Ukulawula ukusuleleka kwindlebe kwizingane
Abantwana abanendlebe yokudoba (i-otitis externa) banokuvutha kwi-canal yabo yangaphandle yendlebe. Ngokuqhelekileyo kubangelwa ngamanzi okrakra isikhumba ngaphakathi kwendlebe, leyo isu suleleka kwi-bhakteriya, okanye ngokungaqhelekanga, i-fungus.
Iimpawu
Intlungu yentlungu yimiqondiso eqhelekileyo yendlebe yokuguqula. Ngokungafani nentlungu yentsholongwane yeendlebe eziphakathi (i- otitis media ), enokuthi ilandele intuthuzelo, intlungu yendlebe evela endlebeni yokuguqula ibonakala ibe yimbi ngokukhupha indlebe yengane yakho yangaphandle (pinna.) Ukujonga ngaphakathi kwindlebe yengane yakho, isifo sakho sezilwanyana siya ubona umbhobho obomvu, othukuthele indlebe, kunye nokuphuma.
Indlebe ye-Swimmer ihluke kwezinye iimbangela zokubandezeleka kwendlebe ngenxa yokuba asikho imfiva, kwaye intlungu ingabangelwa ukudonsa indlebe (i-pinna), okanye ukuqhubezela kwindawo leyo phambi kwendlela yokumisela indlebe.
Ukuxilongwa
Ukuxilongwa kwendlebe ka-swimmer ngokuqhelekileyo eyenziwa xa umntwana ephethe uphawu lweklasi lweentlungu zangaphandle zendlebe ezenziwe zimbi ngokukhupha indlebe yomntwana, kunye nokubonakala kombhobho wenkohlakalo xa uboniswe nge-otoscope.
Indlebe yokuguquka ingadideka ngentsholongwane yindlebe ephakathi, ngakumbi xa udokotela wakho wezilwanyana engakwazi ukubona indlebe yomntwana wakho.
Izizathu
Indlebe yokuguqula ikhula xa ibhaktheriya, okanye ngamanye amaxesha i-fungus, iphazamisa umtya ongaphandle. Ezi zintsholongwane zihluke kwiindlebe eziphakathi (indawo 'yokutheleleka indlebe') nge-eardrum, ukuze amanzi angenako ukungena endlebe, kwaye amaconsi asetyenziswa ukuphatha indlebe yokuguqula ayifinyelele indlebe ephakathi.
Indlebe ye-Swimmer ibangelwa kukusulelwa ngu- Pseudomonas aeruginosa okanye iStaplanlococcus aureus bacteria.
Izifo zidla ngokubakho emva kokubhukuda (iibhaktheriya zihlala emanzini nasemhlabeni) kwi-echibi okanye echibini, kwaye amachibi angagcinwa kakuhle angakwazi ukusabalalisa indlebe. Ukongeza kokubhukuda, abantwana bangasengozini yokufumana indlebe yokubhukuda xa befumana amanzi ezindlebeni zabo xa behlamba.
Unyango
Xa umntwana wakho enendlebe yokudoba, akusiyo ixesha lokusebenzisa amaconsi endlebe asekelwe ngotywala, aqhelekileyo asetyenziselwa ukukhusela indlebe yokuguqula. Baya kutshisa baze baveze indlebe yomntwana wakho. Endaweni yoko, indlebe yokuguqula idla ngokuphathwa ngamaconsi, i-steroids (okanye ezinye iingcali zicinga ukuba zinokunciphisa ukuvuvukala kwaye zenze impawu zihambe ngokukhawuleza).
Amaconsi aqhelekileyo (iindlebe) ezisetyenziselwa ukuphatha indlebe yokuguqula ziquka:
- Ciprodex *
- Cipro HC *
- Cortane-B *
- Domeboro Otic
- Floxin
- Vosol
- Vosol HC *
* Iindlebe ze-Antibiotic zehla ziquka i-steroid.
Nangona ixabiso eliphezulu, i-Floxin, i-Ciprodex ne-Cipro HC, iqheleke ngokuqhelekileyo, njengoko inemiphumo emibini engaphantsi, ingasetyenziswa kabini ngosuku, kwaye ingabonelela ngokubhekiselele kwiibhaktheriya ezibangelwa indlebe yokudoba. Amayeza omlomo ayenakudla ukuba ayiphathe iimeko ezingenakunzima zendlebe yokuguqula.
Ngeengxaki ezincinci zendlebe ye-swimmer, unokubuza umntwana wakho ukuba unokuzama ukuqala isisombululo samandla amancinci amancinci amaconsi amhlophe (isisigxina samanzi / isigxina iviniga emhlophe) kabini ngemini-isisombululo esisodwa sekhaya abanye abazali abazama.
Ukunciphisa ubuhlungu , kuquka iTylenol (i-acetaminophen ) okanye ibuprofen (i-Motrin okanye i-Advil) ingasetyenziselwa ukunciphisa intlungu yomntwana uze indlebe yakhe ityeke ukusebenza.
Ukuba kukho ukuvuvukala okwaneleyo, ukwenzela ukuba indlebe yehla ikwazi ukungena entle yomntwana wakho, udokotela wakho wezingane unokubeka i-ear ear ngaphakathi kwendlebe yakhe. Kule ndlela, udokotela wakho wezilwanyana ubeka umgca omncinci we-gauze oyinyumba njengezinto eziphathekayo kwi-canal indlebe egcwele isisombululo se-antibiotic. Le ngxube ivame ukuwa yodwa xa ukuvuvukala kwehla.
Kuthathwa Kangakanani Kangakanani?
Akukho ngokwenene imilingo yeentsuku apho indlebe yomncuba kufuneka iphathwe ngayo, nangona iiveki idla ngokufunekayo ukucima intsholongwane. Uninzi lwabahlengikazi bancoma ukuqhubeka nokuhla kwamanqatha okungenani iintsuku ezimbini ukuya kwethathu emva kokuba usulelekile.
Udokotela wakho wezilwanyana unokucebisa ukuba umntwana wakho ahlale emanzini ngeli xesha.
Thintelo
Ngokuqhelekileyo, unokuthintela indlebe yokuguqula ngokugcina amanzi ngaphandle kweendlebe zezingane zakho. Ngethamsanqa, oko akuthethi ukuba abantwana bakho abakwazi ukubhukuda baze banandiphe amanzi. Esikhundleni salowo, sebenzisa i-arhente yokumisa i-ear-to-counter ephethe i-isopropyl alcohol (ukuxuba utywala), njenge-Auro-Dri okanye i-Swim Ear okanye enye nge-acetic acid kunye ne-aluminium acetate (i-Star-Otic).
Ukuba uthanda, ungenza kwakhona isisombululo sakho sokukhusela indlebe esenza umquba wakho ngokuxuba izingxenye ezilinganayo zokuxuba utywala kunye newayini elimhlophe, kwaye uzibeke ezindlebeni zomntwana wakho emva kokubhukuda.
Nangona ezinye iingcali zicinga ukuba i-earplugs iyakucasula kwaye ingakhokelela kwindlebe yokuguqula, unako ukugcina amanzi ngaphandle kweendlebe zezingane zakho usebenzisa umqobo, njengama-earplugs, kuquka iMack's AquaBlock Earplugs okanye i-Pillow Soft Silicone Earplugs. Ukuba abantwana bakho banzima ukugcina iimfumba zabo, qwalasela kwakhona ukusebenzisa i-Aqua-Earband okanye iNtloko ye-Ear-It neoprene yebhokisi lebhokisi.
I-Swimmer's Ear and Ear Wax
Ukuba ubukela iirhwebo kwiTV, mhlawumbi ucinga ukuba ukuba ngumzali omhle kufuneka ususe i- ear ear kwiindlebe zezingane zakho, kodwa oku kunokwandisa umngcipheko wesifo kwizifo ezimbini. I-ear wax ibonakala idlala indima ekhuselekileyo ekuphuhliseni indlebe yomncuba, ngoko awufuni ukususa ngokugqithiseleyo i-wax kwindlebe yengane yakho. Ukucoca iindlebe zomntwana wakho kunye nesicelo se-cotton-tip kungabangela ukuba kubekho emngciphekweni weendlebe zokubhukuda, njengokuba ukukhwabanisa amancinci kunye nokunyanzeliswa komngcipheko weendlebe kukunyusa umngcipheko wesifo. Ukuba umntwazana wakho uhlakulela i-ear, unomntwana wakhe ususe eli xesha kwiofisi.
Iingxaki
Ukusuleleka kwefungal kunye neengxaki ezingenasifo, kuquka i- eczema , i-psoriasis, i- seborrheic dermatitis , kunye ne -dermatitis ye-contact echaphazelekayo , inokubangela ukuba i-otitis externa, kwaye kufuneka ikhunjulwe kwiimeko ezingapheliyo.
I-Malignant otitis externa yinto engavumelekanga yindlebe yokuguba apho usulelo lusasazeka elukhumbeni olujikeleze indlebe kunye nasemathanjeni enkayi (i- osteomyelitis yesikhashana .) Oku kuqhelekanga kwaye kubakho ngokuphindaphindiweyo phakathi kwabantwana abanezifo zokhuseleko lwe-immune .
Imithombo:
Hajioff, D., no-S. MacKeith. Otitis Externa. I-BMJ Clinical Evidence . 2015. pii: 0510.
Kaushik, V., Malik, T., no-S. Saeed. Amanyathelo okwenza i-otitis externa. I-Cochrane Database yeeNkqubo eziPhezulu . 2010. 20 (1): CD004740.
Rosenfeld, R., Schwartz, S., Cannon, C. et al. Isikhokelo sonyango lwezonyango: i-otitis externa. I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck . 2014. 150 (1 Suppl): S1-S24.