Yadda za a busa kunnuwa dama a gida

Otitis media - shi ne mai irin otitis, wanda zai iya buge ko da biyu kunnuwa. Don hana samuwar irin wannan cuta da kuma kareshi iya kokarin su busa your kunnuwa.

Mene ne otitis

Otitis ne wani mai kumburi rashin lafiya na tsakiyar kunne. Tare da wannan cuta, kumburi, ruɓaɓɓen jini accumulates akwai a cikin kunne kogo. Tun da yake wannan cutar za a iya ci karo da a kowane zamani, amma mafi sau da yawa gani a yara. Toddlers maimaita kunne cututtuka suna gano saboda da ilimin Halittar Jiki bayani dalla-dalla na tsakiyar kunne tsarin: a tube (auditory) ne ya fi guntu a yara fiye da a manya, shi ne kusan lebur kuma yana da wani folds. Irin wannan kunne tsarin da yaron sa shi sauki shigar azzakari cikin farji daga kamuwa da cuta a cikin kunne kogo. A lokacin farko shekaru 3 na rayuwa wani wuri a cikin 80% na yara wahala daga otitis sau daya.

Me ya sa aka tsarkake kunnuwa

Tsaftacewa da auditory tube gabatar da sakandare iska rafi karkashin masa kunne matsa lamba tare da warkewa da kuma bincike dalilai. Event rika yi da far mai tsanani sakamakon, na kullum kumburi da tsakiyar kunne da kuma bayan tympanoplasty.

watsi Hanyar Valsalva

Irin wannan hanyar an dauki mafi sauki samoprochistki. A wannan hanya da mãsu haƙuri kamata a kawar da kunne ta hanci, rike da ya yatsunsu, da kuma wani irin ƙarfin lantarki fara zuwa busa iska ratsa ta cikin nasopharynx cikin auditory tube. wannan hanya korau al'amurran ne:

• Yiwuwar samun katsewa na eardrum, idan ya yi babban kokari;
• Fitar kamuwa da cuta da kuma secretions daga hanci sinus a cikin tsakiyar kunne;
• daya kawai kunne iya tsarkake.
• rashin iyawa don auna girma na mai shigowa iska.
• ba zai yiwu ba ga allurar magunguna a cikin eustachian tube.

Modified Hanyar Politzer

A lura da marasa lafiya da exudative otitis kafofin watsa labarai da tsaftacewa da roba tube haɗa ta ganga, da zaituni ne da za'ayi zuwa tsirar da iska matsa lamba ga bude auditory tube nassi da kuma cire exudate, saduwa a cikin tympanic kogo.

Yadda za a busa kunnuwa da wannan hanya? Don yin hurawa, dole ne ka farko sai an yi tsabta anemisation pharyngeal orifice na kunne kuma nasopharyngeal bango. Domin wannan inspiratory hanci fesa 3% ethyl ephedrine chloride (1 ml) aka gauraye da 0.1% epinephrine bayani (1 drop). Wannan taron da aka yi mahara sau ba tare da tsayawa a kan jinkiri 3-5 minti. Idan atomizer ba ba, to, a kan hanci tube iya rauni auduga ulu soaked da ephedrine ce cakuda, da kuma wani Hanyar kafararsa kunnuwa.

bincike ya kamata a yanzu shiga hanci sinus (maimakon "haƙuri" shambura) duk hanyar shiga cikin mayar da harsashi na pharynx. Sa'an nan kuma ka bukatar a cire shi baya kadan, sa da laifi a kan ciwon kunne zuwa ulun a cikin bututu ta gudana anemiziruyuschy bayani. Bayan 'yan mintoci, da bincike za a iya cire da kuma ci gaba da batu na biyu tsaftacewa hanyoyin. haƙuri da kai ne inverted a daya gefen, karkatar da shi a gaba, sa'an nan kuma juya a kan m gefe, to shafa kunne ya on top, da kuma tube ya perpendicular, kuma exudate za a iya drained daga tympanic rami saukar ta hanyar da auditory tube. Kuma yanzu da yawa yiwuwa riga ya bayyana yadda za a busa kunnuwa da otitis.

A ci iska a cikin drum sinus, kara intratimpanalnoe matsa lamba Firaministan waje da m part wanda saboda da elasticity daukan wani na farko matsayi, wuce ruwa, tara a kusa da bude auditory tube. A wasu yanayi, irin tsabtace shi ya isa ga cimma da ake so sakamakon. Duk da haka, ta faru da cewa patency na auditory tube cikakken koma, amma exudate a lokacin ailments samu irin wannan m daidaito, wanda halitta ba za a iya da yardar kaina kwashe. Wani lokaci, ya rabu da mu da shi, kana bukatar ka busa kunnuwa sake.

Kananan yara sau da yawa adawa da amfani da Politzer Hanyar. A wannan yanayin, sai jaririn da aka sanya a kan baya, ya gyara da wuri. Sa'an nan a daya ƙofar hanci jirgin ruwa kafa tip, da kuma wani murfin tare da wani yatsa. The yaro dole ne dauke da bakinka to a wannan lokacin don zuba a teaspoon na ruwa. A lokacin da hadiya aiwatar a cikin ƙaho iska. Idan akwai wani m-kamar ƙulli daga cikin auditory tube nassi ko adenoid nama zai bi kai tsaye zuwa da shi, sa'an nan da tsaftacewa zai yi aiki ba.

Raunin da wannan hanya

Kuma a sa'an nan tambaya taso - ko yana yiwuwa a busa kunnuwa? Na'am, duk da haka, a lokacin da babban factor da cuta ne barga tabarbarewa na auditory tube, fatan alheri da sakamakon kawai idan procleaning jiki m wuya. Mafi yawa daga cikin yaran da suka kamu da rashin lafiya tare da secretory otitis kafofin watsa labarai, m intratimpanalnoe matsa lamba An lura a sakamakon da hanyar tympanometry. Bayan flushing da kunne Politzer balan-balan matsa lamba a cikin tympanic sinus, yawanci inganta, amma bayan 15-20 minti, koma ga na farko matakin.

A dogon naci da kuma karyata na tympanic membrane idan m da ciwon cututtuka (ciki har da maimaita canji a tsoka ƙanƙancewa na tsakiyar kunne), tsaftacewa ne m. Kuma baicin, shi zai iya faruwa da cewa zai cuce ku da kunnuwa cikin ƙaho.

A amfani da taron

Ko da idan muka yi la'akari da sakamakon tsaftacewa da kunne da akai otitis kafofin watsa labarai a matsayin wucin gadi a kan, duk daya, irin wannan hanya na iya zama tabbatacce saboda ta Halan mataki. A kowane yankin Flushing eardrum ta sauya wuri, don haka da cewa unbent ƙunci matsattse tsoka agara tensioning membrane, da kuma raunana ossicles a gidajen abinci. Amma duk da wannan yana da muhimmanci ga rigakafin m matakai a cikin tympanic sinus, kuma ankylosis iri.

bukatar sani

Ya kamata a fahimci cewa kawar da ake bukata kunnuwa da matsananci hankali, kada ka yi amfani da} arfin iska matsa lamba ba su karya da taga membrane na cochlea da eardrum. Akwai yiwuwar tabarbarewar, na nuna yiwuwar keta sarkar na auditory ossicles. Wadannan rikitarwa iya fara a procleaning kunne a lokacin Valsalva hanya, a lokacin da iska matsa lamba a cikin auditory tube iya zama quite high.

Akwai irin metered yankin Flushing kunnuwa. An shawarar cewa irin wannan samoproduvanie gwada da m hanya: tsunkule da hanci tare da yatsunsu kuma puffing fitar da kumatun, yin hadiya motsi. Wannan sakamako ne mafi barga fiye da a cikin sauki Hanyar Valsalva.

Tsaftacewa da kunnuwa da taimakon tausa

Yadda za a busa kunnuwa a gida? Kuma iya via pneumomassage eardrum da ake yi da hannu Halan tragus, tam rufe ƙofar auditory orifice. Yana kuma za a iya amfani ko dai raba mazurari Siegl pnevmomassazher wanda ya fitar da iska a kunne latsa lumen kuma game da shi na taimaka wa ƙasũsuwa da eardrum.

Mutane da yawa marasa lafiya lura cewa su kiwon lafiya da aka fi samun ta Halan yatsa tragus. Yana da muhimmanci cewa aiwatar da wannan taron (kuma idan kana bukatar ka busa kunnuwa ma) na haƙuri ta kai lankwasa wajen lafiya kunne. Saboda yau da kullum contractions iska eardrum, latsa baxini, Firaministan da fitarwa na gaba rabo daga ruwa tara a cikin drum wuce da auditory tube.

Tare da catheter

Wannan hanya ita ce mai kyau in cewa, yana yiwuwa ya tsabtace daya kawai kunne, da kuma auditory tube gudanar kwayoyi. Karfe kunnen catheter bukata size (bambanci tsakanin su ne a cikin lambobin) bayan fage anemizatsii hanci kogo da kuma huhu da maganin sa barci da hanci nassi mucous bango a hankali gyara ga ciki ƙofar hanci da kuma musanya ta lankwasa baki domin bude Eustachian tube. Kuma yanzu kana iya gane yadda ya kamata busa kunnuwa.

Ta wajen Politzer iya aiki, kazalika da otoscope, wanda ta haɗu da kunne na haƙuri ga likita ta jiki, ji wani sarari sauti gudanar ta hanyar iska auditory tube. A sakamakon irin wannan hanya ake gabatar a so zurfin miyagun ƙwayoyi distal catheter rabu, da kuma jirgin ruwa Politzer wakili a cikin ƙaho tare da iska. A duka tsabtatawa tsari ne sarrafawa ta hanyar wani otoscope.

diagnosing otitis

A ganewar asali da wata cuta yakan tsunduma otolaryngologist. Idan haƙuri yana da wani m bayyanar cututtuka nan da nan ake bukata don ganin wani gwani, kuma zai gaya maka yadda za a busa kunnuwa a gida. Ya kamata kuma a lura da cewa, amincewa da otitis kafofin watsa labarai a cikin yara da wahala saboda iyaka baka lamba likita da yaro.

contraindication

Ana Share kunnuwa cutarwa idan akwai m kumburi a cikin hanci da nasopharynx dangane da yiwuwar skid iska kwarara daga pathogens a tympanic sinus, kazalika da samuwar kuma m surkin jini otitis kafofin watsa labarai.

Matsalolin da kuma hangen nesa

M wadannan tabarbarewar, idan cutar sanya rashin far, ko shi da aka ba a kawo ga ƙarshe:

• kwakwalwa ƙurji.
• mastoiditis (kumburi da mastoid), inda da aiki shi ne wajibi.
• meningitis.

A hasashen da a dama da ya dace magani daga otitis positive. Amma shi ne mafi alhẽri ga kokarin da yaushe kula da kanka, guje wa da sanyi da kuma iska wurare, don haka ba ka tambaye tambayoyi - zai iya busa kunne likita, wanda sai da ya nemi taimako.