Eardrum kugadzirisa

Kugadziriswa kweearrum kunoreva imwe kana yakawanda nzira dzekuvhiya dzinoitwa kugadzirisa misodzi kana kumwe kukuvara kune eardrum (tympanic membrane).

Ossiculoplasty ndiko kugadzirisa kwemabhonzo madiki ari pakati nzeve.

Vazhinji vakuru (uye vese vana) vanogashira general anesthesia. Izvi zvinoreva kuti unenge wakarara uye usingakwanise kunzwa kurwadziwa. Dzimwe nguva, anesthesia yemuno inoshandiswa pamwe chete nemushonga uyo unokuita kuti uve nehope.

Chiremba anovhiya anozocheka kuseri kwenzeve kana mukati mekanzeve.

Zvichienderana nedambudziko, chiremba anovhiya acha:

• Chenesa chero hutachiona kana nyama yakafa panzeve kana pakati nzeve.
• Bata eardrum nechidimbu chemuviri wemurwere wega wakatorwa kubva mutsinga kana mhasuru sheath (inonzi tympanoplasty). Maitiro aya anowanzo kutora maawa maviri kusvika matatu.
• Bvisa, chinja, kana kugadzirisa 1 kana anopfuura emamwe mapfupa matatu mudiki nzeve (inonzi ossiculoplasty).
• Gadzirisa maburi madiki munzeve nekuisa gel kana pepa rakakosha pamusoro peeardrum (inonzi myringoplasty). Maitiro aya anowanzo kutora maminetsi gumi kusvika makumi matatu.

Chiremba anovhiya anoshandisa maikorosikopu yekushandisa kuona uye kugadzirisa eardrum kana mabhonzo madiki.

Eardrum iri pakati penzeve yekunze neyepakati nzeve. Inodedera kana mafungu ezwi achirova. Kana eardrum ikakuvara kana iine buri mukati, kunzwa kunogona kuderedzwa uye nzeve dzehutachiona dzinogona kuita.

Zvinokonzera maburi kana kuvhura mueardrum zvinosanganisira:

• Utachiona hwakaipa nzeve
• Kusashanda kweiyo eustachian tube
• Kunamatira chimwe chinhu mukati memakona nzeve
• Kuvhiya kuisa machubhu enzeve
• Kushungurudzika

Kana eardrum iine gomba diki, myringoplasty inogona kushanda kuti ivhare. Kazhinji yenguva, chiremba wako anomirira kwemavhiki masere mushure mekunge gomba ragadzirwa asati ataura nezvekuvhiyiwa.

Tympanoplasty inogona kuitwa kana:

• Eardrum ine gomba rakakura kana kuvhura
• Kune hutachiona husingaperi munzeve, uye mishonga inorwisa mabhakitiriya haibatsire
• Iko kune kuvaka kweakawanda matissue akatenderedza kana kuseri kweeardrum

Aya matambudziko akafanana anogonawo kukuvadza mapfupa madiki (ossicles) ari kuseri kweeardrum. Kana izvi zvikaitika, chiremba wako anovhiya anogona kuita ossiculoplasty.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzeiyi nzira dzinosanganisira:

• Kukuvadza kumeso etsinga kana tsinga dzinodzora pfungwa yekuravira
• Kukuvara kwemapfupa madiki ari munzeve yepakati, zvichikonzera kurasikirwa kwekunzwa
• Dzungu kana vertigo
• Isina kukwana kupora kweiyo gomba munzeve
• Kuwedzera kwekunzwa, kana, mune zvisingawanzoitika zviitiko, kurasikirwa kwakazara kwekunzwa

Udza mupi wehutano:

• Ndeupi kurwara iwe kana mwana wako kwaungave nako kune chero mishonga, latex, tepi, kana ganda rekuchenesa
• Ndeapi mishonga iwe kana mwana wako ari kutora, kusanganisira mahebhu uye mavitamini awakatenga pasina mushonga

Pazuva rekuvhiyiwa kwevana:

• Tevedza rairo nezvekusadya kana kunwa. Kune vacheche, izvi zvinosanganisira kuyamwisa.
• Tora chero mishonga inodikanwa nekamwe kadiki kemvura.
• Kana iwe kana mwana wako achirwara mangwanani ekuvhiyiwa, shevedza chiremba anovhiya ipapo ipapo. Maitiro acho anozoda kuchinjwazve.
• Svika kuchipatara nenguva.

Iwe kana mwana wako munogona kubva muchipatara zuva rimwe chete sekuvhiyiwa, asi mungangoda kugara husiku kuitira chero matambudziko.

Kuchengetedza nzeve mushure mekuvhiyiwa:

• Kurongedza kunoiswa munzeve kwemazuva mashanu kusvika manomwe ekutanga.
• Dzimwe nguva kupfeka kunovhara nzeve pachayo.

Kusvikira mupi wako ati zvanaka.

• Usarega mvura ichipinda munzeve. Kana uchishambidza kana kugeza bvudzi rako, isa donje munzeve yekunze uye uvhare ne petroleum jelly. Kana, iwe unogona kupfeka shawa chivharo.
• Usa "pop" nzeve dzako kana kuridza mhino dzako. Kana uchida kuhotsira, zviite nemuromo wako. Dhirowa chero mhezi mumhino dzako udzokere muhuro mako.
• Dzivisa kufamba kwemhepo uye kushambira.

Nyoronyoro pukuta chero nzeve yemvura kunze kwekunze kwenzeve. Unogona kuwana maeardrops svondo rekutanga. Usaise chero chinhu munzeve.

Kana iwe uine zvimiti kuseri kwenzeve uye zvobva zvanyorova, nyoro pusha nzvimbo yacho. Usazora.

Iwe kana mwana wako munogona kunzwa kupuruzira, kana kunzwa kupopota, kudzvanya, kana mamwe manzwi munzeve. Nzeve inogona kunzwa kuzara kana sekunge izere nemvura. Panogona kuve nekupinza, kupfura kurwadziwa uye nekukurumidza mushure mekuvhiyiwa.

Kuti udzivise kubatwa nechando, gara kure nenzvimbo dzakazara nevanhu vane zviratidzo zvekutonhora.

Muzviitiko zvakawanda, kurwadziwa uye zviratidzo zvakasunungurwa zvachose. Kunzwa kurasikirwa kushoma.

Mhedzisiro yacho inogona kunge isiri yakanaka kana mapfupa ari munzeve yepakati achida kuvakwazve, pamwe neeardrum.

Myringoplasty; Tympanoplasty; Ossiculoplasty; Ossicular kuvakazve; Tympanosclerosis - kuvhiya; Ossicular discontinuity - kuvhiya; Ossicular fixation - kuvhiya

• Eardrum kugadzirisa - dzakateedzana

Adams ME, El-Kashlan HK. Tympanoplasty uye ossiculoplasty. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 142.

Chiffer R, Chen D. Myringoplasty uye tympanoplasty. Mune: Eugene M, Snyderman CH, eds. Inoshanda Otolaryngology Musoro uye Neck Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 131.

Fayad JN, Sheehy JL. Tympanoplasty: yekunze nzvimbo yekubatanidza maitiro. Mune: Brackmann DE, Shelton C, Arriaga MA, eds. Kuvhiya kweOtologic. 4th ed. Philadelphia, PA: Elsevier; 2016: chits. 8.