Indlela ukuba avuthele iindlebe zakho ekhaya

Otitis media - yinto uhlobo otitis, nto leyo kubetha nkqu iindlebe zombini. Ukuthintela ukuyilwa isifo kunye nothintelo bayo zama ukuwavuthela ezindlebeni zakho.

Yintoni otitis

Otitis yi isifo yokukrala nendlebe. Nesi sifo, nangokurhala, ubovu oluhlala apho endlebeni kwisisu. Ekubeni esi sifo nazo naziphi na ubudala, kodwa kaninzi kubonwa ebantwaneni. Abasafunda ukuhamba ngokuphindaphindiweyo izifo indlebe ziyazibhaqekela ngenxa ingakumbi yokwakheka phakathi Isakhiwo indlebe: ityhubhu (ekuva) mfutshane ebantwaneni ngaphezu abadala, oko phantse tyaba kwaye akukho nezibaya zemihlambi. Loo isakhiwo indlebe umntwana yenza kube umthondo lula zokugula nendlebe kwisisu. Ebudeni beminyaka yokuqala-3 yobomi kwenye kwi-80% abantwana abaphethwe otitis kanye.

iindlebe Kungani ukuhlanjululwa

Ukucoca ityhubhu eziviwayo sazisa umoya umlambo zasesekondari phantsi koxinzelelo yakhe indlebe kunye iinjongo zonyango noxilongo. Iindawo bayacetyiswa ukuba benze uthomalaliso ngayo neziphumo ezibi, nangokurhala ezingapheliyo sendlebe oluphakathi kunye nasemva tympanoplasty.

kuhlambulula indlela Valsalva

Loo ndlela yayigqalwa samoprochistki kakhulu elula. Kule nkqubo isigulane kufuneka wolitshayela indlebe nge impumlo, iminwe yakhe, kunye ombane ziqala ukuba avuthele umoya ungena kulo nasopharynx kungena tube eziviwayo. le ndlela imiba ezingalunganga:

• amathuba uqhekeko le indlebe, ukuba wenza umzamo omkhulu;
• ekhupha ukosuleleka kunye netuwa ukusuka ngeempumlo sinus ukuya endlebeni phakathi;
• indlebe enye kuphela buya kucanyagushelwa ngale nto;
• nokungakwazi ukulinganisa umthamo umoya ongenayo;
• akunakwenzeka ukuba bafake amayeza kungena tube eustachian.

indlela Kulungiswe Politzer

Xa unyango izigulane eendaba exudative otitis ngokucoca ityhubhu yerabha eqhagamshelwe isikhongozeli kunye neminquma yenziwa ukuvelisa uxinzelelo lomoya ukuvula ityhubhu sicatshulwa izandi ukususa exudate, behlangana kwisisu tympanic.

Indlela ukuvuthela iindlebe ngale ndlela? Ukuze wenze makazichaze, kufuneka kuqala enze ecocekileyo anemisation pharyngeal orifice wendlebe kunye nodonga nasopharyngeal. Ngokuba lo ngeempumlo inspiratory ukutshiza-3% ethyl ephedrine chloride (1 ml) kwaye zixutywe 0.1% epinephrine isisombululo (1 drop). Esi siganeko lwenziwa izihlandlo ezininzi ngaphandle ume emva kwesithuba imizuzu 3-5. Ukuba atomizer akakho, ngoko ityhubhu ngeempumlo ukuze nxeba cotton wool simanzi kakuhle ephedrine uthe ngokwendiselana, yaye indlela sihlanjululwe iindlebe.

zihlole ngoku kufuneka bangene sinus ngeempumlo (endaweni "isigulane" iityhubhu) yonke indlela ukuya ngasemva iqokobhe pharynx. Ngoko ke kufuneka ukuba aqhele oko umva kancinci, ukubeka ityala phezu indlebe isibetho ukuya uboya kumbhobho laphalala anemiziruyuschy isisombululo. Emva kwemizuzu embalwa, phenyo asuswe uze uqhubeke neenkqubo yesibini lokucoca point. Intloko yomguli ithe zocaphulo kwelinye icala, tilting oko phambili, uze uvule kwicala sempilweni, kwindlebe abachaphazelekayo yaba ngaphezulu, kwaye ityhubhu waba nkqo, kwaye exudate unako uya kulophisela ukusuka kwisisu tympanic phantsi tube eziviwayo. Kwaye ngoku mhlawumbi abaninzi sele kucaca ukuba avuthele indlela iindlebe zakho otitis.

I-air eyanele kwi sinus igubu, ukwanda koxinzelelo intratimpanalnoe utsalo ngapandle inxalenye bhetyebhetye leyo ngenxa luthambe ethatha indawo yokuqala, kancinane ulwelo, waqokelela kufuphi esisekuqaleni tube eziviwayo. Kwiimeko ezithile, ezifana wokucoca yanele ukuba kuzuzwe iziphumo ezinqwenelekayo. Noko ke, oko kuyenzeka ukuba patency tube ezikhalayo kuqaliswe ngokupheleleyo, kodwa exudate ngexesha izifo abanemfundo guquki incangathi, ngokwemvelo ayikwazi bakhutshwe ngokukhululekileyo. Ngamanye amaxesha, ukuba ayibulale, kufuneka kwakhona ukuwavuthela ezindlebeni zakho.

Abantwana Small bayayichasa ukusetyenziswa indlela Politzer. Kulo mzekelo, usana ibekwe emqolo, ukulungisa indawo yayo. Ngoko sityeni sinye ethatheni ukucwangcisa kwincam, yaye elinye iqhinga ngomnwe. Umntwana kufuneka aphakamise umlomo ngeli xesha ekwakuthululwa itispuni amanzi. Ngexesha inkqubo ligwinya iphetshethelwe emoyeni. Ukuba kukho iphaphazelise-ezifana nokuvalwa lokudlula tube eziviwayo okanye izihlunu adenoid iza kuhambelana ngqo nawo, ukucocwa akusayi kusebenza.

Ethile yale ndlela

Kwaye ke nanku umbuzo - nokuba kunokwenzeka ukuba avuthele ezindlebeni zakho? Ewe, kunjalo, xa ngumba ongundoqo sifo kwekhono zizinze ze ityhubhu ezikhalayo, ithemba nemiphumo emihle kuphela xa procleaning umzimba nzima. Uninzi lwabantwana beguliswa secretory otitis eendaba, ezibalulekileyo ingcinezelo intratimpanalnoe kuye kwaphawulwa ngenxa ye tympanometry indlela. Emva siwasebenzise indlebe Politzer ibhaluni xi nga sinus tympanic, ngokuqhelekileyo ngcono, kodwa emva kwemizuzu 15-20, wabuyela kwinqanaba lokuqala.

A waphikelela elide elirhoxisa le inwebu tympanic ukuba iglu ukuba iimpawu (kubandakanywa utshintsho iyaphindwa izihlunu yindibanisela nendlebe), ukucoca yinto nokungaphumeleli kwawo. Kwaye ngaphandle, nto inokwenzeka ukuba buhlungu iindlebe zenu zingaphaphatheki.

Ukusebenziseka isiganeko

Nokuba siqwalasela umphumo ekucoceni indlebe kunye losasazo rhoqo otitis nje okwethutyana phezu, noko kunjalo, le nkqubo ukuze ilunge ngenxa wesenzo umphululela. Kwi ngalinye siwasebenzise indlebe litshintsha indawo yayo, ukuze unbent constricted izihlunu imicu tensioning inwebu, kwaye mngquli ossicles kwamalunga. konke oku Kodwa sibalulekile nokuthintela iinkqubo kwakuse kwi sinus tympanic, kunye nembewu ankylosis.

udinga ukuba ukwazi

Kufuneka kuqondwe ukuba ihlanjululwe kufuneka iindlebe ngononophelo kakhulu, musa ukusebenzisa uxinzelelo lomoya ngokugqithiseleyo ukuba ndimaphule window inwebu ye njengecochlea kunye indlebe. Kukho ithuba imandundu, ebonisa amathuba zokwaphula umqokozo ossicles eziviwayo. Ezi iingxaki baqalise kwi procleaning indlebe ngexesha Valsalva indlela, xa uxinzelelo lomoya kwi ityhubhu eziviwayo kunokuba kakhulu phezulu.

Kukho uhlobo ngeendlebe yokugungxula ngomgama. Kucetyiswa ukuba samoproduvanie loo ndlela gentle kakhulu: songe impumlo ngeminwe yakho lifutha ezidleleni zakhe, benza baginye intshukumo. Le effect uqinile ngaphezu kwi indlela elula Valsalva.

Ukucoca izikhwebu ngoncedo massage

Indlela ukuba avuthele iindlebe zakho ekhaya? Ngaba kwakhona nge pneumomassage indlebe owenziwayo ngesandla umphululela tragus, ambathe lokuvala emnyango orifice eziviwayo. Kwakhona lungasetyenziswa ifanele eyahlukileyo Siegl pnevmomassazher leyo uvelisa umoya ibiselidubule ngokucinezela mithambo ngoko kunegalelo amathambo kunye indlebe.

Izigulane ezininzi phawula ukuba impilo yabo iba ngcono ngokuthi umphululela umnwe tragus. Kwakhona kubalulekile ukuba ukuphunyezwa kwalo mcimbi (kwaye xa kufuneka ukuba avuthele iindlebe zakho) zentloko yomguli zithambekele kwindlebe esempilweni. Ngenxa rhoqo izishunqulelo umoya indlebe, ucinezele ngaphakathi, utyhala imveliso inxalenye elandelayo kolwelo lokwandisa kwi igubu kudlula ithumbu eziviwayo.

Ngenxa catheter

Le ndlela kulungileyo ukuba kunokwenzeka ukucoca indlebe omnye kuphela, kwaye ityhubhu eziviwayo alawulwa iziyobisi. Steel indlebe catheter ubungakanani ezifunekayo (umahluko phakathi kwabo kwi elinamanani) emva yamalungiselelo anemizatsii kwisisu ngeempumlo kunye nemiphunga ye zomzimba yasekuhlaleni ngeempumlo sesicatshulwa yangaphakathi eludongeni hlengiswa ngenyameko ethatheni yangaphakathi kwaye endaweni ngomlomo wayo egosogoso lokuvula ithumbu Eustachian. Kwaye ngoku uyakwazi ukuqonda ukuba avuthele ezindlebeni indlela efanelekileyo.

Esebenzisa Politzer umthamo, kunye otoscope, edityaniswe indlebe yomguli emzimbeni kagqirha, weva isandi ecacileyo kuqhutywa nge ityhubhu emoyeni eziviwayo. Ngenxa yokuba le nkqubo usiwe ubunzulu iziyobisi olifunayo catheter distal ababezahlule, isitya arhente Politzer ophephuka kunye nomoya. Inkqubo yonke yokucoca kulawulwa ngapha i otoscope.

otitis ekuxilongweni

Lokufunyaniswa sisifo ngokuqhelekileyo benza otolaryngologist. Ukuba isigulana umntu naziphi na iimpawu ibitheni kwangoko ukubona oyingcaphephe, yaye yena uya kukuxelela ukuba avuthele iindlebe zakho ekhaya. Kufuneka kuqatshelwe ukuba ukuqondwa kwe kumajelo otitis ebantwaneni intsonkothile ngenxa xirho yomlomo ugqirha kunye nomntwana.

contraindication

Ukucoca iindlebe eziyingozi xa kukho ukudumba yondele kwi impumlo kunye nasopharynx ngokunxulumene amathuba skid umoya ukuhamba kwamagciwane kwi sinus tympanic, kwakunye kusekwe kwaye etsolo ubovu otitis eendaba.

Iingxaki abantu abane

Mhlawumbi emva ukuvuthuluka, ukuba isifo wenza unyango asanelanga, okanye ibingaziswa esiphelweni:

• ithumba ubuchopho;
• mastoiditis (ukudumba mastoid), apho usebenzo kuyimfuneko;
• meningitis.

Sase- kwindawo yokucocwa ekunene kwaye ezifanelekileyo otitis ezintle. Kodwa ke kubhetele ukuba uzame ukuba kusoloko ukuthatha unonophelo wena, uphambuke iindawo epholileyo kwaye kukho umoya, ukuze ningaceli imibuzo - nga kuvuthela ugqirha indlebe, ngoko kufuneka ucele uncedo.