How kuvhuvhuta nzeve dzenyu zvakanaka pamusha

Otitis venhau - mufananidzo otitis, izvo zvinogona urove kunyange nzeve mbiri. Kudzivisa paumbwe chirwere chakadaro uye kudzivirira wayo anogona kuedza kuridza nzeve dzenyu.

Chii otitis

Otitis chinhu anogumbura chirwere yapakati nzeve. With chirwere ichi, kuzvimba, pus rinoungana imomo nzeve mhango. Sezvo chirwere ichi chinogona vasangana chero zera, asi kazhinji kuonekwa nevana. Nendumure akadzokorora nzeve zvirwere aonekwa nokuda anatomical specificity yapakati nzeve mamiriro: kumicheto (auditory) rakapfupika muvana kupfuura vanhu vakuru, ndizvo anenge sandara uye asina pazvirugu. Yakadaro nzeve Urongwa mwana kunoita kuti zvive nyore kupinda chirwere pahura mhango. Mumakore 3 Makore oupenyu okutanga kumwe muna 80% yevana vanotambura otitis kamwe.

Nei wakasukwa nzeve

Kuchenesa auditory chubhu anotanga yechipiri mhepo rukova pasi nzeve yake kumanikidzwa pamwe kuchirapa uye chirwere zvinangwa. Chiitiko vari zano kuita kurapa nokushayiwa nemigumisiro, chisingaperi kuzvimba pakati nzeve uye pashure tympanoplasty.

achinatsa nzira Valsalva

nzira yakadaro anonzi kupfuura nyore samoprochistki. In nzira iyi murwere vanofanira kubvisa nzeve kubudikidza mhino, vakabata zvigunwe ake, uye voltage kutanga kuridza mhepo chinopinda kuburikidza nasopharynx kupinda auditory chubhu. ichi nzira zvinhu zvisingafadzi ndiwo:

• ndingangokuvara atsamwira pamusoro eardrum, kana akaita basa guru;
• vachikanda chirwere uye secretions kubva nasal sinus mukati nzeve;
• nzeve mumwe chete anogona kunatswa;
• nekusagona kuyera bhuku chauya mhepo;
• zvisingaiti baya jekiseni mishonga kupinda eustachian chubhu.

Modified nzira Politzer

Mukurapa varwere exudative otitis media rokuchenesa rabha chubhu chokuita mugaba uye maorivhi rinoitwa kugadzira mhepo nevezera kuvhura auditory chubhu ndima uye kubvisa exudate, misangano iri tympanic mhango.

How kuridza hura noruoko nzira iyi? Kuti ichivhuvhuta, unofanira kutanga kuita yakachena anemisation pharyngeal orifice Nzeve uye rusvingo nasopharyngeal. Nokuti ichi inspiratory nasal mwaya 3% ethyl ephedrine chloride (1 Rine mamiririta) akanga hwakakanyiwa 0.1% epinephrine mhinduro (1 donhwe). Chiitiko ichi rinoitwa akawanda nguva pasina kumbomira pane zvikamu maminitsi 3-5. Kana atomizer asipo, ipapo pamusoro nasal chubhu anogona muchikuvadza donje shinda zvakakangwa zvakanaka ephedrine akati nezvakavhenganiswa, uye nzira zvasukwa nzeve.

vachiongorora zvino vanofanira kupinda nasal sinus (pane "murwere" sepombi) yose nzira kupinda shure goko yacho pharynx. Zvino unofanira kurudzosa shure zvishoma, akaisa mhosva hosha nzeve kuti dehwe iri nyere hoyerera anemiziruyuschy mhinduro. Papera maminitsi mashomanana, vachiongorora anogona kubviswa uye mberi kune yechipiri pfungwa rokutsvaira maitirwe ezvinhu. musoro murwere ari inverted mhiri, tilting nayo mberi, uye ipapo batidza utano divi, kuti njodzi nzeve yakanga iri pamusoro, uye chubhu rakanga perpendicular, uye exudate zvinogona vakapedzwa kubva tympanic mhango pasi kuburikidza auditory chubhu. Uye ikozvino vazhinji zvimwe rava pachena sei kuti kuridza munzeve dzako otitis.

The yaunodya mhepo iri Drum sinus, kuwedzera intratimpanalnoe kumanikidza achisunda outwards iri kusanduka chikamu iyo nokuda elasticity anotora kwokutanga chinzvimbo, displacing fluid vaunganidza pedo okutanga auditory chubhu. Mumamwe mamiriro ezvinhu, kuchenesa akadaro zvakakwana kuita zvinodiwa mugumisiro. Zvisinei, zvinoitika kuti patency ari auditory chubhu rakatanga zvakazara, asi exudate panguva zvirwere vakagamuchira namuka kusachinja-chinja kwakadaro, izvo sezvingatarisirwa haagoni vakasununguka anobviswa. Dzimwe nguva, kuti kuchiparadza, unofanira kuridza nzeve dzenyu zvakare.

Kazhinji vana vaduku vanoshora kushandiswa Politzer nzira. Panyaya iyi, mwana anoiswa kumusana kwake, kugadzira nzvimbo yacho. Zvadaro rimwe pamhino mudziyo akaisa muromo, uye mumwe chifukidziro aine chigunwe. Mwana anofanira kusimudza muromo kusvikira panguva ino kudira yetea mvura. Panguva iri kumedza kwacho ikaridzwa mhepo. Kana paine kurova-rova-kufanana kuvhara zviri auditory chubhu ndima kana adenoid zvinyama kuchaita kuomerera zvakananga kwariri, ipapo rokuchenesa hakushandi.

Zvipi nzira iyi

Zvino mubvunzo unomuka - kana zvichibvira kuvhuvhuta nzeve dzako? Hongu, Zvisinei, kana chikuru chinokonzera chirwere akatsiga dysfunction pamusoro auditory chubhu, tariro migumisiro yakanaka chete kana procleaning muviri zvakanaka zvakaoma. Vazhinji vevana vanova vachirwara secretory otitis zvenhau, kutsoropodza intratimpanalnoe kufurirwa Zvakacherechedzwa somugumisiro nzira tympanometry. Mushure Flushing nzeve Politzer chibharuma nevezera ari tympanic sinus, kazhinji nani, asi pashure maminitsi 15-20, akadzokera kutanga padanho.

A refu kuramba uye yokururamisa pamusoro tympanic Kamudzira kana namira rine zviratidzo (kusanganisira akadzokorora shanduko tsandanyama marwadzo ari pakati nzeve), kuchenesa ndiyo isashande. Uye kunze, chinogona kuitika kuti achishuva nzeve dzenyu nomukondombera.

The kushanda pazvaiitika

Kunyange kana isu funga mugumisiro rokuchenesa nzeve tichigara otitis vezvenhau sezvo kwekanguva pamusoro, zvose zvakafanana, kwakadaro nzira ingava zvakanaka nokuda massaging kwayo chiito. At mumwe Flushing eardrum anoshandura nzvimbo yayo, kuti unbent constricted tsandanyama mudzira tensioning Kamudzira, uye huve zinyekenyeke ossicles majoini. Asi izvi zvose ine zvainoreva iri kudzivirira namira pezvakaitwa ari tympanic sinus, uye ankylosis mbeu.

vanofanira kuziva

Zvinofanira kunzwisiswa kuti Kuchenesa kunodiwa nzeve nokungwarira akaipisisa, havashandisi kunyanyisa mhepo nevezera kwete kuputsa hwindo Kamudzira pamusoro cochlea uye eardrum. Pane mukana kudzikira, zvichiratidza mukana nokuputsa hochekoche auditory ossicles. yematambudziko izvi angatanga pa procleaning nzeve panguva Valsalva nzira, kana mhepo kufurirwa ari auditory chubhu zvinogona dzakakwirira zvikuru.

Pane rudzi metered Flushing nzeve. Zvinokurudzirwa kuti samoproduvanie kwakadaro nekaupenyu zvinyoronyoro nzira: kuti nzwara yepamhino neminwe yenyu uye puffing panze matama ake, zvichiita pakuparadza kufamba. Izvi ndizvo itsige kupfuura nyore nzira Valsalva.

Kuchenesa nzeve tichibatsirwa masaja

How kuvhuvhuta nzeve dzenyu kumba? Kunogonawo Via pneumomassage eardrum kuitwa manually massaging tragus, zvakasimba nokuvhara pomukova auditory orifice. It inogonawo kushandiswa kana vakaparadzana fanera Siegl pnevmomassazher unobereka mhepo iri nzeve kudzvanya lumen uye pakudaro chinowedzera mapfupa uye eardrum.

Varwere vakawanda cherechedzai kuti utano hwavo huri nani nokuda massaging munwe tragus. Zvinokoshawo kuti Implementation kuti chiitiko ichi (uye kana unofanira kuridza nzeve dzenyu zvakare) murwere musoro akangokungawo kurutivi utano nzeve. Nekuti nguva dzose sunga mhepo eardrum, vachisaidzira nechomukati, anosandudzira goho unotevera chikamu Urume kuunganidza ari dhiramu zvakaitika auditory chubhu.

Pamwe anobudisa mushonga zvishoma nezvishoma

Nzira iyi zvakanaka kuti zvinokwanisika kuchenesa nzeve rimwe chete, uye auditory chubhu raitongwa zvinodhaka. Steel nzeve anobudisa mushonga zvishoma nezvishoma inodiwa saizi (musiyano pakati pavo ari vaverengwa) pashure regadziriro anemizatsii nasal mhango uye zvemapapu vomunharaunda yokutindivadza zviri nasal ndima mucous rusvingo nokungwarira akararamawo yomukati pamhino uye kutsiva ayo curved muromo kuti nokuvhura Eustachian chubhu. Uye ikozvino unogona kunzwisisa sei zvakanaka kuridza nzeve.

Achishandisa Politzer okuita, uyewo otoscope, iyo rinobatanidza nzeve murwere kuti muviri chiremba, akanzwa inzwi zvakajeka uchiitirwa nomumhepo auditory chubhu. Somugumisiro muitiro wakadaro kutaurwa muna zvinodiwa udzamu zvinodhaka distal anobudisa mushonga zvishoma nezvishoma vakaparadzana, uye mudziyo Politzer mumiririri ikaridzwa pamwe mhepo. The yose kuchenesa kwacho rinodzorwa achishandisa otoscope.

diagnosing otitis

The chirwere ane chirwere kazhinji vaiita otolaryngologist. Kana murwere ane kufungira zviratidzo pakarepo kunodiwa kuona nyanzvi, uye achakuudzai sei kuti kuridza nzeve dzenyu kumba. Zvinofanira kucherechedzwa kuti kuziva otitis vezvenhau vana rakaoma nokuda shoma nomumukanwa kuonana nachiremba ane mwana.

contraindication

Cleaning nzeve kukuvadza kana paine rikwanise kuzvimba mumhino uye nasopharynx chokuita mukana skid mhepo aibuda utachiona vari tympanic sinus, uyewo paumbwe uye rikwanise purulent otitis zvenhau.

Matambudziko uye fungidziro

Zvimwe kutevera kudzikira, kana hosha akaita shoma kurapa, kana hazvina ruchapera:

• pfungwa pute;
• mastoiditis (kuzvimba mastoid), apo oparesheni zvakakodzera;
• yomumuzongoza.

The kushurudzira kurudyi uye zvakakodzera dambudziko otitis zvakanaka. Asi zviri nani kuti kuedza nguva dzose zvichengetedze, kurega inotonhorera uye vhuvhuta nzvimbo, saka imi regai kubvunza mibvunzo - anogona kuridza nzeve chiremba, izvo ipapo kukumbira rubatsiro.