Izimpawu, Ukuxilongwa, Nokunakekelwa
I-Serous otitis media (i-SOM), eyaziwa nangokuthi i-otitis media ne-effusion (OME), i- fluid endlebeni , i-ear ear effusion (MEE), noma i-secretory otitis media, yisimo lapho i-fluid ihlala khona endlebeni. "Serous" ibhekisela kuhlobo oluthile oluqoqa ngaphakathi kwendlebe ephakathi. I-serous fluid ngokuvamile iluhlaza (oluphuzi) uketshezi olunombala noma umqubu. Kule nkinga, kukhona i- eustachian tube (i-auditory tube) engeyona into eyenza amanzi ahlanzeke ngendlela evamile.
Izingozi Zezingozi
Iqembu elivame kakhulu labantu abasengozini yokuthola i-serous otitis media yizingane. Izingane ezisanda kuzalwa, lapho izingane ezingaba yisithupha ezingaphansi kwezingu-10 zingase zihluleke ukuhlolwa kokuzwa ngenxa yetshezi emlonyeni. Lokhu kuzovame ukuxazulula ngenyanga. Uma kungenakuxazululwa, noma kunjalo, udokotela wengane yakho angadinga ukusiza ukukhipha uketshezi.
Izizathu ezivamile zalokhu kufaka phakathi umehluko embuthweni we-eustachian phakathi kwezingane nabantu abadala. Ezinganeni, i-tube yesikhashana futhi iphinde ibe ngaphezulu, okwenza kube lula ukukhipha uketshezi. Njengabantu abadala, i-tube yinde futhi ine-angle engenaweni evumelekile ukuvumela amandla adonsela phansi ukuba asize ekukhenizeni indlebe ephakathi. Izingane cishe zinomsoco phakathi kwezindlebe eziphakathi kwezinyanga eziyisithupha kuya kwezingu-11, futhi ingozi iyancipha njengoba ingane yakho ikhula. Iningi lezingane lizoba nesisodwa isiqephu se-fluid phakathi kwezindlebe ngaphambi kokufinyelela esikoleni. Nakuba ivame kakhulu ezinganeni, abantu abadala bangasenenkinga nge-serous otitis media, kodwa akuyona into evamile.
Ingozi ingathinteka yiziphazamiso izingane zakho ezizalwa ngazo ezingenza ukuba zenzeke ikakhulukazi ekutholeni uketshezi esikhaleni sezintambo esiphakathi kubandakanya:
- I-flaft palate
- Ukuphazamiseka kwe-Autism spectrum
- Izinkinga zokuthuthukiswa
- I-Down syndrome
- Ukukhuluma nokunye ukulibazisa ulimi
- Ukuzwa ukuphazamiseka (akuhlobene nomswakama)
- Ukuphuphuthekisa
- Okunye okuzalwa (okwamanje lapho ebeletha) isifo sobuso esingajwayelekile
Kukhona nezinkinga eziningi ezivamile izingane ezibhekana nazo ezingabenza zibe lula ukuthuthukisa ama-serous otitis media kufaka phakathi:
- Ukushisa okuvamile
- Amagciwane
- Umusi wocingo
- I-Adenoids ekhulisiwe (ivimbela i-eustachian tube)
Izimpawu
Ungase ungaboni ngaso sonke isikhathi izimpawu nge-serous otitis media , okusho ukuthi angeke ukwazi ukuthi unayo ngaphandle kokuthi kuphawulwe ngesikhathi sokuhlolwa komzimba kadokotela. Kodwa-ke, ngezinye izikhathi kukhona uketshezi okwanele esikhaleni sensimbi ephakathi ukuthi uzobona eyodwa noma ngaphezulu yalezi zimpawu ezilandelayo:
- Ubuhlungu
- Ukuzwa ukulahlekelwa
- Ukugcwalisa indlebe
- Izingane zidonsa endlebeni yazo
- Ingane inezinguquko ekuziphatheni
Izingane ezincane zingase zibe nzima kuwe ukutshela ukuthi kunenkinga ngezindlebe zabo. Uma ubona ukuguqulwa kokuziphatha okude isikhathi eside, kungcono kakhulu ukuba udokotela ahlolisise nganoma yiziphi izinkinga nezindlebe zabo njenge-serous otitis media
I-Serous Otitis Media vs. Indlebe Infection
Qaphela ukuthi i-serous otitis media ayiyena ukutheleleka indlebe , okungaziwa ngokuthi yi-acute otitis media. Ngenkathi zombili zinezikhukhula emkhatsini wezindlebe zomphakathi, uketshezi olune-acute i-otitis media lutheleleke, kanti lokho akunjalo nge-serous otitis media.
Ukutheleleka indlebe kuzokushintsha ukuma komgubhu wezindlebe, okwenze kube yi-bulge engaphandle kwendlebe.
Nge-serous otitis media, isimo asishintshi ngempela. Udokotela wakho angabheka lokhu lapho ehlonza.
Uzobona futhi umehluko ezinkomba. Ukutheleleka indlebe cishe kuyoba nomkhuhlane ohambisana nawo njalo. Izinga lobuhlungu eliqapheliwe lizophinde lihluke. Ngenkathi ungabhekana nobuhlungu nge-serous otitis media, izinga lobuhlungu libi nakakhulu ngokutheleleka indlebe.
Ukuxilongwa
Udokotela wakho angase ahlolisise i-serous otitis media ngokujwayelekile ngokusebenzisa i- tympanometry noma i-otoscopy ye-pneumatic. I-Tympanometry iyilingo elenza ukuthi izimpumputhe zendlebe ziphendule kanjani kumagagasi omsindo. Njengoba uketshezi ngemuva komgubhu wezindlebe kuzothinta ikhono lokugubha indlebe ukuhamba ngendlela evamile, i-tympanometry ingasiza ekunqumeni uketshezi endlebeni.
Kodwa i-otoscopy ye-pneumatic inembile kakhulu ekuhloleni uketshezi endlebeni. Udokotela uzosebenzisa i-otoscope ene-syringe ene-bulb, evumela ukuba bahlole ukuthi i-drum indlebe iphendula kahle kanjani ushintsho lokucindezela lapho i-syringe ye-bulb ifakwa. I-flux ingabuye inqunywe ngokugcina izinguquko zombala zendlebe yomlomo, emele izinguquko ngemuva kwenduku yendlebe.
Isikhathi
I-serous otitis media ngokuvamile izohlala ezinyangeni ezintathu. Uma uketshezi phakathi kwendlebe ephakathi kuqhubeka isikhathi esingaphezu kwezinyanga ezintathu, udokotela wakho uyovame ukufuna ukwelapha uketshezi ngokwengeziwe. Ukuhluleka ukulungisa uketshezi olude endlebeni kungabangela:
- Izinkinga zokusebenza ezikoleni
- Izinkinga zokuziphatha
- Ukuzwa ukulahlekelwa
- Linganisa ubunzima
- Ezinye izinkinga zendlebe ephakathi (njenge- myringosclerosis noma i-tympanosclerosis )
Ukwelapha
I-serous otitis media izovame ukuxazulula ngaphandle kokungenelela. Uma isifo somzimba siyisizathu sokusola, khona-ke udokotela wakho uzovame ukubeka i-antihistamine (njenge-Zyrtec noma i-Allegra) ukuze ihlolwe ngesikhathi sokuqapha izinyanga ezintathu. Uma uketshezi ngemuva komgubhu wezindlebe akuxazululwa zingakapheli izinyanga ezintathu, kungcono kakhulu ukuthi udokotela wakho asuse uketshezi ngokufaka ngokuhlinzekela ithubhu lensimbi .
Ngaphambi kokubeka amashubhu endlebe, udokotela wakho uzophinde abuke ngemuva komphimbo wakho wengane ukuze anqume ukuthi i-adenoids ingavimbela yini i-eustachian tube. Uma i-adenoids ikhuliswa, udokotela wakho angase ancoma i- adenoidectomy ukuvimbela ukuvinjelwa kwe-tube eustachian ekubangela ukuqoqa okunye okuketshezi phakathi kwezindlebe.
Imithombo:
I-Casselbrandt, i-ML ne-Mandel, EM (2015). I-Cummings i-Otolaryngology, ngo-6 th ed .: I-Acute Otitis Media ne-Otitis Media ne-Effusion. Saunders: Elsevier.
Phuma. (2015). Imfundo yeziguli: Serous Otitis Media. Kufinyelelwe ngo-2/26/2016 kusuka ku-http: //www.clinicalkey.com (okubhaliselwe kuyadingeka)
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