I-Otosclerosis

I-Otosclerosis kukukhula ngokungaqhelekanga kwethambo kwindlebe esembindini ebangela ukulahleka kwendlebe.

Oyena nobangela we-otosclerosis awaziwa. Inokudluliselwa kwiintsapho.

Abantu abane-otosclerosis banokongezwa okungaqhelekanga kwethambo elifana nesiponji elikhula embindini wendlebe ophakathi. Oku kukhula kuthintela amathambo endlebe ekubeni angcangcazelele ekuphenduleni kumaza esandi. Ezi ntlokotho ziyafuneka ukuze uve.

I-Otosclerosis sesona sizathu siphambili sokulahleka kwendlebe ephakathi kubantu abadala. Iqala kwasekuqaleni ukuya ebudaleni. Kuqheleke kakhulu kubafazi kunamadoda. Le meko inokuchaphazela enye okanye zombini iindlebe.

Iingozi zale meko zibandakanya ukukhulelwa kunye nembali yosapho yokulahlekelwa kukuva. Abantu abamhlophe kunokwenzeka ukuba bayiphuhlise le meko kunabantu bezinye iintlanga.

Iimpawu zibandakanya:

• Ukuva ukulahleka (ukucotha ekuqaleni, kodwa kubi ngokuhamba kwexesha)
• Ukukhala ezindlebeni (tinnitus)
• Vertigo okanye isiyezi

Uvavanyo lokuva (i-audiometry / audiology) lunokunceda ukumisela ubuzaza bokulahleka kwendlebe.

Uvavanyo olukhethekileyo lokucinga ngentloko olubizwa ngokuba yi-temporal-bone CT lunokusetyenziselwa ukukhangela ezinye izizathu zokulahleka kwendlebe.

I-Otosclerosis inokuya isiba mandundu. Le meko isenokungafuneki ukuba inyangwe de ube uneengxaki ezinkulu zokuva.

Ukusebenzisa amanye amayeza afana ne-fluoride, calcium, okanye ivithamin D kunokunceda ekunciphiseni ilahleko yokuva. Nangona kunjalo, izibonelelo zolu nyango azikabonakali.

Uncedo lokuva lunokusetyenziselwa ukunyanga ilahleko yokuva. Oku akuyi kunyanga okanye kuthintele ukulahleka kwendlebe ekubeni kubi, kodwa kunokunceda kwiimpawu.

Utyando lunokunyanga okanye luphucule ukulahleka kwendlebe. Nokuba yeyiphi okanye iyinxalenye yelinye lamathambo endlebe aphakathi asezantsi emva kwe-eardrum (i-stapes) iyasuswa kwaye endaweni yayo kufakwe i-prosthesis.

• Ukutshintshwa ngokupheleleyo kubizwa ngokuba yi-stapedectomy.
• Ngamanye amaxesha kuphela yinxalenye yeentonga ezisusiweyo kuze kwenziwe umngxunya omncinci ezantsi kwayo. Oku kubizwa ngokuba yi-stapedotomy. Ngamanye amaxesha kusetyenziswa ilaser ukunceda ngotyando.

I-Otosclerosis iya isiba mandundu ngaphandle konyango. Ugqirha lunokubuyisela enye okanye yonke ilahleko yokuva. Iintlungu kunye nesiyezi esivela kutyando ziya kuphela kwiiveki ezimbalwa kubantu abaninzi.

Ukunciphisa umngcipheko weengxaki emva kotyando:

• MUSA ukuvuthela impumlo yakho iiveki ezi-2 ukuya kwezi-3 emva kotyando.
• Gwema abantu abaneentsholongwane zokuphefumula okanye ezinye izifo.
• Kuphephe ukugoba, ukuphakamisa, okanye ukuxinana, okunokubangela ukuba ube nesiyezi.
• Kuphephe ingxolo enkulu okanye utshintsho olukhawulezileyo koxinzelelo, njengokuntywila emanzini, ukubhabha, okanye ukuqhuba ezintabeni ude uphile.

Ukuba utyando alusebenzi, unokuba nelahleko lokuva ngokupheleleyo. Unyango lwelahleko lokuva ngokupheleleyo kubandakanya ukuphuhlisa izakhono zokujongana nokungeva, kunye nokusebenzisa izixhobo zokuva ukuhambisa izandi ezivela kwindlebe engevayo ziye kwindlebe elungileyo.

Iingxaki zinokubandakanya:

• Gqibeleleyo ukuba sisithulu
• Ukunambitheka okumnandi emlonyeni okanye ukulahleka kwencasa kwinxalenye yolwimi, okwethutyana okanye okusisigxina
• Usulelo, isiyezi, iintlungu, okanye ihlwili legazi endlebeni emva kotyando
• Umonakalo wemithambo

Fowunela umboneleli wakho wezempilo ukuba:

• Unengxaki yokuva
• Uba nomkhuhlane, iintlungu ezindlebeni, isiyezi, okanye ezinye iimpawu emva kotyando

IOtospongiosis; Ukuphulukana nokuva-i-otosclerosis

• I-anatomy yendlebe

Indlu yeJW, iCunningham CD. I-Otosclerosis. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 146.

Ironside JW, Smith C. Iinkqubo zangaphakathi zemithambo-luvo. Ku: Umnqamlezo we-SS, ed. Ngaphantsi kwePathology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 26.

O'Handley JG, Tobin EJ, Shah AR. Otorhinolaryngology. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahl 18.

Umlambo A, Yoshikawa N. Otosclerosis. Ku: Myers EN, Snyderman CH, ii-eds. Umsebenzi weNtloko yeOtolaryngology kunye nokuhlinzwa kotyando. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 133.