Zizindikiro, Kuzindikira, ndi Chithandizo
Serous otitis media (SOM), yomwe imatchedwanso otitis media ndi effusion (OME), yamadzimve m'makutu , kupweteka kwa khutu pakati (MEE), kapena chinsinsi cha otitis media, ndi chikhalidwe chomwe chimakhala mkati mwa khutu. "Serous" amatanthauza mtundu wa madzi omwe akusonkhanitsa mkati mwa khutu la pakati. Madzi otchedwa serous amadzimadzi amakhala kawirikawiri (tsamba lachikasu) madzi achikasu kapena ntchentche. Pachifukwa ichi, pali eustachian tube (audory tube) yomwe imakhala yosasakaniza madzi monga momwe ziyenera kukhalira.
Zowopsa
Gulu lofala kwambiri la anthu omwe ali pachiopsezo chotenga serous otitis media ndi ana. Makamaka ana ang'onoang'ono, kumene ana asanu ndi mmodzi mwa ana khumi aliwonse amatha kulephera kuyesedwa chifukwa cha madzi m'makutu. Izi nthawi zambiri zimatha kuthetsa mwezi. Ngati sichikusinthidwa, dokotala wa mwana wanu angafunikire kuthandizira kuchotsa madzi.
Zifukwa zambiri zomwe zimaphatikizapo izi zimaphatikizapo kusiyana pakati pa chubu la eustachian pakati pa ana ndi akulu. Kwa ana, chubu ndi yaifupi komanso yapamwamba kwambiri, zomwe zimapangitsa kuti zisamayambe kukhetsa madzi. Ngakhale akuluakulu, chubu ndi yaitali ndipo ali ndi malo otsetsereka kuti mphamvu yokoka ikathandize pakutha khutu lakati. Ana ambiri amakhala ndi madontho pakati pa khutu pakati pa miyezi isanu ndi umodzi ndi iwiri, ndipo chiwopsezo chimachepa pamene mwana wanu akukula. Ana ambiri adzakhala ndi chidziwitso chimodzi chamkati pakati pa khutu asanakwane. Ngakhale kuti ili lofala kwambiri kwa ana, akuluakulu angakhalebe ndi vuto ndi serous otitis media, koma siwowoneka ngati wamba.
Vuto likhoza kuthandizidwa ndi mavuto omwe mwana wanu amabadwa nawo omwe angawachititse kuti azitha kuyamwa madontho pakati pa khutu lakumutu kuphatikizapo:
- Pulogalamu yamakono
- Vuto la Autism
- Matenda opititsa patsogolo
- Down syndrome
- Kulankhula ndi chinenero china kuchedwa
- Matenda akumva (osagwirizana ndi madzi)
- Khungu
- Zina zowonongeka (panopa panthawi yobadwa) mafupa ammaso osalimba
Palinso mavuto ambiri omwe ana amakumana nawo omwe angawachititse kuti athe kukhala ndi serous otitis media kuphatikizapo:
- Kuzizira kozizira
- Nthendayi
- Utsi wa sakudu
- Adenoids yomwe yafutukulidwa (imatsegula chubu cha eustachian)
Zizindikiro
Nthawi zina simungadziwe kuti muli ndi serous otitis media , zomwe zikutanthauza kuti simungadziwe kuti muli nacho pokhapokha ngati mutayesedwa pakadokotala. Komabe, nthawi zina pamakhala madzimadzi okwanira pakati pa khutu la pakati pomwe mutha kuona chimodzi kapena zizindikiro zotsatirazi:
- Ululu
- Kumva kutayika
- Kutsegula khutu
- Mwana amakokera kumutu
- Mwana ali ndi kusintha kwa khalidwe
Ana aang'ono angakhale ovuta kuti muwuze kuti pali vuto ndi makutu awo. Mukaona kusintha kwa nthawi yaitali, ndibwino kuti dokotala aziwayesa chifukwa cha mavuto alionse omwe amamva ngati serous otitis media.
Serous Otitis Media vs. Ear Infection
Dziwani kuti serous otitis media si matenda a khutu , omwe amadziwika kuti acute otitis media. Ngakhale kuti zonsezi zimakhala ndi madontho pakati pa khutu la pakati, phokoso lokhala ndi otitis kwambiri limakhala ndi kachilombo, koma si choncho ndi serous otitis media.
Matenda a khutu adzasintha mawonekedwe a ndodo ya khutu, kuupanga kuti ikhale kunja kwa khutu.
Ndi serous otitis media, mawonekedwe samasintha kwenikweni. Dokotala wanu akhoza kuyang'ana izi pofufuza.
Mudzazindikiranso kusiyana kwa zizindikiro. Matenda a khutu amakhala ndi malungo nthawi zonse. Mliri wa ululu wazindikiranso udzakhala wosiyana. Ngakhale mutakhala ndi ululu ndi serous otitis media, mlingo wa ululu ndi wovuta ndi matenda a khutu.
Kudziwa
Dokotala wanu akhoza kudziwa za serous otitis media mwachizolowezi pogwiritsira ntchito: tympanometry kapena pneumatic otoscopy. Tympanometry ndi mayeso omwe amachititsa kuti ngodya zimvekedwe ndi mafunde. Popeza madzi akumwa kumbuyo kwa khutu kumakhudza kuti ntcheu imatha kusuntha mwachizolowezi, tympanometry ikhoza kukhala yothandiza pakugwiritsira ntchito madzimadzi m'makutu.
Komabe zojambula zojambula zojambula zamtenda zimakhala zolondola kwambiri pozindikira kuti madzi amatha kumveka. Dokotala amagwiritsa ntchito otoscope yomwe imakhala ndi siringi ya babu, yomwe imawathandiza kuti awonetsetse momwe ndodo ya khutu imayankhira ndi kukakamizidwa kusintha pamene siringi ya bulbu imakanikizidwa. Madzi amatha kudziŵikiranso poona mtundu wa ndodo yosinthira mtundu, womwe umaimira kusintha kumbuyo kwa khutu la khutu.
Nthawi
Serous otitis odwala nthawi zambiri amatha miyezi itatu. Ngati mchere mkati mwa khutu umapitirira miyezi isanu ndi itatu, dokotala wanu nthawi zambiri amafuna kuwononga madziwo mowawopsa. Kulephera kukonza madzi okwanira nthawi yaitali m'makutu kungabweretse:
- Mavuto a kusukulu
- Mavuto a khalidwe
- Kumva kutayika
- Sungani mavuto
- Matenda ena a khutu la pakati (monga myringosclerosis kapena tympanosclerosis )
Chithandizo
Serous otitis media nthawi zambiri amakonza popanda kuthandizira. Ngati nthendayi ndi chifukwa chodziwika, ndiye kuti dokotala wanu nthawi zambiri amapereka antihistamine (monga Zyrtec kapena Allegra) kuti ayesedwe pa nthawi yoyang'anira miyezi itatu. Ngati madzimadzi omwe ali kumbuyo kwa khutu la khutu asanathetsedwe mkati mwa miyezi itatu, ndibwino kuti dokotala wanu amuchotse madziwa pochita opaleshoni.
Musanayike makutu a khutu, dokotala wanu adzawonekere kumbuyo kwa mphuno wa mwana wanu kuti adziwe ngati adenoids ikhoza kutseka chubu la eustachian. Ngati adenoids ikukulitsidwa, dokotala wanu angalimbikitse adenoidectomy kuti athetse kutseka kwa chubu la eustachian kuti ayambe kusonkhanitsa madzi mkati mwa khutu.
Zotsatira:
Casselbrandt, ML & Mandel, EM (2015). Cummings Otolaryngology, 6 th ed .: Acute Otitis Media ndi Otitis Media ndi Effusion. Saunders: Elsevier.
Kuchokera. (2015). Maphunziro Oleza Mtima: Serous Otitis Media. Idapezeka pa 2/26/2016 kuchokera ku http://www.clinicalkey.com (kubwereza kumafunika)
O'Connor, SS, Coggins, R., Gagnon, L., Rosenfeld, RM, Shin, JJ & Walsh, SA (2016). Chovala cha Otolaryngol Mutu. 154 (2): 215-225. lembani: 10.1177 / 0194599815624409