Paracentesis of tympanic Kamudzira: Migumisiro

Danho rokutanga kuti rikwanise otitis nevezvenhau vari kubatwa kushandisa kuchinja nzira, iyo kazhinji kunotungamirira kupedza apore. Asi dzimwe nguva, kana kuunganidza zvinokosha yakawanda pus pane njodzi perforation of eardrum. ezvinhu akadaro akaratidza simba marwadzo, kushaya hope, kurasikirwa kudya, varikukura zviratidzo kudhaka. Muchiitiko ichi zvakakodzera kushandisa kuti nzira paracentesis. Musimboti ane Kupindira kwakadaro iri akapoteredza eardrum kuvandudza abudise kuti pus.

Zvairatidza kuti nzira

Paracentesis of tympanic Kamudzira rinoitwa ari chiitiko kuti zvakava basa kuchinja kurapwa. Urgent kuvhiya kupindira zvingava zvakakodzera kana zvinotevera zviratidzo kuitika:

- kwete kupfuura throbbing EARACHE;
- bulging of eardrum;
- kusanzwa;
- kuwedzera uwandu pus;
- fivhiri;
- svoto.

Paracentesis eardrum akaita nokukurumidza pamberi zviratidzo womukati nzeve kutsamwa kana pfungwa maronda, akadai kurutsa, dzungu, nomusoro uye unopinza unto.

The nzira

Paracentesis (myringotomy, tympanotomy) - iri duku kuvhiya kuti kunodikanwa iri chiitiko kuti kuchinja kurapwa kwete kubatsira. Munguva nzira iri eardrum kuita diki incision mikroskalpelem kana chinokosha tsono unokubvumira kuratidza pamusaka exudate.

Kudzorera kuvimbika Kamudzira kunoitika pasina. Panguva imwe chete vakatapwa kutsvinda pakati nzeve mhango. Izvi zvinokosha kuti kubvisa utachiona uye kuchenesa kunze pus kubva zvakaoma kusvika nzvimbo.

Sei muitiro

oparesheni Izvi chakaunzwa okurapa kunyange namapfumbamwe remakore uye achiri kushandiswa nokurapa chokutsva. nzira pamberi vanofanira zvakaitika weti, ropa, achiona coagulation.

Kuvhiya rinoitwa kakawanda kwemazuva 3-4 mushure pakatanga chirwere. Huru Zviratidzo iro zvakafanira paracentesis, - fivha, yakanyanya kupfura marwadzo ari nzeve, protrusion pamusoro eardrum.

Bata rinoitwa kushandisa tsono pfumo, izvo incision rezasi chikamu membrane. Chiremba anoita ponji kuti tsono iri vakayambuka rose ukobvu yacho membrane. Paracentesis of tympanic Kamudzira angava kukwana, sezvo kuzvimba inotungamirira chinokosha thickening naye. Kana paine chikonzero, ari ponji akaiswa shunt, izvo hwezvekukurukurirana zvinoyerera pamusaka exudate.

yokutindivadza unyanzvi

Mubvunzo kiyi avo ndakarumbidzwa paracentesis of tympanic Kamudzira - kutadzirwa? Zvechokwadi, muitiro uyu kunorwadza zvikuru, saka vanachiremba kushandisa nzira dzakawanda analgesia:

1. waya. The unonyaradza marwadzo mushonga chinotarisirwa Via jekiseni kudunhu seri nzeve, zvichiguma yadzikira aikanganiswa tsinga harinzwi.

2. applicator. The fuma nokuti analgesia rinoshandiswa zvakananga membrane.

3. General. Paracentesis of tympanic Kamudzira muvana rinoitwa kushandisa ichi mhando yokutindivadza, sezvinoita mwana muduku achiri zvakaoma kubata musoro panguva nzira.

vapore

Pashure paracentesis of tympanic Kamudzira zvakafanira kuchengeta mitemo noutsanana. Mushure nzira iri akaiswa mugomba nzeve Canal nokuomesa chena turunda kuti zvakakosha kugara kushandura kudzivirira kupararira chirwere. Pakutanga, zvinoita 6-8 nguva, uye pashure suppuration kuderedzwa - 3-4 kanomwe pazuva. Kuti mhanyisa excretion pamusoro pus, avhiyiwa zviri zvinodiwa kurara parutivi nzeve murwere.

Ronda uye aural mhango ari kubatwa akambozvishandisa kuuraya utachiona nevamiririri. Kana gobvu pus akashandisa Washing kushandisa inodziya mhinduro kubva rivanol, furatsilina, hydrogen peroxide, pashure izvo auditory Canal yapwa ane donje swab. The nzira inogona kuitwa kamwe kana kaviri pazuva. Yokushambidza vanoshandisa rabha chibharuma. Kudhonza auricle kumusoro uye shure rinotungamirirwa mvura ndege pasina kumanikidza necheseri parusvingo auditory meatus.

Nokukurumidza kusunungura nzeve mhango kubva purulent accumulations uchishandisa ichivhuvhuta. Kuti tiite nzira iyi uchishandisa Politzer chibharuma kana anobudisa mushonga zvishoma nezvishoma, pamwe purulent accumulations ari tympanic mhango vari kusingachakosheswi nzeve Canal. Dzimwe nguva akashandisa Siegl fanera, kuburikidza icho pus vakanwa kuburikidza kwokunze auditory meatus.

Pashure pokuvhiyiwa, murwere mamiriro ezvinhu kuvandudzika nokukurumidza, attenuated marwadzo, akaderedza tembiricha, ipfupi kunzwa. mavhiki maviri kana matatu zvinodiwa nokuporesa nzeve. Kudzivirira paumbwe mavanga inokurudzirwa kushandisa hydrocortisone. fuma iyi inotsigira kuporesa nani maronda, yakaumbwa pamusoro pemvura vanga vachava vashoma uye hakumbokanganisi kuti tinoshandisa kunzwa.

Consequences uye maonero

Kana wakaita zvakanaka, paracentesis ari tympanic Kamudzira havasi nemigumisiro haana. Kana nzira yakanga akatakurwa kunze kutyorwa, vangava yematambudziko dzakadaro:

• chikamu Drain pus. Panyaya iyi, chirwere anogona kwaramba. Kuti kubvisa akasara pus, shandisa physiotherapy uye chido;
• muchikuvadza chirwere kunokonzerwa nokushandiswa non-chena zvinhu munguva nzira kana zvisiri hanya vapore nguva. With kuomesa ichi vanofanira kushandisa mishonga inorwisa mabhakitiriya;
• kunzwa kurasikirwa nokuda inotungamirwa makuru mavanga. Sezvineiwo, matambudziko aya mashoma.

Subject kuti chiremba wacho kunenge ramangwana vainyanya zvakanaka. Haafaniri kurega, kana mhinduro yako dambudziko chiremba anokurudzira paracentesis pamusoro tympanic membrane. Migumisiro vaingoerekana atsamwira ose membranes zvakatoipa, sezvo izvi zvinogona kuumba mavanga makuru. Uye yakanaka chinhu hachisi kunonoka pakurapa otitis Vezvenhau, zvakanga zvisiri zvakakodzera kubvisa urwa uchishandisa zvomusejari nzira.