Ukunyanga okufanelekileyo kwintsholongwane ye-indlebe-eyaziwa ngokuba yi-otitis media (AOM) ekhuselekileyo-iya kuncitshisa kakhulu intlungu yeendlebe oye uhlangabezana nayo, kunye nokunciphisa ingozi yezinye iingxaki kwiintsholongwane ezingaphazanywanga. Okukhethwa kukho kubandakanya i-anti-counter-counter andrapies kunye namachiza enyango ogqirha ugqirha.
Hlola ezi zonyango iintlungu zombini kunye nokulwa nosulelo, kunye nezinye iindlela zokwelapha onokufuna ukuziqonda.
Ulwaphulo oluphezulu
Ubuhlungu ngenye yeempawu eziphazamisayo zokuthetheka indlebe. I-antibiotics ayiyi kunceda ukulawula intlungu ye-ear (i-otalgia) malunga neeyure ezingama-24. Kuze kube yilapho i-antibiotiki iye yafumana ithuba lokuqalisa ukusebenza, ungasebenzisa amayeza amaninzi ekuncedeni ukulawula intlungu.
Ibuprofen okanye i- acetaminophen yindlela ekhethiweyo yabantwana. Kwabantwana abaneminyaka engaphantsi kwe-2 ngezinye iixesha bava ubunzima kwiintsuku ezintathu ukuya kwezixhenxe, ngoko uya kufuna ukulinganisa ubude bokulawulwa kweentlungu ze-OTC kwindlela umntwana ophendula ngayo. Kufanele ucele ugqirha wakho malunga ne-anti-anti medication ukuqinisekisa ukuba unika i dose efanelekileyo.
Ngokuqhelekileyo, nantsi iimeko eziqhelekileyo ze-ibuprofen kunye ne-acetaminophen.
Ibuprofen
- Abantwana: 4 ukuya kwi-10 mg nganye ngeekhi nganye emva kweeyure ezingama-6 ukuya kwe-8 njengoko kuyimfuneko
- Abantu abadala: 200 ukuya ku-400 mg nganye iiyure ezingama-6 njengoko kuyimfuneko
Acetaminophen
- Abantwana abangaphantsi kweminyaka engama-6 ubudala: 10 ukuya kwi-15 mg nganye ngeekhi nganye iiyure ezi-4 ukuya kwi-6 njengoko kuyimfuneko
- Abantwana abaneminyaka engama-6 ukuya kwe-12 ubudala: 325 ukuya ku-650 mg nganye iiyure ezine ukuya kwii-6 (ukuba zingadlulanga ii-1.625 amagremu ngosuku)
- Abantwana abaneminyaka engaphezu kwe-12 ubudala: 325 ukuya ku-650 mg nganye iiyure ezine ukuya kwezi-6 (ukuba zingadluli kwi-3.25 amagremu ngosuku)
Ukunyulwa kwabantwana kudlaliswe kwiikhilogram. Ukubala le nto, thabatha ubunzima bomntwana wakho kwiipounds uze uwandise ngo-2.2. Uya kufuneka ke ukwandisa ubunzima bomntwana wakho kwiikhilogram nge dose ephakanyisiweyo ngekhilomitha nganye.
Ukuba usebenzisa iyeza lonyango, icala lebhokisi lucwangcisa ukuba zininzi iiligrigram zi-milliliter nganye. Ungayifaka isixa esifanelekileyo kwisirinji okanye uthule indebe yonyango.
Imigaqo
Ukuxilongwa kwentsholongwane yendlebe kuyakufuna i-antibiotics. I-Amoxicillin sele ibe yimpumelelo yeyokuqala-line yokukhetha iminyaka engaphezu kwe-25. Ihlanganisa i- S. pneumonia kodwa ayikho enye yezinye izifo eziqhelekileyo ezifunyenwe ngumphakathi: i-H . influenzae no- M . Catarrhalis .
Nangona kunjalo, i-amoxicillin idla ngokuphumelela ekuphatheni intsholongwane yendlebe kwaye enye inokuthi ayinakuyidinga ngaphandle kokuba unesifo sokungabikho komzimba kwi-penicillin . Ukuba unempilo yokungena kwi-penicillin, ugqirha wakho unokukunika i-cefdinir, i-cefpodoxime, i-cefuroxime, okanye i-ceftriaxone.
I-Amoxicillin Isisombululo
I-dosing dosing isekelwe ubunzima bokusuleleka kwindlebe. Kubantu abadala:
- Ukunyanisela ukulinganisela: 500 mg nganye iiyure ezili-12
- Ikhulu: 875 mg nganye iiyure ezili-12
Kubantwana:
- 80-90 mg / kg ngosuku ngemilinganiselo e-2 ehlukeneyo
Kukho iindlela zokuthatha iifayili ezenza ukuba ugqirha wakho angasetyenziswa ngokusekelwe kwimpawu okanye imbali yonyango yangaphambili. Usulelo oluvakalayo lwendlebe luvame ukuhlulwa njengesifo esininzi sokulahlekelwa kwindlebe, ukushisa okuphezulu, okanye intlungu embi.
Amaconsi endlebe
Ukuba isilumko esingaphezu kwe-counter-control isingenako ukulawulwa kwintlungu, ugqirha wakho unokuyalela amaconsi endlebe ane-anesthetic ye-topical.
Kubalulekile ukwazi ukuba akufanele usebenzise nawaphi na amaconsi endlebe kunye ne-anesthetics ukuba unayo imibala ye-tubes endaweni.
Ubude bonyango
Utyando luya kuhlala luhlala kwiintsuku ezingama-5 ukuya kwezi-7 ukusuleleka kwindlebe. Nangona kunjalo, ugqirha wakho unokumisela iintsuku ezili-10 ukutheleleka kwindlebe enzima.
> Imithombo:
> I-otitis media inabantu abadala. KwiWebhu yeToDate. http://www.uptodate.com (ubhaliso olufunekayo). Ukuhlaziywa ngo-Apreli 19, 2017.
> I-otitis media inabantwana: Ukuxilonga. KwiWebhu yeToDate. http://www.uptodate.com (ubhaliso olufunekayo). Ukuhlaziywa kwe-Oktobha 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Ukuxilongwa noLawulo lwe-Acute Otitis Media. Iingcali 131 (3), e964-e999.