Yesigcilikisha otitis abezindaba: izimpawu, ukwelashwa

Isikhathi esining impela emzimbeni ukuthuthukisa ukuvuvukala kobukhulu obuhlukahlukene. Yesigcilikisha abezindaba otitis, izimpawu zazo, sekuqala ukuvela kusukela esephule imisebenzi sokuzwa, akuyona into engavamile. Lesi sifo kuhambisana ukuvuvukala e maphakathi nendlebe. Ngenxa ukuvuvukala kwakhiwa kusukela imicu, futhi ukuhamba ossicular kahle. Kungani kukhona yini kulumkhuhlane? Yiziphi ukwelashwa odokotela ukunikela?

Izici ingcina otitis

Maphakathi nendlebe imelelwa tincenye letimbili: umgodi nge ossicles sokuzwa kanye tube Eustachian. Babelane eardrum, okuyilona elisebenzayo futhi unesibopho ukudluliselwa kunyakaza umsindo. Eza ngokusebenzisa ithambo izakhiwo of endlebeni. Kube kwenzeka ukudluliswa eyalandela yokwamukela signals emsipheni sokuzwa. Ngemva kwalokho, umsindo kuthatha esigabeni ezifanele zobuchopho. abezindaba Yesigcilikisha otitis livela ngenxa ekunciphiseni ukuhamba kwe-walimala indlebe kanye ossicles. Lesi sifo kuhambisana esinqunyiwe noma ephelele ukwephulwa umsindo bezibona.

izimbangela

Imbangela ezivame kakhulu zokugula ukuvuvukala maphakathi nendlebe - abezindaba acute otitis futhi esifika ngezindlela ezihlukahlukene. Izifo Ungase futhi avuse ukusetshenziswa futhi bengafundile kwamaphilisi inqubo yokwelashwa. Amalungiselelo ukuncintisana ngempumelelo yisihlungu endlebeni ingaphakathi, kodwa futhi Ziyancibilika zanqwabelana exudate wakhe. Ngenxa isibanda kwetinhlavu kanye ukuvuvukala bands zezicubu zezinzwa. Bona entwine itshe elalivale amaphethini ukuhamba kanye ukubhidliza permeability tube sokuzwa.

Ngo otolaryngology zikhona izimo lapho otitis ingcina buyaqina lapho isifo ezimele. Iyokwandulelwa ezihlukahlukene izinqubo sokugembula, kakhulu nzima patency tube sokuzwa kanye okwathiya ukupholisa egcwele ngaphakathi komgodi tympanic. ukwephulwa zibala:

• namathansela isikhathi eside;
• adenoids;
• kulimaze kuya septum;
• neziqu emphinjeni;
• Izifo eziphatha elingenhla ipheshana zokuphefumula (laryngitis, SARS);
• ukuvuvukala okungalapheki ingaphakathi acinene (sinusitis, sinusitis).

Kungakhathaliseki ukuthi izimbangela zesifo, eqaphela izimpawu zokuqala ke, kumele ubonane nodokotela. ekuphathweni Esifike Ngesikhathi sokwelashwa kungavimbela ukuthuthukiswa sengozini yokuthola izifo, gwema ukuhlinzwa.

ukubonakaliswa Clinical lesi sifo

Ukuthuthukiswa inqubo sokugembula iqala kancane kancane. Uphawu lokuqala okuyinto iziguli banake umsindo endlebeni. I otitis ingcina libhekene nabangezwa kahle uhlobo conductive, uma kukhona eziphikelelayo eziya ziba zimbi we mechanical umsindo kunyakaza. izimpawu zokwelashwa zifana kakhulu isithombe nezinye izifo. Ngakho-ke, ukuze anqume izimbangela kokuzwa ushintsho isebenzisa izinqubo eziningi kusebenta kwahulumende. Bavumela ukubekela eceleni yimuphi omunye izinqubo isifo engaholela conductive ubuthulu (ekuqongeleleni sulphur uketshezi tubo-otitis, otosclerosis, njll).

uphethwe

Yiziphi izimiso ezisiqondisayo udokotela ekukhetheni amacebo ukwelashwa? "I ingcina abezindaba otitis" - lena uphethwe sina, ukuqinisekisa ukuthi ufuna ukuqeda ukuhlola isiguli. Ngokuvamile, sifaka:

• kuhlolwe ngamehlo;
• otoscopy (ukuhlolwa indlebe ingaphakathi usebenzisa umthombo ukukhanya nalokhu okwenza kugqame);
• catheterization (ucwaningo tube Eustachian kuxhumene endlebeni nasopharynx);
• audiometry (ukuqinisekiswa ukuzwa);
• impedance (ukuthola izinguquko isakhiwo tube eustachian, ulwelwesi tympanic).

Manipulation eyisisekelo sitholakele lesi sifo yilabo audiometry futhi catheterization okwalandela. Impedancemetry ikuvumela uhlole zomphakathi the amathambo ukuhlonza spikes. Ngenxa yamuva eardrum kancane kancane ilahlekelwa umsebenzi walo, lokho icuphe okungazelelwe ubuthulu lesiguli.

Banikezwe Imiphumela inhlolovo, udokotela lunquma ukwelashwa okufanele. otitis Yesigcilikisha, akhonjwe okwakuhlalwa kuzo lapho kusaqalwa, iyaphendula kahle imithi futhi ayidingi kokungenela kuhlinzwa. Lapho eyohlinzwa inikezwa ifomu egijima lesi sifo. Ezimweni sina ngokukhethekile, isiguli ikhombisa ukusetshenziswa izinsizakuzwa. Yiziphi yezindlela ezingcono kakhulu ekwelapheni izifo?

imithi

Ngesikhathi besanda kuqala inqubo sokugembula isiguli kokuba ebekwe imijovo ye B amavithamini, Aloe, Vitreous. Ukuze uthuthukise kuyaqina of ukuvuvukala kanye nokuvinjelwa ekwandeni kwabo okwengeziwe ekuchazeni Eustachian tube "ligase", "Fluimucil", "chymotrypsin".

Physiotherapy

Conservative ukwelashwa imithi ngokuvamile zihambisana Physiotherapy. Izinqubo ezilandelayo yizona ephumelela kunazo:

• Ultrasound massage;
• ukwelashwa microwave ;
• UHF;
• udaka.

Ukuvimbela yokuphindela izifundo isifo ukwelashwa kufanele liphindwe izikhathi 2-3 ngonyaka.

Politzer indlela futhi otitis ingcina

Ukwelashwa nge ekushayweni tube Eustachian by indlela Politzer kunikeza nomphumela omuhle. Ukuziphatha inqubo inikeza control njalo usebenzisa i otoscope. Umuthi womnqumo eyodwa busuka indlebe lesiguli, elinye - kudokotela. By ikhala isiguli futhi unamathisele ipayipi, okuyinto isuka ibhaluni. Okwesibili ikhala ingcosana umunwe, ngemva kwalokho isiguli uyabuzwa kancane uthi igama elithi "mkhumbi-mkhathi". Njalo othi wagcizelela ilunga khama isibani. Uma tube Eustachian kungekho ukuvuvukala, umoya ugeleza ngokukhululekile.

Le nqubo ivame kuhlangene Pneumomassage ulwelwesi tympanic. Ngosizo idivayisi ekhethekile on imiphumela ulwelwesi air jet, okwakukhona kuzo amandla ilawulwa. inqubo enjalo kuye kwaba nomphumela omuhle ku ukuhamba ulwelwesi tympanic, evimbela kumiswa ukuvuvukala.

kokungenela op

Hhayi ngaso sonke isikhathi ngokuthi bathathe imithi yabo futhi Physiotherapy uphathe ukunqoba ingcina otitis abezindaba. ukwelashwa okulondoloza akusebenzi? Ezimweni ezinjalo, lapho lesi sifo esivela ezimbili ngendlela, isiguli ezinqunyiwe operation - tympanotomy. Phakathi ukuhlinzwa, udokotela lidalula eardrum, ngaleyo ndlela linikeze ukufinyelela ossicles sokuzwa. Tympanotomy ikuvumela ukuqeda exudate zanqwabelana ukuqeda ukuvuvukala.

Ngisho nokuhlinzwa akukuniki 100% isiqinisekiso Chile oqondile. Ngokuvamile ngokumelene isizinda endaweni enkulu nolokubhujiswa spikes futhi ithuthukisa ingcina otitis abezindaba. Izimpawu zesifo emva kokuhlinzwa hhayi zihlukile ngaphambi ukwelashwa. Iziguli izibazi kutholakala ukuthi uphethwe yini kancane kancane deform sigubhu indlebe, okutshengisa izinga ukuzwa. Misa inqubo isifo futhi sithuthukise patency tube Eustachian akunakwenzeka. Ezimweni ezinjalo, asesebenzisa kwakuhilela ukwamukela ossicles yokufakelwa sokwenziwa polymer, nokushaya komoya wenziwa ngokusebenzisa i-canal sokuzwa.

Ubungozi Ukuphinda

Iziguli kwavele abezindaba ingcina otitis, kungakapheli izinyanga eziyisithupha ngemuva ukwelashwa kufanele wawuqondiswa Otolaryngologist. Emva kwalesi sikhathi, kutuswa ukuba kudlule kabusha luhlolo, ukuqinisekisa ukuthi akukho izinguquko sokugembula endlebeni ingaphakathi. Ekukhombeni inkambo yokwelapha ngeziphambeko okuphindaphindiwe. Ngemva kwalokho sifo avuse izinguquko fibrinopurulent cicatricial kule nokwakheka maphakathi nendlebe. Ngeshwa, ukwephula abanjalo bangabaphostoli engelapheki. In the ukungabikho ukwelashwa okufanele we zokugula kungabangela ankylosis we emalungeni ossicles sokuzwa, eliphumela ubuthulu Imininingwane.

izinyathelo

ukuvuvukala okukhulu uphethwe "ingcina otitis abezindaba" ngokuvamile ugcina maphakathi nendlebe. Ukwelashwa nokuvikelwa amakhambi abantu noma imithi akusho ngaso sonke isikhathi ukuletha imiphumela emihle. Ukuhlinzwa kakhulu isikhathi esiningi futhi kungavimbela Ukuphinda lesi sifo. Ngakho-ke kubalulekile ukuba bahlanganyele ekuvimbeleni izifo. Kunconywa ukuba uqale nge ezinsukwini zokuqala ekuphileni komntwana. Ibele inikeza ephelele ukwakheka indlebe imisipha, okuholela ezifweni kwehle emiphumeleni ejenti sokugembula. Ngaphezu kwalokho, kuqinisa namasosha omzimba futhi kunciphise ingozi yokuba nezifo zokuphefumula.

kwemithi Modern inikeza uhla izidakamizwa ukwandisa ukumelana pathologies viral, futhi ukululama ngokushesha esuka imikhuhlane izifo. Futhi i zokuvimbela omuhle kakhulu ingcina otitis abezindaba. "Influvac" kufanele zabelwe phakathi lezi imithi, "Imudon", "Bronhomunal". Ngaphambi kokusebenzisa umkhiqizo belulekwa ukuba uthintane onguchwepheshe ku umthamo kanye isikhathi Yiqiniso zokuvimbela. Uma ungeke ukwazi ukugwema ukuvuvukala, kubalulekile ukulandela lwemithi yokwelapha udokotela inikeza. Noma yimuphi ukuphambuka kusuka uchwepheshe iseluleko lokubuya kwesifo esiyingozi lesi sifo.