Khutu Barotrauma

Zamkati

• Kodi barotrauma ndi chiyani?
• Khutu zizindikiro za barotrauma
• Zomwe zimayambitsa khutu la barotrauma
• Kutsatira khutu barotrauma
• Zowopsa
• Kuzindikira khutu la barotrauma
• Chithandizo cha khutu cha barotrauma
• Opaleshoni
• Khutu barotrauma mwa makanda
• Zovuta zomwe zingakhalepo
• Kuchira
• Kupewa khutu barotrauma

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi barotrauma ndi chiyani?

Khutu barotrauma ndi vuto lomwe limayambitsa kusamva kwa khutu chifukwa cha kukakamizidwa kusintha.

Mu khutu lililonse muli chubu chomwe chimalumikiza pakati pa khutu lanu ndi pakhosi ndi mphuno. Zimathandizanso kuwongolera kuthamanga kwa khutu. Chubu ichi chimatchedwa chubu cha eustachian. Chubu ikatsekedwa, mutha kumva khutu la barotrauma.

Nthawi zina khutu la barotrauma limakhala lofala, makamaka m'malo omwe kutalika kwake kumasintha. Ngakhale kuti vutoli silowopsa mwa anthu ena, milandu yomwe imachitika pafupipafupi imatha kubweretsa zovuta zina. Ndikofunika kumvetsetsa kusiyana pakati pa milandu yovuta (nthawi zina) ndi matenda (obwerezabwereza) kuti mudziwe nthawi yoti mupeze chithandizo chamankhwala.

Khutu zizindikiro za barotrauma

Ngati muli ndi barotrauma yamakutu, mumatha kumva kupsinjika mkati khutu. Zizindikiro zodziwika bwino, zomwe zimachitika koyambirira kapena pang'ono, zingaphatikizepo izi:

• chizungulire
• kusamva kwa khutu
• kuchepa kwakumva pang'ono kapena kumva kwakumva
• kukhuta kapena kukhuta khutu

Ngati ikupita motalika popanda chithandizo kapena vutoli ndilolimba kwambiri, zizindikilo zimatha. Zizindikiro zowonjezerapo zomwe zingachitike paziwonetserozi ndi izi:

• khutu kupweteka
• kumva kukakamizidwa m'makutu, ngati kuti munali m'madzi
• m'mphuno
• kuchepa kwakumva kwakuthwa kapena kuvuta
• khutu la khutu

Mukalandira chithandizo, pafupifupi zizindikilo zonse zimatha. Kutaya kwakumva kuchokera ku khutu la barotrauma nthawi zambiri kumakhala kwakanthawi ndikusinthidwa.

Zomwe zimayambitsa khutu la barotrauma

Kutsekedwa kwa chubu la Eustachian ndi chimodzi mwazomwe zimayambitsa khutu la barotrauma. Phukusi la eustachian limathandizira kubwezeretsa mgwirizano pakusintha kwapanikizika. Mwachitsanzo, kuyasamula kumatsegula chubu cha eustachian. Chubu ikatsekedwa, zizindikilo zimayamba chifukwa kupanikizika kwa khutu ndikosiyana ndi kuthamanga kunja kwa khutu lanu.

Kusintha kwazitali ndizomwe zimayambitsa vutoli. Mmodzi mwa malo omwe anthu ambiri amamva khutu la barotrauma ndi nthawi yokwera ndege kapena kutsika. Matendawa nthawi zina amatchedwa khutu la ndege.

Zina zomwe zingayambitse khutu la barotrauma ndizo:

• kusambira pansi pamadzi
• kukwera mapiri
• kuyendetsa kudutsa m'mapiri

Kutsatira khutu barotrauma

Kuyendetsa pamadzi ndichomwe chimayambitsa barotrauma yamakutu. Mukapita pamadzi, mumapanikizika kwambiri m'madzi kuposa pamtunda. Miyendo 14 yoyambira pamadzi nthawi zambiri imakhala chiopsezo chachikulu chovulala khutu kwa ena. Zizindikiro zimayamba nthawi yomweyo kapena posachedwa.

Pakatikati khutu barotrauma imakonda kufala mosiyanasiyana, chifukwa kuthamanga kwamadzi kumasintha kwambiri.

Pofuna kupewa khutu la barotrauma, tsikani pang'onopang'ono mukamayenda.

Zowopsa

Vuto lililonse lomwe lingatseke chubu la eustachian limayika pachiwopsezo chokhala ndi barotrauma. Anthu omwe ali ndi chifuwa, chimfine, kapena matenda opatsirana amatha kukhala ndi khutu la barotrauma.

Makanda ndi ana aang'ono nawonso ali pachiwopsezo chotere. Chubu cha mwana wa eustachian chimakhala chaching'ono komanso chokhazikika mosiyana ndi cha wamkulu ndipo chimatha kutsekedwa mosavuta. Pamene ana ndi ana akulira pa ndege panthawi yonyamuka kapena ikatera, nthawi zambiri zimakhala chifukwa chakuti akumva zovuta za khutu la barotrauma.

Kuzindikira khutu la barotrauma

Ngakhale khutu la barotrauma limatha lokha, muyenera kuonana ndi dokotala ngati zizindikiro zanu zikuphatikizapo kupweteka kwambiri kapena kutuluka magazi khutu. Kuyezetsa kuchipatala kungafunike kuti muchepetse matenda am'makutu.

Nthawi zambiri barotrauma yamakutu imatha kupezeka poyesa thupi. Kuyang'anitsitsa khutu ndi otoscope kumatha kuwonetsa kusintha kwa khutu. Chifukwa cha kusintha kwapanikizika, eardrum imatha kukankhidwira kunja pang'ono kapena mkati kuchokera pomwe iyenera kukhala. Dokotala wanu amathanso kufinya mpweya (insufflation) khutu kuti awone ngati pali madzi kapena magazi omwe amakhala kumbuyo kwa eardrum. Ngati palibe zomwe zapezedwa pakuwunika kwakuthupi, nthawi zambiri zomwe mumanena zomwe zikuzungulira zizindikiro zanu zimapereka chidziwitso pakuwunika.

Chithandizo cha khutu cha barotrauma

Nthawi zambiri khutu la barotrauma limachiritsa popanda chithandizo chamankhwala. Pali njira zina zodziyang'anira zomwe mungachite kuti muthandizidwe msanga. Mutha kuthandizira kuthana ndi kuthamanga kwa mpweya m'makutu anu ndi:

• kuyasamula
• chingamu
• kuchita zolimbitsa thupi kupuma
• kumwa ma antihistamine kapena mankhwala opha ululu

Gulani pa intaneti mankhwala a antihistamines.

Pazovuta kwambiri, dokotala wanu akhoza kukupatsani mankhwala opha tizilombo kapena steroid kuti akuthandizeni mukakhala ndi matenda kapena kutupa.

Nthawi zina, khutu la barotrauma limatulutsa khutu la khutu. Eardrum yotumphuka imatha kutenga miyezi iwiri kuti ichiritse. Zizindikiro zomwe sizimayankha pakudziyang'anira pawokha zitha kufuna kuchitidwa opaleshoni kuti zisawonongeke kotheratu m'makutu.

Opaleshoni

Pazovuta kwambiri kapena zopweteka za barotrauma, opaleshoni ikhoza kukhala njira yabwino kwambiri yothandizira. Matenda achilendo a barotrauma atha kuthandizidwa mothandizidwa ndimachubu zamakutu. Zitsulo zazing'onozi zimayikidwa kupyola mu eardrum kuti zithandizire mpweya kulowa pakati pa khutu. Makapu amakutu, omwe amadziwikanso kuti tympanostomy machubu kapena ma grommets, amagwiritsidwa ntchito kwambiri kwa ana ndipo amatha kuthandiza kupewa matenda kuchokera ku khutu la barotrauma. Izi zimagwiritsidwanso ntchito kwa iwo omwe ali ndi barotrauma yanthawi yayitali omwe amasintha nthawi zambiri, monga omwe amafunikira kuwuluka kapena kuyenda pafupipafupi. Thubhu yamakutu imangokhala m'malo mwa miyezi isanu ndi umodzi mpaka 12.

Njira yachiwiri yopangira opaleshoni imaphatikizapo kakhosi kakang'ono kamene kamapangidwa mu eardrum kuti kulolere kupanikizika kofanana. Izi zitha kuchotsanso madzi aliwonse omwe ali pakatikati. Kutsemuka kumachira mwachangu, ndipo mwina sikungakhale yankho mpaka kalekale.

Khutu barotrauma mwa makanda

Makanda ndi ana ang'onoang'ono amatha kutengeka ndi khutu la barotrauma. Izi ndichifukwa choti machubu awo a eustachi ndi ocheperako komanso owongoka ndipo chifukwa chake amalimbana kwambiri ndi kufanana.

Ngati khanda lanu likuwonetsa zowawa, kupsinjika, kusakhazikika, kapena kupweteka pomwe akukumana ndi kusintha kwakumtunda, mwina akukumana ndi khutu la barotrauma.

Pofuna kupewa khutu la barotrauma mwa makanda, mutha kuwadyetsa kapena kuwamwetsa iwo akasinthidwe. Kwa ana omwe ali ndi vuto la khutu, dokotala wanu amatha kupereka mankhwala a eardrops kuti athetse ululu.

Zovuta zomwe zingakhalepo

Khutu barotrauma nthawi zambiri imakhala yakanthawi. Komabe, zovuta zimatha kubwera mwa anthu ena, makamaka m'matenda osachiritsika. Ngati sichichiritsidwa, vutoli lingayambitse:

• khutu matenda
• khutu lakuthwa
• kutaya kumva
• ululu wobwerezabwereza
• Chizungulire chosatha komanso kusamva bwino (vertigo)
• Kutuluka magazi m'makutu ndi mphuno

Muyenera kulumikizana ndi adokotala ngati mukumva kupweteka khutu kapena kuchepa kumva. Zizindikiro zosalekeza komanso zowonekera zitha kukhala chizindikiro cha barotrauma wamakutu owopsa kapena osatha. Inu adokotala azikuthandizani komanso kukupatsani malangizo othandizira kupewa zovuta zilizonse.

Kuchira

Pali zovuta zingapo komanso mitundu ina ya khutu la barotrauma lomwe limakhudza momwe wina amachira komanso momwe kuchira kumawonekera. Ambiri mwa iwo omwe amamva khutu la barotrauma adzachira kwathunthu, osamvanso mpaka kalekale.

Pomwe akuchira, odwala ayenera kupewa kusintha kwakanthawi (monga omwe amakumana nawo mukamayenda kapena pandege). Matenda ambiri a barotrauma adzathetsa mwadzidzidzi popanda chithandizo chilichonse.

Ngati barotrauma imayambitsidwa ndi chifuwa kapena matenda opuma, nthawi zambiri imathetsedwa chifukwa choyambitsa vutoli chathetsedwa. Milandu yofatsa mpaka zolimbitsa thupi imatenga pafupifupi masabata awiri kuti achire. Milandu yayikulu imatha kutenga miyezi isanu ndi umodzi kapena 12 kuti ayambe kuchira atachitidwa opaleshoni.

Pamene barotrauma imayambitsa matenda kapena ngati kupweteka kuli kwakukulu ndipo zizindikiro sizikutha kapena zikukulirakulira, muyenera kupanga nthawi yokaonana ndi dokotala wanu.

Kupewa khutu barotrauma

Mungachepetse chiopsezo chanu chokhala ndi barotrauma potenga antihistamine kapena mankhwala opangira mankhwala musanalowe m'madzi kapena kuwuluka pandege. Muyenera nthawi zonse kufunsa dokotala wanu komanso kudziwa zomwe zingachitike musanamwe mankhwala atsopano.

Zina zomwe mungachite kuti muchepetse kapena kuchepetsa barotrauma ndi monga:

• tsikani pang'onopang'ono mukamayenda
• kumeza, kuyasamula, ndi kutafuna mukamamva zizindikiro za barotrauma, zomwe zimatha kuchepetsa zizindikilo
• tulutsani m'mphuno mwanu mukakwera mokwera
• pewani kuvala zomangirira m'makutu kwinaku mukuvina pamadzi kapena pandege