Zvikonzero zvekunzwa matope mune vana vane hutachiona hwekunzwa
Ko mwana wenyu anoda ruzha rwehutakiti kune hutachiona hwekunzwa here? Ndeipi nguva yakarurama, ndeipi mamwe mamiriro ezvinhu vanachiremba vanofunga nezvekuita sarudzo iyi inokosha, uye ndezvipi zvinobatsira uye ngozi dzekuvhiyiwa uku?
Kudzokorora Mucherechedzo Muchechi
Nenzira yakanaka, vazhinji vana vanongotora hutachiona hutachiona (otitis media) gore. Asi zvinogona kuvhiringidza kana vachiramba vachiwana zvirwere zvekunzwa kakawanda.
Ko hutachiona hutano hunokuvadza kunzwa kwomwana wako here kana kuti kunonoka kutaura kwavo?
Ndeapi hutachiona hwehutu hwakawandisa?
Ndeipi nguva yaunoda kuwana nzeve dzekunzwa?
Zviratidzo zveNzeve Matsi
Inzwa yehutu kana tympanostomy tube kuvhiyiwa inoshandiswa pakuvhiyiwa kunowanzoitwa nevana muUnited States uye inogadziriswa nehutachiona hwekunzwa kazhinji, kana kuti hutachiona hwehutu hunozojekesa mushure mekunge kwenguva yakareba nemishonga inorwisa mabhakitiriya.
Sezvo kune nhamba yakazara yehutachiona hwehutere, nyanzvi dzakawanda dzinogona kutora mabhutsi emwana anenge ave nehutachiona hweutatu mumwedzi mitanhatu kana hutachiona hutachiona mumwedzi gumi nemaviri. Dzimwe nyanzvi dzinoshandisa nzira dzakawanda dzakawanda uye dzinogona kuisa mabhuku apo zvirwere zvinowanzoswedera pamwe chete.
Kuva nehutsetse munzeve dzavo (otitis ne-effusion) kwemwedzi inopfuura mitatu uye kurasikirwa kwekunzwa chimwe chikonzero chikonzero vana vanotora tubhu. Mune mamwe mazwi, hazvikurudzirwi kuti mabhuni aiswe kune vana vane chikamu chimwe chete chet otitis media nechishuvo chisingaperi pasi pemwedzi mitatu.
Kana hutachiona hunoita nguva refu kupfuura mwedzi mitatu, kunzwa kunofanira kuongororwa. Kana kunzwa kwakaderera, vabereki vanofanira kupiwawo sarudzo yekuisa chikwata. Kana miviri isina kuiswa, mwana wacho anofanira kuongororwa zvakare mwedzi mitatu yose kusvikira kusviba (fluid) kuchigadzirisa, kana kune uchapupu hwekuteerera kunzwa kana kukanganisa kwemaitiro eardard.
Zvimwe Zvikonzero Zvokufunga Nezvako Tub Tubes
Mukuwedzera kune nhamba yehutachiona hwekunzwa mwana ane kana kuti vane nguva yakareba sei mumvura dzavo, zvimwe zvimwe zvingakubatsira iwe kuti mwana wako atore tubhu mangwanani. Izvi zvinosanganisira kuva nehuwandu hunoita kuti mwana wako arambe achiwana hutachiona hwakawanda mune ramangwana, kusanganisira kuva mukomana ari pasi pemakore maviri uye anofamba zuvacare (daycare syndrome), kunyanya kana achiwana zvakawanda hutachiona hwekunzwa hunoenda mumhuri (maitiro ekuberekwa).
Iyo 'mhando' yenzeve inotapurirwa mwana wako inogona kuchinjawo chisarudzo chako chekutora tubhu. Kana hutachiona hwehutano hwemwana wako hurwadza, tora zvinopfuura mazuva mashomanana kuti upfuure, kana kuti atora mazana akawanda emishonga inorwisa mabhakitiriya kuti abudise, iwe unogona kutora tubhu kare kare apo kana utachiona hwemucheche wako husina kurwadziwa kana kukurumidza kubviswa .
Nguva yegore ingasimudzirawo chisarudzo chako pamusoro pematope. Kunyange kana mwana wako achangobva kuva nehutachiona hwakawanda, kana ariMuvhuro kana May, haungatarisiri kuti arambe achirwara zvakanyanya munguva yose yechando nezhizha. Muchiitiko ichi, iwe unogona kumirira kwenguva shoma kupfuura iwe kana mwana wako atova nematambudziko akawanda ehutu anoenda munguva yechando apo iye angangodaro achirwara nguva yose munguva yekutonhora uye nguva yezvirwere.
Ramba uchiyeuka kuti chisarudzo chekuti ndeipi kuti uwane tubhasi haisi yakakosha sezvinodiwa nevabereki vakawanda. Ichokwadi, chimwe chidzidzo vakaratidza kuti 'muvana vaduku vaduku vanopfuura 3 avo vanoramba vari otitis media, nokukurumidza kuiswa kwe tympanostomy tubes hazvirevi kutarisa zvinowedzera kubudirira mumakore matatu.'
Saka nguva yekuti uwane nzeve yehutu haisi nguva yakajeka seyakachenwa sezvaungafunga.
Kubatsira kweNzeve Tubhu
Nezvinokosha zvakakosha kubatsirwa kwekunzwa hurasi chimwe chinhu chakange chakawanikwa mune zvidzidzo zvakawanda: nzeve dzinonzwa dzinovandudza hupenyu hwevana vazhinji. Kana zvikaitwa zvakakodzera, nzeve dzinonzwa dzinogona kuvandudza kunzwa, izvo zvinogonawo kuwedzera kudzidzira uye maitiro.
Ngozi dzeNzeve Tubhu
Zvinetso zvinogona kuitika kune chero nzira inoshandiswa mukurapa. Zvakawanda zvezvinetso izvi zvinotevera hazviiti uye vanoyeuka mupfungwa kuti vana vazhinji havana matambudziko ose aya. Zvinetso zvinogona kuitika zvekuvhiyiwa kwepuropu zvinosanganisira:
- Kurasikirwa kwema tubes - Dzimwe nguva mavhiri anopera mangwanani-kare kana vachiri kudiwa
- Kuvhara kwema tubes ndiko kunetseka kunowanzoitika, kunowanikwa munharaunda inenge 10% yevana
- Kuyerera kubva kumabhuru ( kutora ) - Kunyange zvazvo kushungurudza, kunyura kubva munzeve dzinotapukira kunogona kurapwa nemadonhwe emasikiriti uye hazviwanzodi kuti murwere mishonga
- Granulomas - Tsvaga mishonga yakagadzirirwa muyardrum
- Cholesteatomas
- Utumbi hweTympanic hunovhiringidza
Kudzivirirwa kweNzeve Utachiona
Iyo yakanakisisa kurapwa inenge iri nguva dzose kudzivirira, uye kana iwe unogona kuderedza nhamba yehutachiona hwekunzwa kumwana wako, unogona kuderedza mukana wekuti adire nzeve dzekunzwa. Zvechokwadi, izvi hazviiti nguva dzose, uye kunyange vabereki vanoteerera uye vane hanya vanowanzova nevana vanoguma vanoshaya nzeve dzehutu. Zvimwe zviyero zvingangodaro zvingaita mutsauko zvinosanganisira:
- Kuberekwa
- Kuderedza kana kubvisa kusvibiswa kweutsi hwechipiri
- Kugadzirisa pacifier kushandiswa
- Kuchengetedza mwana wako kuti arege kunwa kubva mubhokisi paakanga akarara pasi
- Kuderedza kudhura kune vamwe vanorwara
Zvaunoda Kuziva
- Kana iwe uchifunga kuti mwana wako ave ane hutachiona hwakanyanya huzhinji, bvunza chiremba wevana kuti utumire kune chirwere chechirwere cheECT chekuongorora kana nzeve dzekunzwa dzingave dzakakodzera.
- Kune rumwe rutivi, kana chiremba wevana vako achikurudzira tubes asi iwe unotya kuvhiyiwa, zvino bvunza kana zvingava zvakakodzera kumirira kwechinguva chiduku.
- Kana mwana wako akaongororwa ane hutachiona hwehutu, anoiswa mishonga inorwisa mabhakitiriya uye achiri kutambudzika uye fivhiri kwevhiki, iyo inonyanya kuverengwa sehutachiona humwe hutachiona. Uye ramba uchifunga kuti vanogona kuva nemvura munzeve dzavo kwemwedzi 2 kusvika ku3, iyo inowanzosarudzwa sehutachiona hwehutu. Kana iwe ukadzokera zvakare kuti uwane zvakare uye mwana wako haana zviratidzo zvachose, asi wako anoudzwa kuti ane hutachiona hwehutere, unogona kuwana kachipiri pfungwa kubva kuchirwere chechirwere cheECT kuti uone kana iri kungofanana nemvura.
- Kunyange zvazvo vamwe vana vane matambudziko mushure mokuwana tubhu, tsvakurudzo dzakawanda dzakaratidza huri nani hwehupenyu hwehupenyu hwevana kana mushure mekutora tubhu.
- Tora matanho ekudzivirira zvinhu izvo zvinoisa vana panjodzi kune utachiona hwekunzwa.
Sources:
Conrad, D., Levi., Theroux, Z., Inverso, Y., uye U. Shah. Njodzi dzinokonzerwa ne postoperative typanostomy tube kudzivirira. JAMA Otolarygology Head uye Neck Surgery . 2014. 140 (8): 727-30.
Grindler, D., Blank, S., Schulz, K., Witsell, D., uye J. Nzvimbo. Mhedziso yaOtitis Media Severity pamusoro pehupenyu hwevana hwehupenyu. Otolaryngology - Musoro uye Neck Surgery . 2014. 151 (2): 333-340.
Rettig, E., uye. Tunkel. Nharo dzemazuva ano mukugadzirisa kwehutachiona otitis mune zvevana. Otolaryngology Makliniki eNorth America . 2014. 47 (5): 651-72.
Rosenfeld, R., Schwartz, S., Pynnonen, M. et al. Chirongwa chekuita mishonga yekuita mishonga: Tympanostomy tubes muvana. Otolaryngology - Musoro uye Neck Surgery . 2013. 149 (1 Suppl): S1-S35.
Rosenfelt, R., Shin, J., Schwartz, S. et al. Clinical Practice Guideline: Otitis Media ne Effusion (Update). Otolaryngology - Musoro uye Neck Surgery . 2016. 154 (1 Suppl): S1-S41.