Qhov ua tau zoo ntawm cov tee rau pob ntseg, ua ntej ntawm tag nrho, nyob ntawm qhov kev kuaj mob kom raug. Ib tus neeg ib leeg lossis nrog kev pab ntawm nws cov txheeb ze tsis tuaj yeem txiav txim siab qhov hnyav ntawm cov txheej txheem inflammatory. Qhov no yog vim lub fact tias cov qauv ntawm pob ntseg yog complex.
Ntau tus neeg mob ntseeg tias pob ntseg tee rau otitis media tuaj yeem xaiv nws tus kheej, hais txog lawv txoj kev nyab xeeb. Puas yog tiag?
Cov tshuaj no, zoo li lwm yam txhais tau tias, muaj cov khoom sib txawv. Piv txwv li, muaj cov tee uas tshem tawm qhov mob, nrog rau cov tshuaj tua kab mob thiab lwm yam. Yog li ntawd, yuav tsum tau ua raws nraim li qhov yuav tsum tau kho lossis tshem tawm.
Yog tus neeg mob yws qhov mob hauv lub cev hnov qab tam sim ntawd tom qab da dej, cov tshuaj analgesic yuav ua. Thaum qhov mob mob yog txuam nrog cov kab mob hnyav, tsuas yog tus kws kho mob otorhinolaryngologist yuav tsum txiav txim siab cov tshuaj tsim nyog rau kev kho.
Otitis media
mob pob ntseg hauv tshuaj hu ua otitis media. Tus kab mob belongs rau ENT pathology. Kev kho mob yog ua los ntawm Dr.otolaryngologist. Pathology tuaj yeem txhim kho nyob rau sab nrauv, nrog rau pob ntseg nruab nrab thiab labyrinth.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tus kab mob no feem ntau tshwm sim thaum menyuam yaus, tshwj xeeb tshaj yog ua ntej hnub nyoog 10 xyoo. Qhov no yog vim cov qauv ntawm lub qhov ntswg thiab pob ntseg. Hauv cov neeg mob me, qhov ntswg thiab pob ntseg yog nqaim, thiab thaum lub sij hawm inflammatory txheej txheem, edema kis yuav luag tam sim ntawd. Feem ntau, otitis hauv menyuam yaus yog tshwm sim los ntawm qhov ntswg. Hauv kev sib txuas no, nws yuav tsum tau tshem tawm qhov ntswg qhov ntswg hauv lub sijhawm.
Qhov ua rau otitis media yog staphylococci, streptococci. Tsis tas li ntawd, cov kab mob pathogenic microflora, uas, nrog kev tiv thaiv tsis zoo, dhau qhov kev tso cai, tuaj yeem ua rau mob pob ntseg.
Keeb kwm ntawm otitis yog txawv. Raws li txoj cai, qhov no yog kab mob etiology. Cov kab mob kuj tuaj yeem ua rau otitis (nrog mob khaub thuas, qhua pias) ua ib qho teeb meem. Fungi ua rau tus kab mob tsawg dua.
Dab tsi yog qhov zoo thiab pheej yig pob ntseg tee rau pob ntseg mob rau cov neeg mob? Txhawm rau tshem tawm cov kab mob, tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob, nrog rau cov tshuaj tua kab mob lossis cov tshuaj sib xyaw ua ke. Tus kws kho mob tshwj xeeb tshaj tawm cov kev kho mob tshwj xeeb.
Pros of pob ntseg
Yog tias peb txheeb xyuas tag nrho cov txiaj ntsig ntawm pob ntseg, peb tuaj yeem paub qhov txawv hauv qab no:
- Nyob qhov mob sai sai.
- inhibit kev loj hlob ntawm cov kab mob microflora.
- Ib txwm muaj nyob ntawm lub tsev muag tshuaj.
- Qhia tus nqi qis.
- "Ua haujlwm" ncaj qha ntawm qhov chaw ntawm qhov txhab.
- siv dav.
negative side
Cons:
- Tsis tas li pob pob ntseg tuaj yeem tiv thaiv tus kab mob tag nrho.
- Kev sib xyaw tshuaj, tshem tawm cov tsos mob ntawm tus kab mob, tshwj xeeb yog mob, qee zaum ua rau muaj kev xav tsis tseeb ntawm kev rov zoo.
- Tau ib hnub lossis ob hnub tom qab, qhov mob rov pib dua, tsuas yog muaj zog ntau dua.
Kev kho mob
Kev tshem tawm ntawm otitis yuav tsum tsuas yog ua raws li kev kuaj mob. Tsis yog ib qho poob ib txwm txaus los tshem tawm tus kab mob tag nrho. Tom qab ntawd, cov kab mob otitis uas tsis kho tau dhau los ua mob ntev, thiab qee qhov xwm txheej nws yuav tsum tau mus rau kev cuam tshuam kev phais.
Thaum pib, thaum cov tsos mob tshwm sim, koj tuaj yeem tswj tau txawm tias tsis muaj tshuaj hnyav lossis nrog kev siv tshuaj xws li Otipax. Ntawm thawj cov cim qhia ntawm qhov mob inflammatory, nws yog ib qho tsim nyog yuav tau kho nrog lub teeb Minin.
Kev faib cov pob ntseg pheej yig rau otitis media
Tshuaj muab faib ua pab pawg nyob ntawm cov khoom xyaw nquag. Ntau qhov kev npaj pob ntseg yog qhov nyuaj, nrog rau cov khoom sib txawv ntawm lawv cov teebmeem.
pob ntseg muab faib ua hom hauv qab no:
- Yuav Antiseptic.
- YAntibacterial.
- Anti-inflammatory.
- YAntifungal.
Hormonal
Antiseptics qeeb zuj zus ntawm cov kab mob microflora. Kev poob ntawm pob ntseg yog pheej yig, tab sis zoo - "Furacilin", "Boric cawv". Cov tshuaj daws teeb meem no yog sivnrog kev mob otitis thiab kab mob ntawm pob ntseg sab nraud. Tsis tas li ntawd, cov kws phais mob feem ntau siv cov tshuaj tua kab mob no thaum phais.
Antibacterial tuaj yeem rhuav tshem cov kab mob pathogenic. Cov no suav nrog "Tsipromed", "Polydex", "Normax", "Otofu". Cov tshuaj no tau pom zoo siv rau hauv cov kab mob otitis thiab cov teeb meem purulent.
pheej yig tshuaj tiv thaiv pob ntseg - Otipax thiab Otinum. Cov kev daws teeb meem no tau siv dav rau txhua qhov mob ntawm pob ntseg.
tshuaj Hormonal - "Polydex", "Sofradex", "Dexon", "Combinil", "Anauran". Cov tshuaj no tau muab tshuaj rau tus txheej txheem inflammatory, uas yog nrog los ntawm o.
Antifungal - Candibiotic, Clotrimazole, Terbinafine.
Daim ntawv teev cov pob ntseg zoo thiab pheej yig rau pob ntseg pob ntseg
Tseem tshuaj uas nrov tshaj plaws uas muaj tus nqi qis:
- "Otipax" - 250-380 rubles.
- "Otinum" - 210-280 rubles.
- "Uniflox" - 120 rubles.
- cawv daws ntawm boric acid - 20 rubles.
- "Sofradex" - 320-410 rubles.
- "Polydex" - 220-290 rubles.
- "Anauran" - 270-380 rubles.
- "Otirelax" - 160-310 rubles.
- "Combinil" - 350-390 rubles.
- "Normax" - 140-170 rubles.
- "Otofa" - 180-220 rubles.
- "Dancil" - 150-190 rubles.
- "Tsipromed" - 100-170 rubles.
- "Kandibiotic" - 280-430 rubles.
Los ntawm cov npe saum toj no, nws tuaj yeem sau tseg tias cov tshuaj kim tshaj plaws yog Sofradex, Anauran thiab Combined. Tus so ntawm cov tshuaj raug nqi ntawm 100-280 rubles.
Boric cawv yog qhov kev xaiv nyiaj txiag tshaj plaws. Tab sis nws yuav tsum nco ntsoov tias xws li cov tshuaj cawv tsis yog instilled rau hauv pob ntseg kwj dej. Nws tsuas yog tso cai rau sov lub auricle nrog paj rwb swabs, uas yog me ntsis soaked nyob rau hauv cov tshuaj.
Otinum
Cov tshuaj yog ib qho tshuaj tua kab mob zoo thiab txo cov txheej txheem inflammatory.
Muab "Otinum" hauv cov kab mob hauv qab no:
- Otitis externa thiab otitis media (tus txheej txheem inflammatory uas tshwm sim hauv pob ntseg).
- Tympanitis (qhov txhab ntawm lub pob ntseg nrog cov pob txha pob txha).
- Kev npaj ua ntej yaug lub pob ntseg tawv.
"Otinum" yog pob ntseg pheej yig rau cov menyuam yaus hnub nyoog ib xyoos. Kev txwv ntawm kev siv tshuaj yog:
- Eardrum perforation.
- Kev tsis haum rau salicylates.
- Me nyuam hnub nyoog txog 12 lub hlis.
- Kev cev xeeb tub.
- Lactation.
Cov khoom yog instilled 2-4 tee mus txog 4 zaug ib hnub twg. DurationKev kho mob yog txiav txim los ntawm tus kws kho mob otorhinolaryngologist. Cov kev mob tshwm sim uas cov tshuaj provokes:
- khaw siab;
- redness;
- rash;
- tsis hnov lus.
Uniflox
Ib tshuaj tua kab mob uas tau siv dav hauv otorhinolaryngology. Cov te yog siv los kho ob pob ntseg thiab qhov muag.
Rau pob ntseg, cov neeg laus thiab menyuam yaus hnub nyoog tshaj 12 xyoos feem ntau yog muab 10 tee ob zaug hauv ib hnub rau hauv lub pob ntseg cuam tshuam.
Nrog otitis externa, kev kho mob yog nqa tawm rau 10 hnub, nrog rau mob suppurative otitis media nrog mob perforation ntawm tympanic membrane - rau ob lub lis piam. Cov neeg mob me me los ntawm 1 txog 11 xyoos nrog otitis externa thiab mob otitis media raug muab 5 tee rau hauv pob ntseg mob 2 zaug hauv ib hnub rau 10 hnub. Kev kho cov menyuam yaus yuav tsum tau ua raws li tus kws kho mob saib xyuas.
Cov yam ntxwv ntawm kev siv "Uniflox" thaum muaj kev puas tsuaj rau lub cev hnov lus:
- Ua ntej instillation, sov lub raj mis ntawm koj txhais tes rau ob peb feeb, zoo li thaum siv cov tshuaj txias, kiv taub hau yuav tshwm sim.
- Nws yog ib qho tsim nyog yuav tsum tau instill nyob rau hauv lub supine txoj hauj lwm thiab khaws cia li 5 feeb tom qab instillation kom paub meej tias cov tshuaj nkag mus rau hauv lub sab nraud auditory kwj dej. Yog tias koj xav ua cov txheej txheem nrog lwm lub pob ntseg, ces koj yuav tsum tau ua tib yam.
- Kev loj hlob yog ua tau nrog kev siv tshuaj tua kab mob ntevinsensitive flora.
Yog tias qhov kev kho mob tsis tau pom zoo thaum lub sijhawm kho tus qauv, lossis qhov mob hnyav zuj zus, nws yuav tsum tsis txhob noj tshuaj thiab sab laj nrog kws kho mob tshwj xeeb rau lwm txoj kev kho.
Candibiotic
Complex antibacterial thiab antimycotic tus neeg saib xyuas nrog cov tshuaj loog hauv zos, uas yog siv los kho ntau yam kab mob ENT.
Cov tshuaj muaj tshuaj tua kab mob, tshuaj tua kab mob, nrog rau cov tshuaj tua kab mob, tshuaj loog hauv zos thiab tshuaj tiv thaiv kab mob thaum pob ntseg puas ntawm inflammatory thiab allergic keeb kwm.
Tus cawv ntawm "Kandibiotic" yog vim nws cov khoom xyaw nquag:
- Clotrimazole yog suav tias yog ib qho dav-spectrum antifungal agent.
- Chloramphenicol yog nquag tawm tsam cov kab mob Gram-negative thiab Gram-positive.
- Beclomethasone dipropionate muaj kev tiv thaiv kev ua xua thiab tiv thaiv kab mob.
- Lidocaine hydrochloride "ua haujlwm" ua tshuaj loog hauv zos.
Cov khoom xyaw nquag suav nrog hauv cov qauv ntawm cov tshuaj ua rau nws yog cov tshuaj siv thoob ntiaj teb rau cov txheej txheem mob hnyav nyob rau hauv nruab nrab thiab sab pob ntseg ntawm microbial keeb kwm. Yog tias tsim nyog, hloov "Candibiotic" nrog cov khoom siv dav dav, koj tuaj yeem siv kev sib xyaw ua ke nrog tshuaj tua kab mob thiab tshuaj tua kab mob hauv tee.
Polydex
Cov tshuaj yog ib txoj kev kho mob. Nws cov qauv muaj cov tshuaj tua kab mob: polymexin B thiab neomycin sulfate, nrog rau corticosteroid - dexamethasone.
Cov tshuaj "Polydex" yog siv rau qhov ntswg qhov ntswg thiab mob pob ntseg. Yog tias tsim nyog, cov tshuaj tuaj yeem siv los ntawm cov poj niam hauv "txoj hauj lwm". Cov tshuaj no yog siv los kho cov neeg mob hnub nyoog 2.5 xyoos.
Cov tshuaj yog contraindicated rau kev siv nyob rau hauv kev ua txhaum ntawm lub pob ntseg, nrog rau nce rhiab heev rau cov muaj pes tsawg leeg. "Polydex" tsis pom zoo rau kev tawm tsam kab mob (kab mob), uas yog tshwm sim hauv pob ntseg sab nrauv, suav nrog nqaij qaib thiab kab mob herpes. Cov fungus kuj suav hais tias yog txwv tsis pub instillation.
Cov tshuaj siv ob zaug ib hnub twg nrog lub sijhawm ntawm 12 teev. Tus naj npawb ntawm tee rau ib txoj kev txawv ntawm 1 txog 5. Lub sijhawm kho yog xya hnub.
Ntawm cov kev mob tshwm sim yog cov hauv qab no:
- kev chim;
- xav;
- redness;
- kev txhim kho ntawm cov kab mob fungal.
Anauran
Cov qauv ntawm cov tshuaj suav nrog peb cov khoom xyaw nquag. Ob hom tshuaj tua kab mob - neomycin sulfate, nrog rau polymexin B thiab tshuaj loog - lidocaine.
"Anauran" - pheej yig pob ntseg dauv rau o thiab mob. Cov tshuaj muaj ib tug dav spectrum ntawm antibacterial kev ua si. Cov tshuaj muaj txiaj ntsig zooanalgesic thiab relieves khaus khaus.
Cov tshuaj no tau sau tseg rau kev mob otitis media, suav nrog exudative otitis media. Siv "Anauran" kuj tom qab kev siv cov kev phais ntawm pob ntseg. Thaum lub sij hawm "txoj hauj lwm txaus siab" thiab pub niam mis, kev txiav txim siab siv cov tshuaj yog tsim los ntawm otolaryngologist thiab gynecologist ua ke.
Instill poob mus txog 4 zaug hauv ib hnub. Cov neeg mob me tau pom zoo kom siv los ntawm 1 mus rau 3 tee, rau cov neeg laus cov concentration yuav siab dua - los ntawm 3 mus rau 5 tee hauv pob ntseg cuam tshuam. Lub sijhawm ntawm kev kho mob txawv ntawm 5 mus rau 7 hnub.
Cov kev mob tshwm sim tsawg kawg nkaus. Qee zaum cov neeg mob yws ntawm khaus khaus, nrog rau tev thiab liab. Kev siv cov tee ntev ntev tuaj yeem ua rau muaj kab mob superinfection, ototoxicity, thiab tsis tshua muaj xwm txheej, nephrotoxicity.
Kev txwv kev siv yog:
- tus neeg tsis kam lees;
- cov menyuam yaus hnub nyoog qis dua ib xyoos.
Nws yuav tsum nco ntsoov tias cov tshuaj tiv thaiv kab mob nyuaj rau cov menyuam yaus thaum ntxov tuaj yeem ua rau tsis hnov lus, yog li lawv siv yuav tsum muaj qee yam tshuaj xyuas.
Result
Kab mob ntawm pob ntseg yog fraught nrog teeb meem loj, nrog rau cov txheej txheem purulent. Txhawm rau kom tsis txhob dhau los ua tus tswv ntawm cov kab mob ntev thiab lwm yam teeb meem hauv lub neej, nws yuav tsum tau hu rau tus kws kho mob otorhinolaryngologist hauv lub sijhawm. Tus kws kho mob tshwj xeeb yuav xaiv cov tshuaj uas pheej yig thiab siv tau zoo.
