Paracentesis we ulwelwesi tympanic: nemiphumela

Isigaba sokuqala ka-acute otitis abezindaba ziphathwa usebenzisa izindlela olandelanayo, ngokuvamile kuholela ukuqeda yokutakula. Kodwa ngezinye izikhathi, lapho ekuqongeleleni amanani abalulekile ubomvu kukhona ingozi perforation we eardrum. isimo okunjalo kubonakaliswa izinhlungu eziqine, ukuqwasha, ukungakuthandi ukudla, ezikhulayo izimpawu zokudakwa. Kulokhu-ke kubalulekile ukuba iphendukele indlela paracentesis. Ingqikithi i sokungenela in umongo we eardrum yokuthuthukisa amanzi kobovu.

Izinkomba inqubo

Paracentesis we ulwelwesi tympanic wenziwa umcimbi ukuthi wazibonakalisa ayizwakali ukwelashwa olandelanayo. kokungenela Esiphuthumayo kuhlinzwa kungase kudingeke uma lezi zimpawu ezilandelayo zenzeka:

- hhayi odlulayo throbbing Earache;
- bulging we eardrum;
- ubuthulu;
- nokwenze isibalo ubomvu;
- umkhuhlane;
- ukucanuzelelwa inhliziyo.

Paracentesis eardrum kwenziwe ngokushesha ebukhoneni izimpawu kwangaphakathi indlebe ukucasuka noma ubuchopho izilonda, ezifana ukuhlanza, isiyezi, ubuhlungu bekhanda futhi al abukhali.

indlela

Paracentesis (myringotomy, tympanotomy) - yinqubo encane kuhlinzwa ukuthi kuyadingeka uma kwenzeka ukuthi ukwelashwa ngoludala musa asize. Ngesikhathi inqubo ku eardrum wenze imbobo mikroskalpelem encane noma inalidi ekhethekile elikuvumela ukuba sibonise exudate zanqwabelana.

Ukubuyisela ubuqotho ulwelwesi kwenzeka ngokuzimela. Kanyekanye eyenziwa ukuthuthwa kwendle maphakathi nendlebe ingaphakathi. Lokhu kuyadingeka ukuze ususe amagciwane futhi ukuhlanza ubomvu kusuka kanzima ukuze afinyelele izindawo.

Injani inqubo

Lo msebenzi ayiswa zokwelapha ngisho yekhulu nesishiyagalolunye futhi isasetshenziswa ekwelapheni ukushisa. Ngaphambi inqubo okudingeka badlule ngakhona umchamo, igazi, ibhekane coagulation.

Ukuhlinzwa wenziwa kaningi 3-4 izinsuku lapho kuqala lesi sifo. Izimpawu esiyinhloko lapho paracentesis kudingekile, - imfiva, ezinzima sokudubula ubuhlungu endlebeni, protrusion we eardrum.

Izikhundla Kwenziwa usebenzisa izinaliti umkhonto, imbobo Ezansi ulwelwesi. Udokotela kwenza wokubhoboza ukuze inalidi is badabula lonke ukushuba we ulwelwesi. Paracentesis we ulwelwesi tympanic ayiphelele, njengoba ukushisa eholela ukuqina abalulekile wakhe. Uma kunesidingo, in the wokubhoboza ifakwe shunt, okuyinto kusiza ukudedelwa exudate zanqwabelana.

amasu izinzwa

Umbuzo omkhulu walabo ezinconywe paracentesis we ulwelwesi tympanic - ubuhlungu na? Ngempela, inqubo kubuhlungu kakhulu, ngakho odokotela ukusebenzisa izindlela eziningana analgesia:

1. izintambo. Umuthi analgesic iqondiswa nge umjovo ku esifundeni ngemuva kwendlebe, okuholela ukuzwela kwehle of kwalapho kuhlangana khona imizwa.

2. nokokuyifaka. Ingqikithi ngoba analgesia isicelo ngqo ulwelwesi.

3. Jikelele. Paracentesis we ulwelwesi tympanic ezinganeni wenziwa usebenzisa lolu hlobo izinzwa, njengoba ingane encane namanje kunzima ukubamba ikhanda phakathi naleyo nqubo.

nokuvuselelwa

Ngemva paracentesis we ulwelwesi tympanic kuyadingeka ukuze ukugcina imithetho kwenhlanzeko. Emva inqubo ufakwa indlebe canal ome turunda oyinyumba ukuthi kubalulekile ukushintsha njalo ukuvimbela ukusabalala kwesifo. Ekuqaleni, kwenza izikhathi 6-8, futhi ngemva suppuration encishisiwe - 3-4 izikhathi ngosuku. Ukuze luhambe ngokushesha uhlelo excretion kobovu, ngemva kokuhlinzwa kuyatuseka ukulala ohlangothini indlebe nesineke.

Enxebeni ingaphakathi lebatayilalela ziphathwe ejenti isinqandakuvunda. Lapho ubomvu obukhulu esetshenziswa egeza usebenzisa efudumele isixazululo rivanol, furatsilina, i-hydrogen peroxide, ngemva kwalokho umsele sokuzwa womile nge swab ukotini. Inqubo engenziwa kanye noma kabili ngosuku. Okugeza, sebenzisa ibhaluni zenjoloba. Ukudonsa auricle phezulu nasemuva iqondiswe amanzi jet ngaphandle ingcindezi phezu udonga lwangemuva meatus sokuzwa.

Ukukhulula ngokushesha ngaphakathi komgodi indlebe kusukela ubovu accumulations usebenzisa ukushaywa. Ukuze afeze le nqubo besebenzisa Politzer ibhaluni noma ipayipi, nge ubovu accumulations we umgodi tympanic ayaduduleka endlebeni umsele. Ngezinye izikhathi asetshenziswa Siegl uphondo, lapho ubomvu lumuncwa zangaphandle meatus sokuzwa.

Ngemva kokuhlinzwa, isimo lesiguli liyathuthuka ukuzwa ngokushesha, ubuhlungu attenuated, izinga lokushisa encishisiwe, ancipha. amasonto amabili noma amathathu iyadingeka ukuze sokuphulukiswa indlebe. Ukuvimbela kumiswa izibazi Kunconywa ukuba asebenzise hydrocortisone. Le into ikhuthaza ukuphulukisa kangcono izilonda, kwakhiwa phezu yesibazi kuyoba encane futhi ngeke kuphazamise nokucija ukuzwa.

Imiphumela nasesimweni sengqondo

Uma usuqedile kahle, paracentesis we ulwelwesi tympanic Awekho nemiphumela ebuhlungu ayizange. Uma le nqubo yase kwenziwe nge ukwephula, kungase kudingeke yezinkinga ezifana:

• ingxenye abakhwabanisi ubomvu. Kulokhu, lesi sifo bangaba ezingamahlalakhona. Ukuze balahle ubomvu ezisele, isicelo Physiotherapy futhi nokufuna kugunyazwe ugqozi;
• ukutheleleka ukulimaza okubangelwa ukusetshenziswa komsebenzi ze-non-oyinyumba phakathi naleyo nqubo noma ukunakekelwa ayilungile esikhathini nokuvuselelwa. Nale inkinga uzodinga ukusetshenziswa imithi ebulala izinhlobonhlobo zamagciwane;
• ukulahlekelwa kukuzwa ngenxa kumiswa izibazi ezinkulu. Ngenhlanhla, lezi yezinkinga awavamile.

Ngokweyame izincomo udokotela sezulu ikakhulukazi evumayo. Akufanele bayeke, uma isixazululo nodokotela wakho inkinga uncoma paracentesis we ulwelwesi tympanic. Imiphumela ukudabuka okuzenzakalelayo ulwelwesi zimbi kakhulu, njengoba lokhu kungaba yakha izibazi ezinkulu. Futhi into engcono akuyona uyephuza ekwelapheni abezindaba otitis, akudingekanga ukuqeda ubomvu usebenzisa izindlela kuhlinzwa.