Otorrhagia iri kubuda ropa kubva munzeve, inowanzobatanidzwa nekukuvara kune kunze kana yepakati nzeve, asi iyo inogonawo kuva yekuzvimba kana kutapukira. Iyo inowanzova isina kunaka, kunze kwezviitiko zvekushungurudzika kwakanyanya uye kupera kwe eardrum. Zvekuita zvinoenderana nekwakabva.

tsananguro

Otorrhagia inotsanangurwa sekuyerera kweropa kuburikidza neauditory meatus, kureva kuvhura kwekunze kwekunzwa canal, kunotevera kushungurudzika, hutachiona kana kuzvimba.

Ropa rinogona kuva rakachena kana rakasanganiswa ne purulent secretions.

Zvinokonzera

Kazhinji otorrhagia inokonzerwa nekushungurudzika. Kazhinji, ironda rakashata renzeve yekunze yakagadzirwa nekuchenesa nekotoni swab yakadzika zvakanyanya, nechimwe chinhu kana kunyange nekukwenya nyore.

Muzviitiko zvakakomba zvikuru, kukuvadzwa kunowanikwa kune imwe nzeve yepakati uye kunoperekedzwa neronda remunzeve (membrane yakatetepa inoparadzanisa kunze kwenzeve yekunzwa kubva pakati kwenzeve), dzimwe nguva inoratidza kukanganisa kwakanyanya. : maronda echeni ye ossicles, kuputsika kwedombo ...

Matambudziko aya anoitika mumamiriro ezvinhu akasiyana:

• kushungurudza musoro (mota kana tsaona yemitambo, kudonha, nezvimwewo),
• kushungurudzika kwakabatana nekuwedzera kamwe kamwe mukumanikidza: kuputika kwenzeve (kukuvara kwenhengo kunokonzerwa nekuputika uye kurira kwekurira) zvichitevera kuputika, kana kunyange kurohwa panzeve, tsaona yekunyura (barotrauma) ...

Acute or chronic otitis media (kunyanya ngozi isingaperi otitis nekuda kwekuvapo kweganda cyst inonzi cholesteatoma mueardrum) zvakare dzimwe nguva inokonzera otorrhagia.

Zvimwe zvinokonzeresa otorrhagia zvinosanganisira kuzvimba polyps uye granulomas pamwe nebundu pathologies.

chirwere

Kuongororwa kunobva kunyanya pakubvunza murwere, iyo inotarisira kuona mamiriro ekutanga kwekubuda ropa uye chero nhoroondo yeENT.

Kuongororwa kwekubuda uye kuongororwa kwekliniki kunosimbisa kuongororwa. Kuti uone zviri nani mugero wekunze wekunzwa uye eardrum, chiremba anoita otoscopy. Uku kuongorora nzeve kunoitwa pachishandiswa mudziyo unobatwa nemaoko unonzi otoscope kana binocular microscope - inopa chiedza chakanyanya asi chinoda kusamira kwemusoro - , kana oto-endoscope, ine probe yakaiswa. ine optical system uye hurongwa hwekuvhenekesa.

Zvichienderana nechikonzero che otorrhagia, mamwe mimwe miedzo inogona kudiwa:

• kufungidzira kushanda (scanner kana MRI),
• instrumental acumetry (kunzwa bvunzo), audiometry (kunzwa kuyerwa),
• biopsy,
• sampuli yenzeve yekuongororwa kwebhakitiriya ...

Vanhu vane hanya

Kubuda ropa munzeve inyaya isingawanzoitiki. Chero ani zvake, mwana kana mukuru, anogona kuva neotorrhagia kubva mukushungurudzika kana kutapukirwa.

Kuonekwa kwe otorrhagia

Kana otorrhagia iri mugumisiro wekutsvaga nyore kana kukwenya kwekunze kwenzeve yenzeve, zvinotora kuonekwa kwekubuda kweropa duku. Nokuda kwekutambudzika kukuru, kuyerera kweropa kunogona kunge kwakawanda, nzeve yenzeve izere nemakumbo eropa rakaoma.

Mumamiriro ezvinhu akaoma zvikuru, kubuda kwakajeka kwerudzi rweotoliquorrhea ("dombo remvura" kuonekwa) rinogona kusanganiswa nekuyerera kweropa, zvichiratidza kubuda kwecerebrospinal fluid kuburikidza nekuputsika kwemeningeal. 

Muchiitiko cheacute otitis media, otorrhagia ine ropa dzvuku inoratidza kuputika kwehemorrhagic blister (phlyctene), mumamiriro ezvinhu efuruwenza otitis nekuda kwehutachiona, inonzi influenza phlyctenular otitis. Apo otitis inokonzerwa nebhakitiriya uye eardrum inoputika pasi pekumanikidzwa kwepus yakaunganidzwa mueardrum, ropa rinosanganiswa neakawanda kana mashoma gobvu purulent uye mucous secretions.

Associated zviratidzo

Otorrhagia inogona kuparadzaniswa kana kusanganiswa nezvimwe zviratidzo, izvo zvinosiyana zvichienderana nechikonzero chinokonzera:

• kunzwa kwenzeve dzakavharika uye kurwadziwa kwakanyanya mushure mekuchenesa nzeve kwehasha,
• kunyanya kana kusanzwa zvakanyanya, tinnitus, dzungu kana kunyange kuremara kwechiso zvichitevera kutyoka kwedombo,
• nasopharyngitis nemhino yakakanuka uye fivha, kurwadziwa kwenzeve kunoderedzwa nekubuda, kurasikirwa kwekunzwa mune acute otitis media,
• kurwadziwa, tinnitus uye dzungu zvichitevera barotrauma,
• kurwadziwa kwakanyanya uye kurasikirwa kwekunzwa mushure mekuputika
• kusanzwa ne pulsatile tinnitus (inoonekwa sekupuruzira pamwero we rhythmic) apo chikonzero cheotorrhagia iri benign vascular bundu rinonzi glomus tumor ...

Mishonga ye otorrhagia inogadziriswa pane imwe nyaya-ne-case mushure mekuongorora kwekliniki uye kuchenesa maronda.

Zvironda zvidiki zvinowanzopora zvega pasina kurapwa. Mune zvimwe zviitiko, zvichienderana nechikonzero chinokonzera uye kuoma, kurapwa kunogona kusanganisira:

• anti-inflammatory uye analgesic zvinodhaka;
• kuchengetwa kwenzvimbo kukurumidza kupora;
• mishonga inorwisa mabhakitiriya kana utachiona huripo (usapinda mumvura munzeve kuitira kuti usawedzera ngozi ye superinfection);
• corticosteroids inobatanidza nevasodilators apo nzeve yemukati inobatwa mushure mekushungurudzika kwezwi;
• kugadziriswa kweeardrum (tympanoplasty) inosanganisira kusungirirwa kwehutano hunobatanidza kana cartilage muchiitiko chechirwere chinoramba chiripo kana chakaoma;
• mamwe marapirwo ekuvhiya (kukuvadzwa kwemusoro, kuputika, bundu, cholesteatoma, nezvimwewo) ...

Hazviiti nguva dzose kudzivirira otorrhagia. Nekudaro, kumwe kukuvara kunodzivirika, kutanga neaya anokonzerwa nekucheneswa kwakanyanyisa kwenzeve - ENTs vanogamuchira kurambidzwa kuri kuuya kwekutengeswa kwedonje swabs, kwekutanga kurairwa nekufunga nezve ecology.

Vanhu vanosangana nekushungurudzwa kwezwi vanofanira kupfeka zvinodzivirira nzeve.

Diving trauma inodzivirirwawo nekudzidza mafambisirwo ane chinangwa chekuenzanisa kudzvanya kuri pakati penzeve yekunze neyepakati kwenzeve. Izvo zvinodiwawo kuremekedza contraindications (usanyura kana uchitambura nehutachiona hwepamusoro turakiti rekufema).