
tympanostomy tube

tympanostomy tube, jise gromet yaa myringotomy tube key roop mein bhee jaanaa jaataa haye, ack chhoti tube haye jise kaana key beach key kaana koo lambe samay taka havaa mein rakhane aur beach key kaana mein taral padaarth key sanchay koo rokane key liye kaana key parde mein daala jaataa haye. nully daalane key liye operation mein ack myringotomy shamil hoti haye aur ise sthaaniya yaa samanya sangyaaharan key tahat kiya jaataa haye. tube swayam vibhinn prakaar key designs mein banaai gaee haye. sabse adhik upayog kiya jaane vaalaa prakaar ack gromet key aakar kaa hotaa haye. jaba madhya kaana koo bahut lambe samay taka hawadar rakhna aavashyak hoe, tou ack "tii" aakar kii nully kaa upayog kiya jaa sakata haye, kyonki yeye "tii-tube" 2 seey 4 saal taka reh sakate hain. tube key nirmaan key liye upayog kii jaane vaali samagri aksar plastic jaise silicon yaa teflon hoti haye. steel tube maujood hain, lekin abb aksar upayog mein naheen hain.
chikitsa upayog.
duniya bhar mein bachchon key ilaaj key liye gromet dalna ack aam shalya chikitsa prakriya haye. gromet kaa upayog aamtaur parr una bachchon key liye sunavaai mein sudhaar karane mein madad karane key liye kiya jaataa haye, jinake donon kaanon mein aamtaur parr "gond kaana" (pravaah key saath lagaatar otitis media) naamak sthiti hoti haye, aur una bachchon mein kaana key sankraman koo rokane key liye jinhen aksar madhya kaana kaa sankraman hotaa haye. gromet asthaayi hotey hain aur aksar 12-14 maheenon key baad baahar gir jaate hain kyonki kaana thheek hoe jaataa haye. 
dishaanirdeshon mein kahaa gayaa haye kii tube ack vikalp hainh
pratikool prabhaav.
gromet daalane key baad bachchon key kaana seey sraav (autoria) 25-75% mein aam haye. iss sraav koo rokane key liye upchaar una bachchon taka seemit honah chaahiye jinhen autoria kaa adhik khatra haye aur yeh spasht naheen haye kii kaun saa nivaarak upchaar behtar haye.
prakriya key baad lagaatar timepanic jhilli chhidra honey kaa jokhim cumm hoe sakata haye, aur 2 pratishat honey kaa anuman lagaaya gayaa haye. anya pratikool prabhaavon kaa anuman lagaaya gayaa haih timepanostomy tube kaa avrodh (7 pratishat), danedar ootak kaa gathan (4 pratishat), gromet bahut jaldi baahar gir jaataa haye (4 pratishat), aur timepanostomy tube madhya kaana kii or badh sakati haye (0.5 pratishat). samanya sangyaaharan seey sambandhit ack jokhim bhee haye.
deerghakaalik prabhaavon mein timepanic jhilli mein dikhaai dene vaale parivartan shamil hain. yeye parivartan aamtaur parr apane aap thheek hoe jaate hain aur aamtaur parr chikitsa upchaar kii aavashyakta naheen hoti haye yaa sunavaai kii samasyaon mein parinam naheen hotaa haye joe chikitsakiya roop seey mahatvapurna hain.
kaarravaai kaa tantra.
gromet kaana mein jall nikasi mein sudhaar karke kaam karate hain aur kaana mein havaa koo prasaarit karane dete hain. gromet placement seey gond vaale bachchon mein sunavaai mein sudhaar hotaa haye aur una bachchon mein madhya kaana key cumm sankraman hoe sakate hain jinake paas teevra otitis media key niyamit episode hotey hain. gromet kaa upayog lagaatar madhya kaana key sankraman vaale bachchon mein antibiotic davaaon kii boonden lagaane key liye kiya jaa sakata haye.
prakriya.
halanki sahakaari vayaskon mein niyamit doctor kii niyukti key dauran sthaaniya sangyaaharan key tahat tube sammilan key saath myringotomy kii jaa sakati haye, tube sammilan kii aavashyakta vaale rogi aksar chhote bachche hotey hain. choonki kaana koo nuksan taba taka sambhav haye jaba taka kii rogi herfer kiye jaane key dauran kaafee sthir naheen rahata haye, koee bhee rogi jise prakriya key dauran sthir letane mein kathinaaee hoe sakati haye, aamtaur parr samanya sangyaaharan key tahat myringotomy aur tube sammilan seey gujarta haye.
tympanostomy tubes kaa antahsthaapan bachchon parr kii jaane vaali sabse aam shalya chikitsa prakriyaon mein seey ack haye. sanyukt raajya america mein, 15 varsh seey cumm umr key bachchon mein sabhi ambulatory sergery kaa 20 pratishat seey adhik hissa iss prakriya seey hotaa haye.
kaana seey sraav vaale bachchon key liye, antibiotic kaana kii boonden munh seey lii gaee antibiotic davaaon kii tulanaa mein adhik prabhaavi hoe sakati hain. yeh spasht naheen haye kii antibiotic drop khaare seey kaana dhone seey behtar hain yaa naheen.
aamtaur parr yeh sujhaav diyaa jaataa haye kii bachche prakriya key baad pahale dou hafton taka apane kaana sookhe rakhein. aisaa naheen maanaa jaataa haye kii bachchon key liye tairate samay kaana key plug pahanana yaa pahale dou hafton key baad apane kaana sookhe rakhna aavashyak haye kyonki sambhaavit laabh bahut cumm haye. yeh anuman lagaaya gayaa haye kii ack bachche koo ack atirikt kaana sankraman koo rokane key liye 2.8 varshon taka kaana key plug pahanane kii aavashyakta hogi.
parinam.
tympanostomy tube aam taur parr chhah maheene seey dou saal taka kaana key puttle mein rahati hain, jisamen tii-tube chaar saal taka chalati hain. way aam taur parr kaana key parde seey anayas baahar gir jaate hain kyonki kaana key darwaaje kii twacha dheere-dheere samay key saath kaana kii nahar kii deewaar kii or nikalati haye. kaana kaa dandaa aamtaur parr tube site parr ack avashisht chhed key binaa bund hoe jaataa haye lekin cumm mamalon mein ack chhidra banaa reh sakata haye. chikitsakon key beach iss baat parr bahas haye kii kyaa lambe samay taka chalane vaali nalikaaen pratikool parinamon kii uchch ghatnaaon seey judee hain, jaise kii lagaatar chhidran, collestatoma, tympanosclerosis aur anya, joe kii cumm avadhi key liye banaae gaye nalikaon key vipareet hain.