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KARi

kariKARi (Surditas), purra yo to darajae past shudani somea, ki darki nutq nomumkin megardad. K.-i tom kam vomekhurad. Odatan, hangomi K. sadohoi khele baland, bazan ovozhoi judogonai odamone, ki dar nazdi gush baland talaffuz mekunand, dark karda meshavand.
K. modarzodi va gayrimodarzodi meshavad. K.-i modarzodi binobar illati uzvi someai kudak hangomi tavallud (khunshori, norasoii oksigen), inkishofi nomukammali gushi daruni yo asabi somea, dar davrai homilagi ba bemorihoi siroyati (surkhcha, gripp, parotiti vogir va g.) giriftor shudani modar va g. paydo meshavad; az istemoli doru va sharob (khususan dar mohhoi avvali homilagi) niz ba vujud omadani K. ehtimol dorad.
K.-i gayrimodarzodi oqibati gazak giriftani gushi miyona, gushi daruni, asabi somea yo doirai someai magzi sar, baze bemorihoi siroyati (sarsom, surkhcha, makhmalak, parotiti vogir, gripp), inchunin tasiri ziyoni kasbi – navason (vibratsiya), shavqun, bugi filizot (mas., surb, simob, arsen) va g. meboshad. Gazaki gushi miyona, hatto gazaki rimnok, ahyonan boisi K. megardad, vale ba gushi daruni guzashtani on khavfnok ast. In dar mavridi otoskleroz ham mushohida megardad. K. beshtar dar holathoe inkishof meyobad, ki illat az ustukhonchai somea ba gushi daruni guzashtaast. K.-e, ki dar davrai tashakkuli nutq ba vujud omadaast (dar kudakoni to 3 – sola), mumkin boisi kariyu gungi gardad.
K. metavonad nogahon (K.-i shadid) yo tadrijan ba vujud oyad. K.-i shadid aksar vaqt oqibati khunshori ba magzi sar yo insidodi raghoe, ki gushi daruniro bo khun tamin mekunand, inchunin tasiri kutohmuddati sadoi nihoyat baland, yakbora tagyir yoftani fishori sharayoni, osebi sar (mas., shikasti asosi jumjuma), zahroludii shadid ast. K.-i shadid dar gavvoson binobar insidodi sharayoni somea bo hubobchahoi nitrogen (vayron kardani qoidahoi bekhatari hangomi ba rui ob baromadan), dar asnoi baze bemorihoi siroyati, az jumla sarsom, domana, parotiti vogir, inchunin khudsarona istemol kardani antibiotikho paydo meshavad.
Dar mavridi otoskleroz, aterosklerozi raghoi magzi sar (K.-i pirosnoli) va tasiri ziyoni kasbi K. tadrijan inkishof meyobad. Avvalin alomati on guvvosi gush ast. Azbaski shunavoi ohista-ohista past megardad, bemor onro faqat hangomi az had ziyod zaif shudani somea his mekunad. Az in sabab sarivaqt tabobat kardani bemorihoe, ki ba inkishofi K. musoidat menamoyand, zarur ast. Vagarna bemori mumkin ast ba gushi darun guzashta, boisi mahvi hujayrahoi asab gardad. Dar in mavrid somea barqaror nameshavad. Tasiri bardavomi osebi kasbi niz ba K.-i ustuvor ovarda merasonad, binobar in dar korkhonahoi dakhldor vazi someai korgaronro zeri nazorati qati megirand. Onho har sol az muoinai makhsus meguzarand. Gayr az in, baroi sust kardani tasiri shavqun va vibratsiya tadbirho meandeshand (istifodai vasoiti sadokash va sadonoguzar). Qonunguzori dar in muassisaho tartibi makhsusi mehnat va ruzi kutohi korro peshbini mekunad.
Baroi peshgirii K. kudakonro dar yasliyu bogchaho muntazam muoina kardani otorinolaringolog ahamiyati kalon dorad. Otorinolaringologho dar tabobati K. va zaifii somea, makhsusan hangomi bemorihoi marbut bo illati uzvi sadoguzar (rohi berunii somea, pardai gush, ustukhonchahoi somea), komyobihoi kalon ba dast ovardaand. Majmui amaliyoti jarrohi – ba istiloh timpanoplastika (tarmimi pardai gush) imkon medihad, ki someai bemoroni uzvi sadoguzari gushi miyonaashon az gazak illatyofta behtar shavad. CHunin jarrohiro dar mavridi otoskleroz ham meguzaronand (rikobchai beharakatro partofta, ba joi on uzvi suni meguzorand). CHunin jarrohi ba tajdidi sadoguzaroni nigaronida shudaast va faqat hangomi ba darajai kofi nigoh doshtani hujayrahoi asabi gushi daruni, ki lappishi sadoro dark mekunand, natijai musbat medihad. Ba bemoroni someaashon zaif asbobi shunavoi tavsiya karda meshavad, ki onho ba hamin vasila bo odamon atrof robita mekunand. Ba odamoni kar az harakati labhoi shakhsi gapzananda fahmidani maqsadi uro meomuzand. Solhoi okhir tarzi navi behtar namudani someai odamoni kar muayassar gardid. On protezkunii elektronii halzun yo payvandi halzun nom dorad.

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