I fa naupangte chuan beng a na a, chutah rang takin, a dam chhoh zel lai takin, a beng hnunglam chu a lo hring a, a sen a, a khawih pawhin a na tih i hmu ngai em? A nih loh leh nangmah ngei pawhin hetiang hi i tawng tawh em? Hei hi beng natna awlsam tak angin hnawl suh. Hei hi natna khirh tak a ni thei a, chu chu beng lai (middle ear infection) enkawl loh avanga lo awm thei a ni. Vawiin hian ‘Mastoiditis’ tih natna kan sawi dawn a, hetiang hun lai hian i rinhlelh tur a ni.
He Mastoiditis hi eng nge ni?
A awlsam zawngin sawi ila, mastoiditis hi kan beng hnung lama luruh chhunga awm, mastoid ruh atanga bacteria infection a ni. He ruh hi ruh nghet tak mai a ni lo. A chhungah hian khawizu khur chhunga khur te tak te ang maiin boruak khata khat chamber te tak te (air cells) tam tak a awm a. Hengte hnathawh ber chu beng chhunga thil chi hrang hrang nalh tak takte venhim a, beng chhunga pressure tihreh a, accident a thlen hunah luruh chhiatna tih tlem a ni.
Thil thleng tlangpui chu beng laihawl (Otitis Media) chu a enkawl that loh chuan a natna thlentu bacteria chu beng lai tak atanga mastoid ruh chhunga boruak awmna hmunah a darh thin. Hei hi mastoiditis a lo awm hun a ni. Hetiang dinhmun hi naupang tê têah a tam ber a, mahse puitlingah pawh a awm thei bawk.
Kan taksaa nerve leh thisen kalna kawng pawimawh ber berte hian he mastoid ruh hi an kal tlang avangin hetah hian natna hrik a awm chuan ruh pawnah a darh thei a, hriselna lamah harsatna lian tak a thlen thei a ni.
Mi thenkhat chuan hun rei tak chhunga natna ‘Chronic Mastoiditis’ an tih pawh an nei thei a, chu chuan beng atanga zun ang maia tui chhuak reng reng a siam thin.
Engvangin nge hetiang dinhmun hi a lo awm?
Ka sawi tawh ang khan hei hi a chhan ber leh a tam ber chu middle ear infection (Otitis Media) enkawl loh emaw, enkawl kim loh emaw a ni. Middle ear-a bacteria te chu zawi zawiin mastoid bone-ah an pem lut thin.
Tin, a chhan awm lo tak chu ‘cholesteatoma’ an tih hi a ni. Hei hi beng chhunga vun cell awmkhawm dan pangngai lo, lump siam a ni. He lump hian beng tui chhuahna a tikhawlo thei a, infection a thlen thei a, mastoiditis a thlen thei bawk.
Hei hi eng symptoms nge ni?
Heng symptoms te hi i ngaihtuah hle tur a ni a, a bik takin i fain tun hnaia beng natna a neih chuan i ngaihtuah hle tur a ni.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Beng hnung lama sen leh hring | Hei hi a symptom ber a ni. Beng hnunglam ruh chu a sen dum a, a hring nasa hle. A khawih chuan a na hle. |
| Beng chu hmalam pan chuan a rawn nawr a | Beng hnung lama hliam chu hmalam leh hnuai lam pan ang maiin a lang thei. |
| Beng atanga chhuak | Beng chhung atang hian tui rimchhia, yellow emaw green emaw pus ang chi chu a chhuak chhunzawm thei a ni. |
| Khua a vawt, malaise | Taksaah natna hrik a awm chuan khawsik nasa tak a thlen thei a, taksa na a thlen thei a, engmah tih theih loh khawpa chau lutuk anga inhriatna a thlen thei bawk. Naupang tê tête chu an mit an chhing fo ṭhîn. |
Enkawl loh chuan eng dinhmun hlauhawm nge thleng thei?
Hei hi kan zavaia kan hlauh ber tur chu a ni. Beng natna mai nia kan ngaih chuan natna hi a darh thei a, harsatna lian tak tak, nunna atana hlauhawm tak tak pawh a thlen thei a ni.
| Complication awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Hriatna hloh | He natna hian beng hmun nalh tak takte a tichhia thei a, hriatna hloh reng reng a thlen thei bawk. |
| Hmai paralysis a awm | A chhan chu hmai ruh control tu nerve hian he ruh hi a paltlang avangin natna hi a darh thei a, hmai sir khat a tlakbuak thei a ni. |
| Meningitis emaw thluaka abscess emaw a awm thei | He natna hi luruh chhungah a darh thei a, meningitis emaw thluaka abscess emaw a thlen thei a ni. Hei hi nunna atana hlauhawm tak a ni. |
| Vertigo a awm | He natna hi beng chhunga taksa inthlauhna nena inzawm (Labyrinthitis)-ah a darh chuan luak chhuak nasa tak leh luak chhuak nasa tak a awm thei a ni. |
| Thisen a chhuak | A tlem hle a, thluak thisen kalna kawngah thisen zam (blood clots) a lo awm thei a, chu chuan mitdelna leh lu na nasa tak ang chi symptoms a thlen thei a ni. |
Engtin nge hei hi i hmuh theih, Doctor?
Nangmah emaw i fa emaw chuan beng na, khawsik, natna, sen, emaw beng hnung lama hliam emaw a awm chuan doctor pan nghal rawh. Doctor chuan beng chhung lam chu otoscope an tih hmangin a enfiah hmasa ang. Mastoiditis hi middle ear infection nei lo chuan a awm lo.
Tichuan, beng tui sample lak a, laboratory test (culture) atan thawn theih a ni a, eng bacteria nge natna thlentu dik tak hriat theih a ni.
Chu natna chu a nasat hle nia rinhlelhna a awm a nih chuan, emaw, harsatna a awm nia rinhlelh a nih chuan CT scan turin refer i ni ang . Hei hian mastoid ruh leh a chhehvel dinhmun chiang takin a hmu thei a ni. Khawi emaw laiah cyst ang chi a awm chuan lakchhuah a ngai a, enkawl a ngai a ni.
Hei hi eng enkawlna nge ni?
Hei hi enkawlna ber chu antibiotics a ni .
A tlangpuiin mastoiditis i vei tih hmuhchhuah a nih chuan nangmah emaw i fa emaw chu damdawi inah enkawl a ngai dawn a ni. Chutah chuan beng, hnar leh kawr lama mithiam (ENT specialist)-in a rawn en ang che. Antibiotics hi syringe (IV - Intravenous) hmanga pek a ni ang a, rang taka hri kai thunun theih a ni ang.
Chu bakah, beng lai tak atanga zun (ps) lakchhuah nan myringotomy an tih surgery tenau tak pawh tih theih a ni bawk. Hei hian eardrum-ah khur te tak te tak siam a, chuta tang chuan zun thenkhat chu paih chhuah a ngai a ni. A châng chuan, a inhawng reng theih nan tube te tak te chu a chhungah dah a ni. He tube hi thla 6-12 chhungin a mah chauhin a tla chhuak ang.
IV antibiotics hian tihdam rang tak a pe lo a nih chuan, emaw, ruh hring emaw, ruh hloh emaw ang chi harsatna a awm chuan mastoidectomy tih a ngai mai thei. Hei hian mastoid ruh natna hmun chu operation hmanga lakchhuah a ngai a ni.
Hriat loh tur, natna hi a hmaa hriatchhuah a nih a, antibiotics dik tak hmanga enkawl a nih a, a tul chuan operation tih a nih chuan heng harsatna lian tham zawng zawng hi ven theih a ni a, a dam kim thei bawk.
Take-Home Thuchah a ni
- Mastoiditis hi beng hnung lama ruh natna khirh tak a ni. Hei hi a chhan ber chu middle ear infection a dam tha lo a ni.
- A lan chhuah dan ber chu beng hnung lama hring, sen, natna nasa tak, khawsik, leh beng atanga tui chhuak te hi a ni.
- Heng symptoms te hi ngaihthah ngai suh, a bik takin naupang tê têah chuan.
- Hetiang symptom i hmuh huna i tih tur tha ber chu i doctor pan nghal hi a ni.
- Enkawlna tan hma chuan hriatna hloh leh meningitis ang chi harsatna hlauhawm tak tak a nei tlem zawk thin.
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