I-tubal catarrh yisimo esithinta umoya we-eardrum ngenxa ye-hypersecretion ye-eustachian tube. Lokhu kuvame ukwenzeka ngenxa yokuvuvukala komgudu wokuphefumula ongenhla, njengomkhuhlane noma umkhuhlane. I-Catarrh ingahamba ngokushesha iyodwa. Nokho, ingahlala izinsuku ezimbalwa. Yena kungenza izindlebe zakho zizwe zivimbekile noma zithuthukise isifo, njenge-otitis media. Ukwelashwa kwe-tubal catarrh kuhilela ukwelapha ukuphazamiseka okuvela kukho. Ukuze uvimbele ama-tubal catarrhs ​​kanye nezinkinga zabo ezingase zibe khona, kuyalulekwa ukuthi usebenzise ukuthinta okuthile okukhuthaza ukuhlanzeka okuhle kwamakhala.

Nakuba igama elivamile elithi “catarrh” lisho ukuvuvukala kolwelwesi lwamafinyila oluhambisana nokuphuma kwegazi emzimbeni, elithi “tubal catarrh” lisho ikakhulukazi ukuvuvukala okunamandla noma okungapheli okuthinta ukugeleza komgudu wendlebe, okungukuthi, imbobo egcwele umoya etholakala lapho. izinga lendlebe ephakathi.

I-tubal catarrh ibangelwa yi-hypersecretion ye-mucus, okuba nzima ukudonsa endlebeni yendlebe, futhi evimbela kancane kancane ishubhu le-Eustachian, i-bony kanye ne-fibro-cartilaginous duct, ehlanganiswe nolwelwesi lwamafinyila, oluxhuma udonga lwangaphambili oluphakathi nendawo. indlebe ku-nasopharynx, futhi okuvumela ukushintshaniswa komoya phakathi kokubili, ngesikhathi sokuzamula noma ukugwinya ikakhulukazi. Ishubhu le-eustachian lenza imisebenzi ehlukene elandelayo:

• ukuvikelwa kwendlebe ephakathi ngenxa yesenzo sayo sokuvikela ngokumelene nemfihlo ye-nasopharyngeal;
• ukuphuma koketshezi oluya emuva emphinjeni ngokusebenzisa ulwelwesi lwamafinyila kanye nokuma kwalo mpo;
• ukugcinwa kwe-aeration nokulinganisela kwengcindezi emgodini we-tympanic.

Imvamisa kancane ehlobo kunasebusika, i-tubal catarrh izibonakalisa ikakhulukazi phakathi nobhadane lwesizini lomkhuhlane nomkhuhlane.

I-tubal catarrh ingaba nezimbangela ezahlukene:

• ukuvinjelwa ekugcineni kwe-eustachian tube;
• ukuvuvukala kwezindonga ze-Eustachian tube ngenxa yokutheleleka ngegciwane (umkhuhlane, umkhuhlane, njll.);
• ukuvinjelwa kwe-tubal okuhlobene nokuvuvukala kwe-nasopharynx (i-nasopharyngitis);
• i-anatomical engavamile yamashubhu e-eustachian (ikakhulukazi ezinganeni ezikhulayo);
• ukuchayeka ekuhlukeni okuphawulekayo kumfutho womoya ozungezile i-barotraumatism ;
• ukuvinjelwa ngenxa yokuba khona kwe-tumor, esimweni somdlavuza we-cavum (umdlavuza we-nasopharynx).

Izimpawu ze-tubal catarrh zihlanganisa:

• ubuhlungu bendlebe, okungukuthi, ubuhlungu endlebeni;
• i-autophony, ebonakala ngokuthi isiguli sizwa izwi laso lizwakala lapho likhuluma, libangela imizwa engathandeki;
• ukulahlekelwa ukuzwa noma ukuncipha kokuzwela kokuzwa;
• ukubhuza;
• i-tinnitus, okusho ukuthi umbono womsindo ongenawo umsuka wangaphandle emzimbeni;
• umuzwa wokuvinjwa kwendlebe nokugcwala endlebeni.

Lezi zinzwa ngokuvamile ziba okwesikhashana futhi ziyanyamalala njengoba ukuvuvukala kuncipha. Kodwa-ke, uma ishubhu livaleke kakhulu, i-hypersecretion ingahlasela i-eardrum futhi ibangele ukungezwa okungase kube unomphela. Uma ukuvuvukala kuba okungapheli, kungase kubangele izifo eziphindaphindiwe, kuhlanganise ne-serous otitis media, ne-fluid effusion ngemuva kwe-eardrum.

I-tubal catarrh ingahamba ngokushesha iyodwa. Nokho, ingahlala izinsuku ezimbalwa. Uma kunjalo, ikakhulukazi ezimweni ze-otalgia, okusho ukuthi ubuhlungu, udokotela we-ENT kufanele abonane naye ukuze akwazi ukusungula ukuxilongwa futhi anikeze ukwelashwa ngokufanele.  

Ukwelashwa

Ukwelashwa kwe-tubal catarrh kuyefana nokwelashwa kwesifo esisibangele. Ngakho, udokotela angakwazi ukunikeza:

• ama-painkillers ukuze aqede umkhuhlane noma ubuhlungu obungase bube khona (ubuhlungu bekhanda) obuhambisana nokuvuvukala kolwelwesi lwamafinyila kanye nokukhishwa okuhambisana nakho;
• izidakamizwa ezilwa nokuvuvukala;
• ama-decongestants, okufanele athathwe ngomlomo noma njengesifutho samakhala (okugcina akufanele kusetshenziswe ezinganeni);
• ama-antibiotics uma isifo esibangela i-catarrh siyibhaktheriya;
• Kungase futhi kunconywe ukugoqa noma ukugeza ikhala ngamanzi anosawoti, noma ukuhogela.

Okokugcina, uma kwenzeka kuba ne-chronicity, i-thermotherapy evame ukusetshenziswa njengokwelashwa kwe-tubal catarrh. Lena indlela yezokwelapha evumela ukusetshenziswa kwedivayisi kusetshenziswa ukuhlukahluka kwezinga lokushisa (hyperthermia noma cryotherapy), noma umuthi osebenza ku-thermoregulation.

Prevention

Ukuze uvimbele i-tubal catarrhs ​​kanye nezinkinga zabo ezingenzeka njenge-otitis media, kuhle ukuthi usebenzise ukuthinta okuthile ukukhuthaza inhlanzeko yamakhala:

• shayela ikhala lakho njalo;
• gwema ukuhogela;
• gwema ukusetshenziswa njalo kwamaconsi ekhala noma ama-decongestants wendawo ngaphandle kweseluleko sikadokotela wakho;
• lapho ulele, phakamisa ikhanda lakho kancane ukuze uvimbele ukugeleza kwamafinyila ezindlebeni.