Kulawa - kulephera

Kuwonongeka kwa kulawa kumatanthauza kuti pali vuto ndi malingaliro anu a kukoma. Mavuto amachokera pakulawa kosokoneza mpaka kutayika kwathunthu kwamamvekedwe. Kulephera kwathunthu kulawa ndikosowa.

Lilime limatha kuzindikira zotsekemera, zamchere, zowawa, zabwino komanso zowawa. Zambiri zomwe zimawoneka ngati "kulawa" ndizomwe zimanunkhiza. Anthu omwe ali ndi mavuto a kulawa nthawi zambiri amakhala ndi vuto la kununkhiza komwe kumapangitsa kukhala kovuta kuzindikira kukoma kwa chakudya. (Kukoma ndi kuphatikiza kwakumva ndi kununkhiza.)

Mavuto a kulawa amatha kuyambitsidwa ndi chilichonse chomwe chingasokoneze kusunthika kwa kumva kukoma kuubongo. Ikhozanso kuyambitsidwa ndi mikhalidwe yomwe imakhudza momwe ubongo umatanthauzira izi.

Kumverera kwa kukoma kumachepa atakwanitsa zaka 60. Nthawi zambiri, mchere ndi zotsekemera zimatayika kaye. Zowawa zowawa ndi zowawa zimatenga nthawi yayitali.

Zomwe zimayambitsa kukoma kosaphatikizika ndi monga:

• Chifuwa cha Bell
• Chimfine
• Chimfine ndi matenda ena a tizilombo
• Matenda m'mphuno, tizilombo tamphuno, sinusitis
• Pharyngitis ndi strep mmero
• Matenda a salivary gland
• Kusokonezeka mutu

Zina mwazimenezi ndi izi:

• Kuchita khutu kapena kuvulala
• Sinus kapena opareshoni ya chigaza chapambuyo
• Kusuta kwambiri (makamaka chitoliro kapena kusuta ndudu)
• Kuvulala pakamwa, pamphuno, kapena kumutu
• Kuuma pakamwa
• Mankhwala, monga mankhwala a chithokomiro, captopril, griseofulvin, lithiamu, penicillamine, procarbazine, rifampin, clarithromycin, ndi mankhwala ena omwe amachiza khansa
• Matama otupa kapena otupa (gingivitis)
• Vitamini B12 kapena kuchepa kwa zinc

Tsatirani malangizo a omwe akukuthandizani. Izi zingaphatikizepo kusintha kwa zakudya zanu. Mavuto akulawa chifukwa cha chimfine kapena chimfine, kulawa koyenera kuyenera kubwerera matenda akadutsa. Mukasuta fodya, siyani kusuta.

Itanani omwe akukuthandizani ngati zovuta zanu sizimatha, kapena ngati zokonda zosazolowereka zimachitika ndi zizindikilo zina.

Woperekayo ayesa mayeso ndikufunsa mafunso, kuphatikiza:

• Kodi zakudya zonse ndi zakumwa zonse zimamwa mofanana?
• Mumasuta?
• Kodi kusintha kwakusinthaku kumakhudza kutha kudya bwinobwino?
• Kodi mwawona zovuta zilizonse ndikununkhiza kwanu?
• Kodi mwasintha mankhwala otsukira mkamwa kapenanso kutsuka mkamwa?
• Vuto lakulawa latenga nthawi yayitali bwanji?
• Kodi mwakhala mukudwala kapena kuvulala posachedwa?
• Mumamwa mankhwala ati?
• Ndi zisonyezo zina ziti zomwe muli nazo? (Mwachitsanzo, kusowa kwa njala kapena kupuma?)
• Kodi ndi liti pamene munapita kwa dokotala wa mano?

Ngati vuto lakumverera limabwera chifukwa cha chifuwa kapena sinusitis, mutha kupeza mankhwala kuti muchepetse mphuno. Ngati mukumwa mankhwala omwe mukumwa, mungafunike kusintha mlingo kapena kusintha mankhwala ena.

Kujambula kwa CT kapena MRI scan kumatha kuyang'aniridwa pamiyeso kapena mbali yaubongo yomwe imawongolera kununkhira.

Kutaya kukoma; Kukoma kwachitsulo; Dysgeusia

Baloh RW, Jen JC. Kununkhiza ndi kulawa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 427.

Doty RL, Bromley SM. Kusokonezeka kwa kununkhiza ndi kulawa. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 19.

Oyenda JB, Oyenda SP, Christian JM. Physiology yam'kamwa. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 88.