Thandizo loyamba la matupi achilendo mu khutu

Thupi lachilendo lomwe lalowa m'makutu limakhala ndi chiyambi komanso organic. Mankhwala (mapiritsi, makapisozi) komanso pulagi wamba wa sulfure amatha kukhala chinthu chachilendo. Sulfure mu mawonekedwe a stony conglomerate yokhala ndi m'mbali zopindika imayambitsa kupweteka kwambiri komanso kumayambitsa kusamva. Nthawi zambiri, thupi lachilendo likalowa mumsewu wakunja, kutupa kumachitika ndipo mafinya amawunjikana ngati sanachotsedwe munthawi yake.

Mwa kuwononga minyewa ya chiwalo chakumva, thupi lachilendo lingayambitse zovuta zazikulu, choncho thandizo loyamba ladzidzidzi ndiloyenera. Munthu angathe kutulutsa zinthu zina m’ngalande ya khutu yekha, ngakhale popanda maphunziro a zachipatala. Koma nthawi zambiri kuyesa kutulutsa thupi lachilendo kumangowonjezera vutoli ndikuvulaza ngalande ya osteochondral. Ndibwino kuti musayambe kudzithandizira, koma kupeza chithandizo chamankhwala oyenerera.

Maonekedwe a matupi achilendo kulowa m'gulu la kumva

Thupi lachilendo la khutu ndi chinthu chomwe chalowa mumtsinje wakunja wa khutu, mkatikati mwa khutu lamkati kapena lapakati. Zinthu zomwe zinatha mu chiwalo chakumva zingakhale: mbali za chithandizo chakumva; khutu; tizilombo tamoyo; tizilombo; zomera; ubweya wa thonje; pulasitiki; pepala; zidole zazing'ono za ana; miyala ndi zina zotero.

Chinthu chachilendo m'makutu chimayambitsa kupweteka kwakukulu, nthawi zina pangakhale: kumva kutayika; nseru; masanzi; chizungulire; kukomoka; kumva kupsyinjika mu ngalande ya khutu. N'zotheka kuzindikira kulowetsa kwa chinthu chachilendo mumtsinje wa osteochondral pogwiritsa ntchito njira yotchedwa otoscopy mu mankhwala. Chinthu chachilendo chimachotsedwa m'njira zosiyanasiyana, kusankha njira kumatsimikiziridwa ndi magawo ndi mawonekedwe a thupi. Pali njira zitatu zodziwika zochotsera chinthu kuchokera ku khutu: kuchitapo kanthu opaleshoni; kuchotsa pogwiritsa ntchito zida zofunika; kusamba.

Otolaryngologists amagawaniza zinthu zakunja za khutu mkati ndi kunja. Nthawi zambiri, zinthu zakunja ndi zakunja - zidalowa m'bowo la chiwalo kuchokera kunja. Zinthu zopezeka mu ngalande ya khutu zimagawidwa m'magulu awiri: inert (mabatani, zidole, tizigawo tating'ono, pulasitiki ya thovu) ndikukhala (mphutsi, ntchentche, udzudzu, mphemvu).

Zizindikiro zosonyeza kuti chinthu chachilendo chalowa m'khutu

Nthawi zambiri, matupi opanda mphamvu amatha kukhala m'makutu kwa nthawi yayitali ndipo samayambitsa kupweteka komanso kusamva bwino, koma chifukwa cha kukhalapo kwawo m'chiwalocho, kumva kusokonezeka kumachitika, kumva kumachepa ndipo kumva kufooka kumayamba. Poyamba, chinthu chikalowa m'khutu, munthu amatha kumva kukhalapo kwake mu ngalande ya khutu pamene akuthamanga, akuyenda, akuwerama kapena kumbali.

Ngati tizilombo tili mu ngalande ya osteochondral, mayendedwe ake amakwiyitsa ngalande ya khutu ndikuyambitsa kusapeza bwino. Matupi achilendo amoyo nthawi zambiri amayambitsa kuyabwa kwakukulu, kuyaka m'khutu ndipo amafuna thandizo loyamba.

Chofunika kwambiri cha chithandizo choyamba pamene thupi lachilendo limalowa m'makutu

Njira yodziwika bwino yochotsera chinthu chachilendo m'makutu ndikutsuka. Kuti muchite izi, mudzafunika madzi otentha otentha, yankho la boron XNUMX%, potaziyamu permanganate, furatsilin ndi syringe yotaya. Panthawi yogwiritsira ntchito, madzi a mu syringe amamasulidwa bwino kwambiri kuti asawononge makina a eardrum. Ngati pali kukayikira kuvulazidwa kwa nembanemba, ndikoletsedwa kutulutsa chiwalocho.

Ngati tizilombo tatsamira m'khutu, chamoyocho chiyenera kukhala chosasunthika. Kuti tichite izi, madontho 7-10 a glycerin, mowa kapena mafuta amatsanuliridwa mu ngalande ya khutu, ndiye chinthu chopanda pake chimachotsedwa ku chiwalo mwa kutsuka ngalande. Zomera monga nandolo, nyemba kapena nyemba ziyenera kuthiridwa madzi ndi XNUMX% boron solution musanachotse. Mothandizidwa ndi boric acid, thupi lotsekeredwa lidzakhala laling'ono mu voliyumu ndipo lidzakhala losavuta kulichotsa.

Ndizoletsedwa kuchotsa chinthu chachilendo ndi zinthu zosasinthika, monga machesi, singano, mapini kapena zikhomo. Chifukwa cha kusintha koteroko, thupi lachilendo likhoza kukankhira mkati mwa ngalande ya makutu ndi kuvulaza khutu la khutu. Ngati kusamba kunyumba sikuthandiza, munthu ayenera kufunsa dokotala. Ngati chinthu chachilendo chalowa m'mafupa a khutu la khutu kapena chokhazikika mu tympanic cavity, chikhoza kuchotsedwa ndi katswiri panthawi ya opaleshoni.

Ngati thupi lachilendo limalowa mkati mwa chiwalo chakumva, pali chiopsezo chachikulu cha kuwonongeka:

• tympanic cavity ndi membrane;
• makutu chubu;
• khutu lapakati, kuphatikizapo antrum;
• minyewa ya nkhope.

Chifukwa cha kuvulala kwa khutu, pali chiopsezo chotaya magazi ambiri kuchokera ku babu la mtsempha wa jugular, venous sinuses kapena carotid artery. Pambuyo pa kukha magazi, nthawi zambiri kusokonezeka kwa vestibular ndi makutu kumachitika, chifukwa chake phokoso lamphamvu m'makutu, vestibular ataxia ndi autonomic reaction zimachitika.

Dokotala adzatha kuzindikira kuvulala kwa khutu ataphunzira mbiri yachipatala, madandaulo a odwala, kuchita otoscopy, x-rays ndi matenda ena. Pofuna kupewa zovuta zambiri (kutuluka magazi, kuvulala kwa intracranial, sepsis), wodwalayo amagonekedwa m'chipatala ndipo chithandizo chapadera chimachitika.

Thandizo loyamba kwa thupi losakhala lachilendo m'makutu

Zinthu zing'onozing'ono sizimayambitsa kupweteka kwambiri komanso kusokonezeka, choncho, ngati zizindikirika, njira yochotseramo idzakhala pafupifupi yopanda ululu. Zinthu zazikuluzikulu zimalepheretsa mafunde a mawu kudzera mu chubu chomveka ndipo zimapangitsa kuti munthu asamve. Chinthu chachilendo chomwe chili ndi ngodya zakuthwa nthawi zambiri chimavulaza khungu la khutu ndi mphuno ya tympanic, motero kumayambitsa ululu ndi magazi. Ngati pali bala mu chiwalo, matenda amalowa mkati mwake ndipo kutupa kwa khutu lapakati kumachitika.

Pa chithandizo choyamba chamankhwala pamene thupi lachilendo lopanda moyo limalowa m'chiwalo chakumva, muyenera kulankhulana ndi otolaryngologist. Choyamba, dokotala amayang'ana ngalande yakunja: ndi dzanja limodzi, dokotala amakoka auricle ndikuyiwongolera ndikubwerera. Pofufuza mwana wamng'ono, otolaryngologist amasuntha chipolopolo cha khutu pansi, kenako kubwerera.

Ngati wodwalayo adatembenukira kwa katswiri pa tsiku lachiwiri kapena lachitatu la matenda, kuyang'ana kwa chinthu chachilendo kudzakhala kovuta kwambiri ndipo microotoscopy kapena otoscopy zingakhale zofunikira. Ngati wodwalayo ali ndi kumaliseche, ndiye kuti kusanthula kwawo kwa bacteriological ndi microscopy kumachitika. Ngati chinthu chimalowa m'makutu mwa kuvulala kwa chiwalocho, katswiriyo amalembera X-ray.

Sikoyenera kuyesa kuchotsa thupi lachilendo nokha, popanda zida zofunikira zosabala komanso chidziwitso chachipatala. Ngati kuyesayesa kolakwika kuchitidwa kuchotsa chinthu chopanda moyo, munthu akhoza kuwononga ngalande ya osteochondral ndikuyambitsanso kwambiri.

Njira yosavuta yochotsera chinthu ku chiwalo cha makutu ndi kutsuka kwachirengedwe. Adokotala amatenthetsa madziwo, kenako amawakokera mu syringe yotayidwa ndi cannula. Kenako, katswiri amaika mapeto a cannula mu chubu chomveka ndikutsanulira madzi pansi pa kupanikizika pang'ono. Otolaryngologist amatha kuchita izi kuyambira 1 mpaka 4. Mankhwala ena mwa njira yothetsera akhoza kuwonjezeredwa kumadzi wamba. Ngati madzimadzi amakhalabe m'makutu, ayenera kuchotsedwa ndi turunda. Kuwongolera kumatsutsana ngati batri, thupi lochepa thupi komanso lathyathyathya limakhazikika mumsewu wakunja, chifukwa amatha kulowa mkati mwa khutu mopanikizika.

Dokotala akhoza kuchotsa chinthu chachilendo mothandizidwa ndi mbedza ya khutu yomwe imadutsa kumbuyo kwake ndikuchichotsa ku chiwalocho. Panthawiyi, kuyang'anitsitsa kuyenera kuchitika. Ngati wodwalayo sakumva kupweteka kwambiri, ndiye kuti chinthucho chikhoza kuchotsedwa popanda anesthesia. Odwala ang'onoang'ono amapatsidwa opaleshoni.

Mukamaliza kugwiritsira ntchito, chinthucho chikachotsedwa mumtsinje wa osteochondral, otolaryngologist amachita kafukufuku wachiwiri wa chiwalocho. Ngati katswiri awona mabala m'chiwalo chakumva, ayenera kuthandizidwa ndi boron solution kapena mankhwala ena ophera tizilombo. Pambuyo pochotsa thupi lachilendo, dokotala amalembera mafuta oletsa makutu a antibacterial.

Ndi kutupa kwakukulu ndi kutupa kwa ngalande ya osteochondral, chinthucho sichikhoza kuchotsedwa. Muyenera kudikirira masiku angapo, pomwe wodwalayo ayenera kumwa mankhwala odana ndi kutupa, antibacterial ndi decongestant. Ngati chinthu chachilendo sichingachotsedwe m'makutu ndi zida komanso m'njira zosiyanasiyana, otolaryngologist amalimbikitsa kuti achitepo opaleshoni.

Chisamaliro chadzidzidzi ngati thupi lachilendo limalowa m'chiwalo chakumva

Chinthu chamoyo chachilendo chikalowa m'khutu, chimayamba kusuntha mumtsinje wa khutu, motero zimapatsa munthuyo kukhumudwa kwambiri. Wodwala, chifukwa cha kulowetsedwa kwa tizilombo, amayamba nseru, chizungulire ndi kusanza. Ana aang'ono amakhala ndi khunyu. Otoscopy amalola kuzindikira chinthu chamoyo mu chiwalo.

Katswiri wa otolaryngologist poyamba amalepheretsa tizilombo ndi madontho ochepa a mowa wa ethyl kapena mankhwala opangidwa ndi mafuta. Kenako, njira yotsuka fupa-cartilaginous ngalande ikuchitika. Ngati kusinthako sikunagwire ntchito, dokotala amachotsa tizilombo ndi mbedza kapena tweezers.

Kuchotsa Sulfur Plug

Kuchuluka kwa sulfure kumachitika chifukwa cha kuchuluka kwa kupanga kwake, kupindika kwa ngalande ya osteochondral, komanso ukhondo wamakutu wosayenera. Pamene pulagi ya sulfure imapezeka, munthu amakhala ndi kumverera kwachisokonezo mu chiwalo chakumva ndi kupanikizika kowonjezereka. Chiwombankhangacho chikakumana ndi khutu la khutu, munthu akhoza kusokonezedwa ndi phokoso la chiwalocho. Thupi lachilendo likhoza kudziwika mwa kufufuza otolaryngologist kapena popanga otoscopy.

Ndi bwino kuchotsa pulagi ya sulfure ndi dokotala wodziwa zambiri. Asanayambe kutsuka, wodwalayo ayenera kudontheza madontho angapo a peroxide mu khutu kwa masiku 2-3 isanayambe mpheto kuti afewetse mtanda wa sulfuric ndikuthandizira kutulutsa kwake. Ngati izi sizikubweretsa zotsatira, dokotala amatha kuchotsa chinthu chachilendo.

Thandizo loyamba la thupi lachilendo mu khutu liyenera kuperekedwa ndi otolaryngologist woyenerera pambuyo pofufuza mwatsatanetsatane ndi kufufuza koyenera. Kusankhidwa kwa njira yochotsera chinthu chachilendo kumagwera pamapewa a dokotala. Katswiriyo samaganiziranso kukula kwake, mawonekedwe ndi mawonekedwe a thupi lomwe lalowa mumtsinje wa khutu, komanso zomwe wodwalayo amakonda. Kuchotsa chinthu m'makutu mwa kutsuka ndi njira yofatsa kwambiri yothandizira, yomwe mu 90% ya milandu imathandizira kuthetsa vutoli. Ngati kuchiza kuchiza sikuthandiza, dokotala amalimbikitsa kuchotsa thupi lachilendo ndi zida kapena opaleshoni. Kupereka chithandizo chadzidzidzi panthawi yake kungalepheretse kuchitika kwa zovuta komanso vuto lakumva m'tsogolomu.