Mvura iri munzeve, iyo inonziwo serous otitis media (SOM) kana otitis media ne effusion (OME), ndeye kuunganidza mvura yakasviba mushure muteve wenzeve inogona kuitika pasi pemamiriro chero api zvayo iyo terevhiti inopera.
Iko rinotenderera rinotendera kusviba kunobva kubva munzeve kusvika kumashure kwehuro. Kana iyo tube yekuongorora ichivharwa, mvura inonaya ichabatwa mukati mezeve nzvimbo.
Izvi zvinoshandiswa zvinonzi kushandiswa nevatapi vako vehutano.
Mukuwedzera kune hutachiona hwekunzwa, hutano hunowanikwa uye hutachiona hunogona kutungamirira kumvura mumutsetse kana kuputika kana mucous kudzivirira hurumende yekuongorora kubva kubudisa. Dzidza kuti ungadzivisa sei izvi kuti zvirege kuitika, uye kuti ungaziva sei uye kurapa izvi kana zvikaitika.
Zvinokonzera
Munhu wose anogona kuwana mvura mumakutu avo, asi zvinowanzoitika kune vana nekuda kwehutachiona hwehutori hwavo hwekutengesa, huri hudiki muhupamhi uye humwe huri nani kupfuura hutano hwekuongorora hwevanhu vakuru. Kune mamiriyoni 2,2 mamiriyoni muUnited States gore rega rega, uye vanenge makumi mapfumbamwe kubva pavana vana vachawana mvura munzeve dzavo pane imwe nguva vasati vava nemakore mashanu kana matanhatu.
Zvose zvinokonzerwa nemvura muhutano zvinokonzerwa nehumwe hutano hwehutachiona hwehutachiona husingaiti hunoita kuti eustachian yako tube isakonzerwa zvakakwana. Zvikonzero zvinowanzoitika pakukura kwemvura munzeve kune vose vakuru nevana zvinosanganisira:
- Allergies
- Chero chero rudzi rwekubatana , kubva muropa rinotonhora, utachiona hwakafanana, kana kunyange kutora
- Kuwedzera kwechivi chechivi, mazamu, mapepa uye adenoids , kana zvimwe zvakakura zvinodzivirira tambo yekuongorora (kazhinji inokonzerwa nechirwere chisingaperi )
- Kunyanya kumakemikari anotsamwisa, kunyanya utsi hwefodya
- Kukuvadza kwehutano hwekuongorora kubva pamagetsi emukati nemutsipa wemutsipa kana mavhiya apfuura anogona kuisa mutambo wekuongorora (zvisingawanzo)
- Barotrauma kune nzeve (kukurumidza kuchinja mumhepo yakawanda inodzvinyirira yakaita seinoitika kana ichibhururuka mu ndege kana scuba diving)
- Nhengo dzisina kukodzera dzingabatanidzwa neA Down syndrome kana cleft palate
Zviratidzo
Zviratidzo zvehupfumi munzeve zvinogona kumira zvakanyanya nevanhu. Muvana vaduku, mamiriro acho ezvinhu anowanzoti haana zviratidzo, kunyange zvazvo zvichida vana vezera iri vanongokwanisa kukwanisa kutaurira chero kusagadzikana uye kana kusavapo kwekutambudzika kwakanyanya kwemazwi zvinowanzoonekwa zvisingaonekwi nevatarisi vavo.
Kune vakawanda vakura vane ruzivo rwepakati mukati mazviratidzo zvekunzwa zvingave zvisiri nyore, asi vamwe vanhu vakuru vanorondedzera kurwadziwa kwezeve nguva dzose uye zviratidzo zvinoparadza. Vamwe vanhu vakuru uye vana vakwegura vanga vaine zvinetso zvinoramba zvichirwereka kwenguva refu munzeve dzavo dzimwe nguva vanotaura kana mvura yakasviba yakawana zvakare uye inoda kurapwa. Muzhinji, zviratidzo zvehutachiona munzeve dzinogona kusanganisira:
- Kutambudzika kwekunzwa
- Kunzwa sokuti nzeve dziri "kuvharwa"
- Kuwedzera marwadzo ekunzwa kana uchichinja kusvika, uye usingakwanisi "kuvhara" nzeve
- Tinnitus (kuchera munzeve)
- Kunzwa kurasikirwa kana kunzwa kunonzwika kwakasimbiswa
- A manzwiro ekuzadza munzeve
- Kurasikirwa kwemaari kana vertigo (zvisingawanzoitiki)
- Zvinetso zvekuita
- Chikoro chisina kusimba chikoro chakabatana nekurasikirwa kwekunzwa
Kune mamiriro akawanda anoita kuti zviratidzo zvakafanana zvichiita mvura muhutu kana kuti zvingave zviripo panguva imwechete sechidimbu munzeve kusanganisira:
Kuziva
Nemhaka yokuti mvura inowanikwa munzeve inowanzomira, kunyanya kuvana, inowanzoenda isingawaniki. Kana mwana wako ane zviratidzo zvehutachiona munzeve, zvakanaka kuti uende nazvo kumwana wevana kana kuti otolaryngologist (nzeve, pfumbu, muhuro wehuro kana ENT). Nyanzvi inogona kunge iine ruzivo rwekuvandudza midziyo yekuongorora, asi kunyanya kukosha ruzivo rwadzo runodikanwa kuti uone zvinyengeri zvisinganzwisisiki zvinogona kureva kuti une fluid munzeve dzako.
Achishandisa Otoscope
Nzira yakanakisisa yekuongororesa mvura iri munzeve ndeyekuongorora nzeve iko kushandisa otoscope kana otomicroscope. Chiremba wako angangodaro achishandisa otoscope sezvo idzi dziri kuwanda zvakanyanya nekuda kwekubhadhara, kunyange zvazvo otomicroscope inogona kubvumira kuti kunyatsorongororwa kwakajeka.
Kuongorora nzeve ne otoscope iri nyore kwazvo uye kunosanganisira kudhonza shure nzeve uye kuisa chikamu che otoscope munzeve. Izvi zvinobvumira chiremba kufungidzira kuti nzeve inonzwa ( tympanic membrane ). Vanachiremba vane ruzivo vangave vangaona kana mvura yakasviba mushure mamateve, nzeve kana kuti nzeve yenzeve haina kusimba. Zvinosuruvarisa, haisi nguva dzose yakanyatsojeka uye chinhu bedzi chinoratidza kuti mvura inenge iri munzeve inogona kunge yakadzingiswa zvishoma kana tambo yakaoma. Nokuda kwechikonzero ichi zvinotora chiremba ane unyanzvi kuti aongorore mvura yakachena munzeve.
Tympanometry Exam
Kusviba munzeve kunogona kusimbiswa nemumwe muedzo unonzi tympanometry . Uyu muedzo une zvimwe zvakafanana pakuongorora achishandisa otoscope mune kuti nzeve ichadzoswa uye chidimbu chechiridzwa, ichowo chinonzi speculum, chichaiswa muchikamu chekunze chengano yekunzwa. Mwana wako (kana iwe, kana iwe uri murwere) unofanira kuedza kubatisisa zvikuru panguva iyi muedzo uye usarega kutaura kana kumedza kana zvichibvira.
Chimbo chacho chichayera kuvhara mukati mukati mezeve, uye ita izwi. Iko inonzi tympanic membrane icharatidza humwe huwandu hwekudzoka zvakare mu tympanometer, iyo yakarongwa pane grafu inonzi tympanogram. Kana pane mvura inonzwika munzeve, ruvara rwe tympanic ruchaoma uye huwandu husinganzwisisi hwezwi huchaonekwa.
Treatment Options
Kazhinji, kurapwa hazvidikanwi kuti mvura isvike munzeve. Iyo inoshandiswa mvura inowanzosvika yayo pachayo mavhiki mashomanana. Zvisinei, kana zvikasadaro, kurapwa kunobva pane zvimwe zvinhu.
- Kana iyo inenge iripo kwemavhiki matanhatu, kurapwa kunogona kusanganisira kuedzwa kwekunzwa , kumativi ose emishonga inorwisa mabhakitiriya kana kuti kuongorora zvakare.
- Kana iyo inenge iripo mushure memavhiki gumi nemaviri, kuedza kunzwa kunofanira kuitwa. Kana paine kurasikirwa kukuru kwekunzwa , mutapi wehutano anogona kutora ma antibiotic kana kuisa mabhuti munzeve.
- Kana iyo yakasviba ichiripo mushure memwedzi mina kusvika kumwedzi 6, kuvharwa kwekuteerera nzeve dzinonzwa zvichidiwa kunyange kana iwe usina kunzwa kurasikirwa kwekunzwa.
- Adenoids inogonawo kubviswa kana yakakura uye ichikonzera kuvhara kweiyo eustachian tube.
Zvirwere munzeve zvinogona kunge zviripo kana kuti pasina mushonga unoshanda. Mishonga inorwisa mabhakitiriya haishandisi kunze kwokuti kune hutachiona hwehutu huno uye hahuzoshandisi. Kunyange zvazvo antihistamines inobatsira mukudzivirira kudzivirira sinusitis iyo inogona kunge ichikonzera mvura yekutsvaira yako, antihistamines haibvumirwi kurapwa kwemvura mumutsetse.
Vana vane njodzi huru, kusanganisira avo vanotambura nekukurumidza kunonoka, vangada kurapwa kare. Kune vana vasingadi kurapwa, kutarisira zviratidzo uye kumirira kuti mvura inoshandiswa kuzvinatsa pachayo inogona kuva chinhu chakanaka chaunofanira kuita. Kunyange pakati pevana vanoda kupindira, kupora kwakakwana kunowanikwa nguva dzose.
Kudzivirira
- Dzivisa utsi hwefodya
- Dzivisa zvinogamuchirwa
- Kana mwana wako ari mumasikati, funga kumubvisa kunze kana kuchinja kune rimwe zuva rekuchengeta kana akawana mvura mumakanzwa ake kakawanda
- Shamba maoko ako uye zvidhori zvemwana wako kazhinji
- Dzivisa kunyanya kushandisa maantibiotic
- Kurudzirai kunyamwa kana zvichikwanisika, kunyange kwemavhiki mashoma. Vana vacheche vanonwisa mazamu vanorwara zvishoma uye havawanzwisisi kutapurirwa nzeve kunyange makore gare gare.
- Gara uchikwanisa kupora zvirwere . Ikoko chirwere chepneumococcal (Prevnar) chinobatsira kudzivirira utachiona hwakawanda kwazvo hwehutachiona uye chirwere chepukisi chinogona kubatsirawo.
Kusiyana nekutenda kwakakurumbira, kuwana mvura mumwana kana nzeve yomwana muduku, hakuzoiti kuti serous otitis media. Vana vanofambisa kazhinji uye havaomisi nzeve dzavo zvakakwana vanogona kutora nzeve yekushambira , asi izvi zvakasiyana zvachose.
Shoko Rinobva
Kusvibiswa munzeve yako inetso yakawanda, kunyanya kune vana mumakore avo ekutanga. Pasinei nokuti iwe uri munhu mukuru kana mwana, ruzivo munzeve yako rungagadzirisa pasina kurapwa.
Kana zviratidzo zvako zvave zvichienderera kwevhiki dzinopfuura matanhatu kana kuti zvichikonzera zviratidzo zvikuru, zvakadaro, unofanira kuona chiremba wako. Kuramba kwenguva refu, kusingatauri mumvura munzeve kunogona kukanganisa hupenyu hwako nekushanda pachikoro kana basa.
> Sources:
> American Academy yeOtolaryngology-Head uye Neck Surgery. Kuchengetedza uye Kutarisa Mucherechedzo Wenzeve. http://www.entnet.org/sites/default/files/uploads/PracticeManagement/Resources/_files/ome-treating-managing_cobranded.pdf .
> Otitis media ne effusion. Medline Plus website. https://medlineplus.gov/ency/article/007010.htm. Yakapedzwa musi waAugust 31, 2016.
> Rosenfeld, RM, Shin, JJ, Schwartz, SR, Coggins, R, Gagnon, L, Hacker, JM ... Corrigan, MD. (2016) .Clinical Practice Guideline: Otitis Media ne Effusion (Update). Otolaryngology- Musoro uye Neck Surgery. 154 (1S) S1-S4.