Kutarisira utachiona hwekunzwa kuvana
Vana vane nzeve dzekushambira (otitis externa) vane kuvhunika munzeve dzavo dzekunzwa. Inowanzokonzerwa nemvura inovhiringidza ganda mukati mezeve, iyo inobva yatapukirwa nebhakitiriya, kana kuti kazhinji, fungus.
Zviratidzo
Kutambudzika kwekunzwa ndicho chiratidzo chinowanzoonekwa chezeve yekumhanya. Kusiyana nekurwadziwa kwepakati yeutachiona hutachiona ( otitis media ), iyo inogona kutevera inotonhora, kuchema kwekunzwa kubva nzeve yekushambira kunowedzera kuwedzera nekunyora pamucheche wako wekunze (pinna.) Kutarisa mukati memwana wako, nzeve yako ona ruvara rutsvuku, rwuvhuvhuta nzeve, pamwe nekumwe kusununguka.
Nzeve yekumhanya yakasiyana nedzimwe mimwe dzinokonzera kurwadziwa kwenzeve pakuti pane kazhinji haisi fivhiri, uye kurwadziwa kunokonzerwa nekukwevera munzeve (pinna), kana kunamatira munzvimbo iri pamberi pekunze kwenzeve.
Kuziva
Kuonekwa kwezeve inoshambira kunowanzoitwa kana mwana ane chiratidzo chekare chekunzwa kwekunzwa kwekunze kunowedzera kuwedzera nekukwezva nzeve yomwana, uye nekuonekwa kwenzanga yekunzwa painoonekwa ne otoscope.
Nzeve yekumhanya inogona kuvhiringidzika nehutachiona hutachire hwepakati, kunyanya kana mwana wako wehutachiona asingagoni kuona dutu remwana wako.
Zvinokonzera
Nzeve yekutinhira inokura apo bhakitiriya, kana dzimwe nguva fungus, inokonzera mhedha yekunze yekunze. Zvirwere izvi zvinoparadzaniswa kubva mukati-kati nenzeve (nzvimbo ye "hutachiona hutachiona") neyardrum, kuitira kuti mvura isagona kupinda mukati, nzeve dzinoshandiswa kurapa nzeve dzekushambira hadzizosviki pakati pezeve.
Nzeve yekumhanya inowanzokonzerwa nehutachiona nePseudomonas aeruginosa kana Staphylococcus aureus bacteria.
Zvirwere zvinonyanya kuitika mushure mekushambira (mabhakitiriya anogara mumvura uye muvhu) mune dziva kana dziva, uye madziva asina kuchengetedzwa zvakanaka anowanzopararira nzeve yekumhanya. Mukuwedzera pakushambira, vana vanogona kuva panjodzi yekuwana nzeve yekutamba kana vakawana mvura munzeve dzavo pavanenge vachishambadza.
Mishonga
Kana mwana wako aine nzeve yekutamba, haisi nguva yekushandisa doro kubva mumadonzvo emakumbo, ayo anowanzoshandiswa kudzivirira nzeve yekudzora. Vangangoita kupisa uye kuita kuti nzeve yomwana wako iwedzere kuwedzera. Pane kudaro, nzeve yekushambira inowanzorapwa nemishonga inorwisa mabhakitiriya, zvichida kana pasina steroid yakawedzerwa (iyo dzimwe nyanzvi dzinofunga dzinogona kuderedza kupisa uye kuita zviratidzo zvinopera nokukurumidza).
Matsipa anowanzoitwa (ear) (nzeve) ayo anoshandiswa kurapa nzeve yekumhanya inosanganisira:
- Ciprodex *
- Cipro HC *
- Cortane-B *
- Domeboro Otic
- Floxin
- Vosol
- Vosol HC *
* Mishonga inorwisa mabhakitiriya inotonhora inosanganisira steroid.
Kunyange zvazvo inodhura, Floxin, Ciprodex, uye Cipro HC, inowanzonyatsorongedzerwa, sezvo ine zviduku zvisingabatsiri, inogona kushandiswa kaviri pazuva, uye inogona kupa huwandu huri nani kune mabhakitiriya anokonzera nzeve yekumhanya. Mishonga yemishonga inorwisa mabhakitiriya haigamuchirwi kutora matambudziko asinganzwisisiki nenzeve yekushambira.
Nezviitiko zvinyoro zvenzeve yekushambira, unogona kubvunza chiremba wevana kana iwe uchigona kutanga kuedza sarudzo yehafu yenguva yakachena vhiniga misoro yekunzwa (hafu yeka mvura mvura / hafu white vhiniga) kaviri pazuva - mishonga inowanzochengetwa yemhuri iyo vamwe vabereki vanoedza.
Zvinorwadza zvinorwadza , kusanganisira Tylenol (acetaminophen ) kana ibuprofen (Motrin kana Advil) inogonawo kushandiswa kuderedza marwadzo omwana wako kusvikira nzeve yake inonyura inotanga kushanda.
Kana paine kuve nekukwereka zvakakwana, kuitira kuti nzeve dzekunzwa dzisingakwanisi kupinda munzeve yomwana wako, chiremba wevana vako anogona kuisa nzeve ye nzeve mukati mezeve yake. Mune nzira iyi, chiremba wevana vako anoisa chikamu chiduku chisina kuchena sechinhu chiri munzeve yekunzwa iyo yakazara nemishonga inorwisa mabhakitiriya. Iyo jira kazhinji inowira kunze kwayo pachayo kupfugama kuchidzika.
Inguva Yakareba Sei Inobatwa?
Icho hachisi chaicho chemashiripiti emazuva iyo nzeve yekushambira inofanira kurapwa, kunyange zvazvo vhiki inowanzodikanwa kubvisa utachiona. Vazhinji vanachiremba vanokurudzira kupfuurira madonhwe kwemazuva maviri kana matatu mushure mokunge utachiona hwave hwagadziriswa.
Chiremba wevana vako anogonawo kukurudzira kuti mwana wako arambe ari kunze kwemvura munguva ino.
Kudzivirira
Kazhinji, iwe unogona kudzivirira nzeve yekushambira nekuchengeta mvura kubva mumakumbo evana vako. Nenzira yakanaka, izvozvo hazvirevi kuti vana vako havagone kushambira uye kunakidzwa nemvura. Pane kudaro, shandisa ye-an-counter ear ear drying agent ine isopropyl alcohol (kubvisa doro), zvakadai seAuro-Dri kana Svet Ear kana imwe ine acetic acid uye aluminium acetate (Star-Otic).
Kana uchida, iwe unogonawo kuumba sarudzo yako yekudzivirira nzeve yekudzivirira nzeve kuburikidza nekusanganisa zvikamu zvakaenzana zvekunwa doro uye vhiniga vhena, uye kuisa mumakumbo emwana wako mushure mokunge ashambira.
Kunyange zvazvo dzimwe nyanzvi dzinofunga kuti mapepa emakumbo anotsamwisa uye anogona kutungamirira kunzeve yekushambira, unogonawo kuchengetedza mvura kubva mumakumbo evana vako nekushandisa chigadziro, sezviputi, zvinosanganisira Mack's AquaBlock Earplugs kana Pillow Soft Silicone Earplugs. Kana vana vako vane nguva yakaoma kuchengeta makutu avo, fungawo zvakare kushandisa Aqua-Earband kana Ear Ear-It neoprene kushambadza musoro musoro.
Swimmer's Ear and Ear Wax
Kana iwe uchiona zvikwereti paTV, iwe unofunga kuti kuva mubereki akanaka iwe unofanira kubvisa waini nzeve kubva munzeve dzevana vako, asi izvi zvinogona kuwedzera ngozi yezvirwere nenzira mbiri. Nzeve yevhesi inoratidzika seinoita basa rinodzivirira mukurudzirwa kwezeve yekushambira, saka haudi kubvisa zvakanyanya wax kubva nzeve yomwana wako. Kuchenesa nzeve dzomwana wako nekotori-tip inogadzirisa zvinogona kuisawo vamwe panjodzi yekuteerera nzeve, sezvakangoita zviduku zvishoma uye kubvongodzwa kwenzwi remunzwa kunowedzera mukana wehutachiona. Kana mwana wako achiwanzoita hurukuro yakawanda yewaini, ita chiremba wevana kuti abvise izvi nguva nenguva muhofisi.
Matambudziko
Zvirwere zvefungal uye zvinetso zvisina kupindira, kusanganisira eczema , psoriasis, seborrheic dermatitis , uye allergic contact dermatitis , zvinogona kukonzera otitis panze, uye inofanira kufungidzirwa mumagariro asingagumi ekutamba kwenzeve.
Malignant otitis externa isinganzwisisiki chinetso chekudzora kunoshandiswa mukati moutanda pamwe nekupinda mumapfupa ehenya ( temporal osteomyelitis .) Izvi zvinowanzojairika uye zvinoitika kakawanda pakati pevana vane zvirwere zvekudzivirira zvirwere zvemuviri .
Sources:
Hajioff, D., uye S. MacKeith. Otitis Externa. BMJ Clinical Evidence . 2015. pii: 0510.
Kaushik, V., Malik, T., uye S. Saeed. Zvinyorwa zvekuti acute otitis externa. Cochrane Database yekuongorora kwakarongeka . 2010. 20 (1): CD004740.
Rosenfeld, R., Schwartz, S., Cannon, C. et al. Chirongwa chekuita mishonga yekurapa: zvakanyanya otitis externa. Otolaryngology - Musoro uye Neck Surgery . 2014. 150 (1 Suppl): S1-S24.