Kupeza bwino matenda a khutu, omwe amadziwika kuti acute otitis media (AOM), amachepetsa nthawi yosokonezeka, ndikofunika kupeĊµa kumwa mankhwala osokoneza bongo mopitirira muyeso, komanso kumathandiza kupewa matenda oopsa. Kupatula mbiri yakale yaumoyo, dokotala wanu angagwiritse ntchito kachipangizo ka otoscope kuti apeze matenda a khutu.
Chifukwa chakuti ana ang'ono sangakuuzeni nthawi zonse zomwe zili zolakwika, kudziwa ngati mwana wanu ali ndi matenda akumva kungakhale kovuta kwambiri monga kholo.
Mwamwayi, dokotala wophunzitsidwa amatha kuzindikira matenda a khutu popanda vuto lalikulu. Onaninso kuti ngakhale mutakhalabe ndi vuto lakumva ngati mwana, mutha kukhala ndi munthu wamkulu.
Kuwongolera Ndi Kuyesedwa Kwapanyumba
Simukusowa kukhala dokotala kuti mugule zogulira zomwe mukufunikira kuti muyambe kuyeserera bwino khutu. Komabe, sizingalimbikitsidwe pokhapokha mutadziwa zomwe mukuchita, popeza pali zowonongeka kuti muone ngati chiwerengero cha tympanic (monga chafotokozedwa pansipa).
Ana amadziwikanso kuti sagwirizanitsa pakamwa kavalo. Popanda zipangizo zoyenera ndi njira, pamakhala ngozi yoti mwangozi muzitha kuika pakhomopo ngati mutayika chinthu chilichonse m'makutu.
Komabe, pali makampani omwe akukupangitsa kukhala kosavuta kufufuza mwamsanga kuti mupeze zothandiza musanapite kukaonana ndi dokotala wanu. Pali zina zowonjezera mafilimu zomwe zidzakuthandizani kuti muwone ngati chingwe cha khutu ndi tympanic.
Pakhala pali zipangizo zina zomwe zingayambe kupereka mlingo wamadzimadzi pambuyo pa tympanic eardrum; ngakhale kuti zolondola zikuwoneka ngati zokayikitsa pogwiritsa ntchito ndemanga pa intaneti.
Kuwunika Kwambiri
Pa ulendo wanu ndi dokotala, zidzakhala zofunikira kwa iwo kuti ayese khutu lanu.
Otoscopy ndi kafukufuku wopangidwa ndi otoscope yomwe ingathandize kuti muzitha kuona bwino chitseko chanu chakumvetsera ndi diso lanu (tympanic membrane).
Ngakhale mutatha kuchita kafukufuku wamtengo wapatali ndi otoscope, ndibwino kuti dokotala wanu ali ndi chigoba cha otoscope. Chida cha chibayo ndi bulbu yoloba yomwe imalola dokotala wanu kuti azigwiritsa ntchito kuwala kwa tympanic yanu. Apa pali zomwe dokotala wanu akuyang'ana mu eardrum yachibadwa:
- Udindo - chiwindi cha tympanic chidzakhala pamalo apamwamba kapena osalowerera
- Kutuluka - chiwindi cha tympanic chimakhala chosasintha
- Kuthamanga - nembanemba ya tympanic idzasuntha kugwiritsa ntchito mphamvu ya chibayo (zonse zabwino kapena zoipa) kuchokera ku babu pa otoscope
- Mtundu - mawonekedwe a typanic adzawonekera mdima wofiira kapena pinki
Zomwe zikuwonetseratu zolakwika m'kati mwanu ndizo:
- Udindo - nembanemba ya tympanic imatha kapena imachotsedwa
- Kusintha - chiwindi cha tympanic ndi chowopsa kapena chamvula
- Kutsatsa - nembanemba ya tympanic imayankha moyenera mphamvu ya chibayo pogwiritsa ntchito babu pa otoscope
- Mitundu - imvi, buluu, amber, yoyera, kapena yonyezimira ndi mitundu yonse yodabwitsa yomwe ikugwirizana ndi tympanic membrane.
Dokotala wanu amadziwa kuti muli ndi kachilombo ka khutu ngati akuwona nembanemba yotchedwa tympanic membrane
Kujambula
Simudzasowa chithunzi chilichonse chokhala ndi kachilombo ka khutu. Komabe, ngati matendawa athazikika ndipo dokotala wanu akuda nkhawa ndi mavuto ena, akhoza kuitanitsa CT scan kapena MRI.
Kansalu ya CT ingawathandize pakuwona zipangizo, mapulotechete, kapena zina zosavuta kuzungulira khutu lanu. MRI, komabe, ndiwothandiza ngati dokotala wanu akudandaula za mavuto aliwonse okhudzana ndi ubongo wanu. Kugwiritsidwa ntchito kwa CT kapena MRI sikungakhale kosawerengeka ndipo sikudzakhala mbali ya kafukufuku.
Kusanthula Kusiyanasiyana
Pofufuza ngati muli ndi matenda osamva, dokotala wanu amayesa kusiyanitsa ngati muli ndi vuto la otitis media (matenda otupa khutu) kapena otitis media ndi effusion (OME, omwe alibe kachilombo m'makutu). Zonsezi zikhoza kuwoneka chimodzimodzi.
Maonekedwe, kuyendayenda, ndi kusintha kwake kungakhale pakati pa AOM ndi OME. Komabe, malo a tympanic nembanemba nthawi zambiri ndi chizindikiro chofotokozera. Mu AOM, chiwindi cha tympanic chimawombera, pomwe nthawi zambiri chimachotsedwa ndi OME.
Kufiira
Kupepuka kwa chiwindi chanu cha tympanic popanda zizindikiro zamadzimadzi m'mbuyo mwa chiwombankhanga sichimayambitsa matenda a khutu. Dokotala wanu angayang'anenso izi zomwe zimayambitsa zofiira kuzungulira tymanic membrane:
- Matenda opatsirana apamwamba omwe amachititsa kutupa kwa tsamba la kupuma
- kulira
- kutentha thupi
- khutu la khutu
- kuchotsedwa kwa khutu laposachedwa
Kutsika Kwambiri
Kuyesera kuyendayenda kwa tympanic nembanemba n'kofunika kwambiri kuti muzindikire kuphulika kwa khutu pakati (MEE - chimbudzi pakatikati mwa khutu). Komabe, kuchepa kuyenda sikutanthauza kuti madzimadzi omwe ali mkatikati mwa khutu ali ndi kachilomboka. Zina mwa zifukwa za kuchepa kwa tsamba lanu la tympanic ndizo:
Kumva Kwakumva
Kukhala ndi ululu wamakutu ndi chizindikiro chofala cha matenda a khutu. Komabe, palinso zifukwa zambiri zomwe zimapweteketsa khutu kuphatikizapo:
- otitis externa (khutu la kusambira)
- khutu la khutu
- Kulepheretsa khola la khutu ndi chinthu chachilendo
- matenda osokoneza bongo
- herpes zoster (shingles)
Chifukwa cha matenda osiyanasiyana omwe amatha kupezeka ndi zizindikiro za matenda a khutu, nthawi zonse ndi zofunika kuti muzitsatira dokotala kuti mupeze matenda oyenera.
> Zotsatira:
> Zovuta otitis media kwa anthu akuluakulu. Tsambulani webusaitiyi. http://www.uptodate.com (zolembetsa zofunika). Idasinthidwa pa April 19, 2017.
> Kuchuluka kwa otitis media kwa ana: Kusanthula. Tsambulani webusaitiyi. http://www.uptodate.com (zolembetsa zofunika). Idasinthidwa pa October 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Kuzindikira ndi Kulamulira kwa Acute Otitis Media. Matenda 131 (3), e964-e999.
> Ponka, D & Baddar, F. (2013). Zozizira zamakono. Kodi Namwino Wachibale Anga. 59 (9): 962.