Paracentesis nke tympanic akpụkpọ ahụ: mmetụta

Akpa ogbo nke nnukwu otitis media na-emeso-eji mgbanwe ụzọ, nke na-emekarị na-eduga ná mezue mgbake. Ma, mgbe ụfọdụ, mgbe ìgwè ịrịba ichekwa abu e nwere ihe ize ndụ nke perforation nke eardrum. Ndị dị otú ahụ a ọnọdụ gosipụtara ike mgbu, ehighi ura, ọnwụ nke agụụ, na-eto eto ihe ịrịba ama nke igbu egbu. Na nke a, ọ dị mkpa na-amalite usoro nke paracentesis. Ihe kachasi mkpa dị otú ahụ aka bụ na onodu nke eardrum iji melite drainage nke abu.

Egosi maka usoro

Paracentesis nke tympanic akpụkpọ ahụ a rụrụ na ihe omume nke ahụ na-adịghị ike mgbanwe ọgwụgwọ. Ngwa Ngwa ịwa aka nwere ike ịdị mkpa ma ọ bụrụ na ndị na-esonụ mgbaàmà ime:

- agafe throbbing earache;
- bulging nke eardrum;
- ntị ọnwụ;
- amụba nọmba nke abu;
- fever;
- ọgbụgbọ.

Paracentesis eardrum rụrụ ngwa ngwa na ọnụnọ nke mgbaàmà nke dị n'ime ntị iyatesịt ma ọ bụ ụbụrụ ọnya, dị ka vomiting, dizziness, isi ọwụwa na-egbusi al.

The usoro

Paracentesis (myringotomy, tympanotomy) - bụ a obere usoro ịwa ahụ dị mkpa na ihe omume ahụ na-achọghị mgbanwe agwọ ọrịa adịghị aka. N'oge usoro na eardrum ka a obere mbepụ mikroskalpelem ma ọ bụ pụrụ iche agịga na-enye gị ohere iji gosipụta na-akwakọba exudate.

Iweghachi ike n'ezi ihe nke akpụkpọ ahụ emee onwe ha. N'out oge rụrụ idebe n'etiti ntị oghere. Nke a dị mkpa iji wepu pathogens na ọcha si abu site ike iru ebe.

Olee otú usoro

Nke a na ime ihe ẹkenam n'ime ọgwụ omume ọbụna nke iri na itoolu na narị afọ na ka na-eji maka ọgwụgwọ nke mbufụt. Tupu usoro mkpa ruo mmamịrị, ọbara, ata coagulation.

Surgery na rụrụ ọzọ mgbe maka 3-4 ụbọchị mgbe mmalite nke ọrịa. Isi mgbaàmà nke ndị dị mkpa paracentesis, - fever, oké égbè mgbu na ntị, protrusion nke eardrum.

Jisie a rụrụ iji agịga ube, nke mbepụ na ala akụkụ nke akpụkpọ ahụ. The dibịa na-eme ka mgbapu ka agịga na-gabiga dum ọkpụrụkpụ nke akpụkpọ ahụ. Paracentesis nke tympanic akpụkpọ ahụ nwere ike ịbụ na-ezughị ezu, dị ka mbufụt nke na-eduga ịrịba ndim nke ya. Ọ bụrụ na e nwere mkpa, na mgbapu etinyere shunt, nke mmemmem orùrù nke akwakọba exudate.

Nkụnwụ usoro

The isi ajụjụ ndị na-atụ aro site paracentesis nke tympanic akpụkpọ - ewute ya? N'ezie, usoro bụ nnọọ na-egbu mgbu, ka dọkịta na-eji ọtụtụ ụzọ nke analgesia:

1. wires. The analgesic ọgwụ na-ndinọ site ọgwụ n'ime mpaghara n'azụ ntị, dapụtara na-ebelata uche nke akwara endings.

2. applicator. The umi maka analgesia etinyere ozugbo na akpụkpọ ahụ.

3. General. Paracentesis nke tympanic akpụkpọ ahụ na ụmụaka a rụrụ iji ụdị ná Nkụnwụ Ahụ, dị ka a obere nwa ka na-esiri jide isi n'oge usoro.

ghara ịgbanwe

Mgbe paracentesis nke tympanic akpụkpọ ahụ dị mkpa iji na-edebe iwu nke idebe ihe ọcha. Mgbe usoro a na-etinyere n'ime ntị kanaal nkụ akpali mmasị turunda na ọ dị mkpa ka mgbe niile ịgbanwe iji gbochie mgbasa nke ọrịa. Na mbụ, ọ na-eme ka 6-8 ugboro, ma mgbe suppuration belata - 3-4 ugboro n'ụbọchị. Iji mee ngwangwa excretion nke abu, mgbe ọrụ ya na-achọsi ike na-ehi ụra n'akụkụ ntị nke onye ọrịa.

Ọnya na aural oghere a na-emeso ya na antiseptik mmadụ. Mgbe oké abu eji saa iji na-ekpo ọkụ ngwọta nke rivanol, furatsilina, hydrogen peroxide, mgbe nke ahụ auditory kanaal na-mịrị amị na a owu swab. The usoro nwere ike rụrụ otu ugboro ma ọ bụ ugboro abụọ n'ụbọchị. Maka ịsa, iji a roba balloon. Anam Udeme auricle elu azụ eduzi mmiri ugboelu na-enweghị nsogbu na n'azụ mgbidi nke auditory meatus.

Iji ngwa ngwa hapụ ntị oghere si purulent Mkpokota iji fụrụ opi. Iji mepụta a usoro eji Politzer balloon ma ọ bụ catheter, na purulent Mkpokota nke tympanic oghere na-kewapụrụ n'ime ntị kanaal. Mgbe ụfọdụ na-eji Siegl foneelu, site na nke abu ṅụrụ site mpụga auditory meatus.

Mgbe usiakidem, ọrịa na-arịa na-emeziwanye ngwa ngwa, attenuated mgbu, belata okpomọkụ, na-ebelata-anụ. abụọ ma ọ bụ atọ na izu a chọrọ maka ọgwụgwọ nke ntị. Iji gbochie kpụworo scars na-atụ aro iji hydrocortisone. Nke a na umi-akwalite mma na-agwọ ọrịa nke ọnyá, kpụrụ n'elu nke onya ga-obere ma na-agaghị emetụta sharpness nke ntị.

Esi na ya pụta na-ele ihe anya

Mgbe mere nke ọma, paracentesis nke tympanic akpụkpọ ahụ na-enweghị wetara pụta adịghị. Ọ bụrụ na usoro e rụrụ na imebi, nwere ike dị otú ahụ na nsogbu:

• akụkụ igbapu abu. Na nke a, ọrịa nwere ike ịghọ-adịghị ala ala. Iji bibie ndị fọdụrụ abu, tinye physiotherapy na ọchịchọ;
• emerụ ọrịa n'ihi na ojiji nke na-abụghị akpali mmasị ihe n'oge usoro ma ọ bụ site na-ekwesịghị ịdị na-elekọta na-agwọ oge. Na nke a na sikwuoro ga-mkpa na ojiji nke sara mbara-ụdịdị dị iche iche ọgwụ nje;
• ikpe ọnwụ n'ihi guzobere nnukwu scars. Ọ dabara nke ọma, ndị a nsogbu bụ obere.

Isiokwu na dọkịta ahụ na-atụ aro Eburu amuma ukwuu n'ime mma. Ekwesịghị ịda mbà, ma ọ bụrụ na a ngwọta nsogbu gị dọkịta na-atụ aro paracentesis nke tympanic akpụkpọ ahụ. The esi nke n'amaghi-agbawa nke membranes bụ nnọọ njọ, dị ka nke a nwere ike na-etolite nnukwu scars. Na kacha mma bụ na ọ bụghị ka oge na ọgwụgwọ nke otitis media, ọ dịghị mkpa ka tufuo abu eji ịwa ahụ ụzọ.