Otitis Media ndi Effusion

Zamkati

• Kodi otitis media ndi effusion?
• Nchiyani chimayambitsa OME?
• Zizindikiro za OME ndi ziti?
• Kodi OME imapezeka bwanji?
• Kodi OME amathandizidwa bwanji?
• Ndingapewe bwanji OME?
• Kodi ndizovuta ziti zomwe zimakhudzana ndi OME?
• Kodi chiyembekezo chanthawi yayitali cha OME ndi chiyani?

Kodi otitis media ndi effusion?

Phukusi la eustachian limatulutsa madzi kuchokera m'makutu anu kupita kumbuyo kwanu. Ngati itseka, otitis media with effusion (OME) itha kuchitika.

Ngati muli ndi OME, gawo lapakati la khutu lanu limadzaza ndimadzimadzi, zomwe zimatha kuwonjezera ngozi yakutenga khutu.

OME ndi wofala kwambiri. Malinga ndi Agency of Healthcare Research and Quality, pafupifupi 90 peresenti ya ana adzakhala ndi OME kamodzi pofika zaka 10.

Nchiyani chimayambitsa OME?

Ana amatha kukhala ndi OME chifukwa chamapangidwe amachubu awo a eustachian. Machubu awo ndi ofupikira ndipo ali ndi mipata yaying'ono. Izi zimawonjezera chiopsezo chotseka ndi matenda. Machubu a eustachian a ana amakhalanso ozungulira kwambiri kuposa achikulire. Izi zimapangitsa kuti zikhale zovuta kwambiri kuti madzimadzi achoke pakatikati. Ndipo ana amakhala ndi chimfine pafupipafupi ndimatenda ena omwe amatha kuwapangira madzi am'makutu apakati komanso matenda am'makutu ambiri.

OME si matenda amkhutu, koma amatha kukhala ofanana. Mwachitsanzo, matenda am'makutu amathanso kukhudza momwe madzi amayendera pakati pakhutu. Ngakhale matendawa atatha, madzi amatha kukhalabe.

Komanso chubu chotsekedwa komanso madzimadzi owonjezera amatha kukhala malo abwino oti mabakiteriya akule. Izi zitha kubweretsa matenda amkhutu.

Matenda, zotumphukira m'mlengalenga, ndi matenda opumira amatha kuyambitsa OME. Kusintha kwa kuthamanga kwa mpweya kumatha kutseka chubu cha eustachi ndikuwononga kutuluka kwamadzimadzi. Zoyambitsa izi zitha kukhala chifukwa chouluka mundege kapena pomwa mukugona.

Malingaliro olakwika wamba ndikuti madzi akumakutu amatha kuyambitsa OME. Izi sizoona.

Zizindikiro za OME ndi ziti?

OME si zotsatira za matenda. Zizindikiro nthawi zambiri zimakhala zochepa kapena zochepa, ndipo zimatha kusiyanasiyana kutengera msinkhu wa mwana. Koma si ana onse omwe ali ndi OME omwe ali ndi zizindikilo kapena zochita kapena kumva kudwala.

Chizindikiro chimodzi chodziwika cha OME ndikumva mavuto. Kwa ana aang'ono, kusintha kwa khalidwe kumatha kukhala chizindikiro cha mavuto akumva. Mwachitsanzo, mwana akhoza kukweza TV kwambiri kuposa masiku onse. Amatha kukoka kapena kukoka m'makutu awo.

Ana okalamba komanso achikulire omwe ali ndi OME nthawi zambiri amafotokoza mawu osamveka. Ndipo amathanso kumva kuti khutu ladzaza ndi madzi.

Kodi OME imapezeka bwanji?

Dokotala amayesa khutu pogwiritsa ntchito otoscope, yomwe ndi galasi lokulitsira lomwe limatha kugwiritsidwa ntchito poyang'ana mkati mwa khutu.

Dokotala akuyang'ana:

• mpweya wa thovu pamwamba pankhope
• khutu la khutu lomwe limawoneka lokomoka m'malo mosalala ndi kunyezimira
• madzimadzi owonekera kuseli kwa khutu
• khutu la khutu lomwe silimasuntha mpweya wochepa ukaulutsidwa mmenemo

Njira zowonjezereka zoyesera zilipo. Chitsanzo chimodzi ndi tympanometry. Pakuyesa uku, dokotala amalowetsa kafukufuku m'makutu. Kafukufuku amatsimikizira kuchuluka kwa madzi kumbuyo kwa khutu ndi kukula kwake.

Ma acoustic otoscope amathanso kuzindikira zamadzimadzi pakatikati.

Kodi OME amathandizidwa bwanji?

OME nthawi zambiri amadziwongolera yekha. Komabe, OME yanthawi yayitali imatha kuwonjezera chiopsezo chotenga khutu. Mungafunike kukawona dokotala wanu ngati akumva ngati pali madzi kumbuyo kwa khutu lanu pakatha milungu isanu ndi umodzi. Mungafunike chithandizo chamankhwala kuti muchotse makutu anu.

Njira imodzi yothandizira mwachindunji ndimachubu zamakutu, zomwe zimathandiza kukhetsa madzimadzi kuseri kwamakutu.

Kuchotsa ma adenoids kumathandizanso kuchiza kapena kupewa OME mwa ana ena. Adenoids ikakulitsidwa amatha kutseka ngalande zamakutu.

Ndingapewe bwanji OME?

OME imatha kuchitika miyezi yachisanu ndi yachisanu, malinga ndi Children's Hospital of Pennsylvania (CHOP). Mwamwayi, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chokhala ndi OME.

Njira zodzitetezera ndizo:

• kusamba mmanja pafupipafupi komanso zoseweretsa
• kupewa utsi wa ndudu ndi kuipitsa, zomwe zingakhudze ngalande zamakutu
• kupewa ma allergen
• pogwiritsa ntchito zosefera kuti mpweya uzikhala waukhondo momwe ungathere
• kugwiritsa ntchito malo osamalira ana masana, makamaka ndi ana asanu ndi mmodzi kapena ochepera
• kuyamwitsa, komwe kumathandiza mwana wanu kupewa matenda amkhutu
• osamwa atagona
• kumwa maantibayotiki ngati kuli kofunikira

Katemera wa chibayo ndi chimfine amathanso kukupangitsani kukhala osatetezeka ku OME. Amatha kuteteza matenda am'makutu omwe amachulukitsa chiopsezo cha OME.

Kodi ndizovuta ziti zomwe zimakhudzana ndi OME?

OME sichimalumikizidwa ndi kuwonongeka kwakumva kosatha, ngakhale madzi atakhala kwakanthawi. Komabe, ngati OME imagwirizanitsidwa ndi matenda am'makutu pafupipafupi, zovuta zina zimatha kuchitika.

Izi zingaphatikizepo:

• pachimake khutu matenda
• cholesteatoma (zotupa mkatikati)
• Earsrum mabala
• kuwonongeka kwa khutu, kuyambitsa kumva
• kukhudzidwa kwa mawu kapena kuchedwa kwa chilankhulo

Kodi chiyembekezo chanthawi yayitali cha OME ndi chiyani?

OME imadziwika kwambiri ndipo nthawi zambiri siyimayambitsa kuwonongeka kwanthawi yayitali. Komabe, ngati mwana wanu akupanga matenda obwerezabwereza ndikumva khutu, funsani dokotala wanu za njira zopewera matenda ena kapena OME. Ndikofunika kumvetsera mavuto akumva kwa ana aang'ono chifukwa izi zitha kuyambitsa chilankhulo cha nthawi yayitali.