Kuyika chubu lakhutu

Kuyika chubu la khutu kumaphatikizapo kuyika timachubu kudzera m'makutu. Eardrum ndi kamphindi kakang'ono kamene kamasiyanitsa khutu lakunja ndi lapakati.

Chidziwitso: Nkhaniyi ikunena kwambiri za kulowetsedwa kwa chubu m'makutu mwa ana. Komabe, zambiri zitha kugwiranso ntchito kwa akulu omwe ali ndi zizindikilo kapena zovuta zofananira.

Mwanayo ali mtulo komanso wopanda ululu (ochititsa dzanzi), kudula pang'ono kumapangidwa mu eardrum. Kadzimadzi kalikonse kamene kakusonkhanitsa kuseri kwa khutu la khutu kumachotsedwa ndi kuyamwa kudzera podulidwa.

Kenako, chubu chaching'ono chimayikidwa podulidwa mu eardrum. Chubu chimalola mpweya kulowa mkati kotero kuti kukakamiza ndikofanana mbali zonse za khutu. Komanso, madzi otsekedwa amatha kutuluka kuchokera khutu lapakati. Izi zimalepheretsa kumva komanso kumachepetsa matenda opatsirana m'makutu.

Kuchuluka kwa madzimadzi kuseri kwa eardrum ya mwana wanu kumatha kubweretsa vuto lakumva. Koma ana ambiri samakhala ndi vuto kwakanthawi pakumva kapena pakulankhula, ngakhale madziwo atakhala miyezi ingapo.

Kuyika chubu la khutu kumatha kuchitika pamene madzi amadzera kumbuyo kwa khutu la mwana wanu ndipo:

• Sichitha patatha miyezi itatu ndipo makutu onse amakhudzidwa
• Samatha pakatha miyezi 6 ndipo madzimadzi amangokhala khutu limodzi

Matenda am'makutu omwe samatha ndi chithandizo kapena omwe amabwereranso ndi zifukwa zomuyikira khutu lamakutu. Ngati matenda satha ndi mankhwala, kapena ngati mwana ali ndi matenda ambiri am'makutu kwakanthawi kochepa, adotolo amalimbikitsa machubu amve.

Ma machubu amkhutu amagwiritsidwanso ntchito kwa anthu amisinkhu iliyonse omwe ali ndi:

• Matenda akulu amkhutu omwe amafalikira kumafupa apafupi (mastoiditis) kapena ubongo, kapena omwe amawononga mitsempha yapafupi
• Kuvulala khutu mutasintha mwadzidzidzi kuthamanga kuchokera kuuluka kapena kutsika kwambiri panyanja

Zowopsa zazitsulo zamakutu zimaphatikizapo:

• Ngalande kuchokera khutu.
• Dzenje m'makutu lomwe silichira chubu chitagwa.

Nthawi zambiri, mavutowa satenga nthawi yayitali. Komanso sizimayambitsa mavuto mwa ana. Wothandizira zaumoyo wanu amatha kufotokozera zovuta izi mwatsatanetsatane.

Zowopsa za anesthesia iliyonse ndi izi:

• Mavuto opumira
• Zomwe zimachitika ndi mankhwala

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi
• Matenda

Dokotala wamakutu wa mwana wanu atha kufunsa kuti adziwe zaumoyo wanu komanso kumuwunika thupi mwana wanu asanachitike. Kuyezetsa kumva kumalimbikitsidwanso musanachitike.

Nthawi zonse uzani wothandizira mwana wanu kuti:

• Ndi mankhwala ati omwe mwana wanu amamwa, kuphatikiza mankhwala, zitsamba, ndi mavitamini omwe mwagula popanda mankhwala.
• Zomwe chifuwa cha mwana wanu chingakhale ndi mankhwala aliwonse, latex, tepi, kapena zotsukira khungu.

Patsiku la opaleshoniyi:

• Mwana wanu angafunsidwe kuti asamwe kapena kudya chilichonse pakati pausiku usiku woti achite opaleshoni.
• Mpatseni mwana wanu madzi pang'ono ndi mankhwala aliwonse omwe anauzidwa kuti mumupatse mwana wanu.
• Wosamalira mwana wanu adzakuwuzani nthawi yobwera kuchipatala.
• Woperekayo adzaonetsetsa kuti mwana wanu ali ndi thanzi lokwanira kuti achite opaleshoni. Izi zikutanthauza kuti mwana wanu alibe zizindikiro zodwala kapena matenda. Ngati mwana wanu akudwala, opaleshoniyo ingachedwe.

Nthawi zambiri ana amakhala mchipinda chochezera kwakanthawi kochepa ndipo amatuluka mchipatala tsiku lomwelo momwe machubu amkati amalowetsedwera. Mwana wanu akhoza kukhala wodekha komanso wokangana kwa ola limodzi kapena apo akudzuka kuchokera ku anesthesia. Wopereka mwana wanu akhoza kukupatsani madontho a khutu kapena maantibayotiki kwa masiku angapo pambuyo pa opaleshoni. Dokotala wa mwana wanu angapemphenso kuti musunge makutu anu kwa nthawi inayake.

Zitatha izi, makolo ambiri amafotokoza kuti ana awo:

• Mukhale ndi matenda ochepa m'makutu
• Mukachira msanga ku matenda
• Mverani bwino

Ngati machubu osagwa okha pakapita zaka zingapo, katswiri wamakutu angafunikire kuwachotsa. Ngati matenda am'makutu abwerera pambuyo poti machubu atuluka, titha kulowetsanso ma machubu ena am'makutu.

Myringotomy; Zamgululi Khutu chubu opaleshoni; Machubu equalization; Machubu mpweya; Otitis - machubu; Khutu matenda - machubu; Otitis media - machubu

• Kuchita opaleshoni yamakutu - zomwe mungafunse dokotala wanu

• Kuyika chubu lakhutu - mndandanda

Hannallah RS, Brown KA, Verghese ST. Njira za Otorhinolaryngologic. Mu: Cote CJ, Lerman J, Anderson BJ, olemba., Eds. Mchitidwe wa Anesthesia wa Makanda ndi Ana. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 33.

Kerschner JE, Preciado D. Otitis atolankhani. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 658.

Pelton SI. Otitis kunja, otitis media, ndi mastoiditis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 61.

Prasad S, Azadarmaki R. Otitis media, myringotomy, chubu cha tympanostomy, ndi kuchepa kwa baluni. Mu: Myers EN, Snyderman CH, olemba. Opaleshoni ya Otolaryngology Mutu ndi Khosi Opaleshoni. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 129

Rosenfeld RM, Schwartz SR, Pynnonen MA, ndi al. Malangizo azachipatala: machubu a tympanostomy mwa ana. Otolaryngol Mutu Wam'mutu. 2013; 149 (1 Suppl): S1-35. PMID: 23818543 adatulutsidwa.ncbi.nlm.nih.gov/23818543/.