I fa te hian khawsik a nei fo em? Ni engemaw zat hnuah i naute chuan a beng a chelh reng mai a, a nuam lo deuh tih i hre tawh em? A chang chuan i biak hian a ngaithla tha lo ang maiin a lang em? Hetiang thil a thlen hian nu i nih angin hlauhna nasa tak i neih hi thil pangngai tak a ni. Mahse lungngai suh, hei hi natna awlsam tak a ni a, naupang naupang tak takte pawhin an enkawl theih a ni. Vawiin hian chutiang dinhmun pakhat, Otitis Media with Effusion (OME) chungchang kan sawi dawn a ni.
Otitis Media with Effusion (OME) hi eng nge ni?
A awlsam zawngin, Otitis Media with Effusion (OME) chu i beng lai takah tuiin a khat a ni. Hei hi a chang chuan `Serous Otitis Media` an ti bawk. A pawimawh ber chu, hei hi pus a ni lo . Chumi awmzia chu hei hi beng natna avanga beng lai takah pus luah khattu a ni lo tihna a ni. Hei hi fluid khawlkhawm mai a ni.
Kan beng lai tak hi pindan te tak te angin han ngaihtuah teh. He pindan hi kan kawrfual nena thlunzawmtu tube te tak te a awm a. Hei hi `(Eustachian tube)` kan ti a. He tube hnathawh ber chu beng lai takah tui tam lutuk chu rilruah a chhuah tir a, beng chhunga boruak pressure balance a ni. OME-ah chuan he tube hi eng emaw chhan vangin a block a, beng lai takah tui a lo awm khawm chu a chhuak thei lo va, a chhungah a tang ta a ni. Chumi avang chuan i beng chhungah thil rit emaw, i beng chhunga thil awm ang maia inhriatna emaw i nei thei a ni.
Hetiang dinhmun hi naupang tê tê thla 6 leh kum 3 inkarah a tam hle. Zirchianna atanga a lan dan chuan naupang 80% aia tam chuan sikul an kal hmain an dam chhungin vawi khat tal OME an tawk dawn a ni.
Engvângin nge naupang tê tête chungah hetiang hi a thlen? A chhan engte nge ni?
Naupang beng hetiang hian tui a khat chhan ber chu a hmaa kan sawi tawh Eustachian tube kha a thawk tha lo vang a ni. Puitling ang lo takin he tube hi naupang tê têah chuan a awm dan a danglam deuh hlek a ni. Tin, he tube hi khawsik leh allergy neih fo ang chi thil vangin a block thei bawk.
Hei hi a chhan berte chu a hnuaia table-ah hian han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Tube hi a lo thang kim lo. | Naupang tê tête Eustachian tube hi a tawi a, a dinglam a, chu chuan tui chhuah a ti harsa hle. |
| Khawsik leh rilru natna awm fo | Khawsik leh ril na lai hian hnar, kawr leh Eustachian tube te chu a lo hring chhuak thin. He swelling hian tube a block a, fluid a awm khawm thin. |
| Adenoids natna hrik awm | Adenoids hi lymph glands a ni a, hnar hnung leh kawr chunglam a awm a ni. An hring chhuah chuan Eustachian tube hawnna chu an tikhawlo thei a, tui a awm khawm thei bawk. |
| Allergy nei te pawh a awm | Dust leh pollen ang chi thil allergy hian duct te a ti hring thei a, a block thei bawk. |
Hetiang natna lan chhuah dan hi engte nge ni?
OME-ah chuan beng na hi chutiang chuan a na lo. A châng chuan, he natna hi a lan chhuahna awm lovin a awm thei bawk. Amaherawhchu, heng thilte hi i faah i hmu a nih chuan, lo buaipui rawh.
- Hriatna hloh: Hei hi a lan chhuah tam ber leh a langsar ber a ni. I thusawi laiin naupangin a chhân lêt loh emaw, TV a ri nasa lutuk emaw ang chi thilte hmangin a lantîr thei a ni.
- Beng man emaw, hrual emaw: Naupang chuan an bengah thil nuam lo emaw, rit emaw a hriat avangin an beng chu a man emaw, a hrual reng thei a ni.
- Balance chungchang: Kan beng lai tak hian taksaah balance a siam bawk. Chuvangin tui a khat chuan naupang chu a inthlak danglam deuh thei a, a kal laiin off-balance a ti thei bawk.
- Slow speech development: Naupangin a hriat that loh chuan thumal pickup leh tawng thiam dan zir hun a tlai thei. Hetiang dinhmun hi rei tak a awm reng chuan he harsatna hi a lo awm thei a ni.
Mahse, heng symptoms te hi OME vang a ni ngai lo tih hre reng ang che. Hriselna lama harsatna dang vangin an awm thei bawk. Chuvangin a tha ber chu i chhungkaw doctor hmu a, i fa chu enfiah tir hi a ni.
Hei hi eng enkawlna nge ni?
Doctor hnena i fa i hmuhtir hunah chuan naupang dinhmun a zirin enkawl dan tur a rel ang.
A ṭhat leh hun nghah mai mai (Monitoring) .
A tam zawkah chuan, chu chu a tam zawkah chuan he beng tui hi kar 4 atanga kar 6 chhungin engmah enkawl lovin a mah chauhin a chhuak ang. Chuvangin doctor chuan a tih hmasak ber tur chu naupang chu a enfiah a, "I nghak ang u," a ti ang. Hei hi ``Watchful waiting'' an ti bawk.
Damdawi chi hrang hrang
OME hi infection a nih loh avangin doctor-te chuan antibiotics an pe lo tlangpui. Amaherawhchu, naupangin natna dang, a kawchhunga natna hrik awm ang chi, OME nen a neih chuan antibiotics chu a enkawlna atan pek theih a ni. Antihistamine leh decongestants te pawh hi OME-ah nghawng lian tham a neih loh avangin an pe tlem hle.
Ear tube dah dan (Myringotomy) 1.1.
A chang chuan beng chhunga tui awm chu thla 2 emaw thla 3 emaw hnuah pawh a tlahniam lo. Hei hian naupang hriatna a tichhe thei a, an zirlai leh tawng thiamna a tichhe thei a ni. Chutiang hunah chuan doctor chuan operation tenau tak neih a rawt thei a ni. Hei hi ``Myringotomy'' an ti a.
Hei hian surgeon chuan eardrum-ah khur te tak te tak a siam a, chuta tang chuan middle ear-a tui awm zawng zawng chu a chhuah vek a ni. Tichuan, chu tui chu a lo awm leh tawh loh nan chuan chu khur te tak teah chuan tube te tak te (Myringotomy tube) an dah a. Hei hi dah luh a nih hnuah naupang hriatna chu a pangngaiin a awm leh ta a ni. Ngaihtuah buai suh, he tube hi thla 6 atanga thla 12 vel hnuah a mah chauhin a tla chhuak ang.
OME vei theihna tipungtu thil
Naupang tu pawhin OME an vei thei a, mahse thil thenkhat chuan he hlauhawmna hi a tipung thei a ni.
| Risk Factors awm thei te | |
|---|---|
| Khawsik fo thin. | Day care center-a naupang nena hun hman dun. |
| Secondhand smoke nena inzawmna nei. | Nu hnute pek loh. |
| Naute chu a muhil lai emaw, a muhil lai emawa bottle atanga chaw pek. | Tun hmaa beng natna nei fo tawh. |
| Hmêl lama harsatna nei, hmui hrual (cleft palate) pian tirh aṭanga awm. | |
Doctor hmuh hun tur
Beng natna hi a châng chuan hriselna lama harsatna awm dang chhinchhiahna a ni thei bawk. Chuvangin, i fa chungchangah ngaihtuahna i neih chuan doctor thurawn lak hreh suh. A bik takin hetiang thilah hian doctor pan a pawimawh hle.
- Darkar 24 hnuah symptoms a lo tha lo a nih chuan .
- I fa thla 6 hnuai lam a nih chuan enkawlna zawng nghal rawh.
- Naupang chuan tuar theih loh beng na a nei tih a sawi chuan .
- I fa beng atanga tui emaw, hnim emaw chi hrang hrang lo chhuak i hmuh chuan .
- I fain khawsik emaw thawkna lam natna avanga mut harsatna a neih chuan .
Chutiang dinhmunah chuan i fa chu i doctor hnenah a rang thei ang bera hruai la. Emergency a awm chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Take-Home Thuchah a ni
- Otitis Media with Effusion (OME) hi beng chu zun ni lovin tuiin a khat a ni. Naupang tê têah hmuh tur a tam ber.
- Hetiang dinhmun thlentu ber chu khawsik ang chi thil avanga Eustachian tube block vang a ni.
- He natna hi enkawlna engmah awm lovin kar tlemte chhungin a mah chauhin a reh fo thin.
- Hemi atan hian antibiotics hi pek a ni tlangpui lo.
- Hun rei tak chhung naupang hriatna emaw, tawng thiamna lama nghawng a neih chuan doctor chuan enkawlna dang, surgery ang chi te a rawt thei a ni.
- I fate beng chungchânga lungkhamna emaw, rinhlelhna emaw i neih chuan Doctor rawn hmasa phawt ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh