Iimpawu, Ukuxilongwa, kunye noTyango
I-Serous otitis media (SOM), eyaziwa nangokuthi i-otitis media kunye ne-effusion (OME), i- fluid endlebeni , indlebe ephakathi kwendlebe (MEE), okanye i-secretary otitis media, yimeko apho i-fluid ihlala kwindlebe ephakathi. "Serous" ibhekisela kuhlobo lomkhuhlane oqokelela ngaphakathi kwindlebe ephakathi. I-Serous umthamo ngokuqhelekileyo i-straw (i-yellowish) yamanzi okanye i-mucus. Kule meko, kukho ityhubhu ye-eustachian ( ityhubhu yokuhlola) ukungasebenzi okungekho ukucoca amanzi njengokuba kuqhelekile.
Izinto zobungozi
Iqela eliqhelekileyo labantu abasengozini yokufumana i-serous otitis media kuba ngabantwana. Ngokukodwa iintsana, apho abantwana abathandathu abaphuma kwiintsana ezili-10 banokuphumelela ukuvavanya ukuvavanywa kwabo ngenxa yokuphuma kwamanzi kwindlebe. Oku kuya kuqhekeza ukulungisa ngenyanga. Ukuba ingagqitywanga, kunjalo, ugqirha wengane yakho ingadinga ukunceda ukususa umbane.
Izizathu eziqhelekileyo zezi zinto ziquka ukuhlukana kwiphubhu eustachian phakathi kwabantwana nabantu abadala. Kubantwana, ityhubhu imfutshane kakhulu kwaye inqanaba elongezelelweyo, okwenza kube lula ukukhupha amanzi. Nangona abantu abadala, ityhutyana ibanzi kwaye inemilinganiselo engaphezulu yokuvumela ukukhulula kuncedise ekukhenkeleni indlebe ephakathi. Abantwana banako ukuba banamanzi phakathi kwenyanga ezintandathu kunye ne-11, kwaye umngcipheko wehla xa umntwana wakho ekhula. Uninzi lwa bantwana luya kubakho ubuncinane ubuncinane besinye isiqhelo se-fluid phakathi kweendlebe ngaphambi kokufikelela esikolweni. Ngoxa ixhaphake kakhulu kubantwana, abantu abadala banokuqhubeka benemiba kunye ne-serous otitis media, kodwa ayikho into efanayo.
Umngcipheko unokuba nefuthe ngenxa yokuphazamiseka kwengxaki yokuba umntwana wakho azalwe kunye nabo bangabangela ukuba bafumane umbane kwiindawo eziphakathi kwendlebe, kuquka:
- I-Cleft palate
- Izibandezelo ze-Autism
- Iingxaki zokuphuhliswa
- Down syndrome
- Intetho kunye nolunye ukulibazisa ulwimi
- Ukuphazamiseka kokuvalelwa (akuhambelani nomkhuhlane)
- Ukuphupha
- Enye inzala (okwenzekayo ngexesha lokuzalwa) ithambo lomzimba elingaqhelekanga
Kukho iingxaki ezininzi eziqhelekileyo ezijongene nabantwana ezingabangela ukuba bakwazi ukuphuhlisa i-serous otitis media kuquka:
- Okubandayo Okunye
- Utywala
- Umsi wecuba
- I-Adenoids ephakanyisiwe (ibhloko ye-eustachian)
Iimpawu
Awunakuhlala ufumana iimpawu nge-serous otitis media , oku kuthetha ukuba ungeke ukwazi ukuba unayo ngaphandle kokuba kuphawulwe ngexesha loviwo lomzimba logqirha. Nangona kunjalo, ngamanye amaxesha kukho ukwanela okwaneleyo kwindawo ephakathi kwendlebe oza kuyibona enye okanye ngaphezulu kwezi zimpawu ezilandelayo:
- Ubuhlungu
- Ukulahleka kokuva
- Ukuzaliswa kweendlebe
- Ukudonsa abantwana kwindlebe yabo
- Umntwana unenguqu yokuziphatha
Abantwana abaselula banokuba nzima ukuba uxelele ukuba kukho inkinga ngeendlebe zabo. Ukuba ubona ukuguquka kwexesha elide, kubhetele kakhulu ukuba ugqirha ugqirha kuzo zonke iingxaki ngeendlebe zabo njenge-serous otitis media
I-Serous Otitis Media ne-Ear Infection
Qaphela ukuba i-serous otitis media ayikho ukusulelwa kwindlebe , mhlawumbi eyaziwa ngokuba yi-otitis media. Nangona bobabini banamanzi phakathi kwendlebe ye-ear ear, i-fluid ne-acute media i-otitis isulelekile, ngelixa kunjalo akunjalo nakwi-serous otitis media.
Ukusuleleka kwindlebe kuzakutshintsha ukuma kwendonga yeendlebe, okwenza kube yindoda engaphandle kwendlebe.
Nge-serous otitis media, imo ayiyi kutshintshwa. Ugqirha wakho unokukhangela oku xa echaza.
Uya kubona kwakhona umahluko kwimpawu. Ukusuleleka kwindlebe kuya kuba soloko ihamba nomkhuhlane odibene nayo. Inqanaba lentlungu ephawuliweyo iya kuhluka. Ngelixa unokuva ubunzima nge-serous otitis media, inqanaba lentlungu libi nakwi-infection ear.
Ukuxilongwa
Ugqirha wakho unokufumanisa i-serous otitis media ngokuqhelekileyo ngokusebenzisa: iTympanometry okanye i-otoscopy ye-pneumatic. I-Tympanometry uvavanyo olulinganisa impendulo yamagundane endlebe kumaza omsindo. Ekubeni i-fluid emva kwegubhu yeendlebe iya kuthintela amandla okugubha indlebe ukuba ihambe ngokuqhelekileyo, i-tympanometry inokunceda ekuqaliseni uketshezi kwindlebe.
Nangona kunjalo i-otoscopy ye-pneumatic ichanekile ngakumbi ekuhloleni ukuhluma kwindlebe. Ugqirha uya kusebenzisa i-otoscope ene-bulb yesirinji eqhotyoshelweyo, evumela ukuba bahlolisise indlela intonga yeendlebe ephendulela ngayo utshintsho loxinzelelo xa i-syringe ye-bulb ifakwe. I-Fluid nayo inokumiselwa ngokuqwalasela utshintsho lombala wegubhu leendlebe, emela utshintsho emva kwendonga yendlebe.
Ubude
I-Serous otitis media idla ngokuhlala iinyanga ezintathu. Ukuba i-fluid phakathi kwindlebe ephakathi idlulela kwiinyanga ezingaphezu kweenyanga ezintathu, ugqirha wakho uya kuthanda ukuphatha umbane ngokugqithiseleyo. Ukungaphumeleli ukulungisa umkhuhlane omude kwindlebe kunokubangela ukuba:
- Ingxaki yokusebenza kweSikolo
- Iingxaki zokuziphatha
- Ukulahleka kokuva
- Ukulinganisa ubunzima
- Ezinye iziphazamiso zendlebe ephakathi (njenge- myringosclerosis okanye i-tympanosclerosis )
Unyango
I-Serous otitis media iya kuhlala isombulula ngaphandle kokungenelela. Ukuba i-allergies yeso sizathu esicatshulwayo, ngoko ugqirha wakho uya kufaka i-antihistamine (njenge-Zyrtec okanye i-Allegra) ukuba ilandwe ngexesha lokulinda inyanga ezintathu. Ukuba i-fluid emva kwendonga yeendlebe ayisombululwanga kwisithuba seenyanga ezintathu, kulungele ukuba ugqirha wakho asuse umkhuhlane ngokufaka ngokugqithiseleyo ityhubhu yendlebe .
Ngaphambi kokubeka iibhubhu zendlebe, ugqirha wakho uya kujonga kwakhona emhlane womntwana wakho ukuba aqinisekise ukuba i-adenoids ingavimbela i-eustachian tube. Ukuba i-adenoids ikhulisiwe, ugqirha wakho unokuncoma i- adenoidectomy ukukhusela ukukhutshwa kwebhubhu eustachian ekubangela ukuba kubekho ukuqokelela kwamanzi kwi-ear ear.
Imithombo:
I-Casselbrandt, iML & Mandel, EM (2015). UCummings Otolaryngology, 6 th ed: I-Acute Otitis Media ne-Otitis Media kunye ne-Effusion. Saunders: Elsevier.
Phuma. (2015). Imfundo yeMonde: Serous Otitis Media. Kufumaneka ngo-2/26/2016 ukusuka kwi-http: //www.clinicalkey.com (ukufundwa okufunekayo)
O'Connor, SS, Coggins, R., Gagnon, L., Rosenfeld, RM, Shin, JJ & Walsh, SA (2016). Otolaryngol Head Neck Surg. 154 (2): 215-225. i-doi: 10.1177 / 0194599815624409