Otitis externa, iyo inonziwo nzeve yekumhanya , ndiyo inowanzova nehutachiona hwekunze kwenzeve inobata anenge 1 kubva kune 100 veAmerica. Pasinei nehutachiona hunowanikwa, inenge chikamu chechitatu chemashure ose inoshungurudzwa nemishonga inorwisa mabhakitiriya. Mukuedza kuisa maitiro ekurapa otitis kunze, American Academy yeOtolaryngology - Musoro uye Neck Surgery yakabudisa mirayiridzo mitsva yekurapa muna February 2014.
Kuchinja kwakatsigirwa nemayero gumi nemaviri uye miedzo 2 yakarongeka. Ichi chinyorwa chinotaura nezvemishonga yakanakisisa kune dzimwe nyika, kusanganisira mazano matsva.
Iwe unofanirwa kudzivisa kuzviratidzira sezvimwewo nzeve mamiriro ezvinhu anogona kukonzera zviratidzo zvakafanana neotitis panze. Mamiriro aya anosanganisira:
- Otalgia
- Otorrhea
- Kuvhiringidza kwenzara yekunzwa kunze
Kunyange zvazvo zviratidzo zvemazwi aya anonzwa zvakafanana neaya otitis externa vanogona kurapwa zvakasiyana zvakasiyana. Kunyange zvazvo otitis externa chirwere chinogona kugadziriswa nyore nyore nekurapa kwakakodzera, kusatorwa kana kushungurudzwa otitis panze kunogona kutungamirira kune chirwere chakakomba chinonzi malignant otitis externa . Kuti udzivise zvinetso izvi, mamiriro ako anofanirwa kusimbiswa nechiremba wehutano usati watanga kurapwa.
Mukuwedzera pakugadzirisa hutachiona hunokonzera otitis kunze, kurapwa kunowedzera kugadzirisa kurwadziwa kwezeve uye zvimwe zviratidzo zvinosangana nemamiriro aya.
Zvimwe zvinhu zvinotarisirwa kusati kwarapa nachiremba wako zvinogona kusanganisira:
- Nyoka yakasvibiswa
- Nyeve dzesimbi (tympanostomy)
- Chirwere cheshuga
- Mune simba rekudzivirira muviri
- Kupera kwemaawa ekupedzisira
Kuchengetedza Utachiona
Sezvakambotaurwa, otitis kunze kune utachiona hwekunze kwenzeve. Iyo inonziwo nzeve yekumhanya nokuti inowanikwa apo mvura yakasvibiswa inogara munzeve yekunze uye inoita nzvimbo yakakodzera kuti mabhakitiriya akure.
Icho chinonyanya kukosha pakurapa otitis panze ndiko kurapwa kwehutachiona. Matsipa ekwepa ndiwo mushonga wekusarudza. Nzeve inodonha iyo mushandi wako wezvokurapa achakupa inogona kunge inosanganisira antibiotics, steroids, kana anti-inflammatory medication. Zvakakosha kuti utange kurapwa kwekutanga kuti udzivise mamiriro ehutiti otitis externa kupararira uye kutungamirira kune chisingagumi otitis kunze, kubvambura nzeve yekunzwa , kana kuti kukonzera zvinotyisa otitis kunze. Kana nzeve ye nzeve ichidziviswa, an ENT inogona kuita zvigadzirwa zvemukoko, apo vanogona kubvisa nzeve dzekunzwa kana zvinhu kubva munzeve yekunzwa necheki kambani yekutsva uye microscope.
Muzviitiko zvakawanda zvisinganzwisisiki zve otitis externa, iwe unofanira kungobatwa chete nematonhe enzeve. Mishonga yemishonga inorwisa mabhakitiriya haigadziri mukana wakafanana wekugovera kana kusvika kune imwe nzvimbo yehutachiona semadonzvo emakumbo. Nemhaka yokuti nzeve dzekunzwa dzinoendeswa kunzvimbo yehutachiona, kupora kunowanzokurumidza nekudonha matonho kana zvichienzaniswa nokutora mishonga inorwisa mishonga. Mvura inowanikwa yakawanda inowanzoshandiswa kurapa otitis kunze ndeye Ciprodex (kusanganiswa kwemishonga inorwisa mabhakitiriya uye steroid), Floxin (antibiotic ), uye Xtoro (itsva yeDAA inobvumirwa nemishonga inorwisa mabhakitiriya).
Mishonga yemishonga inorwisa mabhakitiriya ine mimwe migumisiro yechirungu kana ichienzaniswa nenzeve inonwisa mishonga inorwisa mabhakitiriya uye inogonawo kutungamirira kumaabhakitiriya asingagadzirisiki ayo angave akaoma kurapa munguva inotevera.
Waiziva here kuti chirwere chinopesana nemishonga inorwisa mabhakitiriya chinogona kutenga mari inenge madhora makumi maviri nemakumi mashanu ekurapa? Mishonga yemishonga inorwisa mabhakitiriya inogona kufungwa nemutapi wako wehutano kana utachiona hwakatanga kupararira kune dzimwe nhengo dzomuviri dzisingakwanisi kuwanikwa nematonhe enzeve.
Iwe unofanira kutanga uchinzwa zviri nani mukati maawa makumi manomwe nemaawa makumi manomwe nemasere makumi matanhatu nemashure makutanga kutanga kushandisa madonhe emakumbo anotsanangurwa nemutano wako. Iwe unogona kunge uchinge uine mamwe madhara emigumisiro asi unogona kunzwa zvakare kumashure mushure mekunge vhiki imwe yekushandisa matonhe ekunzwa. Zvakakosha kupfuurira kushandisa matonhe ematambudziko chero bedzi yakatemerwa kunyange kana uri kunzwa zviri nani.
Kana zviratidzo zvichiri kuenderera mberi kana kuwedzera, dzokera kwauri iwe mushonga wezvechiremba kuti uongorore zvakare. Nokuda kwemashoko ekushandisa madonhe anotinha zvakanaka kuverenga: Mashandisiro Aungaita Matonhi Emakumbo Zvakarurama .
Kurapa Marwadzo eOtitis Externa
Kurapa kunogona kuwanikwa kuburikidza nekunyoro-to-moderate analgesic yakafanana neacetaminophen kana Ibuprofen. Muzviitiko zvakanyanyisa, zvinodhaka kana maopioid (zvakadai sePercocet, Lortab, etc ...) zvingave zvakakosha, zvisinei, izvi hazvisi zvisizvo. Iwe haufaniri HERE kushandisa analgesic (marwadzo relieving) nzeve dzekunzwa, sezvo dzisingashandiswi panguva dzezvirwere zvinoshanda. Mamwe maitiro asina-pharmacologic mishonga yakadai sehuni inopisa / inotonhora, nzira dzekuvhiringidza nedzimwe nzira dzokudzikinura muviri wako hazvina kuratidzirwa iye zvino kuti inoshanda kurapwa. Imwe yemishonga yakanakisisa yekurwadziwa inonyatsochengetedza kuchengetedza kuburikidza nekugamuchira kurapwa kwakatanga. Uzhinji hwekutambudzika kwako hunofanira kugadzirisa mukati maawa 48-72 mushure mekushandisa madonheji emadonhwe.
Kurapa Kurwirwa
Otitis externa inogona kuita kuti nzeve yako ive yakatsvuka uye inopisa. Sezvambotaurwa, steroid matsipa emakumbo anogona kubatsira kuderedza nekudzivirira kupisa. Pasinei nokuti nzeve yako inodonha ine steroid yakawanda yekuputika kwako inofanira kugadzirisa mukati maawa 48-72 mushure mekushandisa maantikitikiti nzeve dzekunzwa.
Kudzivirira Otitis Externa
Ichokwadi kuti kudzivirira otitis kunze kune imwe nzvimbo yakakwirira pane chero kurapa. Nokuraira mazano ekudzivirira kuti chiitiko ichi chiverenge: Ndingakwanisa Kudzivirira Nzeve Yokudzora Here?
Sources:
Rosenfeld, RM, Schwartz, SR, Cannon, CR, Roland, PS, Simon, GR, Kumar, KA, et al. (2014). Clinical Practice Guideline: Acute Otitis Externa. Otolaryngology - Musoro uye Neck Surgery. DOI: 10.117 / 019459981357083
Consumer Reports, American Academy of Otolaryngology - Musoro uye Neck Surgery. (2013) Mishonga inorwisa mabhakitiriya kune utachiona hwekunzwa: Paunenge uchida-uye kana usingaiti. Kuwana: February 19,2014 kubva pa http://consumerhealthchoices.org/wp-content/uploads/2013/11/ChoosingWiselyAntibioticsAAOHNS-ER.pdf