Kurapa kwakanaka kwehutachiona hutachiona-hunozivikanwawo sekuti acute otitis media (AOM) - ichaderedza zvikuru huwandu hwenhamo yehutano hwauri kutarisana nayo, pamwe nekuderedza dambudziko rako reimwe dambudziko kubva kune utachiona husina kutapurirwa. Zvimwe zvinosanganisira pane-the-counterrapies uye mishonga yemishonga inogona kupiwa nachiremba wako.
Tsvaga kurapwa uku kwekurwadziwa kose uye kurwisana nehutachiona, uyewo mamwe marapirwo aungada kunzwisisa.
Over-the-Counter Therapies
Nhamo ndeimwe yezviratidzo zvinotambudza zvehutachiona hutachiona. Mishonga inorwisa mabhakitiriya haibatsiri kudzora marwadzo ekutambura (otalgia) kwemaawa anenge 24. Kusvikira mishonga inorwisa mabhakitiriya yakawana mukana wokutanga kushanda, unogona kushandisa mishonga yakawanda-in-counter kuti ibatsire kudzora marwadzo.
Ibuprofen kana acetaminophen ndiyo nzira dzakasarudzwa dzevana. Vana vari pasi pemakore maviri dzimwe nguva vanorwadziwa kwemazuva matatu kusvika kune manomwe, saka iwe unoda kuenzanisa urefu hwehutano hweHTC huri kuti mwana wako ari kuita sei. Unofanirwa kubvunza chiremba wako pamusoro-mishonga yemishonga kuti uone kuti iwe unopa mukana wakakodzera.
Pakati pese, pano maitiro akaenzana ye ibuprofen uye acetaminophen.
Ibuprofen
- Vana: 4 kusvika ku10 mg pagi yega maawa matanhatu kusvika ku8 zvichidiwa
- Vakuru: 200 kusvika ku 400 mg maawa matanhatu kana zvese zvichidiwa
Acetaminophen
- Vana vari pasi pemakore matanhatu: 10 kusvika ku15 mg pa kg kwemaawa mana kusvika maawa matanhatu zvichidiwa
- Vana 6 kusvika kune gumi nemakore gumi nemaviri: 325 kusvika 650 mg maawa mana kusvika ma6 (kwete kudarika 1,625 gm pazuva)
- Vana vaduku vanopfuura makore gumi nemaviri: 325 kusvika 650 mg maawa mana kusvika maawa matanhatu (kusasadarika 3.25 gm pazuva)
Kusarudzwa kwevana kazhinji kunowanikwa mu kg (makirogiramu). Kuti uverenge izvi, tora uremu hwemwana wako mumapundi uye uwedzere nayo 2.2. Iwe uchazofanira kuwedzera kuwanda kwemwana wako mumakirogiramu nezana rinokurudzirwa kirogiramu.
Kana uri kushandisa mishonga yemvura, rutivi rwebhokisi rinotora mamiriyoni akawanda ari mumamiriyoni rimwe nerimwe. Iwe unogona kutora chikamu chakakodzera mune sirin'i kana kudira mune mukombe wemishonga.
Zvinyorwa
Kuongororwa kwehutachiona hwekunzwa kunoda mishonga inorwisa mabhakitiriya. Amoxicillin yave iri sarudzo yekutanga yekutanga-line kwemakore anopfuura 25. Inobatanidza S. pneumonia asi kwete maviri emamwe maitiro asinganzwisisiki anowanikwa munharaunda-inotapukira maziso: nontypable H. influenzae naM M. Catarrhalis .
Zvisinei, amoxicillin inowanzobudirira kurapa hutachiona hwehutori uye imwe sarudzo inogona kusakosha kunze kwekuti iwe une chirwere chepenicillin . Kana uine chirwere chepenicillin, chiremba wako anogona kukupa iwe cefdinir, cefpodoxime, cefuroxime, kana ceftriaxone.
Amoxicillin Dosage
Usual dosing inobva paukuru hwehutachiona hwekunzwa. Kuvakuru:
- Unyoro kuenzanisa: 500 mg maawa gumi nemaviri
- Yakanyanya: 875 mg maawa gumi nemaviri
Kuvana:
- 80-90 mg / kg pazuva mumadhora maviri akaparadzaniswa
Pane dzimwe nzira dzekuisa maitiro iyo chiremba wako angada kuishandisa zvichienderana nezviratidzo zvako kana kuti yekare yekurapa. Utachiona hwakanyanya hutara hunowanzosanangurwa sehuna kurasikirwa kukuru kwekunzwa, kutonhora kwakanyanya, kana kurwadza kwekunzwa nzeve.
Nyeredzi Matsi
Kana mishonga yepamusoro-in-marwadzo isingakwanisi kugadzirisa marwadzo, chiremba wako angaraira matonhe emakumbo ane chinyorwa chekushaya maziso.
Zvakakosha kuziva kuti haufaniri kushandisa chero matonhe ezveve nzeve ne anesthetics kana une nzeve dzekunzwa panzvimbo.
Nguva yekurapwa
Mishonga inowanzopedza mazuva mashanu kusvika kune manomwe kuitira hutachiwana hutachiona hwehutano. Zvisinei, chiremba wako anogona kupa mazuva gumi kusvika kune utachiona hwehutu hwakanyanya.
> Sources:
> Acute otitis media muvanhu vakuru. UpToDate website. http://www.uptodate.com (kubhadhara kunoda). Yakapedzwa musi waApril 19, 2017.
> Acute otitis media muvana: Kuziva. UpToDate website. http://www.uptodate.com (kubhadhara kunoda). Yakaperedzwa Gunyana 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Kurapa uye Kutungamirirwa kweAacute Otitis Media. Pediatrics 131 (3), e964-e999.