Kodi kuwomba makutu anu kumudzi komwe

Otitis TV - ndi mtundu wa otitis, amene angathe amazichotsa makutu awiri. Pofuna kupewa mapangidwe ngati matenda ndi kupewa ake akhoza kuyesa kuwomba makutu anu.

otitis Kodi

Otitis ndi yotupa matenda a khutu pakati. Ndi matenda, kutupa, mafinya amasonkhana mu M'mimbamo khutu. Popeza matenda akhoza nawo ku m'badwo uliwonse, koma nthawi zambiri anawona ana. Ana mobwerezabwereza matenda makutu ali wapezeka chifukwa kulunjika anatomical ya kapangidwe pakati khutu: chubu (Makutu) ndi lalifupi ana kuposa akuluakulu n'komwe athyathyathya ndipo alibe makutu. Zoterezi dongosolo khutu la mwana kumakhala kosavuta malowedwe a matenda M'mimbamo khutu. M'zaka 3 moyo kwinakwake mu 80% ana amadwala otitis kamodzi.

makutu chifukwa anayeretsedwa

Kukonza chubu Makutu anayamba sekondale mpweya mtsinje opanikizika wake khutu zolinga achire ndi matenda. Chochitika akulangizidwa kuchita mankhwala a mavuto aakulu, aakulu kutupa khutu pakati ndipo pambuyo tympanoplasty.

potero adayeretsa njira Valsalva

njira otere ankaona samoprochistki zophweka kwambiri. Mu njirayi wodwala ayenera kuyeretsa khutu mu mphuno, atagwira zala zake, ndi voteji kuyamba kuwomba mphepo likulowerera mwa nasopharynx mu chubu Makutu. ili njira zoipa mbali ndi:

• Mwina chophukacho wa likalowa m'makutu a, ngati ankayesetsa;
• akuponya matenda ndi secretions ku m'mphuno nkusani mu khutu pakati;
• khutu limodzi yekha akhoza atachotsa;
• kulephera kuyeza buku la mpweya umene ukubwera;
• n'zosatheka jekeseni mankhwala mu chubu eustachian.

Kusinthidwa njira Politzer

Mankhwalawa odwala TV exudative otitis ndi kukonza chubu mphira olumikizidwa kwa chidebe ndi azitona ikuchitika popanga ndi mpweya kutsegula Makutu chubu ndimeyi ndi kuchotsa exudate, kupezeka mu M'mimbamo tympanic.

Kodi kuwomba makutu ndi njira imeneyi? Kuti ikuwomba, muyenera kuchita woyera anemisation pharyngeal orifice wa khutu ndi nasopharyngeal khoma. Pakuti m'mphuno izi inspiratory utsi 3% ethyl ephedrine mankhwala enaake (1 ml) anali wothira 0,1% Epinephrine njira (1 dontho). chochitika imagwiridwa maulendo angapo popanda kuima pa intervals wa 3-5 Mphindi. Ngati atomizer palibe, ndiye m'mphuno chubu akhoza chilonda thonje ubweya ankawaviika bwino ephedrine anati kusakaniza njira anayeretsa makutu.

kafukufuku muyenera kulowa m'mphuno nkusani (mmalo mwa "mtima" machubu) njira yonse mu kumbuyo chigoba cha pharynx ndi. Ndiye muyenera kukokera mmbuyo pang'ono, kuika chala pa zilonda khutu ubweya mu chitoliro unaturuka anemiziruyuschy njira. Patapita mphindi zowerengeka, kafukufuku akhoza kuchotsedwa ndipo chitani wachiwiri njira mfundo kuyeretsa. mutu wodwalayo mozondoka kumbali inayo, tilting izo patsogolo, ndiyeno nkutembenuka pa mbali wathanzi, khutu akhudzidwa anali pamwamba, ndi chubu anali perpendicular, ndi exudate akhoza ataphwa M'mimbamo tympanic mmusi kupyola mu chubu Makutu. Ndipo tsopano ambiri mwina kale zimaonekeratu mmene kuwomba makutu anu ndi otitis.

Mpweya wambiri mwa mgolowo nkusani, amayamba kuthamanga intratimpanalnoe amakankhira outwards mbali kusintha zomwe chifukwa elasticity amatenga udindo koyamba, chimakankhira madzimadzi, anasonkhanitsa pafupi oyambirira chubu Makutu. Pa mavuto ena, monga kuyeretsa ndi chokwanira kukwaniritsa chimene mukufuna. Komabe, zimachitika kuti patency la chubu Makutu kwathunthu adapitiriza, koma exudate pa matenda analandira ngati yomata kugwirizana yomwe mwachibadwa sangathe momasuka anasamutsidwa. Nthawi zina, kuchotsa, muyenera kuwomba makutu anu kachiwiri.

ana aang'ono nthawi zambiri amaletsa kugwiritsa ntchito Politzer njira. Pankhaniyi, mwana aikidwa pa nsana wake, kukonza malo ake. Kenako mu umodzi mphuno chotengera anapereka kunsonga, ndi chikuto wina ndi chala. The mwana azitengako pakamwa pa nthawi imeneyi kutsanulira supuni ya madzi. Pa nthawi ya ndondomeko kumeza Nkhuntho mpweya. Ngati pali kutsekedwa khumudwitsidwa ngati wa Makutu chubu ndimeyi kapena minofu adenoid adzakhala kutsatira mwachindunji, ndiye ntchito sizigwira ntchito.

Zovuta kwa njira

Ndiyeno funso n'lakuti - ngati n'zotheka kuwomba makutu anu? Inde Komabe, chinthu chachikulu cha matenda ndi wolimba kukanika kwa chubu Makutu, chiyembekezo cha zotsatira zabwino pokhapokha ngati procleaning thupi kovuta kwambiri. Ambiri mwa ana amene akudwala ndi atolankhani secretory otitis, wosuliza intratimpanalnoe kuthamanga yakula chifukwa cha njira tympanometry. Pambuyo ankatenthetsa khutu Politzer zibaluni kuthamanga mu nkusani tympanic, kawirikawiri bwino, koma pambuyo 15-20 Mphindi, anabwerera ku mlingo woyambilira.

A yaitali khama ndipo Anabweza wa Kakhungu tympanic ngati zomatira kuonetsa zizindikiro (kuphatikizapo kusintha abwerezedwa minofu chidule cha khutu pakati), kukonza ndi operewera. Ndipo pambali, izo zingachitike zopweteka makutu anu lotengeka.

Phindu la chochitika

Ngakhale ngati tikambirana chifukwa cha kukonza khutu zonse TV otitis kwa kanthawi pa, chimodzimodzi, monga ndondomeko onse angakhale abwino chifukwa massaging kanthu ake. Nthaŵi iliyonse ankatenthetsa likalowa m'makutu amasintha malo ake, kotero kuti unbent constricted minofu tendon tensioning Kakhungu, ndi kufooketsa ossicles mu malo. Koma zonsezi lili ndi tanthauzo kwa kupewa njira zomatira mu nkusani tympanic, ndipo mbewu ankylosis.

muyenera kudziwa

Iwo ayenera kumvetsa kuti kuchotsa chofunika makutu mosamala kwambiri, musagwiritsire ntchito kwambiri mpweya kuthamanga osati kuswa zenera nembanemba wa cochlea ndi likalowa m'makutu. Pali kuthekera kwa kuwonongeka, kusonyeza n'zotheka kuswa unyolo ossicles Makutu. mavuto amenewa amayamba pa procleaning khutu pa njira Valsalva, pamene mpweya mu chubu Makutu kungakhale ndithu mkulu.

Pali mtundu wa makutu metered ankatenthetsa. Ndi bwino kuti samoproduvanie ndi wofatsa njira: kutsina mphuno ndi zala zanu ndi puffing kunja masaya ake, Pomeza kuyenda. Amenewa ndi wolimba kuposa njira yosavuta Valsalva.

Kukonza makutu mothandizidwa ndi kutikita

Kodi kuwomba makutu anu panyumba? Kodi inunso kudzera pneumomassage likalowa m'makutu kukuchitika pamanja massaging tragus, mwamphamvu kutseka pakhomo orifice Makutu. Komanso akhoza kugwiritsidwa ntchito kapena osiyana nyuzi Siegl pnevmomassazher umene umabala mpweya khutu kukanikiza lumen ndipo potero zimathandiza kuti mafupa ndi likalowa m'makutu.

odwala ambiri aona kuti thanzi lawo akupeza bwino ndi massaging chala tragus. N'kofunikanso kuti kukhazikitsa chochitika (ndi pamene muyenera kuwomba makutu anu) pa mutu wodwalayo ndichotse kwa khutu wathanzi. Chifukwa zonse contractions mpweya likalowa m'makutu, kukanikiza m'kati, amakankhira linanena bungwe ku gawo lotsatira la madzimadzi wambirimbiri mu ng'oma zikupita chubu Makutu.

Ndi catheter ndi

Njira zabwino kuti n'zotheka kuyeretsa khutu limodzi lokha, ndipo chubu Makutu kutumikiridwa mankhwala. Zitsulo khutu catheter chofunika kukula (kusiyana pakati pa iwo ndi mu manambala a) pambuyo kukonzekera anemizatsii m'mphuno m'mapapo wa mankhwala oletsa ululu pamalopo wa Ndime m'mphuno mucous khoma kusintha mosamala kwa mphuno mkati ndi kulowetsamo mlomo wake yokhota kumapeto kwa kutsegula chubu Eustachian. Ndipo tsopano inu mukhoza kumvetsa mmene kuwomba bwino makutu.

Kudzera Politzer mphamvu, komanso ndi otoscope, zomwe zikugwirizana khutu la wodwalayo thupi dokotala, anamva phokoso bwino imachitika kudzera mpweya Makutu chubu. Monga Chifukwa ndondomeko ndi umayamba mu kufunika kuya mankhwala wapotalikira catheter anapatukana, ndipo chotengera Politzer wothandizila Nkhuntho pamodzi ndi mpweya. The lonse kuyeretsa ndondomeko ukulamulidwa kudzera otoscope ndi.

Kupeza Vuto otitis

Matenda a matenda zambiri chinkhoswe otolaryngologist. Ngati wodwalayo zizindikiro zilizonse Muzisamala yomweyo chofunika kuwona katswiri, ndipo ndikuuzani inu momwe kuwomba makutu anu kunyumba. Iwo ayenera kukumbukira kuti kuzindikira TV otitis ana ndi zovuta chifukwa zochepa m'kamwa oyandikana dokotala ndi mwana.

contraindication

Kukonza makutu zoipa ngati pali pachimake kutupa mu mphuno ndi nasopharynx mogwirizana ndi Mwina skid mpweya otaya tizilombo toyambitsa matenda mu nkusani tympanic, komanso mapangidwe ndi pachimake purulent otitis TV.

Zovuta ndi madokotala ananena zawo

N'kutheka kuti izi kuwonongeka, ngati matenda anapanga mankhwala kuchepa, kapena sanali anabweretsa kumapeto:

• ubongo abscess;
• mastoiditis (kutupa kwa mastoid), kumene ntchito n'kofunika;
• meninjaitisi.

The Mapa pa chabwino ndi chithandizo choyenera cha otitis positive. Koma ndi bwino kuyesa zonse dzisamalire, kupewa malo ozizira ndi mphepo, kotero mulibe mafunso - akhoza kuwomba khutu dokotala, zomwe ndi kupempha thandizo.