Pakati pa chiwindi cha tympanic ndi khutu lamkati ndilo chimbudzi chomwe chimachokera ku Eustachian tube. Otitis media ndi yotupa njira m'dera lino. Malingana ndi momwe matendawa akuyendera, matendawa amagawidwa kukhala mawonekedwe ovuta komanso osapitirira. Komanso, matendawa ndi catarrhal (exudative) ndi purulent, ndipo nthawi zambiri mtundu woyambawo umapita m'chiwiri.
Zovuta otitis media
Mtundu woterewu umatha kuchitika m'njira ziwiri.
Catarrhal yapakatikati kapena exudative otitis imadziwika ndi kutukuka kwa pang'onopang'ono pakati pa khutu. Madzi ambiri amapezeka mumtambo, zomwe zimayambitsa zizindikiro zotsatirazi:
- zokonda za makutu ;
- matenda opweteka, kuwazitsa mu mowa, mano komanso ngakhale theka la mutu;
- phokoso la khutu lakukhudzidwa;
- kuchepa kwachangu kumva;
- zovuta za kugona;
- kuchepetsa chilakolako;
- kuwonjezeka kutentha kufika madigiri 38-39;
- kufooka kwakukulu;
- kupweteka mu chikhomo cha ndondomeko ya mastoid;
- kudzikuza ndi kubwezeretsa khungu la ngalande yoyendera.
Zovuta zowonjezereka za otitis media zikuphatikizidwa ndi kuponyedwa pakati pa khutu pakati. Pakapita kanthawi, mphuno imatha, ndipo imakhala yopweteka kwambiri. Monga lamulo, atatha kuchira, matenda a wodwala amakula bwino, zizindikiro zonse za matenda, komanso kutentha kwa thupi ndi kumva.
Ndi mankhwala oyenerera, kuchira kumachitika patatha masiku 14-20. Apo ayi, zovuta zimatha, chimodzi mwazo ndi kusintha kwa matenda ovuta muwambo wochepa.
Matenda osokoneza bongo otitis
Mtundu wa matenda womwe umatengedwa ndi kutupa nthawi ndi kuphulika kwa pus. Wokhulupirika mu nthenda ya tympanic ndi yosatha, kupweteka sikukuwonjezeka. Izi zimapangitsa kuti chiwerengero cha acuity chichepetse komanso kuti chiwerengero cha otitis chiwonjezeke.
Pali mitundu itatu ya matendawa:
- mesotypanitis;
- epitimpanitis;
- epimezotimpanit.
Pachiyambi choyamba, kutupa kumakhudza kampeni kamene kali mkatikati mwa khutu. Mitundu iwiriyi ndi yowopsya kwambiri, monga minofu yomwe imakhudzidwa ndi matendawa, omwe amachititsa kuti pakhale mavuto aakulu, kukula kwa choleastomia (neoplasm of tumor type).
Matenda otchedwa otitis media amangofunika kupaleshoni yokha. Thandizo lachidziwitso limagwiritsidwa ntchito pokhapokha potsitsimula kanthawi kochepa komanso kukonzekera opaleshoni.