Paunenge uine marwadzo ekunzwa kana kuti unofungidzira kuti mwana wako anoita, unogona kunge uine hutachiona hwekunzwa. Zvirwere zvepakati nzeve zvinonzi otitis media uye ndiyo inonyanyozivikanwa yehutachiona hwevanhu vanoona. Kusanzwisisika, nzeve dzekunzwa , uye kunzwa kwakasvibirira zviratidzo zvose zvinowanzoonekwa, asi zvishoma-zvakananga (kusagadzikana, kuderedza chido, uye vamwe) zvinogonawo kuitika.
Izvi zvirwere zvinowanzova nyore kuona muvana vanogona kurondedzera manzwiro avanoita asi zvinogona kuva zvakaoma kuti vabereki vazive mucheche nevana vaduku.
Zviratidzo Zvakare
Zviratidzo nezviratidzo zvehutachiona hwepakati hwehutano pakati pevanhu vakuru nevana zvinosanganisira:
- Kutambudzika kwekunzwa (otalgia), kunyanya chete munzeve imwe kana kana urere pasi
- Kunzwa kurasikirwa: Inzwi rinogona kunge rakanyunguduka sekunge iwe uri kupfeka chigamba chendarira munzeve yakakanganiswa.
- Manzwiro ekuzadza munzeve
- Kunzwa sokunge iwe uri kurwara zvachose
- Mhete dzekunze (kutora)
- Fluid mushure meEardrum inowanikwa nehutori hunovhara
Vana vanowanzova nehutachiona hwehutano hwepakati nehutonho kana munguva pfupi mushure mekunge kunotonhora unogona kutarisira kuti ivo vachave nezviratidzo zvinotonhora zvakadai sekukanganiswa uye mumhino yeputi musati muteereri wenzeve inopinda mukati. Vana vaduku nevana vaduku havagone kukuudza kuti vari kunzwa kurwadziwa kwekunzwa, saka iwe unoda kuziva zviratidzo zvavanowanzozviratidza .
Mukuwedzera kune avo vakarongwa pamusoro apa, tsvagai:
- Kuramba pamusoro kana kubata nzeve (izvi zvinoratidza marwadzo, kunyange zvisingagari nguva dzose nekuda kwehutachiona hwetende)
- Kuratidza zviratidzo zvekunzwa muffled kana kurasikirwa kwekunzwa nokusapindura inzwi
- Fever ye100 degrees kana kupfuura
- Nausea, kurutsa, uye chirwere
- Kushushikana, kusuruvara, kunyanya kuchema, kusakwanisa kuderedzwa
- Dambudziko rinorara, kana kuti kurara kurara kana kuramba uchivata
- Kuderedza kudya mwoyo
- Lethargy; kushaya simba kana kufarira mukutamba
Kazhinji Zviratidzo
Kuvakwa kwekumanikidzwa mukati mezeve yomukati kunogona kukonzera kuputika eardrum, nekukurumidza kubuda kwemvura yakatsvuka, yakasvibirira, kana yeropa kubva munzeve. Nhamo ye nzeve inogona kubva ichingopera nokukurumidza. Iwe unogona kunge uchingoridza munzeve uye kushandiswa kwekunzwa kwe vertigo.
Otitis Media Nekukuvadza
Otitis media neyonyangadza, iyo inonziwo secretory otitis media, ndeyekuunganidza mvura inonzwika mukati mezeve yomukati. Inogona kutevera hutachiona hwehutenzi hwepakati. Mune zvimwe zviitiko, kupisa kungave kwakagadzirwa nekuda kweganda rakachengetwa eustachian risina utachiona, asi mvura inotonhora inosunga mabhakitiriya anokwanisa kukura kuva hutachiona hwekunzwa.
Otitis mhizha nemagetsi kakawanda haina zviratidzo, asi zvinogona kuendeswa ne:
- Manzwiro ekuzadza munzeve
- Kunzwa kurasikirwa kunonzwika (iwe unogona kuwedzera iyo iyo terevhizheni kana vhidhiyo)
- Kubvongodza kana kuparidzira inzwi nekumedza
Chronic Otitis Media
Chronic fetitis media (kudzokorora zvirwere kana zvirwere zvinoramba zvichiitika) zvinogona kutungamirira kune zvimwe zviratidzo nezviratidzo, uyewo zviratidzo kuti zvinetso zvinogona kuitika. Iwe kana mwana wako unogona kunge wakagadzirisa zviratidzo zvehutachiona hwehutara mushure mekunge uchitonhora kana kuwana mvura mukati mezeve (zvichienderana neeardrum yakagadziriswa).
Izvi zvinogona kusanganisira:
- Kunzwa kurasikirwa
- Chronic ear ear drainage
- Kuyerera nekudzivirira shure kwe nzeve
- Balance issues
- Facial weakness
- Inzwi rekurwadza nzeve
- Headache
- Kusanganiswa
- Kuneta
Matambudziko
Iyo yardrum inogona kuparara nekuda kwekumanikidzwa kweiyo yakawana mvura uye inosvika munzeve. Iko kana bvudzi duku rinowedzera mueardrum (tympanic membrane). Kazhinji, izvi zvinoporesa pachavo mumavhiki mashomanana pasina chidimbu chekurapa. Iyo inofungidzira iwe unogona kuva neyekuputika eardrum inogona kubudisa kushungurudza kana kurutsa. Iwe unofanira kuona chiremba kuti uwane kurapa kwakakodzera. Kana iyo yardrum ikundikana kuporesa, inogona kudiwa kugadzirwa.
Utachiona hutachiona hunogona kukonzera kurasikirwa kwekunzwa kutadza, kudzivirira kutumidzwa kwezwi kubva munzeve kunze kune nzeve yomukati. Muvana, kudzokorora hutachiona hwekunzwa nekutadza kurasikirwa kwekunzwa kunogona kukanganisa kutaura uye kutaura mutauro uye kunogona kukonzera vana kuti vasakwanisa kuwana kuti inzwi riri kubva kupi. Vana vanogona kuva nehuwandu hwekusiyanisa uye kunzwisisa mazwi pavanenge vari munzvimbo dzine ruzha semakirasi.
Zvirwere zvakadaro zvinogona kuita kuti pave nehutano hwekugadzirisa zvinetso . Kurasikirwa kwekunzwa kusingaperi hakusi nyore, asi kunogona kukura nehutachiona kwenguva refu.
Chronic-otitis media inogona kutungamirira ku labyrinthitis uye kukanganisa kune zvipfeko zvakashata munzeve iyo inobatsira pakunzwa nekuchengetedza. Cysts ( cholesteatoma ) inogonawo kukura mukati mezeve.
Kunyange zvazvo zvisingawanzoitiki, mabhakitiriya otitis media dzimwe nguva anopararira kumastoid bone ( mastoiditis ) kana kuti nzeve yomukati. Muzviitiko zvisingawanzoitiki, utachiona hunogona kupararira kuuropi uye hunokonzera meningitis kana abscess.
Nguva Yokuona Chiremba
IAmerican Academy of Pediatrics inokurudzira nzira yekurapa marwadzo uye kumirira kwemazuva maviri kusvika matatu kuti uone kana ichienda, sezvinowanzoita. Iwe unofanirwa kutarisa nachiremba wako nezvekuti mwana anofanira kuonei. Kutambudzika kwekunzwa kunowedzera kana kusagadzirisa, fivha, uye mvura ine ropa kana pus-kunyanya mumucheche ari pasi pemwedzi 6-inoda kurapwa kwechiremba.
Vakuru vanofanira kudana chiremba wavo pavanonzwa kurwadziwa kwevamwe kana zvimwe zviratidzo kuti vadzidze kana vachifanira kumirira kana kupinda kuti vaongorore.
Chiremba achakwanisa kusimbisa kuongororwa nekuona zviratidzo zvekuputika (kubwinya, kuburusa) kweeardrum pakuongorora kwepanyama.
Kana iwe kana mwana wako achibatwa nehutachiona hwehutano hwepakati, cherechedza kana chiremba wako akati unofanira kunge uchivandudza. Kana nzeve yacho isingateereri kurapwa, kana kana zviratidzo zvitsva zvichionekwa, danai chiremba wako kana vanachiremba vevana. Saizvozvowo, kana zviratidzo zvitsva zvinoratidzwa mushure mekurapa kwa otitis media neainyangadza, vaudzei kuna chiremba wenyu.
Sources:
> Inzwa Kutapukira (Middle Ear). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616?p=1.
> Inzwa Matambudziko. MedlinePlus. https://medlineplus.gov/earinfections.html.
> Kliegman RM, Stanton BMD, St. Geme J, Schor NF. Nelson Nhamba yeBhuku rePediatrics, 2 Flights. München: Elsevier Books; 2015.
> Liberman MC, Liberman LD, SF House. Kuramba Kuita Kunzwa Kurasikirwa Kunotungamirira kuChechlear Degeneration. PLoS ONE 2015: 10 (11): e0142341. doi: 10.1371 / magazini.pone.0142341.
> Lieberthal AS, Carroll AE, Chonmaitree T, et al. Kurapa uye Kutungamirirwa kweAacute Otitis Media. Pediatrics . 2013; 131 (3). doi: 10.1542 / peds.2012-3488.