Ngenxa yeziganeko zabo zomzimba, abantwana banako ukuvavanya kwindlebe ephakathi, kodwa abadala abakuthandi esi sifo. Cinga ukuba kutheni i-otitis media ikhula phakathi kweendlebe, impawu kunye nokonyango lwezilwanyana, kuxhomekeke kwiintlobo zayo.
Ziziphi iimbangela ze-otitis media?
Indlebe ephakathi yenye yeengxenye zenkqubo yophicotho-zincwadi, umsebenzi oyintloko wokuziphatha kakuhle ngenxa yokuguqulwa kweentshukumo zomoya. Leli gumbi elincinci eliphakathi kwendlela yokutya yeendlebe zangaphandle kunye nendlebe yangaphakathi, apho kukho khona: i-drum cavity kunye namathambo aphilileyo, ityhubhu ye-eustachian (i-auditory) kunye nomqolomba.
I-Otitis yendlebe ephakathi yinto evuvukalayo eyenzeka ngokubanzi kwizifo ezithathelwanayo zecandelo lokuphefumula eliphezulu ekuvimbeleni ukungena kwamapayipi kunye ne-permeability ye-tube yokucwaninga: i- rhinitis , i-rhinitis, i- sinusitis , i-tonsillitis, njl. Kwiimeko ezinjalo, ukusuleleka kungena kwi-tube yase-Eustachian edibanisa i-nasopharynx kunye nendawo indlebe ephakathi. Kule meko, ii-pathogens zihlala zisebenza njengezilwanyana ezincinci, ngokuthe rhoqo zixutywe iibhaktheriya kunye ne-viral flora, ii-virus, i-fungi.
Kwiimeko ezinqabileyo, ii-microorganisms zengqungquthela zingena kwindawo ekuqwalaselwa ngayo ukuhamba kwegazi (umzekelo, nomkhuhlane, umkhuhlane obomvu). Ngamanye amaxesha ukuphuhliswa kwesi sifo kuhambelana nokukhula kwee-polyps kwi-mucosa yangasese, ukujikeleza kwe-nasum ye-nasal, ukudilika, ukufumana i-antibiotics ende, ixesha elide, ukuxhomekeka komzimba, ukungaqhubi kakuhle. Ukongezelela, imbangela inokusebenza njengezinto zangaphandle eziphazamisayo, xa i-membrane ye-tympanic iphelile (ithoba njalo xa iindlebe ziphathwa nge-cotton buds).
I-otitis media
Ukuba ubude besilonda esivuthayo abugqithisi iiveki ezingama-2-3 kwaye siphela ngokubuyisela, kuyinto ehambelana ne-otitis media ye-ear ear. Le fomu yesifo ivela njenge-catarrhal inflammation, idlulela kwinkqubo ehlambulukileyo. Naliphi na izizathu zingentla zingayikhupha, ngelixa ezininzi zikho, iinjongo "eziphambili" ziyi- streptococci , i-pneumococci, i-hemophilia, i-morocelles.
I-otitis media
Ukuba ukuvuvukala okunzima kwisebe eliphicothiweyo kunzima kakhulu, ngokuphindaphindiweyo okanye kungayifumananga unyango olwaneleyo, amathuba aphakamileyo ukuba i-media otitis engapheliyo iya kuphuhliswa. Yinkqubo epholileyo, edlalwa ngokunyanzeliswayo ngokubonakala kwesiphene kwi-septum ye-tympanic, ethatha inyanga kunye neminyaka. I-microflora ye-causative idla ngokuba: staphylococcus, E. coli, Pseudomonas aeruginosa, peptococci.
I-Otitis media ye-ear ear symptoms
Ngokuxhomekeka kwimilo kunye nesigaba se-otitis media, iimpawu kunye nonyango zihlukile. Ubunzima beklinikhi yomfanekiso ngenxa yendawo yokwenza ukuvuvukala kwinqanaba eliphakathi kwendlebe, nangona ngokuqhelekileyo zonke iindlela zibandakanyeka kwinkqubo yokugula. Cinga ukuba iimpawu ze-otitis ziye zahlula iifom zayo ezingundoqo.
Catarrhal otitis media
Xa i-acatar catarrhal otitis media ikhula, yintoni isigaba sokuqala sesi sifo, kukho ukuphulwa kwemisebenzi yokungena umoya kwindlebe ephakathi ngenxa yokukhutshwa kwebheyi ye-Eustachian. Oku kuhambelana nomngcipheko okanye ukuvalela ngokupheleleyo ukuhamba komoya kwinqanaba eliphakathi kwendlebe, ngenxa yoko i-septum ibuyiswa kwakhona kwaye iguqula umbala. Uxinzelelo kwisigxina se-tympanic lubonakala lubi, kwaye phantsi kweemeko ezinjalo ukuqokelela kobuthakathaka obukrakra kwenzeka kuyo. Azikho iinkqubo ezithathelwanayo kule nqanaba.
I-Catarrhal otitis media ineempawu ezilandelayo:
- intlungu ephakathi kwendlebe;
- ingxaki yokucinga;
- ukuziva uxinzelelo, u-raspiraniya endlebeni;
- imeko eyanelisayo.
Exudative otitis media
Ukugqabhuka kwe-Aseptic kwiimeko zokuqhubeka kungabikho kokutshintshwa kwomoya kunye nokuvuvukala kwetyhubhu yokuphicothiweyo kungahamba kunye nokuqokelela kwe-serous exudate, ekhutshwa ngeendonga zemithambo yegazi. I-serous otitis ephakathi ngokuqhelekileyo ihlala kwisigaba esingapheliyo kunye nesifo esicacisiweyo, kodwa ngokuphuhliswa kwesityalo esithathelwanayo sidlulela kwisigaba esiphezulu. Umyinge we-serous otitis ungabonakalisa ngeempawu ezinjalo:
- ukuvakalelwa kwengqondo entloko;
- ukungcola;
- iintlungu ezibuhlungu ezindlebeni;
- ukukhubazeka kweendlebe (kunokunyuka, kodwa ngamanye amaxesha kuhambisane namaxesha okuphucula);
- ingxolo, ukuvakalelwa kwentsholongwane kwindalana yomlomo xa ujika intloko;
- ukubonakala kwento ebonakalayo okanye engaqhelekanga esuka kumbhobho womlomo xa i-eardrum iphukile.
I-otitis media
Ukungena kwi-middle middle cavity yentsholongwane kubandakanya i-acute puritent otitis media, ebonakaliswe yimpawu eziqhakazileyo. Le nkqubo yentsholongwane ithambekele ekusasazeni, kwaye ukuba unyango lwe-otitis media aluqalwanga ngexesha, i-ossicle yokuphicotha, i-labyrinth, i-periosteum, njl njl.
Uyakwazi ukubona i-otitis media media ye-ear ear middle by the following manifestations:
- intlungu ebuhlungu kwindlebe yomlingiswa wokutsala, uqiniswe ngokuthintela, ukunyakaza;
- ukusasazeka kweentlungu kwindawo yetempile, umhlathi, i-orbit;
- ukwanda kweqondo lomzimba;
- ukungonakaliswa ngokubanzi kwimeko;
- ukwandisa i-lymph nodes;
- ukulahlekelwa kwindlebe;
- ingxolo endlebeni.
Ngolu hlobo lwesifo, ukuhamba ngokuzimeleyo kwimbumba enobuncwane kunokwenzeka ngokuphuma kwezinto ezingenanto. Ngexesha elifanayo, imeko yesigulane sempilo iphucula ngokuthe ngandlela-thile, iintlungu ziyancipha, kwaye ukushisa kunciphisa. Ukuqhekeka kwesiphene se-tyumanic septum kwenzeka kamva (kwiiveki ezimbalwa), kodwa xa isifo sidlulela kwisigaba esingapheliyo oku kungenzeki.
Indlela yokuphatha i-otitis media?
Ukuba ukrokrela i-otitis media, kufuneka uqale unyango ngokukhawuleza, apho kufuneka udibanise ne-otolaryngologist. Kuphela ngoncedo lwezokwelapha unako ukuseka ifom yesifo, ukuchonga izinto ezinokubangela ukuba, kubaluleke kakhulu ekukhetheni amaqhinga okunyanga. Xa uhlolwe, uhlobo lwebhanki lwe-tympanic luhlolwa, ukuhamba kwalo kuhlolwe. Ukuba le nkqubo ingapheliyo, imilinganiselo ye-acuity of hearing, ye-intra-arterial pressure inokumiselwa.
I-Catarrhal, i-purulent kunye ne-exudative acute ye-otitis media ifana nayo. Okokuqala, sebenzisa iindlela zobugcisa ezijoliswe ekupheliseni izinto ezibangela ukuphazamiseka kwetyhubhu yokuphicotha. Ukunciphisa i-edema ye-mucosal kunye ne-muscus secretion, sebenzisa:
- i-sosudosuzhivayuschie ehla empumleni - uNaphthyzine, Nazole, Galazolin, njl.;
- i-corticosteroids yesenzo sendawo - iDencamethasone, iNazonex, i-Aldecin, njl.;
- iisombululo zetyuwa zokuhlamba impumlo - i-Aqua Maris, i-Marimer, i-no-ityuwa, njl njl.
Kwi-canal indlebe ilawulwa ngamachiza anikezela ngemiphumo ye-analgeic, anti-inflammatory and antiseptic, umzekelo:
- isisombululo se-boric acid;
- Otinum;
- Otypax ;
- Sofradex;
- Garazon;
- Otisol kunye nezinye
Ukususa izinto ezivela kwindlebe ephakathi kunye nokubuyisela ubungakanani bebhubhu yokuphicotha, i-catheters ekhethekileyo, imimbrane ye-pneumomassage, ubuchule bokuvuthela (ngokubhekiselele kwi-Politzer, ngo-exhalation). Ukuba i-otitis media yendlebe ephakathi, iimpawu kunye nonyango oluhambelanayo nale ingentla, ayiyi kuhamba, isetyenziselwa iindlela zokugqirha (icandelo lomlenze we tympanic kunye nokufakwa kwamanzi).
Ii-Antibiotics kwi-otitis media
I-otitis ephakathi ichongiweyo enezinto ezingenayo i-tympanum ngaphandle kwe-antibiotics ayiphathwa. Ngokuqhelekileyo ilawulwa ngamachiza e-systemic kwifom tablet, ikwazi ukungena kakuhle kwigumbi eliphakathi kwaye ibe nemisebenzi eninzi:
- Amoxicillin;
- Augmentin;
- Aksetil;
- I-Spiramycin;
- Biseptol ;
- Clarithromycin nabanye.
Ukufundwa kwebhakteriya kokuqukethwe kwindlebe ephakathi kunye nokufumanisa ububele bezilwanyana ezinjalo kulezi okanye ezinye iziyobisi akusoloko zenziwa, kuba iziphumo zaziwa ngokubanzi ngeveki kamva. Ukutyunjwa kwezidakamizwa zokuqala kubanjwa ngokukhawuleza, ngaphandle kokuqwalasela iziphumo. Nangona kunjalo, kwixesha elizayo, ukuba i-remedy echanekileyo ingabonakali, ukulungiswa kwonyango kwenziwa ngokuhambelana nokuhlalutya kwedata efunyenweyo.
UHF-unyango lwe-otitis
Iinkqubo ezahlukeneyo ze-physiotherapy zingabandakanywa kwiinkqubo eziyinkimbinkimbi zemisebenzi, phakathi kwazo i-UHF. Ngokuqhelekileyo, le ndlela iyakhathalela i-purulent otitis media kwisigaba sokuxoxwa. Ngombulelo kwiinkqubo, ukuhamba kwegazi kummandla weendlebe kuphuculwe, ukuvuvukala kunciphisa, iindlela zokukhusela zendalo ziqiniswa.
Unyango lwe-otitis media media ekhaya
Xa kukho i-otitis media yendlebe ephakathi, unyango kufuneka lwenziwe phantsi kolawulo logqirha. Akuvumelekanga ukuzisebenzisa ngamachiza usebenzisa iindlela zabantu, ilungu lisondele kwingqondo, kwaye iingxaki ezibangelwa ukwelashwa okungonelanga kunokuba nzima kakhulu. Into eyona nto enokuyenza ukuze ukhulule imeko ngaphambi kokubiza ugqirha kukusebenzisa ukushisa okumileyo kwindlebe (i-shawl yoboya, uboya bekotoni, njl njl), kodwa akukho mfuneko ukuba ifudumale ngokufudumala. Kwinkqubo yokonyango enqunywe ngugqirha, kuvunyelwe ukusebenzisa izigulane zabantu ukuze kuphuculwe umzimba.