Hutachiona hutachiona - husingaperi

Husingaperi nzeve hutachiona huturu, kuzvimba, kana hutachiona kuseri kweeardrum iyo isingaendi kana kuramba ichidzoka. Inokonzera kukuvara kwenguva refu kana zvachose nzeve. Inowanzo sanganisira gomba munzeve rezvezeve risingapore.

Iyo eustachian chubhu inomhanya kubva pakati penzeve imwe neimwe kuenda kumashure kwehuro. Iri chubhu rinodhonzera mvura inoitwa pakati nzeve. Kana iyo eustachian chubhu ikavharika, fluid inogona kuvaka. Kana izvi zvikaitika, hutachiona hunogona kuitika. Chirwere chisingaperi nzeve chinokura kana mvura kana hutachiona kuseri kwenzeve husingaendi.

Utachiona husingaperi nzeve hunogona kukonzerwa ne:

• Utachiona hwakanyanya nzeve husingaperi zvachose
• Kudzokorora hutachiona hutachiona

"Suppurative chronic otitis" izwi rinoshandiswa kutsanangura eardrum inoramba ichiputika, ichidhonzwa, kana kuzvimba pakati nepakati pe nzeve kana mastoid nzvimbo uye isingaendi.

Nzeve dzehutachiona dzinowanzoitika muvana nekuti yavo eustachian machubhu akapfupika, akatetepa, uye akatetepa kupfuura evakuru. Zvirwere zve nzeve zvisingaperi zvakanyanya kushomeka pane zvakanyanya kutapurika nzeve.

Zviratidzo zvehutachiona hutachiona hutachiona hungave hwakanyanya kusimba pane zviratidzo zvehutachiona hwakanyanya. Dambudziko rinogona kuenda risingazivikanwe uye risina kurapwa kwenguva yakareba.

Zviratidzo zvinogona kusanganisira:

• Nzeve kurwadziwa kana kusagadzikana izvo zvinowanzo nyoro uye zvinonzwa kunge kumanikidza munzeve
• Fivha, kazhinji yakaderera-giredhi
• Kunetsana muvacheche
• Pus-senge drainage kubva munzeve
• Kunzwa kurasikirwa

Zviratidzo zvinogona kuenderera kana kuuya uye kuenda. Zvinogona kuitika mune imwe kana nzeve mbiri.

Mutapi wako wezvehutano anotarisa munzeve achishandisa otoscope. Bvunzo dzinogona kuratidza:

• Kutapira, kutsvuka pakati penzeve
• Mhepo inoputika mukati mezeve
• Mhute gobvu pakati nepakati nzeve
• Eardrum inonamira pamapfupa ari munzeve yepakati
• Kuchera mvura kubva munzeve
• Buri (pendi) munzeve
• Eardrum inoputika kana inokwevera kumashure mukati (inodonha)

Miedzo inogona kusanganisira:

• Tsika dzemvura inogona kuratidza hutachiona hutachiona.
• A CT scan yemusoro kana mastoid inogona kuratidza kuti hutachiona hwapararira kupfuura nzeve yepakati.
• Kunzwa bvunzo kunogona kudikanwa.

Mupiro anogona kupa mishonga inorwisa mabhakitiriya kana hutachiona hunokonzerwa nehutachiona. Iyi mishonga inogona kuda kutorwa kwenguva yakareba. Vanogona kupihwa nemuromo kana kupinda mutsinga (mukati).

Kana paine gomba munzeve, ma antibiotic nzeve anodonha anoshandiswa. Iye mupi anogona kukurudzira kushandisa yakapfava acidic mhinduro (senge vhiniga uye mvura) kune yakaoma-kurapa hutachiona nzeve ine gomba (perforation). Chiremba anovhiya angangoda kuchenesa (debride) zvinyama zvakaungana mukati mezeve.

Kumwe kuvhiya kunogona kudikanwa kunosanganisira:

• Kuvhiya kuchenesa hutachiona kunze kwemastoid bone (mastoidectomy)
• Kuvhiya kugadzirisa kana kutsiva mapfupa madiki ari pakati nzeve
• Kugadziriswa kweeardrum
• Ear tube kuvhiyiwa

Zvirwere zve nzeve zvisingaperi zvinowanzo pindura kurapwa. Zvisinei, mwana wako angangoda kuramba achitora mishonga kwemwedzi yakati wandei.

Zvirwere zve nzeve zvisingaperi hazvisi kutyisidzira hupenyu. Zvisinei, vanogona kusagadzikana uye zvinogona kukonzera kurasikirwa kwekunzwa uye mamwe matambudziko akakomba.

Chirwere chisingaperi nzeve chinogona kukonzera shanduko dzekusingaperi munzeve nemapfupa ari padyo, anosanganisira:

• Kubatwa kwemastoid bone kuseri kwezeve (mastoiditis)
• Inoenderera inoyerera kubva muburi mune eardrum isingarape, kana mushure mematehwe enzeve akaiswa
• Cyst iri pakati nzeve (cholesteatoma)
• Kuomarara kwetishu iri pakati nzeve (tympanosclerosis)
• Kukuvadza kune, kana kupfeka kure kwemabhonzo epakati nzeve, iyo inobatsira nekunzwa
• Kuoma muviri kwechiso
• Kuzvimba kwakatenderedza uropi (epidural abscess) kana muuropi
• Kukuvadza kune chikamu che nzeve chinobatsira nekuyera

Kunzwa kurasikirwa kubva mukukuvara kune yepakati nzeve kunogona kunonoka mutauro uye kutaura kutaura. Izvi zvinonyanya kuitika kana nzeve dzese dzakakanganiswa.

Kurasikirwa kwekunzwa kusingaperi hakuwanzoitika, asi njodzi inowedzera pamwe nenhamba uye hurefu hwehutachiona.

Fonera mupiki wako kana:

• Iwe kana mwana wako mune zviratidzo zvehutachiona hwehutachiona husingaperi
• Utachiona hwenzeve haupindure pakurapwa
• Zviratidzo zvitsva zvinokura panguva kana mushure mekurapwa

Kuwana kurapwa nekukurumidza kwehutachiona hwehutsi hwakanyanya kunogona kudzora njodzi yekukura kwehutachiona hutachiona husingaperi. Iva nemubvunzo wekutevera nemupi wako mushure mehutachiona hwe nzeve hwave kurapwa kuti uone kuti hwanyatsopora.

Utachiona hwepakati nzeve - husingaperi; Otitis media - isingagumi; Chisingaperi otitis media; Husingaperi nzeve chirwere

• Nzeve anatomy
• Utachiona hwepakati nzeve (otitis media)
• Utachiona hwepakati nzeve
• Eustachian chubhu
• Nzeve tube yekuisa - akateedzana

Chole RA. Chisingaperi otitis media, mastoiditis, uye petrositis. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 139.

Ironside JW, Smith C. Pakati nepakati peshungu masisitimu. Mu: Muchinjikwa SS, ed. Underwood's Pathology. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 658.

Kerschner JE, Preciado D. Otitis midhiya. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. eds. Nelson Chinyorwa chePediatrics.

Rosenfeld RM, Schwartz SR, Pynnonen MA, uye al. Clinical tsika nhungamiro: Tympanostomy machubhu muvana. Otolaryngol Musoro Neck Kuvhiya. 2013; 149 (1 Suppl): S1-S35. PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.

Rosenfeld RM, Shin JJ, Schwartz SR, et al. Clinical tsika nhungamiro: otitis media ine effusion (kugadzirisa). Otolaryngol Musoro Neck Kuvhiya. 2016; 154 (1 Suppl): S1-S41. PMID: 26832942 pubmed.ncbi.nlm.nih.gov/26832942/.

Steele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Kubudirira kwe tympanostomy machubhu e otitis media: meta-ongororo. Pediatrics. 2017; 139 (6): e20170125. doi: 10.1542 / peds.2017-0125. PMID: 28562283 pubmed.ncbi.nlm.nih.gov/28562283/.