I-Otosclerosis

I-Otosclerosis ukukhula okungavamile kwethambo endlebeni ephakathi okwenza ukulahleka kokuzwa.

Imbangela ngqo ye-otosclerosis ayaziwa. Kungadluliselwa ngemindeni.

Abantu abane-otosclerosis banesandiso esingajwayelekile samathambo afana nesiponji akhula emgodini wendlebe ophakathi. Lokhu kukhula kuvimbela amathambo endlebe ekunyakazeni ngokuphendula amaza omsindo. Lokhu kunyakaza kuyadingeka ukuze uzwe.

I-Otosclerosis iyimbangela evame kakhulu yokulahlekelwa kwezindlebe eziphakathi nendawo kubantu abadala. Imvamisa iqala ekuqaleni kuze kube maphakathi nokuba mdala. Kuvame kakhulu kwabesifazane kunabesilisa. Isimo singathinta indlebe eyodwa noma zombili.

Izingozi zalesi simo zifaka phakathi ukukhulelwa kanye nomlando womndeni wokulahleka kokuzwa. Abelungu banamathuba amaningi okuba nalesi simo kunabantu bezinye izinhlanga.

Izimpawu zifaka:

• Ukulahleka kokuzwa (kuhamba kancane ekuqaleni, kepha kubi ngokuhamba kwesikhathi)
• Ukukhala ezindlebeni (tinnitus)
• I-Vertigo noma isiyezi

Ukuhlolwa kokuzwa (i-audiometry / audiology) kungasiza ekutholeni ubunzima bokulahleka kokuzwa.

Ukuhlolwa okukhethekile kwe-imaging kwekhanda okubizwa nge-temporal-bone CT kungasetshenziselwa ukubheka ezinye izimbangela zokulahleka kokuzwa.

I-Otosclerosis ingahle ibe yimbi kancane kancane. Isimo kungenzeka singadingi ukwelashwa uze ube nezinkinga ezinkulu zokuzwa.

Ukusebenzisa eminye imithi efana ne-fluoride, i-calcium, noma i-vitamin D kungasiza ekunciphiseni ukulahleka kokuzwa. Kodwa-ke, izinzuzo zalezi zindlela zokwelashwa azikakaqinisekiswa.

Usizo lokuzwa lungasetshenziswa ukwelapha ukulahleka kokuzwa. Lokhu ngeke kuphulukise noma kuvimbele ukulahleka kwezindlebe ukuthi kube kubi, kepha kungasiza ngezimpawu.

Ukuhlinzwa kungaphulukisa noma kuthuthukise ukulahleka kokuzwa okusebenzayo. Kuphakathi kokuthi kususwe wonke noma ingxenye yamathambo endlebe aphakathi nendawo amancane ngemuva kwe-eardrum (stapes) bese kufakwa okufakelwayo.

• Ukushintshwa okuphelele kubizwa nge-stapedectomy.
• Kwesinye isikhathi kususwa kuphela ingxenye yeziqu bese kwenziwa umgodi omncane phansi kwaso. Lokhu kubizwa ngokuthi yi-stapedotomy. Kwesinye isikhathi kusetshenziswa i-laser ukusiza ngokuhlinzwa.

I-Otosclerosis iba kubi kakhulu ngaphandle kokwelashwa. Ukuhlinzwa kungabuyisa okunye noma konke ukulahlekelwa kwakho kokuzwa. Ubuhlungu nesiyezi kusuka ekuhlinzweni kuhamba kungakapheli amasonto ambalwa kubantu abaningi.

Ukunciphisa ubungozi bezinkinga ngemuva kokuhlinzwa:

• UNGALISHAYI ikhala lakho amasonto amabili kuya kwamathathu emva kokuhlinzwa.
• Gwema abantu abanezifo zokuphefumula noma ezinye izifo.
• Gwema ukugoba, ukuphakamisa noma ukuhlunga, okungadala isiyezi.
• Gwema umsindo omkhulu noma ushintsho olungazelelwe lwengcindezi, njengokuntweza nge-scuba, ukundiza, noma ukushayela ezintabeni uze ululame.

Uma ukuhlinzwa kungasebenzi, ungaba nokulahlekelwa okuphelele kokuzwa. Ukwelashwa kokulahlekelwa okuphelele kokuzwa kufaka phakathi ukuthuthukisa amakhono okubhekana nokungezwa, nokusebenzisa izinsiza-kuzwa ukudlulisa imisindo esuka endlebeni engezwanga iye endlebeni enhle.

Izinkinga zingafaka:

• Qedela ukungezwa
• Ukunambitheka okuhlekisayo emlonyeni noma ukulahlekelwa ukunambitheka okuyingxenye yolimi, okwesikhashana noma unomphela
• Ukutheleleka, isiyezi, ubuhlungu, noma ukunqamuka kwegazi endlebeni ngemuva kokuhlinzwa
• Ukulimala kwemizwa

Shayela umhlinzeki wakho wezempilo uma:

• Unokulahlekelwa ukuzwa
• Uba nomkhuhlane, ubuhlungu bendlebe, isiyezi, noma ezinye izimpawu ngemuva kokuhlinzwa

I-Otospongiosis; Ukulahlekelwa ukuzwa - i-otosclerosis

• I-anatomy yendlebe

Indlu JW, iCunningham CD. I-Otosclerosis. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 146.

Ironside JW, Smith C. Amasistimu wezinzwa aphakathi nendawo namaphethelo. Ku: Cross SS, ed. I-Underwood Pathology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 26.

U-O'Handley JG, uTobin EJ, u-Shah AR. I-Otorhinolaryngology. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 18.

Umfula A, Yoshikawa N. Otosclerosis. Ku: Myers EN, Snyderman CH, eds. I-Operative Otolaryngology Head kanye ne-Neck Surgery. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 133.