Zovuta otitis media ndikumangokhalira kutupa kwa khutu la pakati la chiwopsezo. Matendawa amayamba ndi mavairasi, mabakiteriya kapena bowa. Palinso milandu pamene otitis ali ndi tizilombo toyambitsa tizilombo. Monga lamulo, matenda ochokera kumadera oyandikana amapita ku tympanum. Zinthu zomwe zimayambitsa matendawa ndi izi:
- hypothermia za thupi motsutsana ndi chikhalidwe cha kuchepa kwa chitetezo;
- posachedwa anadwala matenda opatsirana;
- matenda aakulu a nasopharynx, sinus sinuses;
- khutu la khutu.
Chikhalidwe cha kutupa pachimake choopsa cha otitis
Pali zigawo zotsatirazi za otitis media:
- chisa;
- serous (exudative);
- purulent.
Nthawi zambiri matendawa amayamba ndi matenda opatsirana pogonana. Kutupa komwe kumapezeka pamtunda wakupuma kumapangitsa kuti muzitha kugwiritsira ntchito mapepala a chidziwitso ndikupanga kuphwanya, kutseka mpweya ndi madzi. Chifukwa cha kuchepetsa kupanikizika m'makutu, khutu la transudate - lomwe silili yotupa-limatuluka kuchokera ku nasopharynx.
Serous yovuta (exudative) otitis media ikuyamba ndi kukula kwa catarrhal otitis. Pachifukwa ichi, madzimadzi omwe amatulutsidwa mu tympanamu amakhala otupa. Thandizo lochitidwa bwino pa gawoli la matendawa limapangitsa kuti ayambe kuchira. Kusagwiritsidwa ntchito komweko kungachititse kuti chitukuko cha otitis chisamalire, chomwe chimapangidwa m'kati mwa khutu la pakati, zipsyinjo zimayambitsa kupweteka kumvetsera.
Zovuta kwambiri zowonjezera otitis media - purulent kutupa kwa mucous nembanemba ya tympanic chingwe ndi kugwidwa kwa mbali zina za pakati khutu, ndipo nthawizina periosteum. Zomera za pus zimayambitsa chilonda ndi kutentha kwa nthaka. Kuwonjezeka kwa zotupa zamadzimadzi kungachititse kuti nembanemba ya tympanic ipitirire kunja. Ngati wodwalayo sakuthandiza, wodwalayo akhoza kukumana ndi nembanemba ndi kutuluka kunja.
Kuchiza kwa pachimake otitis media
Zovuta za otitis media zimawonedwa ngati odwala, kuchipatala zimangowonongeka ngati zovuta zimayamba. Wodwala akulamula madontho akumutu-anesthetics:
- Otinum ;
- Otypax;
- Anauran, ndi zina zotero.
Kukonzekera m'makutu kuyenera kuikidwa mu kutentha kwa thupi, ndipo mutatha njirayi, pezani chingwe cha khutu ndi swaboni ya thonje ndi Vaseline.
Kuphatikiza pa mankhwala osokoneza bongo, otitis amawagwiritsa ntchito madontho a vasoconstrictive:
- Halazolin;
- Otrivin;
- Sanorin;
- Nazivin.
Thandizo lachilendo likuchitanso mothandizidwa ndi:
- mankhwala odana ndi kutupa (Diclofenac, Nurofen);
- maantibayotiki (Spiramycin, Cefuroxin, Amoxicillin);
- Njira yothetsera ululu wa mankhwala (Fluimutsil, ATSTS).
Kuchiza kwachidzidzidwe kumapangidwira pamene phokoso lamakono likuwombedwa ndi kutsukidwa ndi njira zothetsera maantibayoti. Njira zothandizira mankhwalazi zikhoza kungopangidwa ndi katswiri. Kuonjezerapo, physiotherapy (UHF, UFO) imayikidwa.