Zempilo, Diseases and nemibandela
Ukudumba unyango tube Eustachian kwaye ubangela
Ngokwesiqhelo, le tube Eustachian sele ivaliwe. Ngexesha nokudla ukudla, ngenxa ke umsebenzi izihlunu ezithile elime kule inkalakahla ethambileyo, ityhubhu Eustachian ivula kwaye ivumela umoya ungekafiki owama ukuya endlebeni phakathi. Ngoko ke kukho nomoya lomgadi ndawo.
Ukuba nomoya kungenxa yesizathu esithile yophukile, uxinzelelo umoya ingaphezulu kwe xi ngaphakathi indlebe. Ngenxa yoko, ubume balo itshintshiwe, ukuba uba unyusana naye ukuya udonga promontoriuma. Kukho kukukrala ityhubhu Eustachian, iimpawu, unyango ezo zichazwe kweli nqaku.
Unobangela kwesifo
Zonke izifo zikhatshwa udumba uxakaxa utshintsho inwebu kunye catarrhal kwi empumlweni nasemqaleni, wakwazi ukubangela kukukrala ngaxeshanye ityhubhu Eustachian, apho unyango kufuneka kuqaliswe ngexesha elifanelekileyo.
Pathology kubangelwa yi yezi zizathu zilandelayo:
- iimpumlo ezivuzayo, kwenzeka ngohlobo oyingozi okanye engapheliyo;
- inkqubo hypertrophic ekupheleni ngasemva iqokobhe ezantsi;
- phambi adenoids;
- neziqu kwi empumlweni nasemqaleni;
- njalo tonsils okuqhubekayo;
- inkqubo hypertrophic kule tonsils, esinokubangela izilonda zamabanga;
- iziphene indlebe komzimba ;
- ubukho tamponade ngaphambili okanye angasemva ukuba epistaxis emva kotyando.
Tubo-otitis ngokuqhelekileyo ezibangelwa staphylococci okanye streptococci. Ebantwaneni, isifo ezivame ukubangela pneumococci, kwakunye nohlobo wentsholongwane egazini zesi sifo.
Usulelo nasopharynx inabela ityhubhu eustachian kunye nendlebe eliphakathi. Ngenxa kakhulu ekunciphiseni permeability yayo.
Ukuba isigulana umntu ukuthambekela komzimba, ukudumba sendlebe umbindi kunye sandise isabelo imfihlelo, ubungozi ukunyuka sifo kakhulu. Zonke ezibonisa inkqubo zophendlo lwezifo ixhomekeka kwifomu kwathatha. Ukudumba ityhubhu Eustachian, leyo uqhuba unyango laryngologist inokuba nokuba bukhali okanye engapheliyo.
Njengoko i ifomu yayiyazi kuziveza
Le fom etsolo ngokuqhelekileyo senzeka imvelaphi igciwane lohlobo lwe kumzimba, ingqele eqhelekileyo, leyo ibatshise lgama ngeempumlo. Xa iinkqubo ezikhoyo ngendlela ebukhali, isigulane baphawula impilo izinzile ngokubanzi. lobushushu ukubonisa ongowona ngaphantsi kwe-38 ° C. ubuhlungu obukhulu akukho ngayo. Isigulane kusenokuba isikhalazo ekulahlekelweni ukuva, ukuxinana ngeempumlo, ukwanda ukuva ilizwi lakhe (ukuziva ngokungathi kukho intlokoma kuvakala), ukutofelwa ebonakala amanzi indlebe, ingxolo rhoqo.
Ngosuku loviwo kutyhilwa iindumbisa ityhubhu ezikhalayo, nokunciphisa isifo yayo mithambo Ijalele. Ivaliwe walimala evusa a zokucutha kunye nokwandiswa imithambo yegazi, ogama iindonga thinner. Oku kubangela ukuba igazi engaphakathi emithanjeni.
Njengoko kuboniswe isifo esinganyangekiyo
Ukuba yondele ifom iimpawu okwethutyana yaye emva kwethutyana ayisendim ungazihluphi, xa ezingapheliyo lonke uxhathiso ezahlukeneyo. isifo esinganyangekiyo luphawulwa yoma kwi isifo le inwebu tympanic kunye ndizayo. Inwebu uba turbid, kuyaba necrosis.
Ngexesha walimala ezingapheliyo awuzobileyo aze sayo ityhubhu likhubazeke linciphise indlebe aphazamiseke kakhulu, kwezinye iindawo zalapha redden. sclerosis uphawu le indlebe. Ukudumba kungaba nzima kule otitis ngcina, apho bekuhleli azikhuli umthetho patency tube Eustachian kunye ossicles indlebe.
wenza njani isifo ebantwaneni
Anatomy of indlebe enikelwe umntwana lowo umahluko omkhulu ukusuka isakhiwo abadala. Ngoko ke, lo mntwana akulungeleyo izifo indlebe. Iimpawu evstahiita ngobudala destkom kanye njengoko abadala. Incwadi le mpawu zilandelayo:
- phambi umsindo;
- ukuxinana ngeempumlo;
- ubuthulu.
Kuthekani ukuba kukho kwiindawo ezifana ityhubhu ukudumba Eustachian? Unyango akukhuthazwa ukuba ekhaya. Kuyimfuneko ukubona yincutshe.
lokufunyaniswa kwesifo
Chonga sifo kuphela umqala specialist. Uxilongo isekelwe phezu obubonakala zonyango kunye otoscopy. Buqhinga onokuchaza i indlebe degree kubuyiswe, kokunciphisa isiphatho malleus, lo Buze elibukhali kwicala emjelweni eziviwayo ye ithambo encinane.
Ukuze ubone ngeendlebe yenziwa ithoni audiometry. Ngaphezu koko, wazithwala sinuses ibamba, kuphandwa msebenzi ekuva ityhubhu ungenanto isampuli SIP Toynbee Poltitsera isampula kwaye babizwa ngokuba Valsalva kushenxa.
Izikhokelo zonyango
gidi njani ukudumba tube eustachian? Unyango luqala emva kokuxilongwa ngenyameko aqingqa unobangela inkqubo arhabaxa. Usenza, lo pathogen kufuneka isuswe ukubuyisa kudlule ngokukhawuleza kangangoko kunokwenzeka.
Isifo kufuna unyango ngoko nangoko xa kukho uhlobo etsolo ungenza ngokukhawuleza ukuthatha ikhondo ezingapheliyo kwaye kungakhokelela kwilahleko ezindlebeni ngokusisigxina. Oku kakhulu kunciphisa umgangatho wobomi isigulane.
amayeza
Evstahiita Treatment kuxhomekeke unobangela, ebizelwa. Kwimeko ngeempumlo unyango ngezifo ijolise kwi emzimbeni wayo. Xa womoya ngenxa yokwanda ngexesha moya-moya okanye uphakamisa kunye nokwehla emanzini kusetyenziswa kuvuthela indlebe usebenzisa i ligwinya standard kunye nomphunga kunye ngeempumlo ezibukhali ska kunye umlomo ivaliwe.
Ukudumba ityhubhu Eustachian (amalungiselelo unyango ukhetha laryngologist kuphela!) Ebekwe ziziyobisi ezahlukeneyo. Eyona nto kujoliswe obuyiyo amachiza ezikhuthaza vasoconstriction nasopharynx kunye tube eustachian. Eli qela libandakanya "Tizin", "Nazivin", "Rinostop", "Galazolin", "Xylene". Bona ekhutshwe ngaphandle kagqirha. Amathontsi baziswa kulo impumlo amaxesha 2-3 ngosuku. Sebenzisa ezi imali ingadluli kwiintsuku ezintlanu.
Kuba antimicrobials ziquka indlebe sihlisa "Polydex", "Sofradeks", "Normaks", "Danza". Njengoko i therapy eyongezelelweyo ezi antihistamines - "Suprastin", "Aerius" "Claritin", "Tavegil" "Telfast" "Zyrtec".
Kwezinye iimeko, ukumisela ngezihloko hormone. Umzekelo, sebenzisa "Nasonex" "Avamys," "Flixonase". Bona azakubalulwa a inyathelo ngokukhawuleza anti-ukudumba.
Ukuba ibonakele kwindawo ezifana ityhubhu Eustachian, nangokurhala, unyango lubandakanya ukusetyenziswa kweziyobisi anti-ukudumba, kwaye anti-nenkani. imithi idla kusetyenziswa, leyo ke sangcwatywa endlebeni (3-4 lehla kathathu ngemini). Faka ukuba babe iintsuku kungekho ngaphezulu kwe-10.
Njengoko amalungiselelo mlonyeni esasetyenziswa ukudumba furatsilin boric acid kunye-3%. Ngokuba ukusetyenziswa yomlomo antibiotics enjalo emiselweyo "Amoxiclav", "Cefuroxime," "Afenoksin". Ziye ke zithathwe kabini ngemini, xa umthamo we 250-700 mg, ngqongqo phantsi imiyalelo zikagqirha.
ngezinga eliphezulu ngempumelelo kuye ukuvuthela ityhubhu eustachian nge catheter. Ibe hydrocortisone okanye adrenaline. Xa isifo kakuhle uthomalaliso wayeka iintsuku ezimbalwa. Ukuba bekunokuthathwa amanyathelo athathiweyo kakhulu emva kwexesha, esi sifo kuba ezingapheliyo, enokubonwa kuphela nzima.
Kusenokufuneka utyando ukuze ezisebenzayo. Kule ndawo ye indlebe yenziwa liqatywe apho catheter lifakwa ukuba sokufunxa kulwelo. Olu tyando lwenziwa phantsi Ukubulawa jikelele.
Ukuze kuphuculwe isiphumo unyango lwenziwa physiotherapy kunye Oluma ziyasetyenziswa. Of inqaku fizioprotsedur UFO, indawo impumlo UHF, laser therapy.
ungakutshabalalisa njani enye ukudumba indlebe tube Eustachian? Unyango emva isiqabu lokumpompoza ludlule kwi indlela ubuthulu basindiswe ibandakanya ukusetyenziswa sokumema iityhubhu ekuva okanye massage ukuyilandela. indlela isisu isicelo Politzer kunye catheterization.
Kwaye Politzer indlela catheterization
Isisu sendlebe Politzer kuthwalwa ibhaluni iirubber, oludityaniswe kumbhobho irabha kunye omnquma. Oliva lifakwa ethatheni yesigulane. kwamaphiko impumlo pinched. Wokwenza emoyeni ukuya indlebe, isigulane kufuneka ukuginya umoya kunye elikhulu le iisilabhili ukuba ukulibiza igama elithi "nengabangaba". Xa uxinezeleko kwi lwegama kwenzeka nokuphakamisa belengalenga palatal nokucofa yayo eludongeni emva pharynx. Kweli nqanaba, ugqirha yenza itankana ucinezelo okungephi. ulawulo engena umoya ikhutshwa phandle usebenzisa i otoscope.
Ukuba zazo yimpumelelo, njengoko umthetho, isigulane isebenze emva zonyango 1-3. Unako ukuphucula kwetyala iintsuku ezimbalwa. Kulo mzekelo, kufuna kuhlambulula ezongezelelweyo ngeentsuku 1-2. Iinkqubo ziqhutywa iiveki 2-3.
Xa ukusebenza phantsi indlela yenziwa Politzer salpingocatheterism. Air ophephuka kulo inwebu tympanic yendlebe usebenzisa catheter okhethekileyo ibhaloni irabha. Emva ukuphululwa yenziwa yokuthanjiswa womoya le indlebe.
Catheterization umongo siyifumana yokuba indlebe infeeds uxinzelelo bume, nto leyo eyandisa luthambe, iyenza mobile, kuthintela loloyiko, ekhokelela ukuva ilahleko.
Ukusetyenziswa amayeza intsomi
ungakutshabalalisa njani enye ukudumba tube eustachian? amayeza esizwe Unyango ibandakanya ukusetyenziswa inani iresiphi:
- juice zekhala entle ingxengelelwe ngamanzi abilayo eshushu ngokomlinganiselo we-1: 1. Esi sixhobo isivundiso idityaniswe impumlo zonke iiyure ezi-5. Ukongezelela, oko swab ogalelwe yaye yaziswa endlebeni.
- In impumlo kungcwatywa incindi itswele ngaphambi kokuba ndilale, kwaye kule ndawo indlebe ibekwa itswele efudumeleyo.
- Xa enkulu alinganayo evela zomgamtriya, lavender, celandine, yarrow. amacephe amabini collection ingca Wagalela neelitha 0.5 amanzi abilayo. Iindlela agaye a thermos iiyure ezili-12. Nokuhlanganiswa onxilileyo kathathu ngemini indebe ¼.
iingxaki sifo
Ukudumba ityhubhu eustachian (iimpawu, unyango amayeza esizwe kunye namayeza siye ichazwe kweli nqaku), kunye unyango ngexesha, njengokuba umthetho, iyapheliswa ngokupheleleyo, yaye oko kubangele naziphi na iingxaki. Kodwa ngenxa yokuba ezi mpawu bucinyiwe, umlinganiswa, isigulana akusoloko kufika ngexesha ngenxa ukuphathwa Laryngology ukuba afune nemiphumo olungafunekiyo. Ngaba sigcinwe ukuhla ngcembe ezindlebeni, ubovu otitis ngendlela ebukhali, lo deformation le inwebu, nendlebe ijwabu loloyiko. Evstahiit kungakhokelela ukugqibezela ukulahleka kwetyala.
ukuvimbela
Ukunqanda ukudumba ityhubhu Eustachian, nto leyo kakhulu kunzima kunyango, kuyafuneka uyeke esi sifo kwexesha, oko ekwenza. Kuyimfuneko ukomeleza rhoqo amajoni omzimba ukuba ukusebenzisa inani elikhulu-ntsholongwane, ukunika imikhuba emibi. Hlala uphilile!
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