Ingabe i-MS ibangela izinkinga zokuzwa?

-Delile

• Ukubuka konke
• Ngabe i-MS ingadala ukulahleka kokuzwa?
• Ukulahlekelwa kokuzwa kwe-Sensorineural (SNHL)
• Ukulahlekelwa ukuzwa okungazelelwe
• I-MS nokulahleka kokuzwa endlebeni eyodwa
• Tinnitus
• Ezinye izinkinga zokuzwa
• Ukwelashwa kwasekhaya
• Ukubonana nodokotela nini
• Ukwelashwa kokulahlekelwa ukuzwa
• Ukuthatha

Ukubuka konke

I-Multiple sclerosis (MS) yisifo sobuchopho nomgogodla lapho amasosha akho omzimba ehlasela khona ukugcwala kwe-myelin okuzungezile futhi kuvikele izinzwa zakho. Ukulimala kwemithambo kubangela izimpawu ezifana nokuba ndikindiki, ubuthakathaka, izinkinga zokubona, nobunzima bokuhamba.

Amaphesenti amancane abantu abane-MS nawo anezinkinga zokuzwa. Uma kuba nzima kuwe ukuzwa abantu bekhuluma egumbini elinomsindo noma uzwa imisindo esontekile noma kukhala ezindlebeni zakho, sekuyisikhathi sokungena nodokotela wakho wezinzwa noma uchwepheshe wezokuzwa.

Ngabe i-MS ingadala ukulahleka kokuzwa?

Ukulahlekelwa ukuzwa ukulahlekelwa ukuzwa. Ukulahlekelwa kokuzwa akuvamile kubantu abane-MS, kodwa kungenzeka. Ngokusho kweNational Multiple Sclerosis Society, cishe amaphesenti ayisithupha abantu abane-MS banokuzwa.

Indlebe yakho yangaphakathi iguqula ukunyakaza kwemisindo ku-eardrum ibe amasiginali kagesi, athuthelwa ebuchosheni nge-nerve auditory. Ingqondo yakho bese inquma lezi zimpawu emisindweni oyaziyo.

Ukuzwa ukulahlekelwa kungaba uphawu lwe-MS. Izilonda zingakha kwi-nerve auditory. Lokhu kuphazamisa izindlela zezinzwa ezisiza ubuchopho bakho ukuba budlulise futhi buqonde umsindo. Izilonda nazo zingakheka esiqwini sobuchopho, okuyingxenye yobuchopho obandakanyeka ekuzweni nasekulinganiseni.

Ukulahlekelwa ukuzwa kungaba uphawu lokuqala lwe-MS. Kungaba futhi uphawu lokuthi ubuyela emuva noma unezimpawu uma uke waba nokulahlekelwa kwezindlebe okwesikhashana esikhathini esedlule.

Ukulahleka okuningi kokuzwa kungokwesikhashana futhi kuyathuthuka lapho ukubuyela emuva sekuphelile. Kuyinto engavamile kakhulu ukuthi i-MS ibangele ukungezwa.

Ukulahlekelwa kokuzwa kwe-Sensorineural (SNHL)

I-SNHL yenza imisindo ephansi kube nzima ukuyizwa nemisindo ephezulu ayicaci.Luhlobo oluvame kakhulu lokulahleka kokuzwa unomphela. Ukulimala ezindleleni zezinzwa eziphakathi kwendlebe yakho yangaphakathi nobuchopho bakho kungadala iSNHL.

Lolu hlobo lokulahlekelwa kokuzwa luvame kakhulu kubantu abane-MS kunezinye izinhlobo zokulahlekelwa kokuzwa.

Ukulahlekelwa ukuzwa okungazelelwe

Ukulahleka kokuzwa okungazelelwe kunguhlobo lweSNHL lapho ulahlekelwa khona ama-decibel angama-30 noma ngaphezulu kokuzwa esikhathini samahora ambalwa kuye ezinsukwini ezi-3. Lokhu kwenza izingxoxo ezijwayelekile zizwakale njengokuhleba.

Ucwaningo luphakamisa ukuthi amaphesenti angama-92 abantu abane-MS kanye ne-SNHL engazelelwe basezigabeni zokuqala ze-MS. Ukulahleka kokuzwa okusheshayo futhi kungaba uphawu lokuphinda ubuye i-MS.

I-MS nokulahleka kokuzwa endlebeni eyodwa

Imvamisa, ukulahleka kokuzwa ku-MS kuthinta indlebe eyodwa kuphela. Kancane kancane, abantu balahlekelwa ukuzwa ezindlebeni zombili.

Kungenzeka futhi ukuthi ulahlekelwe ukuzwa endlebeni eyodwa kuqala bese kuba kwenye. Uma lokhu kwenzeka, umhlinzeki wakho wezokunakekelwa kwempilo angakuhlolela ezinye izifo ezingabukeka njenge-MS.

Tinnitus

I-tinnitus yinkinga evamile yokuzwa. Kuzwakala njengokukhala, ukubhuza, ukushaya amakhwela, noma ukushaya ikhwelo ezindlebeni zakho.

Imvamisa ukuguga noma ukuvezwa emisindweni ephezulu kubanga ama-tinnitus. Ku-MS, ukulimala kwezinzwa kuphazamisa amasiginali kagesi asuka ezindlebeni zakho aye ebuchosheni bakho. Lokho kususa umsindo wokukhala ezindlebeni zakho.

I-tinnitus ayiyona ingozi kodwa ingaphazamisa kakhulu futhi icasule. Okwamanje alikho ikhambi.

Ezinye izinkinga zokuzwa

Ezinye izinkinga ezimbalwa zokuzwa ezixhunywe ku-MS zifaka:

• ukwanda kokuzwela kuzwakale, okubizwa nge-hyperacusis
• umsindo osontekile
• ubunzima bokuqonda ulimi olukhulunywayo (i-aphasia eyamukelayo), okungeyona inkinga yokuzwa empeleni

Ukwelashwa kwasekhaya

Ukuphela kokwelapha kokulahlekelwa ukuzwa ukugwema izimbangela. Isibonelo, ukushisa kwesinye isikhathi kungadala ukuvela kwezimpawu ezindala njengezinkinga zokuzwa kubantu abane-MS.

Ungakuthola unenkinga enkulu yokuzwa lapho kushisa noma ngemuva kokuzivocavoca. Izimpawu kufanele zithuthuke uma usupholile. Uma ukushisa kuthinta ukuzwa kwakho, zama ukuhlala ezindlini ngangokunokwenzeka uma kushisa ngaphandle.

Umshini womsindo omhlophe ungamisa ukukhala ukuze wenze ama-tinnitus athwale kakhudlwana.

Ukubonana nodokotela nini

Bona udokotela uma ulahlekelwe ukuzwa noma uzwa ukukhala noma ukubhuza imisindo ezindlebeni zakho. Udokotela wakho angakuhlola ngezimbangela zokulahleka kokuzwa, njenge:

• ukutheleleka kwezindlebe
• indlebe yokwakheka kwendlebe
• imithi
• ukulimala kwezindlebe ekuvezeni imisindo emikhulu
• ukulahlekelwa ukuzwa okuhlobene nobudala
• ukulimala endlebeni yakho noma ebuchosheni
• isilonda esisha se-MS

Futhi, bona udokotela wezinzwa ophatha i-MS yakho. Ukuskena kwe-MRI kungakhombisa ukuthi ngabe i-MS ilimaze imizwa yakho yokuzwa noma isiqu sobuchopho. Udokotela wakho angakunikeza izidakamizwa ze-steroid uma une-MS ebuyela emuva ukuze uthuthukise ukulahleka kokuzwa uma kusezigabeni zokuqala.

Udokotela wakho wezinzwa noma indlebe, ikhala, nomphimbo (ENT) angakudlulisela kudokotela wezwi. Lo chwepheshe uxilonga futhi alaphe ukuphazamiseka kokuzwa futhi angakuhlolela ukulahleka kokuzwa. Ungathola futhi i-audiologist nge-American Academy of Audiology noma i-American Speech-Language-Hearing Association.

Ukwelashwa kokulahlekelwa ukuzwa

Izinsiza-kuzwa zingasiza ekulahlekelweni kokuzwa okwesikhashana. Zibuye zibe ukwelashwa kwama-tinnitus.

Ungathenga insiza yokuzwa uwedwa, kodwa kungcono ukubona udokotela wezwi ukuze ayilungise kahle. Isazi sokulalela singaphinde sincome i-induction loop ukuhlunga imisindo engemuva ekhaya lakho ukukusiza uzwe ngokucacile.

Imithi efana ne-tricyclic antidepressants kwesinye isikhathi inikezwa ukusiza ngezimpawu ze-tinnitus.

Ukuthatha

Yize i-MS ingadala ukulahleka kokuzwa, kuyaqabukela kube nzima noma kungapheli. Ukulahlekelwa kokuzwa kungaba kubi kakhulu ngesikhathi se-MS flares futhi kufanele kuthuthuke uma i-flare isiphelile. Udokotela wakho angakunikeza imithi ezokusiza ukuthi ululame ngokushesha futhi angakudlulisela kuchwepheshe we-ENT noma ku-audiologist ukuze aqhubeke nokuhlolwa.