Barotraumatic otitis kukuvadzwa kwezvinyama zvenzeve zvinokonzerwa nekuchinja kwekumanikidza. Inogona kukonzera kurwadziwa kwakanyanya, kukuvadza kune eardrum, kurasikirwa kwekunzwa uye vestibular zviratidzo. Zvichienderana nezviratidzo, barotrauma inorapwa nekupa decongestants uye / kana mishonga inorwisa mabhakitiriya. Mune zvimwe zviitiko, kuvhiyiwa kunodiwa. Nzeve barotrauma inogona kudziviswa nekuendesa zviito zvakakodzera kutorwa muzvidzidzo zviri pangozi (divers, aviators). 

Barotraumatic otitis kukuvadzwa kwezvinyama zvenzeve zvinokonzerwa nekuchinja kamwe kamwe mumhepo.

Zvinokonzera

Barotrauma inoitika kana muviri uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingedzo ndege )

Barotraumatic otitis inokonzerwa nekusashanda kwe eustachian tube, iyo duct iri pamwero we eardrum inobatanidza pharynx kusvika pakati nzeve. Kana paine shanduko mukumanikidzwa kwekunze, eustachian chubhu inoyera kudzvanywa pamativi ese eardrum nekubvumira mweya wekunze kuti upinde (kana kubuda) munzeve yepakati. Kana iyo eustachian chubhu isina kukwana, mweya haugone kubuda kana kupinda mukati nzeve, zvichikonzera barotrauma.

chirwere

Kuongororwa kunoitwa zvinoenderana nechimiro chezviratidzo uye nhoroondo yemurwere (diving, altitude flight). Zvichienderana nezviratidzo, kuongororwa kwekuwedzera kunogona kudiwa:

• Audiometric bvunzo (kunzwisisa chikumbaridzo, kusarura kwezwi, acoustic reflexes, nezvimwewo)
• vestibular miedzo

Vanhu vane hanya

Barotrauma inonyanya kubata vanhu vari pasi pekusiyana kwakasimba mukumanikidzwa munzvimbo yavo yebasa, kunyanya vakasiyana uye airmen. Nzeve barotrauma inoverengera zvikamu zviviri muzvitatu zvetsaona dze scuba diving.

Zvinhu zvinotyisa

Chero kuzvimba (nekuda kweallergies, hutachiona, vanga, bundu) yekumusoro kwemhepo (pharynx, larynx, nasal ndima) kana nzeve inodzivirira kudzvinyirira kubva pakuenzanisa kunowedzera njodzi yebarotrauma.

Kuratidzwa kwebarotrauma kunoitika kamwechete pakarepo apo kudzvinyirira kunoshanduka. 

Muchiitiko che eustachian tube dysfunction, mutsauko wekumanikidzwa kwemhepo pakati peeardrum uye pharynx unogona kukonzera:

• Marwadzo echisimba akadzika munzeve
• Kurasikirwa kwekunzwa kunogona kusvika kure nekusanzwa
• Kukuvara kana kutobhowa kwerumunzeve izvo zvinogona kukonzera kubuda ropa
• Vestibular zviratidzo (dzungu, kuda kurutsa, kurutsa)
• Kana mutsauko wekumanikidza wakakurisa, hwindo reovha (richipinda munzeve yemukati kubva pakati nzeve) rinogona kuputika. Mushure mekuputika uku, maburi ese enzeve anotaurirana zvichikonzera kubuda kwemvura kubva mukati menzeve ichipinda mukati menzeve. Nzeve yomukati iri panjodzi yekukuvadzwa zvachose. 

Muzviitiko zvakawanda zvebarotrauma, kurapwa kune zviratidzo. Asi mamwe maronda angada kurapwa chaiko. Nzeve barotrauma inorapwa nekupa decongestants (oxymetazoline, pseudo-ephedrine) kuti ifambise kuvhurwa kwemhepo yakavharika. Zvirwere zvakanyanya zvinogona kurapwa nenasal corticosteroids.

Kana paine kubuda ropa kana zviratidzo zvekubuda ropa, mishonga inorwisa mabhakitiriya inopihwa (semuenzaniso, amoxicillin kana trimethoprim/sulfamethoxazole).

Kubvunzurudza kweENT kunoratidzwa pamberi pezviratidzo zvakakomba kana zvekusingaperi. Kuvhiyiwa kungave kuri madikanwa kurapa kukuvadzwa kwakanyanya mukati kana pakati nzeve. Semuenzaniso, tympanotomy yekugadzirisa zvakananga kwehwindo rakaputika kana oval, kana myringotomy kuti ibudise mvura kubva pakati nzeve.

Kudzivirirwa kwe barotraumatic otitis kunosanganisira kudzidzisa avo vari panjodzi (vatyairi vendege, vakasiyana-siyana, vanofamba-famba). Kana kudzvinyirirwa kwekunze kuchichinja, zvakakosha kuti usave nekumhanya kwakanyanya kwemateru. Aviators uye scuba diving nyanzvi dzinofanirwa kudzidziswa mubhokisi kuti vadzidze mhedzisiro yekumanikidzwa kusiyanisa nzeve.

Nzeve barotrauma inogona kudzivirirwa nekumedza kana kufemesa nguva nenguva uchidzvanya mhino kuti uvhure machubhu eustachian uye kudzikamisa matsimba ari pakati penzeve nekunze. Kupfeka maearplugs kunodzivirira kudzvanya kuenzanisa, saka inofanirwa kudzivirirwa paunenge uchinyura.

Kudzivirira kurapwa nepseudoephedrine 12 kusvika maawa 24 vasati vanyura kunogona kuderedza njodzi yeatrial barotrauma. Scuba diving haifanirwe kuitwa kana kusangana kwakasagadzirisa.