Nzeve tube yekuisa

Nzeve tube yekuisa inosanganisira kuisa machubhu kuburikidza nemaeardrum. Eardrum ndiyo nhete yakatetepa yetinyama inoparadzanisa nzeve yekunze neyepakati.

Ongorora: Ichi chinyorwa chinotarisa pane yekuisa chubhu yekuisa muvana. Zvisinei, ruzivo rwakawanda runogona kushanda kune vanhu vakuru vane zviratidzo zvakafanana kana matambudziko.

Ipo mwana akarara uye asingarwadziwe (general anesthesia), kucheka kudiki kunoitwa mueardrum. Chero mvura inenge yaunganidzwa kuseri kweeardrum inobviswa nekuyamwa kuburikidza neiyi yakatemwa.

Ipapo, chubhu diki inoiswa kuburikidza nekucheka mueardrum. Iyo chubhu inobvumira mweya kuyerera mukati kuitira kuti kumanikidza kuve kwakafanana pamativi ese eardrum. Zvakare, mvura yakasungwa inogona kuyerera ichibuda nepakati nzeve. Izvi zvinodzivirira kurasikirwa kwekunzwa uye kunoderedza njodzi yekutapukirwa nenzeve.

Kuwanda kwemvura iri kuseri kwenzeve yemwana wako kunogona kukonzera kurasikirwa kwekunzwa. Asi vana vazhinji havana kukuvara kwenguva yakareba mukunzwa kwavo kana kutaura, kunyangwe kana mvura iripo kwemwedzi yakawanda.

Nzeve chubhu kupinza kunogona kuitwa kana mvura inovaka shure kweseri kwenzeve yemwana wako uye:

• Haiende mushure memwedzi mitatu uye nzeve mbiri dzinokanganisika
• Haiende mushure memwedzi mitanhatu uye kuyerera kuri munzeve imwe chete

Utachiona hwenzeve husingaendi nekurapwa kana hunoramba huchidzoka zvakare zvikonzero zvekuisa chubhu yenzeve. Kana hutachiona husingaendi nekurapwa, kana kana mwana aine hutachiona hwakawanda munzeve kwenguva pfupi, chiremba anogona kukurudzira nzeve dzematehwe.

Nzeve machubhu dzimwe nguva anoshandiswa kune vanhu vezera ripi zvaro vane:

• Utachiona hwakakomba nzeve hunopararira kumapfupa ari padyo (mastoiditis) kana huropi, kana izvo zvinokuvadza tsinga dziri padyo
• Kukuvadza kune nzeve mushure mekuchinja kamwe kamwe mukumanikidza kubva kubhururuka kana kudzika kwegungwa kudhiza

Ngozi dzekuiswa kwechubhu yekuisa dzinosanganisira:

• Drainage kubva panzeve.
• Hole mueardrum isingarape mushure mekunge chubhu yadonha.

Kazhinji yenguva, aya matambudziko haagare kwenguva refu. Izvo zvakare hazviwanzo kukonzera matambudziko muvana. Anopa hutano hwako anokwanisa kutsanangura izvi zvakadzama.

Njodzi dzeanesthesia ndeiyi:

• Matambudziko ekufema
• Zviitiko kumishonga

Njodzi dzekuvhiyiwa kupi ndedzinotevera:

• Kubuda ropa
• Utachiona

Chiremba nzeve yemwana wako anogona kukumbira nhoroondo yekurapa uye kuongorora kwemuviri wemwana wako maitiro acho asati aitwa. Bvunzo yekunzwa inokurudzirwawo maitiro acho asati aitwa.

Nguva dzose udza mupi wemwana wako:

• Ndeapi madhiragi ari kutorwa nemwana wako, kusanganisira madhiragi, mahebhu, uye mavitamini awakatenga pasina mushonga.
• Ndeapi anorwara mwana wako aangave nawo kune chero mishonga, latex, tepi, kana ganda rinosuka.

Pazuva rekuvhiyiwa:

• Mwana wako anogona kubvunzwa kuti arege kunwa kana kudya chero chinhu pakati pehusiku husiku pamberi pekuvhiyiwa.
• Ipa mwana wako kamvura kadiki kemvura nechero mishonga yawakaudzwa kuti upe mwana wako.
• Anopa mwana wako anokuudza nguva yekuuya kuchipatara.
• Iye mupi achaona kuti mwana wako agwinya zvakakwana pakuvhiyiwa. Izvi zvinoreva kuti mwana wako haana zviratidzo zvekurwara kana hutachiona. Kana mwana wako achirwara, kuvhiya kwacho kunogona kunonoka.

Vana vanowanzo gara mukamuri rekudzoreredza kwenguva pfupi uye vanobva muchipatara zuva rimwe chete panowedzerwa machubhu enzeve. Mwana wako anogona kunge ari groggy uye fussy kweawa kana kudaro paanenge achimuka kubva kune anesthesia. Mupiki wemwana wako anogona kuraira madonhwe enzeve kana maantibayoti kwemazuva mashoma mushure mekuvhiyiwa. Chiremba wemwana wako anogonawo kubvunza kuti uchengete nzeve dziome kwenguva yakati.

Mushure meiyi nzira, vabereki vazhinji vanotaura kuti vana vavo:

• Iva nezvirwere zvishoma munzeve
• Pora nekukurumidza kubva kuzvirwere
• Inzwa zviri nani

Kana machubhu akasadonha ega mumakore mashoma, nyanzvi yenzeve ingatofanira kuabvisa. Kana nzeve dzehutachiona dzichidzoka mushure mekuti machubhu abuda, imwe seti yeti nzeve inogona kuiswa.

Myringotomy; Tympanostomy; Ear tube kuvhiyiwa; Pressure equalization sepombi; Kufefetedza machubhu; Otitis - machubhu; Utachiona hwezeve - machubhu; Otitis midhiya - machubhu

• Ear tube kuvhiya - chii chekubvunza chiremba wako

• Nzeve tube yekuisa - akateedzana

Hannallah RS, Brown KA, Verghese ST. Otorhinolaryngologic maitiro. Mune: Cote CJ, Lerman J, Anderson BJ, eds. Muitiro weAnesthesia yeVacheche neVana. 6th ed. Philadelphia, PA: Elsevier; 2019: chits. 33.

Kerschner JE, Preciado D. Otitis midhiya. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 658.

Pelton SI. Otitis kunze, otitis media, uye mastoiditis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 61.

Prasad S, Azadarmaki R. Otitis midhiya, myringotomy, tympanostomy tube, uye balloon dilation. Mune: Myers EN, Snyderman CH, eds. Inoshanda Otolaryngology Musoro uye Neck Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 129

Rosenfeld RM, Schwartz SR, Pynnonen MA, uye al. Clinical tsika nhungamiro: tympanostomy machubhu muvana. Otolaryngol Musoro Neck Kuvhiya. 2013; 149 (1 Suppl): S1-35. PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.