Ho lahleheloa ke kutlo

Tahlehelo ea kutlo ke karolo e 'ngoe kapa ha e khone ho utloa molumo ho le leng kapa litsebeng tse peli.

Matšoao a tahlehelo ea kutlo a ka kenyelletsa:

• Melumo e itseng e bonahala e phahame haholo tsebeng e le 'ngoe
• Ho ba thata ho latela meqoqo ha batho ba babeli kapa ho feta ba ntse ba bua
• Ho thata ho utloa libakeng tse lerata
• Mathata ho tsebisa melumo e phahameng (joalo ka "s" kapa "th") ho e mong
• Ha ho na bothata ba ho utloa mantsoe a banna ho feta a basali
• Ho utloa mantsoe ha a honotha kapa a thetsitse

Matšoao a mang a kenyelletsa:

• Ho ikutloa eka ha o na botsitso kapa o na le botsoa (bo tloaelehileng haholo le lefu la Ménière le acoustic neuroma)
• Ho utloa khatello ea tsebe (ka mokelikeli o ka mor'a tsebe ea tsebe)
• Ho lla kapa ho lla litsebeng (tinnitus)

Ho lahleheloa ke kutlo hoa utloahala (CHL) ka lebaka la bothata ba mochini ka tsebeng e kantle kapa e bohareng. Sena se ka ba hobane:

• Masapo a manyane a mararo a tsebe (ossicles) ha a tsamaise molumo hantle.
• The tsebe ea tsebe ha e sisinyehe ha e arabela molumo.

Lisosa tsa tahlehelo ea kutlo e ka phekoloa hangata. Li kenyeletsa:

• Koketso ea boka ba bokahare ka kanaleng ea tsebe
• Tšenyo ea masapo a manyane haholo (ossicles) a ka mora tsebe ea tsebe
• Maro a setseng litsebeng kamora tšoaetso ea tsebe
• Ntho ea kantle ho naha e ts'oeroeng ka kanaleng ea tsebe
• Hole ka tsebeng
• Letšoele letlalong la litsebe ho tsoa tšoaetsong e phetoang

Ho lahleheloa ke kutlo ea kutlo (SNHL) ho etsahala ha lisele tse nyane tsa moriri (methapo ea kutlo) e fumanang molumo tsebeng e lemetse, e kula, e sa sebetse ka nepo, kapa e shoele. Mofuta ona oa tahlehelo ea kutlo hangata o ke ke oa khutlisoa.

Ho lahleheloa ke kutlo ea kutlo hangata ho bakoa ke:

• Acoustic neuroma
• Ho lahleheloa ke kutlo ea lilemo
• Tšoaetso ea bongoana, joalo ka meningitis, mmps, scarlet fever le mmaselese
• Lefu la Ménière
• Ho pepesetsoa lerata le phahameng khafetsa (joalo ka mosebetsing kapa boikhathollong)
• Ts'ebeliso ea meriana e itseng

Ho lahleheloa ke kutlo ho ka ba teng nakong ea tsoalo (congenital) mme e ka ba ka lebaka la:

• Bokooa ba pelehi bo bakang liphetoho libopehong tsa tsebe
• Maemo a lefutso (a fetang 400 a tsejoa)
• Tšoaetso eo 'mè a fetisetsang ho lesea la hae ka popelong, e kang toxoplasmosis, rubella kapa herpes

Tsebe e ka lematsoa ke:

• Liphapang tsa khatello lipakeng tsa kahare le kantle ho tsebe, hangata ho tsoa ho scuba diving
• Ho robeha ha lehata (ho ka senya sebopeho kapa methapo ea tsebe)
• Tšenyo ea maikutlo ka lebaka la ho phatloha, ho qhoma ha lithunya, lithunya, likonsarete tsa rock le li-earphone

U ka hlatsoa boka ba boka ka tsebeng (ka bonolo) ka li-syringe tsa tsebe (tse fumanehang mabenkeleng a lithethefatsi) le metsi a futhumetseng. Li-softeners (joaloka Cerumenex) li ka hlokahala haeba boka ba linotši bo le thata 'me bo lula litsebeng.

Hlokomela ha o tlosa dintho tse kantle tsebeng. Ntle le haeba ho le bonolo ho fihla ho eona, kopa mofani oa tlhokomelo ea bophelo hore a tlose ntho eo. Se ke oa sebelisa lisebelisoa tse bohale ho tlosa lintho tsa kantle ho naha.

Bona mofani oa hau bakeng sa tahlehelo efe kapa efe ea kutlo.

Bitsa mofani oa hau haeba:

• Mathata a ho utloa a sitisa mokhoa oa hau oa bophelo.
• Mathata a kutlo ha a fele kapa ho mpefala.
• Kutlo e mpe ho feta tsebeng e 'ngoe.
• U na le tahlehelo ea kutlo e matla ka tšohanyetso kapa ho lla litsebeng (tinnitus).
• O na le matšoao a mang, joalo ka bohloko ba tsebe, hammoho le mathata a kutlo.
• U na le hlooho e ncha, bofokoli, kapa ho ba bohlasoa kae kapa kae 'meleng oa hau.

Mofani o tla nka nalane ea hau ea bongaka mme a etse tlhahlobo ea 'mele.

Liteko tse ka etsoang li kenyelletsa:

• Liteko tsa audiometric (liteko tsa kutlo tse sebelisetsoang ho lekola mofuta le palo ea tahlehelo ea kutlo)
  
• Tlhatlhobo ea CT kapa MRI ea hlooho (haeba ho belaelloa hlahala kapa ho robeha ha hlooho)
• Tshepiso

Ho buuoa ho latelang ho ka thusa mefuta e meng ea tahlehelo ea kutlo:

• Ho lokisa tsebe
• Ho beha methapo litsebeng ho tlosa mokelikeli
• Ho lokisa masapo a manyane tsebeng e bohareng (ossiculoplasty)

Tse latelang li ka thusa ka tahlehelo ea kutlo ea nako e telele:

• Lisebelisoa tsa ho mamela tse thusang
• Ts'ireletso le tlhokomeliso ea lehae la hau
• Lithuso tsa kutlo
• Kemiso ea Cochlear
• Mekhoa ea ho ithuta ho u thusa ho buisana
• Puo ea matsoho (bakeng sa ba nang le tahlehelo e matla ea kutlo)

Lisebelisoa tsa Cochlear li sebelisoa feela ho batho ba lahlehetsoeng ke kutlo e ngata haholo ho rua molemo thusong ea kutlo.

Ho fokotsa kutlo; Batho ba sa utloeng litsebeng; Ho lahleheloa ke kutlo; Tahlehelo ea kutlo e sebetsang; Ho lahleheloa ke kutlo ea kutlo; Presbycusis

• Anatomy ea tsebe

Bonono HA, Adams ME. Ho lahleheloa ke kutlo ea kutlo ho batho ba baholo. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 152.

Eggermont JJ. Mefuta ea tahlehelo ea kutlo. Ka: Eggermont JJ, e hlophisitsoeng. Ho utloa tahlehelo. Cambridge, MA: Khatiso ea Boithuto ea Elsevier; 2017: khaolo ea 5.

Kerber KA, Baloh RW. Neuro-otology: tlhahlobo le taolo ea mathata a neuro-otological. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 46.

Le Prell CG. Ho lahleheloa ke kutlo ea lerata. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 154.

Shearer AE, Shibata SB, Smith RJH. Ho lahleheloa ke kutlo ea kutlo ea liphatsa tsa lefutso. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 150.

Weinstein B. Mathata a kutlo. Ka: Tlatsa HM, Rockwood K, Young J, eds. Brocklehurst’s Textbook of Geriatric Medicine le Gerontology. La 8th. Philadelphia, PA: Elsevier, 2017: khaolo ea 96.