Paracentesis o te membrane tympanic: pānga

Ko te wāhanga tuatahi o te pāpāho otitis whakapeka e tukinotia te whakamahi i ngā tikanga momo, e te nuinga o arata'i ki te whakaoti i whakaora. Otira ētahi wā, ka te haaputuputuraa o tino moni o pirau i reira ko te mōrea o perforation o te torino. whakakitea he huru taua nga mamae kaha, ohoroa, mate o hiahia, kei te tipu haere nga tohu o te haurangi. I roto i tenei take, ko te mea e tika ana ki te huihui ki te tikanga o te paracentesis. Ko te ngako o te wawaotanga taua i roto i te horopaki o te torino ki te whakapai ake i te pana o te pirau.

Tuhinga mo te tukanga

Paracentesis o te membrane tympanic kawea i roto i roto i te kaupapa i whakamatauria ki te kia hua maimoatanga momo. kia tika wawaotanga hāparapara akiaki ki te puta te tohu e whai ake nei:

- e kore e haere Korowhiti Earache;
- kua ngawha o te torino;
- mate rongo;
- te whakanui ake i te maha o te pirau;
- kirika;
- whakapairuaki.

i mahi wawe Paracentesis torino i te aroaro o tohu o te ritenga taringa roro ranei pāpaka roto, pērā i ruaki, whanoke, pāhoahoa me al koi.

Ko te tikanga

Paracentesis (myringotomy, tympanotomy) - ko te tukanga iti hāparapara e he tika i roto i te kaupapa e kore maimoatanga momo e te āwhina. I roto i te tukanga i roto i te torino hanga he mikroskalpelem kokoti iti ranei ngira motuhake e taea ai e koe te whakaatu i te exudate putu.

Whakaora i te tapatahi o te membrane puta takitahi. Wä kawea rerenga parukore kōhao taringa waenga. Ko te tika tenei i roto i te tikanga ki te tango tukumate me ki te horoi i te pirau i pakeke ki te tae wahi.

Kia pehea te Ko te tikanga

I whakaurua tenei mahi ki mahi hauora ara i roto i te rautau tekau mā iwa, me te te whakamahia tonu mo te maimoatanga o te mumura. I mua i Me te tukanga ki te haere mimi, toto, amohia e coagulation.

whakamana Pokanga te maha atu hoki 3-4 ra i muri i te tīmatanga o te mate. Ko te tohu matua mō te nei te paracentesis tika, - kirika, te mamae shooting nui i roto i te taringa, protrusion o te torino.

kawea whawhe kei te roto i te whakamahi i ngira tao, e kokoti te wahi o raro o te membrane. hanga te rata te poka kia haere te ngira te roto i te matotoru katoa o te membrane. kia oti Paracentesis o te membrane tympanic, rite te mumura e tika ana ki te tino thickening o ia. Ki te kahore he he hiahia, i roto i te poka whakaurua whakanekeneke, e whakahaere te rere o te exudate putu.

tikanga rehunga

Ko te pātai matua o te hunga tūtohutia e paracentesis o te membrane tympanic - ahatia? Ko e mo'oni, ko tino mamae te tukanga, kia tākuta whakamahi maha ngā tikanga o analgesia:

1. waea. whakahaere te tarukino analgesic te mā werohia ki te rohe i muri i te taringa, hua i roto i te tūtohutanga heke o mutunga karere.

2. applicator. Ko te taonga mō te analgesia tono tika ki te membrane.

3. General. whakamana Paracentesis o te membrane tympanic i roto i ngā tamariki kei te whakamahi i tenei momo o te rehunga, rite ki te tamaiti iti tonu uaua te pupuri i te matenga i roto i te tukanga.

whakaauraki

I muri paracentesis o te membrane tympanic he tika ki te mau i te ture o te akuaku. I muri te whakaurua te tukanga ki te awa taringa maroke turunda horomata e he mea nui ki te huri i te wā, ki te ārai i te horapa o te mate. I te tuatahi, hanga ana e ia 6-8 wa, a muri suppuration iti - 3-4 wā i te ra. I roto i te tikanga ki te whakatere excretion o pirau, i muri i te mahi he e minaminatia ki te moe i runga i te taha o te taringa o te manawanui.

tukinotia patunga me te kōhao-rongo te ki āpiha rongoā horoi. A, no te pirau matotoru whakamahia horoi te whakamahi i mahana otinga o rivanol, furatsilina, te hauwai waikuratei, i muri i maroke te awa māna e ki te ūkuia miro. Ka taea te whakamana e te tukanga kotahi e rua ranei i te ra. Hoki horoi, te whakamahi i te pūangi rapa. Toia auricle whakarunga me whakamuri whakahaua jet wai kahore pēhanga i runga i te taiepa muri o te meatus māna.

Hei tuku i hohoro te kōhao taringa i initareti e purulent te whakamahi i pupuhi. Hei kawe i tenei tikanga te whakamahi i Politzer poihau pū tōngāmimi ranei, ki initareti e purulent o te kōhao tympanic e panaia ki te awa taringa. I ētahi wā whakamahia Siegl kōrere, i roto i nei ngote nei pirau i roto i te meatus māna waho.

I muri i te pokanga, kei te whakapai ake huru o te manawanui rongo tere, te mamae attenuated, pāmahana iti, iti te. wiki e rua ranei e toru e hiahiatia te mo te whakaora o te taringa. Kia kore ai te hanganga o tohu tūtohu te ki te whakamahi i hydrocortisone. Tenei taonga whakatairanga pai whakaora o patunga, i hanga i runga i te mata o te nawe ka kia iti, me te kore e pā te koinga o te whakarongo.

Hopearaa me outlook

A, no te mahi tika, paracentesis o te membrane tympanic he kahore nunu'a kino kua kore. Ki te kawea te tukanga i roto i ki te maumaui, kia whai taua pōauautanga:

• wahi pirau awakeri. I roto i tenei take, ka taea e te mate hei ma'i. I roto i te tikanga ki te pehea o te toe pirau, te tono i tua me te wawata;
• mate maru ia i te hua i te whakamahi o te rauemi kore-horomata i roto i te tukanga ranei i te tiaki hē i roto i te wā whakanohonoho. Ki tenei pōauautanga ka hiahia te whakamahi o paturopi whanui-hihinga;
• rongo mate e tika ana ki te hanganga o pokapoka nui. Aua'e, He onge enei pōauautanga.

Kaupapa ki tūtohutanga o te tākuta matapae te nuinga pai. e kore e hoatu e ake, ki te te otinga ki tō tākuta raruraru taunaki ana paracentesis o te membrane tympanic. Ko te mau hopearaa o te whaturama māhorahora o kiriuhi he nui kino, ka rite ki tenei e taea te hanga i pokapoka nui. Na te mea pai e kore, ko te ki te whakaroa i te maimoatanga o pāpāho otitis, kihai i tika ki te pehea e pirau te whakamahi i ngā tikanga hāparapara.