Ngokuvame kakhulu ngesikhathi sokushisa kwengane, inkinga efana ne-otitis - ukuvuvukala indlebe kungakhula. Kungaba ngezinhlobo ezimbili:
- i-catarrhal;
- kuhluma.
Ingozi enkulu kunazo zonke i-purulent otitis. Abantwana abangaphansi kweminyaka emithathu banamathuba amaningi okuba nesimo se-purulent yesifo, bavame ukubuyela emuva.
I-otitis ivela ngenxa yokutheleleka esifundeni sekhanda le-tympanic ngokusebenzisa ithubhu lokuhlola, ngokuvuvukala kwe-mucosa ye-tube yokuhlola. Njengoba izindlebe - insimbi ehlanganyelwe, ngokulandelanayo i-purulent otitis endaweni yokugeleza ingase ibe ngamanye amazwe nhlangothi eyodwa (indlebe kwesokudla noma kwesokunxele).
I-Otitis enganeni: izimbangela
Lapho uneminyaka engaphezu konyaka, ngokuvamile ingane iphawulwe ngamaphutha angu-90%. Kodwa uma uneminyaka emibili ubudala, izibalo ziye zanciphisa isigamu ngenxa yokuthuthukiswa kwengane yokuzwa kwengane.
Kusukela ebusweni izicubu zomuncu zendlebe ephakathi nendawo evulekile futhi i-gelatinous, isengozini kakhulu futhi isengozini yokutheleleka kwegciwane kanye ne-bacteria, ngenxa yalokho i-purulent otitis iqala khona.
Ubuningi bendwangu ye-tympanic buhlinzekela ukuqoqwa kwe-pus, okubangelwa ukuthi ukukhishwa kwesikhumba ngokungajwayelekile kwenzeka kaningi.
Uma ubuhlungu be-otitis obubodwa bungasona nje endlebeni, kodwa futhi lunike amazinyo, i-whisky.
I-otitis ene-purulent yengane: izimpawu
Ingane esanda kuzalwa inezimpawu ezilandelayo:
- ukuqonda;
- ukudabuka;
- ukwenqaba ukuncelisa, njengoba ukuncelisa kusiza ukwandisa izinzwa ezibuhlungu;
- ukubhoboza i-krill;
- ukukhathazeka;
- ukuhlanza, isicanucanu;
- ngesikhathi sokuncelisa ingane njalo inyakaza ikhanda lakhe;
- ingane izama ukulala eceleni kwayo kusukela ohlangothini lapho indlebe ibuhlungu khona.
Lapho usekhulile, izimpawu ezilandelayo zingabonwa ezinganeni:
- ubuthakathaka;
- ukhathala okwandayo;
- ukulala;
- isikhumba sinomthunzi omnyama;
- ukuvinjelwa kwendlebe;
- ukushisa komzimba okuvame ukuphakama nge-puritent otitis (kuya kuma-degrees angu-40);
- ukuphuma kwe-purulent-mucous ngegazi.
Ingane ekhulile ingabona ubuhlungu bezindlebe.
Indlela yokuphatha i-purulent otitis ezinganeni?
Ngaphambi kokuvakashela udokotela, ungasiza ingane ukunciphisa ubuhlungu ngosizo lokucindezeleka okufudumayo: kubalulekile ukuthatha ucezu olukhulu loboya bekotini bese u-moisten ngamanzi afudumele, unamathisele endlebeni yengane futhi ugqoke ibhonethi. Ungenzi ukuphuza utshwala.
Amaconsi endlebe kufanele asetshenziswe kuphela emva kokuqokwa kukadokotela. Ngoba ukuzivocavoca kungenza ngcono isimo. Ekhaya, ungasebenzisa izindlela ezingalungile ukunciphisa izinga lokushisa komzimba. Kulolu cala, ukhetho kufanele lunikezwe i-suppository yama-rectal.
I-otitis ene-purulent yengane: ukwelashwa
Abazali abaningi bathambekele ekukholweni ukuthi uma kwenzeka ukutheleleka indlebe, kwanele ukuba umane uphonsa amaconsi amantombazane. Kodwa-ke, akufanele uhlehlise ukuvakashelwa kudokotela, ngoba ngokuhlolwa kwangaphandle awuboni ukuthi yikuphi ukusizwa kwe-hearing okutholakala khona nokuthi yiliphi izinga lokubonakaliswa kwe-otitis. Lokhu kuxhomeke eklasini ekhethiwe kahle yokwelashwa kanye nomphumela ophumelelayo wesifo.
Njengendlela yokwelashwa kwendawo ukubeka indlebe yehla otypax, otinum, sonopaks.
Ezimweni ezilahlwe ikakhulukazi, ukukhishwa kwesibani se-tympanic (paracentesis) kwenziwa.
Kuphumelela ukwenza izinqubo ezinjalo ze-physiotherapeutic njenge-saline ne-UHF.
Ngokufana ne-purulent otitis, udokotela ubeka ama-antibiotics (ampicillin, cephalosporins).
Ukukhipha izimpawu zokudakwa, izifo ezingenayo i-saline kanye ne-glucose.
Ukunciphisa izinga lokushisa komzimba, i-paracetamol, i-cefecon, ibuprofen imisiwe.
Ngesikhathi sokugula kwengane, kubalulekile ukwandisa inani lomthamo odliwayo, okuzosiza ekuthuthukiseni isimo somzimba jikelele somntwana.
Uma kungenakunakekelwa kwe-otitis okweqile emntwaneni, kungenzeka ukuthi ukukhishwa kwendwangu ye-tympanic kungadingeka ukuze imfihlo yesikhwama iqoqwe endlebeni. Kulokhu, ukukhishwa kwesikhumba kungabangela ukukhubazeka okungathí sina noma ukulahlekelwa okuphelele kokuzwa.
Izinkinga ze-purulent otitis media
Uma i-purulent otitis ingelashwa, isandulela-ngculazi sizoqhubeka futhi idale izifo ezinzima njenge-meningitis, i-mastoiditis, ukuphazamiseka kokuphila kwenhliziyo, amaphaphu, izinso kanye nezinye izitho ezibalulekile.