Otitis midhiya ine effusion

Otitis media ine effusion (OME) iri gobvu kana inonamira mvura seri kweeardrum iri pakati nzeve. Izvo zvinoitika pasina hutachiona hutachiona.

Iyo Eustachian tube inobatanidza mukati mezeve kusvika kumashure kwehuro. Iyi chubhu inobatsira kukweva mvura kuti isavake munzeve. Mvura inoyerera ichibva muhubhu uye inomedzwa.

OME uye nzeve hutachiona zvakabatana munzira mbiri:

• Mushure mekutapukira kwakawanda kwenzeve, chirwere (chinodhaka) chinoramba chiri munzeve yepakati kwemazuva kana mavhiki mashoma.
• Kana iyo tube yeEustachian yakavharwa zvishoma, mvura inovaka mukati mezeve yepakati. Hutachiona huri munzeve hunovharirwa ndokutanga kukura. Izvi zvinogona kutungamira kutachiona nzeve.

Izvi zvinotevera zvinogona kukonzera kuzvimba kweiyo Eustachian tube lining iyo inotungamira mukuwedzera kwemvura:

• Allergies
• Irritants (kunyanya utsi hwefodya)
• Zvirwere zvekufema

Izvi zvinotevera zvinogona kukonzera iyo Eustachian tube kuvhara kana kuvharika:

• Kumwa wakarara nemusana
• Kamwe kamwe-kamwe kunowedzera mukumanikidza kwemhepo (sekuburuka mundege kana munzira yemakomo)

Kuwana mvura munzeve dzemwana hakuzotungamira kune chubhu yakavharika.

OME inowanzoitika munguva yechando kana kutanga kwechirimo, asi inogona kuitika chero nguva yegore. Inogona kukanganisa vanhu vezera ripi zvaro. Izvo zvinowanzoitika kazhinji muvana vari pasi pemakore maviri, asi hazviwanzo muvacheche.

Vana vadiki vanowana OME kakawanda kupfuura vana vakuru kana vakuru nekuda kwezvikonzero zvakati.

• Iyo chubhu ipfupi, yakatwasuka, uye yakatwasuka, zvichiita kuti zvive nyore kuti mabhakitiriya apinde.
• Iyo chubhu ndeye floppier, ine yakavhurika diki iyo iri nyore kuvhara.
• Vana vadiki vanowedzera kutonhora nekuti zvinotora nguva kuti immune system ikwanise kuziva uye kudzivirira hutachiona hunotonhora.

Mvura iri muOme inowanzoonda uye mvura. Munguva yakapfuura, zvaifungidzirwa kuti iro furuu rakakora iyo yakareba yaivapo munzeve. ("Glue nzeve" izita rakajairika rakapihwa OME ine gobvu fluid.) Zvisinei, hutsi hwemvura zvino hunofungidzirwa kuti hune hukama nenzeve pachayo, pane kuti mvura iripo kwenguva yakareba sei.

Kusiyana nevana vane hutachiona hutsi, vana vane OME havaite sevanorwara.

OME kazhinji haina zviratidzo zviri pachena.

Vana vakura nevakuru vanowanzo gunun'una nezve kusanzwika kwekunzwa kana pfungwa yekuzara munzeve. Vana vadiki vanogona kukwidza vhoriyamu yeterevhizheni nekuda kwekurasikirwa kwekunzwa.

Mubatsiri wezvehutano anogona kuwana OME paanotarisa nzeve dzemwana wako mushure mekutapukirwa nenzeve.

Iye mupi anoongorora eardrum uye otarisa dzimwe shanduko, senge:

• Mhepo inoputika pamusoro peeardrum
• Kusviba kweeardrum kana mwenje uchinge washandiswa
• Eardrum iyo inoita senge isingafambi kana iko kufema mudiki kwemhepo kuchirohwa pairi
• Fluid kuseri kweeardrum

Chiyero chinonzi tympanometry chishandiso chakaringana chekuongorora OME. Mhedzisiro yemuyedzo uyu inogona kubatsira kutaurira huwandu uye ukobvu hwemvura.

Mvura iri munzeve yepakati inogona kunyatsoonekwa ne:

• Acoustic otoscope
• Reflectometer: Chishandiso chinotakurika

An audiometer kana rumwe rudzi rweyedzo yekuteerera bvunzo inogona kuitwa. Izvi zvinogona kubatsira mupi kusarudza nezvekurapa.

Vazhinji vanopa havazobate OME pakutanga, kunze kwekunge painewo zviratidzo zvehutachiona. Pane kudaro, ivo vanozoongorora dambudziko iri mumwedzi miviri kusvika mitatu.

Iwe unogona kuita zvinotevera shanduko kuti ubatsire kujekesa iyo fluid iri kuseri kweeardrum:

• Dzivisa utsi hwefodya
• Kurudzira vacheche kuyamwisa
• Tora kurwara nekugara kure nezvinokonzeresa (zvakaita seguruva). Vakuru uye vana vakuru vanogona kupihwa mishonga yekurwisa.

Kazhinji kacho mvura inoyerera pachayo. Mubatsiri wako anogona kukurudzira kutarisa mamiriro acho kwekanguva kuti aone kana iri kuwedzera kuwedzera usati warumbidza kurapwa.

Kana iyo fluid ichiripo mushure memavhiki matanhatu, mupi anogona kukurudzira:

• Kuenderera mberi nekutarisa dambudziko
• Muedzo wekunzwa
• Muedzo mumwe wemishonga inorwisa mabhakitiriya (dai vasina kupihwa kare)

Kana iyo fluid ichiripo pamasvondo masere kusvika gumi nemaviri, maantibayoti anogona kuyedzwa. Iyi mishonga haigone kubatsira nguva dzose.

Pane imwe nguva, kunzwa kwemwana kunofanira kuongororwa.

Kana paine kurasikirwa kwekunzwa kwakakosha (anopfuura makumi maviri emadhivhuru), maantibayotiki kana machubhu enzeve anogona kudikanwa.

Kana mvura yacho ichiripo mushure memwedzi mina kusvika kumitanhatu, machubhu anogona kunge achidikanwa, kunyangwe pasina kurasikirwa kukuru kwekunzwa.

Dzimwe nguva maadenoid anofanirwa kuburitswa kunze kuti iyo Eustachian tube ishande nemazvo.

OME kazhinji anoenda ari oga pamusoro pemavhiki mashoma kana mwedzi. Kurapa kunogona kukurumidza kuita izvi. Glue nzeve inogona kusaburitsa nekukurumidza seOmE neyakaonda hutete.

OME kazhinji haisi kutyisidzira hupenyu. Vazhinji vana havana kukuvara kwenguva refu pakunzwa kwavo kana kugona kutaura, kunyangwe kana mvura yacho yasara kwemwedzi yakawanda.

Fonera mupiki wako kana:

• Iwe unofunga iwe kana mwana wako angave aine OME. (Iwe unofanirwa kuramba uchiona mamiriro acho kusvikira mvura yacho yanyangarika.)
• Zviratidzo zvitsva zvinokura panguva kana mushure mekurapwa kwechirwere ichi.

Kubatsira mwana wako kudzikisa njodzi yehutachiona hutachiona kunogona kubatsira kudzivirira OME.

OME; Chakavanzika otitis media; Serous otitis midhiya; Chinyararire otitis media; Chinyararire nzeve hutachiona; Nzeve nzeve

• Ear tube kuvhiya - chii chekubvunza chiremba wako
• Toni uye adenoid kubviswa - kubuda

• Nzeve anatomy
• Utachiona hwepakati nzeve (otitis media)

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.

Rosenfeld RM, Shin JJ, Schwartz SR, et al. Clinical tsika nhungamiro: Otitis media ine effusion Executive chidimbu (kugadzirisa). Otolaryngol Musoro Neck Kuvhiya. 2016; 154 (2): 201-214. PMID: 26833645 pubmed.ncbi.nlm.nih.gov/26833645/.

Schilder AGM, Rosenfeld RM, Venekamp RP. Acute otitis media uye otitis media ine effusion. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 199.