Ukuvuza emlonyeni wangaphakathi
I-perilymph fistula kwenzeka uma kukhona izinyembezi embranini elincanyana ebizwa ngokuthi iwindi eliyindilinga noma eliyindilinga elihlukanisa indlebe yangaphakathi kusukela endlebeni ephakathi. Indlebe yangaphakathi igcwele umkhuhlane obizwa ngokuthi i-perilymph, ngakho-ke lapho izinyembezi kwenzeka lokhu kuvuza okuketshezi phakathi kwesikhala somphakathi.
Yini Ebangelwa I-Perilymph Fistula?
Isizathu esivame kakhulu se-perilymph fistula yi-traum head.
Kungabangelwa futhi yi- barotrauma , isimo esivame ukuvela endizeni noma ngesikhathi scuba diving (uma kunezinguquko ezisheshayo ingcindezi yomkhathi). I-fritula ephindaphindiwe ye-perilymph ingenzeka ngesikhathi sokubeletha, isisu (ngaphambi kokuzalwa), noma ezinye izimbangela ezingaziwa.
Izimpawu ze-Perilymph Fistula
- ukulahlekelwa ukuzwa
- i-tinnitis
- i-vertigo (isizungu, isiyaluyalu, ukuhlanza)
- ukucindezela endlebeni
Ukuthola i-Perilymph Fistula
Ukuthola isifo se-fistula ye-perilymph kungaba nzima ngoba izimpawu zihambisana nezinye izinkinga zendlebe ezinjenge- Meneire's disease . Kukhona futhi ukuhlola okungajwayelekile "kwegolide" ukuhlolisisa i-perilymph fistula, kodwa ngezinye izikhathi ungayifaka isifo se- MRI noma se- CT . I-American Hearing and Research Foundation inezincomo eziqondile ekutholeni i-perilymph fistula ikakhulu uma i-barotrauma ingabandakanyeki. Njengoba ukuxilongwa kungaba inselele kakhulu futhi ukwelashwa kungase kuhileleke ukungenelela kokuhlinzwa, batusa ukuthola umbono wesibili kanye nokuhlolwa okulandelayo ukwandisa amathuba okuthola i-diagnosis efanele:
- ukuhlolwa kwe-fistula
- Ukuhlolwa kwe-Fraser
- ukuhlolwa kwe-valsalva
- i-audiometry
- I-Electrocochleography (ECOG) (uvivinyo oluloba umsebenzi wezindlebe zangaphakathi)
- I-Electronystagmography (ENG)
- Ithefu yesikhashana CT scan, isinqumo esiphezulu
- I-MRI
Umlando ophelele ungabaluleka kakhulu ekusizeni udokotela wakho anqume ukuthi ngabe i-perilymph fistula noma ingabe ingeyona inkinga engabangela izimpawu zakho.
Kuyinto evamile ukuba izimpawu zakho zibi nakakhulu uma ushona, ukucindezela, noma ukukhwehlela, futhi kufanele wabelane ngalokhu nodokotela wakho. Esinye isibonakaliso esivamile yisenzakalo se-Tullio , esenza ukuba uthole ama-vertigo uma ufaka umsindo ozwakalayo.
Kulezi zivivinyo ezibalwe ngenhla, kukhona ucwaningo olubonisa ukuthi indlela engcono kakhulu yokuthola ukuxilongwa kwe-perilymph fistula ngumlando wezokwelapha kanye nesifo esihle se-fistula noma u-Fraser .
Ukwelapha i-Perilymph Fistula
Ngokuvamile ukuphumula okuqinile okunconywayo kunconywa ukuvumela umzimba wakho ukulungisa i-fistula yedwa. Uma nje izimpawu zithuthukisa udokotela wakho angase aqhubeke nokuphumula kombhede noma umkhawulo womsebenzi oqinile kuze kube izinyanga eziyisithupha ngaphambi kokucubungula ukukhishwa kwe-perilymph fistula.
Imithi ethile ingasiza ekunakekeleni izimpawu kodwa ngeke ibe nethonya ku-fistula ngokwayo. Isibonelo, imithi efana noZofran noPhenergen ingasetshenziselwa ukulawula ukunxanxathela. Ukuphikisa kuyinto imithi esetshenziselwa ukuphatha izinhlobo ezahlukene ze-vertigo futhi ingase inenzuzo ekwelapheni izimpawu. I-Valium ingenye imithi ngezinye izikhathi esetshenziswa.
Ukulungiswa okuhlinzekwayo kuhilela ukuhlanganiswa kwezicubu ukulungisa izinyembezi efasiteleni elizungezayo. Ngeshwa le ndlela ayiphumeli njalo ekuphatheni i-perilymph fistula.
Ngokusho kwe- American Hearing Research Foundation ekuhloleni kwabantu abangu-160 cishe iziguli ezingamaphesenti angu-90 babe nezimpawu ezizinzile noma ezithuthukile ngemva kokuhlinzwa. Akekho weziguli ezibikezele ukuthi ziyingozi kakhulu.
Imithombo:
I-American Hearing Research Foundation. I-Perilymph Fistula. Kufinyelelwe: Juni 4, 2011 kusuka ku-http: //www.american-hearing.org/disorders/perilymph-fistula/
Meldrum, JA & Prinsley, PR. (2016). I-Perilymph fistula: okuhlangenwe nakho kweziguli. I Journal of Laryngology & Otology. 130, 526-531. i-doi: 10.1017 / S002221511600030X
I-Vestibular Disorders Association. I-Perilymph Fistula. Kufinyelelwe: Agasti 1, 2009 kusuka ku-http://vestibular.org/perilymph-fistula