Myringotomy Surgery for Ear Tubes

1 -

Myringotomy Surgery Inotsanangurwa

A myringotomy, kana kuti kuvhiyiwa kuti aite gomba munzeve yekunzwa, inowanzovhiyiwa. Iko inowanzobatanidzwa nekuiswa kwechimiro chinonzi typanostomy tube, tube duku iyo inowanikwa munharaunda ichangobva kusikwa munzeve yekunzwa, iyo inobvumira zvinhu zvinotapukira kuti zvibve kubva mukati-kati nzeve. Iyo nzira inogadzirwa ne otolaryngologist , inozivikanwawo senzeve, chirwere chemhuno nehuro.

Kuvhiyiwa kunogona kuitwa pamakumbo maviri kana zvichidiwa, kana imwe chete kana dambudziko repakati chenzeve riripo kune rumwe rutivi. Nzira yacho inowanzoitwa kune vana, kazhinji pasi pemakore mashanu, asi inogona kuitwawo kune vakwegura nevakuru. Iyo nzira ndeyekugadzirisa kwenguva pfupi, sezvo nzeve dzinonzwa dzichizoguma dzichibuda kunze, asi dzinogona kudzokorwa kana zvichidikanwa.

Nzira ye laser yokuvhiya ye-myringotomy inogona kuitwa muhofisi yechiremba nenzeve ichirapa mishonga, asi huwandu hwemagadzirirwo anoitwa muchipatara nehukuru anesthesia. Zvinogona kuva zvakaoma kuwana dhigirii achiita izvi nenzira kunze kwechipatara sezvo sarudzo dzemarara inodhura zvikuru.

Zvakakosha kugadzirira vana nekuvhiya kuitira kuti chiitiko chacho chisati chinotyisa. Kunyange zvazvo mazera ezera akasiyana achida ruzivo rwakasiyana vasati vavhiyiwa, zvinokosha kuti mwana wacho asawana nezvekuvhiyiwa paanosvika kuchipatara. Zvakakosha nguva yekuita chokwadi chekuti kutya kwevana nekutinetsa kunotaurirwa zvisati zvaitika.

2 -

Inguva ipi inonzi Myringotomy inokosha

Chikonzero chinowanzovhiringidza myringotomy, kana kuti kuvhiyiwa kuti iise gomba munzeve yekunzwa, inoitwa otitis media neyomusiya (OME), kana hutachiona hutachire hwehutachiwana hunobuda. Iyo inotapukira inowedzera mushure mekunze, iyo inogona kuva yakakura kwazvo zvokuti inonzi "glue nzeve." Izvi zvinogona kukanganisa kunzwa, uye mune dzimwe nguva, kunonoka kutaura kutaura kwevana, kunyanya kana dambudziko iripo munzeve mbiri.

Zvikonzero zveNzeveti Kuchengetedzwa Kwekuvharapa:

• Utachiona hwehutano husingabvumi nemishonga inorwisa mabhakitiriya kana mishonga yekunzwa.
• Utachiona hutachiona hwehutachiona hunokonzera kurasikirwa kunzwa kana kutaura kunonoka.
• Kudzokorora acute otitis media (AOM) (3 mapepa mumwedzi 6 kana 4 mumwedzi gumi nemaviri) kana isingapinduri kune inoramba ichirapa remishonga uye inokanganisa kutaura, kunzwa kana zvose.
• Barotrauma: Kukuvadza kunoshanduka mukumanikidzwa, zvakadai scuba diving kana kubhururuka.
• Congenital malformation ye nzeve (cleft pallet kana Down's Syndrome, etc).

3 -

Vakwegura uye Myringotomy

A myringotomy ne ear tube insertion hazviwanzozivikanwi nevanhu vakuru kudarika vana. Kunyange zvazvo nzira yacho inogona kuitwa nokuda kwehutachiona hwehutori hunogara huripo, izvi hazvikwanisi kune vanhu vakuru nekuda kwekuchinja kwemugadziro munzeve yekunzwa sezvo ichikura.

Muzviitiko zvakawanda, myringotomy inowanikwa kune vanhu vakuru nekuda kwebarotrauma. Barotrauma inokonzerwa nemusiyano mukuru mukudzvinyirirwa mukati mezeve (shure kweeardrum) uye kunze kwezeve. Kusiyana kukuru kwekumanikidzika kunogona kuitika nekuchinja kwehukuru, sekukwira mune imwe yevhesi mune imwe imba yakareba kana kubhururuka. Scuba diving inogonawo kuunza barotrauma.

I-myringotomy inogona kuitwa sechiyero chenguva pfupi kune vanhu vakuru, uye nzira inenge yaitwa kuisa nguva pfupi munzeve yekunzwa ichavhara kamwe chete kana kusunungurwa kuchibudiswa. Iyo tube inogona kana kuti irege kuiswa kubva kune zvikonzero izvo chirwere ichi chiri kuitwa.

4 -

Myringotomy: Inzira Yokuvhiya

A myringotomy inoshandiswa uchishandisa anesthesia yakawanda kana ichiitwa muchipatara. Mushure mokunge anesthesia inoshandiswa, nzira yacho inotanga nekugadzira nzeve. Nzeve yakagadzirirwa nechinogadzirisa icho chinoderedza kuve kwehutachiona.

Kamwe nzeve yave yakagadzirirwa, chiremba anovhiya achishandisa raser kana chiridzwa chakapinza kuti aite gomba duku muyardrum. Iyo tympanostomy tube inobva yaiswa muhuni, iyo inogona kuporesa nekuvhara pasina tube.

Kana hutsi hwemitsipa inokonzerwa nechikonzero chekuvhiyiwa, kunyorova kunogona kushandiswa kune eardrum, kubvisa mvura inoyerera kuburikidza nehuipi itsva. Izvi zvinowanzobvisa huwandu hwehuwandu hwemvura, iyo inobatsira kugadzirisa munzeve iyo inowanzozivikanwa pakarepo mushure mekuvhiyiwa. Nzeve yacho ingadaro yakazara nekotoni kana girazi kuti iwane mvura ipi zvayo iripo.

Panguva ino, chirwere chacho chakazara kana chinopesana nenzeve inorapwa nenzira imwe chete. Iyo anesthesia inobva yadzimwa uye mishonga inopiwa kupa munhu murwere. Murwere anobva atorwa kunzvimbo yekudzikinura kuti aongororwe zvakanaka apo anesthesia inopera zvachose.

5 -

Myringotomy: Ngozi dzeUvhiya

Mukuwedzera kune njodzi dzakawanda dzekuvhiya uye njodzi dzeanesthesia , myringotomy nzira ine ngozi dzayo. Ngozi inobatanidza neyiyo nzira ishoma, sezvo chirwere ichi chinokurumidzira (pasi pemaminitsi gumi nematatu mumatambudziko mazhinji) saka pane kusanyanya kuderera kune anesthesia pane kuperevedza kwakaitwa.

Ngozi dzeMyringotomy:

• Pakupedzisira gomba mueardrum iyo isingavhari kupfuura nguva, uye inogona kuda tympanoplasty kukurudzira kuporesa
• Sclerosis (kuoma / thickening) yeeardrum, iyo inogona kukonzera kurasikirwa kwekunzwa
• Kukuvadza kunoputira kune nzeve dzokunze kana munzeve
• Chido chekuti chirongwa chidzoke zvakare mune ramangwana
• Kurwara
• Dhirairi rinopera
• Mvura iri munzeve
• Kupararira kweeardrum. Izvi hazvirevi hazvo nyaya yekunzwa, iyo mamiriro ezvinhu anoonekwa panguva yekuongorora kwezeve asi haigone kuchinja basa remuseve wenzeve.

6 -

Kubva Kubva kuMyringotomy

Kana chirwere ichi chapera, murwere achaendeswa kunzvimbo yekudzikinura kuti aonekwe apo anesthesia inopera. Kamwe kana murwere akasvinura, akangwarira uye asingatauri matambudziko anotevera-opera, kupora kunogona kupfuurira kumba.

Izvo hazvina chikonzero chekuchengetwa kwekuchengetedzwa sezvo chirwere ichi chinoitwa zvakananga pane eardrum saka hapana kunyudzwa muganda kunoitwa. Mumazuva okutanga ekudzikinura , hazvishamisi kuva nemvura kubva munzeve inotarisirwa. Inogona kunge iine pus -yakaita sechitarisiko, kuvepa ropa kana kujeka. Izvi zvakajairika. Panguva ino, nzeve inofanira kudzivirirwa kubva pamvura, iyo inogona kupinda mukati mezeve kuburikidza nehuputi, sezvinongoita mvura inobva mubhuku. Chiremba wako anokwanisa kukurudzira mabhegi emakona anoshandiswa panguva yemvura, kushambira kana chero basa iro rine ngozi yemvura inopinda munzeve.

7 -

Upenyu Mushure meMyringotomy

Mushure mokunge nzeve dzekunzwa dzichiiswa, kuitika kwemvura kunowedzera mukati mezeve yomukati kuchaderedzwa zvikuru. Izvi zvichaguma nekuderera kwekutambudzika, kuvandudzwa mune kukwanisa kunzwa, uye kuvana vaduku chirwere chichabatsira kuvandudza kutaura.

Muzviitiko zvakawanda, nzeve dzichada kudzivirirwa kubva pamvura kusvikira tubhu dzinowira kunze kwechimiro, izvo zvinowanzoitika mwedzi 6 kusvika kumwedzi 18 mushure mekuvhiyiwa, uye munzeve munzeve inopedza zvachose. Izvi zvinogona kuitwa nemakutu ekubvumira kubvumira uye mabasa emvura. Chiremba wako anokwanisa kukurudzira kuti mapepa emakutu anoshandiswa mumvura yekugeza zvakare.

_Sources:

Nhepfenyuro Dambudziko: Chokwadi Nevabereki Pamusoro peOtitis Media. National Institutes of Health. http://www.nidcd.nih.gov/health/hearing/otitismedia.asp

Ear Tubes. Alan Greene, MD http://www.drgreene.com/21_550.html

Ear Tubes. John P. Cunha, DO http://www.medicinenet.com/ear_tubes/article.htm