Khutu lakuthamanga , lomwe limatchedwanso otitis kunja kwa akatswiri azachipatala, ndi matenda ofala omwe amafunika kuchiritsidwa ndi dokotala. Khutu lakuthamanga limayambitsidwa ndi madzi owonongeka omwe alowe m'makutu. Ndi matenda a khutu lakunja, mosiyana ndi otitis media (matenda apakati akumutu), matenda a khutu omwe amapezeka mwa ana. Matendawa amayamba chifukwa cha mabakiteriya kapena bowa, ndipo kawirikawiri mankhwala amadalira kukula kwa kachilombo koma nthawi zambiri zimaphatikizapo kuyang'anira madontho apadera a khutu.
Monga dzina limatanthawuza kuti khutu lakusambira limakhala lofala pakati pa anthu osambira koma lingayambitsidwe ndi ntchito iliyonse yomwe imayambitsa madzi mumtsinje wakunja, kuphatikizapo kusamba kapena kukwera mu chubu lotentha.
Zizindikiro za Kumva Kwambiri
Zizindikiro za khutu la kusambira zingakhalepo:
- ululu m'makutu
- khungu lopanda kanthu m'kamwa lakumvetsera
- zofiira
- kuyabwa
Kudziwa
Kumva kwa osambira kungathe kupezedwa ndi dokotala pokhapokha mutangomaliza kufufuza khutu lanu ndi kumakumbukira mbiri yanu ya zamankhwala ndi zizindikiro zamakono.
Kukonzekera khutu la mankhwala
Pofuna kukupatsani chithandizo choyenera cha khutu lanu lakusambira, ndondomeko ya khutu yakunja iyenera kuchotsedwa. Dokotala wanu akhoza kuchita izi mu ofesi. Adzachotsa zinyalala zomwe zingalepheretse khola la khutu, (monga phula la khutu ), ndipo ngati kutupa kumapangitsa kuti chotupa cha khutu chikhale chovuta kuchipeza, adokotala akhoza kuyika chingwe kuti madontho amatha kulowa mkati mwa khutu .
Musagwiritse ntchito makandulo akumvetsera kapena njira zina kuti muyesere kuchotsa zinyalala musanayambe kumuwona dokotala wanu, momwe mungathe kuwonongera tsamba la eardrum kapena kuyambitsa majeremusi atsopano m'makutu.
Sotton swabs amadziŵika kwambiri chifukwa chokankhira phula pamwamba pa chingwe cha khutu ndi kuchititsa mitsempha.
Matenda a Antibiotic Amathamangira
Makutu ambiri a khutu la kusambira amachiritsidwa ndi madontho a makutu a antibiotic. The American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakono amalimbikitsa kuti zochitika zonse zopanda zovuta za khutu la kusambira zimayamba kuchiritsidwa ndi madontho a makutu a antibiotic.
Izi zimachepetsa zotsatira zoyipa komanso kuthekera kwa kulenga mabakiteriya omwe sagonjetsedwa . Zitsanzo za maantibayotiki wamba amaphatikizapo ciprofloxacin, neomycin, ndi finafloxacin .
Mankhwala Osakaniza Mankhwala
Ngati khutu lanu lakusambira lisamayankhidwe ndi madontho a antibiotic kapena ngati matendawa afalikira kumadera ena osati makutu anu, adokotala angasankhe kukupatsani antibiotics.
Antifungal Mankhwala
Ngakhale kuti ndizosowa kwambiri kuposa chifukwa cha bakiteriya, khutu la kusambira lingayambidwe ndi bowa. Kodi vutoli ndilofunika kuchiritsidwa ndi mankhwala omwe amapha bowa. Zitsanzo zikuphatikizapo madontho a nystatin kapena mankhwala osokoneza bongo monga Diflucan (fluconazole).
Steroids
Dokotala wanu angasankhe kutulutsa kutupa kwa khutu la kusambira ndi madontho a khutu la steroid, monga hydrocortisone kapena dexamethasone. Kuti mumve mosavuta, palinso madontho akumutu omwe ali ndi maantibayotiki ndi steroid. Komabe, malingana ndi inshuwalansi yanu (kapena kusowa kwake), mankhwala ophatikizana amakhala okwera mtengo kwambiri kuposa kugula mankhwala mosiyana kotero dokotala angasankhe kukupatsani malamulo angapo osiyana mmalo mwake. Kusunga mutu wanu kumachepetsa kuchepa.
Kuchiza Masautso a Kumva Kwambiri
Khutu la kusambira lingakhale vuto lopweteka .
Mukhoza kulandira ululu wanu ndi zinthu zapakhomo, monga katundu wotentha ndi kupweteka kwamtundu wambiri monga acetaminophen ndi ibuprofen. Kapena ngati kuli koyenera dokotala wanu angakupatseni mankhwala kuti muchepetse ululu. Madontho am'mutu omwe ali ndi kupweteka kwa mankhwala, komwe kumapezeka ndi ofesi ya dokotala, akupezeka. Pa milandu yovuta, dokotala wanu ayenera kulamula mankhwala opweteka kwambiri.
Sungani Zakudya Zanu Zoyera ndi Zouma
Ndikofunika kuti makutu anu aziuma pamene mukupatsidwa chithandizo cha khutu lakusambira. Yesetsani kugwiritsa ntchito wouma tsitsi pa malo otsika kwambiri mutatuluka mumsamba kuti muumitse chingwe, (samalani kuti musadzitenthe).
Ngati n'kotheka, muyenera kupewa kusambira kapena kulowa mumoto wotentha mpaka mutatha kumwa maantibayotiki (kawirikawiri masiku asanu ndi awiri kapena 10, malinga ndi mankhwala ophera tizilombo).
Khutu lakuthamanga ndi lochiritsidwa, koma matenda ena akhoza kutenga nthawi yaitali kuposa ena kuti athetse. Ngakhale nthawi zochepa za khutu la kusambira zimatha kubwereza anthu ambiri. Ndikofunika kutenga njira zothandiza kupewa khutu lakusambira.
Zotsatira:
Richard M. Rosenfeld, MD, MPH, Lance Brown, MD, MPH, C. Ron Cannon, MD et al. Malangizo Othandizira Am'chipatala: Acute Otitis Externa. 2006. Kufikira May, 30, 2011 kuchokera ku American Academy of Otolaryngology - Webusaiti ya Head and Neck Surgery