Munyori: Lewis Jackson
Zuva Rekusika: 9 Chivabvu 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Acute Otitis Media and Otitis Media with Effusion for USMLE Step 2
Vhidhiyo: Acute Otitis Media and Otitis Media with Effusion for USMLE Step 2

Zvemukati

Chii chinonzi otitis media ine effusion?

Iyo eustachian chubhu inodurura hura kubva munzeve dzako kuenda kumashure kwehuro yako. Kana ikavhara, otitis media ine effusion (OME) inogona kuitika.

Kana iwe uine OME, iyo yepakati chikamu chenzeve yako inozadza nemvura, iyo inogona kuwedzera njodzi yehutachiona hutachiona.

OME yakajairika. Sekureva kweiyo Sangano reHutano hweKutsvagisa uye Hunhu, vangangoita makumi mapfumbamwe muzana evana vanozove neOME kamwechete pazera regumi.

Chii chinokonzera OME?

Vana vanowanzo sangana neOE nekuda kwechimiro cheayo eustachian machubhu. Machubhu avo akapfupika uye ane mashoma akavhurika. Izvi zvinowedzera mukana wekuvhara uye hutachiona. Eustachian machubhu evana anotungamirwa zvakanyanya yakatenderera kupfuura muvakuru. Izvi zvinoita kuti zvinyanye kuomarara kubuda mvura kubva panzeve yepakati. Uye vana vanowanzo dzihwa uye zvimwe hutachiona hutachiona hunogona kuzvimisikidza kuti vawedzere hura mukati mezeve yepakati uye noutachiona hwakawanda hwenzeve.

OME haisi hutachiona hwe nzeve, asi vanogona kuenderana. Semuenzaniso, hutachiona hwe nzeve hunogona kukanganisa mafambiro anoita mvura kuburikidza nenzeve yepakati. Kunyangwe mushure mekunge hutachiona hwaenda, mvura inogona kuramba iripo.


Zvakare, chubhu yakavharika uye zvakawandisa mvura zvinogona kupa nharaunda yakakodzera kuti mabhakitiriya akure. Izvi zvinogona kutungamira kutachiona nzeve.

Allergies, mweya inotsamwisa, uye chirwere chekufema chinogona kukonzera OME. Shanduko mukumanikidza kwemhepo kunogona kuvhara iyo eustachian tube uye kukanganisa kuyerera kwemvura. Izvi zvikonzero zvinogona kunge zvichikonzerwa nekubhururuka nendege kana nekunwa wakarara pasi.

Imwe pfungwa isiriyo ndeyekuti mvura iri munzeve inogona kukonzera OME. Izvi hazvisi zvechokwadi.

Ndezvipi zviratidzo zveOmmE?

OME haisi mhedzisiro yehutachiona. Zviratidzo zvinowanzo nyoro kana kushomeka, uye zvinogona kusiyana zvichienderana nezera remwana. Asi havazi vese vana vane OME vane zviratidzo kana kuita kana kunzwa kurwara.

Chimwe chiratidzo chakajairika cheOME matambudziko ekunzwa. Muvana vadiki, hunhu hunogona kuve chiratidzo chematambudziko ekunzwa. Semuenzaniso, mwana anogona kukwidziridza terevhizheni kumusoro kupfuura zvakajairwa. Vanogona zvakare kukweva kana kudhonza panzeve dzavo.

Vakwegura vana nevakuru vane OME vanowanzo tsanangura ruzha seyakaomeswa. Uye vanogona kuve nekunzwa kuti nzeve izere nemvura.


Inoonekwa sei OME?

Chiremba anoongorora nzeve achishandisa otoscope, inova girazi rinokudza rine mwenje unopenya unoshandiswa kutarisa mukati mezeve.

Chiremba achange achitsvaga:

  • matema emhepo pachiso cheeardrum
  • eardrum inoratidzika kunge isina kusimba pane kutsetseka uye kupenya
  • chinoonekera chinoyerera kuseri kweerumrum
  • eardrum isingafambi kana mweya mudiki waridzwa mukati mayo

Dzimwe nzira dzakaomarara dzekuyedza dziripo. Mumwe muenzaniso ndeye tympanometry. Kune uyu muedzo, chiremba anoisa chiongorori munzeve. Iyo probe inotarisa kuti yakawanda sei mvura iri kuseri kweeardrum uye kuti yakakora sei.

Acoustic otoscope inogona zvakare kuona fluid mukati mezeve.

OME inorapwa sei?

OME inowanzozvibuda yoga. Nekudaro, chisingaperi OME inogona kuwedzera njodzi yehutachiona hutachiona. Iwe ungangoda kuona chiremba wako kana ichinzwa sekunge kuchine fluid kumashure kwezeve yako mushure memavhiki matanhatu. Iwe ungangoda kurapwa kwakanangana kudurura nzeve dzako.


Imwe nzira yekurapa yakananga ndeye machubhu enzeve, ayo anobatsira kubvisa mvura kubva kuseri kwenzeve.

Kubvisa maadenoid kunogona kubatsira kubata kana kudzivirira OME mune vamwe vana. Kana maadenoid akawedzera vanogona kuvharira nzeve.

Ndingadzivirire sei OME?

OME inowanzoitika mukudonha uye mumwedzi yechando, sekureva kweVana Chipatara chePennsylvania (CHOP). Neraki, pane zvinhu zvaunogona kuita kudzikisa njodzi yako yekukudziridza OME.

Maitiro ekudzivirira anosanganisira:

  • kazhinji kugeza maoko nematoyi
  • kudzivirira utsi hwefodya uye kusvibiswa, izvo zvinogona kukanganisa nzeve kudhonzera
  • kudzivisa allergener
  • kushandisa mafirita emhepo kuchengetedza mhepo yakachena sezvinobvira
  • kushandisa nzvimbo diki yekuchengetedza vana, zvine vana vatanhatu kana vashoma
  • kuyamwisa, izvo zvinobatsira mwana wako kudzivisa kutapurwa nenzeve
  • kusanwa paunenge wakarara
  • kutora mishonga inorwisa mabhakitiriya chete pazvinenge zvakakodzera

Iyo pneumonia uye majekiseni echirwere anogona zvakare kukuita iwe usanyanya kutambura kune OME. Vanogona kudzivirira hutachiona hutachiona hunowedzera njodzi yeOme.

Ndeapi matambudziko anosangana neOmmE?

OME haibatanidzwe nekukuvara kwekusingaperi kwekunzwa, kunyangwe apo mvura inovaka kwenguva yakati. Zvisinei, kana OME ichibatanidzwa nehutachiona hwehutachiona, mamwe matambudziko anogona kuitika.

Izvi zvinogona kusanganisira:

  • hutachiona hwakanyanya nzeve
  • cholesteatoma (cysts iri pakati nzeve)
  • eardrum vanga
  • kukanganisa nzeve, zvichikonzera kurasikirwa kwekunzwa
  • kutaura kwakakanganiswa kana kunonoka kwemutauro

Ndeipi iyo yakareba-tarisiro yeOme?

OME yakajairika uye kazhinji haina kukonzera kukuvara kwenguva refu. Nekudaro, kana mwana wako achikura achidzokororwa uye kazhinji nzeve hutachiona, bvunza chiremba wako nezvenzira dzekudzivirira kumwe hutachiona kana OME Izvo zvakakosha kuti utarise kumatambudziko ekunzwa muvana vadiki sezvo izvi zvinogona kukonzera kunonoka mutauro kwenguva refu.

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