Sensorineural kusanzwa: ukuru kurapwa

Mazuva okurapa iwayo akakurumbira dambudziko akadai sensorineural kusanzwa. chirwere ichi Rinobatanidzwa ne mberi kusanzwa. Maererano nenhamba, nhamba varwere chakafanana nechirwere mumakore achangodarika yakawedzera zvinooneka. Ndokusaka mashoko pamusoro zvinokonzera uye zviratidzo chirwere ichava kubatsira vaverengi vazhinji.

Chii chinonzi chirwere?

Sensorineural kusanzwa - chirwere icho chokuita nevakawanda kusanzwa, izvo zvingakonzera kukuvara munzeve (nhengo Corti, iyo anomuchinja kuti vibrations kupinda magetsi pulses chakasvitswa etsinga harinzwi) ari auditory etsinga kana auditory muzinda muuropi.

The mwero sensorineural kusanzwa anogona anosiyana, kubvira zvishomanana vasanyanye aikanganiswa kurira kuti zvakazara kunzwa. Maererano nenhamba, vanhu vanenge mamiriyoni 400 nhasi ari kutambura munyika kubva chirwere ichi, pamwe uwandu yakashuma zviitiko maperembudzi kuwedzera ose gore. Kakawanda, vakaurayiwa chirwere vaduku kana vakura kuvatungamirira vanhu. Saka ndezvipi zvikonzero zvayo kukura, uye chii vari zviratidzo vokutanga?

Forms uye kupatsanura Zano chirwere

To musi, pane zvakawanda mugadziriro kupatsanura pakati chirwere. Somuenzaniso, sensorineural kusanzwa inogona rakakamurwa chokuziva uye vawana. Uyewo, pane vachiberekwa zvokurwara:

• non-syndromic (chirwere pamwe nokunzwa chete kurasikirwa; 70-80% chirwere chimiro ichi);
• syndromic apo, pamwe kusanzwa, kukura nezvimwe zvirwere kuchengetwa (somuenzaniso chete Pender chirwere apo kutyora inzwi maonero thyroid chokuita mawa Kuchinja basa basa).

Zvichienderana kunotoda mufananidzo uye mwero chirwere kunoita, zvinofadza govera zvitatu zvinokosha siyana, zvinoti:

• Sudden (nokukurumidza) chimiro hosha, umo pathological muitiro aumbwa nokukurumidza - murwere zvishomanana kana zvachose kunzwa kwemaawa 12-20 shure kwerekutanga zviratidzo. Zviya, nenguva kurapwa, kazhinji kunobatsira kudzorera auditory yevanhu hurongwa.
• Chenjera kusanzwa - haasi kukura nokukurumidza. Kazhinji, pane kuwedzera zviratidzo, huchavapo anenge 10 mazuva. Zvinokosha kucherechedza kuti varwere vakawanda vanoedza kuteerera dambudziko, achinyora kubvisa stuffy nzeve uye kunzwa sokurasikirwa kuneta, kuunganidza sarufa zvichingodaro. E., Kunonoka kushanya kwachiremba. Izvi ane kunambwa utano, asi pakarepo atanga kurapa kanoverengeka kunowedzera mikana akabudirira kurapwa.
• Chirwere sensorineural kusanzwa - zvichida chinonetsa uye ngozi chimiro chirwere. Panguva yacho kunonoka uye ane usimbe, dzimwe nguva varwere kurarama kwemakore ane chirwere vasingazivi pamusoro wayo kuvapo. Kunzwa anogona kuderera mumakore kusvikira nguva akadai zvechigarire, kunovhiringidza ruzha munzeve hakuiti kuti kutaura chiremba. chimiro ichi zvakatoipa amenable kuti zvinodhaka kurapa, uye kazhinji chidzosai kunzwa rotsva. Mune zvimwe zviitiko, zvokurwara ichi zvinotungamirira kuremara.

Pane dzimwe kupatsanura enyika. Somuenzaniso, kunzwa kurasikirwa kunogona kunge yaitsigira divi (kukanganisa nzeve imwe chete) kana bilateral, anogona kuva paucheche (asati mwana anodzidza kutaura), uye ari zvakare munhu akura.

The mwero sensorineural kusanzwa

Nhasi akasarudza govera madhigirii zvina chirwere kunoita:

• Sensorineural kusanzwa 1 dhigirii - achabatsirwa vasanyanye ari utetsa chikumbaridzozve kusvika 26-40 db. Man Saka unogona kuona ruzha ari chinhambwe 6 metres, uye anokuzendamira - hapana kupfuura mamita matatu.
• Sensorineural kusanzwa 2 madhigirii - mune nyaya dzakadaro, murwere kunzwa pachikumbaridzo ndiyo 41-55 db, unogona kunzwa pamusoro kure asingapfuuri 4 mamita. Difficulties nenzwi maonero anogona kuitika kunyange kunyarara, akanyarara zvakatipoteredza.
• Chechitatu pavaipfuura maperembudzi ichazivikanwa noku anzwike chikumbaridzozve 56-70 db - kuipa munhu anogona kusiyanisa matauriro kure kwete kupfuura meter, uye kwete nenzira ruzha panzvimbo.
• Chikumbaridzo omumwe varurame danho wechina 71-90 db - ichi kwakakomba chirwere, dzimwe nguva kuti apedzise kusanzwa.

The kukonzera chirwere

Kutaura zvazviri, pane zvikonzero zvakawanda zvingaita kuti sensorineural kusanzwa kunogona kuitika. Rakajairika dzinosanganisira:

• kakawanda zvirwere, kunyanya nzeve zvirwere, dzihwa, chikosoro uye zvimwe zvirwere kuti tenuka yematambudziko;
• vascular thrombosis;
• anogumbura zvirwere Somuenzaniso, adenoids, labyrinthitis, yomumuzongoza;
• otosclerosis;
• budiriro atherosclerosis;
• acoustic kunotevera;
• dzechimwe Kukuvara uropi;
• autoimmune zvirwere;
• kuzvimba pakati cerebellum uye ekisero;
• kushandisa zvimwe zvinodhaka, kunyanya salicylates, aminoglycosides;
• kuzotadzira auditory etsinga kana yomukati nzeve makemikari, muchetura;
• kushanda ruzha kumabasa;
• kuramba kuteerera mumhanzi ruzha;
• Maererano Statistical zveBhaibheri, kazhinji kubva akadaro chirwere chinobata vagere mumaguta makuru.

Sensorineural kunzwa kurasikirwa nevana: vachiberekwa zvinokonzera

The pamusoro akarondedzera zvinokonzera vawana kusanzwa. Zvisinei, vamwe vana vanotambura nechirwere akadaro anenge kubvira pakuberekwa. Saka ndezvipi zvinokonzera chirwere? Vava zvizhinji:

• majini nhaka (zvinonzi aidavira kuti vanenge 50% yevanhu nyika vari vatakuri majini zvimwe zvigadzirwa kunzwa kurasikirwa);
• vachiberekwa aplasia hozhwa kana zvimwe anatomical abnormalities;
• intrauterine fetus chirwere pamwe rubella utachiwana;
• kuvapo vakadzi vane pamuviri fetus alcohol syndrome;
• negashiro narcotics mai;
• vakadaro chirwere kungava kuomesa kwakaita njovhera;
• Zvinhu Risk zvinosanganisira mangwanani basa;
• Dzimwe nguva kunzwa kurasikirwa kunokonzerwa chlamydia hweHIV mwana panguva pakuzvarwa.

Chii zviratidzo maperembudzi pamwe?

Sezvatotaurwa, ari kurapwa mufananidzo angava akasiyana zvichienderana mwero kunoita kuti kunzwa kurasikirwa. Kazhinji anotanga kuoneka tinnitus, zvingadarowo kusarurama kurira. Somuenzaniso, vamwe varwere vanotsutsumwa kuti ruzha zvose anonzwisiswa sokunge hushed zvenzwi.

Kunzwa kurasikirwa hwapedyo zvishoma nezvishoma. Vanhu vane dambudziko kuedza yekubata ruzha mune ruzha kana ungana kambani. Sezvo chirwere mberi mune matambudziko kutaurirana pafoni. Pandinenge ndichitaura murwere hwevanhu kazhinji anotanga mukusaziva kutevera kufamba nemiromo, nekuti zvinobatsira kusiyanisa mitinhimira. Varwere tichimukumbira kuti zvakare shoko. Sezvo matambudziko chirwere kuwedzera raidudzwa - kana musingadi kupa murwere hanya, migumisiro zvinogona vakaomerwa.

Basic nzira nechirwere

Kunzwa kurasikirwa - dambudziko iri rakakura chaizvo, saka kana uine chero zviratidzo hwobva kwachiremba. Chirwere hazvisi muitiro wakaoma kunzwisisa, unotanga pfava ongororo. Kana kuongorora akakwanisa kuziva kuti kunzwa kurasikirwa ane chokuita nemamiriro mashandiro rokunze nzeve, vamwe zveBhaibheri pavaiita, kunyanya pachikumbaridzo unokwidza nokuderedza audiometry, Tuning forogo nemiedzo, impedancemetry, otoacoustic choutsi, uye nevamwe. Kazhinji, mu nedanho nechirwere nyanzvi havagoni edza kwete chete kuvapo nekukura chirwere, asi ayo zvinokonzera.

Sensorineural kusanzwa: kurapwa

Pakarepo zvinofanira kutaurwa kuti vaizviita hazvisi isingagamuchiriki. Schema kurapa anosarudza chiremba pashure kwazvo kuongorora chirwere. Saka chii chokuita nechirwere "sensorineural kusanzwa"?

Mabatirwo chenjera siyana chirwere chinogona medicated uye zvinoenderana zvikonzero zvayo kukura. Somuenzaniso, kuvapo chirwere ushandiswe anogumbura, antiviral kana antibacterial nevamiririri. Dai mberi kunan'anura B mavhitamini, uyewo E. In pamberi simba edema diuretics anoshandiswa uye zvinodhaka hormone.

Kana uchida dentures?

Haiwa, sensorineural kurasikirwa kunzwa havangagoni kurapwa tichibatsirwa kuchinja nzira zvokurapa. Uye kana rikwanise chimiro chirwere sei zvakanaka yokurapwa, kuti chirwere kusanzwa, nzira dzakadaro kashoma kuti simba zvikuru kushanda.

Mune zvimwe zviitiko, nzira bedzi kudzorera munhu achinzwa ndiko kushandisa kunzwa rubatsiro. Zviya, mienzaniso yanhasi duku kukura uye yakakwirira aikanganiswa inoita kuti vave nyore kushandisa.

With nhasi otohirurgii mune mamwe marudzi chirwere chinogona inonzi cochlear anodyara, izvo chinopa nzvimbo munzeve chaiyo electrodes anogona inotokonya auditory etsinga. nzira iyi chete kushandiswa kana kunzwa kurasikirwa inobatanidzwa nokuvhiringidzirwa ari nhengo Corti, asi auditory etsinga uye pfungwa nzvimbo vari kushanda zvakanaka.