Zvipembenene zvakasiyana-siyana zvinotapukira zvinogona kukanganisa kuputika kwakanyanya kana kuderera kwemugodhi wekunze wekunze. Muchiitiko chekutanga, chakakanganiswa zvachose, rudzi rwechipiri rwehutano hunoonekwa nekuvapo kwehuni. Asi mhando mbiri dzechirwere ndeyekunze otitis - zviratidzo uye kurapwa kune vanhu vakuru zve dambudziko iri zvinonyatsozivikanwa ne otolaryngologist. Nokudaro, nechitarisiko chezvinhu zvishomanana zvekuvhiringidza, zvakakosha kuti uone chiremba kuitira kuti hutachiona husapararire munzeve.
Zviratidzo zvekunze otitis muvanhu vakuru
Nzira yekurondedzerwa kurwara inofananidzwa nechimiro chayo.
Neine chirwere chiduku chechirwere, izvi zvinotevera zvipatara zvinoratidzwa:
- kunzwa kuputika munzeve;
- kuwedzera kusagadzikana kwekunzwa panguva yekukurukura nekucheka;
- kubwinya uye kuzvimba kweganda kune rimwe remadziro ekanzwi remvura;
- kunyanya kunyorera kurwadziwa paunomanikidzwa pane tragus;
- kuvapo kwemazana makuru pasi pekunze;
- dzimwe nguva - fivha uye fever.
Mushure mekunge imwe nguva yenguva, furunuru inowanzovhurwa, mushure mokunge pus inoyerera ichibva.
Zviratidzo zvekupararira kwekunze kwetachiona mune zvevanhu vakuru:
- kurwadziwa kunogara munzeve kune rumwe rutivi;
- kuchenesa uye kupisa muhupamhi hwenzeve yekunzwa;
- kuvhiringidzika uye kuwedzerwa kwemukati lymph nodes;
- kuora kwemvura;
- kuwedzera kwekutambudzika panguva yekudzivirira kwezeve, kupfuurira pane tragus;
- kunzwa nenzeve kuoma;
- kuzvirumbidza kwese nzeve ye nzeve;
- kuwedzera kuduku kwekushisa kwemuviri;
- kuwedzera kwezeve nzeve.
Kurapa kwekunze otitis media mune vanhu vakuru
Kuti uwedzere chirwere chakarurama chechirwere chinotaurirwa, zvinokosha kuziva kuti pathogen yakakonzera chirwere chinopisa.
Nzira inoshandiswa pakurapa munyaya iyi ndeyo kushandiswa kwemishonga yemunharaunda neine antibacterial uye antifungal action, zvichienderana nechinokonzera chirwere. Mishonga inoshandiswa inongodiwa chete nehutachiona hwehutachiona hunoti kana kana muviri usina simba, somuenzaniso, mushure mokunge uine hutachiona hwakakomba.
Mukuwedzera kune antimicrobial agents chete, mishonga inobatanidza inobudiswa, uyezve inosanganisira corticosteroid hormone. Zvinonyatsogadzirisa kuoma kwekuvhiringidza kwehutano uye kuva nemagumisiro antispasmodic, kurumidza kumira zviratidzo zvechirwere.
Mishonga inorwisa mabhakitiriya munzvimbo yemadonhwe nekunze otitis kuvanhu vakuru:
- Muprofiti;
- Otinum ;
- Normax;
- Otofa;
- Anauran;
- Otypaks.
Zvinosanganiswa zvinogadziriswa ne corticosteroids:
- Sofradex;
- Garazon;
- Polidex;
- Candybiotic.
Mhedziso yekupedzisira inotaura pamusoro pemadonhwe anewo simba rekudzivirira nekuda kwezvakanyorwa zve clotrimazole mavari.
Nekurapa kwepiriseptic yechipfuva chekunze chekuongorora, zvipembenene zvakadai seChlorhexidine uye Miramistin zvinokurudzirwa. Kana kushandiswa kwemagadzirirwo asiri kukwana zvakakwana, ma otolaryngologist anopa mafuta kuti mafuta anogadziriswa nea antibacterial kana kuti antifungal action anofanira kuiswa munzeve yakakanganiswa:
- Pimafucin;
- Candide;
- Pimafukort;
- Bactroban;
- Mupirocin;
- Supirocin.
Kana chirwere chemunharaunda chisingabatsiri, urongwa hwemishonga inorwisa mabhakitiriya inorayirwa:
- Ampicillin;
- Oxycillin;
- Augmentin;
- Cefazolin;
- Amoxicillin;
- Cephalexin;
- Amoxiclav.
Kusvuta kwezvirwere zve otitis (marwadzo, fever, hyperemia) inobvumira kugamuchira mari yakadaro:
- anti-inflammatory;
- antihistamines;
- antipyretic .
Panzvimbo yekudzikinura, physiotherapy, UFO uye UHF nzira dzinokurudzirwa.
Dzimwe nguva kurapwa kunobatanidzwa kunodiwa. Kushanda kupindira kunoitwa nechekunze kwekunze kwetititis, kana chikafu chisati chazarurirwa kwenguva yakareba zvakasununguka uye pus inounganidza mumugwagwa.