Nepo vana vari pangozi yakakura yekuputira nzeve dzepakati ( otitis media ), vanhu vakuru vanogonawo kuvaona. Kuvharwa kwehutu hwe eustachian ndiyo inokonzera kukonzera, zvichiita kuti bhakitiriya kana utachiona hwehutachiwana huve pakati pekunzwa. Izvi zvinogona kuitika nekuda kwezvinhu zveatomic uye zvinokonzerwa nehutonho, hutachiona, uye zvimwe zvirwere zvekuporesa.
Zvinowanzokonzera
Chikonzero chinonyanya kukosha che otitis media ndicho eustachian tube blockage .
Eustachian tube ndiyo nzira kubva kumucheto wemhino dzako uye nehuro kumutsipa wako wepakati, iyo ndiyo chikamu chenzeve yako iri shure kweeardrum. Eustachian yako tube inodzora mhepo inopisa mukati mezeve uye inovhara zvinyorwa kubva kwayo. Kana iyo eustachian tube iri kudzivirirwa, mvura inenge yakasviba kana mabhakitiriya akabatwa mukati mezeve uye anokonzera utachiona.
Eustachian tube kusagadzikana kunowanzoonekwa kune vana nokuti ndima yacho yakapfupika uye haina chekuita iyo inoita kune vanhu vakuru, saka haibvumi zvakare. Kune vamwe, varombo tubal basa vanogona kuramba vachiri vakuru uye ndicho chikonzero chikuru chekutapurika kwemazwi pakati pakati pevanhu vakuru.
Adenoids, iri kumashure kwemhuno pedyo nemusana we eustachian tubes, inogona kudzivirira ma tubes kana ikashanduka kana kupiswa. Izvi ndizvo zvinetso zvevana nekuti adenoids yavo yakawanda.
Zvose mabhakitiriya uye mavairusi anogona kubudisa hutachiona hwehutori kamwe rwakatorwa mukati mezeve.
Bhakitiriya inowanzobatanidzwa inosanganisira Streptococcus pneumoniae uye Haemophilus influenzae, ine zvirwere zvishoma zvishoma zvinokwereta Streptococcus pyogenes uye Staphylococcus aureus . Mavirusi anosanganisira mavharusi anonaya ( rhinoviruses ), kuporesa syncytial virus (RSV), chirwere chechirwere , uye enteroviruses .
Vana vacheche vacheche vachengetedza vamwe vevashandi ava uye vanobatsira kudzivirira hutachiona hutachiona.
Zvinowanzoitika Nengozi
Zvimwe zvinokonzera kuvhara eustachian tubes uye zvirwere zvepakati chenzeve dzinosanganisira:
- Zera: Vacheche nevana vaduku pakati pemakore matanhatu nemakore maviri vari pangozi huru yekutapukirwa kwenzeve. Izvi zvinokonzerwa nehutachiona hwehutu hwe eustachian uye kuti maitiro avo ezvirwere zvezvirwere zvezvirwere zvinoramba achikura.
- Kumusoro kuputika kwezvirwere zvirwere : Vana vari pangozi yekubata mitezo nokuti maitiro avo ezvirwere zvezvirwere zvezvirwere zvezvirwere hazvina kudzivirirwa mavairasi (uye, saka, haana kukudzivirira kudzivirira). Izvozvo zvakati, izvi zvakarewo ngozi kune vanhu vakuru.
- Allergic rhinitis : Mwaka wekushisa fever, kushaya mishonga kune zvimwe zvipembenene, kana kuora mwoyo kusingaperi kunogona kutungamirira kuhutachiona hwekunzwa muvana nevakuru. Utachiona hunokonzera hupfumi hwakawanda, uye zvinokonzera kupisa zvinosunungurwa zvinogumbura zvakare uye zvinokanganisa rutivi rwe nzeve. Kudzora mishonga inokonzera mishonga kunogona kubatsira kuderedza ngozi. Kunyange zvakadaro, antihistamines uye decongestants hazvina kuwanika kuti dzinobatsira pakudzivirira otitis media mune vana.
- Kuchinja kwehuputi eustachian kana craniofacial (musoro / chiso) zvinetso zvinokonzera kushaya musimba simba sezvinonzi cleft palate
- Mucosal chirwere munzeve, mhino, kana muhuro, zvakadai se sinusitis
- Zvivako zvakakura mumakanzwa ako, mhino, kana hunoti sey adenoids , turbinates , kana nasal polyps
- Aine simba rekuzvidzivirira mumuviri
- Mhuri yehutano hwekunetseka kune hutachiona hwekunzwa
Lifestyle Risk Factors
Pane dzimwe njodzi dzinogona kuchinja, uye mazano aya anogona kukubatsira kuita izvozvi.
Kudzivisa kutonhora uye zvimwe zvirwere zvepamusoro zvinopfurikidza ndizvo zvinoita kuti kuderedze njodzi yehutachiona hutachireve. Shamba maoko ako kazhinji uye dzidzisa vana vako kuti vafukidze chifukidziro uye vanyorove kuti vasapararira majirusi. Kune vana vane hutachiona hwehutori hunogara huripo, unogona kuongorora kufunga kuderedza nguva yavanopedza muzvirongwa zvekuchengeta vana, kana zvichibvira.
Funga nezvematanho aya ekutarisana nehutachiona hunokonzerwa nehutachiona hwehutori huri pakati pekutonga kwako:
Vacheche nevana
- Kana ukasarudza kuyamwisa, funga kuita saizvozvo kwemwedzi mitanhatu kuitira kuti mwana wako abatsirwe nemishonga inopinda mumukaka wako.
- Chengetedza mwana wako panzvimbo yakarurama apo kudya kwehombodo. Usafambisa bhodhoro apo mwana wako avete pasi.
- Deredza kushandiswa kwekudzikama apo mwana wako ane mwedzi mitanhatu, sezvakaitwa nedzimwe tsvakurudzo izvi zvinowedzera dambudziko rehutachiona hwekunzwa.
- Dzivisa kuisa vana nevana kuutsi hweutsi; inokanganisa basa re eustachian tubes uye inowedzera dambudziko rekuperesa nzeve dzepakati.
- Wana chirwere chePevnar, chinochengetedza kurwisana nenzeve ne 13 subtypes zveStptococcus bacteria, uye gore rinoputira futi.
- Siya chero kubviswa kwe earwax kune chiremba wevana. Cotton swabs nezvimwe zvinhu zvinogona kuvhara uye kutsamwisa nzeve dzemvura, zvichiita kuti utachiona huvepo.
Vakuru
- Rega kusvuta uye usapinda utsi hwechi cigaretheni.
- Tora decongestant kana iwe uchitonhora kana usati wasvika pane imwe ndege kuitira kuti eustachian yako tubes isanyanya kuve yakanyunguduka uye iwe uchakwanisa kubvisa kuchinja kwemhepo pakusimuka nekukwira.
- Usaedza kuchenesa earwax yako uchishandisa cotton swabs kana zvimwe zvinhu.
Kufanana nehutachiona hwakawanda, kusagamuchira kurapwa kwehutachiona hwehutori hwepakati kunogona kukonzera matambudziko, kusanganisira kurasikirwa kwekunzwa mune rimwe boka rezera uye kunonoka mukutaura nekukura mumutauro kwevana. Panewo hutachiwana hwehutachiona hunopararira kune mastoid bone uye mamwe maviri. Kutsvaka rubatsiro kubva kuchiremba wako nekuteerera mazano ekurapa kunogona kubatsira kudzivisa zvinetso izvi.
> Sources:
> Bonney A, Goldman R. Antihistamines yevana vane Otitis Media. Canadian Family Physician . 2014; 60 (1): 43-46.
> Lieberthal A, Carroll A, Chonmaitree T, et al. Kurapa uye Kutungamirirwa kweAacute Otitis Media. Pediatrics 2013; 131 (3): e964-99.
> Limb CJ, Lustig LR, Klein JO. Acute Otitis Media muAdults. Kusvika pari zvino. https://www.uptodate.com/contents/acute-otitis-media-in-adults.
> MacArthur CJ, Wilmot B, Wang L, Schuller M, Lighthall J, Trune D. Genetic Kugadziriswa kuHinitis Otitis Media Nekukurira: Munhu anonzi Gene SNPs. The Laryngoscope . 2014; 124 (5): 1229-1235. doi: 10.1002 / lary.24349.
> Salah M, Abdel-Aziz M, Al-Farok A, Jebrini A. Kudzokorora Acute Otitis Media mucheche: Kuongorora Njodzi Dambudziko. International Journal of Pediatric Otorhinolaryngology . 2013; 77 (10): 1665-1669. doi: 10.1016 / j.ijporl.2013.07.022.