Otitis media: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Ungayichonga njani i-otitis emntwaneni
• Unyango lwenziwa njani
• Iinketho zonyango ekhaya
• Iindidi ze-otitis media

Imithombo yeendaba i-Otitis kukudumba kwendlebe, okunokwenzeka ngenxa yobukho beentsholongwane okanye ibhaktheriya, nangona zikho ezinye izizathu eziqhelekileyo ezinje ngezifo zokungunda, umothuko okanye i-aleji.

I-Otitis ixhaphake kakhulu ebantwaneni, nangona kunjalo inokwenzeka nakweyiphi na iminyaka, kwaye ibangela iimpawu ezinje ngeendlebe, ukuphuma okumthubi okanye okumhlophe, ukulahleka kokuva, umkhuhlane kunye nokuba nomsindo.

Unyango lwayo luhlala lusenziwa ngamachiza ukukhupha iimpawu, ezinje ngeDipyrone okanye iIbuprofen, kwaye ukuba kukho iimpawu zosulelo lwebhakteria, zihlala zinobofu, ugqirha unokucebisa ukusetyenziswa kwee-antibiotics.

Iimpawu eziphambili

Imithombo yeendaba i-Otitis, okanye ngaphakathi, kukudumba okuhlala kuvela emva kokuhlaselwa yingqele okanye isono. Oku kudumba kuxhaphake kakhulu kwiintsana nasebantwaneni, kodwa kunokwenzeka nakweyiphi na iminyaka, kwaye kufunyanwa kuvavanyo lonyango kusetyenziswa i-otoscope, ebonisa ubukho bokuqokelelana kolwelo kunye nolunye utshintsho endlebeni. Iimpawu zezi:

• ubukho bemfihlo okanye ukuqokelelwa kolwelo,
• ukunciphisa ukuva,
• ifiva,
• ukucaphuka,
• ukuba bomvu kunye nokugqobhoza kwe-eardrum;

Unobangela oyintloko we-otitis bubukho beentsholongwane, ezinje nge-Influenza, intsholongwane yokuphefumla okanye intsholongwane, okanye intsholongwane. S. pneumoniae, H. influenzae okanye M. catarrhalis. Ezinye izizathu ezinqabileyo zibandakanya i-allergies, i-reflux, okanye utshintsho lwe-anatomical.

Ungayichonga njani i-otitis emntwaneni

I-Otitis kwiintsana kunokuba nzima ngakumbi ukuyichonga, njengoko bengakwazi ukubonisa iimpawu kakuhle. Iimpawu kunye neempawu ezinokubonisa i-otitis emntwaneni bubunzima bokuncancisa, ukukhala okungapheliyo, ukuba nochuku, umkhuhlane okanye ukuchukumisa indlebe rhoqo, ngakumbi ukuba kuye kwakho ingqele yangaphambili.

Phambi kwale miqondiso, kubalulekile ukuba ufune uncedo kugqirha wabantwana kuvavanyo, ngakumbi ukuba kukho iimpawu zevumba elibi endlebeni okanye kubukho bolusu, njengoko zibonisa ubungqongqo. Fumana ulwazi oluthe kratya, kunye nogqirha wabantwana, malunga nezona zinto zibangela kunye nendlela yokuchonga iintlungu zendlebe kusana.

Unyango lwenziwa njani

Unyango luhlala lwenziwa ngokwesizathu kwaye, ke, kunokubandakanya ukusetyenziswa kwe-analgesics kunye ne-anti-inflammatories, ukongeza kwi-decongestants kunye ne-antihistamines ukuzama ukunciphisa iintlungu, ukuxinana kwempumlo, kunye nezinye iimpawu ezibandayo.

Ukusetyenziswa kwezibulala-ntsholongwane kunokuba yimfuneko, kangangeentsuku ezintlanu ukuya kwezili-10, ezinje nge-Amoxicillin, umzekelo, edla ngokusetyenziswa xa iimpawu ziqhubeka nasemva kokuba unyango ngamanye amayeza luqalile, ukuba kukho utshintsho kuvavanyo lwe-membrane yetympanic, ukuba indlebe igqojoziwe okanye ukuba iimpawu zinzima kakhulu.

Kuxhomekeke kudidi kunye nobukhali be-otitis, unyango lusenokufuna utyando ukukhupha ulwelo endlebeni, okanye i-tympanoplasty, kwimeko yokugqobhoza kwe-eardrum.

Iinketho zonyango ekhaya

Ngexesha lonyango oluboniswe ngugqirha, kwaye ungaze ubeke endaweni yoku, amanye amanyathelo anokuthathwa ekhaya ukukhawulezisa ukubuyisa kunye nokunciphisa iimpawu ezinje:

• Sela amanzi amaninzi, ukugcina amanzi imini yonke;
• Hlala ekhayaUkuphepha ukuzilolonga okanye imisebenzi eyindinisa;
• Yitya ukutya okusempilweni nokunesondlo, kunye nokutya okunotye iziqhamo, imifuno, iinkozo kunye nembewu, njengoko zityebile kwi-omega-3 kunye nezinye izakha-mzimba ezinceda ukuba kubuyiswe ngcono kukudumba;
• Yenza icompress eshushu kwingingqi engaphandle yendlebe, inokunceda ukunciphisa iintlungu.

Ukongeza, awusoze uthontsize nayiphi na imveliso endlebeni, ngaphandle kwaleyo iboniswe ngugqirha, kuba oku kunokwenza mandundu ukudumba kwaye kuphazamise ukubuyela kwimeko yesiqhelo.

Iindidi ze-otitis media

Imithombo yeendaba i-Otitis inokwahlulwa ngokweendidi ezahlukeneyo, ezahluka ngokweempawu kunye neempawu, ubude bexesha kunye nenani leziqendu zokudumba. Ezona ziphambili zibandakanya:

• I-otitis media efanelekileyo: lolona hlobo luqhelekileyo, kunye nokuqala ngokukhawuleza kweempawu kunye neempawu, ezinjengentlungu yendlebe kunye nomkhuhlane, obangelwa lusulelo olubi lweendlebe eziphakathi;
• Ukuphindaphindeka kwe-otitis media: sisifo se-otitis esibi esiphinda ngaphezulu kweziqendu ezi-3 kwiinyanga ezi-6 okanye iziqendu ezi-4 kwiinyanga ezili-12, ngokubanzi, ngenxa yentsholongwane efanayo ephindaphindayo okanye yosulelo olutsha;
• Imithombo yeendaba serous otitis: ekwabizwa ngokuba yi-otitis media nge-effusion, bubukho bolwelo kwindlebe esembindini, enokuhlala iiveki ezininzi ukuya kwiinyanga, ngaphandle kokubangela iimpawu okanye iimpawu zosulelo;
• Ukuxhaswa kwe-otitis media engapheliyo: ibonakaliswa bubukho be-secretion engapheliyo okanye ephindaphindayo, kunye nokugqobhoza inwebu ye-tympanic.

Ukwahlula phakathi kwezi ntlobo ze-otitis, ugqirha uhlala esenza uvavanyo lweklinikhi, kuvavanyo lomzimba, ukujonga indlebe nge-otoscope, ukongeza kuvavanyo lweempawu kunye neempawu.