Khutu barotrauma

Khutu barotrauma sichimva khutu chifukwa chakusiyana kwamkati pakati ndi kunja kwa khutu. Zitha kuphatikizanso kuwonongeka khutu.

Kuthamanga kwa mpweya pakati khutu lapakati nthawi zambiri kumakhala kofanana ndi kuthamanga kwa mpweya kunja kwa thupi. Phukusi la eustachian limalumikizana pakati pa khutu lapakati ndi kumbuyo kwa mphuno ndi khosi lakumtunda.

Kumeza kapena kuyasamula kumatsegula chubu cha eustachi ndipo chimalola mpweya kulowa kapena kutuluka pakhutu lapakati. Izi zimathandizira kufananiza kukanikiza mbali zonse za khutu la khutu. Ngati chubu cha eustachi chatsekedwa, kuthamanga kwa mpweya pakati khutu kumakhala kosiyana ndi kuthamanga kunja kwa khutu. Izi zitha kuyambitsa barotrauma.

Anthu ambiri amakhala ndi barotrauma nthawi ina. Vutoli nthawi zambiri limachitika ndikusintha kwakutali, monga kuwuluka, kusambira pamadzi, kapena kuyendetsa galimoto m'mapiri. Ngati muli ndi mphuno yochuluka kuchokera ku chifuwa, chimfine, kapena matenda opuma opuma, mumakhala ndi barotrauma.

Kutsekedwa kwa chubu cha eustachian kumatha kukhalanso asanabadwe (kobadwa nako). Zikhozanso kuyambika chifukwa chotupa pakhosi.

Zizindikiro zodziwika ndizo:

• Chizungulire
• Kusamva khutu kapena kupweteka m'modzi kapena makutu onse
• Kutaya kwakumva (pang'ono)
• Kumva kukhuta kapena kudzaza m'makutu

Zizindikiro zina zimatha kupezeka ngati vutoli likuipiraipira kapena likupitilira kwa nthawi yayitali, monga:

• Kumva khutu
• Kumva kupsinjika m'makutu (ngati pansi pamadzi)
• Wapakati mpaka kutayika kwakumva kwambiri
• Kutuluka magazi

Mukamayang'ana khutu, wothandizira zaumoyo amatha kuwona pang'ono kunja kapena kukoka kwamkati kwa khutu. Ngati vutoli ndilolimba, pakhoza kukhala magazi kapena kuvulala kuseli kwa khutu.

Barotrauma yowopsa imawoneka ngati matenda am'makutu.

Kuti muchepetse kupweteka kwa khutu kapena kusapeza bwino, mutha kuchitapo kanthu kuti mutsegule chubu cha eustachian ndikuthana ndi zovuta, monga:

• Tafuna chingamu
• Lembani mpweya, kenako tulutsani mpweya pang'ono mokhala otseka mphuno ndikutseka pakamwa
• Kuyamwa maswiti
• Yawn

Mukamauluka, MUSAGONE pamene ndege ikukonzekera kutera. Bweretsani njira zomwe zalembedwa kuti mutsegule chubu cha eustachian. Kwa makanda ndi ana aang'ono, kuyamwitsa kapena kumwa zakumwa kungathandize.

Akasuta mosiyanasiyana ayenera kutsika ndikubwera pang'onopang'ono. Kuyenda pamadzi muli ndi chifuwa kapena matenda opuma ndikowopsa. Barotrauma atha kukhala ovuta nthawi izi.

Ngati njira zodzisamalirira sizingachepetse kusasangalala mkati mwa maola ochepa kapena vutoli ndi lalikulu, mungafunike kukaonana ndi omwe akukuthandizani.

Mungafunike mankhwala kuti muchepetse mphuno ndikulola chubu cha eustachian kuti chitseguke. Izi zikuphatikiza:

• Zodzoladzola zotengedwa pakamwa, kapena ndi mphuno
• Steroids otengedwa pakamwa, kapena ndi mphuno

Mungafunike maantibayotiki kuti muchepetse kapena kuchiza matenda amkhutu ngati barotrauma ndi yayikulu.

Nthawi zambiri, opaleshoni imafunika ngati mankhwala ena sakugwira ntchito kuti atsegule chubu. Pochita izi, kudula kwa opaleshoni kumapangidwa m'makutu kuti alole kupanikizika kuti akhale wofanana komanso wamadzi kukhetsa (myringotomy).

Ngati muyenera kusintha kutalika nthawi zambiri kapena mumakonda barotrauma, mungafunike kuchitidwa opareshoni kuti muike timachubu m'ngoma ya khutu. Izi sizomwe mungachite posambira pamadzi.

Barotrauma nthawi zambiri imakhala yopanda khansa (yoyipa) ndipo imayankha kudzisamalira. Kutaya kwakumva nthawi zambiri kumakhala kwakanthawi.

Zovuta zingaphatikizepo:

• Matenda opweteka kwambiri
• Kutaya kwakumva
• Eardrum yotumphuka kapena yopindika
• Vertigo

Yesani njira zosamalira kunyumba poyamba. Itanani omwe akukuthandizani ngati zovuta sizingathe patatha maola ochepa.

Itanani omwe akukuthandizani ngati muli ndi barotrauma ndipo zizindikiro zatsopano zikukula, makamaka:

• Ngalande kapena kutuluka magazi khutu
• Malungo
• Kupweteka kwambiri khutu

Mutha kugwiritsa ntchito mankhwala osokoneza bongo amphongo (kutsitsi kapena mapiritsi) musanakwere kutalika. Yesetsani kupewa kusintha kwakutali mukadwala matenda opuma kapena ziwengo.

Lankhulani ndi omwe amakupatsani mwayi wogwiritsa ntchito mankhwala osokoneza bongo ngati mukufuna kusambira pamadzi.

Matenda a Barotitis; Barotrauma; Kutuluka khutu - barotrauma; Kupweteka kwa khutu kokhudzana ndi mavuto; Eustachian chubu kukanika - barotrauma; Barotitis; Khutu limafinya

• Kutulutsa khutu

Wolemba Byyny RL, Shockley LW. Kusambira pamadzi ndi dysbarism. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 135.

Van Hoesen KB, Lang MA. Mankhwala othandiza Mu: Auerbach PS, Cushing TA, Harris NS, eds. Mankhwala A m'chipululu cha Auerbach. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 71.