Yin bincike da kyau game da kamuwa da kunne, wanda aka fi sani da babban mai watsa labarai ta otitis (AOM), ya rage tsawon lokacin rashin jin daɗi, yana da muhimmanci a guje wa yin amfani da maganin rigakafi, kuma yana taimaka wajen hana damuwa da kamuwa da cuta. Baya ga tarihin lafiyar lafiyar lafiya, likitan ku kawai yana buƙatar yin amfani da maganin pneumatic don gano ainihin kamuwa da kunne.
Domin yara ƙanana bazai iya koya muku abin da ba daidai ba, gano cewa ko yarinyarku yana da kamuwa da kunne zai iya zama matsala sosai a matsayin iyaye.
Abin farin ciki, likita mai horarwa yana iya gano ƙwaƙwalwar kunne idan ba tare da wahala ba. Har ila yau lura cewa koda kuwa ba ku da kamuwa da kunne a matsayin yarinya, har yanzu za ku iya samun daya a matsayin balagagge.
Kasuwan kai da Gwajin Gidajen-gida
Ba buƙatar ku zama likita don sayen kayan da ake buƙatar yin gwajin kunne na kunne. Duk da haka, ba a karfafa shi ba sai dai idan kun san abin da kuke aikatawa, kamar yadda akwai hanyoyi don nazarin membrane tympanic (kamar yadda aka bayyana a kasa).
Yara kuma suna sananne saboda ba su aiki tare a lokacin jarrabawar kunne. Ba tare da kayan aiki da fasaha ba, akwai haɗari na lalacewa ta hanyar haɗari idan ka saka wani abu a cikin kunne.
Duk da haka, akwai kamfanonin da suke sauƙaƙe don dubawa mai sauƙi don samun taimako kafin ziyartar likita. Akwai wasu kayan haɗe-haɗe na wayar da za su ba ka damar ganin kullun kunne da tympanic membrane.
Akwai kuma wasu na'urorin da suka bunkasa da za su yi ƙoƙari su samar da sikelin ruwa a bayan gadonku na tympanic; kodayake daidaito ya zama abin ƙyama bisa la'akari da layi.
Kayayyakin Gano
A lokacin ziyarar da likitanku, zai zama mahimmanci a gare su su bincika kunne.
Otoscopy wani jarrabawa ne da aka yi tare da wani tasiri wanda zai ba da izinin ganin fuskar kunnen kunnen ku na waje da kuma eardrum (membrane tympanic).
Duk da yake za ku iya yin kima na asali tare da fasali na misali, zai fi kyau idan likitan ku na da haɗin haɗin pneumatic don otoscope. Abubuwan da ke hawan pneumatic kawai shine bulb bulb wanda ya ba da damar likitan ku yi amfani da murfin haske zuwa jikin mutum na tympanic. Ga abin da likitanku zai nema a cikin wani abu mai kyau:
- Matsayi - tympanic membrane zai zama a cikin wani lebur ko tsaka tsaki matsayi
- Rashin hankali - tympanic membrane ne yawanci translucent
- Motion - membrane tympanic zai motsa tare da aikace-aikace na matsa lamba mai tsanani (duka tabbatacce ko matsa lamba) daga bulb a kan otoscope
- Launi - membrane mai kamala zai bayyana launin fatar launin fata ko ruwan hoda
Sakamakon da ke nuna damuwa akan abubuwan da ke cikin kunnuwanku sun kunshi:
- Matsayi - tympanic membrane ne ko dai bulging ko retracted
- Rashin hankali - tympanic membrane ne opaque ko damuwa
- Motion - membrane tympanic ba zai amsa daidai da matsa lamba ba yayin amfani da kwan fitila a kan otoscope
- Launi - launin toka, blue, amber, fari, ko rawaya mai rawaya suna da launuka masu haɗari da ke hade da membrane tympanic.
Likitan likitanku zai gwada ku tare da kamuwa da kunne idan sun ga magungunan maganganu
Hoto
Ba za ku buƙatar kowane hoto don yin aiki mai kyau na kamuwa da kunne ba. Duk da haka, idan kamuwa da cuta ya dade kuma likitanku ya damu game da wasu matsalolin, zasu iya yin umarni a CT scan ko MRI.
A CT scan zai iya zama da amfani a ganin tsarin, abscesses, ko wasu abnormalities a kusa da kunne. MRI, a gefe guda, yana da amfani idan likitanka ya damu game da matsalolin da suka danganci kwakwalwarka. Yin amfani da CT ko MRI zai zama mawuyacin hali kuma ba zai zama wani ɓangare na kwarewa ba.
Bincike daban-daban
Yayin da kake nazarin ko ko kana da kamuwa da kunne, likitanka zaiyi kokarin bambance idan kana da kafofin watsa labaran kyitis (ƙwaƙwalwar kunne) ko kuma maganin otitis tare da wulakanci (OME, ruwa mai cutar ba a kunne). Dukansu biyu suna iya kama da kamanni.
Launi, motsi, da rashin daidaito na iya zama mai sauƙi tsakanin duka AOM da OME. Duk da haka, matsayi na membrane tympanic shi ne yawancin alamar faɗakarwa. A AOM, membrane tympanic ne yawanci bulging, yayin da ake yawanci retracted tare da OME.
Redness
Rashin murfin jikinka na jikin mutum ba tare da alamun ruwa ba a baya da eardrum baya haifar da kamuwa da kunne. Kwararka na iya duba wadannan abubuwan da ke faruwa na jan redness kewaye da membrane tympanic:
- rashin lafiya na numfashi na sama da ke haifar da ƙonewa daga sashin jiki na numfashi
- kuka
- matsanancin zazzabi
- kunnen kunne
- kwanan nan cirewar kunnen daji
Rage Gyara
Gwaje-gwaje don motsi na membrane tympanic yana da mahimmanci don ganewa da tsakiyar kunne (MEE - ruwa a tsakiyar kunne). Duk da haka, rage motsi ba ya nufin cewa ruwa a tsakiyar kunne yana kamuwa. Wasu dalilai na ciwon rage motsi na magungunanku na tympanic sun hada da:
- ƙuntataccen bututun eustachian
- tympanosclerosis
Jijiyar jinƙai
Samun ciwon kunne shine alama ta kowa na kamuwa da kunne. Duk da haka, akwai dalilai masu yawa don fuskantar jin kunnen kunne kamar:
- otith externa (mai kunnen kunne)
- kunnen kunne
- ƙuntataccen canal kunne tare da abu na waje
- ciwon haɗin gwiwa na kwanan lokaci
- herpes zoster (shingles)
Saboda dabarun da yawa da zasu iya faruwa tare da bayyanar cututtuka na kamuwa da kunne, yana da mahimmanci a biye tare da likita don ganewar asali.
> Sources:
> Magungunan otitis mai muni a cikin manya. UpToDate website. http://www.uptodate.com (biyan kuɗi da ake bukata). Updated Afrilu 19, 2017.
> Magungunan otitis mai zurfi a cikin yara: Bincike. UpToDate website. http://www.uptodate.com (biyan kuɗi da ake bukata). Updated Oktoba 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Binciken Nunawar da Gudanar da Ƙwararrun Gizon Bincike. Pediatrics 131 (3), e964-e999.
> Ponka, D & Baddar, F. (2013). Hannar maganin tarkon. Kwarar Fam. 59 (9): 962.