Nyagide otitis media: mgbaàmà, ọgwụgwọ

Ọtụtụ mgbe ke idem ịzụlite mbufụt nke mgbanwe ogo. Nyagide otitis media, mgbaàmà nke na-amalite na-iputa si iro nke auditory eme, bụghị ihe ọhụrụ. Ọrịa a na-esonyere mbufụt ke n'etiti ntị. Dị ka a n'ihi nke adhesions kpụrụ si uzo, na ossicular agagharị chiri. Gịnị mere e nwere ọrịa a? Gịnị bụ agwọ ọrịa ndị dọkịta na-enye?

Atụmatụ nyagide otitis

N'etiti ntị na-anọchi anya abụọ mmiri: a oghere na auditory ossicles na Eustachian tube. Ha na-akọrọ ndị eardrum, bụ nke na-ahụ maka nnyefe nke ụda vibrations. Ha na-abịa site na ọkpụkpụ na owuwu nke dị n'ime ntị. E emee ụdi nnyefe na n'ikuku nke n'ókè na auditory akwara. Mgbe ahụ, na ụda na-ewe kwesịrị ekwesị na ngalaba nke ụbụrụ. Nyagide otitis media-egosi dị ka a n'ihi nke mbenata agagharị nke eardrum na ossicles. The ọrịa na-esonyere ele mmadụ anya n'ihu ma ọ bụ zuru ezu mebiri ụda uzọ.

akpata

The ebutekarị daa ọrịa bụ mbufụt n'etiti ntị - nnukwu otitis media na ya dịgasị iche iche. Ọrịa nwekwara ike akpasu iti ojiji nke ọgwụ nje na ọgwụgwọ usoro. Preparations ọma mpi na mbufụt na ntị uji eze, kamakwa liquefy akwakọba na ya exudate. Dị ka a n'ihi nke onya guzobere na adhesions ìgwè nke connective anụ ahụ. Ha entwine nkume igbochi agagharị ihe nakawa etu esi na ịkpaghasị permeability nke auditory tube.

Na otolaryngology e nwere otu ebe nrapado otitis amalite dị ka otu nọọrọ onwe ha ọrịa. Ọ na-kpọkwasịwo a dịgasị iche iche nke enweghị nchịkwa Filiks, budata nsogbu patency nke auditory tube na impeding zuru ventilashion nke tympanic oghere. Dị otú ahụ imebi na-agụnye:

• ruo ogologo oge tonsillitis;
• adenoids;
• mmebi nke septum;
• growths na akpịrị;
• ọrịa na-emetụta elu akụkụ okuku ume na tract (laryngitis, SARS);
• -adịghị ala ala mbufụt ke gọzie gị oghere (Sinusitis, Sinusitis).

N'agbanyeghị nke na-akpata ọrịa, na-ahụkarị ndị mbụ ihe ịrịba ama nke ya, ị ga-ahụ a na dọkịta. Bịara n'Ezi Oge ochichi nke ọgwụgwọ pụrụ igbochi mmepe nke oké njọ nsogbu, zere n'ịwa ahụ.

Clinical ngosipụta nke ọrịa

Mmepe nke-enweghị nchịkwa na usoro amalite nwayọọ nwayọọ. The mbụ mgbaàmà nke ọrịa ntị bụ mkpọtụ na ntị. The nyagide otitis ji ndị ntị chiri conductive ụdị, mgbe e nwere persistent na-akawanye njọ nke n'ibu ụda vibrations. Clinical mgbaàmà ndị yiri nnọọ ka foto nke ndị ọzọ ọrịa. Ya mere, iji chọpụta ihe na-akpata na-anụ mgbanwe eji ọtụtụ achọpụta ọrịa usoro. Ha na-ekwe ka ewepu ọ bụla ọzọ ọrịa Filiks na pụrụ iduga conductive ntị ọnwụ (ìgwè sọlfọ secretion tubo-otitis, otosclerosis, wdg).

nchoputa

Olee ụkpụrụ na-eduzi ndị dibịa na ị na-ahọrọ na-eme nke ọgwụgwọ? "The nyagide otitis media" - nke a bụ a dị oké njọ nchoputa, iji gosi na ị chọrọ iji wuchaa nyochaa onye ọrịa. A, ọ na-agụnye:

• visual nnyocha;
• otoscopy (nnyocha ntị oghere eji a ìhè isi na ngosiputa);
• catheterization (research Eustachian tube nke ejikọ ndị ntị nasopharynx);
• audiometry (nkwenye nke ntị);
• impedance (nchọpụta nke mgbanwe Ọdịdị nke ahụ eustachian tube, na tympanic akpụkpọ ahụ).

The isi mkpachapụ nke nchoputa nke ọrịa na-audiometry na ụdi catheterization. Impedancemetry-enye gị ohere ịlele agagharị nke ọkpụkpụ ma mata spikes. N'ihi na-adịbeghị anya eardrum nwayọọ nwayọọ na-efunari ya ọrụ, ihe na-akpali onye ọrịa ahụ na mberede ntị ọnwụ.

Nyere nnyocha e mere results, dọkịta na-edepụta na ọgwụgwọ kwesịrị ekwesị. Nyagide otitis, mata ná mmalite nkebi, agwa ọma ọgwụ na-adịghị achọ ka ịwa ahụ aka. Mgbe ịwa na-kenyere a na-agba ọsọ ụdị ọrịa ahụ. Na karịsịa oké njọ mgbe, onye ọrịa na-egosi na ojiji nke a na-anụ enyemaka. Gịnị bụ ụzọ kasị mma isi na-emeso ọrịa?

ọgwụ

Mgbe mbụ ogbo nke-enweghị nchịkwa na usoro onye ọrịa a na-kenyere injections nke B vitamin, aloe, vitreous. Iji melite ekwedo nke adhesions na mgbochi nke nyekwuru ha proliferation ka ikpo Eustachian tube "ligase", "Fluimucil", "chymotrypsin".

physiotherapy

Conservative ọgwụgwọ ọgwụ na-emekarị zuo ezu physiotherapy. Ndị na-esonụ usoro ndị kasị dị irè:

• Ultrasound ịhịa aka n'ahụ;
• ngwa ndakwa nri ọgwụ ;
• UHF;
• apịtị.

Iji gbochie nlọghachite nke ọrịa ọmụmụ nke ọgwụgwọ a ga-ugboro ugboro 2-3 ugboro n'afọ.

Politzer usoro na nyagide otitis

Ọgwụgwọ ke ndifri nke Eustachian tube site na usoro Politzer enye a mmetụta dị mma. Omume nke usoro na-enye mgbe niile na-achịkwa na-eji ihe otoscope. Otu osisi olive na ẹkenam n'ime ọrịa ntị, ndị ọzọ na - dọkịta. Site na oghere imi nke onye ọrịa na itinye na catheter, nke departs si balloon. Nke abụọ oghere imi tuo mkpịsị aka, mgbe nke onye ọrịa na-jụrụ nwayọọ nwayọọ na-ekwu okwu "ship". Onye ọ bụla oge ịkpọ mesiri nkeji okwu piakota bọlbụ. Ọ bụrụ na ndị Eustachian tube nweghị adhesions, ikuku aga kpamkpam.

Nke a na usoro a na-achọkwa na-Pneumomassage tympanic akpụkpọ ahụ. Site n'enyemaka nke a pụrụ iche ngwaọrụ na akpụkpọ ahụ mmetụta nke ikuku ugboelu, nke ike a na-achịkwa. Ndị dị otú ahụ a usoro nwere mmetụta dị mma n'ebe na agagharị nke tympanic akpụkpọ ahụ, na-egbochi guzobe adhesions.

ịkpa aka

Ọ bụghị mgbe niile na ọgwụ na physiotherapy jikwaa iji merie nyagide otitis media. Conservative adịghị agwọ? N'ọnọdụ ndị dị otú ahụ, mgbe ọrịa bụ pụta ụwa abụọ na-ụzọ, onye ọrịa na-kenyere ọrụ - tympanotomy. N'oge awa ahụ, dọkịta ekpughe eardrum, si otú na-enye ohere ka auditory ossicles. Tympanotomy-enye gị ohere tufuo akwakọba exudate iwepụ adhesions.

Ọbụna ịwa ahụ adịghị enye 100% ekwe nkwa nke a mma N'ihi. Ọtụtụ mgbe megide ndabere nke a nnukwu ebe mbibi spikes ọzọ amalite nyagide otitis media. Mgbaàmà nke ọrịa mgbe ịwa ahụ bụghị dị iche ná ndị tupu ọgwụgwọ. Ọrịa chọpụtara scars nwayọọ nwayọọ deform ntị drum, nke na-egosipụta na àgwà nke na-anụ. Kwụsị ọrịa usoro ma melite patency nke Eustachian tube agaghị ekwe omume. N'ọnọdụ ndị dị otú, iji ndị nnọchi nke wuru ossicles prosthesis polima, na ventilashion na rụrụ site na auditory kanaal.

Ize ndụ nke nlọghachite

Ọrịa ndị na-wara nyagide otitis media, n'ime ọnwa isii mgbe omume ga-chịkwara site otolaryngologist. Mgbe oge a, na-atụ aro ka ịnyefe re-nnyocha, iji hụ na ọ dịghị enwe mgbanwe ndị ọrịa na ntị oghere. Na-akọwapụta a ọgwụgwọ na-ugboro ugboro deviations. Ekemende ọrịa pụrụ ịkpasu fibrinopurulent cicatricial mgbanwe Ọdịdị nke etiti ntị. Dị mwute ikwu na, dị otú ahụ imebi bụ irreversible. Na enweghị ezigbo ọgwụgwọ nke daa ọrịa nwere ike ime ka ankylosis nke nkwonkwo nke auditory ossicles, nke utịp ke ngụkọta ntị ochichi.

mgbochi

Nnukwu mbufụt nke nchoputa "nyagide otitis media" mgbe mgbe agwụ elu n'etiti ntị. Ọgwụgwọ nke mpako na ịgba akwụkwọ ma ọ bụ ọgwụ na-adịghị mgbe niile na-ewetara ezi ihe. Surgery bụ nnọọ na-ewe oge na pụrụ igbochi nlọghachite nke ọrịa. Ya mere, ọ dị mkpa na-arụ ọrịa mgbochi. Ọ na-atụ aro ka na-amalite na n'ụbọchị ndị mbụ nke a ndụ nwa. Ara na-enye zuru ezu guzobere ntị muscle, dapụtara na-ebelata susceptibility mmetụta nke enweghị nchịkwa mmadụ. Ọzọkwa, ọ na-ewusi dịghịzi usoro ma na-ebelata ihe ize ndụ nke na-emepe emepe akụkụ okuku ume na ọrịa.

Modern pharmacology awade a nso nke ọgwụ ọjọọ na-amụba iguzogide malitere ịrịa pathologies, na gbakee ngwa ngwa oyi ọrịa. Ha na-magburu onwe mgbochi nke nyagide otitis media. "Influvac" kwesịrị ekenyela n'etiti ndị a ọgwụ, "Imudon", "Bronhomunal". N'ihu iji ngwaahịa na-gwara ịkpọ a ọkachamara na onunu ogwu na oge nke mgbochi N'ezie. Ọ bụrụ na ị pụghị izere mbufụt, ọ dị mkpa na-eso ọgwụgwọ Usoro na dọkịta na-enye. Ọ bụla ndiiche si ọkachamara ndụmọdụ ize ndụ nlọghachi nke ọrịa.