Unyango olusebenzayo of otitis osasazo abadala kunye antibiotics

Iindlebe - it ngomnye ubuthathaka amalungu oluntu. Iidrafti, usuleleko, amanzi avela imvula - konke oku kungabangela nezilonda, esifuna unyango olungxamisekileyo, kungenjalo imiphumo ukusonga ingaba kakhulu. Ke kaloku omnye wabo osisithulu. Ukudumba endlebeni ekuthiwa eendaba otitis. Kodwa yintoni uhlobo leengxaki? Kwaye yintoni indlebe zintsholongwane uya ngokukhawuleza ngaphandle nemiphumo ukuphelisa esi sifo?

Otitis media: yintoni na kwesi sifo ndinaso?

Otitis - yinto iifom yondele okanye okondeleyo ukudumba ezinokuthi ukuphuhlisa kwenye okanye ngaphezulu mimandla indlebe: engaphandle, oluphakathi okanye ngaphakathi. Unyango kwamajelo otitis abadala kunye antibiotics emiselweyo enyanzelekileyo. Ngaphandle la machiza ngokukhawuleza ukumelana iimpawu kunye elibangela komtshiso oko, iya kuba nzima kunene.

Ukungakwazi waphilisa indlebe ngezifo ifuna ukusetyenziswa -ntsholongwane, yaye, kwezinye iimeko kuyimfuneko ukusebenzisa kwaoko iintlobo ezininzi kubo: amayeza linokwenziwa ngenaliti intramuscular, njengoko kusithwa ngqo kwi endlebeni okanye esithathiweyo azipilisi ngomlomo. Kodwa yintoni ebangela media otitis? Ziziphi iintlobo zezifo apho?

Iindidi zemidiya otitis. izizathu

Otitis - sisifo kuchaphazela naziphi na iinxalenye ezintathu indlebe, nto leyo esisizathu sokuba, kuxhomekeke umthombo ukudumba ngezifo na zohlulwa ngokwendidi ezintathu:

• Indlebe yangaphandle otitis;
• media otitis;
• ukudumba kwindlebe engaphakathi, okanye labyrinthitis.

Ibangela uhlobo oluthile ngezifo, inani elikhulu, kodwa la engundoqo:

• izifo ngeempumlo ezikhokelela ukudumba kunye nokudumba kwendlebe ephakathi;
• izifo ukuba buthathaka amajoni omzimba, kuquka nemasisi influenza;
• ukuba ungene indlebe yamanzi abandayo ngexesha amanzi unyango okanye ukuhlamba kule ndawo;
• atyiwe umonakalo ndizayo tympanic;
• yofuzo.

Ngokuxhomekeke kuhlobo pathogen izakufunyanwa ukugula, amajelo otitis nga lungohlulwa lube zezi ntlobo zilandelayo:

• load;
• bacteria;
• ezinzwaneni.

Unyango lwe otitis eendaba abadala kunye antibiotics - oko ngempumelelo, kodwa amachiza zilufanele isigulane ngasinye, ugqirha kufuneka isigqibo, kuxhomekeke kubunzima kwesifo kunye yawo. Kodwa ezinye iimpawu asenokubonisa ukudumba pinna?

iimpawu

uhlobo ngalunye otitis iimpawu zabo, kodwa iyonke ozakuthathwa:

• throbbing intlungu indlebe;
• kuyaphela emva indlebe;
• umkhuhlane;
• Ukugodola;
• ingxolo kuhlolwe ezalisekileyo esikhwebini;
• ubuthulu.

Njengoko kuchaziwe ngaphambili, uhlobo ngalunye uneempawu zaso. Ngokomzekelo, otitis yangaphandle. Iimpawu kunye noNyango e abadala kuphakamisa imibuzo emininzi. Ndazi njani ukuba olu hlobo esi sifo? Indlela ukuphelisa ukungaphatheki? Ngaba kufuneka ukuba uthathe nemithi, okanye ukwenza amayeza intsomi?

Otitis ongaphandle - yinkqubo yokukrala lolusu indlebe, umdla kunye zangaphandle umsele eziviwayo. Amaninzi, nto ebangela ezinzwaneni okanye amagciwane. Kukho iindidi ezimbini angaphandle otitis: kwentamo kwaye lunomnyino. Kaninzi izigulane esi sifo esizibonakalisa ngohlobo yamathumba - yayiyazi inkqubo ubovu sebaceous nobubovu, nto leyo ebangelwa amagciwane pyogenic.

Azazi iimpawu zosulelo lwe angaphandle otitis kunokuba ngezizathu ezifana:

• ukulunywa;
• ubuhlungu xa bephathwa nesiza komtshiso oko;
• ukudumba, anozizi kwesikhumba;
• ukwanda lobushushu emzimbeni.

Otitis ekuva lwangaphandle umsele - yenye yeentlobo zamva kwesifo, kodwa kulo mzekelo, kufuneka indlebe antibiotics. Ngaphandle la machiza ukuze ukuphuhlisa iingxaki.

Otitis media - kukukrala nendlebe. Yile ndlela esi sifo kuqhelekile kakhulu abadala kunye nabantwana. Into efunekayo, ukuba unesifo eendaba otitis, unyango? Xa abadala, i-antibiotics kunokubangela eninzi yoqhankqalazo, kodwa ke eli qela iziyobisi ziqhutywa kwindawo yokuqala. Kakade ke, ugqirha iya kuthathela ingqalelo umyalezo kwesi sifo. Njengoko kuchaziwe ngaphambili, uhlobo sifo isenokuba ziintsholongwane. Phakathi iintsholongwane kuyo amaninzi streptococci kunye Haemophilus influenzae influenzae unobangela ukudumba nendlebe. Kodwa phakathi iintsholongwane ivule kuphuhliso kwezifo endlebeni nga kuba umkhuhlane kunye rhinovirus okanye intsholongwane yokuphefumla syncytial. Ukuze ubone ubukho ukudumba ibe neempawu ezifana:

• throbbing buhlungu;
• sokudubula intlungu indlebe;
• angaphatheki;
• yobuthathaka;
• ukuphazamiseka kokulala;
• ukungabi namdla;
• ukungase-.

Njengoko ukudumba zendlebe zisenokubangelwa yokuhlaselwa umkhuhlane umkhuhlane okanye, apho amajoni omzimba buthathaka kwaye kwandisa isixa iintsholongwane empumlo nomqala. Faka i ngeempumlo liqhagamshelene zendlebe, kwaye oluhlala fluid neentsholongwane, nto leyo ibangela ukudumba. Yaye nantsi nje kuyimfuneko ukubona oyingcaphephe, amayeza emveli ukunceda umntu kwakungenzeki kwaphela. Unyango kwamajelo otitis abadala ngokubanzi-spectrum nemithi, nto leyo eza kuvumela ukuba abulale zonke iintsholongwane, susa ukufukuka ndayokufika ekuveni, babe elide, kodwa engamelanga ithathwe ityeshelwe unyango. Isifo kungenziwa ngeendlela ezahlukeneyo, ukuba ixesha na ukuthatha inyathelo, oko kunokukhokelela iifom ezingaphezu ozimiseleyo sifo:

• media otitis olunamandla;
• otitis ezigulo ezondeleyo.

Acute otitis media - nangokurhala ezinxulumene eyendawo fluid ezalisekileyo esikhwebini embindini. Kule fomu, isigulane rhoqo kuyenyuka, ubushushu ligcinwa phakathi degrees 39. Alinako ukuzisa phantsi eziliqela iiyure - kwaye liphuma kwakhona. Izigulane kaninzi bathi ukuva ndaweni ngaphakathi ilizwi lakho. Ke ukubonakala ubofu embindini indlebe kwisisu icebisa ukuba acute otitis eendaba liyagungqa ukuya kwinqanaba elilandelayo. Suppurative media otitis abadala (unyango zintsholongwane kulo mzekelo kuyimfuneko, kwaye nemfuno ukuqalisa unyango ngokukhawuleza kangangoko kunokwenzeka) - isenzeko akumnandi kwaye akakwazi ukwenza self-medicate.

Kodwa kubalulekile ukukhumbula ukuba isibini sokuqala iintsuku unyango singàphunyezwa ngeli xesha amaninzi komsipha i indlebe, kwaye ubovu iphuma. Isigulane uziva isiqabu, iqondo lobushushu emzimbeni uvikivwa iintlungu besishiya. Ngaphandle ubomvu, ungabona igazi kunye ukubhobhoza serous, kodwa ingcono - oko kuthetha ukuba indlebe into icocwe.

Uhlobo elandelayo leengxaki - otitis ezigulo ezondeleyo. Unyango (kubandakanywa antibiotics) kuyimfuneko. Le ukugula esivelayo, ukuba uqala unyango iifom etsolo ngexesha engalunganga, okanye musa kudlula ngokupheleleyo ekhosini. Ifom ezingapheliyo kwesi sifo esizibonakalisa ngendlela efanayo njengoko siqithi: kukho ukwanda iqondo lobushushu, ukonakala imeko jikelele, ukurhawuzelela, ubuhlungu ibiselidubule, bakuva ilahleko kunye namanye amajelo eendaba ezingapheliyo otitis kukho iintlobo .:

• tubotimpanalny;
• epimezotimpanit;
• isifo eliphezulu ekhaya.

Ukongeza zonke iintlobo zingentla otitis eendaba, kukho - lubangelwe otitis. Oku ngezifo kuchaphazela zombini iindlebe. Ukuba ngaba uqala unyango lwe kumajelo otitis abadala kunye nemithi, kulo fomu kungakhokelela perforation le indlebe. Ukuba ubomvu bathontelana ixesha elide, oko kwandisa uxinzelelo kwi candelo zendlebe, nto leyo inwebu iba ukubhitya, kwaye kukho ingozi komsipha. Kwezinye iimeko, oogqirha bacetyiswa ukuba enze uqhaqho, ukuba wenze okuhlatywa kwi indlebe, kunokuba alinde de yonke into iya kwenzeka ngokwalo.

Ukudumba kwindlebe engaphakathi - oku lolunye uhlobo lwesifo, nto leyo oogqirha ekuthiwa labyrinthitis. Esi sifo anqabe kakhulu indlebe engaphandle nophakathi. Unyango (antibiotics zibalulekile) kakhulu enzima ixesha elide, kwaye isifo ithathwa eyingozi kakhulu, ezingagrogrisa nkqu ubomi umguli. iinkqubo Suppurative echaphazela ijwabu ithambo, nto leyo ekhokelela ukuba nemiphumela emibi kakhulu.

Yintoni ibe iingxaki eendaba otitis?

Xa ukusola incinane yonyango eendaba otitis (abadala antibiotics kulo mzekelo - a wand umlingo, kodwa ukusetyenziswa kwazo akusoloko kuyimfuneko) kufuneka uqale ngoko nangoko. Ukuba ixesha elilahlekileyo, ifomu etsolo ijike ibe ezondeleyo, uze emva koko imeyizi, nto leyo ekugqibeleni kunokubangela ukusilela, nkqu nokufa. Kodwa loo nto zonke, ukusilela ukwenza kunokukhokelela kwamanye amazwe - iingxaki vnutrivisochnym:

• ephula isidima indlebe;
• ukudumba iiseli bone - mastoiditis;
• ukushwabana luvo yobuso.

Ukongeza, kusenokubakho, kunye nezigulo intracranial, kuquka:

• ukudumba kwi ingaphakathi ingqondo - meningitis;
• ukudumba yobuchopho - kobuchopho;
• ukuqokelelana ulwelo kwi neuron - hydrocephalus.

Kodwa zonke ezi iingxaki ziye ngamanye amaxesha woyikise abantu ezifana unyango isibulala-zintsholongwane, kwaye izigulane ezininzi ukubuza oogqirha umbuzo: ingaba kuyimfuneko ukuthatha uluhlu enkulu kangaka iziyobisi? Yintoni imithi otitis okunika iziphumo ezingcono, nabanako nje uzakususwa kuluhlu ekucetyiswa ngugqirha?

Ngaba kufuneka ukuba uthathe ezifo eendaba otitis?

zibaluleke kakhulu phantse nayiphi na inkqubo yokukrala emzimbeni ntsholongwane. Sekunjalo, oogqirha abaninzi bakholelwa ukuba de perforation yezizwe indlebe inwebu kunye iplagi fluid, akukho mfuneko yokuba athathe la machiza. sigaba ayinzima etsolo Ulobumba sifo ithatha malunga 5 iintsuku. unyango elwa isetyenziswa kuphela xa unyango ngendlela azizange isiqabu efunekayo: iintlungu isaqhubeka, ukuva baba iimpawu ngakumbi ephawuleka kunxilwe jikelele.

Emva kokuba iimpawu zokuqala output ubofu ngoko nangoko ukuthatha ngohlalutyo microflora nokumisela ukuya kuyo arhente antibacterial onovakalelo. Emva koko, khetha amachiza efanelekileyo kwaye uqale unyango lwe abadala eendaba otitis. antibiotics Broad-spectrum - kulukhetho engcono ukwenzeka, akukho akusoloko kusenzeka ukuba i exudate ukwenzela uhlalutyo.

Emva kokugqiba unyango ingcono ukudlala kuphephe ukwenza zothintelo zingabuyi (ngakumbi ngaloo ngezantsi).

Yintoni antibiotics ngcono esetyenziswa ukunyanga eendaba otitis?

Maninzi kakhulu amachiza ukuba benze umsebenzi oncomekayo kunye naluphi na uhlobo, nangokurhala, kwaye ukuncedisa ekunyangeni kwamajelo otitis. Enye kakhulu ethandwa uthathwa "Amoxicillin". Eli chiza i iimpawu ezigqwesileyo elwa kunye kubola. Kodwa Wakuthatha bayacetyiswa kuphela kwabo izigulane abangenazo i uxabane ukuya penicillins eziphantse-zokwenziwa. Ukongeza, kufuneka kukhunjulwe ukuba olu ichiza contraindicated kubantu abane umsebenzi kwesibindi kakuhle, abakhulelweyo kunye nabafazi phindeke.

Aminoglycoside netilmicin - sisixhobo izitofu zalapha, kodwa kuvunyelwa kuphela ukuba asebenzise iiveki ezimbini zokuqala, akukho ngakumbi. Enkosi kuye, umele uchithe unyango kumajelo otitis abadala ngempumelelo nangokukhawuleza. Amachiza kufuneka kukhethwe ukuba isigulane ngamnye, kodwa kukho uluhlu iziyobisi eziya kunceda wonke umntu ukumelana ukudumba indlebe:

• "Chloramphenicol" (isisombululo utywala) - Kucetyiswa ithontsi 2 ngamathontsi ukuya endlebeni, ukuba isigulane ifomu ubovu otitis kutyhilwa;
• "Amoxicillin" - athathwa ngomlomo 3-3.5 grams ngosuku (ngexesha elinye okanye yohlulwe eziliqela);
• "Augmentin" - maxa 375 mg kathathu ngemini;
• "Cefuroxime" - isetyenziswa ngohlobo lwezitofu intramuscular;
• "Ceftriaxone" - kanye intramuscularly ngemini;
• "Ampicillin" - intramuscularly.

Imithetho elwa

zintsholongwane ngalinye imiyalelo ukusetyenziswa, nto leyo ngokuqinisekileyo kufuneka bafunde phambi kokuba uqale unyango. Isigulana ngasinye liphathwa otitis zilungiswe ngamnye ngokumalunga imilo kunye ikhondo izifo. Umthamo kukhethiwe ngokuxhomekeke arhente causative sifo, ubukhali izifo, ubudala isigulane kunye nomzimba.

Ilayisha ithamo kunokusetyenziswa kwiintsuku zokuqala ezintathu kuphela. Ukuba ngexesha andizanga eli xesha isiqabu, kufuneka utshintshe uhlobo lolawulo iziyobisi. Ikhosi ye unyango emiselwe data lwezonyango, ukutshintsha Amaqhinga unyango kunokwenzeka kuphela xa kuthe kwenzeka kuxolelwa.

Ikhondo ezingundoqo unyango ziintsuku 7-10. Kodwa kubalulekile ukukhumbula ukuba iziphumo ebezingalindelekanga kunokwenzeka ukususela nokusebenzisa imithi, kwaye ke kufuneka uxelele ugqirha khona. Kubalulekile ukuba esweni umsebenzi nezintso nomhlehlo wesibindi. Ukuba uhlalutyo rhoqo yophando yatyhilwa utshintsho olukhulu, amaqhinga unyango kuya kufuneka ukutshintsha ngokungxamisekileyo. Ukongeza, amachiza ukunyanga indlebe ziyafumaneka njengesisombululo ukuba isitofu okanye tablets, ngoko kukho kwakhona idrophu, nayo leyo telela ngokukhawuleza iimpawu zesi sifo.

Amathontsi otitis abezindaba abadala

Ngenxa iintlobo ezininzi zezinto indlebe amathontsi , ungenza ngokukhawuleza balahle komtshiso ngoko ngayo eendaba otitis ngempumelelo. Iimpawu kunye nonyango abadala basoloko ncam, kodwa ukhetho amachiza kufuneka enze ugqirha, ngenxa yokuba zonke izinto eziphilayo yahlukile kwaye amayeza efanayo abantu ababini uhlobo lwesifo kunokubangela basabela ezahlukeneyo. Susa kukukrala kwi amathontsi indlebe ingaba ezifana:

• hormone - "Otipaks" okanye "otinum";
• antibacterial - "Tsipromed" okanye "Chloramphenicol";
• edityanisiweyo - "Anauran" okanye "Sofradeks".

Kodwa ke kubalulekile ukukhumbula ukuba kwakukho ukuba ukudumba, ukurhawuzelela, okanye kwamaqhakuvana emva usebenzisa amathontsi, baza ngokukhawuleza kufuneka ukurhoxisa. Kungenzeka, ukuba nje musa ilingane, kodwa, njengoko amava lubonise, ilahla "Sofradeks" lidla Kucetyiswa ukuba basebenzise ukuba unyango abantu abadala kunye nabantwana, njengoko bazenze zambi phantse akukho Izimo kunye neziphumo ebezingalindelekanga, yaye benza umsebenzi oncomekayo ngenxa yokukrala.

unyango eFanayo otitis

unyango otitis kufuneka zidityaniswe. Therapy kufuneka lujoliswe, ukususa zonke iimpawu ngemihla kwangoko, uze ususe zonke ulwelo ngaphandle indlebe aze aphelise ukudumba. Oogqirha abaninzi basebenzisa isicwangciso-qhinga okhethekileyo, nto leyo equka iingongoma ezingundoqo ezimbalwa:

• Nciphisa ziintlungu. Ukuze bawubuyise iintlungu, wacebisa ngosuku lokuqala ukuqala paracetamol 1 g kane ngemini. Njengoko kakuhle drop anesthetized "Otipaks" - amathontsi 4 ngokuphindwe kathathu. Okudambisa ubuhlungu nga compress ngokusebenzisa Tsitovich - mix-3% boric acid kunye glycerol, ukuba enze tampon hlala yesisombululo lifakwa indlebe, yokubamba cutha iiyure ezi-3 ubuncinane.
• Susa ukufukuka kunye ubofu ukuphucula yayikukuphuphuma nendlebe. Kuba ezi iinjongo bacetyiswa ukuba basebenzise impumlo sihlisa - "Nazivin", "Tizin" okanye "Naphthyzinum" 2 ngamathontsi ngokuphindwe kathathu ngemini.
• Susa nokudumba mucosal tube Eustachian. Kulo mzekelo, bacetyiswa ukuba basebenzise antihistamines, ezifana "Diphenhydramine", "Suprastin" okanye "Tavegil". La machiza bayacetyiswa ukuba isicelo kwimeko otitis media ezibangelwa komzimba.
• Susa i ukudumba indlebe. Unyango imithi abadala kweli tyala libandakanya isiseko mandatory. Olukhethwe ukusuka kuluhlu amachiza ethe uchazwe apha ngasentla.

Ukuba ukudumba endlebeni wena rhoqo, kule meko, ngaphandle amanyathelo othintelo ayikwazi ukukwenza.

Prevention of otitis

Ukunciphisa ubungozi kumajelo rhoqo otitis, kufuneka kuqala ukunyanga iimpumlo ezivuzayo kunye nezinye izifo ze iphecana eliphezulu zemiphunga. Ngeentsuku ezibandayo, anxibe umnqwazi, ukwenzela ukukhusela ezindlebeni zakho umoya kunye iqabaka. Ngononophelo ukwenza iindlebe yococeko, ngoko akuyomfuneko ukuba usebenzise i-zintsholongwane ngenxa ezindlebeni.

Ukongeza, ukuze uzikhusele ifomu okondeleyo ukudumba kwisiqwenga yokuphefumla kunye imifinya yangaphakathi, nto leyo inokuba ngunobangela ukunisa ekuphuhliseni sifo, kufuneka anike imikhuba emibi - ukusetyenziswa kakubi kotywala kunye nokutshaya. Kufuneka kwakhona iliso impilo yabo, kwaye ke kube yimfuneko ukuba unyango kwamajelo otitis.

Eyona nto ibalulekileyo zokuthintela izifo kubantu abane nokuphungulwa nezifo. Bona idalwa ukuphuhlisa ngokukhawuleza kakhulu, kwaye ke ngoko emngciphekweni omkhulu otitis eendaba.