Barotraumatic otitis ke kotsi ho lisele tsa tsebe tse bakoang ke phetoho ea khatello. E ka baka bohloko bo boholo, ho senya moropa oa tsebe, ho lahleheloa ke kutlo le matšoao a vestibular. Ho itšetlehile ka matšoao, barotrauma e phekoloa ka ho fana ka li-decongestants le / kapa lithibela-mafu. Maemong a mang, ho hlokahala opereishene. Ear barotrauma e ka qojoa ka ho fetisetsa liketso tse nepahetseng tse lokelang ho nkoa ho batho ba kotsing (li-divers, aviator). 

Barotraumatic otitis ke kotsi ho lisele tsa tsebe tse bakoang ke phetoho ea tšohanyetso ea khatello ea moea.

Lisosa

Barotrauma e etsahala ha 'mele o e-na le ho eketseha ha khatello (scuba diving, tahlehelo ea bophahamo ka sefofaneng) kapa ho theoha ha khatello (sefofane se fumanang bophahamo, diver e fihla holimo).

Barotraumatic otitis e bakoa ke ho se sebetse hantle ha tube ea eustachian, e leng duct e boemong ba eardrum e kopanyang pharynx le tsebe e bohareng. Ha ho e-na le phetoho khatellong ea ka ntle, tube ea eustachian e leka-lekanya khatello mahlakoreng ka bobeli a eardrum ka ho lumella moea o ka ntle ho kena (kapa ho tsoa) tsebe e bohareng. Haeba tube ea eustachian e sa sebetse, moea ha o khone ho tsoa kapa ho kena karolong e bohareng ea tsebe, e leng se bakang barotrauma.

Diagnostic

Tlhahlobo e etsoa ho latela mofuta oa matšoao le nalane ea mokuli (ho qoela, ho fofa ka bophahamo). Ho itšetlehile ka matšoao, ho ka 'na ha hlokahala liteko tse eketsehileng:

• Liteko tsa audiometric (moeli oa kutloisiso, khethollo ea lentsoe, acoustic reflexes, jj.)
• E hlahloba li-vestibulaires

Batho ba amehang

Barotrauma e ama ka ho khetheha batho ba tlas'a phapang e matla ea khatello sebakeng sa bona sa mosebetsi, haholo-holo ba fapaneng le ba moea. Ear barotrauma e baka karolo ea bobeli ho tse tharo ea likotsi tsa scuba diving.

Lintho tse kotsi

Ho ruruha leha e le efe (ka lebaka la ho kula, tšoaetso, lebali, hlahala) ea moea o ka holimo (pharynx, larynx, nasal passages) kapa tsebe e thibelang khatello ea ho leka-lekanya ho eketsa kotsi ea barotrauma.

Lipontšo tsa barotrauma li etsahala hoo e ka bang hang-hang ha khatello e fetoha. 

Haeba ho na le ho se sebetse ha tube ea eustachian, phapang ea khatello ea moea pakeng tsa eardrum le pharynx e ka baka:

• Bohloko bo mabifi bo tebileng ka hare ho tsebe
• Ho lahleheloa ke kutlo ho ka fihlang bohole ba ho se utloe
• Ho senyeha kapa ho phunyeha ha moropa oa tsebe ho ka lebisang ho tsoa mali
• Matšoao a Vestibular (ho tsekela, ho nyekeloa ke pelo, ho hlatsa)
• Haeba phapang ea khatello e kholo haholo, fensetere ea oval (e kenang tsebeng e ka hare ho tloha tsebe e bohareng) e ka boela ea phatloha. Ka mor'a ho phatloha hona, likheo tsohle tsa tsebe lia buisana tse bakang ho lutla ha mokelikeli ho tloha karolong e ka hare ea tsebe ho ea karolong e bohareng ea tsebe. Tsebe e ka hare e kotsing ea ho senyeha ka ho sa feleng. 

Maemong a mangata a barotrauma, phekolo ke matšoao. Empa liso tse ling li ka hloka phekolo e khethehileng. Ear barotrauma e phekoloa ka ho fana ka li-decongestants (oxymetazoline, pseudo-ephedrine) ho nolofalletsa ho buleha ha litsela tsa moea tse koetsoeng. Maemo a matla a ka phekoloa ka nasal corticosteroids.

Haeba ho tsoa mali kapa matšoao a ho tsoa mali, lithibela-mafu li fanoa (mohlala, amoxicillin kapa trimethoprim / sulfamethoxazole).

Therisano ea ENT e bontšoa ka pel'a matšoao a matla kapa a sa feleng. Ho ka 'na ha hlokahala hore ho buuoe ho phekola tšenyo e khōlō karolong e ka hare ea tsebe kapa e bohareng. Ka mohlala, tympanotomy bakeng sa ho lokisoa ka ho toba ha fensetere e phatlohileng kapa ea oval, kapa myringotomy ho ntša mokelikeli ho tloha bohareng ba tsebe.

Thibelo ea barotraumatic otitis e kenyelletsa ho ruta ba kotsing (lifofane, batho ba fapa-fapaneng, ba tsamaeang ka maoto). Ha khatello ea ka ntle e fetoha, ke habohlokoa hore u se ke ua ba le lebelo le phahameng haholo la letsoapo. Litsebi tsa lifofane le scuba diving li tlameha ho koetlisetsoa ka lebokoseng ho ithuta liphello tsa ho fapana ha khatello tsebeng.

Ear barotrauma e ka thibeloa ka ho metsa kapa ho hema khafetsa ha u ntse u phunya nko ho bula methapo ea eustachian le ho leka-lekanya likhatello pakeng tsa tsebe e bohareng le ka ntle. Ho roala li-earplugs ho thibela khatello ho leka-lekana, kahoo e lokela ho qojoa ha u ntse u qoela ka metsing.

Phekolo ea thibelo ka pseudoephedrine lihora tse 12 ho isa ho tse 24 pele o qoela ho ka fokotsa kotsi ea atrial barotrauma. Scuba diving ha ea lokela ho etsoa haeba tšubuhlellano e sa rarollehe.