Rubatsiro rwekutanga kune miviri yekunze munzeve

Muviri wekunze wakapinda munzeve une inorganic uye organic mavambo. Mushonga (mahwendefa, capsules) uye kunyange yakajairwa sulfur plug inogona kuva chinhu chekunze. Sulfur iri muchimiro chedombo conglomerate ine jagged micheto inokonzera kurwadziwa kwakanyanya uye inokonzera kurasikirwa nekunzwa. Kazhinji, kana mutumbi wekunze ukapinda mugero rekunze rekuongorora, maitiro ekuzvimba anoitika uye pus inoungana kana isina kubviswa nenguva.

Nekukuvadza matishu enhengo yekunzwa, mutumbi wekunze unogona kutungamirira kumatambudziko akakomba, saka rubatsiro rwekutanga rwechimbichimbi runosungirwa. Munhu anogona kudhonza zvimwe zvinhu kubva mugero renzeve ari ega, kunyangwe asina dzidzo yekurapa. Asi kazhinji kuedza kudhonza kunze kwemuviri wekunze kunongowedzera dambudziko uye kukuvadza osteochondral canal. Zviri nani kusatsvaga kuzvibatsira, asi kutsvaga rubatsiro rwekurapa rwakakwana.

Zvimiro zvemiviri yekunze inopinda munhengo yekunzwa

Nzeve yekunze (foreign body of theeve) chinhu chapinda mugero rekunze renzeve, mhango yemukati kana pakati penzeve. Zvinhu zvakaguma munhengo yekunzwa zvinogona kuva: zvikamu zvekubatsira kunzwa; earwax; rarama microorganisms; zvipembenene; plant; cotton wool; plasticine; pepa; matoyi evana madiki; matombo nezvimwe zvakadaro.

Chinhu chekunze munzeve chinokonzera kurwadziwa kwakanyanya, dzimwe nguva kunogona kuva: kurasikirwa kwekunzwa; nausea; vomit; dzungu; fainting; kunzwa kwekumanikidzwa munzeve. Zvinokwanisika kuongorora ingress yechinhu chekunze mukati me osteochondral canal uchishandisa nzira inonzi otoscopy mumishonga. Chinhu chekunze chinobviswa nenzira dzakasiyana, kusarudzwa kwenzira kunotarirwa nemiganhu uye chimiro chemuviri. Kune nzira nhatu dzinozivikanwa dzekubvisa chinhu kubva munzeve: kupindira kwekuvhiya; kubviswa uchishandisa maturusi ekutanga; washing.

Otolaryngologists inoparadzanisa zvinhu zvekunze zvenzeve mukati uye kunze. Kazhinji, zvinhu zvekune dzimwe nyika ndezvekunze - zvakapinda mugomba renhengo kubva kunze. Zvinhu zvakawanikwa munharaunda yenzeve zvakakamurwa kuita mapoka maviri: inert (mabhatani, matoyi, zvidimbu zvidiki, furo plastiki) uye kurarama (mapfunde, nhunzi, umhutu, mapete).

Zviratidzo zvinoratidza kuti chimwe chinhu chapinda munzeve

Kazhinji kacho, miviri inert inogona kugara munzeve kwenguva yakareba uye isingakonzere kurwadziwa uye kusagadzikana, asi nekuda kwekuvapo kwavo munhengo, kunzwa kwekusangana kunoitika, kunzwa kunoderera uye kurasikirwa kwekunzwa kunotanga. Pakutanga, kana chinhu chikapinda munzeve, munhu anogona kunzwa kuvepo kwayo munzeve yenzeve paanenge achimhanya, achifamba, akakotama pasi kana parutivi.

Kana chipembenene chiri mumugero we osteochondral, kufamba kwaro kuchatsamwisa nzeve uye kunokonzera kusagadzikana. Miviri yevatorwa inorarama inowanzokonzera kukwenya kwakanyanya, kupisa munzeve uye inoda rubatsiro rwekutanga nekukurumidza.

Izvo zvakakosha zvekubatsira kwekutanga kana mutumbi wekunze uchipinda munzeve

Nzira yakajairika yekubvisa chinhu chekunze munzeve ndeye nzira yekugeza. Kuti uite izvi, iwe unozoda mvura inodziya yakachena, XNUMX% boron solution, potassium permanganate, furatsilin uye sirinji inoraswa. Munguva yekushandiswa, iyo mvura kubva musirinji inoburitswa zvakanyatsonaka kuitira kuti isakonzerese kukanganisa kwemagetsi kune eardrum. Kana pane kufungirwa kwekukuvadzwa kune membrane, zvinorambidzwa zvachose kubvisa nhengo.

Muchiitiko apo chipembenene chakanamira munzeve, mhenyu inofanira kusamira. Kuti uite izvi, madonhwe 7-10 e glycerin, doro kana mafuta anodururirwa munzeve yenzeve, ipapo chinhu chisina kuchena chinobviswa kubva munhengo nekugeza mugero. Kudyara zvinhu zvakaita sepizi, nyemba kana bhinzi zvinofanirwa kuderedzwa nemvura ine XNUMX% boron solution isati yabviswa. Pasi pesimba re boric acid, mutumbi wakabatwa uchava muduku muhuwandu uye zvichava nyore kuibvisa.

Zvinorambidzwa zvachose kubvisa chinhu chekunze nezvinhu zvakagadziridzwa, senge machisi, tsono, mapini kana hairpins. Nekuda kwekushandisa kwakadaro, mutumbi wekunze unogona kusundira mukati megedhi rekunzwa uye kukuvadza tambo yenzeve. Kana kushambidza kumba kusingabatsiri, munhu anofanira kubvunza chiremba. Kana chimwe chinhu chekune imwe nyika chakapinda muchikamu chebhoni chenzeve kana kuti chakanamatira mumhepo ye tympanic, inogona kubviswa chete nenyanzvi panguva yekuvhiya.

Kana mutumbi wekunze ukapinda mukati menhengo yekunzwa, pane njodzi huru yekukuvadzwa:

• tympanic cavity uye membrane;
• auditory tube;
• nzeve yepakati, kusanganisira antrum;
• Facial nerve.

Nekuda kwekukuvara kwenzeve, kune njodzi yekubuda ropa kwakawanda kubva mugirobhu rejugular vein, venous sinuses kana carotid artery. Mushure mokubuda ropa, kukanganisa kwemaitiro e-vestibular uye ekuongorora kunowanzoitika, semugumisiro wemheremhere yakasimba munzeve, vestibular ataxia uye autonomic reaction inoumbwa.

Chiremba achakwanisa kuongorora kukuvara kwenzeve mushure mekudzidza nhoroondo yezvokurapa, zvichemo zvevarwere, kuita otoscopy, x-rays uye zvimwe zvirwere. Kuti udzivise matambudziko akawanda (kubuda ropa, kukuvara kwemukati, sepsis), murwere ari muchipatara uye nzira yakakosha yekurapa inoitwa.

Rubatsiro rwekutanga kune isiri-inorarama yekunze muviri munzeve

Zvinhu zviduku hazvikonzeri kurwadziwa kwakanyanya uye kusagadzikana, saka, kana zvikaonekwa, nzira yekubvisa inenge isingarwadzi. Zvinhu zvihombe zvinovharira kufamba kwemasaisai eruzha kuburikidza nechubhu inonzwika uye zvinokonzeresa kurasikirwa nekunzwa. Chinhu chekunze chine makona anopinza kazhinji chinokuvadza ganda renzeve uye tympanic cavity, zvichiita kuti marwadzo uye kubuda ropa. Kana pane chironda munhengo, chirwere chinopinda mairi uye kuputika kwepakati nzeve kunoitika.

Nokuda kwekutanga rubatsiro rwezvehutano apo muviri wekune imwe nyika usina hupenyu unopinda munhengo yekunzwa, unofanira kuonana neotolaryngologist. Chokutanga pane zvose, chiremba anoongorora nzira yekunze yekuongorora: neruoko rumwe, chiremba anodhonza auricle uye anoitungamirira kumusoro uye shure. Paunenge uchiongorora mwana muduku, otolaryngologist inoshandura ganda renzeve pasi, uye shure.

Kana murwere akatendeukira kune nyanzvi pazuva rechipiri kana rechitatu rechirwere, kuona kwechinhu chekunze kuchava kwakaoma uye microotoscopy kana otoscopy inogona kudiwa. Kana murwere aine chero kubuda, ipapo kuongorora kwavo kwebhakitiriya uye microscopy kunoitwa. Kana chinhu chikapinda mugomba renzeve kuburikidza nekukuvara kunhengo, nyanzvi inonyora x-ray.

Hazvikurudzirwi kuedza kubvisa mutumbi wekunze iwe pachako, pasina midziyo inodiwa isina utachiona uye ruzivo rwekurapa. Kana kuedza kusina kururama kuchiitwa kubvisa chinhu chisina upenyu, munhu anogona kukuvadza osteochondral canal uye kuuraya iyo zvakanyanya.

Nzira iri nyore yekubvisa chinhu kubva munhengo yekunzwa ndeyekurapa kwekugeza. Chiremba anopisa mvura, obva aikwevera musirinji inoraswa ine cannula. Zvadaro, nyanzvi inoisa kuguma kwecannula muhubhu yekuongorora uye inodurura mvura pasi pekumanikidzwa zvishoma. Iyo otolaryngologist inogona kuita maitiro kubva pa1 kusvika ku4 nguva. Mimwe mishonga muchimiro chemhinduro inogona kuwedzerwa kumvura yakajairika. Kana mvura ikaramba iri munzeve yenzeve, inofanira kubviswa ne turunda. Kubata kunopikiswa kana bhatiri, muviri wakatetepa uye wakapfava wakanamatira mugero rekunze rekunzwa, sezvo vachigona kufamba mukati menzeve vachimanikidzwa.

Chiremba anogona kubvisa chinhu chekunze nerubatsiro rwehoko yezeve inovhuvhuta kumashure kwayo uye inodhonza kubva munhengo. Panguva yekuita, kutaridzika kwekuona kunofanira kuitwa. Kana murwere asinganzwi kurwadziwa kwakanyanya, ipapo chinhu chinogona kubviswa pasina anesthesia. Varwere vadiki vanopihwa general anesthesia.

Pakupera kwekugadzirisa, kana chinhu chacho chikabviswa kubva kune osteochondral canal, otolaryngologist inoita chechipiri chekuongorora chenhengo. Kana nyanzvi ikaona maronda munhengo yekunzwa, anofanira kurapwa neboron solution kana mamwe mishonga inouraya utachiona. Mushure mokubvisa muviri wekune imwe nyika, chiremba anorayira antibacterial nzeve yekuzora.

Nekuputika kwakanyanya uye kuputika kweosteochondral canal, chinhu chacho hachigoni kubviswa. Iwe unofanirwa kumirira mazuva mashomanana, apo murwere anofanira kutora anti-inflammatory, antibacterial uye decongestant mishonga. Kana chinhu chekunze chisingagoni kubviswa munzeve nemidziyo uye nenzira dzakasiyana-siyana, otolaryngologist inoratidzira kupindira kwekuvhiya.

Emergency care kana mutumbi wekunze uchipinda munhengo yekunzwa

Kana chinhu chipenyu chekune imwe nyika chikapinda munzeve, chinotanga kufamba munzeve yenzeve, nokudaro zvichipa munhu wacho kusagadzikana kukuru. Murwere, nekuda kwekupinzwa kwechipembenene, anotanga kusvotwa, dzungu uye kurutsa. Vana vadiki vane pfari. Otoscopy inobvumira kuongorora chinhu chipenyu munhengo.

Iyo otolaryngologist yekutanga yezvese inomisa chipembenene nemadonhwe mashoma ethyl doro kana mafuta-based mishonga. Zvadaro, nzira yekugeza bhonzo-cartilaginous canal inoitwa. Kana kushandiswa kwakave kusina kushanda, chiremba anobvisa chipembenene nehokwe kana tweezers.

Sulfur Plug Kubviswa

Kuwedzeredza kuumbwa kwesarufa kunoitika nekuda kwekuwedzera kwayo kugadzirwa, curvature ye osteochondral canal, uye hutsanana husina kunaka. Kana sulfur plug ikaitika, munhu ane manzwiro ekusangana munhengo yekunzwa uye kuwedzera kudzvinyirira. Kana chikopokopo chasangana negum renzeve, munhu anogona kukanganiswa neruzha munhengo. Muviri wekunze unogona kuongororwa nekuongorora otolaryngologist kana nekuita otoscopy.

Zvakanakisisa kubvisa sulfur plug nachiremba ane ruzivo. Asati ageza, murwere anofanira kudonhedza madonhwe mashomanana eperoxide munzeve kwemazuva 2-3 kusati kwatanga kushandiswa kuti apfave bundu re sulfuric uye kufambisa kuwedzera kwayo. Kana izvi zvikasaunza mhedzisiro, chiremba anoshandisa kubviswa kwechinhu chekunze.

Rubatsiro rwekutanga rwekune imwe nyika munzeve runofanira kupihwa neanokwanisa otolaryngologist mushure mekuongorora kwakadzama uye tsvakurudzo yakakodzera. Kusarudzwa kwenzira yekubvisa chinhu chekunze kunowira pamapfudzi echiremba. Iyo nyanzvi haifungi nezvehukuru, maitiro uye chimiro chemuviri wakapinda munzeve yenzeve, asiwo zvido zvemurwere. Kubvisa chinhu kubva munzeve nekusuka ndiyo nzira yakapfava yekurapa, iyo mu90% yezviitiko zvinobatsira kubvisa dambudziko. Kana kurapa kwekurapa kusingabatsiri, chiremba anokurudzira kubvisa muviri wekunze nemidziyo kana kuvhiyiwa. Kupihwa panguva yekutarisira kwekukurumidzira kunogona kudzivirira kuitika kwematambudziko uye matambudziko ekunzwa mune ramangwana.