Kodi mudamvapo kuyabwa kwachilendo, kolemera, kapena kochuluka m'khutu mwanu mutasamba, makamaka mutasambira mu dziwe losambira kapena m'nyanja? Mwina mwana wanu nthawi zonse akulira ndi kugwira khutu lake? Ndiye ichi ndi chinthu chomwe chingakhale chofunikira kwambiri kwa inu. Lero tikambirana za vuto lotchedwa 'Swimmer's Ear's Ear' kapena, monga momwe madokotala amalitchulira, 'Otitis Externa'.
Kodi Khutu la Swimmer ndi chiyani?
Mwachidule, Swimmer's Ear ndi matenda omwe amapezeka m'dera la khutu lathu longa chubu lomwe limayambira kunja kwa khutu lathu ndikutha pa ntchafu ya khutu, kutanthauza kuti, mtsempha wakunja wa khutu. Taganizirani izi ngati tikakhala ndi bala pakhungu lathu, limadwala. Chomwe chimachitika apa ndichakuti majeremusi amalowa pakhungu lofewa mkati mwa mtsempha wa khutu ndikuyambitsa matenda. Izi zitha kukhala matenda a bakiteriya kapena matenda a bowa.
Izi zimatchedwa 'khutu la kusambira' chifukwa zimapezeka kwambiri mwa anthu omwe amakhala nthawi yayitali m'madzi, makamaka osambira. Komabe, zimatha kuchitika kwa aliyense, osati osambira okha. Chiwopsezochi chimakhala chachikulu makamaka nthawi yotentha, pomwe nthawi zambiri timasamba ndikusewera m'madzi.
Chofunika kwambiri ndichakuti ngati izi sizikuchiritsidwa bwino, nthawi zina kutayika kwa kumva kumatha kuchitika, ngakhale kutayika kwa kumva kwakanthawi. Koma musadandaule, nthawi zambiri vutoli limatha kuchiritsidwa kwathunthu ndi chithandizo choyenera. Nthawi zambiri, madokotala amalemba madontho a m'khutu pa izi.
Kodi vutoli ndi lofala bwanji?
Khutu la munthu wosambira ndi lofala kwambiri. Kafukufuku akusonyeza kuti pafupifupi 10% ya anthu ku United States kokha adakhalapo ndi vutoli nthawi ina m'miyoyo yawo. Ngakhale kuti limatha kufalikira pa msinkhu uliwonse, limapezeka kwambiri mwa ana azaka zapakati pa 7 ndi 14 .
Kodi zizindikiro za khutu la Swimmer (Otitis Externa) ndi ziti?
Zizindikiro za khutu la munthu wosambira zimatha kukhudza anthu ena mosiyanasiyana. Anthu ena akhoza kukhala ndi zizindikiro zoopsa. Onani ngati zizindikirozi zikumveka zachilendo kwa inu:
- Kumva kukhuta ndi kulemera mkati mwa khutu.
- Kupweteka kwa khutu, makamaka ngati ululu ukuwonjezeka pamene khutu la khutu lakokedwa kumbuyo, ndi chizindikiro chachikulu.
- Anthu ena akhoza kudwala malungo .
- Kutuluka madzi m'khutu kapena ngati mafinya.
- Kuyabwa kwambiri mkati mwa khutu.
- Kumva kumachepa pang'ono, ndipo mumamva ngati mukumva pang'onopang'ono (kumva mopanda phokoso).
- Kufiira ndi kutupa kwa khungu lozungulira khutu.
- Ma lymph nodes otupa ozungulira khutu kapena pamwamba pa khosi.
Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, n'zotheka kuti muli ndi khutu losambira.
N’chifukwa chiyani timapeza khutu la kusambira?
Pakhoza kukhala zifukwa zingapo za izi. Koma chifukwa chachikulu ndichakuti madzi amakhala mkati mwa ngalande ya khutu. Taganizirani izi, tizilombo toyambitsa matenda monga mabakiteriya ndi bowa timakonda kukula m'malo ofunda komanso onyowa. Choncho madzi akamatsekeredwa mkati mwa khutu, amakhala malo abwino kwambiri oti tizilombo toyambitsa matenda tipezekemo. Amakhazikika pamenepo, amachulukana mwachangu, ndipo amayambitsa matenda.
Izi nthawi zambiri zimachitika chifukwa cha matenda a bakiteriya, osati matenda a bowa. Nthawi zina, kuphatikiza mitundu ingapo ya mabakiteriya kungayambitse matendawa. Mitundu ikuluikulu ya mabakiteriya omwe angayambitse khutu la munthu wosambira ndi `Pseudomonas aeruginosa` ndi `Staphylococcus aureus`. Bowa `Candida` ndi `Aspergillus` angayambitsenso matendawa.
Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu zomwe zingakubweretsereni chiopsezo)
Anthu ena amakhala ndi khutu losasambira. Onani ngati izi zikukukhudzani:
- Kwa iwo omwe ali ndi matenda a pakhungu: Ngati muli ndi vuto la pakhungu monga eczema kapena psoriasis pafupi ndi ngalande ya khutu, muli pachiwopsezo chachikulu chotenga khutu la kusambira.
- Kwa iwo omwe amavulaza makutu awo: Tikayesa kuchotsa sera wa m'khutu ndi zinthu monga thonje, nsonga za zolembera, ma bobby pini, ndi mapepala otsekera , khungu lofewa mkati mwa khutu likhoza kuvulala. Kuvulala kumeneku kumalola majeremusi kulowa ndikuyambitsa matenda. Choncho kumbukirani, musaike zinthu zakuthwa m'khutu kuti muyeretse khutu.
- Kwa iwo okhala m'madera otentha komanso a chinyezi: Chiwopsezo chimakhala chachikulu chifukwa majeremusi amakula mosavuta m'malo otere.
- Kwa iwo omwe ali ndi sera yochepa m'makutu: Sera ndi chinthu chachilengedwe choteteza makutu athu chomwe chimateteza makutu athu ku mabakiteriya ndi bowa. Ngati timalowa madzi m'makutu mwathu pafupipafupi, kapena ngati tichotsa sera wambiri m'makutu poyeretsa makutu athu, chitetezochi chikhoza kutayika ndipo matenda amatha kuyamba.
- Kwa iwo amene akusambira m'madzi osayera: Ngakhale kuti n'zotheka kutenga kachilomboka kuchokera ku dziwe losambira, chiopsezo chimakhala chachikulu akasambira m'madzi achilengedwe monga nyanja, maiwe, mitsinje, mitsinje, ndi nyanja . Izi zili choncho chifukwa madzi m'malo amenewa amatha kukhala ndi majeremusi ambiri kuposa dziwe losambira loyera.
- Kwa iwo omwe nthawi zambiri amagwiritsa ntchito zotchingira makutu kapena zothandizira kumva: Ngati izi sizikutsukidwa bwino, dothi ndi majeremusi zimatha kudziunjikira ndikuyambitsa matenda m'makutu.
Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?
Nthawi zambiri, khutu la munthu wosambira limachiritsidwa ngati litachiritsidwa mwachangu. Komabe, nthawi zina, makamaka ngati silinalandire chithandizo kapena kuchedwa, mavuto amatha kuchitika. Izi zimachitika kawirikawiri, koma ndikofunikira kuzidziwa.
- Matenda a khutu osatha:Ngati khutu la munthu wosambira lipitirira miyezi itatu, limaonedwa kuti ndi matenda osatha. Ngati mabakiteriya ndi bowa zonse ziwiri ziphatikizana kupanga matenda, izi zitha kuchitika kwa anthu omwe ali ndi vuto la khungu kapena omwe ali ndi vuto la ziwengo chifukwa cha mankhwala a khutu.
- Cellulitis (matenda a minofu yakuya ya khungu): Kawirikawiri, matendawa amafalikira ku minofu yakuya pansi pa khungu.
- Kuwonongeka kwa mafupa kapena fupa (osteomyelitis yoyambirira): Ichi ndi vuto losowa kwambiri. Matenda a khutu amatha kukhala oopsa kwambiri ndikufalikira ku fupa ndi fupa lapafupi. Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu.
- Matenda a Advanced skull base osteomyelitis: Ngati matenda a khutu afalikira kwambiri ndikufika m'mafupa pansi pa chigaza, amatha kukhudza mitsempha yapafupi, ubongo, ndi ziwalo zina za thupi. Khutu la munthu wosambira silipezeka kawirikawiri, koma ngati lichitika, likhoza kukhala pachiwopsezo cha moyo.
Musadandaule! Mavuto akuluakulu awa ndi osowa kwambiri, makamaka ngati mukufuna thandizo lachipatala mukangoyamba kuona zizindikiro. Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala nthawi yomweyo, ngakhale zitakhala zazing'ono chabe.
Kodi dokotala amazindikira bwanji izi?
Mukapita kukaonana ndi dokotala, choyamba adzayang'ana khutu lanu mosamala. Adzayang'ana ngati pali kufiira, kutupa, kapena zizindikiro zina za kuwonongeka. Ngati pali kutuluka kwa madzi m'khutu mwanu, angatenge chitsanzo chake ndikutumiza ku labu kuti akapeze chomwe chikuyambitsa matendawa. Izi zili choncho chifukwa mankhwala omwe mumagwiritsa ntchito pochiza matenda a bowa si ofanana ndi mankhwala omwe mumagwiritsa ntchito pochiza matenda a bakiteriya. Chifukwa chake, ndikofunikira kudziwa chifukwa chenicheni cha chithandizo.
Musasokoneze Khutu la Swimmer ndi Matenda a Khutu la Pakati!
Nthawi zina, khutu la wosambira lingasokonezedwe ndi vuto lina lofala m'makutu mwa ana aang'ono, matenda apakati pa khutu (Middle Ear Infection kapena Otitis Media) . Mwana amene ali ndi matenda apakati pa khutu nthawi zambiri amakhala ndi ululu m'khutu womwe umakula kwambiri akagona. Angakumanenso ndi zizindikiro monga kusanza, kutsegula m'mimba, komanso kusowa chilakolako cha chakudya.
Matenda onsewa amachiritsidwa mosiyana. Mankhwala omwewo a khutu la munthu wosambira sangagwire ntchito pa matenda a khutu lapakati, ndipo mankhwala ena sagwira ntchito. Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala kuti mudziwe bwino matendawa.
Kodi mankhwala a Swimmer's Ear ndi ati?
Kawirikawiri, madokotala amalemba madontho a m'khutu kuti athetse matendawa. Kutengera ndi vuto lanu, angakulangizeni mankhwala otsatirawa:
- Madontho a m'khutu okhala ndi maantibayotiki: Amapha mabakiteriya.
- Madontho a khutu oletsa bowa: Kulimbana ndi bowa.
- Mankhwala a khutu okhala ndi steroid:Chepetsani kutupa ndi ululu.
Ndikofunikira kwambiri kugwiritsa ntchito mankhwala a khutu awa monga momwe dokotala wanu wanenera, kwa nthawi yonse. Musayime pakati.
Komanso, mutha kumwa mankhwala ochepetsa ululu monga acetaminophen (monga Tylenol®) kapena ibuprofen (monga Advil®) monga momwe dokotala wanu wanenera kuti muchepetse ululu.
Kodi chidzachitike ndi chiyani mukalandira chithandizo?
Khutu la Swimmer nthawi zambiri limakhala vuto lodziletsa lokha lomwe limatha ndi chithandizo. Nthawi zambiri, matendawa amatha kwathunthu mkati mwa sabata imodzi. Komabe, ngati sachiritsidwa, mavuto monga kufalikira kwa matendawa amatha kuchitika, monga tafotokozera kale. Pankhaniyi, mungafunike kugwiritsa ntchito maantibayotiki amphamvu kapena mankhwala opha tizilombo toyambitsa matenda.
Kodi izi zidzasintha zokha?
Ayi, sichoncho. Khutu la Swimmer ndi matenda a m'makutu. Ngati silichiritsidwa, silichira lokha. Ngati silichiritsidwa, matendawa amatha kufalikira pansi pa chigaza, ubongo, kapena mitsempha ya m'mutu.
Popeza matendawa amatha kufalikira kunja kwa ngalande ya khutu, ndi bwino kuonana ndi dokotala mukangoona zizindikiro ndikuyamba kulandira chithandizo. Mukalandira chithandizo mwachangu, mudzachira mwachangu.
Kodi mungapewe bwanji khutu la kusambira?
Inde, pali zinthu zomwe tingachite kuti tipewe izi. Chofunika kwambiri ndikukhala ndi makutu ouma momwe tingathere.
Tsatirani malangizo awa kuti muchepetse chiopsezo chanu:
- Chepetsani kusamba ndi kusambira m'madzi odetsedwa momwe mungathere.
- Musaike chilichonse, kuphatikizapo thonje, mu ngalande ya khutu. Khungu lomwe lili mkati mwa khutu ndi lofewa kwambiri. Ngati lavulala, likhoza kutenga matenda mosavuta.
- Ngati madzi alowa m'khutu mwanu mukamasamba kapena kusambira, tembenuzani mutu wanu kumbali ndikukoka pang'onopang'ono diso la khutu kuchokera mbali imodzi kupita ina kuti madziwo atuluke.
- Umitsani makutu anu bwino mukatha kusamba, kusambira, kapena kukhala m'madzi. Mungathe kuchita izi ndi thaulo loyera kapena powaumitsa pang'onopang'ono ndi chowumitsira tsitsi pamalo otsika.
- Mukasamba, mutha kuyika mipira ya thonje m'makutu mwanu kuti muchepetse chiopsezo cha madzi kulowa m'makutu mwanu.
- Gwiritsani ntchito zotchingira makutu mukamasambira kapena m'madzi.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mukumva zizindikiro zilizonse zomwe zatchulidwa kale za khutu la kusambira (monga kupweteka m'khutu, kutuluka m'makutu, kuyabwa, kapena kutaya kumva), pitani kwa dokotala nthawi yomweyo.
Ngati dokotala wakupatsani kale mankhwala ochepetsa ululu m'khutu la munthu wosambira, ndipo zizindikiro zanu sizikuchepa patatha masiku 10, onaninso dokotala wanu. Mungafunike kupatsidwa mankhwala amphamvu.
Pomaliza, zinthu zingapo zoti muzikumbukira
Musanapite ku dziwe losambira, nyanja, kapena nyanja, samalirani makutu anu pang'ono. Ngati mukumva kupweteka kapena kuyabwa m'makutu mwanu mutatuluka m'madzi, musaganize kuti ndi zachilendo, koma uzani dokotala. Angakupatseni mankhwala a khutu omwe angakuthandizeni. Zizindikiro zanu ziyenera kutha patatha pafupifupi sabata imodzi. Kumbukirani, khutu la wosambira si vuto lalikulu ngati litazindikirika ndikuchiritsidwa msanga. Choncho musachite mantha, funsani upangiri wa dokotala mwachangu. Ndikukufunirani kuti muchire mwachangu!
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi ma PVC (Premature Ventricular Contractions) ndi matenda a cholesterol omwe amafunika opaleshoni ya mtima?
Ayi! Izi sizimaletsa cholesterol. Mtima wathu umapopa magazi mu rhythm yokhazikika (lap-dab). Koma pamene chizindikiro chamagetsi chowonjezera chikuchokera ku ventricles pansi pa mtima musanayambe rhythm imeneyo, kugunda kumeneku msanga (PVC) kumatchedwa.
💬 Kodi thupi lanu limamva bwanji mtima wanu ukagunda mwadzidzidzi? Kodi umapweteka?
Izi sizimayambitsa kupweteka pachifuwa. Wodwala nthawi zambiri amamva kuti chifuwa chake (mtima) 'chikugwedezeka/kudumphadumpha', zomwe zimamveka ngati kuti china chake mkati mwa pachifuwa chatembenuka mwadzidzidzi. Anthu ambiri amanena kuti zimamveka ngati 'mtima wanga wadumphadumpha'.
💬 Kodi ndiyenera kuopa izi? Kodi ndi mankhwala otani ochizira?
Ndizachilendo kuti munthu wathanzi azimwa ma PVC angapo patsiku (izi zimachitika mukamwa khofi, pamene kupsinjika maganizo kukuwonjezeka, komanso mukagona). Palibe mankhwala ofunikira! Koma ngati izi zikuchitika tsiku lonse, kapena ngati mtima uli wofooka, madokotala angakulangizeni kugwiritsa ntchito ma Beta-blockers kapena, nthawi zina, opaleshoni ya Ablation kuti azitha kuwongolera kayendedwe ka mtima.
Khutu la munthu wosambira, otitis externa, matenda a khutu, kupweteka khutu, madzi m'khutu, kusambira, mankhwala a khutu











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