Mankhwala a media otitis akuluakulu ndi mankhwala

Makutu - ndi chimodzi cha zofooka za ziwalo. Drafts, matenda, madzi akusamba - zonse zimene zingachititse kutupa, chimene chimafuna chithandizo mwadzidzidzi, mwinamwake zotsatira za chosalanga zikhoza kukhala zoopsa. Ndipo mmodzi wa iwo ndi ogontha. Kutupa mu khutu lotchedwa otitis TV. Nanga kudwala? Ndipo kodi mankhwala khutu mwamsanga ndipo popanda zotsatira kuchotsa matenda?

Otitis TV: kodi ndi matenda?

Otitis - ndi mitundu pachimake kapena aakulu kutupa amene akhoza kukhala mmodzi kapena angapo zigawo khutu: lakunja pakati kapena yamkati. Chithandizo TV otitis akuluakulu ndi mankhwala zotchulidwa kuvomerezedwa. Popanda mankhwala mwamsanga kuthana ndi zizindikiro ndi chamoyo kuchititsa kutupa, kudzakhala kovuta kwambiri.

anachiritsa bwino khutu kudwala kugwiritsa ntchito antibayotiki, ndipo nthawi zina m'pofunika ntchito mwakamodzi mitundu yambiri ya iwo: Mankhwala akhoza kutumikiridwa jekeseni mu mnofu, ngati akutsikira mwachindunji mu khutu kapena atengedwa mu mawonekedwe piritsi pakamwa. Koma chimene chimayambitsa TV otitis? Kodi ndi mitundu iti ya matenda alipo?

Mitundu ya TV otitis. zifukwa

Otitis - matenda zimene zingakhudze aliyense wa magawo atatu mwa khutu, nchifukwa chake, malingana ndi gwero la kutupa kudwala lagawidwa mitundu itatu:

• otitis kunja khutu;
• otitis TV;
• kutupa khutu mkati, kapena labyrinthitis.

Amachititsa mtundu winawake wa kudwala, nambala yaikulu, koma izi ndi waukulu:

• matenda m'mphuno chopatsa kutupa ndi kutukusira kwa khutu pakati;
• matenda amene kufooketsa chitetezo cha m'thupi, kuphatikizapo chikuku ndi fuluwenza;
• kulowa khutu la madzi ozizira pa chithandizo madzi kapena akusamba mu posungira;
• choipa ndi kuwonongeka kwa Kakhungu tympanic;
• kutengera za kumtundu.

Malinga ndi zimene mtundu wa tizilomboto zinayambitsa matenda, media otitis akhoza kugawidwa mu mitundu zotsatirazi:

• tizilombo;
• bakiteriya;
• mafangasi.

Chithandizo cha otitis TV akuluakulu ndi mankhwala - ndi zothandiza, koma zimene mankhwala ali oyenera wodwala aliyense, dokotala ayenera kusankha malingana ndi zovuta za matendawa ndi zochita zake. Koma zizindikiro zina zingasonyeze kutupa kwa pinna?

zizindikiro

Mtundu uliwonse wa otitis zizindikiro zawo, koma chonse kuonedwa kuti:

• throbbing ululu khutu;
• kusapeza kumbuyo khutu;
• malungo;
• kuzizira;
• phokoso ndi kusapeza m'khutu;
• kumva imfa.

Monga tanena kale, aliyense mawonekedwe ali ndi zizindikiro zake. Mwachitsanzo, kunja otitis. Zizindikiro ndi Chithandizo mu Akuluakulu zikutipatsa mafunso ambiri. Kodi Ine ndikudziwa kuti izo ndi mawonekedwe matenda? Achotsa bwanji kusapeza? Kodi ndikufunika kutenga mankhwala, kapena inu mukhoza kuchita mankhwala wowerengeka?

Otitis externa - ndi yotupa ndondomeko pakhungu la khutu, zosangalatsa ndiponso kunja ngalande Makutu. Nthawi zambiri, izo zimayambitsa matenda a mafangasi toyambitsa matenda. Pali mitundu iwiri ya externa otitis: akakufunsani ndi zochepa. Nthawi zambiri odwala matenda kumaonekera mwa mawonekedwe a zithupsa - ndi pachimake purulent ndondomeko sebaceous England, omwe chifukwa cha tizilombo pyogenic.

Angadziwire zizindikiro za externa otitis akhoza kukhala pa malo amenewa:

• oyabwa;
• ululu pamene anakhudza malo a kutupa;
• kutupa, redness a khungu;
• kuonjezera kutentha thupi.

Otitis kunja Makutu ngalande - ndi imodzi mwa mitundu ya bata wa matenda, koma ngakhale mu nkhani iyi, muyenera mankhwala khutu. Popanda mankhwala awa angathe zosokonezeka.

Otitis TV - kutukusira kwa khutu pakati. Ndi mawonekedwe a matenda ndi ambiri akuluakulu ndi ana. Kodi chofunika, ngati anapezeka ndi atolankhani otitis, chithandizo? Akuluakulu, maantibayotiki zingachititse kwambiri za matchalitchi, koma ndi gulu la mankhwala kutumikiridwa mu malo oyamba. Kumene, adokotala kuganizira etiology matendawa. Monga tanena kale, chikhalidwe cha matenda kungakhale kapena tizilombo toyambitsa matenda. Pakati mabakiteriya zambiri izo streptococci ndi Haemophilus influenzae chifukwa kutupa khutu pakati. Koma pakati mavairasi hule chitukuko cha matenda m'khutu akhoza kukhala fuluwenza ndi rhinovirus kapena kupuma syncytial HIV. Kudziwa pamaso kutupa kungakhale zizindikiro amenewa:

• throbbing kuwawa;
• kuwombera ululu khutu;
• kusapeza;
• kufooka;
• kugona chisokonezo;
• kusafuna kudya;
• kumva kuwonongeka.

Pamene kutukusira kwa khutu pakati chingachitike n'chiyani akudwala chimfine kapena chimfine, imene chitetezo cha m'thupi imafoola ndi kuonjezera chiwerengero cha tizilombo mu mphuno komanso pakhosi. The m'mphuno chikugwirizana khutu pakati, ndipo amasonkhana madzimadzi ndi mabakiteriya, zomwe zimachititsa kutupa. Ndipo apa m'pofunika pongofuna kuwona katswiri, mankhwala kuthandiza munthu zosatheka. Chithandizo TV otitis akuluakulu yotakata-sipekitiramu mankhwala, zomwe zingathandize kuti mabakiteriya onse, kuchotsa kutupa ndi kubwerera kumva, kungakhale yaitali koma sayenera kunyalanyaza mankhwala. matenda angayambe m'njira zosiyanasiyana, ngati nthawi satenga kanthu, kungachititse kuti njira zina zazikulu matenda:

• pachimake otitis TV;
• aakulu otitis.

Pachimake otitis TV - kutukusira kugwirizana ndi kutanthauzira madzimadzi khutu pakati. Mu njira imeneyi, wodwalayo zambiri ndi chinawonjezeka ndi kutentha kusungidwa mu madigiri 39. Sangabweretse pansi maola angapo - ndipo adzawuka kachiwiri. Odwala amanena kuti amva kwinakwake mkati mawu anu. Koma maonekedwe a mafinya mu M'mimbamo pakati khutu zikusonyeza kuti pachimake otitis TV kwapita mu gawo lina lotsatira. Suppurative otitis TV akuluakulu (mankhwala mankhwala mu nkhani iyi ndi zofunika, ndipo kufunika kuyamba mankhwala posachedwapa) - chodabwitsa si zosangalatsa komanso sangachite kudziletsa medicate.

Koma M'pofunikanso kukumbukira kuti banja loyamba la masiku a mankhwala si ikuchitika pa nthawi imeneyi nthawi zambiri chophukacho wa likalowa m'makutu, ndi mafinya akutuluka. Wodwala akumva mpumulo, kutentha thupi adatchithisira ndi ululu recedes. Kupatula mafinya, mukhoza kuona magazi ndi kumaliseche serous, koma ndi bwino - zikutanthauza kuti khutu ndi kutsukidwa.

Mtundu wotsatira wa kudwala - aakulu otitis. Chithandizo (kuphatikizapo mankhwala) n'kofunika. matenda akufotokozera ngati muyamba mankhwala a mitundu pachimake pa nthawi yolakwika, kapena sadziwa bwinobwino pochitika maphunzirowa. Mawonekedwe a matenda aakulu kumaonekera monga momwe chilumbachi: pali kuwonjezeka kutentha, kuwonongeka kwa chikhalidwe ambiri, kuyabwa, kusapeza m'khutu, kumva imfa ndi ena okhalitsa otitis TV ndi wa mitundu yambiri .:

• tubotimpanalny;
• epimezotimpanit;
• chapamwamba matenda.

Kuwonjezera njira zonse pamwamba pa TV otitis, pali wina - kumbali otitis. kudwala amakhudza makutu onse. Ngati inu musayambe mankhwala a media otitis akuluakulu ndi mankhwala, mawonekedwe zimenezi zingayambitse perforation wa likalowa m'makutu a. Ngati mafinya akhamukira kwa nthawi yaitali, izo kumawonjezera kuthamanga mu gawo khutu pakati, chifukwa mu Kakhungu amakhala ochepa thupi, ndipo pali chiopsezo chophukacho. Nthawi zina, madokotala akulangizidwa kuchita opaleshoni, kupanga puncture mu likalowa m'makutu, osati kudikira mpaka zonse zidzachitika mwa chokha.

Kutupa khutu mkati - izi ndi mtundu winanso wa matenda, limene madokotala otchedwa labyrinthitis. matenda ndi n'kukhala zambiri kuposa khutu lakunja ndi pakati. Chithandizo (mankhwalawa ndi yofunika) lolemera kwambiri ndiponso kwa nthawi yaitali, ndipo nthendayo ankaona owopsa ungathe kusokoneza ngakhale moyo wa wodwalayo. njira Suppurative zokhudza fupa minofu, imbaenda mavuto aakulu.

Kodi pangakhale mavuto a media otitis?

Pa kukayikitsa pang'ono otitis TV chithandizo (akuluakulu mankhwala Pankhaniyi - ndi Wand matsenga, koma ntchito zawo si nthawi zonse zofunikira) ayenera anayamba nthawi yomweyo. Ngati nthawi atayika, mawonekedwe pachimake kuwasandutsa aakulu, ndiyeno wachinyamata, amene pamapeto pake angachotsedwe kulephera, ngakhale imfa. Koma si onse, kulephera kuchita zingachititse m'maboma ena - mavuto vnutrivisochnym:

• ming'alu umphumphu wa likalowa m'makutu a;
• kutukusira kwa maselo fupa - mastoiditis;
• ziwalo za mitsempha nkhope.

Komanso, pangakhale, ndi intracranial mavuto, kuphatikizapo:

• kutupa mu zilonda za ubongo - meninjaitisi;
• kutupa kwa ubongo - encephalitis;
• kudzikundikira madzimadzi mu kotekisi oziziritsa - hydrocephalus.

Koma ngakhale onse mavuto amenewa nthawi zina kuwopsyeza anthu monga mankhwala opha tizilombo, ndipo odwala ambiri kufunsa madokotala funso: ngati m'pofunika kutenga mndandanda lalikulu la mankhwala? Kodi mankhwala kwa otitis zotsatira zabwino, sipangakhalenso chabe kuchotsedwa mndandanda analimbikitsa ndi dokotala?

Kodi ndikufunika kutenga mankhwala kwa atolankhani otitis?

Mankhwalawa ndi wofunika kwambiri iliyonse yotupa ndondomeko mu thupi. Komabe, madokotala ambiri amakhulupirira kuti mpaka perforation mowiriza nembanemba khutu ndi kubwereketsa madzimadzi, sayenera kutenga mankhwala. Wopepuka pachimake siteji ndipamene matenda kumatenga za 5 masiku. chithandizo antimicrobial umagwiritsidwa ntchito pokhapokha ngati mankhwala mwadongosolo sanapereke mpumulo amafuna: ululu amalimbikira, kumva anakhala poipa noticeable zizindikiro za kuledzera ambiri.

Pambuyo zizindikiro loyamba la mafinya linanena bungwe yomweyo kusanthula kwa microflora ndi kudziwa imene amakhudzidwa wothandizila antibacterial. Pambuyo pake, kukatenga mankhwala yoyenera ndi kuyamba matenda a akulu otitis TV. Yotakata-sipekitiramu mankhwala - kusankha bwino, si nthawi zonse zotheka kuti atenge exudate kwa kusanthula.

Nditamaliza mankhwala ndi bwino kusewera izo otetezeka ndi kuchita muyambirenso kupewa (zambiri kuti m'munsimu).

Kodi mankhwala bwino ntchito pa matenda a media otitis?

Pali mankhwala ambiri akuchita ntchito kwambiri ndi mtundu uliwonse wa kutupa, ndipo amathandiza pa matenda a media otitis. Mmodzi wa anthu otchuka imatengedwa "Amoxicillin". Izi mankhwala ali wabwino katundu antimicrobial ndi antiseptic. Koma cholanda akulangizidwa okhawo odwala amene alibe sayanjana kwa penicillin theka-kupanga. Komanso, tiyenera kukumbukira kuti mankhwala ali contraindicated anthu ndi mkhutu chiwindi ntchito, pakati ndi akazi lactating.

Aminoglycoside netilmicin - chida cha jakisoni m'deralo, koma kokha ankaloledwa kugwiritsa ntchito yoyamba masabata awiri, panonso. Uyamiko kwa Iye, mungathere mankhwala a media otitis akuluakulu komanso mofulumira. mankhwala ayenera akanasankhidwa wodwala aliyense payekha, koma pali mndandanda wa mankhwala chomwe chingathandize aliyense kulimbana ndi kutupa mu khutu lake:

• "Chloramphenicol" (njira mowa) - analimbikitsa kukapanda kuleka 2 madontho mu khutu, ngati wodwalayo anaulula purulent otitis mawonekedwe;
• "Amoxicillin" - anatengedwa pakamwa magalamu 3-3.5 tsiku (pa nthawi imodzi kapena ogaŵikana angapo);
• "Augmentin" - pa 375 mg wa katatu patsiku;
• "Cefuroxime" - ntchito mu mawonekedwe a jekeseni mu mnofu;
• "Ceftriaxone" - kamodzi pa tsiku intramuscularly;
• "Ampicillin" - intramuscularly.

Malamulo a maantibayotiki

Aliyense mankhwala ali malangizo ntchito, zomwe amafuna kuwerenga musanayambe chithandizo. Wodwala aliyense mankhwala otitis kusintha payekha ndi nkhani ya mawonekedwe ndi zochita matenda. mlingo amusankha malingana ndi wothandizila matenda causative, kukula kwa matenda, m'badwo wa mtima ndi thupi.

Kutsegula mlingo ungagwiritsidwe yekha mu masiku atatu oyambirira. Ngati pa nthawi mpumulo sanabwere, muyenera kusintha mawonekedwe a makonzedwe mankhwala. The njira ya mankhwala anatsimikiza ndi deta matenda, kusintha njira za mankhwala zimatheka kukachitika kuti zinachitika chikhululukiro.

Njira yaikulu ya mankhwala masiku 7-10. Koma M'pofunikanso kukumbukira kuti mavuto angayambe ku ntchito maantibayotiki ndi ayenera kuuza dokotala nawo. Nkofunika kuti aziona ntchito ya impso ndi chiwindi. Ngati zonse zasayansi kusanthula anaulula kusintha kwakukulu, chithandizo machenjerero ayenera kusintha mwachangu. Komanso, mankhwala kuchitira khutu zilipo monga njira jekeseni kapena miyala, choncho palinso dontho, amene amathandiza mwamsanga kuthana ndi zizindikiro za matenda.

Madontho a media otitis akuluakulu

Chifukwa cha yaikulu zosiyanasiyana madontho makutu , inu mwamsanga kuchotsa kutupa ndi potero kuchitira TV otitis bwino. Zizindikiro ndi mankhwala akuluakulu nthawi zambiri zofanana, koma kusankha mankhwala ayenera kugwira dokotala, chifukwa chamoyo chilichonse ndi chosiyana ndi mankhwala yemweyo anthu awiri ndi mtundu umodzi wa matenda zingachititse anasiyana. Chotsani kutukusira mu madontho khutu kungakhale amenewa:

• mahomoni - "Otipaks" kapena "otinum";
• antibacterial - "Tsipromed" kapena "Chloramphenicol";
• ophatikizana - "Anauran" kapena "Sofradeks".

Koma M'pofunikanso kukumbukira kuti ngati panali kutupa, kuyabwa kapena totupa akachoka madontho, iwo kuyesetsa panopa kuti muletse. Ambiri mwina, iwo basi sizikugwirizana, koma, ngati zochitika zasonyeza, akutsikira "Sofradeks" kawirikawiri analimbikitsa ntchito zochizira akulu ndi ana, ngati ali pafupifupi munthu contraindications ndi mavuto, ndipo amachita ntchito kwambiri ndi kutupa.

mankhwala ambiri otitis

otitis chithandizo ayenera pamodzi. Therapy ayenera umalimbana, kuchotsa zizindikiro zonse mu masiku oyambirira, kenako chotsani onse a madzi kuchokera mu khutu ndi kuthetsa kutupa. madokotala ambiri amagwiritsa ntchito njira yapadera, limene lili ndi mfundo zingapo zofunika:

• Ndichepe mu ululu. Kuthetsa ululu, analangiza pa tsiku loyamba kuyamba paracetamol 1 g kanayi pa tsiku. Komanso zamizidwa ndi kusakhala dontho "Otipaks" - 4 madontho nthawi zitatu. Kupweteka akhoza compress pogwiritsa ntchito Tsitovich - kusakaniza 3% asidi boric ndi glycerol, kuti tampon zilowerere mu njira ndi anaikapo mu khutu, kusunga compress maola osachepera 3.
• Chotsani kutupa ndi mafinya kusintha outflow ya khutu pakati. Pakuti zolinga zimenezi akulangizidwa kugwiritsa ntchito mphuno akutsikira - "Nazivin", "Tizin" kapena "Naphthyzinum" 2 madontho nthawi zitatu pa tsiku.
• Chotsani mucosal edema a chubu Eustachian. Pankhaniyi, analangiza ntchito mankhwala, monga "ndi diphenhydramine", "Suprastin" kapena "Tavegil". Mankhwalawa akulangizidwa kugwiritsa ntchito kukachitika kuti otitis TV chifukwa cha chifuwa.
• Chotsani kutukusira kwa khutu. Chithandizo cha mankhwala wamkulu mu nkhani zimenezi zimaphatikizapo maziko kuvomerezedwa. Osankhidwa mndandanda wa mankhwala waperekedwa pamwamba.

Ngati kutupa mu khutu ndi nkhawa nthawi zonse mu nkhani iyi, popanda zodzitetezera sangachite.

Kupewa otitis

Kuchepetsa chiopsezo pafupipafupi TV otitis, muyenera koyamba kuchitira chimfine ndi matenda ena a thirakiti chapamwamba kupuma. Mu nyengo yozizira, kuvala chipewa, kuti asapatsire kumva kwanu mphepo ndi chisanu. Mosamala kugwira makutu ukhondo, ndiye simufunika kugwiritsa ntchito maantibayotiki chifukwa makutu.

Komanso kuti mudziteteze ku mawonekedwe aakulu kutupa mu kapepala kupuma ndipo zimagwira ntchito zosiyanasiyana mucous, kumene kungakhale chinthu precipitating mu chitukuko cha matenda, ayenera kusiya zizolowezi zoipa - mowa ndi kusuta fodya. Muyeneranso kuwunika thanzi lawo, kenako mankhwala a media otitis sizingakhale zofunika.

Makamaka kwambiri ndi kupewa matenda a anthu ndi chitetezo chokwanira wotsikirapo. Iwo chimfine kukhala mofulumira kwambiri, choncho chiopsezo TV otitis.