ngaphezu kokuthola amathebhu wezindlebe, kodwa kuye ngokuthi ubunzima bezimpawu zakho kanye nokuphumelela kwamanye okungenelela kungase kube izinketho ezengeziwe kuwe. Ukufaka i-catheter ngaphakathi kwe-tube eustachian, ukufaka injini ye-eustachian, noma ukuphathwa kwe-musculature, kuvumela ukugxila kwe-tube eustachian. Nakuba lokhu kungabuyeli umsebenzi ojwayelekile we-tube, kunciphisa inani lokugeleza komoya ngaphakathi endlebeni ephakathi, okusiza ukunciphisa izimpawu zokuzimela.
Ukubeka uqwanga ngaphakathi kwe-tube eustachian kunenhloso efanayo ekubekeni kwe-catheter futhi isetshenziselwa kuphela uma i-catheter ihlulekile. Njengendlela yokugcina, ungaba nokuhlinzwa lapho i- otolaryngologist yakho ivala khona ngokuphelele i-eustachian tube. Le nqubo yedwa ayanele ukusiza ukuphatha izimpawu, njengoba ulahlekelwa ikhono lokulawula ingcindezi phakathi nendlebe ephakathi. Ngenxa yalesi sizathu, udokotela wakho uzobeka futhi amashubhu endlebe . Uzohlala ufuna ama-tubes endlebe uma unayo le nqubo, ngakho-ke isetshenziswa njengendlela yokugcina.
> Imithombo:
> Bartlett, C1, Pennings, R, Ho, A, Kirkpatrick, D, van Wijhe, R, & Bance M. (2010). Ukulayisha okulula kwe-membrane ye-tympanic ukunciphisa izimpawu ze-tube eustachian eningi. J Otolaryngol Head Neck Surg. 39 (3): 259-68.
> Luu, K, Remillard, A, Fandino, M, Saxby, A & Westerberg BD. (2015). Ukwelashwa Ukusebenza Kwezimpawu ZeThubhu Elikhulu Lama-Eustachian: Ukubuyekezwa Okuhlelekile. I-Otol Neurotol. 36 (10): 1593-600. i-doi: 10.1097 / MAO.0000000000000900.
> I-Tube Eustachian Eningi. Isikhungo Sikazwelonke Sokuthuthukisa Iwebhusayithi Yezinguqulo Zokuhumusha. https://rarediseases.info.nih.gov/gard/10812/patulous-eustachian-tube/resources/1. Kubuyekezwe ngo-Februwari 17, 2017. Kufinyelelwe ngo-Julayi 5, 2017.
> Inkondlo. D & Hanna, B.MN. (2015). I-tube ye-Eustachian yokukhubazeka. http://www.uptodate.com (Okubhaliselwe Kudingeka). Kubuyekezwe ngomhla ka-21 Septemba, 2016. Kufinyelelwe ngo-Julayi 5, 2017.