Zvirwere zvekurapa zvakasiyana, saka havasi vose vanogona kutaurira zvinorehwa nevanzwi vepachikoro, ndiani uye mumamiriro ezvinhu akadini kuti atarise. Uyu chiremba haasi mumakiriniki ose, saka chido chekushanyira kwaari chinowanzozivikanwa nemukana.
Ndiani uyu uye chii chinonzi kurapwa kwevanhu?
Kana pakanga pane mubvunzo "chiremba ndiye nyanzvi yezvakaitika kare - ndiani uyu", pane hutano hwakareba hwokuti hapana chikonzero chekushanyira uyu nyanzvi. Uyu ndiye otolaryngologist mutsvuku, anofarira kudzidza zvinyorwa zve nhengo dzekunzwa. Inobatsira nehutano hwekuzvarwa uye hune hutano, kune vanyori vanoita mabasa kuti vadzorere zvakajairika basa remuseve. Kuongororwa kwekunzwa kuri munharaunda yekufarira kweyi nyanzvi, asi kana bedzi paine kusafungirwa kwekusashanda, nhengo dzakabatana.
Chii chinonzi nyanzvi yezvokurapa?
Icho chinonyanya kutungamirirwa nebasa ndechokuziva nekubata mararamiro enhengo dzekunzwa. Muongorori wezvechirwere, pazvikonzero zvezvinetso zvakanzwisisika, anosarudza nzira dzekudzorera basa rakasarudzwa kana kuti inokurudzira rubatsiro rwekunzwa. Tsvaga kuti chiremba chekuteerera chii, kuverenga 10% yevagari vevanhu vane kusiyana kwakasiyana-siyana kwezvinetso zvekunzwa. Dzimwe nguva munhu angave asingambofungi nezvekuvapo kwavo, nokuti uropi hunopa chikwereti kune vasina kufungidzirwa.
Kuti uwane kuti pane nyanzvi yezvechirwere chezvinyorwa inotora chii, ndiani ari kutora kurapwa, vanhu vanotengesa pa:
- chirwere cheshuga mellitus;
- tsika yekuteerera mimhanzi yakanyanya mu headphones;
- heavy otitis media ;
- kugara kazhinji munzvimbo dzakakwirira;
- kukuvara kumusoro;
- kutora mishonga (neurotoxic antibiotics);
- zvinetso zvezvirwere;
- kuvhiringidzika kwepabonde muhutano hwezvikamu zvekunzwa.
Chii chinorapa chirwere chemapurisa?
Nyanzvi inogona kupa mishonga, kuita chirongwa chepotheotherapy kana chirongwa chokuvhiya. Izvo izvo Ishe-nyanzvi yezvekugadzira nyanzvi ari kuita, ndiani atove akajeka, inoramba ichinyatsonzwisiswa mune zviitiko zvaanogona kubatsira. Izvi zvinosanganisira kukanganisa kunotevera.
- Chirwere chaMénière , chinoratidzwa nekukundwa kwepakati chenzeve, zvichiita kuti ruzha ruve munzeve uye kurasikirwa kwekunzwa.
- Otosclerosis.
- Acoustic neurinoma inonzi breatin tumor iyo inotungamirirawo kusina kuenzana.
- Aural hearing loss.
- Kukuvadza kumudumbu we tympanic.
- Mheremhere munzeve . Chirwere chinotaridzirwa nevateereri inofanira kunge chiri munharaunda yake yekukwanisa, kureva kuti, matambudziko akadaro haafaniri kukonzerwa nezvinetso zvemamwe masangano emitumbi.
- Kunzwa kurasikirwa nekuda kweruzha. Kuchengetedza kukuru-mhere-mhere kunogona kukonzera kuputika kwechirwere che tympanic uye kukuvadza kumasero emvere, chigumisiro chichava matsi.
Ndeipi nguva yekushevedza nyanzvi yezvokurapa?
Hasi mapuriklinic ose ane muongorori uyu, saka kugamuchirwa kwechiremba wekunzwa kunogona kuitwa kuburikidza nehutano hwemunhu anorwara. Tarisa kuna chiremba kana matambudziko anotevera achiitika.
- Kuderedza kubwinya kwekunzwa.
- Mheremhere uye kurwadziwa munzeve.
- Matambudziko mukugadzirisa nzvimbo yezwi.
- Matambudziko ane mutauro unonzwisisa. Inoshandawo kune vana, kazhinji havakwanise kutaura nekuda kwedambudziko iri. Muchiitiko ichi, audiotist mwana wacho achabatsira.
- Inoda kuwedzera ivhu reTV kana redhiyo.
- Kutaura kwakashata kunzwisisika panguva yekukurukurirana kwefoni.
Muchengeti wekugamuchira anowana sei?
Pakutanga kokutanga, chiremba anofanira kuita zviito zvinotevera:
- kudzidza nezvezvenhau yezvechiremba;
- kuongorora;
- kubvunzurudza kwehutano hwekunzwa;
- kuongorora nzeve yekunzwa.
Kubva pamashoko akawanikwa, kugamuchirwa kwachiremba wezvokurapa kunoenderera mberi nekugadzwa kwerapi kana tsvakurudzo yakawedzerwa. Inogona kuva:
- tympanometry - kuongorora kwekunzwa pamagumo akasiyana uye mamiriro ehutano hwekuongorora;
- electrocochleography - inoshandiswa mukana wezvinokanganisa nzeve, dutu;
- otomicroscopy;
- reflexometry;
- audiometry.
Chiremba anokwanisa kurayira murwere kuti ataurirane nevanoongorora vemamwe mapurogiramu - nyanzvi yezvehutano, vanachiremba, vanachiremba, chiremba. Zvinotarisirwa kubviswa kwezvirwere, zviratidzo zvinosanganisira kushungurudzwa kwekunzwa. Chiratidzo chinowanzoitika pakukurudzira kwakadaro ndiko kuvapo kwekunzwika munzeve, chiratidzo ichi chinogona kutaura pamusoro pezvinetso nemutsara kana mutezo weropa.
Ko vateereri vanoongorora sei kunzwa?
Kwenguva refu pane imwe nzira imwe chete yekugadzirisa hutano hwekunzwa: chiremba akachera shoko ndokukumbira murwere kuti adzokere zvakare. Iye zvino nzira iyo inoshandiswawo, iwe unogona kuona kunyange kuti muchengeti wenhau anotsvaga sei kunzwa kwemwana nemubatsiro wake, asi kune dzimwe nzira dzakasiyana. Iyo inoshandiswa pakuongororwa kwepamusoro uye nekuongorora hutano hwevana vaduku. Muchiitiko chekupedzisira, mabasa anoitwa:
- chidzidzo chekufungidzira;
- kudzvinyirirwa kwepakati chenzeve;
- tsanangudzo yekubwinya kwakasimba mumugero wekunze wekuongorora;
- kuongorora kwebasa re tympanic membrane.
Mazano evanhu vekuteerera
Kuti urege kuziva kuti ndiani uyu ari nyanzvi yezvokurapa, uye kuti iwe unyore naye paaigamuchirwa, unofanira kuchengetedza matanho. Kunyange kana pasina matambudziko nekunzwa, hapana chikonzero chekunzwa mhedzisiro ekutsungirira kwako. Kusazvidza magwaro nguva dzose uyewo kusingadikanwi, mutori wenhau-mutambi wenzwi anokwanisa kudzorera kunzwa kana kunyanya kuwedzera hupenyu hwehupenyu, asi zviri nani kuti usamupa zvikonzero zvisingakoshi zvekushanda.
Nzira yekuchengeta sei kunzwa?
Iyo nyanzvi yezvokurapa haibatsiri chete kubvisa matambudziko akambomira uye anosarudza rubatsiro rwakakodzera rwekunzwa, asiwo anoudza kuti tingachengeta sei kunzwa kusvikira tachembera.
Zvinonyanya kukohwa zvinosanganisira:
- Kurapa. Hora yakawanda inogona kutungamirira kumatambudziko ehuro nehutu, uye kana kutadza kukwana kunotungamirira kukura kwekunzwa.
- Mishonga. Mamwe madhiragi, kunyanya mishonga inorwisa mabhakitiriya, uye kushandiswa kusina kudzora kunogona kukuvadza mamiriro ekutongwa. Zviri nani kutaurirana nemudzidzisi usati watora mishonga yakadaro.
- Kudzivirirwa. Paunoshanyira dziva kana kuti uchigara pamahombekombe, zvinokurudzirwa kuchengetedza nzeve dzako kubva mumvura ingress. Zvigadzirwa zvakakodzera zvinokwana kana kuti cotton swabs, zvakasanganiswa nepetroleum jelly kana yemafuta yemafuta.
- Mhere. Ngozi yeruzha inopfuura 80 decibel, ine kugara nguva dzose munzvimbo dzakapfuura chikumbaridzo, unoda kushandisa nzira dzakasarudzwa.
- Kushingaira. Ari mundege panguva yekutama uye kubvisa, unoda kushamisa muromo wako kuti uenzanise kudzvinyirira, uye mushure mokunge ndege yacho ichishanda kuva nenguva shoma mukunyarara. Mumamiriro ekukwevera nekupamba, munhu haafaniri kukanganwa mitemo yepakutanga kuitira kuti asawana barotrauma.
- Sulfuric plugs. Zviri nani kupa vashandi kuti vabvise.
- Kunyanya kuwandisa. Kunzwa nhengo dzinokwanisa kuenderana nemamiriro ekunze, nekugara nguva dzose muganhu hwekuwedzera kwekunzwa, kunzwisisika kwekwenyanzvi yekuongorora inoderera.