Ciwon kunne - na kullum

Ciwon kunne na yau da kullun yana da ruwa, kumburi, ko kamuwa da cuta a bayan dodon kunnen da ba ya tafiya ko ci gaba da dawowa. Yana haifar da lahani na dogon lokaci ko na dindindin ga kunne. Sau da yawa yakan haɗa da rami a cikin dodon kunne wanda baya warkewa.

Bututun eustachian yana gudana daga tsakiyar kowace kunne zuwa bayan maƙogwaro. Wannan bututun yana malalo ruwan da aka yi a tsakiyar kunne. Idan bututun eustachian ya toshe, ruwa na iya tashi.Lokacin da wannan ya faru, kamuwa da cuta na iya faruwa. Ciwon kunne na yau da kullun yana tasowa lokacin da ruwa ko kamuwa da cuta a bayan dodon kunne ba ya tafi.

Ciwon kunne na yau da kullun na iya haifar da:

• Ciwon kunne mai saurin gaske wanda baya daukewa gaba daya
• Maimaita cututtukan kunne

"Suppurative chronic otitis" kalma ce da ake amfani da ita don bayyana ƙwaƙwalwar kunne wanda ke ci gaba da fashewa, zubewa, ko kumburi a tsakiyar kunne ko yankin mastoid kuma baya tafiya.

Cututtukan kunne sun fi zama ruwan dare a cikin yara saboda bututun eustachian ɗinsu sun fi guntu, maƙura, kuma sun fi na kwance girma fiye da na manya. Cututtukan kunne na yau da kullun ba su da yawa fiye da cututtukan kunne masu tsanani.

Kwayar cututtukan cututtukan kunne na yau da kullun na iya zama ƙasa da ƙasa da alamun kamuwa da cuta mai tsanani. Matsalar na iya zama ba a sani ba kuma ba a kula da shi na dogon lokaci.

Kwayar cutar na iya haɗawa da:

• Ciwon kunne ko rashin jin daɗi wanda yawanci laushi ne kuma yana jin kamar matsi a kunne
• Zazzaɓi, yawanci ƙarami ne
• Fussiness a cikin jarirai
• Bututun-kamar magudanar ruwa daga kunne
• Rashin ji

Kwayar cutar na iya ci gaba ko ta zo ta tafi. Suna iya faruwa a kunne ɗaya ko duka biyun.

Mai ba da lafiyarku zai duba cikin kunnuwa ta amfani da na'urar hangen nesa. Jarabawar na iya bayyana:

• Rashin ƙarfi, ja a tsakiyar kunne
• Bubban iska a tsakiyar kunne
• Ruwa mai kauri a tsakiyar kunne
• Kunnuwa wanda ke manne da ƙashi a tsakiyar kunne
• Fitar ruwa daga cikin dodon kunne
• Wani rami (perforation) a cikin dodon kunne
• Kunnen kunnen da ke fita ko ya ja da baya zuwa ciki (ya faɗi)

Gwaje-gwaje na iya haɗawa da:

• Al'adar ruwan dake iya nuna kwayar cutar.
• Binciken CT na kai ko mastoids na iya nuna cewa kamuwa da cuta ya bazu fiye da tsakiyar kunne.
• Ana iya buƙatar gwajin ji.

Mai bayarwa na iya yin amfani da maganin rigakafi idan ƙwayoyin cuta ne suka haifar da cutar. Wadannan magunguna na iya buƙatar ɗaukar su na dogon lokaci. Ana iya ba su ta baki ko cikin jijiya (intravenously).

Idan akwai rami a cikin dodon kunne, ana amfani da maganin digirin na rigakafi. Mai bayarwa na iya bayar da shawarar yin amfani da wani magani mai laushi mai guba (kamar su vinegar da ruwa) don kunnen da ke fama da cutar mai warkarwa wanda ke da rami (rami) Likita na iya buƙatar tsabtace (murfin) abin da ya taru a cikin kunnen.

Sauran aikin tiyatar da za'a buƙaci sun haɗa da:

• Yin aikin tiyata don tsabtace kamuwa da cuta daga ƙashin mastoid (mastoidectomy)
• Yin aikin tiyata don gyara ko maye gurbin ƙananan ƙasusuwa a cikin kunnen tsakiya
• Gyaran kunne
• Tiyatar bututun kunne

Cututtukan kunne na yau da kullun sukan amsa magani. Koyaya, ɗanka na iya buƙatar ci gaba da shan magunguna har tsawon watanni.

Cututtukan kunne na yau da kullun ba barazanar rai bane. Koyaya, zasu iya zama marasa dadi kuma suna iya haifar da rashin jin magana da wasu matsaloli masu tsanani.

Ciwon ƙwayar kunne na yau da kullun na iya haifar da canje-canje na dindindin ga kunnen da ƙasusuwa na kusa, gami da:

• Kamuwa da kashin mastoid a bayan kunne (mastoiditis)
• Ruwa mai gudana daga wani rami a cikin dodon kunnen da baya warkewa, ko bayan an saka tubun kunne
• Cyst a cikin kunnen tsakiya (cholesteatoma)
• Eningarfafa nama a cikin kunnen tsakiya (tympanosclerosis)
• Lalacewa ga, ko sanya ƙasusuwan kunne na tsakiya, wanda ke taimakawa wajen ji
• Shan inna na fuska
• Kumburi a kusa da kwakwalwa (epidural abscess) ko kuma a cikin kwakwalwa
• Lalacewa ga ɓangaren kunne wanda ke taimakawa tare da daidaito

Rashin ji daga lalacewar kunne na tsakiya na iya jinkirta harshe da ci gaban magana. Wannan yana iya yiwuwa idan kunnuwan biyu sun shafi.

Rashin samun ji na dindindin ba safai ba, amma haɗarin yana ƙaruwa tare da lamba da tsawon cututtukan.

Kira mai ba da sabis idan:

• Kai ko yaronka yana da alamun cutar ciwon kunne na yau da kullun
• Ciwon kunne baya amsa magani
• Sabbin alamu suna faruwa yayin ko bayan jiyya

Samun magani cikin sauri don kamuwa da cutar kunne na iya rage haɗarin kamuwa da cututtukan kunne na yau da kullun. Yi gwajin bin diddigi tare da mai bayarwa bayan an magance cutar kunne don tabbatar da cewa ta warke gaba ɗaya.

Ciwon kunne na tsakiya - na kullum; Otitis kafofin watsa labarai - na kullum; Kullum otitis media; Ciwon kunne na kullum

• Ciwon kunne
• Ciwon kunne na tsakiya (otitis media)
• Ciwon kunne na tsakiya
• Eustachian bututu
• Shigar da bututun kunne - jerin

Chole RA. Kullum otitis media, mastoiditis, da petrositis. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 139.

Ironside JW, Smith C. Tsarin tsakiya da tsarin juyayi. A cikin: Cross SS, ed. Woodarƙashin Ilimin woodasa. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 26. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 658.

Kerschner JE, Media na Preciado D.. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. eds. Nelson Littafin koyar da ilimin yara.

Rosenfeld RM, Schwartz SR, Pynnonen MA, et al. Jagoran aikin likita: Tympanostomy tubes a cikin yara. Otolaryngol Head Neck Surg. 2013; 149 (Kayan 1): S1-S35. PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.

Rosenfeld RM, Shin JJ, Schwartz SR, et al. Jagoran aikin likita: otitis media tare da fitarwa (sabuntawa). Otolaryngol Head Neck Surg. 2016; 154 (Kayan 1): S1-S41. PMID: 26832942 pubmed.ncbi.nlm.nih.gov/26832942/.

Steele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Inganci na tympanostomy tubes don otitis media: meta-bincike. Ilimin likitan yara. 2017; 139 (6): e20170125. Doi: 10.1542 / peds.2017-0125. PMID: 28562283 pubmed.ncbi.nlm.nih.gov/28562283/.