Zomwe Zapangidwira Zopangira Zida Zimatulutsa Zambiri Zamtundu
Mphuno zamakono ndizitsulo zomwe zimapangidwira mkati mwa khutu kuti chisamaliro chamkati chikhale chotsekemera ndikulola madzi okwanira owonjezera. Njirayi imachitika kawirikawiri pa ana aang'ono amene amatha kukhala ndi madzimadzi m'makutu ndi matenda omwe amamva nthawi zonse.
Mphuno m'makutu ( otitis media ) imapezeka pamene chubu la eustachian chimatsekedwa, kuthamanga mkati mkati.
Zimayambitsa otitis media monga:
- Buildup wa zinyalala mumtsinje wamakutu
- Kuwonjezera kwa adenoids , turbinates , kapena minofu ya sinus
- Benign ukukula mu khutu, kuphatikizapo polyps
- Malo osakanizika a chubu la eustachian mwa ana omwe amatha kupezeka zowonongeka ndi madzi
Momwe Grommets ya Ear Inayikidwa
Pamene kuikidwa kojambulidwa kwa grommet kumvetsera kumatenga mphindi 15 zokha kuti achite, ambiri amadzimadzi a anesthesia amafunika. Izi zimathandizira kuti wodwalayo akhalebe bwinobwino pamene dokotalayo akupanga pang'ono pang'onopang'ono (njira yotchedwa myringotomy).
Kuchita opaleshoni kumaphatikizapo masitepe angapo:
- Nthawi zambiri mumalangizidwa kuti musiye kudya ndi kumwa kuyambira pakati pausiku tsiku la opaleshoni yanu. Izi zidzakuthandizani kupewa kubwezeretsanso m'mimba mwanu pamene muli pansi.
- Pomwe mukuyesa kafukufuku wanu, namwino adzatenga mpweya wanu ndi ma oxygen ndikufunsani za mankhwala alionse amene mungakhale nawo.
- Mwinanso mungakumane ndi munthu wodwala matenda opatsirana pogonana kuti akambirane zochitika zilizonse zomwe munakumanapo nazo ndi mankhwala oopsa. Thupi la IV likhoza kukhazikitsidwa ndi namwino kapena wodwalayo.
- Ukadakhala pansi pa sedation, myringotomy idzachitidwa, ndipo iliyonse yosungunuka madzi amatha kuyamwa ndi mpweya.
- Grommet ya khutu idzaikidwa mu khola laling'ono lanu.
- Matope a antibiotic angagwiritsidwe ntchito poteteza matenda.
Magrommets a makutu samasowa zokopa koma m'malo mwake amagwiritsidwa ntchito ndi eardrum yokha. Kwa ana, nthawi zambiri amadzimvera okhaokha ngati chubu yamatope imayamba kukula ndikusintha.
Kwa akuluakulu, grommet ya khutu ikhoza kusungidwa kwa nthawi yaitali, makamaka kwa iwo omwe ali ndi matenda otulira khutu. Pachifukwa ichi, grommet ikhoza kukhala ndi flange yapadera kuti iigwire bwino. Kuchita opaleshoni yachiwiri kudzafunika kuti muchotse icho patapita nthawi.
Care Post-Surgical Care
Anthu ambiri samva kupweteka kwakukulu motsatira myringotomy. Ngati nkofunika, Tylenol (acetaminophen) ingagwiritsidwe ntchito kuthandizira kuchepa kulikonse.
Komano, si zachilendo kumva chizungulire, kunyozetsa, kapena kupweteka mutu kumapeto kwa anesthesia. Ndi chifukwa chake kuyendetsa galimoto kapena ntchito ya makina olemera ayenera kupewa kwa maola 24 mpaka 48 potsatira opaleshoni.
Mitsempha ya antibiotic idzaperekedwa kwa masiku oyambirira. Mwinanso mungapemphedwe kuti musamanyoze mutu wanu m'madzi mpaka mutachiritsidwa, kapena osachepera, akufunseni kuvala makutu amkati mukasambira, kusamba, kapena kusamba.
> Chitsime:
> Lieberthal, A .; Carroll, A .; Chonmaitree, T. et al. "Matendawa ndi kasamalidwe ka otitis kwambiri". Matenda . 2013; 131 (3): e964-99. DOI: 10.1542 / peds.2012-3488.