Pali njira zingapo zowonongeka zowonongeka. Ife, mu nkhani ino, tikufuna kukambirana za mankhwala omwe amachotsa kuchotsa sulfure plugs. Koma tisanalankhule za ubwino wa mankhwalawa, tidzakambirana zomwe sulufule ya khutu ili.
Maonekedwe a sulfure mwachindunji amatsimikizira kuti thupi lake limagwiritsidwa ntchito moyenera komanso kuti thupi lake limagwira ntchito. Izi zimaphatikizapo kuti imaphatikizapo cholesterol, aliphatic acids ndi lipids zomwe sizimasungunuka m'madzi, zomwe zimathandiza kuchepetsa epithelium ya ndondomeko ya khutu ndi membrane, yomwe imadziwika kuti tympanic membrane. Kukhalapo mu sulfure ya mafuta acids, antibacterial mawonekedwe - lysozyme, michere, immunoglobulins ndi acid acid (ndi pH-malire a 4-6) amapereka ntchito zotsitsimutsa ndipo zimaletsa mawonekedwe a mabakiteriya.
Kawirikawiri, pamene mukupanga kayendedwe ka temporomandibular, ndime yowongoka yokha imachotsedwa kwa earwax. Koma, mwatsoka, njirayi ya kuyeretsa ndi yovuta mu zina, ndipo sulufule imasonkhanitsa m'matumba, omwe kenako amasanduka sulfure pulagi.
Chifukwa chachikulu cha maonekedwe a sulfure plugs angatchedwe kusamalidwa koyendetsedwe ka ukhondo wa malo oyenera. Izi zikugwiritsidwa ntchito, choyamba, kugwiritsa ntchito mapulotoni (machesi, mapepala) ngati njira yothandizira, koma ndi zosiyana. Kuchotsa phula kumangoyang'ana pakhomo la khutu la khutu, osati kupaka sulfure ngakhale mkati mwake.
Apo ayi, njira yakuyeretsa ya chilengedwe ikhoza kusokonezeka, pomwe kuchotsedwa kwa sulfa kuchoka pa ma sulfure kumachitika nthawi yafunafuna popanda kupanga sulfure pulagi. Chotsatira cha chimbudzi chosamveka cha khutu chimayambitsa kukwiya ndi kukhumudwa kwa epidermis ya makutu a khutu.
Kawirikawiri, ana amavutika ndi chiwindi cha tympanic pogwiritsa ntchito thonje chifukwa cha kusakwanira kwa makolo kuti azitsatira zomwe amachita komanso ntchito ya ana. Amakhulupirira kuti pafupifupi makumi asanu ndi awiri mwa makumi asanu pa zana aliwonse a chiwerengero cha kuwonongeka kwa membrane kwa ana chifukwa cha kusamalidwa kosayenera kwa mabungwe omwe amagwiritsa ntchito cotton swabs.
Sulfur plugs amapangidwa chifukwa cha zifukwa zina zambiri: zowonjezera (zipinda zamphepete), kugwiritsa ntchito nthawi yaitali ma casophon ndi zothandizira kumva, kulemetsa tsitsi kumutu, zovuta kuchotsa sulfure chifukwa cha zinthu zamatomu, kutsekedwa kwa chingwe chakumva ndi kutupa pambuyo poyanjana ndi madzi , kumangiriza ndi kulemera kwa earwax mu ndimeyi. Pamene mukulandira zofunikira zofunika ndi mayeso ochipatala, matendawa ndi "sulfure pulagi". Sulfure pulagi ikhoza kukhala yokwanira ndipo musasokoneze wodwalayo ngati siimaletsa khutu la khutu, mpaka madzi pang'ono alowe mu khutu la khutu ndipo sulufule imayamba kuphulika. Kenaka zizindikiro zimayamba kudziwonetsera okha - pali phokoso m'makutu, kumverera kosauka, kumva kumapweteka, pali ululu mu ngalande yodalirika. Koma ngati thumba la sulufule limayamba kugwira ntchito pamagetsi, zizindikirozo zimakula, ndipo munthuyo amayamba kumva kuti akunyansidwa, amadzimadzi, amamva kupweteka, amakopeka komanso samagwira ntchito mumtima mwake. Pankhaniyi, funso limabwera kuchotsa sulfure plugs.
Msika wa mankhwala ukhoza kusangalatsa ndi mawonekedwe a cerumenolitic agents, omwe amapereka njira yatsopano yothandizira. Zimaphatikizapo kutaya thumba la sulufule mu ndondomeko ya khutu, pamene njira zina zimangolora sulufule kuti ichepetse kapena kuchotsedwa. Zina mwazikonzekera kuchotsa sulfure plugs, mankhwala awiri adziwonetsera okha: A-Cerumen ndi Remo-Wax.
Amathyola A-Cerumen (Nycomed) amakulolani kupirira ndi pulasitiki. Pogwiritsa ntchito makonzedwe ameneŵa, zigawozikuluzikulu za opalesitanti (amphoteric, anionic ndi nonionic opticants), zomwe sizilola kuwonjezereka. Mankhwalawa, akulowa mkati mwa cork sulfurric, amatsuka, osataya kutupa.
Kugwiritsa ntchito mankhwala oyenera A-Cerumene ndikuti kale amatha kutsekedwa - kubisala m'mitsempha yonse yamakutu, botolo limodzi limawerengeka - theka la botolo pamutu. Pambuyo pa instillation m'pofunika kuyembekezera mphindi zingapo ndikutsuka mphukira yotsalira yowonjezera.
Madonthowa ali otetezeka ndipo samayambitsa chisokonezo ku mucosa - izi zimatsimikiziridwa ndi kugwiritsa ntchito kwambiri mankhwala ku Russia ndi ku Ulaya. Angagwiritsidwe ntchito kwa ana oposa zaka ziwiri ndi theka. Contraindications monga hypersensitivity, nembanemba perforation, otitis media. Pofuna kupeŵa kukwiyitsa, sikulimbikitsidwa kuti tiike botolo kwambiri mkati mwa khutu la khutu.
Kupambana kwa mankhwalawa pofuna kuchotsa mapulagi a khutu A-Cerumena anawunika chifukwa cha kafukufuku wa University of Medical State University, Dipatimenti ya Ana Otorhinolaryngology. Phunziroli, ana makumi asanu ndi limodzi pakati pa zaka zitatu ndi khumi ndi zinayi ali ndi sulfure plugs anafufuza. Mbali imodzi ya anayi adayika mankhwala a A-Cerumen kawiri patsiku kwa masiku asanu, theka lachiwiri panthawi imodzimodzi ndi nthawi yomweyo yomwe imagwiritsidwa ntchito m'malovu. Chifukwa cha phunzirolo, kupambana kwa A-Cerumen kunatsimikiziridwa motsatira njira za chikhalidwe. Choncho, pofuna kupewa ndi kuthetsa sulfuric plugs, ndikulimbikitsidwa kugwiritsa ntchito kukonzekera kwatsopano kwa A-Cerumene.
Mankhwala ena omwe amachotsa bwino mafelemu a sulfure kuchokera kwa wopanga ku Finland Orion PHARMA ndi Remo-Vax. Zopangidwa pogwiritsa ntchito allantoin, Remo-Vax zimathamanga mofulumira komanso mosasunthika sulfure plugs, kukhalabe oyera kwa kumva thandizo ndi njira. Mankhwalawa angagwiritsidwe ntchito pofuna kuthandiza anthu omwe ali ndi sulufule kwambiri. Pogwiritsira ntchito Remo-Vax 2-4 pa mwezi, mukhoza kufotokozera mwatsatanetsatane njira yochokera ku sulfure ndikuletsa kupanga sulfure plugs m'tsogolomu.
Mankhwalawa alibe mankhwala opha tizilombo komanso amatsenga, omwe amalola kuti agwiritsidwe ntchito ndi odwala pafupifupi zaka zirizonse, komanso ngakhale matenda opatsirana ndi khungu.