ʻO Barotraumatic otitis kahi hōʻeha i nā aʻa o ka pepeiao i hopena ʻia e ka loli o ke kaomi. Hiki iā ia ke hōʻeha i ka ʻeha nui, ka pōʻino i ka eardrum, ka nalowale o ka lohe a me nā hōʻailona vestibular. Kaukaʻi ʻia i nā ʻōuli, mālama ʻia ʻo barotrauma e ka lawelawe ʻana i nā decongestants a me / a i ʻole nā ​​antibiotic. I kekahi mau hihia, pono ke ʻoki. Hiki ke hōʻalo ʻia ke barotrauma pepeiao ma o ka lawe ʻana i nā hana kūpono e lawe ʻia i nā kumuhana i ka makaʻu (divers, aviators). 

ʻO ka otitis Barotraumatic kahi hōʻeha i nā aʻa o ka pepeiao i hopena ʻia e ka hoʻololi koke o ka ea.

Nā kumu

Hana ʻia ʻo Barotrauma i ka wā e hoʻokau ʻia ai ke kino i ka piʻi ʻana o ke kaomi (scuba diving, loss of altitude in a plane) a i ʻole i kahi hāʻule o ke kaomi (mokulele e loaʻa ai ke kiʻekiʻe, e lele ana ka diver i luna).

Hoʻokumu ʻia ka otitis Barotraumatic ma muli o ka hana maikaʻi ʻole o ka paipu eustachian, ʻo ia ka duct ma ka pae o ka eardrum e hoʻopili ai i ka pharynx i ka pepeiao waena. Ke hoʻololi ʻia ka puʻe o waho, hoʻohālikelike ka paipu eustachian i ke kaomi ma nā ʻaoʻao ʻelua o ka eardrum ma ka ʻae ʻana i ka ea o waho e komo (a i waho) i ka pepeiao waena. Inā hemahema ka paipu eustachian, ʻaʻole hiki ke puka i waho a i ʻole ke komo ʻana o ka ea i loko o ka pepeiao waena, a hiki i ka barotrauma.

PalekanaEND_LINK

Hana ʻia ka ʻike e like me ke ʻano o nā hōʻailona a me ka mōʻaukala o ka mea maʻi (ka luʻu, lele kiʻekiʻe). Kaukaʻi ʻia i nā ʻōuli, pono paha nā loiloi hou:

• Nā ho'āʻo audiometric (paepae naʻauao, hoʻokae leo, hoʻoheheʻe leo, etc.)
• Hōʻike i nā vestibulaires

Pili ka poʻe

Hoʻopilikia loa ʻo Barotrauma i ka poʻe i kū i nā loli ikaika i ka kaomi i kā lākou wahi hana, i nā mea like ʻole a me nā airmen. ʻO ka barotrauma pepeiao ka ʻelua hapakolu o nā pōpilikia luʻu scuba.

Nā mea pilikino

ʻO kēlā me kēia mumū (ma muli o ka maʻi āpau, maʻi, ʻeha, tumo) o nā alaloa kiʻekiʻe (pharynx, larynx, nasal dalana) a i ʻole ka pepeiao e pale i nā kaomi mai ke kaulike ʻana e hoʻonui i ka makaʻu o barotrauma.

Kū koke nā hiʻohiʻona o kahi barotrauma ke hoʻololi koke ke kaomi. 

I ka hanana o ka eustachian Tube hana maikaʻi ʻole, hiki i ka ʻokoʻa o ke kaomi ea ma waena o ka eardrum a me ka pharynx ke kumu:

• ʻEha ʻeha ma loko o ka pepeiao
• Hiki ke hele i ke kuli a hiki i ke kuli
• ʻO ka hōʻino a i ʻole perforation o ka eardrum i hiki ke alakaʻi i ke kahe ʻana
• Nā hōʻailona Vestibular (dizziness, nausea, luaʻi)
• Inā ʻoi aku ka nui o ka ʻokoʻa o ke kaomi, hiki i ka puka aniani oval (komo i ka pepeiao o loko mai ka pepeiao waena) hiki ke naha. Ma hope o kēia haki, kamaʻilio nā lua āpau o ka pepeiao e hana i ka liu o ka wai mai ka pepeiao o loko i ka pepeiao waena. Kūpono ka pepeiao o loko i ka hōʻino mau. 

I ka hapanui o nā hihia o barotrauma, he hōʻailona ka lapaʻau ʻana. Akā koi paha kekahi mau liona i kahi lapaʻau kūikawā. Mālama ʻia ka barotrauma pepeiao e ka lawelawe ʻana i nā decongestants (oxymetazoline, pseudo-ephedrine) e kōkua ai i ka wehe ʻana o nā alaloa i ālai ʻia. Hiki ke mālama ʻia nā hihia koʻikoʻi me ka nasal corticosteroids.

Inā loaʻa ke koko a i ʻole nā ​​​​hōʻailona o ka effusion, hāʻawi ʻia nā antibiotics (no ka laʻana, amoxicillin a i ʻole trimethoprim / sulfamethoxazole).

Hōʻike ʻia ke kūkākūkā o kahi ENT i mua o nā hōʻailona koʻikoʻi a mau paha. Pono paha ke ʻoki kino e mālama i nā poino nui i ka pepeiao o loko a waena paha. ʻO kahi laʻana, tympanotomy no ka hoʻoponopono pololei ʻana i ka puka aniani a puni a i ʻole ka myringotomy e hoʻokahe i ka wai mai ka pepeiao waena.

ʻO ka pale ʻana i ka otitis barotraumatic e pili ana i ke aʻo ʻana i ka poʻe i makaʻu (aviators, divers, hikers). Ke hoʻololi ke kaomi o waho, he mea nui ʻaʻole e kiʻekiʻe ka wikiwiki o ka slope. Pono e hoʻomaʻamaʻa nā poʻe hoʻolele manuahi a me nā ʻoihana luʻu scuba i loko o ka pahu e hoʻopaʻa i ka hopena o nā loli ma ka pepeiao.

Hiki ke pale ʻia ka barotrauma pepeiao ma ka ʻai ʻana a i ʻole ka hoʻokuʻu pinepine ʻana i ka puka ʻana o ka ihu e wehe ai i nā paipu eustachian a hoʻopaʻa i nā kaomi ma waena o ka pepeiao waena a me waho. Ke pale nei i nā earplugs pale i ke kaulike kaomi, no laila pono e hōʻalo ʻia i ka wā e luʻu ana.

ʻO ka mālama pale ʻana me ka pseudoephedrine 12 a 24 mau hola ma mua o ka luʻu ʻana hiki ke hōʻemi i ka pilikia o ka atrial barotrauma. ʻAʻole pono e hana ka luʻu Scuba ke hoʻoholo ʻole ka huehue.