I-Otitis externa, ebizwa ngokuba yi- swimmer's ear , isifo sofayo kwindlebe yangaphandle echaphazela phantse i-1 kuma-100 aseMelika. Nangona i-diagnostic eqhelekileyo, phantse i-1/3 yazo zonke iimeko ziphathwa kakubi kunye namayeza omlomo. Kwizame zokumisela unyango lwe-otitis externa, i- American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck kwanyathelisa izikhokelo ezintsha zonyango ngoFebruwari 2014.
Utshintsho lwaluxhaswa ngamalinge angama-12 kunye nokuhlolwa kweenkqubo ezi-2. Eli nqaku libandakanya unyango olungcono kwii-otits zangaphandle, kubandakanywa nezikhokelo ezintsha.
Kufuneka ugweme ukuzonyango njengoko ezinye izimo zendlebe zingabangela iimpawu ezifana ne-otitis externa. Ezi meko ziquka:
- Otalgia
- Otorrhea
- Ukuvuvukala komngcingo weendlebe zangaphandle
Nangona iimpawu zeemeko zendlebe zifana neyo-otitis externa zingaphathwa ngendlela eyahlukileyo. Nangona i-otitis externa yintsholongwane engasombululwa ngokulula, unyango olungaphathwa kakubi okanye oluphathwe kakubi ngaphandle kwe-otitis ngaphandle kungakhokelela kwiimeko ezibi kakhulu ezibizwa ngokuba yi- hormant otitis externa . Ukuze ugweme le ngxaki, imeko yakho kufuneka iqinisekiswe ngumphathi wezobugqirha ngaphambi kokuba naluphi na unyango luqala.
Ukongeza kokusombulula intsholongwane eyenza i-otitis externa, unyango lujolise ekulawuleni intlungu yeendlebe kunye nezinye iimpawu ezihamba nale meko.
Ezinye izinto eziza kuqwalaselwa phambi kokonyango ngugqirha wakho zingabandakanya:
- Iimbumba ze-tympanic ezilimele
- Iibhubhu zendlebe (tympanostomy)
- Sikashukela
- Isistim somzimba esilula
- Kwangaphambili unyango lwamayeza
Ukunyanga iSifo
Njengoko kukhankanywe ngaphambili, i-otitis externa yintsholongwane yendlebe yangaphandle. Ikwabizwa ngokuba yindlebe yokuguqula kuba kwenzeka xa amanzi ahlambulukileyo ehleli kwindlebe yangaphandle kwaye idala indawo efanelekileyo yokuba ibhaktheriya ikhule.
Injongo ephambili yokuphatha i-otitis externa yonyango losulelo. Amaconsi endlebe ayenyango lokhetho. Indlebe yehla indlebe umniki-zonyango wakho oya kumisela iya kubandakanya i-antibiotics, i-steroids, okanye imishanguzo echasayo. Kubalulekile ukufumana unyango olusandul 'ukuqala ukukhusela iziganeko ze-otitis externa ezisasazekayo kwaye zikhokelela kwi-otitis externa engapheliyo, ukuphazamisa indubhu yeendlebe , okanye kubangele i-otitis externa. Ukuba i-canal indlebe ikhutshwe, i-ENT inokwenza indlu yangasese yangasese, apho iyakususa i-ear okanye izinto ezivela kwintambo yomlomo ngefowuni encinci yokulanda kunye ne-microscope.
Kwiimeko ezininzi ezinzima ze-otitis externa, kufuneka uphathwe kuphela ngeendlebe zeendlebe. Amayeza omlomo awunikezeli umgangatho ofanayo wokufikelela okanye afinyelele kwingingqi yesifo njengamaconsi endlebe. Ngenxa yokuba iindlebe ezisezantsi zithunyelwa ngqo kwindawo yokusuleleka, ukuphuluka kudla ngokukhawuleza kunye neendlebe zomlomo xa kuthelekiswa nokuthatha i-antibiotics yomlomo. Iindlebe eziqhelekileyo eziqhelekileyo ezisetyenziselwa ukwelapha i-otitis externa ziyi-Ciprodex (i-antibiotics kunye ne-steroid), i-Floxin (i-antibiotic ), kunye ne- Xtoro (i-anti-antibiotics evumelekileyo ye-FDA entsha).
Iziza-antibiotic zomlomo zineempembelelo ezingaphezulu zecala xa zifaniswa neendlebe zokulahla iintsholongwane kwaye zingakhokelela kwiibhaktheriya ezinqanda ukulwa ne-antibiotics ezinokuba nzima ngakumbi ukunyanga ngexesha elizayo.
Ngaba uyayazi ukuba ukusuleleka kwintsholongwane yokulwa ne-antibiotic ingadla i-$ 29,000 ukuphatha? Iziza-antibiotic zomlomo ziyakucingwa ngumboneleli wakho wezonyango ukuba usulelo luye lwaqala ukusabalalisa kwezinye iindawo zomzimba ezingenakufikeleleka ngeendlebe zeendlebe.
Kufuneka uqale uzive ungcono kwiiyure ezingama-48 ukuya kwii-72 emva kokuqala ukusebenzisa amaconsi endlebe enqunywe ngumboneleli wakho wezonyango. Usenokuba neempembelelo eziselunxwemeni kodwa ungaziva emva kwexesha eliqhelekileyo emva kweveki yokusebenzisa amaconsi endlebe. Kubalulekile ukuqhubeka nokusebenzisa amaconsi endlebe ngexesha elimiselweyo nangona uziva ungcono.
Ukuba iimpawu zisaphila okanye ziba nzima, buyela kuwe umboneleli wezokwelapha ukuze ahlolwe kwakhona. Iingcebiso zokusebenzisa amaconsi endlebe afunde ngokufanelekileyo: Indlela yokusebenzisa i-Drops yaseNtloko ngokuchanekileyo .
UkuPhatha Ubunzima be-Otitis ngaphandle
Ulawulo lwezinhlungu luyakwazi ukufezekiswa ngokusebenzisa i-analgesic elula kunye neyokulinganisa njenge-acetaminophen okanye i-Ibuprofen. Kwiimeko ezinzima, izidakamizwa okanye i-opioids (njengePercocet, iLortab, njl ...) ingafuneka, nangona kunjalo, oku akuqhelekanga. Awufanele usebenzise i-analgesic (intlungu yokudambisa) indlebe yehla, njengoko ingasetyenziswanga ngexesha lokusuleleka. Ezinye iindlela zokwelapha ezingekho kwi-pharmacologic ezifana nokunyanga okutshisayo / okubandayo, iindlela zokuphazamisa nezinye iindlela zokuphucula umzimba wakho akakhange kuboniswe njengendlela yokwelapha esebenzayo. Enye yezona zonyango ezintle zentlungu empeleni yonyango lokukhusela ngokufumana unyango lokuqala. Ininzi yentlungu yakho kufuneka isombulule kwiiyure ezingama-48-72 emva kokusebenzisa amaconsi.
Ukunyanga ukuvuvukala
I-Otitis externa inokubangela ukuba indlebe yakho ibomvu kwaye ivuke. Njengoko kushiwo ngaphambili, i-steroid indlebe yehla iyakunceda ukunciphisa nokulawula ukuvutha. Kungakhathaliseki ukuba indlebe yakho yehla iqulethe i-steroid ininzi yokuvuvukala kwakho kufuneka isombulule kwiiyure ezingama-48-72 emva kokusebenzisa i-dropstic ear earps.
Ukuthintela i-Otitis Externa
Ngokuqinisekileyo ukuthintela i-otitis externa kwindawo yokuqala kuphezulu kunaluphi na unyango. Iingcebiso zokukhusela le mqathango zifundwa: Ngaba Ndiyakwazi Ukuthintela Indlebe Yokuguquka?
Imithombo:
Rosenfeld, RM, Schwartz, SR, Cannon, CR, Roland, PS, Simon, GR, Kumar, KA, et al. (2014). Isikhokelo seNkcazo yokuSebenza: I-Acute Otitis Externa. I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck. INGXELO: 10.117 / 019459981357083
IiNgxelo zabaThengi, i-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. (2013) Iimithi zonyango zomlomo zonyango: Xa ufuna - kunye nalapho ungenayo. Ukufikelela: Februwari 19,2014 ukusuka http://consumerhealthchoices.org/wp-content/uploads/2013/11/ChoosingWiselyAntibioticsAAOHNS-ER.pdf