Kana pane chirwere chisingafungidziki kana chisina kururama cheacute otitis media, kupararira kunopararira kunopararira kune pedo bone cavities. Izvi zvinonzi mastoiditis - chimiro, zviratidzo, kurapwa uye kufungidzira kwehutachiona hunoongororwa ne otolaryngologists. Pasinei nedzimwe nzira dziripo dzekurapa chirwere ichi, zvakaoma kurwisana nayo, kunyanya mumatanho ekupedzisira ekubudirira.
Mifananidzo ye mastoiditis uye zviratidzo zvayo
Pamberi pekugadzirwa kune mastoid - chirongwa chemukati chenguva pfupa. Iine chivako chinokonzera, chinosanganisira masero akaparadzaniswa nezvikamu zviduku.
Sezvo mutemo, mastoiditis inowanikwa nekuda kwekupararira kwehutachiona kubva pamusana weeardrum kusvika pamastoid nenzira yekufambira mberi kweutitis media. Zvishoma nezvirwere zvinorondedzerwa zvirwere ndezvokutanga uye zvinokurwisana nechekuita kwekukuvara kwemagetsi uye kukuvadzwa.
Unhu hunosanganisira:
- ruzha, ruzha munzeve;
- kupisa kwemuviri wepamusoro;
- kuora kuora kwehutano;
- kurira shure kwezeve;
- kurwadziwa kwakanyanya munzeve yekunzwa, musoro (inobata hafu yechitubu);
- kurasikirwa kwekunzwa;
- kudyidzana kubva munzeve;
- kubwinya kweganda munzvimbo yekuvhiringidza.
Kurapa kwemastoiditis nemishonga uye mishonga yevanhu
Chirwere chikuru chechirwere chechirwere chiri mubvunzo ndecho kushandiswa kwe beta-lactam antibiotics ine zvakasiyana-siyana zvemigumisiro, yakadai se:
- Ceftibutene;
- Amoxicillin;
- Ceftriaxone ;
- Cefaclor;
- Ciprofloxacin;
- Cefixime;
- Cefotaxime;
- Cefuroxime nevamwe.
Panguva imwecheteyo, zviratidzo zvechiratidzo zvinorayirwa:
- anesthetics ne anti-inflammatory effect;
- antihistamines;
- immunomodulators;
- varoyi.
Kana pasina mazita ekuvandudzwa kwemaawa makumi maviri anotevera kubvira pakutanga kwechirwere chekuchengetedza, kupindira kwekuvhiya kunoitwa. Chiremba anosarudza chimwe chezvinhu zvinotevera zvinotevera:
- myringotomy;
- sumo ye tympanostomy tube;
- anthotomy (mastoidectomy).
Zvichienderana nekuoma kwekuvhiringidza kwekugadzira nekufambira mberi kwayo nokukurumidza, hapana mapoka evanhu anogona kushandiswa.
Zviratidzo zvemastoiditis
Kurapa kwakakodzera panguva yakakodzera kunokubvumira kukurumidza kukunda neairondedzwa zvirwere uye kudzivirira kukura kwezvinetso, saka muzviitiko zvizhinji, chiitiko chacho chakanaka. Pashoma migumisiro yakaipa inogona kuitika:
- thrombosis yezvitadzo zve medulla (yakasimba);
- chipfu Chitelli;
- labyrinthite ;
- subperiosteal abscess yenzira ye mastoid;
- kunzwa kutadza;
- meningitis;
- chikamu cheBezold;
- kukundwa kwemutsara wepiso;
- epidural abscess.