Otalgia ndilo lingaliro la mankhwala la ululu wa khutu . Pali mitundu iwiri ya otalgia: yoyamba ndi yachiwiri. Maziko oyambirira otalgia ndi ululu wa khutu chifukwa cha vuto lomwe limagwirizanitsidwa ndi khutu, monga matenda a khutu . Matenda a makutu ndi omwe amachititsa kuti ana amve ululu m'makutu. Kwa akuluakulu, komabe, matenda a khutu si ambiri chifukwa cha kumva ululu.
Secondary otalgia ndi kupweteka kwa khutu komwe kumachokera ku gwero lina mu thupi.
Kodi Ndiyenera Kuchita Chiyani Ngati Ndili ndi Otalgia?
Choyamba choyimira chanu chiyenera kukhala dokotala wa banja kapena ana. Komabe, mu zovuta zovuta zomwe sizikupezeka mosavuta, kufunafuna ENT katswiri ( otolaryngologist ) kungakhale njira yabwino. Pali zifukwa zambiri zokhala ndi ululu wa khutu ndipo dokotala wanu adzayesa zizindikiro zanu, mbiri yaumoyo, ndikuyesa kuyesera kuti athetse vutoli. Pozindikira chimene chimayambitsa ululu wanu, dokotala wanu akuyesera kuti aone matenda, kukula, matenda osokoneza bongo, kapena matenda ena.
Kodi N'chiyani Chimayambitsa Mavuto Akumva?
Zomwe zingayambitse ululu wa khutu zingagawidwe m'magulu awa:
- Matenda Otalgia
- otitis media - chifukwa chofala cha otalgia kwa ana
- khutu la kusambira
- sinusitis
- perichondritis
- mastoiditis
- Neoplastic Otalgia
- khansa yokhudza khutu, peti ya parotid , kapena kapepala kakang'ono
- Zowononga / zoipa zikukula kapena pafupi ndi mitsempha ina
- Musculoskeletal Otalgia
- kumutu kwa mutu
- Matenda a Temporomandibular Joint (TMJ) - chifukwa chofala kwambiri cha otalgia kwa akuluakulu omwe ali ndi vuto lakumvetsera mwachibadwa
- Zina
- migraine mutu
- kukhuta kwa khutu
- GERD
- kukhumudwa kumutu, nsagwada kapena khosi
Muyenera kukhala okonzeka kufotokoza mbiri yakale ya zizindikiro zanu ndikuyendera zochitika zakuthupi mukapita ku ofesi ya dokotala kuti mumve ululu.
Nazi mndandanda wa mafunso ena omwe dokotala angakufunse:
- Kodi ululu unayamba liti?
- Kodi muli ndi vuto lililonse lakumva, khutu , kapena tinnitus ?
- Kodi kupweteka kumakhala nthawi zonse kapena kumabwera ndi kupita?
- Kodi muli ndi vuto lililonse lokhala ndi chizungulire?
- Kodi mwana wanu ali ndi matendawa ?
- Kodi muli ndi kachilombo kafupipafupi kamodzi ngati mwana?
- Kodi mwakumanapo ndi mantha ?
- Kodi muli ndi vuto kapena ululu wogwirizana ndi kumeza?
- Kodi mwataya kulemera kosayembekezereka posachedwapa?
- Kodi mumasuta kapena mumagwiritsa ntchito fodya? Ndi kangati (mwachitsanzo, angati amanyamula patsiku)?
- Kodi mumamwa mowa ndipo ngati ndi choncho kangati?
- Kodi mwauzidwa kuti mukupera mano usiku?
- Kodi mukudziwona kuti mukung'ung'udza mano anu tsiku limene mukuvutika maganizo?
- Kodi mumapezeka mukusaka chingamu nthawi zonse?
Kukhala wokonzeka kuyankha mafunsowa kungakhale kothandiza makamaka pamene mukupita kukaonana ndi dokotala, chifukwa mwina sangadziwe zambiri za matenda osiyanasiyana otalgia.
Kufufuza kwa Otalgia
Kufufuza kwa chingwe cha khutu ndi tympanic nembanemba ndi otoscope zikhoza kuchitidwa kuti muyang'ane otitis media . Dokotala wanu adzayang'ana khutu lanu lakunja kuti ayang'ane zizindikiro za matenda (khutu la kusambira) kapena kuvulala.
Fomu Yogwiritsa Ntchito Weber ingagwiritsidwenso ntchito kuthandiza dokotala kudziwa ngati pali fupa kapena kupweteka kwakumvetsera kwa mpweya.
Dokotala wanu adzayang'anitsanso zikhomo zanu zamkati ndi zamlomo. Dokotala wanu angayang'anenso kumbuyo kwa nsana yanu kuti apeze zizindikiro za mano opunthira kapena osowa. Kufufuza kwa khosi kwachitidwa pofuna kufufuza ma lymph node , chithokomiro chofutukuka, kapena mitundu yambiri. Monga matenda a Temporomandibular Joint matenda ndi omwe amachititsa anthu otalgia kukhala achikulire, mgwirizano uwu ukhoza kuwerengedwa ndi dokotala.
Mayesero ena angafunike kuti adziwe bwino chifukwa cha otalgia. Mayeso ena angaphatikizepo laryngoscopy, endoscopy , CT scan , MRI, X-Rays, ndi audiometry.
Kuchiza kwa Otalgia
Monga pali zifukwa zosiyanasiyana zosiyana siyana za otalgia, palinso mankhwala osiyanasiyana osiyana. Chithandizo chachisankho chidzalumikizidwa ndi chifukwa cha ululu wa khutu. Mankhwalawa akhoza kukhala ophweka ngati antibiotics ndi ena a Tylenol kapena Advil, kapena angaphatikize opaleshoni (mwachitsanzo, myringotomy , chiwerewere chonse, kuchotsedwa kwa khansa, etc.). Mwamwayi, ambiri mwa otalgia ndi ochiritsika.
> Zotsatira:
> Chen, RC, Khorsandi, AS, Shatzkes, DR, & Holliday, RA (2009). Buku Lophatikiza Otchedwa Otalgia. The American Journal of Neuroradiology.
> Medline Plus. (2009). Earache.
> Sera, MK (2011). Maphunziro a Primary Cary Otolaryngology Chaputala 16: Mutu ndi Khansa . The American Academy of Otolaryngology - Mutu ndi Mapiri Opaleshoni Foundation.