Gyaran kunne

Gyaran kunne na nufin hanya daya ko sama wacce ake yi don gyara hawaye ko wata lalacewar kunnuwa (membrane tympanic membrane).

Ossiculoplasty shine gyaran ƙananan ƙashi a tsakiyar kunne.

Yawancin manya (da duka yara) suna karɓar maganin rigakafin jiki. Wannan yana nufin zaku kasance cikin barci kuma baza ku iya jin zafi ba. Wani lokaci, ana amfani da maganin sa barci na gida tare da magani wanda ke sa ku bacci.

Likitan likitan zai yi yanka a bayan kunne ko kuma cikin mashigar kunnen.

Dogaro da matsalar, likitan zai:

• Tsaftace duk wata cuta ko mushe a kan kunne ko a tsakiyar kunne.
• Saka kunnen kunnen tare da wani ɓangaren nashi mai haƙuri wanda aka ɗauka daga jijiya ko ƙwarjin tsoka (da ake kira tympanoplasty). Wannan hanya yawanci zata dauki awa 2 zuwa 3.
• Cire, sauyawa, ko gyara 1 ko fiye da ƙananan ƙananan ƙasusuwa 3 a tsakiyar kunne (wanda ake kira ossiculoplasty).
• Gyara kananan ramuka a cikin dodon kunne ta hanyar sanya ko dai gel ko takarda ta musamman akan kunnen (wanda ake kira myringoplasty). Wannan aikin yakan dauki mintuna 10 zuwa 30.

Dikita zai yi amfani da madubin hangen nesa don dubawa da gyara kunnen kunne ko ƙananan ƙashi.

Kunnen kunne yana tsakanin kunnen na waje da na tsakiya. Yana girgiza lokacin da karar sauti ta buge shi. Lokacin da kunnen ya lalace ko yake da rami a ciki, za a iya rage jin magana kuma mai yiwuwa cututtukan kunne ne.

Dalilin ramuka ko buɗewa a cikin dodon kunne sun haɗa da:

• Ciwon kunne mara kyau
• Rashin aiki daga bututun eustachian
• Manna wani abu a cikin mashigar kunne
• Yin tiyata don sanya tubes na kunne
• Rauni

Idan dodon kunne yana da ƙaramin rami, myringoplasty na iya aiki don rufe shi. Yawancin lokaci, likitanka zai jira aƙalla makonni 6 bayan ramin ya ɓullo kafin ya ba da shawarar a yi masa tiyata.

Tympanoplasty za a iya yi idan:

• Kunnen kunne yana da rami mafi girma ko buɗewa
• Akwai kamuwa da cuta mai ci gaba a cikin kunne, kuma maganin rigakafi ba ya taimaka
• Akwai haɓaka ƙarin nama a kusa ko bayan kunnen

Waɗannan matsalolin guda ɗaya na iya cutar da ƙananan ƙashi (ossicles) waɗanda suke daidai a bayan kunnen. Idan hakan ta faru, likitanka zai iya yin ossiculoplasty.

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Amsawa ga magunguna
• Matsalar numfashi
• Zub da jini, toshewar jini, kamuwa da cuta

Hadarin ga wannan aikin sun hada da:

• Lalacewa ga jijiyar fuska ko jijiyar dake juya jin dandanon
• Lalacewa ga ƙananan ƙashi a cikin tsakiyar kunne, yana haifar da rashin ji
• Dizziness ko vertigo
• Rashin warkar da rami a cikin dodon kunne
• Mafi munin ji, ko kuma, a cikin al'amuran da ba safai ba, rasa ji gaba daya

Faɗa wa mai ba da lafiya:

• Abin da rashin lafiyan ku ko yaron ku na iya samun kowane magani, cincin, tef, ko mai tsabtace fata
• Waɗanne magunguna ku ko ɗanku ke sha, gami da ganye da bitamin da kuka saya ba tare da takardar sayan magani ba

A ranar tiyata ga yara:

• Bi umarni game da rashin ci ko sha. Ga jarirai, wannan ya hada da shayarwa.
• Anyauki kowane magani da ake buƙata tare da ɗan shan ruwa.
• Idan ku ko yaranku ba su da lafiya a safiyar ranar tiyata, kira likitan nan da nan. Ana buƙatar sake tsara hanyar.
• Zuwanka asibiti akan lokaci.

Kai ko yaronka na iya barin asibiti a rana ɗaya da aikin tiyatar, amma na iya buƙatar kwana idan akwai wata matsala.

Don kare kunne bayan tiyata:

• Za'a saka kayan a kunne na kwanaki 5 zuwa 7 na farko.
• Wani lokaci sutura tana rufe kunnen kanta.

Har sai mai ba ku sabis ya ce yana da kyau:

• Kada a bar ruwa ya shiga cikin kunne. Lokacin wanka ko wankin gashi, sanya auduga a cikin kunnen waje sannan a rufe shi da man jelly. Ko, zaku iya sa hular wanka.
• Karka "kunce" kunnenka ko busa hanci. Idan kana bukatar atishawa, yi haka da bakinka. Zana duk wani ƙoshin hanci a cikin hanci zuwa cikin maƙogwaronka.
• Guji tafiya da iska da iyo.

A hankali a goge duk wani malalewar kunne a bayan kunnen. Kuna iya samun kunnuwa a makon farko. Kada a saka wani abu a kunne.

Idan kana da dinkuna a bayan kunnen kuma sun jike, a hankali ka busar da wurin. Kar a shafa.

Kai ko yaronka na iya jin ƙarar, ko ji ƙararrawa, dannawa, ko wasu sautuka a kunne. Kunne na iya jin ya koshi ko kuma kamar an cika shi da ruwa. Zai iya zama kaifi, harbi yana ciwo kuma nan da nan bayan tiyatar.

Don guje wa kamuwa da mura, kaurace wa cunkoson wurare da mutane masu alamun sanyi.

A mafi yawan lokuta, ciwo da alamomin gaba daya sun sami sauki. Rashin ji ba karami ba ne

Sakamakon ba zai iya zama mai kyau ba idan kasusuwa a cikin kunnen tsakiya suna buƙatar sake ginawa, tare da kunnuwa.

Ciwon mara; Tympanoplasty; Ossiculoplasty; Maimaitawar Ossicular; Tympanosclerosis - tiyata; Rashin katsewar ciki - tiyata; Ossicular gyarawa - tiyata

• Eardrum gyara - jerin

Adams ME, El-Kashlan HK. Tympanoplasty da ossiculoplasty. 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 142.

Chiffer R, Chen D. Myringoplasty da tympanoplasty. A cikin: Eugene M, Snyderman CH, eds. Gwanin Otolaryngology da kuma Yin Tiyata. 3rd ed. Philadelphia, PA: Elsevier; 2018: babi na 131.

Fayad JN, Sheehy JL. Tympanoplasty: dabarun ɗaukar hoto na waje. A cikin: Brackmann DE, Shelton C, Arriaga MA, eds. Yin aikin tiyata. 4th ed. Philadelphia, PA: Elsevier; 2016: babi na 8.