Likalowa m'makutu: Zoyambitsa ndi Zotsatira

Chophukacho wa likalowa m'makutu a - ndi kuwonongeka mawotchi minofu woonda kulekanitsa ngalande Makutu ndi makutu pakati. Chifukwa cha kuvulala munthu woteroyo ingathandize kapena pang'ono kutaya m'makutu mwawo. Kuwonjezera pamenepo, palibe chitetezo zachilengedwe pakati khutu amakhalabe pa chiopsezo ku matenda ena kuwononga thupi. Monga ulamuliro, dzenje kapena yojambula mu likalowa m'makutu atachuluka yekha mwa masabata angapo, ndipo mankhwala si chofunika. Pa nkhani zikuluzikulu, madokotala mankhwala ndondomeko yapadera kapena ntchito opaleshoni kulola yachibadwa bala machiritso.

zizindikiro

Zizindikiro za chophukacho wa Kakhungu tympanic ali motere:

• Ululu makutu, zimene kwambiri ndipo mofulumira anayamba kutha.
• Transparent, purulent kapena wamagazi kumaliseche kwa khutu.
• Kumva imfa.
• The kulira khutu (tinnitus).
• Chizungulire (vertigo).
• Nseru kapena kusanza, chizungulire chifukwa.

Pamene kuwona dotolo

Sankhani foni ku chipatala kapena likulu la zaumoyo ngati inu nokha kuswa zizindikiro khalidwe kapena kuvulala zazing'ono likalowa m'makutu, ndipo ngati mukumva kupweteka kapena kusamva m'khutu. Khutu pakati, komanso mkati lopangidwa ndi zidutswa za Chimaona kwambiri ndipo ali ndi chiopsezo cha matenda ndi kuvulala. Panthawi yake chithandizo chokwanira ndi yofunika kwambiri kwa yokonza kumva bwinobwino.

zifukwa

Zimayambitsa chachikulu cha chotupa cha nembanemba tympanic akhoza yagawidwa mndandanda zotsatirazi:

• matenda pakati khutu (otitis TV). Chifukwa cha zimenezi, madzi amasonkhana matenda opatsirana khutu pakati, zomwe umalimbikitsa kwambiri pa likalowa m'makutu, motero kungawononge.
• Barotrauma - kuwonongeka chifukwa cha ichi amphamvu mavuto zabwino minofu chikwiyire ndi kusiyana kuthamanga khutu pakati ndi chilengedwe. Kwambiri amphamvu kuthamanga akhoza kuswa likalowa m'makutu. Ndi barotrauma yogwirizana otchedwa syndrome anaika makutu, kumene kumakhudza pafupifupi okwera onse zoyendera mphepo. Anzanu madontho komanso ndi khalidwe kwa kusambira pansi pamadzi. Komanso, kuchita ngozi iliyonse nkhonya mwachindunji kwa khutu, ngakhale nkhonya anapanga Airbag Kutumizidwa m'galimoto.
• phokoso Low ndi mabomba (zoopsa lamayimbidwe). Likalowa m'makutu, zizindikiro zimene zimaonekera m'kuphethira kwa diso, nthawi zambiri amapezeka mchikakamizo cha phokoso chopambanitsa mokweza (mabomba, kuwombera). Kwambiri amphamvu mafunde phokoso akhoza kwambiri kuwononga wosakhwima dongosolo mwa khutu.
• zinthu zakunja khutu. zinthu Small monga thonje swab kapena tatifupi tsitsi akhoza puncture kapena likalowa m'makutu utaphulika.
• Kwambiri m'mutu zoopsa. kuvulala mutu chifukwa dislocation ndiponso kuwonongeka kwa kapangidwe ka khutu pakati komanso mkati, kuphatikizapo likalowa m'makutu a. Kuyambira chamutu mwina osokoneza chigaza, chiri choona kawirikawiri ndi choyambilira kuti yojambula mu minofu woonda.

zosokonezeka

Nembanemba tympanic ali ntchito ziwiri:

• Kumva. Pamene mafunde phokoso kugunda Kakhungu, iwo akuyamba kunjenjemera. The nyumba ya khutu pakati wamkati ndiponso kuzindikira Phokoso awa ndi kusintha mafunde phokoso ku zikhumbo mitsempha.
• Chitetezo. Nembanemba tympanic komanso amachita ngati chotchinga chachilengedwe zoteteza, kuteteza khutu pakati kupeza mu madzi, mabakiteriya ndi zinthu zina yachilendo.

Mu nkhani ya mavuto choipa angabuke ndondomeko ya machiritso, ndipo ngati likalowa m'makutu sangathe kwathunthu tchire. mipata Angathe:

• Kumva imfa. Childs, kumva Mwamsanga okha kwa kanthawi, mpaka dzenje likalowa m'makutu a sadzakhala kutha palokha. Komabe, ambiri odwala otolaryngologists anati kuchepa zikusintha khalidwe kumva, ngakhale pambuyo lathunthu yojambula overgrowing. Zikudalira malo ndi kukula kwa chilonda.
• matenda pakati khutu (otitis TV). Likalowa m'makutu mwa mwana kapena wamkulu facilitates mwayi mabakiteriya mkati ngalande khutu. Ngati nsalu sikapola palokha, ndipo wodwala safuna pitani kuchipatala, pali chiopsezo (aakulu) matenda osati curable opatsirana kuti mwina kudzabadwira imfa wathunthu mmakutu.
• Chotupa pakati khutu (cholesteatoma). Cholesteatoma kapena ngale chotupa - chotupa ichi wopangidwa maselo a khungu ndi minofu necrotic. Ngati nembanemba tympanic chawonongeka, maselo akufa khungu ndi zina organic zinyalala ukhoza kugwera mu khutu pakati ndi kupanga chotupa. Cholesteatoma imapereka malo abwino kwa kuswana kwa tizilombo toyambitsa matenda, ndipo ili ndi mapuloteni angathe kufooketsa mafupa pakati khutu.

Pamaso pa ulendo dokotala

Pamene mukuganiza kuti muli ndi zizindikiro utaphulika likalowa m'makutu kulola ndi molondola adzaweruza pamaso pa choipa. Ngati khalidwe liti kwambiri utachepa kumva, lowani kwa mogwirizana ndi katswiri. Mukhoza kuyamba kuona dokotala, koma kuti tisunge nthawi, Ndi bwino nthawi yomweyo kupita ku phwando kuti otorhinolaryngology.

Tikamakaona katswiri, ndi zofunika kuganizira zimene mukupita kulankhula za matenda awo. Kotero kuti palibe akukuwerengerani mudziwe otetezeka zikuluzikulu kulemba. Ndi zofunika kufotokoza mwatsatanetsatane:

• kundivutitsa zizindikiro, kuphatikizapo amene mukuganiza si mbale kuwononga likalowa m'makutu ndipo kumphatikiza ndi kumva imfa, kumaliseche madzi ndi zizindikiro zina zikusonyeza choipa;
• Nthawi zaposachedwa moyo wanu yomwe ikhoza kuwononga makutu, kuphatikizapo matenda opatsirana, kuvulala masewera, kuyenda ndi mpweya;
• mankhwala, kuphatikizapo mavitamini ndi mchere ndi zowonjezera zakudya kuti mukutenga pa nthawiyo;
• mafunso kufunsa dokotala.

Ngati mukukayikira likalowa m'makutu ndi otitis kapena kachigawo, ganizani zolimba kufunsa mafunso otsatirawa otolaryngologist:

• Naomi ngati ine likalowa m'makutu?
• Ngati ayi, chifukwa chiyani ine sali kumva ndi kuyan'anila ina ya zizindikiro?
• Ngati inu kuwononga likalowa m'makutu, ine ndingakhoze kuchita chiyani kuti ateteze khutu ku matenda zotheka pa ndondomeko ya machiritso zachilengedwe?
• Kodi ndikufunika kachiwiri yokumana inu kuonanso mmene minofu chakuwangisa?
• Pamene ayenera kuganizira poika mankhwala enieni?

Omasuka kufunsa mafunso ndi zambiri akatswiri.

Zomwe adokotala anena

Otolaryngologist, iwonso, funsani zotsatirazi:

• Mudachita amaona zizindikiro ndi choipa?
• Chophukacho likalowa m'makutu nthawi zambiri limodzi ndi ululu khalidwe ndi chizungulire. Kodi inu munazindikira pa zizindikiro kuwonongeka minofu? akhala bwanji msanga?
• Kodi anasamutsa matenda opatsirana makutu?
• Kodi akaona phokoso kwambiri mokweza?
• Kodi inu kusambira mu matupi zachilengedwe a madzi kapena dziwe posachedwapa? Kaya pamadzi ndi kusambira pansi pamadzi?
• Kodi ulendo posachedwapa ndege?
• Kodi nthawi yomaliza munalandira ndi choipa mutu?
• Kodi inu kuyeretsa makutu anu? Kaya ntchito kukonza zinthu za mtundu uliwonse?

upo isanafike

Ngati yomwe inakonzedwa wa phwando pa ENT siinafike, ndipo inu mumaganiza kuti inu muli likalowa m'makutu ku amadza, mankhwala sayenera kuyamba pa kanthu yake. Bwino Tsatirani njira zonse zotheka kuti matenda opatsirana mwa khutu. Yesetsani makutu woyera ndi youma, pewani kusambira, samalani kuti madzi sakhala mwa khutu pamene kusamba mu kusamba kapena akusamba. Kuteteza khutu zowonongeka pa madzi mankhwala, nthawi iliyonse, amaika izo mu zotanuka earplugs madzi silikoni kapena thonje mpira ankawaviika Vaselini.

Musagwiritse ntchito mtundu uliwonse wa madontho khutu anagula pa mankhwala nzeru zake yekha; mankhwala akhoza tisonyezeni yekha dokotala, ndipo kokha zochizira matenda kugwirizana ndi kuwonongeka kwa Kakhungu tympanic.

diagnostics

Kudziwa kupezeka ndi mmene kuwonongeka ENT zambiri zowoneka amasanthula khutu ntchito yapadera chida backlit - ndi otoscope. Ngati kudzifufuza cursory si n'zotheka kudziwa chifukwa enieni kapena mmene kusiyana, adokotala akhoza mankhwala mayesero zina matenda, kuphatikizapo:

• Laboratory mayesero. Ngati inu munazindikira kumaliseche ndi ku khutu zowonongeka, otolaryngologist, zikuoneka kuti asankhe munthu wina zasayansi Kupenda kapena chikhalidwe cha kusankha nyemba kudziwa mtundu wa matenda miliri khutu pakati.
• Lowunikira kumva ntchito ikukonzekera foloko. Ikukonzekera mafoloko - ndi zipangizo bidentate zitsulo, limatulutsa phokoso pamene zinthu zinasokonekera. Kuwerenga yosavuta kugwiritsa ntchito iwo adzalola adokotala matenda kumva imfa. Komanso, ntchito ya mphanda walola kudziwa zimene zinachititsa kumva imfa: kuwonongeka kwa mbali akututuma wa khutu pakati (kuphatikizapo likalowa m'makutu a), zolandilira kuvulala mitsempha kapena khutu mkati, kapena onse pamodzi.
• Tympanometry. Tympanometer - chipangizo kuti aikidwa mu ngalande khutu kupenda zimene nembanemba tympanic kusintha zazing'ono mpweya. Ena dongosolo Poyankha zingasonyeze anawononga wa Kakhungu tympanic, zizindikiro zimene zina musati ngakhale kupulumutsa mwapadera kwa wodwalayo.
• Surdologichesky bwino. Ngati mayesero ena ndi kufufuza simunakhala yayenda bwino kwambiri, adokotala mankhwala Kupenda surdologichesky, zomwe zikusonyeza mndandanda wa mayesero mwankhaza kutsimikizidwa amachitika thandala soundproof kuwunika kuzindikira mawu a kusinthasintha mphamvu wodwalayo ndi pa mafurikwense osiyana.

chithandizo

Ngati muli ndi matenda wabwinobwino, wopepuka matenda likalowa m'makutu, mmene angakhale ndi yabwino kwambiri: zinachitikira zikachitika, amayembekezera yekha pang'ono kumva imfa ku phwando anavulala. Ngati pali zizindikiro za matenda dokotala mankhwala maantibayotiki mu mawonekedwe a makutu akutsikira ( "Otipaks" "Sofradeks" "otinum"). Ngati yopuma sikapola lokha, mwina amachita njira yapadera kuonetsetsa machiritso lathunthu la Kakhungu tympanic. ENT akhonza kusankha:

• Imposition wa chigamba wapadera likalowa m'makutu a. Iyi ndi ndondomeko mwachilungamo yosavuta imene dokotala amachitira m'mphepete mwa chuma kusiyana, zolimbikitsa kukula selo, kuvulala ndi kusindikizidwa ndi zinthu zapadera zopangitsa kuti atumikire monga ngati gulu-chithandizo kwa minofu anavulala. Iwo mosakayikira kuuzanso kangapo pamaso pa likalowa m'makutu adzachiritsa kwathunthu.
• Opaleshoni. Ngati imposition wa chigamba si ntchito kapena dokotala kwambiri amakayikira zoti njira yosavuta kudzakuthandizani kuchiritsa chophukacho wa likalowa m'makutu, adzazindikira amalangiza chithandizo ndi opaleshoni. Nthawi zambiri, opaleshoni ikuchitika pansi pa dzina tympanoplasty. Dokotalayo adzachititsa kuti ang'ambe thupilo pamwamba khutu, kodi wachotsa chidutswa ting'onoting'ono nsalu ndipo lingafikire kusiyana mu likalowa m'makutu a. Iyi ndi ntchito yosavuta, ndipo odwala ambiri abwerere kwawo tsiku lomwelo.

Kunyumba,

Osati nthawi zonse kufunika kutumiza ku malangizo katswiri mankhwala ndi matenda. Anthu ambiri ndi matenda a "likalowa m'makutu" chithandizo tichipeza mu kutseka khutu ovulalawo a zotupa latsopano ndi kupewa matenda zotheka. The ndondomeko wodzilamulira machiritso amatenga masabata angapo. Kaya inu wopita kwa otolaryngologist kapena ayi, njira zonse n'zotheka kuteteza mavuto kuonongeka khutu. Madokotala amalangiza kutsatira malamulo awa:

• Khalani khutu youma. Nthawi iliyonse pamene mukumwa osamba kapena kusamba amaika mu lakunja khutu madzi earplugs silikoni kapena thonje mpira ankawaviika Vaselini.
• Kupewa kutsuka. Musagwiritse ntchito mankhwala kapena zinthu kuyeretsa makutu, ngakhale mwapadera kwa cholinga ichi. Perekani likalowa m'makutu nthawi yanu kumaliza machiritso.
• Musati kuwomba mphuno yanu. Kuthamanga kwaiye kuwomba mphuno, angathe kupweteka minofu kale anavulala.

kupewa

Pofuna kupewa chophukacho wa Kakhungu tympanic, kutsatira malangizo otsatirawa:

• mwamsanga kuchitira pakati khutu matenda opatsirana;
• kupereka makutu zoyendera mpweya chitetezo chokwanira pa maulendo;
• Pewani kukonza makutu a zinthu zakunja, kuphatikizapo swabs thonje ndi tatifupi pepala;
• kuvala Zomverera kapena earplugs ngati ntchito yanu chikugwirizana ndi phokoso kwambiri mokweza.

Potsatira malangizo yosavuta adzateteza m'makutu anu zisaonongeke.