I-otitis externa, ebizwa nangokuthi indlebe ye-swimmer , iyisifo esivela endlebeni yangaphandle echaphazela cishe umuntu oyedwa kwabaMelika abangu-100. Naphezu kokuxilongwa okuvamile, cishe i-1/3 yazo zonke izimo ziphathwa kabi ngama-antibiotic ngomlomo. Emzamweni wokumisa ukwelashwa kwe-otitis externa, i- American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi kwanyatheliswa iziqondiso ezintsha zokwelashwa ngoFebhuwari 2014.
Izinguquko zisekelwa yizilingo ezingu-12 ezihleliwe kanye nokubuyekezwa okuhlelekile oku-2. Leli phepha lihlanganisa izindlela zokwelashwa ezingcono kakhulu ze-otits zangaphandle, kuhlanganise neziqondiso ezintsha.
Kufanele ugweme ukuzithokozisa njengoba ezinye izimo zezindlebe zingabangela izimpawu ezifana ne-otitis externa. Lezi zimo zihlanganisa:
- Otalgia
- I-otorrhea
- Ukuvuvukala komsele wangaphandle wezindlebe
Ngisho noma izimpawu zalezi zimo zezindlebe zifana ne-otitis externa zingase ziphathwe ngendlela ehluke kakhulu. Ngenkathi i-otitis externa isifo esingaxazululwa kalula nge ukwelashwa okufanele, ukungenakululwa noma ukuphathwa kabi kwe-otitis externa kungaholela esimweni esibi kakhulu esibizwa ngokuthi i- malignant otitis externa . Ukuze ugweme le nkinga, isimo sakho kufanele siqinisekiswe ngudokotela wezokwelapha ngaphambi kokuqala ukwelashwa.
Ngaphezu kokuxazulula ukutheleleka okubangela i-otitis externa, ukwelashwa kugxile ekulawuleni ubuhlungu bezindlebe nezinye izimpawu ezihambisana nalesi simo.
Ezinye izici ezizocatshangelwa ngaphambi kokwelashwa udokotela wakho zingabandakanya:
- Isibungu se- tympanic esonakalisiwe
- Ama-tubes endle (tympanostomy)
- Isifo sikashukela
- Isivikelo somzimba sokuzivikela
- Ukwelashwa kwemisebe yangaphambilini
Ukwelapha Isifo
Njengoba kushiwo ngaphambili, i-otitis externa iyisifo sezindlebe zangaphandle. Kubizwa nangokuthi indlebe yokudoba ngoba kwenzeka lapho amanzi angcolisiwe ehlezi endlebeni yangaphandle futhi enza indawo efanelekile yokuthi amabhaktheriya akhule.
Okugxile ekuphatheni i-otitis externa ukwelashwa kwesifo. Amaconsi endlebe kukhona ukwelashwa okukhethayo. Indlebe yehla lapho umhlinzeki wakho wezokwelapha ezobeka khona kuzofaka imithi yama-antibiotics, i-steroids, noma imithi elwa nokuvuvukala. Kubalulekile ukuba uthole ukwelashwa okusheshayo ukuvimbela amacala we-otitis externa acacile ekusakazeni nasekuholelekeni ku-otitis externa engapheli, ukuphunga induku yendlebe , noma ukudala ama-otitis ama-hormone amahle. Uma i-canal indlebe ivinjelwa, i-ENT ingenza izindlu zangasese zangasese, lapho zingasusa khona i-wax indlebe noma izinto ezivela emgodini wezindlebe ngedivayisi encane yokuthambela kanye ne-microscope.
Ezimweni eziningi ezingezinzima ze-otitis externa, kufanele ulashwe kuphela ngamaconsi endlebe. Ama-antibiotic omlomo awahlinzeki ngezinga elifanayo lokuhlanganisa noma afinyelele endaweni yokutheleleka njengamaconsi endlebe. Ngenxa yokuthi amaconsi endlebe ahanjelwa endaweni yokutheleleka, ukuphulukisa kuvame ukushesha ngokushesha ngamaconsi endlebe uma kuqhathaniswa nokuthatha imithi ye-antibiotic. Amaconsi amaningi avamile asetshenziselwa ukwelapha i-otitis externa yi-Ciprodex (i-antibiotic kanye ne-steroid), i-Floxin (i-antibiotic ), ne- Xtoro (i-anti-antibiotic evumelana ne-FDA entsha).
Ama-antibiotic omlomo anemiphumela emibi kakhulu uma kuqhathaniswa ne-ear ear drop antibiotics futhi ingaholela ezincelweni eziphikisana nemithi elwa namagciwane okungase kube nzima nakakhulu ukuphatha esikhathini esizayo.
Ingabe bewazi ukuthi ukutheleleka okuvimbela ama-antibiotic kungadla cishe u-$ 29,000 ukuphatha? Ama-antibiotic omlomo angabhekwa njengomhlinzeki wakho wezokwelapha uma ukutheleleka kuqalile ukusabalalisa kwezinye izingxenye zomzimba ezingenakufinyelelwa ngamaconsi endlebe.
Kumele uqale uzizwa kangcono emahoreni angu-48 kuya kwangu-72 ngemuva kokuqala ukusebenzisa amaconsi endlebe enqunywe umhlinzeki wakho wezokwelapha. Ungase ube nemiphumela emibi eqhubekayo kepha ungase uzwe emuva kokujwayelekile ngemuva kwesonto lokusebenzisa amaconsi endlebe. Kubalulekile ukuqhubeka nokusebenzisa amaconsi endlebe uma nje ushiwo noma ngabe uzizwa ungcono.
Uma izimpawu zisaphila noma ziba zimbi, buyela kuwe umhlinzeki wezokwelapha ukuze ahlolwe futhi. Ngokuba amathiphu okusebenzisa amaconsi endlebe afunde kahle: Indlela yokusebenzisa i-Ear Drops ngokufanele.
Ukwelapha Ubuhlungu Be-Otitis Externa
Ukulawulwa kobuhlungu kuvame ukutholakala ngokusebenzisa i-analgesic enomqondo ophansi nokulinganisela njenge-acetaminophen noma i-Ibuprofen. Ezimweni ezimbi kakhulu, izidakamizwa noma i-opioids (njengePercocet, Lortab, njll ...) kungadingeka, noma kunjalo, lokhu akuvamile. Akufanele usebenzise i-analgesic (ukuphumula ubuhlungu) izindlebe zezindlebe, njengoba zingasetshenziswanga ngezifo ezisebenzayo. Ezinye izindlela zokwelapha ezingekho-pharmacologic ezifana nokwelapha okushisa / okubandayo, amasu okuphazamisa nezinye izindlela zokuphumula umzimba wakho okwamanje awuboniswa ukuthi uyindlela yokwelapha esebenzayo. Enye yezokwelapha ezinhle kakhulu empilweni empilweni yokuvikela ngokuthola ukwelashwa okusheshayo. Iningi lobuhlungu bakho kufanele lixazulule phakathi kwamahora angu-48-72 ngemuva kokusebenzisa amaconsi e-antibiotic.
Ukuphatha ukuvuvukala
I-otitis externa ingenza ukuba indlebe yakho ibomvu futhi igwetshwe. Njengoba kushiwo ngaphambili, ukwehla kwezindlebe ze-steroid kungasiza ukunciphisa nokulawula ukuvuvukala. Kungakhathaliseki ukuthi indlebe yakho yehla iqukethe i-steroid iningi lokuvuvukala kwakho kufanele ixazulule kungakapheli amahora angu-48-72 ngemuva kokusebenzisa amaconsi endlebeni yama-antibiotic.
Ukuvimbela i-Otitis Externa
Yiqiniso ukuvimbela i-otitis externa endaweni yokuqala kuphakeme kunoma yikuphi ukwelashwa. Ukuze uthole amathiphu ekuvimbeleni lesi simo sifunde: Ngingakwazi Ukuvimbela Indlebe Yokuguquka?
Imithombo:
Rosenfeld, RM, Schwartz, SR, Cannon, CR, Roland, PS, Simon, GR, Kumar, KA, et al. (2014). Umhlahlandlela Wokusebenza Ngokwelashwa: I-Acute Otitis Externa. I-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-DOI: 10.117 / 019459981357083
Imibiko yabathengi, i-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. (2013) Ama-antibiotic omlomo ngezifo zendlebe: Uma ubadinga - nalapho ungenalo. Ukufinyelela: February 19,2014 kusuka ku-http://consumerhealthchoices.org/wp-content/uploads/2013/11/ChoosingWiselyAntibioticsAAOHNS-ER.pdf