Kumva khutu

Khutu limakhala lakuthwa, lotopetsa, kapena lotentha m'modzi kapena makutu onse. Kupweteka kumatha kukhala kwakanthawi kochepa kapena kupitilira. Zinthu zina zikuphatikizapo:

• Otitis
• Khutu losambira
• Zowawa otitis kunja

Zizindikiro za matenda am'makutu zimatha kuphatikiza:

• Kumva khutu
• Malungo
• Kukangana
• Kuchuluka kulira
• Kukwiya

Ana ambiri amakhala ndi vuto lakumva kwakanthawi pang'ono kapena atangodwala khutu. Nthawi zambiri, vutoli limatha. Kumva kwakanthawi kochepa ndikosowa, koma chiwopsezo chimakula ndi kuchuluka kwa matenda.

Thupi la eustachian limayenda kuchokera pakati pa khutu lililonse kupita kumbuyo kwa mmero. Thupi ili limatulutsa madzi omwe amapangidwa pakati pakhutu. Ngati chubu cha eustachi chatsekedwa, madzi amatha kuyamba. Izi zitha kubweretsa kukakamira kumbuyo kwa khutu kapena matenda am'makutu.

Kupweteka m'makutu mwa akulu sikungakhale kovuta kuchokera kumatenda am'makutu. Ululu womwe mumamva khutu ukhoza kubwera kuchokera kwina, monga mano anu, olowa nsagwada (olowa temporomandibular), kapena pakhosi. Izi zimatchedwa "kutchulidwa" kupweteka.

Zomwe zimayambitsa kupweteka kwamakutu zimatha kuphatikiza:

• Nyamakazi ya nsagwada
• Matenda a khutu lalifupi
• Matenda a khutu kwakanthawi
• Kuvulaza khutu pakusintha kwapanikizika (kuchokera kumtunda wapamwamba ndi zina)
• Zinthu zomwe zimamatira khutu kapena phula la khutu
• Bowo m'makutu
• Matenda a Sinus
• Chikhure
• Matenda a temporomandibular joint (TMJ)
• Matenda a dzino

Kupweteka m'makutu mwa mwana kapena khanda kumatha kukhala chifukwa cha matenda. Zina mwazinthu zitha kuphatikiza:

• Kukhumudwa kwa khutu lakumakutu kuchokera kumasamba okhala ndi thonje
• Sopo kapena shampu kukhala khutu

Njira zotsatirazi zitha kuthandiza kupweteka khutu:

• Ikani phukusi lozizira kapena nsalu yozizira yozizira pakhutu lakunja kwa mphindi 20 kuti muchepetse kupweteka.
• Kutafuna kumathandiza kuchepetsa ululu komanso kupsinjika kwa matenda am'makutu. (Gum ingakhale chiopsezo chotsamwitsa ana.)
• Kupumula pamalo owongoka m'malo mogona kumachepetsa kupanikizika pakatikati.
• Madontho a khutu lakutali angagwiritsidwe ntchito kuthana ndi ululu, bola ngati khutu silinaphulike.
• Mankhwala ochepetsa ululu, monga acetaminophen kapena ibuprofen, amatha kupereka mpumulo kwa ana ndi akulu omwe ali ndi khutu. (MUSAPATSE ana aspirin.)

Zowawa zamakutu zomwe zimayambitsidwa ndikusintha kwazitali, monga ndege:

• Kumeza kapena kutafuna chingamu ndege ikatsika.
• Lolani makanda kuyamwa botolo kapena kuyamwitsa.

Njira zotsatirazi zitha kuthandiza kupewa makutu:

• Pewani kusuta pafupi ndi ana. Utsi wa fodya ndi womwe umayambitsa matenda opatsirana m'makutu mwa ana.
• Pewani matenda am'makutu akunja posayika zinthu khutu.
• Yanikani makutu mutasamba kapena kusambira.
• Chitani zinthu zothetsera chifuwa. Yesetsani kupewa zovuta zomwe zingayambitse matendawa.
• Yesani steroid nasal spray kuti muchepetse matenda am'makutu. (Komabe, anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti -amine).

Imbani wothandizira zaumoyo wanu ngati:

• Mwana wanu ali ndi malungo akulu, amamva kupweteka kwambiri, kapena amawoneka kuti akudwala kuposa momwe zimakhalira ndi matenda amkhutu.
• Mwana wanu ali ndi zizindikiro zatsopano monga chizungulire, kupweteka mutu, kutupa mozungulira khutu, kapena kufooka m'minyewa yamaso.
• Kupweteka kwakukulu kumasiya mwadzidzidzi (ichi chikhoza kukhala chizindikiro cha khutu la khutu).
• Zizindikiro (kupweteka, malungo, kapena kukwiya) zimawonjezeka kapena sizikula mkati mwa maola 24 mpaka 48.

Woperekayo amayesa thupi ndikuyang'ana khutu, mphuno, ndi mmero.

Kupweteka, kukoma, kapena kufiira kwa fupa la mastoid kuseri kwa khutu pa chigaza nthawi zambiri limakhala chizindikiro cha matenda akulu.

Otalgia; Ululu - khutu; Kumva khutu

• Kuchita opaleshoni yamakutu - zomwe mungafunse dokotala wanu

• Kutulutsa khutu
• Zotsatira zamankhwala kutengera kutengera kwamakutu

Earwood JS, Rogers TS, Rathjen NA. Kupweteka m'makutu: kuzindikira zomwe zimayambitsa zomwe sizodziwika komanso zachilendo. Ndi Sing'anga wa Fam. 2018; 97 (1): 20-27. PMID: 29365233 www.ncbi.nlm.nih.gov/pubmed/29365233/.

Haddad J, Dodhia SN. Zoganizira zowunika khutu. 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 654.

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.