Earwax ndi chinthu chomwe chimapangidwa ndi tiziwalo timene timatulutsa timadzi tomwe timakhala mu ngalande ya khutu yakunja. Sera ya makutu imeneyi monga momwe imatchulidwira nthawi zina imakhala ndi chitetezo chofunikira pamakutu athu. Komanso, ndikofunika kuti musayese kuyeretsa mozama kwambiri, pangozi yochititsa kuti pulagi ya earwax ipangidwe.

Khutu (kuchokera ku Latin "cera", sera) ndi chinthu chopangidwa mwachilengedwe ndi thupi, m'makutu.

Zobisika ndi zotupa za ceruminous zomwe zili mu gawo la cartilaginous la ngalande yakunja, khutu limapangidwa ndi zinthu zamafuta, ma amino acid ndi mchere, wosakanikirana ndi sebum yotulutsidwa ndi zotupa za sebaceous zomwe zimapezekanso munjira iyi, komanso zinyalala za keratin, tsitsi, fumbi, ndi zina zotero. Malingana ndi munthuyo, khutu la khutu likhoza kukhala lonyowa kapena louma malinga ndi kuchuluka kwa mafuta.

Khoma lakunja la tiziwalo timene timatulutsa timadzi ta ceruminous timakutidwa ndi maselo a minofu omwe, akagwidwa, amachotsa cerumen yomwe ili mu gland. Kenako imasakanikirana ndi sebum, imatenga mayendedwe amadzimadzi ndikuphimba makoma a gawo la cartilaginous la ngalande yakunja yamakutu. Kenaka amaumitsa, amasakaniza ndi khungu lakufa ndi tsitsi lomwe amatchera misampha, kuti apange khutu pakhomo pakhomo la khutu lakunja, khutu lomwe limatsukidwa nthawi zonse - likuwoneka lolakwika. .

M'malo mokhala "zinyalala", earwax imakwaniritsa maudindo osiyanasiyana:

• ntchito ya mafuta pakhungu la kunja Makutu ngalande;
• ntchito yoteteza ngalande yomveka yakunja popanga chotchinga chamankhwala komanso makina. Monga fyuluta, earwax imatha kugwira matupi akunja: mamba, fumbi, mabakiteriya, bowa, tizilombo, ndi zina;
• ntchito yodziyeretsa yokha ya ngalande yomvera komanso ya maselo a keratin omwe amapangidwanso kumeneko nthawi zonse.

Nthawi zina, khutu la khutu limasonkhanitsa mu ngalande ya khutu ndikupanga pulagi yomwe imatha kusokoneza kumva ndikupangitsa kusamva bwino. Chodabwitsa ichi chikhoza kukhala ndi zifukwa zosiyanasiyana:

• Kuyeretsa kosayenera ndi mobwerezabwereza kwa makutu ndi swab ya thonje, zotsatira zake ndizolimbikitsa kupanga makutu a khutu, komanso kukankhira kumbuyo pansi pa ngalande ya khutu;
• kusamba mobwerezabwereza chifukwa madzi, kutali ndi liquefying khutu, m'malo mwake kumawonjezera voliyumu yake;
• kugwiritsa ntchito makutu pafupipafupi;
• kuvala zothandizira kumva.

Anthu ena sachedwa kulumikiza makutu awa kuposa ena. Pali zifukwa zingapo za anatomical zomwe zimalepheretsa kutuluka kwa earwax kunja:

• minyewa yawo ya ceruminous mwachibadwa imatulutsa makutu ochulukirapo, pazifukwa zosadziwika;
• kukhalapo kwa tsitsi lochuluka mu ngalande yomvetsera kunja, kuteteza khutu kuti lisatuluke bwino;
• pang'ono m'mimba mwake khutu ngalande, makamaka ana.

Ndibwino kuti musayese kuchotsa khutu nokha ndi chinthu chilichonse (thonje swab, tweezers, singano, etc.), pangozi yowononga ngalande ya khutu.

Ndizotheka kupeza m'ma pharmacies mankhwala a cerumenolytic omwe amathandizira kuthetsa pulagi ya cerumen poyisungunula. Nthawi zambiri ndi mankhwala opangidwa ndi xylene, zosungunulira za lipophilic. Mukhozanso kugwiritsa ntchito madzi ofunda ndi kuwonjezera soda kapena hydrogen peroxide, kusiya kwa mphindi khumi khutu. Chenjezo: Njira zimenezi zophatikizapo zamadzimadzi m’khutu siziyenera kugwiritsidwa ntchito ngati pali chikayikiro cha kuboola m’khutu.

Kudula kwa pulagi ya earwax kumachitika muofesi, pogwiritsa ntchito curette, chogwirira chaching'ono kapena mbedza yaying'ono pamakona abwino ndi / kapena kugwiritsa ntchito kuyamwa kuti muchotse zinyalala papulagi. Mankhwala a cerumenolytic angagwiritsidwe ntchito kale mu ngalande yakunja yakunja kuti mufewetse pulagi ya mucous ikakhala yovuta kwambiri. Njira ina ndiyo kuthirira khutu ndi kajeti kakang'ono kamadzi ofunda, pogwiritsa ntchito peyala kapena syringe yokhala ndi chubu chofewa, kuti aphwanye pulagi ya mucous.

Pambuyo pochotsa pulagi ya earwax, dokotala wa ENT adzayang'ana kumva pogwiritsa ntchito audiogram. Mapulagi a Earwax nthawi zambiri samayambitsa zovuta zilizonse. Komabe, nthawi zina zimayambitsa otitis externa (kutupa kwa kunja Makutu ngalande).

Prevention

Ndi ntchito yake yopaka mafuta komanso yolepheretsa, earwax ndi chinthu choteteza khutu. Choncho sayenera kuchotsedwa. Gawo lokhalo lowoneka la ngalande ya khutu lingathe, ngati kuli kofunikira, kutsukidwa ndi nsalu yonyowa kapena yosamba, mwachitsanzo. Mwachidule, ndi bwino kukhutitsidwa ndi kuyeretsa khutu la khutu lomwe mwachibadwa limatulutsidwa ndi khutu, koma osayang'ana mopitirira mumtsinje wa khutu.

French ENT Society imalimbikitsa kuti musagwiritse ntchito thonje la thonje kuti muyeretse bwino khutu kuti mupewe mapulagi a m'makutu, zilonda zam'makutu (mwa kupanikizana kwa pulagi ku eardrum) komanso chikanga ndi matenda omwe amavomerezedwa ndi kugwiritsidwa ntchito mobwerezabwereza kwa thonje. Akatswiri amalangizanso kuti asagwiritse ntchito mankhwala omwe amatsuka khutu, monga makandulo a khutu. Kafukufuku wasonyeza kuti kandulo ya khutu inali yosagwira ntchito poyeretsa khutu.

Zizindikiro zosiyanasiyana zitha kuwonetsa kukhalapo kwa pulagi ya earwax:

• kuchepa kwa kumva;
• kumva kwa makutu otsekedwa;
• kulira m'khutu, tinnitus;
• kuyabwa;
• kupweteka kwa khutu.

Mukakumana ndi zizindikiro izi, muyenera kufunsa dokotala kapena ENT dokotala. Kufufuza pogwiritsa ntchito otoscope (chida chokhala ndi gwero lounikira ndi lens yokulirapo kuti auscultation of out auditory canal) ndikwanira kuzindikira kukhalapo kwa pulagi ya earwax.