Vi??m tai gi???a – Nguy??n nh??n tri???u ch???ng v?? c??c bi???n ch???ng

Vi??m tai gi???a l?? b???nh l?? c?? th??? g???p ??? c??? ng?????i l???n v?? tr??? em. ??i???u ????ng n??i l?? n???u b??? vi??m tai gi???a m?? kh??ng ch???a tr??? k???p th???i, s??? d???n ?????n nhi???u bi???n ch???ng r???t nguy hi???m kh??ng ch??? ??? tai, m?? nguy hi???m h??n l?? bi???n ch???ng ?????i v???i n??o.

Xem th??m: 5 C??ch Ch???a Vi??m Tai Gi???a Cho B?? An To??n, Hi???u Qu???, D??? ??p D???ng

1. Nguy??n nh??n b???nh vi??m tai gi???a:

• Th?????ng do vi??m nhi???m nh??: vi??m m??i h???ng, vi??m xoang, vi??m Amidan, vi??m VA???
• Ngo??i ra c??n c?? th??? do ch???n th????ng ??p l???c g??y th???ng m??ng nh??, nh??t b???c m??i sau ????? qu?? l??u, vi??m ??? v??m m??i h???ng, tho??i h??a ??u??i cu???n m??i d?????i d???n ?????n t???c v??i nh??, th???m ch?? x?? m??i kh??ng ????ng c??ch c??ng g??y vi??m tai gi???a.

2. Tri???u ch???ng b???nh vi??m tai gi???a

• Tai: ngo??i ??au tai, ch???y tai, gi???m s???c nghe c??n c?? ?? tai, c???m gi??c n???ng tai hay nghe l???c ???c trong tai.
• To??n th??n: tr??? em th?????ng ch??n ??n, kh?? ng???, qu???y ????m, s???t (69% tr?????ng h???p), ti??u ch???y, n??n tr???, ch???y ngh???t m??i, ho, v???t v?????

3. Ph??n bi???t vi??m tai gi???a c???p v?? m??n t??nh

• Th???i gian:
  • Th?????ng ch???y tai li??n t???c tr??n 3 th??ng ???????c g???i l?? m???n, nh??ng th???i gian n??y kh??ng c??? ?????nh c?? th??? g???p vi??m tai m???n ngay th??ng th??? 2.
• Tri???u ch???ng:
  • Vi??m tai gi???a c???p: th?????ng c?? tri???u ch???ng t???ng quan r???m r???, ??au tai, s???t, s???c nghe gi???m ??t.
  • Vi??m tai gi???a m??n t??nh: th?????ng kh??ng ??au, kh??ng s???t nh??ng s???c nghe gi???m nhi???u.
• N???i soi:
  • Vi??m tai gi???a c???p: th?????ng th???ng nh?? nh??? ho???c kh??ng th???ng
  • Vi??m tai gi???a m???n: th?????ng th???ng r???ng.

4. Ch???n ??o??n v?? ??i???u tr??? b???nh vi??m tai gi???a

Ch???n ??o??n:

• D???a v??o h???i b???nh, kh??m tai th??ng th?????ng b???ng ????n ?????i ?????u (????n clar), nh??ng ng??y nay n???i soi ph??t tri???n, c?? th??? kh??m ???????c ??? m???i l???a tu???i, k??? c??? em b?? r???t nh???, n???i soi tai gi??p ph??t hi???n xung huy???t, t??? m???, v??? m??? (v?? d???u hi???u m??ng nh?? ph???ng c?? ????? ?????c hi???u cao nh???t 97% ??? NC th??? gi???i)

????i???u tr???:

• N???i: ks, kv, gi???m ??au h??? s???t, th??ng m??i, r???a m??i, r???a tai
• Ngo???i: ch??ch r???ch m??ng nh?? ??? ???ng th??ng kh?? (vi??m tai gi???a c???p t??i di???n: tr??n 3 ?????t vi??m tai g???a c???p trong 6 th??ng ho???c tr??n 4 ?????t vi??m tai gi???a c???p trong 12 th??ng ho???c th??nh l???c gi???m tr??n 20 dB) ??? m??? kho??t x????ng ch???m.

5. Bi???n ch???ng vi??m tai gi???a

Vi??m tai gi???a c???p t??nh n???u kh??ng ???????c ??i???u tr??? ????ng ph????ng ph??p s??? d???n ?????n vi??m tai gi???a m???n t??nh v?? c?? th??? n??i Vi??m tai gi???a m???n l?? bi???n ch???ng k??o d??i c???a vi??m tai gi???a c???p, l?? h???u qu??? c???a vi???c vi??m tai gi???a c???p kh??ng ???????c ??i???u tr??? ho???c ??i???u tr??? kh??ng ????ng

C??c Bi???n ch???ng nguy hi???m c???a b???nh vi??m tai gi???a:

• Vi??m tai gi???a m???n, c??/kh??ng c?? cholesteatoma
• Vi??m x????ng ch???m c???p
• Vi??m m?? nh??
• Li???t TK 7 ngo???i bi??n
• BC n???i s??? ( vi??m m??ng n??o, ??p xe n??o)
• X?? nh??, x???p nh??

Ch?? ??:

• Khi c?? d???u hi???u b???nh l?? m??i h???ng, c???n ??i kh??m ????? ??i???u tr??? s???m ph??ng lan l??n tai.
• Khi c?? nh???ng d???u hi???u nghi ng??? vi??m tai (nh?? ???? n??u ??? ph???n tri???u ch???ng, c???n ??i kh??m ??? ph??ng kh??m c?? n???i soi ????? ???????c ch???n ??o??n ch??nh x??c.
• N???u hay b??? vi??m tai gi???a c???p, c???n t??m nguy??n nh??n ????? x??? l?? nh?? b???nh l?? VA, amidan, vi??m m??i h???ng, tr??o ng?????c DD-ngo??i th???c qu???n
• Cu???i c??ng c???n c?? s???c kh???e t???t, m??i tr?????ng s???ng l??nh m???nh (Ch??? ????? dinh d?????ng h???p l?? v?? t???p th??? d???c ?????u ?????n l?? ph????ng thu???c ph??ng b???nh hi???u qu??? nh???t).

Xem th??m: Nh???ng sai l???m trong ??i???u tr??? vi??m tai gi???a m?? c??c m??? c???n bi???t

Vi??n Minh ???????ng v???i ph????ng ph??p ??i???u tr?????Vi??m tai gi???a cho b?? kh??ng d??ng kh??ng sinh.

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