Zvinokonzera Kutambudzika, Kunzwa Kurasikirwa, uye "Kupika" muEars
Wati wambonzwa here kuti nzeve dzako dzakanga dzavharwa kuitira kuti iwe urege kunzwa? Wati wambotanga kana kuvhara munzeve dzako here kana kuti wakanga uine dambudziko kuchengeta seyeri yako?
Izvi zvinongova zvimwe zvezviratidzo zvinobatanidzwa ne-auditory tube inopesana (inozivikanwawo se eustachian tube inopera simba). Iyo inogona kukonzerwa nemhando ipi zvayo yemamiriro asi asi inowanzobatanidzwa pamwe nekuunganidza kwekasi kana kusanzwisiswa kwemhepo inopisa mukati mezeve.
Anatomy
Bhuku rekuongorora , dzimwe nguva rinonzi tube eustachian, isheni duku inotenderera kubva pakati nepasi kusvika kumucheto wehuro (nasopharynx). The tube auditory ine mabasa anoverengeka anokosha:
- Inotanga uye inovhara mukupindura kwekushandura mukati memhepo inodzvinyirirwa kuitira kuti ienzanise kudzvinyirira mukati mekunze.
- Inogona kuvhara mukupindura mheremhere huru kuti dzidzivirire zvivako zvisinganzwisisiki zvekunzwa.
- Inobvisa tsvina kubva pakati pekunze, ichibvumira kuti ipinde mukati mehuro.
Bhuku rekuongorora revana rinomhanya pane imwe nzvimbo yakanyanyisa kupfuura yevakuru. Nezera, iyo tube inowedzera uye zvishoma nezvishoma inova yakajeka kuti iite zviri nani pakunaya. Izvi zvinotsanangura kuti nei vana vari nyore kutarisana nezvinetso zvepurasitiki.
Nepo bhuku rekuongorora rinowanzovharwa, rinozarura nguva nenguva sekuti kana tikamedza, yawn, kana kuti tete. Izvi zvinotsanangura kuti nei tichiwanzofanira kumedza kuitira "kuvhara" nzeve dzedu patinenge tichifambisa mugomo kana kutora mu ndege.
Paunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge
Zvinokonzera uye Zviratidzo
Mukutaura, ruzivo rwekutsvaga hutachiona hunoitika apo bhuti re eustachian rinokundikana kuenzanisa mhepo inopikisa kana kuti haikwanise kubvisa mutsara kubva pakati pekunze.
Kana kuwedzera kwemhepo kuchinjwa nokukurumidza, kunogona kukonzera kusagadzikana, kurwadziwa, uye kunyange kuputika kweeardrum .
Kana bundu risina kukonzerwa zvakanaka, rinogona kutungamirira kune hutachiona hutachiona hutachiona ( otitis media ), mumvura munzeve ( serous otitis media ), kana kurasikirwa kwekunzwa kunokonzerwa nekuchinja kwechinzvimbo cheeardrum ( pakati ear earlectasis ). Izvi zvinogona kukonzera marwadzo, kunzwa kurasikirwa, dutu, uye kunyange nzeve inoparadza.
Zvinokonzera zvakasiyana kubva kurwere uye physiology kuchinja mumhepo yekumhepo, kusanganisira:
- iyo tube inotungamidza iyo isinganzwisisiki duku (kunyanya vana)
- kushungurudzika kunokonzerwa nokuchinja kwakakurumidza mumhepo yakawanda inomanikidza ( barotrauma)
- iyo tube inofungidzirwa yakavharidzirwa nematomu akawedzerwa (akadai seadenoids )
- kusungirirana kwemasuru kunokonzerwa nemakemikari kana zvirwere
- hutachiwana munzeve pachayo
- bhendi kukura kana matumire anovhara tambo yekuongorora
Kuziva
Kune nzira dzakawanda dzekuona kuti zvikonzero zvinokonzerwa neongororo yekushandiswa kwehutachiona. An ADT chiremba, uyo anozivikanwa sewatolaryngologist , ndiye nyanzvi yakakosha kuongororwa idzi marudzi emamiriro.
Mushure mekuongororwa kwezvenhau yezvechiremba kana zviratidzo, chiremba achatanga kuongorora dambudziko nekushandiswa kwezviridzwa zvakasiyana-siyana:
- Chinhu chinoonekwa chinonzi otoscope chichashandiswa kutarisa eardrum yako ( tympanic membrane ). Kushandurwa muchitarisiko kana kufamba kune dzimwe nguva kunogona kuratidzira kusviba munzeve. Bhuku rinoputika nzeve rinogona kuonekwa zvakare.
- A fiber optic endoscope inogona kushandiswa, iyo chiridzwa chayo inowanikwa kuburikidza nemhino kuti aone kana mimwe michina yakawedzerwa ichivhara tambo yekuongorora.
- Imwe tympanometry imwe chiridzwa chine simba chinokwanisa kuyera mhepo inopisa mukati mezeve, nekunetseka kuverenga kuchiratidza chekuita chekuongorora chekuita.
Miedzo yacho yakajeka uye haigoni kukuvadza kupfuura kuva nekutora kwako kutorwa munzeve.
Kana pane zvipingamupinyi zvakakomba, kufungidzira kufanana nekombiyuta tomography (CT scans) kana magnetic resonance Image (MRI) inogona kurairwa kutarisa mishonga kana masasa angave achivhara tube.
Kana chiremba wako achidavira kuti kusagadzikana kunokonzerwa nekurwara, aneristist kana kuti angatsvakwa kuti awedzere kuongorora.
Mishonga
Kurapa kwekuongorora kwehutachiona hunosiyana uye kunowanikwa zvikuru pamusana pemhosva yechinetso.
Mumamiriro ezvinhu ehutachiona munzeve, vanhu vazhinji vanogona kubudisa mvura inonaya ivo pachavo. Kana iyo yakasviba ichiripo mushure memwedzi mitanhatu kusvika kumitanhatu, chiremba angasarudza kubvisa mvura yakanyanya kupfurikidza uchishandisa mudziyo wemhepo .
Kana mavara akawedzerwa (akadai adenoid , polyp , turbinate , kana tumarara) inoonekwa sechikonzero, anogona kubviswa achishandisa nzira inonzi endoscopic sinus chirurgic .
Zvakakosha kurapa chero mamiriro ezvinhu akadai, kusanganisira kurwara, zvirwere, kana kukura, izvo zvingave zviri kukonzera kana kugovera dambudziko racho.
Kudzivirira
Kudzivirira nguva dzose kunopfuura kurapwa, uye, mune zvakaitika pamabhuku ekutadza kusakosha, zvishandiso zvekudzivirira hazvikwanise kuva nyore.
Kuchengetedza kurwadziwa kana kukanganisa kunokonzerwa nokuchinja kwakakurumidza mumhepo, kumedza kana kumira nguva dzose paunenge uchienda ndege kana kuti uchifambisa mugomo refu. Kana iwe scuba dive, iburuka zvishoma nezvishoma kuti uite dambudziko rekuenzanisa zvishoma nezvishoma.
Mune zvimwe zviitiko, zvinogona kubatsira kutora decongestant, zvakadai pseudoephedrin, nguva pfupi vasati vatiza kana kubuda. Iwe unofanirwawo kunge uine matambudziko anokonzerwa nemakemikari kana sinus anobatwa kuti udzivise barotrauma.
Kana iwe uine ruzivo rwemhepo-kushamwaridzana kwakabatana nenjodzi, inopa nguva yekuporesa. Bhuku rinoputika nzeve rinowanzowedzera zviri nani pacharo mumazuva mashoma. Mune zviitiko zvakanyanya, chirwere chinogona kudiwa, asi ichi ndicho chinopfuura kunze kwekutonga.
> Source
- > Schilder, A .; Bhutta, M ;; Butler, C .; et al. "Eustachian tube kusagadzikana: chirevo chekubvumirana pane tsanangudzo, marudzi, kliniki, uye kuongororwa." Clinical Otolaryngology. October 2015; 40 (5): 407-411.