cheviti chevi

maanavula shareera nirmaana saastramlo mariyu vividha itara tetrapodlalo, chevi pora, dheenini timepanic membrane ledhaa myringa anie kooda pilustaaru, idhi madhya chevi nundi bahya chevini vaeru chese sannani, cone aakarapu pora. dheeni pani gaali nundi madhya chevi lopala unna osicals kuu dhwanini prasaram cheyadam, aapai dravam nindina kokliyaaloni oval vindoku. anduvalla, idhi chivariki gaalilo kampanaanni coclear dravam yokka kampanamgaa maarustundi mariyu vistaristundi. mallyas emuka cheviti drum mariyu itara osicals madhya antaraanni vantena chestundi.
cheviti randhram cheelika ledhaa randhram anedi vaahaka vinikidi lopaniki daariteestundi. cheviti drum yokka patanam ledhaa upasamharana vaahaka vinikidi nashtam ledhaa collustatemaku kaaranam kaavacchu.
nirmaanam.
dhorani mariyu sambandhaalu.
tympanic pora anteroposterior, medioleteral mariyu superoinferrior vimanalalo valuga untundi. tatphalitamgaa, daani superposterior end daani anteroinferior end kii paarsvamgaa untundi.
saareerakamgaa, idhi madhya kapaala phosaku, osicals mariyu mukha naralaku prushtamgaa, parotid grandhiki takkuva sthaayilo mariyu temporomondibular jointku mundu bhaagamlo untundi.
praantaalu.
cheviti drum rendu saadhaarana praantalugaa vibhajinchabadindih pars flasida mariyu pars tensa.
saapekshamgaa pelusugaa unde pars flasida anedi rivinus yokka naach mariyu puurva mariyu prushtha malla madhya mallyas yokka parshwa prakriyaku paina untundi. rendu poralatho kuudina mariyu rangulo koddigaa gulabi rangulo kanipinche idhi eustachian tube disfunction mariyu collustatomalatho mudipadi untundi.
pedda pars tensalo moodu poralu untayih charmam, peechu kanajaalam mariyu shleshmam. daani mandapati anchu annulus tympanicus ledhaa gerlach ligament anie piluvabade fibrocartiloginus ringnu yerparustundi. madhya podha gudaralu mallius kona sthaayilo lopaliki untaayi. radial, vruttaakaara mariyu parabolic fiberlanu kaligi unna madhya peechu pora, mallius handlenu chuttumudutundi. tulanaatmakamgaa balamgaa unnappatikee, pars tensa anedi saadhaaranamgaa randhraalatho mudipadi unna praantam.
ambo.
mallyas yokka manubrium () pora yokka madhyastha uparitalaaniki daani kendram varaku gattiga jatacheyabadi, daanini tympanic kuharam vaipu laagutundi. pora yokka parshwa uparitalam eee vidhamgaa avatalamgaa untundi. eee putakaramlo atyanta anagaarina amsaanni ambo () antaaru.
naraala sarafara.
tympanic pora yokka bayati uparitalam yokka anubhooti pradhanamgaa aviriculotemporal naram dwara sarafara cheyabadutundi, idhi mandibular naram (kapaala naram v3) yokka oka saakha, idhi vagus naram (kapaala naram x), mukha naram (kapaala naram vii), mariyu bahusha glosopharyngeal naram (kapaala naram ix) yokka aricular saakha nundi vastundi. tympanic pora lopali uparitalam glosopharyngeal naraala dwara naralaloki vastundi.
clinical praamukhyata.
pareeksha.
vaidya pareeksha samayamlo cheviti drum prakaasinchinappudu, oka cone kaanti mallyas kona nundi anteroinferrior kwadrantloni anchuku prasaristundi, dheenini vaidyaparamgaa 5 gantala anie pilustaaru.
cheelika.
paeludu gayalu mariyu gaali prayaanamloo anukokunda randhram (cheelika) varninchabadindi, saadhaaranamgaa eguva swaasakosha raddeeni edurkontunna rogulalo, idhi madhya chevilo ottidi samanamga undadaanni nirodhistundi. idhi eetha, diving (scooba divingtho sahaa) mariyu yuddha kalalalo kooda sambhavistundi.
tympanic membrane cheelika unna rogulu raktasraavam, tinnitus, vinikidi lopam ledhaa asamatulyata (vertigo) nuu anubhavinchavacchu. ayithe, 80 nundi 95 saatam cheelikalu rendu nundi naalugu varallo puurtigaa kolukuntayi kabatti, vatiki arudugaa vaidya jokyam avasaram. gaayam yokka shakti perige koddi rooga niruupana marinta surakshitamgaa maarutundi.
madhya chevi infectionla chikitsa kosam shastrachikitsa puncture.
vyaadhi sokina madhya chevilo chevipai dravam yokka ottidi adhi pagilipovadaaniki kaaranam kaavacchu. saadhaaranamgaa, idhi oka chinna randhram (randhram) kaligi untundi, idhi dravam bayataku velladaaniki veelu kalpistundi. idhi sahajamgaa jaragakapothe, myringotamy (tympanotomy, tympanostomy) cheyavachu. myringotamy anedi oka shastrachikitsa prakriya, dheenilo dravaanni adhikamgaa sekarinchadam valla kalige ottidini tagginchadaaniki ledhaa madhya chevi nundi cheemunu tolaginchadaaniki chevi drumlo oka chinna kotha srushtinchabadutundi. drava ledhaa cheemu madhya chevi sankramana (otitis media) nundi vastundi, idhi pillalalo oka saadhaarana samasya. madhya chevini ekkuva kaalam gaalini peelchadaaniki mariyu dravam tirigi jama kakunda nirodhinchadaaniki timpanostomy tubenu chevi drumloki choppistaaru. gottam choppinchakundaa, kotha saadhaaranamgaa rendu nundi moodu varalalo sahajamgaa nayam avutundi. rakanni batti, gottam sahajamgaa 6 nundi 12 nelallo bayataku teeyabadutundi ledhaa chinna prakriya samayamlo tolaginchabadutundi.
myringotamy avasaramayye vaariki saadhaaranamgaa daani saadhaarana paddhatiloo paarudala ledhaa ventilation cheyaleni addupade ledhaa panicheyakapoye eustachian tube untundi. antibiatics aavishkaranaku mundu, tube placement lekunda myringotameeni teevramaina teevramaina otitis mediaku pradhana chikitsagaa kooda upayoginchaaru.
konni sandarbhaallo, vyaadhi sokina madhya chevilo dravam yokka ottidi chevi drum sahajamgaa pagilipovadaaniki kaaranamavutundi. saadhaaranamgaa, idhi oka chinna randhram (randhram) kaligi untundi, dheeni nundi dravam paarutundi.
samajam mariyu samskruti.
pasiphik looni bajou prajalu samudramlo diving mariyu vaetanu sulabhataram cheyadaaniki chinna vayassulone uddeshapoorvakamgaa vaari chevula randhraalanu cheelchivestaaru. anduvalla chaalaa mandhi paatha bajaavulaku vinikidi samasyalu untaayi.

