Barotrauma ea tsebe

Ear barotrauma ha e phutholohe tsebeng ka lebaka la khatello ea phapang lipakeng tsa kahare le kantle ho tsebe ea tsebe. E ka kenyelletsa tšenyo tsebeng.

Khatello ea moea e tsebeng e bohareng hangata e tšoana le khatello ea moea kantle ho 'mele. Phala ea eustachian ke khokahano lipakeng tsa tsebe e bohareng le ka morao ea nko le 'metso o kaholimo.

Ho metsa kapa ho tsukutla ho bula phaephe ea eustachi mme ho lumella moea ho kena kapa ho tsoa ka tsebeng e bohareng. Sena se thusa ho lekana khatello ka lehlakoreng le leng la moqomo oa tsebe. Haeba tube ea eustachian e koetsoe, khatello ea moea e tsebeng e bohareng e fapane le khatello e ka ntle ea tsebe ea tsebe. Sena se ka baka barotrauma.

Batho ba bangata ba na le barotrauma ka nako e itseng. Hangata bothata bo hlaha ka liphetoho tsa bophahamo, joalo ka ho fofa, scuba diving, kapa ho khanna lithabeng. Haeba u na le nko e kentsoeng ke ho kula, sefuba kapa tšoaetso e kaholimo ea phefumoloho, u na le monyetla oa ho ba le barotrauma.

Thibelo ea tube ea eustachian le eona e ka ba teng pele ho tsoalo (congenital). E kanna ea bakoa ke ho ruruha molaleng.

Matšoao a tloaelehileng a kenyelletsa:

• Botsoa
• Ho se utloe litsebeng kapa bohloko tsebeng e le 'ngoe kapa ka bobeli
• Ho lahleheloa ke kutlo (hanyane)
• Maikutlo a botlalo kapa ho tlala ka hara ditsebe

Matšoao a mang a ka hlaha haeba boemo bo le bobe haholo kapa bo tsoela pele nako e telele joalo ka:

• Bohloko ba tsebe
• Ho utloa khatello ea litsebe (joalokaha eka ke ka tlas'a metsi)
• E mahareng ho isa tahlehelong e matla ea kutlo
• Ho tsoa mali ka nko

Nakong ea tlhahlobo ea tsebe, mofani oa tlhokomelo ea bophelo a ka bona leqhubu la kantle kapa ho hula kahare ea tsebe ea tsebe. Haeba boemo bo le bobe haholo, ho kanna ha ba le mali kapa likotlo kamora tsebe ea tsebe.

Barotrauma e matla e ka shebahala e ts'oana le ts'oaetso ea tsebe.

Ho imolla bohloko ba tsebe kapa ho se utloise bohloko, o ka nka mehato ea ho bula tube ea eustachian le ho imolla khatello, joalo ka:

• Hlafuna chepisi
• Inhale, ebe o tsoa ka bonolo ha o ntse o tšoere linko li koetsoe 'me molomo o koetsoe
• Ho monya lipompong
• Nako

Ha u fofa, SE KE oa robala ha sefofane se itokisetsa ho lula. Pheta mehato e thathamisitsoeng ho bula tube ea eustachian. Bakeng sa masea le bana ba banyenyane, ho anyesa kapa ho noa lino tse tahang ho ka thusa.

Mefuta e fapaneng ea scuba e lokela ho theoha ebe e nyoloha butle. Ho qoela ha o na le alejiki kapa tšoaetso ea phefumoloho ho kotsi. Barotrauma e ka ba matla maemong ana.

Haeba mehato ea boitlhokomelo e sa fokolise pherekano nakong ea lihora tse 'maloa kapa bothata bo boima, o kanna oa hloka ho bona mofani oa litšebeletso.

U kanna ua hloka moriana ho kokobetsa pherekano ea masapo le ho lumella tube ea eustachian ho bula. Tsena li kenyelletsa:

• Li-decongestants tse nkiloeng ka molomo, kapa ka ho fafatsa nko
• Li-steroid tse nkiloeng ka molomo, kapa ka ho fafatsa nko

U kanna ua hloka lithibela-mafu ho thibela kapa ho alafa tšoaetso ea tsebe haeba barotrauma e le matla.

Hangata, ho ka hlokahala opereishene haeba mekhoa e meng ea phekolo e sa sebetse ho bula tube. Ts'ebetsong ena, ho seoa ho etsoa ka tsebe ea tsebe ho lumella khatello hore e lekane le mokelikeli o tsoang (myringotomy).

Haeba o tlameha ho fetola bophahamo khafetsa kapa o tloaetse ho ba le barotrauma, o kanna oa hloka ho etsoa opereishene ho beha methapo moqomong oa tsebe. Hona ha se khetho bakeng sa ho qoela ka scuba.

Barotrauma hangata ha e na kankere (benign) mme e arabela ho itlhokomela. Ho lahleheloa ke kutlo hangata ke ha nakoana.

Mathata a ka kenyelletsa:

• Tšoaetso e matla ea tsebe
• Ho lahleheloa ke kutlo
• Eardrum e phatlohileng kapa e pentiloeng
• Vertigo

Leka mehato ea tlhokomelo ea lapeng pele. Bitsa mofani oa hau haeba bothata bo sa fokotsehe kamora lihora tse 'maloa.

Bitsa mofani oa hau haeba u na le barotrauma mme matšoao a macha a hlaha, haholoholo:

• Ho tsoa metsi kapa ho tsoa mali tsebeng
• Feberu
• Bohloko bo bohloko ba tsebe

U ka sebelisa li-decongestant tsa masapo (fafatsa kapa foromo ea pilisi) pele bophahamo bo fetoha. Leka ho qoba liphetoho tsa bophahamo ha u ntse u e-na le tšoaetso e phahameng ea phefumoloho kapa tlhaselo ea allergy.

Bua le mofani oa hau mabapi le ho sebelisa li-decongestant haeba u rera ho sesa qoela.

Mecha ea litaba ea Barotitis; Barotrauma; Ho tsoa litsebeng - barotrauma; Bohloko ba tsebe bo amanang le khatello; Ho se sebetse ha tube ea Eustachian - barotrauma; Barotitis; Penya tsebe

• Anatomy ea tsebe

E ngotsoe ke Byyny RL, Shockley LW. Ho qoela ka scuba le dysbarism. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 135.

Van Hoesen KB, Lang MA. Moriana oa ho qoela. Ka: Auerbach PS, Cushing TA, Harris NS, eds. Meriana ea Lefeelleng ea Auerbach. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 71.