Zviratidzo, Kuongororwa, uye Kurapa
Serous otitis media (SOM), inozivikanwawo seotitis inoshandiswa nemafuta (OME), mvura inonzwika munzeve , kuputika kwepakati pezvinyorwa (MEE), kana kuti sevhisi yehutachiona yehutachiona, ndiyo mamiriro ayo mukati memvura inogara mukati. "Serous" inoreva rudzi rwemvura inenge ichiunganidza mukatikati memakumbo. Mushonga wemvura inosvibisa inowanzova uswa (yellowish) wemvura yakasviba kana mutsvuku. Muchiitiko ichi, kune eustachian tube (auditory tube) kusakonzera kusina kukonzera mvura iyo inowanzofanira.
Risk Factors
Boka rinonyanya kupararira revanhu vari panjodzi yekuwana serous otitis media vana. Kunyanya vana vatsva, apo vanenge vanenge vatanhatu vacheche vanokanganisa kutinzwa kwavo kwekunzwa nekuda kwemvura mumutsetse. Izvi zvinowanzogadzirisa mumwedzi. Kana isingagadziriswa, zvakadaro, chiremba wemwana wako angada kubvisa kubvisa mvura.
Zvikonzero zvinozivikanwa zveizvi zvinosanganisira musiyano muhutu eustachian pakati pevana nevakuru. Muvana, tube iri shomanana uye yakawanda, zvichiita kuti zvive nyore kuderedza mvura. Sezvo mune vanhu vakuru, bhuu racho rakakura uye rine imwe nzvimbo yakatambanudzika yakabvumira kubvumira kunobatsira mukudhonza nzeve yepakati. Vana vanogona kunge vane ruzivo mukati mekunze pakati pemwedzi mitanhatu ne11, uye njodzi inoderera sezvo mwana wenyu achikura. Vazhinji vana vachave vakave nechikamu chimwe chete chechidimbu pakati nepakati nzeve vasati vasvika kuchikoro -zera. Kunyange zvazvo iri yakawanda kuvana, vanhu vakuru vanogona kunge vane nyaya ne serous otitis media, asi haisi yakafanana.
Ngozi inogona kuve nekukanganisa nekusawirirana kwekuti mwana wako anoberekwa neiyo inogona kuita kuti ivo vakwanise kutora mvura mukati mezeve nzvimbo iyo kusanganisira:
- Cleft palate
- Autism spectrum zvinetso
- Matambudziko okukura
- Down syndrome
- Kutaura uye mumwe mutauro kunonoka
- Kunzwa kushungurudzika (kusina kuenderana nemvura)
- Bofu
- Zvimwe kuberekwa (ikozvino pakuberekwa) chiso chepafu chisina kunaka
Panewo matambudziko akawanda anowanzosangana nevana izvo zvinogona kuita kuti zvive nyore kutsika serous otitis media kusanganisira:
- Inotonhora
- Allergies
- Utsi hwebhegi
- Adenoids iyo yakawedzerwa (inovhara tube eustachian)
Zviratidzo
Iwe haungatori nguva dzose uine zviratidzo ne serous otitis media , izvo zvinoreva kuti iwe usati wamboziva kuti iwe unayo kunze kwekuti uonekwe panguva yekuongorora kwechiremba. Zvisinei, pane dzimwe nguva kune mvura inokwana mukati memutsetse nzvimbo iyo iwe uchaona imwe kana zvimwe zvezviratidzo zvinotevera:
- Pain
- Kunzwa kurasikirwa
- Nyaya yekuzara
- Mwana achikwevera panzeve dzavo
- Mwana ane shanduko mukuzvibata
Vana vaduku vangave zvakaoma kuti iwe utaure kuti kune dambudziko nenzeve dzavo. Kana ukacherechedza kuchinja kwehupenyu kwenguva yakareba, zvinowanzova nani kuti chiremba aongorore kune chero matambudziko ane nzeve dzavo se serous otitis media
Serous Otitis Media vs. Ear Infection
Iva kuziva kuti serous otitis media haisi utachiona hwekunzwa , zvichida unozivikanwa sekuti acute otitis media. Kunyange zvazvo zvose zviri zviviri mukati mezeve nzvimbo, mvura inotapira neacute otitis media inotapukirwa, asi hazvisizvo ne serous otitis media.
Utachiona hwehutende huchachinja humiro hwamateve, uye huchiita kuti huve nechokunze kune nzeve.
Ne serous otitis media, chimiro hachina kuchinjwa. Chiremba wako anogona kutarisa izvi paanoita kuti aongorore.
Iwe uchaonawo kusiyana kwezviratidzo. Utachiona hwekunzwa huchagara huine fivhiri yakabatana nayo. Nhamba yemarwadzo akacherechedza ichave yakasiyana. Nepo iwe unogona kurwadziwa ne serous otitis media, uwandu hwehutambu hwakanyanya huri nani nehutachiona hwehutu.
Kuziva
Chiremba wako anogona kuongorora serous otitis mamiriro ehurumende kazhinji achishandisa: tympanometry kana pneumatic otoscopy. Tympanometry ndiyo miedzo iyo inotarisa nzeve dzekunzwa dzichipindura mafungu emhepo. Sezvo mvura inonzwika shure kwenzeve inotyisa ichaita kuti kukwanisa kwenzeve kugona kuite zvakanaka, tympanometry inogona kubatsira mukugadzirisa fluid munzeve.
Zvisinei nyuchi dzemaodzanyemba dzakanyatsojeka pakuona kushanduka kwemvura munzeve. Chiremba achashandisa otoscope ine sirasi yakasungirirwa, inovabvumira kuongorora kuti nzeve yekunze inopindurwa sei kumanikidzwa inoshandiswa apo sirindi yebhubhu inomesa. Fluid inogonawo kugadziriswa nekucherechedza mavara ekuchinja kwemateve emakumbo, achimiridza kuchinja shure kwekunzwa tambo.
Nguva
Serous otitis mhizha inowanzogara kwemwedzi mitatu. Kana kusvibiswa mukati mezeve kunogara kwenguva refu kupfuura mwedzi mitatu, chiremba wako anowanzoda kutora mvura yakanyanya. Kukundikana kururamisa mvura yakareba kwenguva refu munzeve kungaguma:
- Chikoro chekuita matambudziko
- Zvinetso zvekuita
- Kunzwa kurasikirwa
- Balance problems
- Zvimwe zvinetso zvepakati chenzeve (zvakadai se myringosclerosis kana tympanosclerosis )
Kurapa
Serous otitis mhizha inowanzotadza kusarudza pasina kupindira. Kana zvipembenene zviri chikonzero chekufungidzirwa, ipapo chiremba wako anowanzopa antihistamine (saZyrtec kana Allegra) kuti aedzwe panguva yemwedzi mitatu yekucherechedza. Kana iyo yakasviba mushure mekutinha doro isingagadziriswa mukati memwedzi mitatu, zvinowanzoita kuti chiremba wako abvise ruzivo kuburikidza nekuvhiya kuisa hutu hutu .
Usati waisa nzeve dzekunzwa, chiremba wako achaona zvakare kumashure kwehuro remwana wako kuti aone kana adenoids inogona kunge ichivhara bhudhi eustachian. Kana adenoids ikawedzerwa, chiremba wako anogona kukurudzira adenoidectomy kuti kudzivirira kuvharwa kwehutu hwe eustachian kubva kuwedzera huwandu hwekushambadzira mukati mezeve.
Sources:
Casselbrandt, ML & Mandel, EM (2015). Cummings Otolaryngology, 6 th ed .: Acute Otitis Media and Otitis Media ne Effusion. Saunders: Elsevier.
ExitCare. (2015). Dzidzo yevarwere: Serous Otitis Media. Yakasvika musi wa2/26/2016 kubva pawww.www.linterkey.com (kubhadhara kunoda)
O'Connor, SS, Coggins, R., Gagnon, L., Rosenfeld, RM, Shin, JJ & Walsh, SA (2016). Otolaryngol Head Neck Surg. 154 (2): 215-225. doi: 10.1177 / 0194599815624409