Zifukwa za makutu a makutu ana omwe ali ndi matenda
Kodi mwana wanu akusowa makutu a makutu kuti amve matenda? Kodi nthawi yeniyeni ndi iti, ndi ziti zomwe madokotala amaganiza pa kupanga chisankho chofunikira ichi, ndipo phindu ndi zoopsa za opaleshoni iyi ndi ziti?
Matenda Achilendo Amakono
Mwamwayi, ana ambiri amatenga kachilombo kochepa chabe. Koma zingakhale zokhumudwitsa pamene iwo amatenga kachilombo ka makutu mobwerezabwereza.
Kodi matenda a khutu amavutitsa kumva mwana wanu kapena kuchepetsa kulankhula kwawo?
Ndi matenda angati a makutu ambirimbiri?
Ndi liti pamene mumayenera kupeza makutu a khutu?
Zisonyezo za Ziphuphu Zamkati
Opaleshoni yamakutu kapena tympanostomy opaleshoni yopanga opaleshoni ndi opaleshoni yodziwika bwino kwambiri kwa ana ku United States ndipo imachitidwa ku matenda omwe amamva kawirikawiri, kapena matenda a khutu omwe samasintha pakapita nthawi ndi ma antibayotiki oyenerera.
Malinga ndi nthendayi yambiri yamatenda, akatswiri ambiri angapange ma tubes kwa mwana yemwe ali ndi matenda atatu m'miyezi isanu ndi umodzi kapena mawere anayi m'miyezi 12. Akatswiri ena amagwiritsa ntchito njira zowonjezera zowonjezereka ndipo amapereka ma tubes pamene matenda amapezeka mobwerezabwereza.
Chifukwa china chimene ana amapezera mabotolo amakhala ndi makutu m'makutu awo (otitis ndi effusion) kwa miyezi itatu. Mwa kuyankhula kwina, sikulimbikitsidwa kuti ma tubes aperekedwe kwa ana omwe ali ndi gawo limodzi la otitis media ndi effusion mpaka osachepera miyezi itatu.
Ngati matendawa amatha patapita miyezi itatu, kumva kumayesedwa. Ngati kumvetsera kwacheperako, makolo ayenera kupatsidwa mwayi wopanga chubu. Ngati mazira sakuyikidwa, mwanayo ayesedwe mobwerezabwereza osachepera miyezi itatu iliyonse mpaka chisokonezo (madzimadzi) chichotsedwe, kapena pali umboni wa kutayika kwakumva kapena zovuta zadothi.
Zifukwa Zina Zoganizira Zomwe Zili M'mutu
Kuphatikiza pa chiwerengero cha matenda a khutu mwana ali nawo kapena ali ndi nthawi yayitali m'makutu mwawo, zinthu zina zingakulimbikitseni kuti mwana wanu atenge ma tubes mwamsanga. Izi zikuphatikizapo kukhala ndi chiopsezo chomwe chimapangitsa kuti mwana wanu apitirize kupeza matenda ambiri a m'makutu m'tsogolo, kuphatikizapo kukhala mnyamata yemwe ali ndi zaka zosachepera ziwiri komanso amene amapezeka tsikucare syndrome, makamaka ngati akupeza zambiri Matenda amamva amathamangira m'banja (zamoyo).
'Mtundu' wamatenda opatsirana ndi mwana wanu amatha kuthandizanso kuti musankhe ma tubes. Ngati matenda a mwana wanu amamva kupweteka kwambiri, mutenge masiku angapo kuti muthe, kapena atenge ma antibayotiki ambiri kuti awoneke, ndiye kuti mungafune kupeza mabotolo kale kusiyana ndi ngati matenda a mwana wanu samapweteka kapena mwamsanga .
Nthawi ya chaka ingasokonezenso chisankho chanu chokhudza ma tubes. Ngakhale mwana wanu posachedwapa ali ndi matenda ambiri a khutu, ngati ndi April kapena May, simukuyembekezera kuti apitirize kudwala nthawi yonse ya chilimwe ndi chilimwe. Pachifukwa ichi, mukhoza kuyembekezera nthawi yaying'ono ngati mwana wanu atalandira kale matenda ambiri akumvetsera amalowa m'nyengo yozizira pamene nthawi zonse amayamba kudwala nthawi yozizira komanso ya chimfine.
Kumbukirani kuti chisankho cha nthawi yomwe mungapeze ma tubes si chofunikira monga momwe makolo ambiri amakhulupirira. Ndipotu, phunziro limodzi anawonetsa kuti 'mwa ana osapitirira zaka 3 omwe akhalabe otitis media, kuika mwamsanga timpanostomy tubes sikumangowonjezera zotsatira za chitukuko pazaka zitatu.'
Choncho nthawi yeniyeni yopezera makutu a khutu sikuti nthawi zonse ndi odulidwa bwino monga momwe mungaganizire.
Ubwino wa Ziphuphu Zamkati
Phindu lofunika kwambiri la makutu a khutu ndi chinthu chomwe chapezeka m'maphunziro ambiri: ziphuphu zamphuno zimapangitsa kuti ana ambiri akhale ndi moyo wabwino. Zomwe ziyenera kuchitika, makutu amatha kumva kumva, zomwe zingathandizenso kuphunzira ndi khalidwe.
Ngozi za Ziphuphu Zamkati
Zovuta zingakhalepo ndi njira iliyonse yochitidwa mankhwala. Zambiri mwa zovutazi sizikuchitika ndikukumbukira kuti ana ambiri alibe mavuto onsewa. Zovuta zowonjezereka za opaleshoni yamakutu yamutu zimaphatikizapo:
- Kutaya kwa ma tubes - Nthawi zina ma tubes amatha msanga pamene akufunikabe
- Kutsekeka kwa ma tubes ndi vuto lofala kwambiri, likupezeka pafupifupi 10 peresenti ya ana
- Kusamba kuchokera ku machubu ( otorrhea ) - Ngakhale kukwiyitsa, madzi ochokera m'makutu amatha kumachiritsidwa ndi madontho a pamwamba ndipo samasowa mankhwala ophera mankhwala
- Granulomas - Pezani minofu yopangidwa mu eardrum
- Cholesteatomas
- Nembanemba ya tympanic perforation
Kuteteza Matenda Akumva
Mankhwala abwino kwambiri nthawi zonse amateteza, ndipo ngati mungathe kuchepetsa chiwerengero cha matenda a khutu kwa mwana wanu, mungachepetse mwayi woti afunikire kumvetsera. Ndithudi, izi sizingatheke nthawi zonse, ndipo ngakhale makolo omwe amamvetsera mwachidwi komanso osamalira nthawi zambiri amakhala ndi ana omwe amatha kukhala ndi ziphuphu zamakutu. Zina zomwe zingapangitse kusiyana kumaphatikizapo:
- Kuyamwitsa
- Kuchepetsa kapena kuchotsa kusuta fodya
- Kuchepetsa ntchito yogwirizanitsa
- Muzionetsetsa kuti mwana wanu akumwa botolo pamene akugona
- Kuchepetsa kuwonekera kwa ena omwe akudwala
Zimene Mukuyenera Kudziwa
- Ngati mukuganiza kuti mwana wanu ali ndi matenda ambiri a khutu, funsani dokotala wanu wa ana kuti atumize kwa katswiri wa ENT kuti akambirane ngati makutu a khutu angakhale abwino.
- Komabe, ngati dokotala wanu akuyambitsa mapepala koma inu mukukayikira kuti muchitire opaleshoni, ndiye funsani ngati kuli koyenera kuyembekezera pang'ono.
- Ngati mwana wanu atapezeka kuti ali ndi matenda a khutu, amayika maantibayotiki ndipo adakali ndi ululu ndi malungo patatha mlungu umodzi, omwe amawerengabebe monga matenda omwe amamva. Ndipo kumbukirani kuti amatha kukhala ndi madzi m'makutu kwa miyezi iwiri kapena itatu, yomwe nthawi zambiri imakhala yosatengera matenda. Ngati mubwereranso kuti mubwererenso ndipo mwana wanu alibe zizindikilo, koma anu akuuzidwa kuti ali ndi matenda a khutu, mukhoza kupeza lingaliro lachiwiri kuchokera kwa katswiri wa ENT wodwala kuti awone ngati ndi madzi okha.
- Ngakhale kuti ana ena ali ndi mavuto pambuyo poti apeze ma tubes, kafukufuku wambiri akuwonetsa kuti ubwino wa moyo umakhala wabwino kwa ana atatha kupeza ma tubes.
- Tengani njira zowonetsera zinthu zomwe zimaika ana pangozi kwa matenda a khutu.
Zotsatira:
Conrad, D., Levi., Theroux, Z., Inverso, Y., ndi U. Shah. Zinthu zoopsa zomwe zimayambitsidwa ndi postoperative typanostomy tube. JAMA Otolarygology Mutu ndi Opaleshoni Yogwira Ntchito . 2014. 140 (8): 727-30.
Grindler, D., Blank, S., Schulz, K., Witsell, D., ndi J. Malo. Zotsatira za Otitis Media Zovuta pa Moyo wa Ana. Otolaryngology - Mutu ndi Opaleshoni Yam'kati . 2014. 151 (2): 333-340.
Rettig, E., ndi. Tunkel. Mfundo zamakono zowonongeka kwa otitis media m'ma ana. Mapatala a Otolaryngology a North America . 2014. 47 (5): 651-72.
Rosenfeld, R., Schwartz, S., Pynnonen, M. et al. Malangizo othandizira kuchipatala: Tippanostomy tubes ana. Otolaryngology - Mutu ndi Opaleshoni Yam'kati . 2013. 149 (1 Suppl): S1-S35.
Rosenfelt, R., Shin, J., Schwartz, S. et al. Malangizo othandizira odwala: Otitis Media ndi Effusion (Update). Otolaryngology - Mutu ndi Opaleshoni Yam'kati . 2016. 154 (Suppl 1): S1-S41.