Ciwon mara

Otosclerosis ciwan ƙashi ne mara kyau a cikin tsakiyar kunne wanda ke haifar da rashin ji.

Ba a san ainihin abin da ya haifar da otosclerosis ba. Yana iya wucewa ta cikin dangi.

Mutanen da ke da otosclerosis suna da ƙari mara kyau na ƙashi kamar soso wanda ke girma a cikin ramin kunnen tsakiya. Wannan ci gaban yana hana ƙasusuwan kunne yin rawar jiki saboda raƙuman sauti. Ana buƙatar waɗannan faɗakarwar don ku ji.

Otosclerosis shine mafi yawan dalilin rashin ji na kunne a cikin samari. Yawanci yakan fara ne tun daga farkonsa har zuwa tsakiyarta. Ya fi faruwa ga mata fiye da na maza. Yanayin na iya shafar kunne ɗaya ko duka biyun.

Hadarin ga wannan yanayin sun hada da juna biyu da kuma tarihin dangi na rashin jin magana. Farar fata sun fi kamuwa da wannan yanayin fiye da na sauran jinsi.

Kwayar cutar sun hada da:

• Rashin ji (a hankali a farko, amma yana kara lalacewa a kan lokaci)
• Ingara a kunnuwa (tinnitus)
• Vertigo ko jiri

Gwajin ji (audiometry / audiology) na iya taimakawa wajen tantance tsananin raunin ji.

Za'a iya amfani da gwajin hoto na musamman na kai wanda ake kira CT na lokaci-lokaci don neman wasu dalilai na rashin jin magana.

Otosclerosis na iya zama sannu a hankali. Yanayin bazai buƙatar a kula da shi ba har sai kun sami matsalolin ji mai tsanani.

Amfani da wasu magunguna kamar su fluoride, calcium, ko bitamin D na iya taimakawa wajen rage zafin ji. Koyaya, ba a tabbatar da fa'idar waɗannan jiyya ba tukuna.

Ana iya amfani da na'urar sauraro don magance matsalar rashin ji. Wannan ba zai warke ba ko hana raunin ji daga ci gaba da muni, amma yana iya taimakawa tare da bayyanar cututtuka.

Yin aikin tiyata na iya warkar ko inganta haɓakar jin magana. Ko dai an cire duka ko wani ɓangare na ƙananan ƙasusuwan kunne na tsakiya a bayan dodon kunne (stapes) kuma an maye gurbinsu da gurɓataccen gurbi.

• Jimlar sauyawa ana kiranta stapedectomy.
• Wasu lokuta kawai ana cire wani yanki daga cikin tatattun kuma ana yin ƙaramin rami a ƙasansa. Wannan ana kiran sa stapedotomy. Wani lokaci ana amfani da laser don taimakawa tare da tiyata.

Otosclerosis yana kara lalacewa ba tare da magani ba. Yin aikin tiyata na iya dawo da wasu ko duka rashin ji. Jin zafi da jiri daga tiyatar sun tafi tsakanin fewan makonni da yawa don yawancin mutane.

Don rage haɗarin rikice-rikice bayan tiyata:

• KADA KA hura hanci tsawon sati 2 zuwa 3 bayan an gama tiyata.
• Guji mutanen da ke da numfashi ko wasu cututtuka.
• Guji lankwasawa, dagawa, ko wahala, wanda na iya haifar da jiri.
• Guji surutai masu ƙarfi ko canje-canje na matsi kwatsam, kamar kurɓi, tashi sama, ko tuƙi a cikin duwatsu har sai kun warke.

Idan aikin tiyata bai yi aiki ba, ƙila kuna da asarar ji gaba ɗaya. Jiyya don rashin asarar ji gabaɗaya ya haɗa da haɓaka ƙwarewa don jimre wa rashin ji, da amfani da kayan aikin ji don watsa sautuna daga kunnen da ba ya ji da kunnen mai kyau.

Matsaloli na iya haɗawa da:

• Cikakken rashin ji
• Jin ɗanɗano na ban dariya a cikin bakin ko rasa dandano zuwa ɓangaren harshe, na ɗan lokaci ko na dindindin
• Kamuwa da cuta, jiri, zafi, ko daskarewar jini a cikin kunne bayan tiyata
• Lalacewar jijiya

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da rashin ji
• Kuna samun zazzaɓi, ciwon kunne, jiri, ko wasu alamomi bayan tiyata

Otospongiosis; Rashin ji - otosclerosis

• Ciwon kunne

Gidan JW, Cunningham CD. Ciwon mara. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 146.

Ironside JW, Smith C. Tsarin tsakiya da tsarin juyayi. A cikin: Cross SS, ed. Woodwararrun howararru. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 26.

O'Handley JG, Tobin EJ, Shah AR. Otorhinolaryngology. A cikin: Rakel RE, Rakel DP, eds. Littafin karatun Magungunan Iyali. 9th ed. Philadelphia, PA: Elsevier; 2016: babi na 18.

Rivero A, Yoshikawa N. Otosclerosis. A cikin: Myers EN, Snyderman CH, eds. Gwanin Otolaryngology da kuma Yin Tiyata. 3rd ed. Philadelphia, PA: Elsevier; 2018: babi na 133.