I beng atang hian tui a chhuak em? (Otorrhea) – Hei hi i fimkhur ang u!

I beng aṭanga tui, tui sen, a nih loh leh a châng chuan mucus ang chi thil thuk tak lo chhuak i hmu ngai em? Mi thenkhat chuan hei hi "ear discharge" emaw "beng chhunga tui" emaw an ti thin. Naupang tê tête chuan he natna hi an nei fo thei a ni. Ngaihtuah buai tur a ni lo, mahse hriat chian a pawimawh. Vawiin hian he natna hi kan sawi dawn a, a nih loh leh doctor-te’n an tih angin , otorrhea .

Otorrhea chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, otorrhea chu i beng atanga tui chhuak a ni. Hei hi beng natna avanga beng zung (eardrum) a tihchhiat hian a thleng fo thin. Hei hian beng lai tak atanga tui chu beng kawng kaltlangin a chhuak thei a ni. Mahse, a chhan dang a awm. Entirnan, tui chawi beng, tui chawi fo thinte chunga thil thleng emaw, beng chhunga thil dang a tang emaw, accident avanga lu hliam emaw.

Otorrhea hi natna hrik a ni fo em?

Ni lo, chu chu a dik lo. Otorrhea thlentu ber chu infection a ni tih hi a dik a ni. A tam zawkah chuan beng laihawl natna, otitis media , emaw, beng pawn lam natna emaw, beng leh beng kawng natna emaw, otitis externa an tih emaw a ni. Mahse, kan sawi tawh ang khan beng chhungah thil a tlakbuak emaw, lu hliam na tak i neih emaw chuan beng atanga tui a chhuak thei bawk. Chuvangin, i beng atanga tui lo chhuak i hmuh chuan infection niin ngai suh, mahse a chhan dik tak hriat tumin doctor pan a tha ber.

Hetiang natna (Otorrhea) hian tute nge a nghawng ber?

Hetiang dinhmun hi a takah chuan naupang tê tête zingah a hluar hle. A chhan chu beng natna an vei fo vang a ni. Puitling pawhin an vei thei a, mahse beng hliam palh ang chi thil vang a ni fo.

Thil dang pakhat chu naupang tê ṭhenkhat chuan beng natna an vei fo va, chuvangin doctor-te chuan an beng chhungah tube te tak te (``ear tube``) an dah a ni. Naupang heng tube nei zinga 17% vel, a nih loh leh za zinga sawm leh pasarih te hian a tawpah chuan an beng chhungah tui an nei ang. I fain heng ``ear tube`` zinga pakhat a neih chuan doctor chuan antibiotic drop thenkhat hmangin tui chu tihtawp turin a hrilh ang che. Drops hian tui a titawp lo a nih chuan doctor chuan naupang chu a en leh ang a, test tam zawk a ti leh ang.

Naupang emaw puitling emaw, a chunga kan sawi tak (otitis externa) emaw, `swimmer's ear` avanga an beng atanga tui chhuak an awm chuan, inbual emaw, tui chawi lai emawa an beng chhunga dah `ear plug` bik an hmang thei ang. A dang pawhin cotton wool te tak te ah petroleum jelly tlem te te hmangin beng chhungah i dah thei bawk. Hei hian beng chhunga tui lut chu eng emaw chen a tihtlem thei a ni.

Beng atang hian eng ang tui nge chhuak?

Beng atanga tui chhuak chi hrang hrang panga a awm a, chungte chu:

• Purulent: Hei hi zun a chhuah hun a ni. A tlangpuiin a rawng chu sen a ni a, a thuk pawh a ni thei.
• Serous: Hei hian kan thisena protein tamna tui (serum) a kawk a. Tui deuh a ni thei a, a rawng pawh a sen hring a ni thei bawk.
• Thisen: A chang chuan thisen a inhmeh thei a, a sen dum emaw, a sen hring emaw pawh a ni thei.
• Mucoid: Hei hi tui thuk tak a ni a, mucus nen a inang.
• Clear: Tui thianghlim , rawng nei lo, tui ang maia awm.

Chutiang chuan, tui awm dan a zirin doctor chuan a chhan chu eng nge ni tih hriatna engemaw zat a nei thei a ni.

Otorrhea hi engtiang chiahin nge a awm?

Otorrhea hi a takah chuan natna tlanglawn tak a ni. A chang chuan natna awlsam tak, na lo tak avanga lo awm thei a ni a, mahse a chang chuan natna khirh tak chhinchhiahna a ni thei bawk. A chhan langsar ber chu beng natna a ni.

Hei hi eng symptoms nge ni?

A lan chhuah dan ber chu beng atanga tui chhuak a ni . He discharge hi rimtui lo emaw, rimchhia emaw pawh a ni thei. A thuk lo zawk emaw, tui a tam lo emaw, a thuk zawk emaw pawh a ni thei. A rawng chu a inang vek a; rawng hrang hrang a awm thei a, chu chu a chiang, a sen, a nih loh leh a sen a ni.

He symptom lian ber bakah hian symptom dang engemaw zat a awm thei bawk:

• Beng na
• Itchy beng a awm
• Beng chhunga aw hrang hrang hriat (doctor-te chuan `tinnitus` an ti) .

Mahse, mi ṭhenkhat chuan natna lan chhuahna na zâwk an nei thei a ni . Chutiang hunah chuan doctor pan vat a pawimawh hle. Chutiang chhinchhiahnate chu:

• Khawsik
• Beng vel vun a sen (hei hi `erythema` an ti) .
• Hriatna hloh
• Luruh chhunga nerve-te harsatna , entirnan, thusawi harsa, ei leh in, emaw hmuh harsa.
• Luak chhuak (vertigo) tih hriatna .

Heng symptoms nei te hian tun hnaiah lu hliam (head trauma) an nei tawh mai thei.

Diabetes mellitus nei emaw, taksa hriselna lama harsatna nei emaw te chuan heng natna lan chhuah dan hi an fimkhur hle tur a ni a, harsatna an neih theihna a sang zawk avangin. A chunga kan sawi tak symptom na tak tak i neih chuan doctor pan nghal rawh .

Engvangin nge hetiang (Otorrhea) hi a lo awm? A chhante chu engte nge ni?

Sawi tawh ang khan otorrhea hi a chhan hrang hrang a awm a.

A chhan tlangpui:

• Eardrum a chhe tawh
• Middle ear natna a awm(Hengte hi hun rei lote chhunga `acute` emaw, hun rei tak chhunga `chronic` emaw pawh a ni thei)
• Outer ear infection , swimmer’s ear ang chi, emaw beng kawng chhunga fungal yeast infection te
• Hnam dang thil pakhat chu beng chhungah a innghat

A tlangpui lo zawk, mahse a chhan lian tham tak tak awm thei te chu:

• Eardrum hnung lama vun lo thang dan pangngai lo (hei hi cholesteatoma an ti a. Hei hi a buaithlak zawk deuh) .
• I luruh bul ah fracture a awm
• I beng kawng cancer a awm
• Beng pawn lam natna khirh tak (hei hi `Malignant (necrotizing) external otitis` an ti a. Hei hi beng pawn lam leh luruh ruh natna nasa tak a ni)

(Otorrhea) hi a kai theih em?

Otorrhea ngei pawh hi kai theih a ni lo. Chutiang bawkin beng natna hi mi pakhat atanga mi dangah a kai lo tlangpui. Amaherawhchu, beng natna leh khawsik i neih chuan chu khawsik chu i khuh emaw, i thawk hah emaw hian midangte hnenah i thehdarh thei a ni.

Engtin nge doctor hian he (Otorrhea) hi a hriat theih ang?

Doctor hmu tura i kal chuan a rawn enfiah hmasa phawt ang che. He exam-ah hian a tlangpuiin:

• I temperature leh vital sign dangte an enfiah ang .
• I beng kawngkhar chu uluk takin enfiah a ni ang a, eardrum-ah tui, natna hrik emaw, khur emaw a awm em tih enfiah a ni ang.
• I beng, i hmui hmun leh i kawr vel chu a hring emaw, thil danglam emaw a awm leh awm loh en turin an hre ang .
• Beng vel vun pawh a sen leh a hring (inflammation) a awm leh awm loh enfiah thin a ni.

Eng test dang nge i tih thin?

A tam zawkah chuan i doctor hian a chunga kan sawi tak taksa enfiahna hmang hian otorrhea a hriat theih. Mahse, a châng chuan, a natna hriat chian nân emaw, a chhan finfiah nân emaw test dang tih belh theih a ni.

• Hearing test (`Audiometry`): Hei hian i hriat theih dan leh i hriatna range engzat nge a nih tih a test thin.
• CT scan: Hei hi imaging test a ni. Beng lai tak atanga hri kai a darh tawh em tih a enfiah thei.
• MRI scan: Lu hliam i neih chuan he MRI hian i thluak chhehvela cerebrospinal fluid (CSF) a leak awm zawng zawng a hmuchhuak thei a ni.
• Cranial nerve examination: Tun hnaia lu hliam i neih emaw, i hmuh, ei leh in, tawng harsa i tih chuan i doctor chuan i cranial nerve te chu a thawk tha em tih a enfiah ang.
• Culture: Beng atanga tui sample te tak te lak a ni a, laboratory-ah test a ni a, a chhungah hian bacteria emaw fungi emaw a lo thang em tih an enfiah thin.

Hei hi engtin nge enkawl a nih?

Otorrhea enkawlna chu i beng atanga tui chhuak chhan ah a innghat a ni . Entirnan, i beng lai takah bacteria a awm chuan i doctor chuan oral antibiotics a pe ang che. Beng pawn lam natna vei tan chuan antibiotic ear drops an pe fo ang che .

Eardrum ruptured i neih chuan kar tlemte hnuah a mah chauhin a dam mai thei. Mahse, mi thenkhat chuan a khur khar nan operation an mamawh a ni. Hei hi tympanoplasty an ti a .

A chhan hriat nghal theih loh chuan i doctor chuan specialist hnenah a refer ang che. Beng natna nei fo te chu beng, hnar leh rilru lam specialist (otolaryngologist - ENT surgeon) hnenah an refer ang. Lu hliam vang nia rinhlelhna a awm chuan i doctor chuan neurosurgeon hnenah test leh enkawl belh turin a refer ang che.

Otorrhea hi ven theih a ni em?

A tam zawkah chuan (Otorrhea) awm chhan hi kan thunun harsa hle. Chuvang chuan a taka ven theih a ni lo. Mahse, `swimmer's ear` an tih natna vei fo tan chuan inbual leh tui chawi laiin `ear plug` bik hman hian beng atanga tui chhuak hlauhawmna chu tihziaawm theih a ni.

(Otorrhea) ka neih chuan eng nge thleng ang? Ka lungngai tur em ni?

A tam zawkah chuan otorrhea enkawl hi chutiang chuan a buaithlak lo. Infection a awm chuan i doctor chuan a enkawl nan oral antibiotics emaw antibiotic ear drops emaw a pe ang che.

Nangmah emaw i fa emaw hian beng natna (chronic ear infection) i neih fo chuan i doctor chuan ENT doctor hnenah test dang neih belh turin a refer thei che a ni.

Mahse, tun hnaia lu hliam avanga i beng atanga tui a chhuak a nih chuan i doctor chuan neurosurgeon hnenah a refer ang che a, eng nge i tih tur tih a hre ang. Hei hi emergency a nih avangin ngaihven vat a ngai a ni.

Hetiang dinhmun hi eng chen nge a awm theih ang?

Otorrhea hi hun rei lote (acute) emaw, hun rei tak (chronic) emaw a ni thei. Eng chen nge a daih tih hi a chhanah a innghat.

Engtikah nge Doctor ka hmuh ang?

If your ear discharge lasts for more than three days , doctor i pan ngei tur a ni. Tin, i beng na, khawsik, i beng vel a sen, emaw, i kawng a hring emaw a nih chuan doctor pan nghal rawh. Otorrhea hi chhan hrang hrang avanga lo awm thei a ni. A chhan ṭhenkhat chu a pawi lo hle laiin, ṭhenkhat chu a pawi thei hle. Chuvangin a rang thei ang bera diagnosis neih a pawimawh hle.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Tun hnaia lu hliam emaw hliam emaw i neih hnua i beng atanga tui chhuak i neih chuan,911 call nghal la, emergency room hnai ber pan rawh. Tin, ei leh in, thusawi, emaw hmuh harsatna i neih chuan damdawi lam pan nghal tur a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Engvangin nge he tui hi ka beng atang hian a chhuak? Eng nge a chhan?
• Beng natna ka nei em? A nih chuan eng ang hri kai nge ni?
• Eng ang damdawi nge ka ei ang?
• Specialist ka hmuh a ngai em?
• Test tam zawk ka tih a ngai dawn em ni?
• Emergency treatment ka mamawh em?

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

Otorrhea hi beng atanga tui chhuak a ni. A chhan hrang hrang a nei thei. A tam zawkah chuan beng natna emaw, beng kawng (perforated eardrum) avanga lo awm a ni. Enkawlna nen chuan ni engemaw zat hnuah a bo tlangpui. Mahse, a chang chuan Otorrhea hi hriselna lama harsatna lian tak dang i neih lehna a ni thei.

Chuvangin, a tha ber chu i beng atanga tui chhuak ang chi symptoms i hmuh veleh doctor pan mai tur a ni a, chu chu ngaihthah ngai lovin. Tichuan enkawlna dik tak i hmu thei a, i dam thuai thei bawk. Hlauthawng suh, mahse tihkhawtlai suh!

` otorrhea, beng chhuak, beng natna, beng zungpui chhe, tui chawi beng