Kunyatsosarudzwa kuongorora hutachiona hwekunzwa, hunozivikanwawo sekuti acute otitis media (AOM), inopedza nguva yekusagadzikana, zvinokosha kudzivisa kuderedza kushandiswa kwemishonga inorwisa mabhakitiriya, uye inobatsira kudzivirira kuwedzera kukura kwehutachiona. Kunze kwehuwandu hwehutano hwehutano, chiremba wako angangodaro achingofanira kushandisa otoscope pneumatic kuti aongorore utachiona hwekunzwa.
Nokuti vana vaduku havagoni kukuudza nguva dzose kuti chii chakaipa, kuziva kana mwana wako ane utachiona hwekunzwa kunogona kuva kunetseka semubereki.
Nenzira yakanaka, chiremba akadzidziswa anowanzoziva hutachiona hwehutanda pasina kuoma kukuru. Uyewo ona kuti kunyange iwe usina kunge uine utachiona hweutsi semucheche, iwe unogona kuwana mumwe munhu mukuru.
Kudzika-Cheki uye Kuedzwa Kwepamba
Iwe haufaniri kuva chiremba kuitira kuti utenge zvigadzirwa zvinodiwa kuti uite kuongorora kwekunze kwekunzwa. Zvisinei, haisi kukurudzirwa kunze kwekunge iwe uchiziva zvauri kuita, sezvo pane zvinyengeri kuti uongorore rupanic membrane (sezvinotsanangurwa pasi apa).
Vanawo vane mukurumbira wekusabatanidzwa panguva yekuongorora nzeve. Pasina midziyo yakakodzera uye maitiro, kune ngozi yekutadza kuvhara eardrum kana ukaisa chero chinhu chakanyanya kure munzeve.
Zvisinei, pane makambani ari kuita kuti zvive nyore kune chekurumidza kutarisa kuti unogona kuwana rubatsiro usati washanyira chiremba wako. Kune mamwe mahwendefa e-smartphone anokwanisa kukubvumira kufungidzira mutsara we nzeve uye tympanic membrane.
Ikoko pave nemimwe michina yakagadzirwa inozoedza kupa huwandu hwehuwandu hwehutachiona shure kwe tympanic eardrum; kunyange kunyatsoratidzika kunoratidzika kunge kusina mubvunzo kunobva pakurongwa kweInternet.
Visual Examination
Panguva yekushanya nachiremba wako, zvichave zvakakosha kuti vaongorore nzeve yako.
Otoscopy ndeyekuongororwa kunoitwa ne otoscope inobvumira kutaridzika kwekunze kwekunze kwekunzwa kwako uye yako eardrum (tympanic membrane).
Nepo iwe unogona kuita chiongorori chekutanga ne otoscope yakawanda, zvakanakisisa kana chiremba wako ane chigumbuso chepineumatic ye otoscope. Icho chifukidzo chinenge chichibhururuka chiri bhuruu rerabhu inobvumira chiremba wako kuti ashandise chiedza chakasimba kune yako tympanic membrane. Hezvino chiremba wako achange achitsvaga mune imwe yardard yakasarudzika:
- Nzvimbo - iyo inonzi tympanic membrane ichave yakadzika kana kuti isingarereki
- Kutenderera - iyo tympanic membrane inowanzoshanduka
- Kufungidzira - chidimbu che tympanic chichafamba nekushandiswa kwepineumatic pressure (zvose zvakanaka kana kuti zvisina kunaka) kubva kubha pa otoscope
- Ruvara - ruvara rwechimiro runoonekwa ruchena kana ruzha
Zviwanikwa izvo zvinokurudzira zvekusakanganiswa mukati mekunze kwako mukati kunosanganisira:
- Nzvimbo - iyo tympanic membrane inogona kukura kana kubviswa
- Kutenderera - ruvara rwe tympanic runooma kana kuti runofu
- Kufungisisa - iyo tympanic membrane haipindure zvakakodzera kumhepo inokonzera kushandiswa paunenge uchishandisa bhuru pane otoscope
- Ruvara-guru, bhuruu, amber, machena, kana maruva machena ose mavara asina kukodzera anowanikwa ne tympanic membrane.
Chiremba wako anowanzoongororesa iwe nehutachiona hwehutende kana vakaona kuvhara kwechimbani chikamu
Imaging
Iwe haugoni kuve nemafungiro ekuita basa rakazara rehutachiona hwekunzwa. Zvisinei, kana utachiona hwawedzerwa uye chiremba wako ane hanya nezvimwe zvinetso, anogona kuronga CT scan kana MRI.
I-CT scan inogona kubatsira mukuona zvivako, masumbu, kana zvimwe zvisiri izvo zvakakomberedza nzeve yako. MRI, kune rumwe rutivi, inobatsira kana chiremba wako ane hanya nezvimwe zvinetso zvine chokuita nouropi hwako. Kushandiswa kweCCT kana MRI kwaizova kusinganzwisisi uye hakuzovi chikamu chekuongorora.
Kusiyanisa Kuongorora
Kana uchitarisa kana usina hutachiona hwehutere, chiremba wako achaedza kusiyanisa kana iwe une acute media (hutachiona hwehutachiwana) kana otitis mhizha nemafuta (OME, asina kutapukirwa mumvura munzeve). Zvose izvi zvinogona kuoneka zvakafanana.
Ruvara, kufamba, uye kushanduka kunogona kunge kwakasiyana pakati peAOM neOEE. Zvisinei, nzvimbo ye tympanic membrane inowanzova chiratidzo chekutaura. MuAOM, rupanic membrane inowanzoputika, asi inowanzodzokorora neOOE.
Rufu
Rutsvuku rwehupanic yako rwuri kunze kwezviratidzo zvehutachiona mushure meyardrum haisi kukonzerwa nehutachiona hwekunzwa. Chiremba wako anogonawo kutarisa zvinokonzera zvinokonzerwa nehukundu zvakapoteredza tympanic membrane:
- kuputika kwetachiona hutachiona huchiita kuputika kwemuviri wekupemha
- kuchema
- yakakwirira fever
- nzeve dzinonzwa
- kubudiswa kwekuteerera kwereve munguva pfupi yapfuura
Kupera Kwakaitwa Motion
Kuedzwa kwekufamba kwemuviri we tympanic kune zvakakosha pakuzivikanwa kwepakati-nzeve inoputika (MEE - fluid iri mukati mako nzeve). Zvisinei, kuderedzwa kufamba hakurevi kuti mvura inenge iri pakati inoteve inotapukirwa. Zvimwe zvinokonzera kuderedza kufamba kwechikamu chako che tympanic chinosanganisira:
- kudziviswa kwehuyo eustachian
- tympanosclerosis
Nzeve Inhamo
Kuva nemarwadzo ekunzwa chiratidzo chinowanzoonekwa chehutachiona hutachiona. Zvisinei, pane zvimwe zvikonzero zvizhinji zvekutambudzika kwekunzwa kusanganisira:
- otitis externa (nzeve yokushambira)
- nzeve dzinonzwa
- kuvhara nzeve yekunzwa nechinhu chekunze
- temporomandibular joint syndrome
- herpes zoster (shingles)
Nemhaka yehutano hwakasiyana-siyana hunogona kuitika nezviratidzo zvehutachiona hutachiona, nguva dzose inokosha kuitevera nechiremba wekunyatsoongorora.
> Sources:
> Acute otitis media muvanhu vakuru. UpToDate website. http://www.uptodate.com (kubhadhara kunoda). Yakapedzwa musi waApril 19, 2017.
> Acute otitis media muvana: Kuziva. UpToDate website. http://www.uptodate.com (kubhadhara kunoda). Yakaperedzwa Gunyana 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Kurapa uye Kutungamirirwa kweAacute Otitis Media. Pediatrics 131 (3), e964-e999.
> Ponka, D & Baddar, F. (2013). Pneumatic otoscopy. Unogona here Chiremba wemhuri. 59 (9): 962.