Otorrhagia imatuluka kuchokera m'khutu, yomwe nthawi zambiri imagwirizanitsidwa ndi kuvulala kwa khutu lakunja kapena lapakati, koma lomwe lingakhale lotupa kapena loyambitsa matenda. Nthawi zambiri zimakhala zabwino, kupatula ngati zavulala kwambiri komanso kuphulika kwa khutu. Zoyenera kuchita zimadalira chiyambi chake.

Tanthauzo

Otorrhagia imatanthauzidwa ngati kutuluka kwa magazi kupyolera mu nyama yomvera, ndiko kuti kutsegula kwa ngalande ya kunja kwa makutu, kutsatira zoopsa, matenda kapena kutupa.

Magazi amatha kukhala oyera kapena osakanikirana ndi purulent secretions.

Zimayambitsa

Nthawi zambiri otorrhagia imachokera ku zoopsa. Nthawi zambiri, ndi chilonda chosaopsa cha ngalande ya khutu yakunja yopangidwa ndi kuyeretsa ndi thonje swab kwambiri, ndi chinthu china kapena ngakhale kukanda kosavuta.

Muzochitika zowopsa kwambiri, kuvulala kumeneku kumapezeka pakati pa khutu ndipo kumatsagana ndi bala la eardrum (kansalu kakang'ono kamene kamalekanitsa ngalande ya kunja kwa khutu lapakati), nthawi zina kusonyeza kuwonongeka kwakukulu. : zotupa za unyolo wa ossicles, kusweka kwa thanthwe ...

Zowopsa izi zimachitika mumitundu yosiyanasiyana:

• kuvulala mutu (ngozi yagalimoto kapena masewera, kugwa, etc.),
• kuvulala komwe kumalumikizidwa ndi kuwonjezereka kwadzidzidzi: kuphulika kwa khutu (kuwonongeka kwa chiwalo chifukwa cha kuphulika ndi kuphulika kwa mawu) pambuyo pa kuphulika, kapena ngakhale kumenya khutu, ngozi ya diving (barotrauma) ...

Pachimake kapena chosachiritsika otitis media (makamaka owopsa aakulu otitis chifukwa cha kukhalapo kwa cholesteatoma khungu chotupa mu eardrum) nthawi zina kumayambitsa otorrhagia.

Zomwe zimayambitsa otorrhagia zimaphatikizapo kutupa kwa polyps ndi granulomas komanso zotupa zotupa.

matenda

The matenda zachokera makamaka kufunsa wodwala, amene cholinga chake kudziwa zinthu isanayambike magazi ndi mbiri iliyonse ya ENT.

Kuwunika kwa kutulutsa ndi kuwunika kwachipatala kumatsimikizira matendawa. Kuti muwone bwino ngalande yakunja ndi khutu la khutu, dokotala amapanga otoscopy. Uku ndikuwunika kwa khutu komwe kumachitidwa pogwiritsa ntchito chipangizo choyang'ana pamanja chotchedwa otoscope kapena ma binocular microscope - chomwe chimapereka kuwala kwamphamvu kwambiri koma kumafuna kusasunthika kwa mutu - , kapena oto-endoscope, yomwe imakhala ndi probe yoikidwa. ndi optical system ndi njira yowunikira.

Malingana ndi zomwe zimayambitsa otorrhagia, mayesero ena angafunike:

• kujambula zithunzi (ma scanner kapena MRI),
• acumetry (kuyesa kumva), audiometry (muyeso wakumva),
• chifuwa,
• Zitsanzo za khutu zoyezetsa mabakiteriya ...

Anthu okhudzidwa

Kutuluka magazi m'khutu ndizovuta kwambiri. Aliyense, mwana kapena wamkulu, akhoza kukhala ndi otorrhagia chifukwa cha zoopsa kapena matenda.

Kuwonekera kwa otorrhagia

Ngati otorrhagia ndi chifukwa cha kukanda kosavuta kapena kukwapula kwa ngalande ya kunja kwa khutu, zimatengera maonekedwe a magazi ochepa. Kwa zoopsa zazikulu, kutuluka kwa magazi kungakhale kochuluka, ngalande ya khutu imakhala yodzaza ndi magazi owuma.

Pazovuta kwambiri, kutulutsa komveka kwa mtundu wa otoliquorrhea (mawonekedwe a "madzi a rock") kungagwirizane ndi kutuluka kwa magazi, kusonyeza kutuluka kwa cerebrospinal fluid kupyolera mu kuphwanya kwa meningeal. 

Pankhani ya pachimake otitis TV, otorrhagia wopangidwa ndi magazi ofiira amasonyeza kuphulika kwa hemorrhagic chithuza (phlyctene), mu nkhani ya fuluwenza otitis chifukwa cha kachilombo, wotchedwa fuluwenza phlyctenular otitis. Pamene otitis ndi bakiteriya chiyambi ndi eardrum anaphulika pansi pa mavuto a mafinya anaunjikira mu eardrum, magazi ndi wothira kwambiri kapena zochepa wandiweyani purulent ndi mucous secretions.

Zizindikiro zogwirizana

Otorrhagia imatha kudzipatula kapena kuphatikiza ndi zizindikiro zina, zomwe zimasiyana malinga ndi zomwe zimayambitsa:

• kumva kuti makutu otsekeka ndi kupweteka kwambiri pambuyo poyeretsa makutu mwamphamvu,
• kugontha kwambiri kapena kucheperachepera, tinnitus, chizungulire kapena kulumala kumaso kutsatira kusweka kwa thanthwe,
• nasopharyngitis ndi mphuno yodzaza ndi kutentha thupi, kupweteka kwa khutu kumachepetsedwa ndi kumaliseche, kumva kutayika mu pachimake otitis media,
• kupweteka, tinnitus ndi chizungulire pambuyo pa barotrauma,
• kupweteka kwambiri ndi kumva kutayika pambuyo pa kuphulika
• kugontha ndi pulsatile tinnitus (kumamveka ngati kugunda kwamphamvu) pamene chomwe chimayambitsa otorrhagia ndi chotupa chosaopsa cha mitsempha yotchedwa glomus chotupa ...

Chithandizo cha otorrhagia chimasinthidwa pafupipafupi pambuyo pofufuza zachipatala ndikuyeretsa zotupa.

Zilonda zazing'ono nthawi zambiri zimachira zokha popanda chithandizo. Nthawi zina, kutengera chomwe chimayambitsa komanso kuopsa kwake, mankhwala angaphatikizepo:

• anti-inflammatory ndi analgesic mankhwala;
• chisamaliro chapafupi kuti chifulumire kuchiritsa;
• maantibayotiki ngati pali matenda (peŵani kulowetsa madzi mu ngalande ya khutu kuti musawonjezere chiopsezo cha superinfection);
• corticosteroids yogwirizana ndi vasodilators pamene khutu lamkati limakhudzidwa potsatira kupwetekedwa kwa phokoso;
• kukonzanso khutu la khutu (tympanoplasty) kuphatikizapo kulumikiza kwa minofu yolumikizana kapena cartilage pakachitika zilonda zopitirira kapena zovuta;
• mankhwala ena opaleshoni (kuvulala mutu, kuphulika, chotupa, cholesteatoma, etc.).

Sizotheka nthawi zonse kupewa otorrhagia. Komabe, kuvulala kwina kumatha kupewedwa, kuyambira ndi zomwe zimachitika chifukwa chotsuka khutu mwamphamvu - ENTs amalandila chiletso chomwe chikubwera cha kugulitsa thonje, potengera chilengedwe.

Anthu omwe ali ndi vuto lopwetekedwa mtima ayenera kuvala zoteteza makutu.

Kudumphira m'madzi kungathenso kupewedwa pophunzira njira zomwe zimayang'anira kusanja kuthamanga pakati pa khutu lakunja ndi khutu lapakati. M'pofunikanso kulemekeza contraindications (musati m'madzi pamene akudwala matenda chapamwamba kupuma thirakiti).