Ukuphathwa kahle kwe-ear ear-eyaziwa nangokuthi i-acute acute media (AOM) - iyonciphisa kakhulu ubuhlungu bendlebe obuzwayo, futhi unciphise ingozi yezinye izinkinga kusuka ekutheleleni okungaqondwanga. Izinketho zibandakanya imithi yokwelapha engaphezu kwe-counter and the anti medication udokotela wakho angayichaza.
Hlola lezi zokwelapha kokubili ubuhlungu nokulwa nokutheleleka, kanye nezinye izifo ongase ufune ukuziqonda.
Imithi yokwelapha ngaphezulu
Ubuhlungu bungenye yezimpawu ezihlupha kakhulu zokutheleleka indlebe. Ama-antibiotics ngeke asize ukulawula ubuhlungu bezindlebe (otalgia) cishe amahora angu-24. Kuze kube yilapho imithi elwa namagciwane ikhona ithuba lokuqala ukusebenza, ungasebenzisa imithi engaphezu kwe-counter ukusiza ukulawula ubuhlungu.
Ibuprofen noma i- acetaminophen yizinketho ezikhethwe izingane. Izingane ezineminyaka engaphansi kwengu-2 ngezinye izikhathi zizwa ubuhlungu izinsuku ezintathu kuya kweziyisikhombisa, ngakho-ke uzofuna ukulungisa ubude bokulawula ubuhlungu be-OTC ukuthi ingane yakho isabela kanjani. Kumele ucele udokotela wakho mayelana nemithi ephikisanayo ukuqinisekisa ukuthi unikeza isilinganiso esifanele.
Ngokuvamile, nansi amanani ajwayelekile we-ibuprofen kanye ne-acetaminophen.
Ibuprofen
- Izingane: 4 kuya ku-10 mg ngekg kube njalo ngamahora angu-6 kuya kwangu-8 njengoba kudingeka
- Abantu abadala: 200 kuya ku-400 mg njalo ngamahora ayisithupha njengoba kudingeka
I-Acetaminophen
- Izingane ezineminyaka engaphansi kwengu-6 ubudala: 10 kuya ku-15 mg ngekg kube njalo amahora amane kuya ku-6 njengoba kudingeka
- Izingane ezineminyaka engu-6 kuya kwengu-12 ubudala: 325 kuya ku-650 mg njalo amahora amane kuya ku-6 (ukungadluli ama-1.625 amagremu ngosuku)
- Izingane ezineminyaka engaphezu kwengu-12 ubudala: 325 kuya ku-650 mg njalo amahora 4 kuya ku-6 (ukungadluli 3.25 amagremu ngosuku)
Ukudosa izingane ngokuvamile kubhalwe ngo-kg (kilogram). Ukubala lokhu, thatha isisindo somntanakho ngamakhilogremu bese uyayandisa nge-2.2. Khona-ke uzodinga ukwandisa isisindo somntanakho ngamakhilogremu ngomthamo ophakanyisiwe ngekhilogramu.
Uma usebenzisa imithi yoketshezi, uhlangothi lwebhokisi luhlonza ukuthi zingaki ama-milligram ezi-milliliter ngayinye. Ungakwazi ukudweba inani elifanele noma isiphuzo noma uthele indebe yomuthi.
Imigomo
Ukuthola ukutheleleka kwezindlebe kuzodinga ama-antibiotics. I-Amoxicillin ibe yinto ephumelelayo yokukhetha kuqala iminyaka engaphezu kwengu-25. Ihlanganisa i- S. pneumonia kodwa hhayi eminye yezinye izifo ezitholakala emphakathini ezitholakale ezingavamile: okungenakulinganiswa H. influenzae noM . Catarrhalis .
Kodwa-ke, i-amoxicillin ivame ukuphumelela ekwelapheni ukutheleleka kwezindlebe futhi okunye okukhethwa kukho kungase kungadingeki ngaphandle kokuthi unesifo somzimba ku-penicillin . Uma unomdlavuza we-penicillin, udokotela wakho angakunikeza cefdinir, cefpodoxime, cefuroxime, noma ceftriaxone.
I-Amoxicillin Isilinganiso
Ukulingana okujwayelekile kusekelwe ebuchosheni bokutheleleka indlebe. Kubantu abadala:
- Kulula ukulinganisa: 500 mg njalo ngamahora angu-12
- Okukhulu: 875 mg njalo ngamahora angu-12
Kubantwana:
- 80-90 mg / kg ngosuku ngosuku lokuhlukaniswa kwama-2
Kunamanye amafayili okugadluza udokotela wakho angase afune ukuyisebenzisa ngokususelwa kumpawu zakho noma umlando wangaphambilini wezokwelapha. Ukutheleleka okukhulu kwezindlebe ngokuvamile kubhekwa njengokulahlekelwa okukhulu kokuzwa, ukushisa okuphezulu, noma ubuhlungu obukhulu bezindlebe.
Amaconsi endlebe
Uma imithi yokuhlunguphaza ngokweqile ingakwaneli ekulawuleni ubuhlungu, udokotela wakho angase abeke amaconsi endlebe anesifo sokuzibulala.
Kubalulekile ukwazi ukuthi akufanele usebenzise noma yikuphi amaconsi endlebe nge-anesthetics uma unamapayipi endlebe endaweni.
Isikhathi sokwelashwa
Ukwelashwa kuzovame ukugcina izinsuku ezingu-5 kuya kwezingu-7 ukutheleleka indlebe ejwayelekile. Kodwa-ke, udokotela wakho angase anikeze izinsuku ezingaba ngu-10 ukutheleleka okukhulu kwezindlebe.
> Imithombo:
> I-otitis yemidiya enhle kubantu abadala. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (ukubhalisa okudingekayo). Kubuyekezwe ngo-Ephreli 19, 2017.
> I-otitis media enhle kubantwana: Ukuxilongwa. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (ukubhalisa okudingekayo). Kubuyekezwe ngo-Okthoba 13, 2017.
> Lieberthal, AS, iCarroll, i-AE, i-Chonmaitree, i-T, i-Ganiats, i-TG, i-Hoberman, i-Tunkel, i-DE. (2013). Ukuxilongwa Nokuphathwa Kwe-Acute Otitis Media. Izifo zesifuba 131 (3), e964-e999.