Zizindikiro ndi chithandizo cha phulusa la eardrum

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Pamene opaleshoni ikuwonetsedwa
• Nthawi yoti mupite kwa dokotala
• Zomwe zimayambitsa zotumphukira m'makutu

Pamene khutu la eardrum liphulika, sizachilendo kuti munthu amve kupweteka komanso kuyabwa khutu, kuwonjezera pakuchepetsa kumva komanso kutuluka magazi khutu. Kawirikawiri mankhwala ang'onoang'ono onunkhira amadzichiritsa okha, koma akuluakulu akhoza kukhala ofunika kugwiritsa ntchito maantibayotiki, ndipo ngati sikokwanira, kungafunike kuchitidwa opaleshoni yaying'ono.

Eardrum, yotchedwanso nembanemba ya tympanic, ndi kanema wocheperako yemwe amalekanitsa khutu lamkati ndi khutu lakunja. Ndikofunikira pakumva ndipo ikaphulitsidwa, mphamvu yakumva ya munthu imachepa ndipo imatha kuyambitsa kugontha, pamapeto pake, ngati sichichiritsidwa moyenera.

Chifukwa chake, nthawi zonse mukaganiza kuti mkhutu waphulika, kapena vuto lina lililonse lakumva, ndikofunikira kufunsa otorhinolaryngologist kuti mudziwe vuto ndikuyamba chithandizo choyenera kwambiri.

Zizindikiro zazikulu

Zizindikiro zomwe zitha kuwonetsa kuti eardrum itha kuthyoka ndi:

• Khutu lakuthwa lomwe limabwera modzidzimutsa;
• Kutaya mwadzidzidzi kwakumva;
• Kuyabwa mu khutu;
• Magazi amatuluka khutu;
• Kutulutsa kwakuda khutu chifukwa chakupezeka kwa ma virus kapena mabakiteriya;
• Kulira khutu;
• Pakhoza kukhala malungo, chizungulire ndi vertigo.

Kawirikawiri, kuphulika kwa eardrum kumachiritsa kokha popanda kufunika kwa chithandizo komanso popanda zovuta monga kutaya kwathunthu, koma mulimonsemo, muyenera kufunsa otolaryngologist kuti muwone ngati pali matenda aliwonse mkatikati mwa khutu, lomwe limafunikira anabiotic kuti athe kuchiritsa.

Momwe mungatsimikizire matendawa

Matenda a khutu lotulutsa phulusa nthawi zambiri amapangidwa ndi otorhinolaryngologist, yemwe amagwiritsa ntchito chida chapadera, chotchedwa otoscope, chomwe chimalola adotolo kuti awone nembanemba ya khutu, kuti aone ngati pali ngati dzenje. Ngati ndi choncho, eardrum imawerengedwa kuti iphulika.

Kuphatikiza pakuwunika kuti eardrum yathyoledwa, adotolo amathanso kuyang'ana zizindikilo za matenda omwe, ngati alipo, amafunika kuthandizidwa ndi maantibayotiki kuti alole kuti eardrum ichiritse.

Momwe mankhwalawa amachitikira

Zotupa zazing'ono zomwe zimatuluka m'makutu zimabwerera mwakale m'milungu ingapo, koma zimatha kutenga miyezi iwiri kuti nembanemba ibwererenso. Munthawi imeneyi, ndikofunikira kugwiritsa ntchito chidutswa cha thonje mkati mwa khutu nthawi iliyonse mukasamba, osaphulitsa mphuno zanu, komanso musapite kunyanja kapena padziwe kuti mupewe mwayi wopeza madzi khutu, lomwe lingathe zimayambitsa matenda. Kutsuka khutu kumatsutsana kwathunthu bola ngati chotupacho sichichiritsidwa bwino.

Kuwonongeka kwa tympanic sikuti nthawi zonse kumafunikira chithandizo ndi mankhwala, koma pakakhala zizindikiritso zamatenda am'makutu kapena nembanemba itaphulika kwathunthu, adokotala amatha kuwonetsa, mwachitsanzo, kugwiritsa ntchito maantibayotiki monga neomycin kapena polymyxin okhala ndi corticosteroids ngati madontho kuti idonthe khutu lomwe lakhudzidwa, koma ikhozanso kuwonetsa kugwiritsa ntchito maantibayotiki ngati mapiritsi kapena mankhwala monga amoxicillin, amoxicillin + clavulanate ndi chloramphenicol, matenda omwe amamenyedwa nthawi zambiri pakati pa masiku 8 ndi 10. Kuphatikiza apo, kugwiritsa ntchito mankhwala ochepetsa ululu kumatha kuwonetsedwa ndi dokotala.

Pamene opaleshoni ikuwonetsedwa

Kuchita opaleshoni yotsegula phulusa la eardrum, lotchedwanso tympanoplasty, kumawonetsedwa nthawi zambiri nembanemba ikasabwereranso pakatha miyezi iwiri itaphulika. Poterepa, zizindikirazo ziyenera kupitilirabe ndipo munthuyo abwereranso kwa dokotala kuti akawunikenso.

Kuchita opaleshoni kumawonetsedwanso ngati, kuwonjezera pa mafutawo, munthuyo amathyoka kapena kuwonongeka kwa mafupa omwe amapanga khutu, ndipo izi zimafala kwambiri pakagwa ngozi kapena kupwetekedwa mutu, mwachitsanzo.

Kuchita opareshoni kumatha kuchitidwa pansi pa anesthesia ndipo kumatha kuchitika poyika cholozetsa, chomwe ndi khungu laling'ono kuchokera kudera lina la thupi, ndikuyiyika m'malo am'mutu. Pambuyo pa opaleshoni munthuyo ayenera kupumula, gwiritsani ntchito mavalidwe kwa masiku 8, ndikuchotsa muofesi. Sitikulimbikitsidwa kuchita masewera olimbitsa thupi m'masiku 15 oyambilira ndipo sizikulimbikitsidwa kuti muyende pandege kwa miyezi iwiri.

Nthawi yoti mupite kwa dokotala

Tikulimbikitsidwa kupita kwa otorhinolaryngologist ngati pali kukayikira kuti eardrum imaphulika, makamaka ngati pali zizindikiro za matenda monga kutulutsa kapena kutuluka magazi, komanso nthawi iliyonse pakakhala kumva kwakumva kapena kugontha khutu limodzi.

Zomwe zimayambitsa zotumphukira m'makutu

Chomwe chimayambitsa kufalikira kwa eardrum ndimatenda am'makutu, omwe amatchedwanso otitis media kapena akunja, koma zitha kuchitika poyambitsa zinthu khutu, zomwe zimakhudza makamaka makanda ndi ana, chifukwa chogwiritsa ntchito molakwika swab, pangozi, kuphulika, phokoso lalikulu, kuphulika kwa chigaza, kulowerera mozama kwambiri kapena paulendo wa ndege, mwachitsanzo.