Paracentesis le inwebu tympanic: imiphumela

Inqanaba lokuqala ahlekise otitis eendaba baphathwa kusetyenziswa iindlela 'endala, nto leyo kukhokelela ukugqibezela alulame. Kodwa ngamanye amaxesha, xa beqokelela ubeka imali ebonakalayo ubofu kukho umngcipheko perforation le indlebe. Loo imeko wabonisa iintlungu kakhulu, sokulibala, ukungabi namdla, ikhula iimpawu ukunxila. Kule meko kuyimfuneko babhenele indlela paracentesis. Umongo ngoncedo loo kwi ngokwemeko indlebe ukuphucula kutsalwe ubofu.

Izinto ezibonisa ukuba inkqubo

Paracentesis le inwebu tympanic oluqhutywa apho yaba unyango angasebenzi endilisekileyo. ungenelelo angxamisekileyo yotyando kusenokuba yimfuneko ukuba mpawu zilandelayo zenzeke:

- hayi abadlulayo throbbing earache;
- equmbile le indlebe;
- ubuthulu;
- ukwandisa inani ubofu;
- umkhuhlane;
- isicaphucaphu.

Paracentesis walimala lwenziwa ngokungxamisekileyo phambi iimpawu engaphakathi indlebe ubuhlungu okanye ingqondo ukwenzakala, ezifana ukugabha, isiyezi, intloko ebuhlungu kunye al elibukhali.

indlela

Paracentesis (myringotomy, tympanotomy) - yinkqubo yotyando esincinane kuyimfuneko apho unyango angqingqwa musa ukunceda. Ngexesha inkqubo kwi indlebe wenze mikroskalpelem liqatywe encinane okanye inaliti ezizodwa ekuvumela ukuba ukubonisa exudate ukugeleza.

Ukubuyisa isidima inwebu lwenzeka ngokuzimeleyo. Kwangaxeshanye kwenziwe ucoceko zendlebe kwisisu. Oku kuyimfuneko ukuze ususe izifo kunye ukucoca lo ubomvu nzima ukufikelela iindawo.

Njani na inkqubo

Lo msebenzi iye yaziswa yezonyango nkqu kwinkulungwane yeshumi elinesithoba kwaye isasetyenziswa nangoku kuba unyango lwe komtshiso oko. Ngaphambi kokuba le nkqubo kufuneka ukuba ukuchama, igazi, baye coagulation.

Utyando lwenziwa rhoqo iintsuku 3-4 emva kokuqala kwesi sifo. Iimpawu eziphambili apho paracentesis kuyimfuneko, - ifiva, iintlungu ukudubula kakhulu kwi indlebe, Buze le indlebe.

Entamo yenziwa usebenzisa iinaliti umkhonto, leyo liqatywe inxalenye esezantsi ye ndizayo. Ugqirha yenza okuhlatywa ukuze inaliti wadlula yonke ububanzi ndizayo. Paracentesis le inwebu tympanic kungenzeka ingapheleli, njengoko ukudumba ekhokelela ukuqina ebonakalayo ngaye. Ukuba kukho imfuneko, kwi okuhlatywa ifakiwe shunt, leyo ibhexesha yokulahla exudate lwasemoyeni.

ubuchule Ukubulawa

Umbuzo ophambili abo mazivunywe paracentesis le inwebu tympanic - kusinyela ngamaxesha onke? Eneneni, inkqubo kubuhlungu kakhulu, ngoko oogqirha basebenzisa iindlela ezininzi analgesia:

1. ezintambo. Ichiza iintlungu yenziwa nge inaliti ukuya kummandla emva indlebe, nto leyo uvakalelo Ukwehla kwalapho.

2. sayo. Le kweziyobisi analgesia isicelo ngqo ndizayo.

3. Jikelele. Paracentesis le inwebu tympanic ebantwaneni kwenziwa kusetyenziswa olu hlobo zomzimba, njengoko kusenzima umntwana omncinci ukubamba intloko ngexesha le nkqubo.

kwimeko yesiqhelo

Emva paracentesis le inwebu tympanic kuyimfuneko ukuba bagcine nemithetho yezempilo. Emva kokuba inkqubo lifakwa indlebe emisele lome turunda engenazintsholongwane ukuba kubalulekile ukutshintsha rhoqo ukuthintela ukosuleleka. Ekuqaleni, yenza amaxesha 6-8, yaye emva suppuration yancitshiswa - amaxesha 3-4 ngosuku. Ukuze kukhawuleziswe kukhuthaza ubomvu, emva kokuba umsebenzi kungakuhle ukuba alale ecaleni indlebe lomguli.

Nobetho kwisisu emanyelwayoefuna iphathwa kunye arhente kubola. Xa ubomvu obukhulu kusetyenziswa ukuhlamba usebenzisa efudumeleyo nesisombululo rivanol, furatsilina, hydrogen peroxide, emva koko emjelweni eziviwayo yomile kunye kwasala cotton. Le nkqubo iya kwenziwa kanye okanye kabini ngemini. Sokuhlambela, sebenzisa ibhaluni irabha. auricle etsala phezulu nokubuya umva wayalela jet amanzi ngaphandle uxinzelelo phezu kodonga elingasemva meatus eziviwayo.

Ukuze ngokukhawuleza ukukhulula indlebe kwisisu evela awo ubovu usebenzisa kubethwa. Ukwenza le nkqubo usebenzisa ibhaloni Politzer okanye catheter, kunye awo ubovu le kwisisu tympanic bayacalulwa ukuya endlebeni lomsele. Maxa wambi wasebenzisa Siegl ifanele, apho ubomvu ukusivumela ngokusebenzisa yangaphandle meatus eziviwayo.

Emva kotyando, imeko yomguli uyonyuka ngokukhawuleza, iintlungu okuncitshiswe, kunciphise ubushushu, sinciphile ukuva. iiveki ezimbini okanye ezintathu ifunelwa ukuphilisa indlebe. Ukuthintela ukuyilwa amanxeba kucetyiswa ukuba usebenzise hydrocortisone. Le nto ikhuthaza impiliso ngcono imivumbo, kwakheka phezu komhlaba: kukuqulungana iya kuba amancinci kwaye akuyi kuchaphazela ndikho kukuva.

Imiphumela and Outlook

Xa kwenziwe kakuhle, paracentesis le inwebu tympanic ke kuye akukho imiphumo ebuhlungu nje. Ukuba le nqubo kwenziwa daba, ukuze babe neengxaki ezifana:

• inxalenye idreyini ubomvu. Kulo mzekelo, esi sifo kuba esingapheliyo. Ukuze bahlukane ubomvu eseleyo, isicelo physiotherapy kunye Eskom;
• usulelo nxeba ezivela ekusetyenzisweni kwezinto non-engenazintsholongwane ngexesha inkqubo okanye unyango ezingachanekanga kwithuba kwimeko yesiqhelo. Nale kama kuya kufuneka ukusetyenziswa antibiotics ezibanzi-oonomathotholo;
• kuzwa ngenxa ukubunjwa umonakalo omkhulu. Ngethamsanqa, le iingxaki zinqabile.

Phantsi iingcebiso kagqirha sase- becala evumayo. Ngaba asiyeki, ukuba isisombululo kugqirha wakho ingxaki icebisa paracentesis le ndizayo tympanic. Imiphumo komsipha yezizwe imifinya ingcole, njengoko oku ukwenza amanxeba ezinkulu. Kwaye into engcono ukuba ukulibazisa unyango kwamajelo otitis, akukho mfuneko ukuba balahle ubofu kusetyenziswa iindlela yotyando.