Namira otitis zvenhau: zviratidzo, kurapwa

Kakawanda mumuviri kuva kuzvimba kunosiyana nekuomarara. Namira otitis Vezvenhau, zviratidzo izvo vari kutanga kubuda kubva pakaputsika auditory mabasa, kunowanzoitika. chirwere ichi pamwe kuzvimba mu pakati nzeve. Somugumisiro adhesions aumba kubva tambo, uye ossicular mufambo vasingadzoreki. Sei pane chirwere ichi? Ndezvipi kurapa navanachiremba kupa?

Features namira otitis

The nzeve pakati chinomiririrwa zvinoriumba maviri: a mhango pamwe auditory ossicles uye Eustachian chubhu. Ivo vaiita eardrum, riri kukonzera nokupfuuridzirwa inzwi vibrations. Vanouya kuburikidza pfupa kusvikira zvivako womukati nzeve. Pane kunoitika unozotevera hutachiwana uye negashiro anonongedzera pamusoro auditory etsinga. Pashure paizvozvo, kurira anotora chikamu chakakodzera wouropi. Namira otitis vezvenhau anooneka somugumisiro kuderedza mufambo pamusoro eardrum uye ossicles. The chirwere achabatsirwa kukwana kana kwakakwana kutyora inzwi maonero.

zvinokonzera

The inonyanya kukonzera zvokurwara ndiko kuzvimba pakati nzeve - chakasimba otitis venhau uye zvakasiyana-siyana. Chirwere kunogonawo kutsamwisa vasina kushandisa mishonga inorwisa mabhakitiriya ari kurapwa kwacho. Kugadzirira vakabudirira kukwikwidzana kuzvimba munzeve mhango, asiwo liquefy vaunganidza wake exudate. Somugumisiro vanga inotungamirwa uye adhesions mapoka connective tishu. Ivo entwine ibwe rakavhara mufambo avaiita uye kukanganisa permeability ari auditory chubhu.

In otolaryngology pane zviitiko apo namira otitis hwapedyo sezvo yakazvimirira chirwere. Zvinonzi pashure siyana pathological urongwa, yekudyidzana complicating patency pamusoro auditory chubhu uye kuvhiringidza zvizere kufefetedza ari tympanic mhango. kutyorwa dzakadaro dzinosanganisira:

• refu tonsillitis;
• adenoids;
• kuvadza septum;
• growths ari huro;
• zvirwere kukanganisa rokumusoro kufema turakiti (laryngitis, SARS);
• chisingaperi kuzvimba ari nasal mhango (sinusitis, sinusitis).

Pasinei zvinokonzera hosha, kunzwa zviratidzo kutanga, unofanira kuona chiremba. Panguva Chaiyo kwokubatsira kurapwa kunogona kudzivisa pave zvakakomba yematambudziko, kunzvenga kuvhiya.

Clinical zvinoratidza chirwere

Kukura pathological kwacho kunotanga zvishoma nezvishoma. Chiratidzo chokutanga iro varwere kuteerera ndiyo ruzha iri nzeve. The namira otitis inozivikanwa nokunzwa vasingadzoreki conductive mhando, kana pane kuramba achiipa kubva zvokuimba inzwi vibrations. Clinical zviratidzo zviri chaizvo rakafanana mufananidzo nezvimwe zvirwere. Saka, kuti tizive zvinhu zvinokonzera kunzwa shanduko anoshandisa chirwere maitirwo ezvinhu akawanda. Vanobvumira kuti asava vamwe chero pezvakaitwa chirwere chinogona kukonzera conductive kusanzwa (kuunganidza nesarufa secretion tubo-otitis, otosclerosis, etc.).

kuongorora chirwere

Mazano api anotibatsira chiremba pakusarudza nzira pakurapwa? "The namira otitis vezvenhau" - ichi kwakakomba nechirwere, kuti akusimbisei uchida kupedza pakuongorora murwere. Kazhinji, zvinosanganisira:

• chinooneka rokuongorora;
• otoscopy (rokuongorora nzeve mhango kushandisa chiedza tsime uye reflector);
• catheterization (tsvakurudzo Eustachian chubhu iyo rinobatanidza nzeve kune nasopharynx);
• audiometry (ongororo rokunzwikwa);
• impedance (kuonekwa nezvokuchinja nemamiriro eustachian chubhu, ari tympanic Kamudzira).

Chinokosha bata nechirwere chirwere vari audiometry kwaizotevera catheterization. Impedancemetry unokubvumira kutarisa mufambo mapfupa uye kuziva yakatesvera panyanga dzacho. Nokuda achangopfuura eardrum zvishoma nezvishoma uchibva basa, chii kunokonzera murwere kwakaerekana kusanzwa.

Akapiwa kuongorora zvabuda, chiremba prescribes yakakodzera kurapwa. Namira otitis, kuzivikanwa mukutanga mumatanho, anopindura zvakanaka mishonga uye haatarisiri kuvhiya kupindira. Kana kuvhiyiwa iri hurukuro achimhanya chimiro chirwere. In kunyanya zvakakomba Muzviitiko, murwere rinoratidza kushandisa kunzwa rubatsiro. Ndedzipi nzira yakanaka kurapa chirwere?

mishonga

Panguva kutanga pavaipfuura pathological muitiro murwere kuitwa ushandiswe majekiseni B mavhitamini, Aloe, vitreous. Kuti uvandudze elasticity pamusoro adhesions uye kudzivirira zvimwe dzavo kuwanda kuti kunan'anura Eustachian chubhu "ligase", "Fluimucil", "chymotrypsin".

physiotherapy

Kuchinja mabatiro mishonga kazhinji mukwanisi physiotherapy. Maitiro anotevera ndiwo inonyatsobudirira:

• Ultrassom masaja;
• microwave kurapa ;
• UHF;
• madhaka.

Kudzivirira dzokororo chirwere mapoka kurapwa rinofanira kudzokororwa 2-3 pagore.

Politzer nzira uye namira otitis

Treatment muchiridza pamusoro Eustachian chubhu parutivi nzira Politzer anopa kunobatsirawo. Maitiro nzira zvinopa kugara kuzvidzora kushandisa otoscope. Mumwe muti womuorivhi ari chakaunzwa murwere nzeve, mumwe - chiremba. Pakazosvika pamhino murwere uye Kochekera anobudisa mushonga zvishoma nezvishoma, iyo anoendazve kubva chibharuma. Second pamhino vaipisa munwe, pashure iyo murwere akabvunza zvishoma nezvishoma kutaura shoko "chikepe". Mumwe nguva kutaura akasimbisa mabhii manikidzira girobhu racho. Kana Eustachian chubhu asina adhesions, mhepo unoshanda wakasununguka.

nzira iri kazhinji pamwe Pneumomassage tympanic membrane. Achibatsirwa zano rinokosha Kamudzira migumisiro mhepo ndege, iro simba rinodzorwa. nzira kwakadaro kunobatsirawo pamusoro mufambo ari tympanic Kamudzira, kunotadzisa paumbwe adhesions.

kushanda kupindira

Kwete nguva dzose nemishonga physiotherapy vanogona kuhwina namira otitis zvenhau. Kuchinja mabatiro hakushandi? Mumamiriro ezvinhu akadaro, kana hosha tinoberekwa maviri-nzira, murwere ushandiswe kushanda - tympanotomy. Pakuvhiya, chiremba rinofumura eardrum, richipa kuwana auditory ossicles. Tympanotomy unokubvumira kubvisa pamusaka exudate kubvisa adhesions.

Kunyange Kuvhiya haapi 100% kuvimbisa zvakanaka mugumisiro. Kazhinji tikafunga hombe nzvimbo wokuparadzwa yakatesvera panyanga dzacho zvakare anovandudza namira otitis zvenhau. Zviratidzo zviri chirwere pashure vavhiyiwa kwete vakasiyana nevaya pamberi kurapwa. Varwere chirwere mavanga zvishoma nezvishoma deform nzeve dhiramu, iyo anoyeuka unhu pakunzwa. Kumisa chirwere rikurumidze uye kuvandudza patency ari Eustachian chubhu hazvibviri. Mumamiriro ezvinhu akadaro, vachiita kuzvitsinhanisa kubata ossicles prosthesis polymer, uye kufefetedza rinoitwa kuburikidza auditory mugero.

Mukana dzokororo

Varwere ndavhiyiwa namira otitis nhau, mukati memwedzi mitanhatu pashure kurapwa kunofanira rinotungamirirwa otolaryngologist. Shure iyi, Zvinokurudzirwa zvakaitika apiwa kuongororwa, kuti vave nechokwadi chokuti hapana Kumwe kuchinja kunotanga munzeve mhango. Panoongororwa nzira yokurapa inodzokororwa zvarakasiya. Naizvozvo chirwere kungakonzera fibrinopurulent cicatricial zvachinja sechivako yapakati nzeve. Zvinosuruvarisa, kutyorwa dzakadaro kusingarapiki. Pasina zvakakwana pakurapa zvokurwara anogona kukonzera ankylosis pakati pezvisungo zvenguvo auditory ossicles, chinoguma zvachose kusanzwa.

matanho

Chenjera kuzvimba nechirwere "namira otitis vezvenhau" kazhinji kunoguma pakati nzeve. Mabatirwo chevarwere mishonga kana mishonga hapasi migumisiro yakanaka. Kuvhiya nguva chaizvo unoparadza uye anogona kutadzisa dzokororo chirwere. Naizvozvo zvakafanira kuita mukudzivirira chirwere. Zvinokurudzirwa kutange mazuva oupenyu mwana wokutanga. Achiyamwa rinopa kwakakwana inotungamirwa nzeve tsandanyama, zvichiita yadzikira susceptibility kuti zvinokonzerwa pathological nevamiririri. Uyezve, kunosimbisa masoja emuviri uye kunoderedza ngozi yokuva zvirwere kufema.

Modern pharmacology anopa zvakawanda zvinodhaka kuwedzera kuramba nemavhairasi pathologies, uye kukurumidza kupora kubva chikosoro zvirwere. Vanodawo rakaisvonaka kudzivirira namira otitis zvenhau. "Influvac" inofanira dzinounzwa pakati mishonga iyi, "Imudon", "Bronhomunal". Asati kushandisa chigadzirwa vari zano kubvunza nyanzvi pamusoro chipimo chemushonga uye nguva yose dziviriro kosi. Kana iwe usingagoni kudzivisa kuzvimba, zvinokosha kutevera kurapwa zvaiitwa kuti chiremba anopa. Chero yakatsauka kubva nyanzvi zano ngozi kuitazve chirwere chacho.