Otosclerosis

Otosclerosis ndeye isina kujairika bone kukura mukati kati nzeve iyo inokonzera kurasikirwa kwekunzwa.

Chikonzero chaicho che otosclerosis hachizivikanwe. Inogona kupfuudzwa kuburikidza nemhuri.

Vanhu vane otosclerosis vane kuwedzera kusinganzwisisike kwesiponji-kunge bhonzo rinokura pakati nepakati nzeve mhango. Uku kukura kunodzivirira mapfupa enzeve kuti asazununguke mukupindura mafungu ezwi. Izvi zvinodedera zvinodiwa kuti iwe unzwe.

Otosclerosis ndiyo inonyanya kukonzeresa yepakati kunzwa nzeve kurasikirwa mune vechidiki vakuru. Inowanzo tanga mukutanga kusvika pakati pekukura. Inowanzoitika kune vakadzi kupfuura varume. Mamiriro acho anogona kukanganisa imwe kana nzeve mbiri.

Ngozi dzeichi chiitiko dzinosanganisira kubata pamuviri uye nhoroondo yemhuri yekunzwa kurasikirwa. Varungu vane mukana wakakura wekuvandudza mamiriro aya kupfuura vanhu vemamwe marudzi.

Zviratidzo zvinosanganisira:

• Kunzwa kurasikirwa (kunonoka pakutanga, asi kunowedzera nekufamba kwenguva)
• Kurira munzeve (tinnitus)
• Vertigo kana dzungu

Kuedzwa kwekunzwa (audiometry / audiology) kunogona kubatsira kuona kukomba kwekurasikirwa kwekunzwa.

Muedzo wekufungidzira wakasarudzika wemusoro unonzi wenguva-pfupa CT unogona kushandiswa kutsvaga zvimwe zvikonzero zvekurasikirwa kwekunzwa.

Otosclerosis inogona kuwedzera zvishoma nezvishoma. Mamiriro acho anogona kunge asingade kurapwa kusvika iwe uine matambudziko akakomba ekunzwa.

Kushandisa mimwe mishonga yakadai se fluoride, calcium, kana vhitamini D kunogona kubatsira kudzikisira kurasikirwa kwekunzwa. Nekudaro, iwo mabhenefiti erapirwo aya haasati aratidzwa.

Rubatsiro rwekunzwa runogona kushandiswa kurapa kurasikirwa kwekunzwa. Izvi hazvirape kana kudzivirira kurasikirwa kwekunzwa kubva pakuwedzera, asi zvinogona kubatsira nezviratidzo.

Kuvhiya kunogona kuporesa kana kunatsiridza kurasikirwa kwekunzwa kwekunzwa. Chero zvese kana chikamu cheimwe chidiki chepakati nzeve mapfupa kuseri kweeardrum (stapes) inobviswa uye inotsiviwa neprosthesis.

• Iyo yekutsiva yakazara inonzi stapedectomy.
• Dzimwe nguva chikamu cheiyo chete inobviswa uye gomba diki rinoitwa pasi payo. Izvi zvinonzi stapedotomy. Dzimwe nguva laser inoshandiswa kubatsira nekuvhiya.

Otosclerosis inowedzera kuwedzera pasina kurapwa. Kuvhiya kunogona kudzoreredza imwe kana yako yese yekurasikirwa kwekunzwa. Marwadzo uye dzungu kubva pakuvhiya zvinopera mukati memavhiki mashoma kune vanhu vazhinji.

Kuderedza njodzi yematambudziko mushure mekuvhiyiwa:

• Usaridze mhino dzako kwemavhiki maviri kana matatu mushure mekuvhiyiwa.
• Dzivisa vanhu vane hutachiona kana zvimwe zvirwere.
• Dzivisa kukotama, kusimudza, kana kumanikidza, izvo zvinogona kukonzera dzungu.
• Dzivisa ruzha rukuru kana kamwe kamwe kumanikidza shanduko, senge scuba diving, kubhururuka, kana kutyaira mumakomo kusvika iwe wapora.

Kana kuvhiya kusingashande, unogona kunge uine zvachose kurasikirwa kwekunzwa. Kurapa kwekurasikirwa kwekunzwa kwakazara kunosanganisira kusimudzira hunyanzvi hwekugona kubata nehusanzwa, uye kushandisa anobatsira ekunzwa kuendesa manzwi kubva kune isinganzwe nzeve kuenda kune nzeve yakanaka.

Zvinetso zvinogona kusanganisira:

• Matsi dzese
• Kunakidza kuravira mumuromo kana kurasikirwa kwekuravira kune chikamu cherurimi, chenguva pfupi kana chenguva dzose
• Utachiona, dzungu, kurwadziwa, kana kuvhara ropa munzeve mushure mekuvhiyiwa
• Tsinga kukuvara

Fonera wako mupi wezvehutano kana:

• Iwe une kurasikirwa kwekunzwa
• Unokudziridza kupisa muviri, kurwadziwa nzeve, dzungu, kana zvimwe zviratidzo mushure mekuvhiyiwa

Otospongiosis; Kunzwa kurasikirwa - otosclerosis

• Nzeve anatomy

Imba JW, Cunningham CD. Otosclerosis. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 146.

Ironside JW, Smith C. Pakati nepakati peshungu masisitimu. Mu: Muchinjikwa SS, ed. Underwood Pathology. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26.

O'Handley JG, Tobin EJ, Shah AR. Otorhinolaryngology. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier; 2016: chits.

Rwizi A, Yoshikawa N. Otosclerosis. Mune: Myers EN, Snyderman CH, eds. Inoshanda Otolaryngology Musoro uye Neck Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 133.