Kusamalira matenda a khutu kwa ana
Ana omwe ali ndi khutu la kusambira (otitis externa) ali ndi kutupa mumtsinje wawo wakunja. Kawirikawiri zimayambitsidwa ndi madzi kukwiyitsa khungu mkati mwa khutu, ndipo kenako amatenga mabakiteriya, kapena mobwerezabwereza, bowa.
Zizindikiro
Kumva ululu ndi chizindikiro chofala kwambiri cha khutu la kusambira. Mosiyana ndi kupweteka kwa matenda a khutu la pakati, zomwe zimatha kutsatira chimfine, kumva ululu kwa khutu lakutsimanga kumawonjezereka mwa kugwedeza khutu lakunja la mwana wanu (Pinna). Kuyang'ana mkati mwa khutu la mwana wanu, adokotala onani mkokomo wofiira, wotupa khutu, ndi kutuluka kwina.
Khutu la kusambira limasiyana ndi zina zomwe zimayambitsa kupweteka kwa makutu chifukwa nthawi zambiri sizimakhala ndi malungo, ndipo ululu ukhoza chifukwa chokoka khutu (pinna), kapena kukankhira kumalo kutsogolo kwa khola la khutu.
Kudziwa
Kutengera kwa khutu la kusambira kumapangidwa pamene mwana ali ndi chizindikiro choyambirira cha ululu wa khutu wamkati chomwe chimapweteka kwambiri mwa kugwedeza pa khutu la mwanayo, komanso pakuwonekera kwa kankhutu kamvekedwe akawonetsedwa ndi otoscope.
Khutu la kusambira lingasokonezeke ndi matenda a makutu, makamaka pamene dokotala wanu wa ana sangathe kuwona khutu la mwana wanu.
Zimayambitsa
Khutu lakuthamanga limayamba pamene mabakiteriya, kapena nthawi zina bowa, amakhudza chitseko chakunja. Matendawa amalekanitsidwa ndi khutu la pakati (malo a "matenda a khutu") ndi eardrum, kuti madzi asalowetse khutu la pakati, ndipo madontho omwe amagwiritsidwa ntchito kuti asamve khutu la kusambira lisamfikire khutu la pakati.
Khutu lakuthamanga limayamba chifukwa cha matenda a Pseudomonas aeruginosa kapena Staphylococcus aureus bacteria.
Matenda amapezeka nthawi zambiri atasambira (mabakiteriya amakhala mumadzi ndi nthaka) m'nyanja kapena dziwe, ndipo madambo osasamalidwa bwino amatha kufalitsa khutu la kusambira. Kuwonjezera pa kusambira, ana angakhale pa chiopsezo chotenga khutu la kusambira ngati amamwa madzi m'makutu awo akamasambitsa kapena kuthira.
Kuchiza
Mwana wanu atakhala ndi khutu la kusambira, si nthawi yogwiritsira ntchito madontho a miseche, omwe nthawi zambiri amagwiritsidwa ntchito kuti asamve khutu la kusambira. Amawotchera ndi kumveketsa khutu la mwana wanu. M'malo mwake, khutu la kusambira limaperekedwa ndi madontho a mitsempha ya antibiotic, mwina kapena popanda steroid yowonjezera (yomwe akatswiri ena amaganiza kuti ikhoza kuchepetsa kutupa ndi kupanga zizindikiro zimachoka mofulumira).
Madontho amodzi omwe amagwiritsidwa ntchito pochita khutu la kusambira ndi awa:
- Ciprodex *
- Cipro HC *
- Cortane-B *
- Otical Oticome
- Floxin
- Vosol
- Vosol HC *
* Mankhwala otsekemera a antibiotic omwe ali ndi steroid.
Ngakhale kuti mtengo wolemera, Floxin, Ciprodex, ndi Cipro HC, amauzidwa kawirikawiri, chifukwa amakhala ndi zotsatira zochepa, angagwiritsidwe ntchito kawiri patsiku, ndipo angaperekedwe bwino kwa mabakiteriya omwe amachititsa khutu la kusambira. Mankhwala oletsa maantibayotiki safunikira kawirikawiri kuti athetse vuto losavuta kumva la khutu la kusambira.
Kuti mumve makutu ochepetsetsa, mungapemphe mwana wanu ngati mungayambe kuyesa njira yothetsera mphamvu ya vinyo woyera wa vinyo wosasa (theka la madzi ndi theka la vinyo) kawiri patsiku - mankhwala omwe makolo amayesa.
Kupweteka kwa ululu , kuphatikizapo Tylenol (acetaminophen ) kapena ibuprofen (Motrin kapena Advil) ingagwiritsidwe ntchito kuchepetsa kupweteka kwa mwana wanu mpaka khutu lake likuyamba kugwira ntchito.
Ngati pali kutupa mokwanira, kotero kuti madontho a khutu sangalowe m'makutu a mwana wanu, dokotala wanu wa ana akhoza kuyika khutu la khutu mkati mwa khutu lake. Mwa njirayi, dokotala wanu akuika chidutswa chaching'ono chosaoneka ngati chingwe mu khola la khutu lomwe liri ndi mankhwala oletsa antibiotic. Nsalu imeneyi nthawi zambiri imagwera pokhapokha ngati kutupa kumapita pansi.
Kodi Zimakhala Zotalika Motani?
Palibe kwenikweni masiku amatsenga omwe khutu la kusambira liyenera kuchiritsidwa, ngakhale kuti sabata imakhala yofunika kuthetsa matenda. Akatswiri ambiri a ana akulimbikitsabe kupitiliza madontho kwa masiku osachepera awiri kapena atatu chifuwacho chitatha.
Katswiri wanu wa ana angalimbikitsenso kuti mwana wanu asatulukemo madzi panthawiyi.
Kupewa
Kawirikawiri, mutha kuteteza khutu lakutsimanga mwa kusunga madzi kuchokera m'makutu a ana anu. Mwamwayi, izo sizikutanthauza kuti ana anu sangathe kusambira ndi kusangalala ndi madzi. M'malo mwake, gwiritsani ntchito wothandizira wothandizira omwe ali ndi isopropyl mowa (kusuta mowa), monga Auro-Dri kapena Swim Ear kapena limodzi ndi acetic acid ndi aluminium acetate (Star-Otic).
Ngati mukufuna, mungathe kukhazikitsa njira yanu yothetsera khutu ya kusambira, mwakusakaniza magawo ofanana ndi kumwa mowa ndi vinyo woyera, ndikuyika m'makutu a mwanayo atasambira.
Ngakhale akatswiri ena amaganiza kuti mapuloteni am'kwiyitsa ndipo amatha kumveketsa khutu, mumatha kutulutsa madzi m'makutu a ana anu pogwiritsa ntchito cholepheretsa, monga makutu, monga Mack's AquaBlock Earplugs kapena Pillow Soft Silicone Earplugs. Ngati ana anu amavutika kusunga zikwama zawo, onaninso kugwiritsira ntchito Aqua-Earband kapena Ear Band-It's neoprene kusambira mutu.
Mphuno Yokwera ndi Mphungu Yam'madzi
Ngati muwonera malonda pa TV, mukuganiza kuti kukhala kholo wabwino muyenera kuchotsa phula la khutu kumakutu a ana anu, koma izi zikhoza kuwonjezera chiopsezo cha matenda m'njira ziwiri. Nkhungu za khutu zimawoneka kuti zimateteza kuntchito kwa osambira, kotero simukufuna kuchotsa sera kuchokera ku khutu la mwana wanu. Kukonza makutu a mwana wanu ndi chophimba cha thonje kungapangitse kuti ena asakhale ndi chiopsezo chodzisambira, popeza zikopa zazing'ono komanso kubwezera khutu kumatulutsa chiopsezo cha matendawa. Ngati mwana wanu amakhala ndi phula zambiri, funsani ana ake kuchotsa nthawiyi muofesi.
Mavuto
Matenda a fungal ndi matenda osapatsirana, kuphatikizapo eczema , psoriasis, seborrheic dermatitis , ndi matenda osagwirizana ndi dermatitis , angayambitsenso otitis kunja, ndipo ayenera kukayikira m'makutu aakulu a khutu la kusambira.
Malignant otitis externa ndizovuta kumvetsetsa kwa khutu la kusambira komwe matendawa amafalikira pakhungu kumutu komanso m'maso a chigaza ( nthawi yochepa ya osteomyelitis .) Izi ndizosazolowereka ndipo zimachitika kawirikawiri pakati pa ana omwe ali ndi matenda a chitetezo cha mthupi .
Zotsatira:
Hajioff, D., ndi S. MacKeith. Otitis Externa. Bungwe la BMJ Clinic . 2015. pii: 0510.
Kaushik, V., Malik, T., ndi S. Saeed. Zowonjezereka kwa odwala otitis kunja. Dongosolo la Cochrane la Zosintha Zogwirizana . 2010. 20 (1): CD004740.
Rosenfeld, R., Schwartz, S., Cannon, C. et al. Malangizo othandizira kuchipatala: otitis kunja kwambiri. Otolaryngology - Mutu ndi Opaleshoni Yam'kati . 2014. 150 (1 Suppl): S1-S24.