Uma kwenzeka ukugula, kungaba inkinga yonyaka noma ukugula okungathí sina, into yokuqala umuntu ayifunayo ukukhulula ubuhlungu nezinye izimpawu ezingathandeki ngokushesha. Izinqubo zokuvuvukala ezindlebeni azikho. Wonke umuntu uyazizwa ubuhlungu bokuphuza, ukulahlekelwa ukuzwa, ukunganaki okuvamile. Ukunakekelwa okusheshayo nokuphakeme kwe-otitis kokuqhathanisa okuhlukile, njengokubusa, kwehla ezindlebeni nge-antibiotic. Izidakamizwa ezivame ukusetshenziswa ku-ENT-practice ziyi:
- I-Cipromed ;
- I-Otypax;
- I-Sofradex;
- Anauran.
Ake sibone ukuthi umehluko phakathi kwezidakamizwa.
Ihlaselwa i-Tsipromed
Into esebenzayo endlebeni yezindlebe nge-antibiotic Cyproed yi-ciprofloxacin. Lesi sici semithi sinomthelela we-antimicrobial ngokumelene nenani elikhulu lama-bacteria a-Gram-negative awona kuphela esimweni esisebenzayo, kodwa futhi nasesimweni esisheshayo.
Naphezu kokuthi le mithi inikezwa njengomuthi wokwelashwa kwezifo ze-ophthalmic, ibuye isetshenziswe ngempumelelo ekunakekeleni imidiya yangaphandle nephakathi kwe-otitis.
Ukwelashwa nge-Zipromed akupheli amasonto amabili. Isilinganiso esivamile ngamaconsi amahlanu emgodini wezindlebe izikhathi ezintathu ngosuku. Emva kokusungulwa kwesisombululo, le ndima ivaliwe ne-cotton encane noma i-gauze swab ukuvimbela ukuvuza kwemithi.
Isenzakalo esingajabulisi kuphela esivela ekusetshenzisweni kwalesi sidakamizwa singaba nomuzwa wokubamba, okwenzeka ngemuva kokuphela kwesenzo saso.
Ama-Drops Otypax
Lesi sidakamizwa sihlanganisa inhlanganisela ye-analgesic ne-anesthetic, emele i-phenon ne-lidocaine. Imithi yezidakamizwa i-phenazone ngezici zayo ifana nomuthi owaziwa njengalesi salicylic acid. Unayo izakhiwo ezifanayo zokuvuvukala. I-Lidocaine kulezi zinhlayiya idlala indima ye-anesthetic yendawo, eyanciphisa ubuhlungu.
Naphezu kokuthi amaconsi we-topax amaconsi awasho nemithi elwa namagciwane, noma kunjalo, asetshenziselwa ukukhiqiza izinhlobo ezahlukene ze-otitis:
- isilinganiso;
- i-acute;
- i-traumatic;
- emva komkhuhlane, njll.
Isikhathi sokwelashwa okungenzeka ngale mithi akuyona izinsuku ezingaphezu kwezinsuku ezingu-10. Isilinganiso ngamaconsi angu-4 emgodleni wezindlebe ovuthayo izikhathi 2-3 ngosuku.
Njengomthetho, i-Otipax ayinayo imiphumela emibi ngaphandle kokungaboni ngaso sonke isikhathi kunoma yiziphi izingxenye zomuthi.
Amaconsi we-Софрадекс
Isisekelo salesi sidakamizwa sinhlanganisela yezidakamizwa: i-gramicidin C, dexamethasone ne-fracemicin. Le nhlanganisela inomphumela onzima kakhulu kunqubo yokuvuvukala:
- i-antibacterial;
- anti-inflammatory;
- i-antihistamine.
Lawa manzi ayithinteki kuphela igramu-negative, kodwa futhi namagciwane aguga.
Njengoba nje i-Cipromed, i-Sofredex isetshenziselwa ukwelashwa kwezifo zamehlo. Uphinde wabikezelwe ukwelashwa okune-acute noma okungapheliyo kwe- otitis externa .
Faka isicelo ngangokunokwenzeka phakathi nesonto ngamaconsi ama-3-4 izikhathi ezingu-3-4 ngosuku ezindlebeni ezithintekayo.
Khokha ngokukhethekile ukuphikisana nokusetshenziswa kwalesi sidakamizwa:
- ukutheleleka kwegciwane kanye ne-fungal;
- ukulimala embundwini we-tympanic;
- isifo sofuba, njll.
Umphumela ongeke ujabule wokusetshenziswa kwamaconsi endlebe nge-antibiotic Sophradex ingaba yintsha.
Amanothoni ase-Anauran
Iqukethe iqembu lezinto ezisebenzayo:
- lidocaine;
- i-neomycin;
- i-polymyxin B.
Gwema ukukhula nokuthuthukiswa kwama-gram-negative ne-gram-positive. I-Lidocaine ekubunjweni inikeza umphumela we-anesthetic wendawo.
Izinkomba zokwelashwa kwezindlebe zomuthi nge-antibiotic Anauran yizixazululo ezingekho emthethweni emva kokusebenza, kanye ne-otitis media:
- bukhali;
- i-chronic;
- i-exudative;
- maphakathi.
Faka isicelo se-Anauran izinsuku ezingaphezu kwezinsuku ezingu-7 ukuze u-4-5 amaconsi ku-meatus okufundwayo izikhathi ezingu-2-4 ngosuku.
Uma ukwelapha ngamaconsi a-Anauran, kufanele uqaphele ukubekezelelana komuntu omunye wezinto ezenza umuthi.