Amaqela amaninzi athelelekileyo angakhupha ukuvuvukala okwexeshana okanye okukhawulelweyo komngcipheko wangaphandle wokuphicotha. Kwimeko yokuqala, ichaphazeleka ngokupheleleyo, uhlobo lwesibini lwe-pathology lubonakaliswa kubukho be-furuncle. Kodwa zombini iintlobo zesifo zi-otitis zangaphandle-iimpawu kunye nokunyanga kubantu abadala kule ngxaki ziyaziwa kakhulu kwi-otolaryngologist. Ngoko ke, ngokubonakala kweempawu ezincinane zenkqubo yokuvuvukala, kubalulekile ukukhawuleza ugqirha ugqirha ukuze isifo singasasazeka kwindlebe.
Izibonakaliso ze-otitis yangaphandle kubantu abadala
Inkambo yesifo esichaziweyo ihambelana nendlela yayo.
Ngohlobo oluthile lwe-pathology, ezi zilandelayo zibonakaliswa klinikhi:
- intlungu yokuphunga entle;
- kwandisa ukuvakalelwa kwintetho ngexesha lokuthetha kunye nokuhlafuna;
- ubomvu nokuvuvukala kwesikhumba kwenye yeendonga zendlebe yomlomo;
- intlungu yokubhoboza xa ixinzelelwe kwi-tragus;
- ubukho bepemple enkulu kwindlebe;
- ngamanye amaxesha - umkhuhlane nomkhuhlane.
Emva kwithuba elithile lexesha, i-furuncle ivame ukuvulwa, emva koko i-pus iphuma kuyo.
Iimpawu zokusasaza i-otitis media yangaphandle kubantu abadala:
- intlungu rhoqo entendeni kwelinye icala;
- ukutshisa kunye nokutshisa kwinqanaba lomngcingo weendlebe;
- ukuvuvukala kunye nokwandiswa kwee-lymph nodes zendawo;
- ukungonakaliswa kwezinto ezinobunzima;
- ukuqiniswa kwentlungu ngexesha lokutyhulwa kweendlebe, ucinezela kwi-tragus;
- ukuva komsindo;
- ukuvuvukala komsele womlomo wonke;
- ukwanda kancinci kumbindi womzimba;
- ukuqina kwesikhumba sendlebe.
Ukunyangwa kwe-otitis media yangaphandle kubantu abadala
Ukuphuhlisa unyango oluchanekileyo kwisifo esinikezelweyo, kubalulekile ukucacisa i-pathogen eyabangela inkqubo yokuvuvukala.
Indlela efanelekileyo yokonyango kwimeko enjalo ukusetyenziswa kwamachiza asekuhlaleni ngamanyathelo okulwa ne-antibacterial and antitifungal, kuxhomekeke kwimbangela yokugula. Amachiza asebenzayo afunwa kuphela ngama-immunodeficiency states okanye xa umzimba unobuthakathaka, umzekelo, emva kokuxhatshazwa.
Ukongeza kwii-agents ezichaphazela i-antimicrobial, amayeza adibeneyo aveliswa, ukongezelela ukuquka i-horticone ye-corticosteroid. Ziyanciphisa ngokukhawuleza ubunzima benkqubo yokuvuvukala kwaye zinefuthe le-antispasmodic, khawukhawulezise iimpawu zesifo.
Izaphulo zengingqi zengxowankulu nge-otitis yangaphandle kubantu abadala:
- Tsiprofarm;
- Otinum ;
- Normax;
- Otofa;
- Anauran;
- Otypaks.
Izixazululo ezidibeneyo kunye ne-corticosteroids:
- Sofradex;
- Garazon;
- Polidex;
- Candybiotic.
Amaconsi okugqibela akhankanywe nawo anesiphumo sokuqhafaza ngenxa yomxholo we-clotrimazole kubo.
Ukuze unyango lwe-antiseptic lwe-canal yokucwaninga yangaphandle, i-antiseptics njengeClorhexidine ne-Miramistin iyanconywa. Ukuba ukusetyenziswa kwezicombululo akunakwaneleyo, i-otolaryngologists icebisa ukuba amafutha e-antibacterial okanye antifungal amanyathelo afakwe kwiindlebe ezichaphazelekayo:
- Pimafucin;
- Candide;
- Pimafukort;
- Bactroban;
- Mupirocin;
- Supirocin.
Xa unyango lwengingqi aluncedi, i-antibiotics yenkqubo iyalwe:
- Ampicillin;
- Oxycillin;
- Augmentin;
- Cefazolin;
- Amoxicillin;
- Cephalexin;
- Amoxiclav.
Izimpawu zokubhema i-otitis (intlungu, umkhuhlane, i-hyperemia) ivumela ukufumana imali enjalo:
- ezichasayo;
- antihistamines;
- antipyretic .
Kwinqanaba lokubuyiselwa, i-physiotherapy, i-UFO kunye ne-UHF iinkqubo zicetyiswa.
Ngamanye amaxesha unyango luyafuneka. Ukungenelela kokusebenza kwenziwa nge-otitis yangaphandle, xa i-furuncle ingavulwa ixesha elide ngokuzimeleyo kwaye i-pus iqokelela kwisigxina.