I-otitis media ijongene nayo ikhula ngokukhawuleza ukuvuvukala kwindlebe ephakathi yendalo. Esi sifo sibangelwe yiintsholongwane, ibhaktheriya okanye isikhunta. Kukho neemeko xa i-otitis ine-etiology ye-viral-bacterial etiology. Njengomthetho, ukusuleleka kwiindawo ezikufutshane kungena kwi-tympanum. Imiba ebangela ukuba isifo sifumaneke:
- i-hypothermia yomzimba ngokuchasene nemvelaphi yokunciphisa umzimba;
- kutshanje bafumana izifo ezithathelwanayo;
- izifo ezingapheliyo ze-nasopharynx, izono zesisu;
- intlungu.
Ubume bokuvuvukala kwi-otitis media
Kukho izigaba ezilandelayo ze-otitis media:
- catarrhal;
- serous (exudative);
- i-purulent.
I-acatar catarrhal otitis media ihlala ikhula ngeentsholongwane zentsholongwane. Ukuvuvukala okuvela kwiphepha eliphezulu lokuphefumula lithatha iimbumba ezinobuncwane bebhanki yokuphicotha kwaye kubangela ukuphulwa komsebenzi wokukhusela, ukuphuza umoya kunye nemifudlana. Njengomphumo wokunciphisa uxinzelelo kwindlebe, i-transudate - into engekho-ukuvuvukala-iphuma kwi-nasopharynx.
I-serous efanelekileyo (i-exudative) i-otitis media iyaqhubeka nokunyuka kwe-catarrhal otitis. Kule meko, umbane okhutshwe kwi-tympanum uyabavutha. Ulwaphulo oluqhutywe ngokupheleleyo kule nqanaba yesifo lukhokelela ekuhlaleni. Ukungabikho kwonyango olufanayo kungakhokelela ekuphuhliseni i-fibrosing otitis media, eyenziwe kwizicubu zendlebe ephakathi, izibazi zikhokelela ekulahlekelweni kwendlebe.
Iimpawu ezixhamlayo ze-otitis media - ukuvuvukala kwe-membrane ye-tympanic kunye nokubanjwa kwezinye iindawo zendlebe ephakathi, ngamanye amaxesha i-periosteum. I-excretion ye-pus ikhokelela kwisilonda kunye nokukhukhula. Ukuqokelelwa kwamanzi okuvuthayo kunokubangela ukuba umlenze we tympanic uphume ngaphandle. Ukuba isigulane asinakunceda, isigulane sinokufumana i-perforation ye-membrane kunye ne-outflow ye-pus out.
Unyango lwe-otitis media
I-otitis media ijongene nayo iyaphathwa njengesiphene, ukulaliswa kwezibhedlele kuboniswa kuphela ukuba iingxaki zikhula. Isigulane sichazwe indlebe-i-anesthetics:
- Otinum ;
- Otypax;
- Anauran, njl
Ukulungelelwa kwindlebe kufuneka kufakwe kwiqondo lokushisa lomzimba, kwaye emva kwenkqubo, gubungela umbhobho womlomo nge-cotton swab kunye neVaseline.
Ukongeza kwi-anesthetics, i-otitis media isebenzisa amaconsi e-vasoconstrictive:
- Halazolin;
- Otrivin;
- Sanorin;
- YamaNazivin.
Uthe unyango jikelele luyenziwa ngoncedo lwe:
- izidakamizwa ezichasayo (iDiclofenac, Nurofen);
- antibiotics (i-Spiramycin, iCefuroxin, i-Amoxicillin);
- lithetha ukutyhalwa kweemfihlo (i-Fluimutsil, i-ATSTS).
Impembelelo yokwelapha ngokukhawuleza iboniswayo xa ityhubhu yokuphicotha iqhutywe kwaye ihlanjwe ngezisombululo ze-antibiotiki. Ezi nkqubo zonyango zenziwa kuphela ngcali. Ukongeza, i-physiotherapy (UHF, UFO) imiselwe.