I fa beng chu gum ang maiin a stick em? Hei hi ‘Glue Ear’ a ni!

I fate i biak hian i fate hian a hre thei lo ang maiin i inhriat fo thin em? A nih loh leh TV kha i ti sang lutuk em? I fa tê beng chu tui thuk tak, sticky takin a khat vang pawh a ni thei. Doctor kan nih angin he natna hi ‘Glue Ear’ kan ti thin. Damdawi lam hawi chuan `(Otitis Media with Effusion - OME)` emaw `(Secretory Otitis Media)` emaw an ti bawk. Hei hi naupang beng pakhatah emaw, beng pahnihah emaw a thleng thei a ni. Beng natna hnua hmuh tam ber a ni a, mahse chhan dang vang pawh a ni thei. Ngaihtuah buai suh, he dinhmun hi a tlangpuiin hun engemaw chen hnuah a dam leh thin. Mahse, a chhunzawm zel chuan i fa hriatna a nghawng thei a ni.

‘Glue Ear’ hi eng nge ni tak tak? Engtin nge a lo thanglian?

A awlsam zawngin ‘glue ear’ tih hi i fate beng lai tak (eardrum hnung lama hmun ruak) chhunga awm, tui thuk tak, sticky tak a ni. Gum ang deuh a nih avangin ‘glue ear’ an ti.

Ngaihtuah teh, kan hriat chian theih nan kan beng lai tak chu a fiah a, boruak a khat a ngai a ni. He boruak hi beng lai takah hian tube pahnih Eustachian tubes an tih hmangin a lut thin . Heng tube pahnih hian kan beng lai tak leh kan rilru a thlunzawm a ni. A dik zawka sawi chuan heng tube te hi hnar hnung lam atanga kawr thlengin leh beng lai takah an kal a ni. Heng Eustachian tube te hnathawh ber pakhat chu beng lai takah tui duh loh lo awm khawm chu paih chhuah hi a ni. Tui chhuak chu kan hriat lohvin kan ei zo vek a.

Naupang tê têa heng Eustachian tube te hi puitling aiin a zau zawk a, a sir lam hawia awm pawh a ni. Chuvangin puitling angin an thawk tha lo. Chuvangin, naupang Eustachian tube chu eng emaw vanga a block chuan boruak chu beng lai takah a lut lo. Tichuan, beng lai tak chhungril layer-a cell-te chuan tui thuk tak, sticky tak an siam tan ta a ni. Chu chu ‘glue ear’ an tih chu a ni.

Middle ear chu tuiin a khat chuan eardrum chu a vibrate tha thei lo. Tichuan sound wave te chu beng chhung lam thlengin a kal tha lo. Chuvang chuan naute hian an hre tha thei lo.

He ‘glue ear’ natna hi tuin nge vei tam ber? Engtiang chiahin nge a hluar?

‘Glue ear’ hi naupang tê , a bik takin naute leh naupang kum 6 hnuai lam a nghawng tam ber a ni a, mahse, a chang chuan puitlingte pawh a nghawng thei a ni.

Hei hi a tam em em a, preschool naupang panga i hruai chuan engtik lai pawhin pakhat chuan ‘glue ear’ a nei ang. Tin, naupang sawm zinga pariat vel chuan kum 10 an tlin hmain engtikah emaw chuan he natna hi an nei ang.Chuvangin hei hi thil thar a ni lo.

Engtin nge ka naupang tê hian ‘glue ear’ a nei tih ka hriat theih ang? Eng nge a lan chhuah dan?

Naupang leh puitling zingah ‘glue ear’ chhinchhiahna ber chu hriatna hloh a ni . Hei hi beng pakhatah emaw, beng pahnihah emaw vawi khatah a thleng thei a ni. I beng chhungah earplug pahnih i nei ang maiin a lang thei a, chu chuan i chhehvela thawm a ti tlem a, i rilru a ti na thei bawk. Naupang tê têin hriatna a hloh chhunzawm zêl chuan, chu chuan an thusawi thiamna leh ṭawng thiamna a nghawng thei a ni . Entîr nân, thumalte chu chiang takin an sawi chhuak thei lo mai thei.

Chu bâkah, i fa chuan a hnuaia mite hi a tawng thei bawk:

• Beng na tak a ni.
• Tinnitus hi beng chhunga ri ri emaw, ri beng ri emaw a ni.
• Hmuh laia pressure, fullness emaw, beng chhunga ‘pop’ ri emaw hriatna.

Naute hian an hre thei lo tih i hrilh hian an hrethiam lo. Chuvangin heng chhinchhiahnate hi i fimkhur a ngai a ni. I naute emaw, naupang tê emaw chuan ‘glue ear’ a neih chuan hengte hi i hmu thei ang:

• Nungchang inthlak danglamna: Mutthilh reng reng, a hma aia thinrim chak zawk.
• Ngaihtuahna tlakchhamna: Engkim ngaihsak lohna a awm niin a lang.
• Mahni chauha khelh duh zawk.
• I call dawnin a chhang lo.
• Mi pakhat hnenah i thusawi kha sawi nawn leh turin ngen.
• TV volume tihsan nasa tura ngenna.
• A hma aia ring zawkin thu a sawi.

I fain heng symptoms zinga pakhat emaw a aia tam emaw a lantir a nih chuan doctor pan a, thurawn lak a tha ber.

Eng thilin nge ‘glue ear’ a thlen?

Glue ear hi ear infection hnuah a awm fo thin . Infection a thianghlim hnua beng chhunga tui awm reng avanga lo awm a ni. Mahse, glue ear hi beng natna avanga lo awm a ni ngai lo. A chhan langsar ber chu naupang Eustachian tube a block vang a ni. He blockage hi chhan hrang hrang vang a ni thei:

• Khawsik leh flu.
• Allergy hrang hrang a awm.
• Swollen adenoids: Hengte hi ril leh hnar kawng bulah, beng bulah a awm a.
• Cigarette meikhu ang chi thil tithinur thei (Passive smoking) nena inzawmna. Hei hi a pawimawh hle.
• Genetic condition thenkhat ``(Down syndrome)`` ang chi te.
• Cleft palate a awm.
• GERD (gastroesophageal reflux disease) emaw, chronic acid reflux emaw a ni thei.
• Mut laia hnute pek: Hei hi i naute chu bottle atanga chaw i pek laiin a hnungzang chungah i dah chuan a thleng thei.
• Thli pressure inthlak danglam nghal: thlawhna chhunga thlawh emaw, diving emaw ang chi.

Pawimawh: Glue ear hi earwax buildup atang hian a lo piang lo. Inbual emaw, tui chawi lai emawa beng chhunga tui a luh a\angin a lo piang lo bawk.

Engtin nge doctor-te hian ‘glue ear’ hi an hriat chhuah?

Glue ear a awm leh awm loh enfiah tur chuan i fa doctor chuan i fa beng a enfiah hmasa ang. Instrument te tak te (otoscope) hmangin beng chhunga tui an zawng ang.

A chang chuan doctor chuan, "Rei lo nghak ila, hei hi a mah chauhin a bo dawn em tih i en ang," a ti thin. A chhan chu chutiang chu a ni fo thin. Mahse thla engemaw zat hnuah pawh symptoms a awm reng a nih chuan test leh treatment dang atan an refer ang che.

Eng ang test nge tih thin?

I doctor chuan test dang neih belh a ngai tih a hriat chuan, audiologist emaw, beng, hnar, leh beng (ENT) specialist emaw hnenah a refer ang che.

Specialist chuan i fa beng enfiah nan tympanometry test an tih test a ti ang. He test hian naupang beng kawng chu engtiang chiahin nge a che thei tih a teh a ni. Naupang beng chhungah hian microphone leh sound source nei special device an dah lut ang. He device hian ear canal chhunga pressure a inthlak dan a teh ang a, sound wave te chu eardrum atang hian a rawn bounce ang. Naupang beng lai takah tui a awm chuan beng chu a che tha lo ang. Heng result te hi tympanogram an tih graph hmangin an en ang.

Chu bâkah, specialist chuan hriatna test pawh a ti thei bawk . Hei hian beng lai takah tui engzat nge naupang hriatna a nghawng tih a enfiah ang. Hearing test hian hriatna hloh nasat zia leh a chhan hriat theihna a pui thei a ni.

‘Glue ear’ tih hi eng enkawlna nge ni?

A tam zawkah chuan glue ear hi engmah enkawlna awm lovin a mah chauhin a tha ang . I fa doctor chuan thla engemaw zat a nghak tlangpui ang a, chu tui chu a mah chauhin a bo em tih a en ang. I fate natna lan chhuah dan chu a mah chauhin a dam lo a nih chuan enkawlna hrang hrang a awm a, hei hian a pui thei ang:

• Antibiotics: I fain a beng a tui a pun ruala natna a neih chuan beng natna a ni thei. Chutiang hunah chuan doctor chuan a enkawl nan antibiotics a pe ang.
• Myringotomy: A châng chuan specialist chuan surgery tenau tak ``Myringotomy'' tih a rawt thei a, hei hian naupang beng kawngkhar-ah hliam tenau siam a, beng lai takah tui awm chu paih chhuah a ni. A chang chuan specialist chuan incision atang hian tube te tak te, hollow (Ear tube / Grommet) a dah lut thin. He tube hian eardrum leh middle ear inkar pressure inang tlanga siam a pui thin. Tin, beng lai tak atanga beng pawn lam thlenga tui a chhuah tir thei bawk. He tube hi kum khat vel chhungin a mah chauhin a tla chhuak tlangpui.
• Adenoidectomy: I fate ‘glue ear’ chu adenoids a hring vang a nih chuan i doctor chuan ‘Adenoidectomy’ a ti thei ang. He surgery hi ‘Myringotomy’ nen tih dun a ni fo a, chutah chuan adenoids hring (swellen adenoids) te chu lakchhuah a ni.
• Hearing aids: Hearing aids hi sound tichaktu hmanrua a ni. Doctor chuan naupang rei lo te chhunga hriatna hloh tawhte tanpui nan hearing aid a rawt thei a ni. Naupangte hian hengte hi ‘glue ear’ a dam lai emaw, ‘myringotomy’ surgery tih theih loh hunah emaw an hmang thin.

Operation hnuah harsatna a awm em?

A tam zawkah chuan i fa hian myringotomy hnuah harsatna a nei lo ang. I fa chu operation hnu ni engemaw zat chhung chu an beng atangin tui engemaw zat a chhuak thei. Ni engemaw zat aia rei tui a chhuak chhunzawm zel chuan doctor nen inbia ang che.

In lama ‘glue ear’ tihziaawm theih dan a awm em?

Ni e, a châng chuan in lama i tih theih exercise awlsam tlemte a awm a, chu chuan i fate beng lai tak chu rei lo tê atan a tifai thei a ni:

• Valsalva maneuver: Hei hi thawk dan tur a ni. Naupang chu an hnar kawngkhar chu pinch khar turin hrilh la, an hmui kha khar la, an hnar atanga boruak chhuah tir tum rawh. Naupang chuan an beng chu a "pop" tih a hria ang.
• Otovent® nasal balloon: He hmanrua hi ``(Otovent®)`` tia koh a ni a, i fate beng atanga tui a chhuah tir thei a ni. Balloon-a nozzle inbun chu hnar pakhatah dahin hnar dang chu kut zungtang hmangin khar a ni. Chumi hnuah naupang chuan an hnar hmangin balloon chu inflate a tum a. Hei hian rilru hnunglam atanga boruak chu beng lai takah a luh tir a, Eustachian tube hawn nan a pui a ni.

Mahse hengte hi i enchhin hmain doctor rawn hmasak phawt a pawimawh hle.

Glue ear hi a veng thei ang em?

I fate beng natna hlauhawmna tihtlem hian ‘glue ear’ hlauhawmna tihtlem nan a pui thei bawk. I fate beng natna vei theihna tihziaawmna tura i tih theih ṭhenkhat chu hetiang hi a ni:

• Nu hnute pek: Nu hnute tuiah nutrient awmte hian naute chu natna hrik do turin a pui thin. Research atanga a lan dan chuan nausen hnute pek te hian ‘glue ear’ an nei tlem hle.
• Naute chu chaw i pek laiin ding chungin vawn rawh: Nau hnute i pe emaw, bottle-a i pe emaw pawh nise, i naute chu mut ai chuan ṭhutna hmunah vawn tlat ang che. Hei hian chaw pek laiin Eustachian tube-a tui a luh loh nan a pui thei a ni.
• Secondhand smoke pumpelh: Naupang secondhand smoke-a inhnamhnawih te hian ‘glue ear’ an vei theihna a sang hle. In chhung leh car chhungah a theih ang anga meizuk loh tur.
• Allergy testing: Allergen tlanglawn tak tak, pollen, dust mites, leh animal dander te hian Eustachian tube te hi a ti hring thei a. Hei hi i fate ‘glue ear’ awm chhan nia i hriat chuan i doctor hnenah allergy test chungchang zawt la.
• Faina leh hri kai hrik paih dan: I fate kut sil dan dik zirtir rawh. An kut chu sahbawn leh tuiin second 20 tal sil tur a ni. Tin, in chhunga thil awmte leh infiamna te chu phihfai fovin fai takin vawng reng ang che.

Ka fa hian ‘glue ear’ a neih chuan eng nge ka beisei ang?

‘Glue ear’ hi natna tlanglawn tak a ni a, a tlangpuiin a mah chauhin a dam leh thin. Amaherawhchu, a lan chhuah dan thla eng emaw zat a awm reng chuan naupang hriatna a nghawng thei a ni. An tawng thiamna leh tawng thiamna a nghawng thei a ni. Heng harsatnate hian zirlai harsatna a thlen thei a, chubakah midangte nena inbiakpawhna leh inpawh tawnna kawngah harsatna a thlen thei bawk.

Mahse a tha ber chu, beng chhungah tui thla tam tak awm mahse, naupang tam zawk chuan he natna avang hian hun rei tak chhung hriatna hloh emaw, tawng lama harsatna emaw an nei lo.

‘Glue year’ hi eng chen nge a daih theih ang?

A tam zawkah chuan glue ear hi kar hnih atanga kar thum chhungin a mah chauhin a tha leh thin. A châng chuan, thla engemaw zât chhûng chu a awm reng thei bawk. Thla thum chhunga amah chauha a dam loh chuan i fa doctor hnenah enkawl dan tur dik tak sawipui rawh.

‘Glue ear’ nei naupang chu a inbual thei em, a inbual thei em?

I fain ear tube a neih chuan doctor chuan operation hnu kar hnih atanga kar li chhung chu beng hnim lo turin a hrilh ang. Hei hian tui chawi leh inbual loh tihna a ni. An beng hnim lovin an taksa an sil thei a ni. Chumi hnuah chuan pool-a inbual emaw, tui chawi emaw khapna a awm lo tlangpui.

Mahse naupang thenkhat, natna kai theihna sang zawkte chuan fimkhur zual a ngai mai thei. Chutiang a nih chuan i fa doctor chuan hetiang hi a rawt thei ang:

• Tui chhunga zuang emaw, diving emaw kha pumpelh rawh.
• Tui chawi dawnin earplug leh swim cap hmang thin ang che.
• Lake leh unchlorinated swimming pool ang chi hmun atang hian hla takah awm rawh.
• I fa sam i sil dawnin an bengah tui a luh loh nan fimkhur hle ang che.

Naupang ‘glue ear’ nei chu thlawhnaah a zin chuan harsatna a awm em?

Glue ear nei naupang tam zawk chuan thlawhnaah hian harsatna an nei lovang. Amaherawhchu, i fate dinhmun bik chungchang hi i fa doctor hnenah zawh a tha. Middle ear-a fluid hi takeoff leh landing laiin a zau thei a, hei hian harsatna a thlen thei a ni. Hei hi ``airplane ear'' an ti a, thlawhna thlawh leh tlak laiin thil ei emaw in emaw hian i fate Eustachian tube a hawng thei a, a rilru hahna a tiziaawm thei bawk.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

I fain ‘glue ear’ a neih chuan he natna chungchangah hian zawhna tam tak i nei thei a ni. I fa doctor chuan zawhna i neih apiang a chhang thei ang. Doctor hnena zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• Engvangin nge ka fa hian a beng ah tui a awm?
• Ka fa hian enkawlna a mamawh em?
• Ka fa hian eng ang enkawlna nge a mamawh?
• He dinhmun hi nakin lawkah engtin nge kan ven theih ang?

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

‘Glue ear’ (Otitis Media with Effusion) hi naupang tê tête zingah a hluar hle. A tam zawkah chuan a mah chauhin a tha zawk thin.Mahse, beng chhunga tui awmkhawm hian naupang hriatna a tichhe thei a, chu chuan thusawi leh tawng hmasawnna a nghawng thei a ni.

Chuvangin, he natna lanchhuahna i hmuh chuan i fa doctor pan nghal rawh. Chumi hnuah doctor chuan i fa chu a enfiah thei ang a, a tul chuan enkawlna \ha tak a pe thei ang. Thu lawmawm tak chu naupang tam zawk hian he natna avang hian hun rei tak chhung hriatna hloh emaw, tawng lama harsatna emaw an nei lo. Chuvangin tul lovah hlauthawng suh, mahse fimkhur a pawimawh.

` Glue Ear, Glue Ear, Otitis Media with Effusion, Ear Fluid, Naupang beng natna, Hriatna lama harsatna, Eustachian Tube, Myringotomy