Enamathelayo otitis eendaba: iimpawu, unyango

rhoqo kakhulu emzimbeni ukuphuhlisa ukudumba ezahlukahlukeneyo ubungnqongqo. Enamathelayo zosasazo otitis, iimpawu ezo sebeqala ukuba kuvela iintanda imisebenzi ezikhalayo, asinto ingaqhelekanga. Esi sifo ihamba ukudumba kwi nendlebe. Ngenxa azikhuli wabumba kwimingxilo, intshukumo ossicular kakuhle. Kutheni kukho esi sifo? Yintoni unyango oogqirha ngawo?

Iimpawu enamathela otitis

Indlebe eliphakathi imelwe amacandelo amabini: umngxuma kunye ossicles ekuva kunye tube Eustachian. Babelane indlebe, leyo ikwanoxanduva ekudluliseni intlokoma yesandi. Baya kuza nge ithambo ukuze izakhiwo sendlebe engaphakathi. Kukho kwenzeka transmission elandelayo kunye ulwamkelo lweesignali kwi-luvo eziviwayo. Emva koko, isandi uthatha icandelo elifuna ebuchotsheni. Enamathelayo media otitis ivela njenge ngenxa yokunciphisa nokushukumisa indlebe kunye ossicles. Isifo ihamba buso okanye epheleleyo ukuhlukunyezwa isandi ziqhele.

oonobangela

Unobangela oqhelekileyo leengxaki na ukudumba endlebeni embindini - media zosulele otitis kunye neentlobo zayo zokhetho. Isifo nabo ukubangela ukusetyenziswa ukufunda nokubhala antibiotics kule nkqubo yonyango. Amalungiselelo bakhuphisane ngempumelelo nangokurhala endlebeni kwisisu, kodwa liquefy accumulated kwi exudate yakhe. Ngenxa kukuqulungana ukubunjwa azikhuli bands kwithishyu nokuqina. Bona entwine ilitye iipatheni ukuhamba kunye ezaziphazamisa permeability tube eziviwayo.

Xa Nezomqala kukho iimeko apho otitis ngcina kuphuhliswa njenge sifo elizimeleyo. Oku kwakhokelwa ezahlukeneyo iinkqubo lwezidumbu, nzima ngokubonakalayo patency tube izandi nododobalisa ukupholisa ngokupheleleyo kwisisu tympanic. komgomo ezinjalo ziquka:

• tonsils elide;
• adenoids;
• umonakalo zekhala;
• neziqu emqaleni;
• izifo ezichaphazela iphecana zangentla ezihlasela zosulele ngokuphefumla (laryngitis, SARS);
• ukudumba ezingapheliyo em- ngeempumlo (sinusitis, sinusitis).

Kungakhathaliseki ukuba oonobangela esi sifo, kwaye iqaphela Iimpawu zokuqala kuyo, kufuneka ubone ugqirha. Ulawulo kwangethuba unyango nga iyaluthintela uphuhliso iingxaki ezinkulu, ukuphepha utyando.

ezibonisa kwezonyango sifo

Ukuphuhliswa kwenkqubo zophendlo lwezifo iqala kancinci. Uphawu lokuqala apho izigulane sinikele ingqalelo ntswahla endlebeni. Le otitis kwakuse luphawulwa ongeva kakuhle uhlobo conductive, xa kukho into eqhubekayo zisiba ze intlokoma yesandi ngoomatshini. Iimpawu lwezonyango efana kakhulu umfanekiso nezinye izifo. Ngoko ke, ukuba ukufumanisa izizathu wokuva utshintsho isebenzisa iinkqubo ezininzi diagnostic. Abavumela ukuba ngaphandle naziphi na ezinye iinkqubo isifo enokukhokelela conductive ubuthulu (ukuqokelelana sulphur secretion Tubo-otitis, otosclerosis, njalo njalo).

uphethwe

Yiyiphi imigaqo esikhokelayo ugqirha ngokukhetha Amaqhinga unyango? "Le otitis media enamathelayo" - esi sifo kakhulu, ukuze uqinisekise ukuba ufuna ukugqiba uviwo malunga nesigulane eso. Ngokuqhelekileyo, oko kuquka:

• uhlolo olubonakalayo;
• otoscopy (ukuhlolwa indlebe kwisisu usebenzisa umthombo ukukhanya kugqame);
• catheterization (uphando tube Eustachian edityaniswe indlebe ukuya nasopharynx);
• audiometry (ukuqinisekiswa wokuva);
• ukuvimba (efumanise utshintsho kwisakhiwo ityhubhu eustachian, i inwebu tympanic).

Ukuphululwa angundoqo lokufunyaniswa zezifo audiometry kunye catheterization elandelayo. Impedancemetry likuvumela ukuba utshekishe nokushukumisa amathambo nokuchonga spikes. Ngenxa yakutshanje indlebe uphelelwa ngcembe umsebenzi wayo, yintoni ekwenza ubuthulu ngesiquphe yesigulana.

Ngenxa yeziphumo zophando, ugqirha imisela unyango olufanelekileyo. otitis enamathelayo, ezichongwe kwi zigaba yokuqala, uyaphendula kakuhle amayeza kwaye ayifuni ungenelelo yotyando. Xa umsebenzi unikwe uhlobo isebenza kwesi sifo. Kwiimeko kuyingozi kakhulu, isigulana ibonisa ukusetyenziswa yokuncedisa ukuva. Zeziphi iindlela ezilungileyo zokwenza ukunyanga izifo?

amayeza

Xa lokuqala nqanaba lenkqubo zophendlo lwezifo kwisigulana ukuba isitofu iivithamini B, zekhala, vitreous emiselweyo. Ukuphucula okubuyela kwimo yazo azikhuli nokuthintelwa ukwanda ngakumbi ukuze achaze ityhubhu Eustachian "ligase", "Fluimucil", "chymotrypsin".

ukuyifundisa

amayeza onyango Conservative ngokuqhelekileyo zihambisana ukuyifundisa. Ezi nkqubo zilandelayo ngempumelelo kakhulu:

• massage ultrasound;
• therapy microwave ;
• UHF;
• udaka.

Ukuthintela ukuphinda izifundo sifo zonyango kufuneka uphindaphindwe amaxesha 2-3 ngonyaka.

Politzer indlela ne otitis enamathelayo

Treatment kunye kubethwa tube Eustachian yi indlela Politzer unika nemiphumo emihle. Ukuziphatha nkqubo inika ulawulo rhoqo usebenzisa otoscope. Enye Umthi womnquma yaziswa indlebe yesigulane, enye - lo gqirha. Ngu ikhala yomguli kunye mabaqhoboshele catheter, leyo iyemka ibhaluni. Okwesibini ikhala uwathandabuze umnwe, emva koko isigulane wabuza kancinci bathi igama elithi "inqanawa". ixesha ngalinye ukubiza i wagxininisa ibhalbhu biso yegama. Ukuba ityhubhu Eustachian akukho azikhuli, komoya ngokukhululekileyo.

Le nkqubo ke amaninzi zidityaniswa Pneumomassage ndizayo tympanic. Ngoncedo lwe isixhobo ekhethekileyo ngeziphumo inwebu ye jet lomoya, nto leyo ilawulwa amandla. Loo nkqubo kunempembelelo entle nokushukumisa inwebu tympanic, kuthintela ukwakheka azikhuli.

ukungenelela operative

Akusoloko ngamayeza kunye physiotherapy nokulawula ukuphumelela enamathelayo otitis eendaba. unyango Conservative ayisebenzi? Kwiimeko ezinjalo, xa sifo sizalwa ndlela-mbini, isigulane emiselweyo ukusebenza - tympanotomy. Ngexesha kotyando, ugqirha ubhenca indlebe, ngaloo ndlela ufikelelo ossicles eziviwayo. Tympanotomy ikuvumela ukuba balahle exudate ezifunyenweyo ukuphelisa azikhuli.

Nkqu uqhaqho ayiniki 100% usisiqinisekiso iziphumo ezidibanisayo. Amaxesha amaninzi ngokuchasene nentsukaphi indawo enkulu intshabalalo spikes kwakhona iphuhlisa ngcina otitis eendaba. Iimpawu zesi sifo emva kotyando ayahlukanga kulawo phambi kokuba unyango. Izigulane amanxeba kwafunyaniswa ngokuthe ukugqabhuza le igubu indlebe, nto leyo ibonisa kumgangatho kwetyala. Misa inkqubo sifo nokuphucula patency tube Eustachian akunakwenzeka. Kwiimeko ezinjalo, abhenele kufakwe ossicles ngumntu sokwenziwa Polymer, yaye umoya lwenziwa nge emjelweni eziviwayo.

Ubungozi ekuphindeni

Izigulane owayefumene eendaba enamathelayo otitis, zingaphelanga iinyanga ezintandathu emva kokuba unyango kufuneka kwenziwe phantsi kweliso le otolaryngologist. Emva kweli xesha, kucetyiswa ukuba abangalupasanga uviwo-kwakhona, ukuqinisekisa ukuba akukho lutshintsho zophendlo lwezifo ezalisekileyo esikhwebini kwisisu. Ekuchongeni ikhondo unyango iphindiwe ezinxaxhileyo. isifo koko kungabangela utshintsho cicatricial fibrinopurulent kubume kwendlebe ephakathi. Ngelishwa, komgomo ezinjalo vuhlayiseki. Xa engekho unyango olwaneleyo ngezifo kunokubangela ankylosis namalungu le ossicles ezikhalayo, nto leyo ebangela ukuba zizithulu ngokupheleleyo.

amanyathelo othintelo

ukukrala Acute kwesifo "ngcina otitis eendaba" lidla kuphelela nendlebe. Unyango amayeza intsomi okanye amayeza ayisoloko nemiphumo emihle. Surgery lixesha kakhulu elide kwaye ukuthintela ukwenzeka sifo. Ngoko kuyimfuneko kukuzibandakanya zokuthintela izifo. Kucetyiswa ukuba uqale imihla yokuqala yobomi bomntwana. Ibele inikeza ngokupheleleyo ukubunjwa indlebe kwezihlunu, kubangele susceptibility sehla kwimiphumo arhente zophendlo lwezifo. Ngaphezu koko, oko kusenza amajoni omzimba yaye kunciphisa ingozi yokuba izifo zemiphunga.

Pharmacology Modern linikezela ngoluhlu iziyobisi ukwandisa ukumelana ezimbi wentsholongwane egazini, kwaye ibuyambo ekhawulezileyo ukusuka njengomkhuhlane izifo. Ikwanceda nokuthintela ogqwesileyo enamathelayo otitis eendaba. "Influvac" kufuneka yabelwe phakathi kwezi amayeza, "Imudon", "Bronhomunal". Ngaphambi usebenzisa imveliso Uyacetyiswa ukuba ubonane ingcali oyidlayo kunye nelo lokuqhubeka kwekhosi zothintelo. Ukuba awukwazi ukuphepha nangokurhala, kuyimfuneko ukuba ukulandela irejimeni yonyango esifundisa ugqirha. Nakuphi na ukutenxa kule ingcali iingcebiso ukubuyela eyingozi sifo.