Otitis externa, yomwe imatchedwanso khutu la kusambira , ndi matenda omwe amapezeka ku khutu lakunja lomwe limakhudza pafupifupi 1 pa 100 Amitundu onse. Ngakhale kuti matendawa amapezeka, pafupifupi 1/3 mwa milandu yonse amazunzidwa ndi mankhwala ophera tizilombo. Poyesa kuyeza mankhwala otitis otter externa, American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamasamba inafalitsa malangizo atsopano ochizira mu February 2014.
Kusintha kunathandizidwa ndi mayesero khumi ndi awiri komanso mayankho awiri ovomerezeka. Nkhaniyi ikufotokoza za njira zabwino kwambiri zothandizira odwala otter, kuphatikizapo malangizo atsopano.
Muyenera kupeĊµa kudzipweteka monga zovuta zina zimayambitsa zizindikiro zomwe zimafanana ndi otitis kunja. Izi ziphatikizapo:
- Otalgia
- Otorrhea
- Kutupa kwa ngalande yamakutu yakunja
Ngakhale kuti zizindikiro za makutu amenewa zimakhala zofanana ndi za otitis kunja zimatha kuchiritsidwa mosiyana. Pamene otitis externa ndi matenda omwe angathe kuthetsedwa mosavuta ndi mankhwala oyenera, osatulutsidwa kapena ozunzidwa otitis kunja angayambitse matenda aakulu kwambiri otchedwa otignant otitis externa . Pofuna kupewa vutoli, chikhalidwe chanu chiyenera kutsimikiziridwa ndi dokotala asanayambe mankhwala.
Kuwonjezera pa kuthetsa matenda omwe amachititsa otitis kunja, mankhwala amatha kugonjetsa ululu wa makutu ndi zizindikiro zina zomwe zimayenderana ndi vutoli.
Zinthu zina zomwe zidzalingalidwe musanafike kuchipatala ndi dokotala wanu zingakhalepo:
- Mphungu ya tympanic yowonongeka
- Ziphuphu zamphuno (tympanostomy)
- Matenda a shuga
- Chitetezo cha m'thupi chofooka
- Njira yothandizira ma ARV
Kuchiza Chithandizo
Monga tanenera kale, otitis kunja ndi matenda a khutu lakunja. Amatchedwanso khutu la kusambira chifukwa zimakhalapo pamene madzi owonongeka akukhala kunja kwa khutu ndikupanga malo abwino oti mabakiteriya akule.
Cholinga chachikulu cha kuchiza otitis kunja ndiko kuchiza matenda. Madontho a m'mutu ndi chithandizo cha kusankha. Dontho la khutu limene mchipatala wanu angapereke lingaphatikizepo maantibayotiki, steroids, kapena mankhwala otsutsa-kutupa. Ndikofunika kupeza chithandizo cham'mbuyo kuti athetse vuto la otitis externa lomwe likufalikira ndikutsogolera ku matenda aakulu otitis kunja, kubwezera ndudu ya khutu , kapena kuvulaza otitis kunja. Ngati kankhutu kadzatsekeka, ENT ikhoza kupanga zipinda zapanyumba, komwe zingachotsere khutu kapena zinthu kuchokera ku chingwe chakumvetsera ndi chipangizo chochepa choyesa ndi microscope.
Muzovuta zambiri zovuta za otitis kunja, muyenera kuchiritsidwa ndi madontho a khutu. Maantibayotiki apakamwa samapereka mlingo womwewo wa kufalitsa kapena kufika ku dera la matenda monga madontho a khutu. Chifukwa chakuti madontho a khutu amaperekedwa kumalo opatsirana, kupuma kumakhala mofulumira ndi madontho a khutu poyerekezera ndi kumwa mankhwala odziteteza pakamwa. Matontho omwe amatha kugwiritsidwa ntchito pochizira otitis kunja ndi Ciprodex (kuphatikiza mankhwala opha tizilombo ndi steroid), Floxin (antibiotic ), ndi Xtoro (mankhwala atsopano ovomerezeka a FDA).
Maantibayotiki ovomerezeka ali ndi zotsatira zambiri poyerekeza ndi mankhwala omwe amamva mankhwala ndipo amatha kuyambitsa mabakiteriya osagwiritsidwa ntchito ndi mankhwala omwe angakhale ovuta kuchiritsa m'tsogolo.
Kodi mukudziwa kuti mankhwala oletsa tizilombo toyambitsa matenda angagwiritse ntchito ndalama zokwana madola 29,000 kuti azichiza? Mankhwala oletsa maantibayotiki amatha kuganiziridwa ndi wodwala mankhwala ngati matenda ayamba kufalikira ku mbali zina za thupi zomwe sitingathe kuzipeza ndi madontho a khutu.
Muyenera kuyamba kumverera bwino mkati mwa maola 48 mpaka 72 mutangoyamba kugwiritsa ntchito madontho a khutu omwe akupatsidwa ndi wodwalayo. Mutha kukhala ndi zotsatira zochepa koma mukhoza kumverera mwachibadwa pambuyo pa sabata imodzi pogwiritsa ntchito madontho a khutu. Ndikofunika kupitiliza kugwiritsa ntchito madontho a khutu malinga ndi momwe akulembera ngakhale mutakhala bwino.
Ngati zizindikiro zikupitirirabe kapena zikuipiraipira, bwererani kwa wodwalayo kuti ayang'anenso kachiwiri. Malangizo okhudza kugwiritsira ntchito madontho a khutu bwino kuwerenga: Mmene Mungagwiritsire Ntchito Manyowa Okhuta Moyenera .
Kuchiza Mavuto a Otitis Externa
Kulephera kupweteka kawirikawiri kumawoneka kudzera m'malingaliro ochepetsa pang'ono kapena ochepa monga acetaminophen kapena Ibuprofen. Nthawi zambiri, mankhwala osokoneza bongo kapena opioids (monga Percocet, Lortab, etc ...) angakhale ofunika, komabe izi si zachilendo. Musagwiritse ntchito analgesic (ululu wochepetsa) madontho a khutu, chifukwa sagwiritsidwe ntchito pa matenda opatsirana. Njira zina zopanda mankhwala monga mankhwala otentha / ozizira, njira zododometsa ndi njira zina zothandizira thupi lanu sizinapangidwe kuti zakhala zothandizira. Imodzi mwa njira zabwino kwambiri zochiritsira zopweteka ndizochiteteza chithandizo mwa kulandira chithandizo cham'mawa. Mavuto anu ambiri ayenera kukonza mkati mwa maola 48-72 mutagwiritsa ntchito madontho a antibiotic.
Kuchiza Kutupa
Otitis externa amachititsa khutu lanu kukhala lofiira ndi kutentha. Monga tanenera kale, madontho a khutu la steroid angathandize kuchepetsa ndi kuchepetsa kutupa. Kaya khutu lanu limakhala ndi steroid kwambiri kutupa kwanu muyenera kukonza mkati mwa maola 48-72 mutagwiritsa ntchito madontho a antibiotic.
Kuteteza Otitis Externa
N'zoona kuti kuteteza otitis kunja kumakhala koposa mankhwala alionse. Malangizo othandizira kuteteza chikhalidwe ichi kuwerengedwa: Kodi ndingapewe khutu la Swimmer?
Zotsatira:
Rosenfeld, RM, Schwartz, SR, Cannon, CR, Roland, PS, Simon, GR, Kumar, KA, et al. (2014). Malangizo Othandizira Am'chipatala: Acute Otitis Externa. Otolaryngology - Mutu ndi Opaleshoni Yam'kati. DOI: 10.117 / 019459981357083
Consumer Reports, American Academy of Otolaryngology - Mutu ndi Opaleshoni Yopamba. (2013) Mankhwala a antibayotiki a makutu: Pamene mukufunikira - ndi pamene simukutero. Kufikira: February 19,2014 kuchokera ku http://consumerhealthchoices.org/wp-content/uploads/2013/11/ChoosingWiselyAntibioticsAAOHNS-ER.pdf