Madzi akumutu angakhale chizindikiro cha zinthu zingapo, malingana ndi mtundu wa madzi akuchokera ku khutu. Kutuluka kumutu kumakonda kwambiri phula . Komabe zingathenso kuphatikizapo magazi, oyera, kapena madzi oyera. Zingakhalenso kuphatikiza izi.
Sera yachitsulo ndi ya chikasu mpaka mtundu wa bulauni ndi mtundu wake ndipo kawirikawiri si vuto lachipatala. Mitundu ina ya madzi, komabe, ikhoza kusonyeza zinthu zomwe zingafunike kuchipatala.
Osati zochitika zonse-dzidziwitse nokha ndi mitundu yosiyanasiyana pansipa kuti muwone ngati mukufuna kuwonedwa ndi dokotala.
Mwachidule
Mutha kuzindikira kutuluka kwa khutu lanu ngati muli ndi zifukwa zotsatirazi:
- Tchire lakumutu
- Khutu la kusambira
- Zinthu zakunja
- Khutu lakumutu
- Dermatitis
- Zoopsa (magazi kapena ubongo wa spinal fluid)
Zopanda zochepa zomwe zimayambitsa makutu a khutu zimaphatikizapo:
- Malignant otitis externa
- Khansa
- Psoriasis
- Zambiri
- Matenda a fungal
Mwachidziwikire, simuyenera kudandaula za zomwe zili pamwambazi kuti mukhale ndi madzi okwanira m'makutu anu. Dokotala wanu, komabe, adzalingalira izi ngati khutu la khutu lanu silikugwirizana ndi chifukwa chofala.
Kuchulukanso Pamutu Wa Sera
Sera yakumutu ndi chinthu chofala kwambiri chomwe chimapezeka kuchokera ku khutu. Ndi zachilendo kuti pang'ono sera ya khutu ioneke mu ngalande yakunja. Kuti izi zisawonongeke, madokotala ena a ENT amalangiza kuti muzigwiritsa ntchito chiguduli kapena minofu pa chala chanu chaching'ono kuti muyeretse ngalande yakunja yokha.
Kugwiritsa ntchito mfundo za Q panthawi iliyonse kuti kuchotsa phula la khutu sikuvomerezedwa. Kugwiritsira ntchito Q-nsonga sizingangokankhira kutalika kwa sera, komabe kungayambitsenso kugwedeza khutu la khutu.
Makilogalamu ambiri a khutu amachokera ku khutu angasonyeze kutseka kapena vuto ndi phula losungunuka. Ngati ndi choncho, sera ya khutu ikhoza kuchotsedwa ndi dokotala.
Sitiyenera kuchotsa phula la khutu popanda kufunsa dokotala wanu poyamba. Madontho akumutu omwe angathe kupasuka khutu la khutu angagwiritsidwe ntchito ngati kuli kofunikira. Sera yachitsulo ikhoza kuthamangidwanso kunja kwa madzi ofunda ndi sitiroko, koma izi ziyenera kuchitidwa monga momwe dokotala wanena.
Duptured Ear Drum
Kawirikawiri, kuvuta kwa khutu la khutu (kapena kugwedeza khutu) sizowopsa mwachipatala ; Komabe, ziyenera kufufuzidwa ndi dokotala. Mphepete mwa makutu mumkhalidwe uwu nthawi zambiri amawoneka koma angakhalenso wamagazi ndi azungu. Kawirikawiri, pamakhala madzi ochepa chabe.
Zomwe zimayambitsa ndewu yovunda ndizo:
- Barotrauma inachititsa kusintha kwakukulu mukumenyana kozungulira
- Cholesteatoma
- Matenda apakatikati
- Phokoso lalikulu
- Zoopsa, monga pensulo lakuthwa kapena kupweteka kwambiri pamutu (onani kuti izi nthawi zonse zimaonedwa kuti ndizochitika mwamsanga)
Zizindikilo zomwe mungakhale ndi ndodo yosokonekera ndizo:
- Kumva kupweteka kwa makutu kofulumira kumene kumakhala bwinoko
- Kulira kwa makutu (tinnitus)
- Kumva kutayika
- Madzi a makutu (omveka, amagazi, kapena achizungu-achikasu)
Ngakhale kupweteka kwa khutu kumatuluka popanda kuchiritsidwa, ndikofunikira kukonzekera chiwonetsero ndi dokotala, Mungafunikire kufufuzidwa kuti mutenge kachilombo koyambitsa matenda kamene kamakhala koyambitsa ma antibiotic.
Ngati palibe matenda opatsirana amadziwika, dokotala wanu angapereke mankhwala otsekemera a antibiotic kuti ateteze matenda kuti asachitike.
Ngati patapita milungu ingapo khutu la khutu lanu silinachiritse, muyenera kukambirana njira zina kuti mugwirizane ndi dokotala wanu, makamaka khutu, mphuno ndi khosi (ENT). A tympanoplasty (kukonzanso mankhwala pa ofesi ya dokotala) kungakhale kofunikira. Dokotala angayesenso kuyesa yankho la 1% la sodium hyaluronate, lomwe lasonyezedwa kuti liwathandize kuchiritsa mphutsi zomvera.
Sulani Zokometsera Zamkati
Madzi omveka omwe amawoneka bwino kapena ochepa magazi amatha kuyambitsa mavuto a khungu m'makutu, monga khutu kapena khutu la kusambira.
Pankhaniyi, makutu akumutu amachokera ku bala lolira ndipo ayenera kukonza mkati mwa masiku angapo.
Nthaŵi zosavuta, mitsempha yomveka bwino imatha kukhala chifukwa cha ubongo wa spinal fluid (CSF). Kutuluka kwachidzidzidzi kawirikawiri kumachitika chifukwa cha kuvulala koopsa kapena opaleshoni kapena chifukwa cha matenda akuluakulu a makutu, kuphatikizapo matenda akuluakulu apakatikati kapena khansa.
Madzi ambiri amadzimadzi amatha kukhala akutha msinkhu ndipo amatha kusokoneza chigaza, ubongo, kapena msana. Musasunthire munthu amene ali pansi mutapweteka mutu kapena mutu ; mmalo mwake, funani thandizo lachipatala mwamsanga. Kuvulala kulikonse kosautsa kumafunika kuchipatala mwamsanga.
Kusuta
Mphuno yamtundu wofiira kwambiri ndi chifukwa cha matenda aakulu ndipo ayenera kuwonedwa ndi dokotala. Madzi otsekemera amagazi angakhale chifukwa cha chinthu chachilendo m'makutu, chomwe chiri chofala kwambiri kwa ana kapena kupweteka kwa mutu.
Palinso matenda ena, monga khansara, omwe angayambitse madzi kumutu. Anthu omwe ali pamagazi ochepetsa magazi, monga aspirin kapena Coumadin (warfarin), akhoza kukhala ndi mitsempha yamagazi yamagazi.
Kutenga
Kuwonjezera pa khutu la khutu, magazi, ndi makutu omveka bwino, mukhoza kuwona ngalande yoyera, yachikasu kapena yonunkhira. Mitundu ya makutu a makutu amafunika kuyesedwa ndi dokotala chifukwa zingakhale zizindikiro za matenda opatsirana. Ngati ngalandeyo ndi chifukwa cha matenda a bakiteriya, maantibayotiki adzafunikila.
Chithandizo
Ngati mukuganiza kuti makutu akumutu si chifukwa cha vuto la khutu, mukhoza kuthetsa vuto lanu nokha koma muyenera kupewa zotsatirazi:
- Musayesetsetsetse khutu lanu ndi thonje swabs kapena chinthu china chilichonse.
- Osati kusamba kapena kuyika mankhwala aliwonse mu khutu lanu mpaka mutamuwona dokotala.
- Musayese kujambula chachifupi kapena zinthu zina mu khutu lanu kuti muteteze ngalande.
Mwinamwake mungamve ngati mukuyenera "kudikirira" kuti muwone ngati ngalandeyo ikutsanulira payekha, koma nthawi zina dokotala ndi njira yabwino kwambiri. Nkhani zoterezi zikuphatikizapo:
- Kupweteka kwakukulu komwe sikudzatha
- Kupitiriza kutentha thupi
- Magazi ofiira owala kwambiri ochokera ku khutu
- Kutsekera pambuyo pa kupweteka kwakukulu kumutu
- Mwadzidzidzi anamva
- Chinthu chakuthwa chomwe chachititsa madzi akumwa
Mankhwala owonjezera a acetaminophen angagwiritsidwe ntchito kuti athetse ululu ndi malungo. Komanso, onetsetsani kuti muwone dokotala ngati madzi sakutha pambuyo pa masiku asanu kapena ngati simungathe kutseka ngalande. Zambiri sizimakhala zovuta, koma ndizofunika kuti muwone dokotala ngati muli ndi zizindikirozi.
Mawu Ochokera
Kuwona kutuluka kwa madzi kumutu kungakhale kochititsa mantha. Nthawi zambiri sizidzakhala zovuta. Komabe, nthawi zambiri zingakhale zothandizira kutsata dokotala kuti muwone ngati mukuyenera kuchiritsidwa. Mwamwayi, pokhapokha kuvulazidwa koopsa, zotsatira zoyipa monga matenda kapena kumva sizingakhale zamuyaya ndipo zidzasintha ndi nthawi ndi chithandizo choyenera.
> Zotsatira:
> Cummings CW, Flint PW, Haughey BH, et al. Cummings Otolaryngology: Mutu ndi Opaleshoni Yamkati . Philadelphia: Elsevier / Saunders; 2015.
> Phokoso lakumutu la Perforated. American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. http://www.entnet.org/content/perforated-ardard.
> Tucci, DL Otorrhea. Merck Manual. Chiwongola dzanja