Kumva Kutayika Kumbali imodzi

Zamkati

• Nchiyani chimapangitsa kusamva kwakumva mbali imodzi?
• Kodi kumva kwakumva khutu limodzi kumapezeka bwanji?
• Kodi kutaya khutu kumamvedwa motani?

Kutaya kwakumva mbali imodzi

Kutaya kwakumva mbali imodzi kumachitika mukakhala ndi vuto lakumva kapena muli ndi vuto losamva lomwe limakhudza khutu limodzi lokha. Anthu omwe ali ndi vutoli atha kukhala ndi mavuto akumvetsetsa zolankhula m'malo okhala ndi anthu ambiri, kupeza komwe kumamveka phokoso, komanso kukonza phokoso lakumbuyo.

Matendawa amadziwikanso kuti kutha kwakumva kosagwirizana kapena kusamva kwamodzi. Itha kufotokozedwa ngati kugontha khutu limodzi kapena mbali imodzi, kutaya khutu limodzi, kapena kulephera kumva kuchokera khutu limodzi. Muyenera kumvanso bwino ndi khutu lanu lina.

Muyenera nthawi zonse kulankhulana ndi dokotala ngati mukumva vuto lililonse lakumva. Kumva mwadzidzidzi mbali imodzi kapena zonse ziwiri ndizadzidzidzi zachipatala ndipo zimafunikira chithandizo mwachangu. Dokotala wanu azitha kukupatsani chithandizo ndipo atha kukutumizirani kwa katswiri.

Kutengera vuto lakumva kwanu, dokotala akhoza kukulangizani zamankhwala, opaleshoni, kapena zothandizira kumva. Nthawi zina, vutoli limatha popanda chithandizo.

Nchiyani chimapangitsa kusamva kwakumva mbali imodzi?

Pali zifukwa zambiri zomwe zingayambitse kumva kumbali imodzi, kuphatikizapo:

• kuvulaza khutu
• kukhudzana ndi phokoso lalikulu kapena mankhwala ena
• kutseka khutu
• chotupa
• kudwala

Kumva kusintha kumatha kukhala zotsatira zachilengedwe za ukalamba. Zina mwazomwe zimasinthidwa zimasinthidwa, monga kuchuluka kwa sera mumtsinje wamakutu kapena matenda am'makutu ndimadzimadzi. Zina sizingasinthike, monga zomwe zimachitika chifukwa chokhudzidwa ndi khutu palokha.

Kuphatikiza pa kuvulala pamutu kapena khutu kapena kupezeka kwa thupi lakunja khutu, izi zingachitike chifukwa chakumva mbali imodzi:

• acoustic neuroma: mtundu wa chotupa chomwe chimakanikiza mitsempha yomwe imakhudza kumva
• Kuphulika kwa khutu: kabowo kakang'ono kapena kung'ambika m'makutu
• labyrinthitis: vuto lomwe limapangitsa zida zamakutu zamkati kutupa ndikukwiyitsa
• Matenda a Meniere: matenda omwe amakhudza khutu lamkati ndipo pamapeto pake amatsogolera kugontha
• mtundu wa neurofibromatosis mtundu wachiwiri: matenda obadwa nawo omwe amachititsa kuti zotuluka zopanda khansa ziwonekere pamitsempha yamakutu
• otitis externa (khutu losambira): kutupa kwa khutu lakunja ndi ngalande yamakutu
• otitis media with effusion: matenda okhala ndi madzi akuda kapena okundana kumbuyo kwa khutu
• shingles: Matenda omwe amayambitsidwa ndi kachilombo komwe kamayambitsa nkhuku
• Matenda a Reye: matenda osowa, omwe nthawi zambiri amawoneka mwa ana
• temporical arteritis: kutupa ndi kuwonongeka kwa mitsempha yamagazi pamutu ndi m'khosi
• kusakwanira kwama vertebrobasilar: magazi osayenda bwino kumbuyo kwa ubongo

Kumva kutaya khutu limodzi kumatha kukhalanso chifukwa cha mankhwala akuchipatala monga:

• mankhwala a chemotherapy
• okodzetsa monga furosemide
• salicylate (aspirin) kawopsedwe
• maantibayotiki monga streptomycin ndi tobramycin

Kodi kumva kwakumva khutu limodzi kumapezeka bwanji?

Malinga ndi National Institute on Deafness and Other Communication Disways (NIDCD), pafupifupi anthu 10 mpaka 15% omwe ali ndi vuto lakumva mwadzidzidzi ali ndi chifukwa chodziwika bwino cha matenda awo. Ndikofunika kupanga nthawi yokumana ndi dokotala nthawi iliyonse mukamva kwakumva m'makutu amodzi kapena onse awiri.

Mukamacheza, dokotala adzawunika zomwe mwakumana nazo komanso mbiri yazachipatala ndikuwunika makutu anu, mphuno, ndi mmero.

Dokotala wanu amathanso kuyitanitsa mayeso omvera. Mukamayesa izi, adotolo kapena katswiri wodziwika bwino amayeza momwe mungayankhire pamawu osiyanasiyana ndi matchulidwe osiyanasiyana. Mayeserowa atha kuthandiza dokotala kuti adziwe gawo lakhutu lomwe lakhudzidwa, lomwe lingakupatseni chidziwitso pazomwe zimayambitsa vuto lakumva.

Kodi kutaya khutu kumamvedwa motani?

Njira zothandizira pakumva kwanu zimadalira chifukwa cha matenda anu. Nthawi zina, kutayika kwakumva sikungasinthe. Dokotala wanu angakulimbikitseni chithandizo chakumva kuti chikuthandizireni kumva kwanu ngati palibe chithandizo china chakumva kwanu.

Njira zina zochiritsira ndi izi:

• opaleshoni kukonza khutu kapena kuchotsa chotupa
• maantibayotiki kuti athetse matenda
• steroids kuti muchepetse kutupa ndi kutupa
• kusiya kugwiritsa ntchito mankhwala omwe angayambitse kumva

Kutaya kwakumva komwe kumayambitsidwa ndi sera yomanga kumatha kuchiritsidwa pochotsa mokweza khutu. Mutha kuyesa kugulitsa kunyumba monga hydrogen peroxide, madontho ochepa amafuta amchere, mafuta amwana, kapena zinthu zochotsa m'makutu monga Debrox. Muyenera nthawi zonse kufunafuna chithandizo cha akatswiri ngati izi sizikuthandizani pakapita masiku ochepa. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumatha kuyambitsa mkwiyo m'makutu anu. Ngati muli ndi chinthu chakunja chomwe chimakhudza makutu anu, musayese kuchichotsa panokha. Osayikapo swabs swabs kapena zinthu zina monga zopangira kuchotsa thupi lachilendo, chifukwa zinthu izi zimatha kuvulaza khutu. Ngati mukukumana ndi zizindikiro zina monga chizungulire, kufooka kwa nkhope, kusalinganika, kapena matenda amitsempha, muyenera kuyesedwa ndi dokotala nthawi yomweyo.