Hnov tsis hnov ​​lus

Hnov tsis hnov ​​lus zoo yog qee los yog tsis tuaj yeem hnov ​​lub suab hauv ib lossis ob lub pob ntseg.

Cov tsos mob ntawm qhov tsis hnov ​​lus zoo muaj xws li:

• Muaj qee lub suab zoo li nrov nrov hauv ib lub pob ntseg
• Nyuaj raws li kev sib tham thaum ob lossis ntau tus neeg sib tham
• Nyuaj tsis hnov ​​suab thaj chaw nrov
• Qhov teeb meem los qhia lub suab nrov (xws li "s" lossis "th") los ntawm ib leeg
• Cov teeb meem hnov ​​cov txiv neej lub suab tsawg dua li cov poj niam lub suab
• Hnov cov suab lus raws li mumbled lossis slurred

Lwm cov tsos mob muaj xws li:

• Zoo nkaus li tawm ntawm sib npaug lossis kiv taub hau (feem ntau ntawm Ménière kab mob thiab mob hlwb neouoma)
• Zoo nkaus li muaj siab rau hauv lub pob ntseg (hauv qhov dej hauv lub ntsej muag)
• Lub suab nrov lossis nrov li nrov hauv pob ntseg (tinnitus)

Hnov tsis hnov ​​lus zoo (CHL) tshwm sim vim muaj teeb meem kho tshuab hauv pob ntseg sab nrauv lossis nruab nrab. Qhov no tuaj yeem yog vim:

• Lub 3 lub pob txha me me ntawm pob ntseg (ossicles) tsis ua suab zoo.
• Lub ntsej muag tsis nrov ntawm lub ntsej muag mus rau lub suab.

Cov ua rau hnov ​​lus tsis zoo yuav kho tau ntau zaus. Lawv suav nrog:

• Buildup ntawm siv quav ciab hauv pob ntseg pob ntseg
• Kev puas tsuaj rau cov pob txha me me (ossicles) uas yog sab hauv qab pob ntseg
• Ua kua dej nyob hauv pob ntseg ntxiv tom qab mob lub pob ntseg
• Cov khoom txawv teb chaws uas tau daig hauv pob ntseg pob ntseg
• Qhov hauv lub ntsej muag sab hauv
• Caws pliav rau ntawm lub ntsej muag los ntawm kev kis rov qab

Sensorineural hnov ​​lus tsis txaus (SNHL) tshwm sim thaum cov plaub hau me me (qhov kawg ntawm txoj hlab ntaws) uas pom tau lub suab hauv pob ntseg yog raug mob, mob, tsis ua haujlwm zoo, lossis tau tuag. Hom tsis hnov ​​lus zoo feem ntau tsis tuaj yeem thim rov qab.

Sensorineural hnov ​​tsis zoo feem ntau tshwm sim los ntawm:

• Tshaj tawm neuroma
• Lub hnub nyoog hais txog cov tsis hnov ​​lus
• Cov kab mob thaum yau, xws li muaj mob rau daim npog hlwb, tus mob qog ntawm tes, kub taub hau, thiab mob qhua pias
• Tus kab mob Ménière
• Raug ntaus rau lub suab nrov nrov (xws li los ntawm kev ua haujlwm lossis kev ua si)
• Siv qee yam tshuaj

Hnov tsis hnov ​​lus tuaj yeem tshwm sim thaum yug los (hnub yug) thiab tuaj yeem yog vim:

• Cov teeb meem thaum yug uas ua rau muaj kev hloov pauv hauv lub pob ntseg
• Tej yam muaj raws caj ces (muaj ntau dua 400 paub)
• Kab mob leej niam kis mus rau nws tus menyuam hauv plab, xws li toxoplasmosis, rubella, lossis herpes

Lub pob ntseg tseem tuaj yeem raug mob los ntawm:

• Kev nyuaj siab sib txawv ntawm sab hauv thiab sab nraud ntawm pob ntseg, feem ntau los ntawm scuba dhia dej
• Pob txha taub hau pob txha pob txha (tuaj yeem ua rau lub tsev lossis pob ntseg puas ntsoog)
• Kev raug mob los ntawm kev tawg, foob pob hluav taws, rab phom, ntaus pob zeb, thiab pob ntseg nrov

Koj tuaj yeem nquag yaug cov ciab tawm los ntawm pob ntseg (maj mam) nrog lub taub ntswg (muaj nyob hauv khw muag tshuaj) thiab dej sov. Siv cov phom mos ntsej muag (zoo li Cerumenex) yog xav tau yog tias siv quav ciab yuav tawv thiab daig hauv pob ntseg.

Saib xyuas thaum tshem cov khoom txawv teb chaws los ntawm pob ntseg. Ntshe nws yuav yooj yim rau, kom koj tus kws kho mob tshem qhov khoom ntawd. Tsis txhob siv cov twj ntse los tshem tawm cov khoom txawv teb chaws.

Ntsib koj tus kws kho mob rau lwm qhov tsis hnov ​​lus zoo.

Hu rau koj tus kws khomob yog:

• Cov teeb meem tsis hnov ​​lus cuam tshuam koj txoj kev ua neej.
• Cov teeb meem tsis hnov ​​lus zoo li yuav tsis ploj lossis ua rau mob hnyav ntxiv.
• Lub rooj sib hais yuav phem dua hauv ib lub pob ntseg dua lwm lub.
• Koj cia li hnov ​​dheev, hnov ​​pob ntseg nrov nrov los yog nrov rau pob ntseg (me me).
• Koj muaj lwm cov tsos mob, xws li mob pob ntseg, nrog rau cov teeb meem hnov ​​lus.
• Koj muaj mob taub hau tshiab, tsis muaj zog, lossis loog txhua qhov chaw ntawm koj lub cev.

Tus kws khomob yuav kuaj koj li keebkwm khomob thiab kuaj mob lub cev.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kev ntsuam xyuas audiometric (kev ntsuam xyuas kev hnov ​​lus siv los xyuas hom thiab qhov tsis hnov ​​lus zoo)
  
• CT lossis MRI scan ntawm lub taub hau (yog xav tias muaj qog los yog pob txha lov)
• Tympanometry

Cov kev phais hauv qab no yuav pab qee yam tsis hnov ​​lus zoo:

• Kev Kho Mob Eardrum
• Tso cov hlab zaws hauv lub raj rau kom tshem tawm cov kua dej
• Kho cov pob txha me hauv nruab nrab pob ntseg (ossiculoplasty)

Cov hauv qab no tej zaum yuav pab nrog hnov ​​lus ntev:

• Muaj cov cuab yeej pab mloog zoo
• Lub tsev muaj kev nyab xeeb thiab ceeb toom rau koj lub tsev
• Hnov lus hnov
• Cochlear cog
• Kev kawm paub los pab koj sib txuas lus
• Cov lus piav (rau cov tsis hnov ​​lus zoo)

Kev cog lus Cochlear tsuas yog siv rau cov neeg uas tau hnov ​​ntau dhau los kom tau txais txiaj ntsig los ntawm lub pob ntseg.

Lub rooj sib hais tsawg dua; Lag Ntseg; Tsis hnov ​​lus; Hnov tsis hnov ​​lus zoo; Sensorineural hnov ​​tsis hnov ​​lus; Presbycusis

• Pob ntseg anatomy

Kawm HA, Adams ME. Sensorineural hnov ​​tsis zoo hauv cov neeg laus. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 152.

Eggermont JJ. Hom hnov ​​lus. Hauv: Eggermont JJ, ed. Sib Hais Tsis TauCov. Cambridge, MA: Elsevier Kev Kawm Txuj Ci; 2017: chap 5.

Kerber KA, Baloh RW. Neuro-otology: kuaj mob thiab tswj cov neuro-otological cuam tshuam. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 46.

Le Prell CG. Lub suab tsis hnov ​​dab tsi. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 154.

Txiab AE, Shibata SB, Smith RJH. Noob caj dab sensorineural tsis hnov ​​lus zoo. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 150.

Weinstein B. Kev tsis txaus siab ntawm lub rooj sib hais. Hauv: Sau HM, Rockwood K, Young J, eds. Brocklehurst's Cov Ntawv Phau Ntawv Txog Tshuaj Geriatric thiab GerontologyCov. 8 tus ed. Philadelphia, PA: Elsevier, 2017: cha 96.