I fa te hian beng lama harsatna a nei em? Beng natna (Otitis Media) chungchang chiang takin i zir ang u!

I fa te hian beng na a phunnawi nghal em? Zanah tap chungin a harh thin em? A nih loh leh a beng a khawih reng emaw, a hrual reng em ni? Hengte hi beng natna chhinchhiahna a ni thei . Vawiin hian beng natna chungchang, a nih loh leh doctor-te’n acute otitis media an tih chungchang kan sawi dawn a ni. Lungngai suh, hei hi naupang tê tê zingah a hluar hle.

Beng natna (Otitis Media) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, beng natna chu i beng lairil chhunga natna hrik awm a ni . Tunah chuan middle ear chu eng nge ni tih i ngaihtuah mai thei. Middle ear chu i beng pawn lam leh i beng chhung lam inkar boruakin a khat hmun te tak te a ni. A dik tak chuan i beng leh i beng chhungril inkar hmun a ni. Beng lai takah hian ruh te tak te tak tak pathum a awm a, chu chuan aw hriatna min pe a ni. Eardrum-a sound vibrations awmte chu heng ruhte kaltlangin beng chhung lam thlengin a kal a, chutah chuan kan hre thei a ni.

Tube te tak te pahnih a awm a, chu chu beng lai tak nen a inzawm a, kawr hnung lam pan a ni. Chungte chu Eustachian tubes an ti a . Heng tube te hian beng chhunga boruak pressure a tidanglam a, beng lai takah tui a awm loh nan a veng bawk. Heng Eustachian tube te hian hna an thawk tha lo a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tichuan beng lai takah tui chu a chhuak tha thei lo. Tichuan beng chu tuiin a khat thei a, chu chuan a rit a, hriat a har thei hle.

Tunah chuan virus emaw bacteria emaw avanga beng natna a lo awm chuan beng lai takah tui pawh a kai ve ta a ni. Chutah chuan beng a na tan a, kan sawi tawh ang khan beng chu a rit hle tih a hriat.

Engtiang chiahin nge beng natna hi a tam?

Dik tak chuan middle ear infection hi naupang tê tête natna a ni ber a, common cold tih loh chu middle ear infection hi a ni. Naupang thla 6 atanga kum 2 inkar ah an tam ber. Kum 8 vel thlengin an awm thei. Hei hian naupang kum upa zawk leh a upa deuh deuhte hian beng natna an vei lo tihna a ni lo, mahse naupang tê tête angin a hluar lo.

Engvangin nge naupang tête hian puitling aiin beng natna an vei tam zawk?

Hei hi chhan hrang hrang a awm a. Eng nge an nih i en ang u:

• Eustachian tube danglamna: Naupang tê tête Eustachian tube hi puitling angin a ṭhang ṭha lo hle. Tin, horizontal lamah pawh an awm zawk bawk. Puitlingah chuan hnuai lam hawiin tlem an inthlak a, chu chuan tui a chhuah awlsam zawk a ni. Naupangah chuan chutiang chu a ni lo va, chuvangin beng hnung lamah tui a awm khawm tam zawk. Tui pipe a hniam tawk lo va, tui a tlakbuak ang maiin han ngaihtuah teh.
• Immune system chak lo: Naupang tê tête immune system , natna dotu taksa invenna chu a la ṭhang kim lo hle. Chuvangin natna do theihna an nei tlem zawk.
• Midang atanga natna thehdarh:Naupang tê tê, a bikin daycare center-a kalte hian naupang dang aṭanga natna an kai tam zawk. Naupang pakhatin khawsik a neih chuan rang takin mi dangah a darh thei a ni.

Beng natna lanchhuahna chu engte nge ni?

Beng natna lan chhuah dan hi khawsik atanga ni engemaw zat hnuah a intan tlangpui. Heng a lan chhuah dan tlangpui chu hetiang hi a ni:

• Earache: Hei hi a symptom ber a ni. A chang chuan a hrehawm hle thei.
• Ei duhna: Beng na hian naupang tête chu ei leh in duhna a hloh thei a ni.
• Mut harsa: Beng na hian zan mut that a ti harsa thei.
• Beng natna avanga hriatna hloh: Beng chu tuiin a khat thei a, chu chuan hriatna a tichhe thei.
• Beng chhungah a khat emaw, pressure emaw a awm tih hriat: Beng chu a rit a, thil a inkhung ang maiin a awm thei.
• Beng atanga tui sen, sen emaw, var emaw chhuak: Hei hian i beng chu a chhe thei tihna a ni.

Pawimawh: Beng atanga tui chhuak a awm chuan beng chhungah engmah dah suh. Eardrum ruptured a tlak chuan thil a tichhia lehzual thei a ni.

Nausen leh naupang tête mizia chu engtin nge kan hriat theih ang?

Nausen leh naupang tê tê, ṭawng ṭha thei lote chuan an lungngaihna an sawi chhuak thei lo. Chuvangin heng chhinchhiahnate hi ngun takin i ngaihven tur a ni:

• Beng chu a man a, a hrual a, a hrual emaw a ni.
• A hma aia nasain ka tap a, ka lungkham fo bawk.
• Khawsik: Khawsik hi 38 atanga 40 degree Celsius (100.5 - 104 degree Fahrenheit) inkar a ni thei. Naupang zawng zawng hian khawsik an nei vek lo a, mahse naupang zinga a chanve vel chuan beng natna neiin khawsik an nei thin.
• Kawnga thawk emaw, bengchheng tam emaw: Kawnga thawk hi i adenoids a lo hring tih chhinchhiahna a ni thei. Adenoids hi i rilru chunglam, i hnar hnung lamah, i Eustachian tube bulah awm tissue lumps te tak te a ni. Beng natna thlentu virus emaw bacteria emaw ang tho hian heng adenoids te hi a ti hring thei bawk.
• Nau hnute pek emaw, chaw pek emaw huna ei duh lohna: Naupang tête an ei chuan beng lai takah pressure a danglam ṭhin. Tichuan a na a zual a, ei duhna a tlahniam ta a ni. Ngaihtuah teh, Samantha naute chungah pawh hetiang thil hi a thleng ve bawk. Naute chuan khawsik a nei a, ni hnih emaw ni thum emaw chhung chu bawnghnute a in duh lova, zanah a tap nasa hle. Doctor-in a entir meuh chuan beng natna a ni tih a hrechhuak ta chauh a ni.

Eng thilin nge beng natna thlentu?

Sawi tawh ang khan bacteria leh virusHei hi beng natna thlentu ber a ni. Beng natna hi khawsik emaw, upper respiratory infection dang emaw a awm hnuah a intan fo thin. Heng natna thlentu hrik te hi Eustachian tube atanga chhoin beng lai takah an kal a. An tih chuan hrikte hian Eustachian tube chu a ti hring thei a ni. A hring chuan tube chu a block a, hna a thawk tha tawh lo va, beng lai takah chuan infected fluid a khat ta a ni.

Beng natna hi kai theih a ni em?

Beng natna hi mi pakhat atanga mi dangah direct-in a darh lo. Mahse, natna thlentu virus leh/ emaw bacteria te hi kai theih an ni. Khawsik leh flu ang chi natna thlentu bacteria leh virus ang chiah tam tak hian beng natna a thlen thei a ni. Chuvangin, khawsik nei mi hnen atanga khawsik i neih chuan a hnuah beng natna i neih a rinawm zawk.

Beng natna vei theihna tur risk factors te chu engte nge ni?

Heng thilte hi i neih chuan beng natna vei theihna a sang zawk:

• Kum: Naupang tê tê thla 6 leh kum 2 inkar chu an hlauhawm ber.
• Chhungkaw chanchin: I chhungkuaa mi pakhatin beng natna a neih fo chuan genetic a ni thei.
• Khawsik: Khawsik fo hian beng natna a tipung a. Naupang daycare center-a kalte chu midang atanga natna an kai tam zawk avangin an hlauhawm zawk a ni.
• Chronic illnesses: Hun rei tak chhunga thawkna lam natna nei, immunosuppressive diseases, cystic fibrosis, leh asthma te chuan beng natna an nei thei a ni.
• Hnam: Zirchianna atanga a lan dan chuan hnam thenkhat (e.g., American Indian, Hispanic, Alaska Native) naupangte hian midang aiin beng natna an vei tam zawk tih hmuhchhuah a ni.
• Thli tleh tha lo leh meikhu awmna hmun: Boruak bawlhhlawh leh secondhand smoke nena inzawmna hian beng natna a tipung a ni.

Beng natna avanga harsatna awm thei te chu engte nge ni?

Beng natna tam zawk hian hun rei tak chhung harsatna a thlen lo. Mahse, beng natna vawi tam tak emaw, awm chhunzawm zel emaw hian harsatna engemaw zat a thlen thei a ni.

• Hriatna hloh: Beng natna a awm lai hian hun eng emaw chen chu hriatna hloh leh thawm ri mumal lo (muffled sounds) a awm fo thin. Mahse, natna a awm reng emaw, beng chhung lam a chhiat chuan hriatna hloh reng reng a awm thei.
• Thusawi leh \awng tihhmasawn tlai: Naupang tê tête chuan ṭawng zir leh ṭawng thiam tûrin an hriat thiam a ngai a ni. Hun rei lo te chhung pawha hriatna a chhiat chuan naupang thusawi hmasawnnaah nghawng lian tak a nei thei a ni.
• Beng zung (torn eardrum): Naupang beng natna vei zinga 5% leh 10% inkar chuan beng zungbun ah mittui tla te te an nei thin. A tam zawkah chuan hei hian a mah chauhin a dam ang . A nih loh chuan surgery a ngai mai thei.
• Natna darh zel: Enkawl loha dah a nih chuan, a nih loh leh amah chauha dah a nih chuanEnkawl loh chuan natna hi a darh thei a ni. He natna hi beng hnung lama ruh ( mastoiditis ) thlengin a darh thei a ni. A tlem berah chuan he natna hi thluak leh ruhro ( meningitis ) chhehvela membrane-ah a darh thei a, chu chu a hlauhawm thei hle.

Engtin nge beng natna i hriat theih ang?

Vawi tam tak chu doctor chuan i fain beng natna a neih leh neih loh chu an natna lan chhuah dan enin, khawsik a neih leh neih loh enfiahna hmangin, leh beng enfiahna hmangin a hre thei a ni. Beng enfiah nân doctor chuan hmanraw tê tak tê, êng nei, otoscope . Hei hi eardrum en nan hman a ni. Eardrum a sen a, a hring a nih chuan hei hi beng natna chhinchhiahna a ni.

A châng chuan doctor chuan pneumatic otoscope hmangin beng lai takah tui a awm leh awm loh a enfiah ṭhin. Hei hian eardrum chhungah boruak tlem a rawn vawrh lut a. Chumi hnuah chuan beng chu a kal leh zel tur a ni. Beng chhungah tui a awm chuan eardrum chu a che tha lo ang.

Ka fa hian test dang a mamawh dawn em?

Thil engemaw takah chuan i fa hian test dang a mamawh thei bawk a, chungte chu:

• Tympanometry: He test hian air pressure hmangin beng lai takah tui a awm leh awm loh enfiah a ni.
• Acoustic reflectometry: Hei hian sound wave hmangin beng lai takah tui awm leh awm loh a enfiah thin.
• Tympanocentesis: Hetiang tih dan hian doctor chuan beng lai tak atanga tui tlem te chu a la chhuak thei a, virus leh bacteria a awm leh awm loh a test thei a ni. Hei hi enkawlna dang hmanga natna kai a thianghlim loh chuan tih theih a ni.
• Hriatna test: Audiologist- in hriatna test a neih hian i fain hriatna a hloh leh neih loh a hriat theih nan a pui thei a ni. Naupang beng natna awm reng emaw, vei fo emaw, beng lai takah tui a chhuak tha lo a nih chuan hriatna hloh an nei tam zawk.

Engtin nge beng natna i enkawl?

Enkawlna tur hi thil engemaw zat atanga thutlukna siam a ni:

• I fa kum zat.
• Hri kai nasat dan.
• Infection awm dan (a vawi khatna atana kai emaw, kai chhunzawm zel emaw, kai leh zel emaw pawh nise).
• Fluid chu beng lai takah a awm rei tawh em tih.

Beng natna tam zawk hi chu enkawl lohvin anmahniin an bo vek. I doctor chuan i fa chu enkawlna a pek hmain ni engemaw zat a enkawl mai thei. Infection a reh loh chuan i fa chu antibiotics emaw, surgery emaw a ngai mai thei. Chutih lai chuan, natna lan chhuah dan, beng na ang chi te enkawlna atana pui turin natna tidamtu damdawi i ei thei bawk.

Antibiotics damdawi a ni

I fain bacteria infection avanga beng na a neih chuan antibiotics a mamawh mai thei. Mahse, doctor-te chuan antibiotics an pek hmain natna tenau tak chu a mah chauha a lo thianghlim theih nan ni thum an nghak tlangpui ang. Infection a nasat chuan antibiotics an tan thuai a ngai mai thei.

American Academy of Pediatrics chuan naupangte chu engtikah nge antibiotics pek tur tih leh engtikah nge enkawl a tha ber tih kaihhruaina a pe a. Hei hi naupang kum, natna vei nasat dan leh khawsik an neih leh neih loh te a innghat a ni.

A pawimawh ber: I natna lan chhuah dan a ṭhat phawt pawhin i doctor-in a tih hma loh chuan damdawi ei kha bansan suh. Damdawi hun bituk chhunga i ei loh chuan natna hi a lo let leh thei a ni.

Natna tihdamna damdawi

I doctor chuan natna leh khawsik tihziaawmna turin over-the- count (OTC) natna tidamtu acetaminophen (e.g., Tylenol®, Panadol®) emaw ibuprofen (e.g., Advil®, Motrin®, Brufen®) emaw a pe thei ang. Natna tihziaawmna turin ear drop an pe thei bawk. I fa tan eng damdawi nge him tih hriat nan i doctor thupek uluk takin zawm rawh.

Naupang tê tête chu aspirin pe ngai suh. Aspirin hian natna hlauhawm tak, nunna atana hlauhawm tak, Reye’s syndrome , a thlen thei a ni.

Ear tubes / Tympanostomy tube hmanga siam a ni

I fa hian beng natna a nei fo a, antibiotics dawng lo infection a nei a, tui tam lutuk avanga hriatna hloh a nih chuan ear tube dah a ngai mai thei. Beng, hnar leh rilru (ENT) lama mithiam chuan tympanostomy tih hmangin tube-te chu a dah lut ang. Hei hi tih dan awlsam tak a ni a, minute 10 vel a ni. I fa chu chu ni vek chuan a haw thei bawk.

Tympanostomy-ah chuan doctor chuan naupang beng bulah hian incision te tak te a siam a, chuta tang chuan metal emaw plastic tube te tak te a thun a. Hetiang tih dan hi beng kawngkhar (eardrum) hrual a, tui chhuah chhuahna a ni a, myringotomy , an ti bawk. Tube te hi an awmna hmunah an awm tawh chuan beng lai takah boruak a lut thei a, tui a chhuah tir thei bawk.

He tube hi thla 12 atanga thla 18 chhung a hmunah dah a ni tlangpui. It may fall out on its own , a nih loh leh a chhuah theih nan operation tenau a ngai thei bawk. Tube an lakchhuah hnuah eardrum chhunga khur chu a dam a, a khar ta a ni.

Beng natna hi a mah chauhin a dam thei em ?

Ni e, natna hrik tam zâwk chu anmahniin an dam . Chuvangin i doctor chuan antibiotics ang chi damdawi a pek hmain rei vak lo a nghak ang. Chutih lai chuan beng natna ang chi symptoms te chu painkiller hmangin i enkawl thei ang.

I fa kum, a natna lan chhuah dan leh a khawsik dan azirin a dam leh theih nan antibiotics a ngai mai thei. I fain natna a vei reng emaw, a vei fo emaw a nih chuan, emaw, beng lai takah tui a lo awm a, hriatna hloh theihna a awm chuan beng tube dah theih a ni. I fa tana tha ber tur chungchangah i doctor thurawn zawm rawh.

Engtikah nge ka fa hian nitin hnathawh pangngaiah a kir leh theih ang?

Naupang khawsik a reh vek tawh chuan sikul emaw, daycare emaw-ah an kal thei tawh a ni.

Beng natna laka inven nan eng nge ka tih theih ang?

Heng thilte hian nangmah emaw i fa emaw tan beng natna hlauhawmna a tihziaawm thei a ni:

• Khawsik leh thawkna lam natna dang laka invenna: Khawsik laka inven nan theihtawp chhuah la, a bik takin i fa kum khatnaah. Kut sil fo turin zirtir la, an khuh leh thawk hah chu an elbow hmangin khuh la, ei tur bungrua, no leh spoon insem lo turin zirtir rawh. A theih chuan i fate chu a upa deuh hma chuan daycare center mipui tamna hmunah tirh loh tur a ni.
• Secondhand smoke pumpelh: Midang cigarette meikhu laka inhmu lo la, i fa bulah tumah zuk phal suh.
• Naute hnute pe rawh: A theih chuan thla 6 atanga thla 12 chhung chu hnute pe rawh. Nu hnute tui chhunga antibodies te hian natna hrik thlentu virus leh bacteria te chu a dodal a ni.
• Bottle-feeding i nih chuan i naute chu ding chungin vawn rawh: Bottle-feeding i nih chuan an lu chu an pum aia sang zawka awm turin ding chungin vawn rawh. Hetiang dinhmun hian bawnghnute emaw, tui dang emaw eustachian tube chhunga a luang kir leh loh nan a pui thei a ni.
• I fa chu vaccine pe rawh: I fa vaccine zawng zawng chu a hun taka hman vek tur a ni. Naupang thla 6 chunglam chuan kum tin flu shot hi lak thin tur a ni. I pediatrician hnenah pneumococcal disease leh meningitis vaccine chungchang zawt rawh.

Engtikah nge beng natna avanga doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• I fa kawr a khauh chuan .
• Naute chu a reh hle a, a lungngai hle niin a lang a, engtiang pawhin i rock pawhin a tap lo ang.
• Naupang kal dan a nghet lo a nih chuan.
• I emaw i fa emaw beng na a nasat em avangin.
• Nangmah emaw i fa emaw chu khawsik 40 degree Celsius (104 Fahrenheit) aia sang i neih chuan.
• Naupangin a hmaiah chak lohna chhinchhiahna a lan chuan (e.g., nuih laiin hmui chu a sir khatah hrual ang maiin a lang).
• Beng atanga thisen emaw, pus-filled fluid emaw lo chhuak i hmuh chuan.

Heng symptoms te hi i neih chuan office hun chhungin doctor ko la:

• Antibiotics ei tan atanga darkar 48 hnuah khawsik a awm reng a nih chuan, emaw, khawsik a lo let leh a nih chuan.
• Ni thum antibiotics ei hnua beng na a reh loh chuan.

Naupang beng natna nei chuan pawn lama an chhuah dawnin an beng a khuh tur em ni?

Ni lo, i chhuah dawnin i beng i khuh a ngai lo.

Naupang beng natna nei chu tui chawi thei em?

I fa hian a beng atanga perforated eardrum emaw fluid emaw a chhuah loh chuan tui chawi pawh a pawi lo.

Ka beng natna ka neih chuan thlawhna hmangin ka kal thei ang em, hmun sangah pawh ka kal thei ang em?

Thlawhna hi a him a, a bik takin tlangram hmunah chuan a him. Mahse, takeoff leh landing laiin hun eng emaw chen chu natna i nei thei. Takeoff laiin tui emaw chewing gum emaw in hian natna a tiziaawm thei a ni. I fate hian beng natna a neih chuan thlawhna chhunga an in tur pacifier pek hian an rilru hahna chu a tiziaawm thei a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I fain beng natna chhinchhiahna a lantir a, ni hnih atanga ni thum chhunga a dinhmun a ṭhat loh chuan naupang enkawltu doctor pan a pawimawh hle. Beng natna tam zawk hi chu enkawl lohvin a reh thin. Mahse, i fa kum leh a natna lan chhuah dan azirin antibiotics pek a ngai mai thei. I doctor chuan i fate taksain natna a do laiin natna a tihziaawm theih nan natna tidamtu dik tak a rawn rawt ang che. Hlauthawng ngai suh, i doctor thupek zawm a pawimawh.

` Beng natna, otitis media, beng na, naupan lai natna, antibiotics, eardrum, eustachian tube