Pakati pehutampan yechipfuva uye nzeve dzomukati ibasa rinotangira hutu hweEustachian. Otitis mhizha inoita kupisa mukati mharaunda ino. Zvichienderana nedzimwe nzira yehutachiona, chirwere chinorongedzwa kuva chimiro chakaoma uye chisingaperi. Uyewo, chirwere chacho catarrhal (exudative) uye purulent, uye kazhinji kacho rudzi rwekutanga rwakapedzisira runopinda muchipiri.
Acute otitis media
Rudzi rwakarondedzerwa rwehutano runogona kuitika nenzira mbiri.
Chirwere chemukati catarrhal kana kuti exudative otitis chinoratidzirwa nekuputika kwekuputika mukati mezeve. Mvura yakawandisa yakawanda inowanikwa mumuganda, iyo inoita kuti zviratidzo zvinotevera zviitike:
- hukomba hwenzeve ;
- chirwere chinorwadza, irradiating mu whiskey, meno uye kunyange muhafu yose yemusoro;
- ruzha munzeve yakatambudzwa;
- kupera kwekunzwa kunzwa;
- kushushikana kwehope;
- kuderedza chido chekudya;
- kuwedzera pakushisa kusvika 38-39 digiri;
- general weak;
- kusuruvara mu palpation yemastoid process;
- manyawi uye kugadziriswa kweganda rekanari yekuongorora.
Acute suppurative otitis media inoenderana nekuunganidza pus mukati mezeve. Mushure mechinguva, eardrum inoputika, zvichiguma nehuwandu hwehutu uye hutsinye hunoputika kunze. Sezvo mutemo, mushure mekutsvaira, mamiriro ezvinhu emuurwere anovandudza, zvose zviratidzo zvehutachiona hutachiona, uye utsi hwemuviri uye kunzwa zvinodzorerwa.
Neine mishonga yakakodzera, kupora kunoitika mushure memashure e14-20. Kana zvisina kudaro, zvinetso zvinokwanisika, chimwe chazvo ndiko kuchinja kwehutano hwakaoma muhupenyu hushoma.
Chronic suppurative otitis media
Chirwere chechirwere chinotaridzirwa ndechokuputika nekuputika kwepus kubva munzeve yekunzwa. Kutadza mu tympanic membrane ndeyekusingaperi, kuputika hakupfuuri. Izvi zvinokonzera kuderera kunofambira mberi pakunzwa acuity uye kuwedzera kudzokorora kwechigarire otitis media.
Kune marudzi matatu echirwere ichi:
- mesotympanitis;
- epitimpanitis;
- epimezotimpanit.
Muchiitiko chekutanga, kuputika kunobata chete mucous membrane mukati memakumbo emakumbo. Iyo miviri miviri inotevera inonyanya kuoma, semapfupa emapfupa anowanzobatanidzwa mukugadzirisa chirwere, izvo zvinowedzera njodzi yezvinetso zvakakomba, kukura kwecholeastomia (neoplasm yemavhutu rudzi).
Chronic otitis media inongorapwa chete. Conservative therapy inoshandiswa chete nekuda kwekunonoka kwenguva pfupi kwezviratidzo uye kugadzirira kwekuvhiyiwa.