Treatment of otitis media leads to dire consequences
The patterns are divided between otitis media acute or chronic inflammation or infiltrative.
It is known that the human ear is composed of three parts, the first of the external ear or 'ear' and function assembly votes and connected through the external ear canal to the thin membrane called the eardrum, which vibrates according to those voices.
The second part is the middle ear, which is a bony cavity in the skull contains three ossicles small, its function amplify the waves caused by the sounds and transferred to the inner ear. The middle ear is connected nasal part of the pharynx by channel Oistaki (Eustachian Tube), and that in the process of ventilation and equalize the pressure behind the eardrum with external pressure so as not to rupture the eardrum.
The final part, which is the inner ear, is responsible for the delivery of acoustic vibrations through the auditory nerve to the brain, which in turn translate these vibrations to the meanings understandable. The inner ear is also responsible for maintaining the body's balance and sense Bodeith, cross-member is similar in function to balance the equator (the balance of the water Bubble level) engineering used in construction.
Otitis
Acute otitis media, many repetitions for children, especially in the early stages of life, where about one-third are children under the age of seven to inflammation of the middle ear from five to six times per year. And less incidence in older age category.
Often what happens acute inflammation after colds or sore throat, leading to clogged channel Oistaki and accumulation of fluid in the middle ear, which represents an ideal compromise for the growth of bacteria.
And sometimes remains fluid accumulated in the middle ear exists even after healing of acute inflammation, and in this case turns into a chronic inflammation, which may result in hearing affected, but temporarily until the demise of the accumulated liquid.
Causes and Symptoms
The reasons for recurrence of the disease in children is attributable to several reasons, including:
• channel Oistaki be shorter, and positioned closer to the horizontal when children helps to access fluids quickly and thus blocked.
• the high rate of child exposure to colds and allergic rhinitis repeated, and thereby increase the discharge as a result of the lack of general immunity among children than adults.
• through the bottle feeding, where a child horizontally, which helps to spill some milk into the middle ear inflammation. The immune be lower among children who receive artificial feeding.
• exercise parental smoking increases the chances of injury.
The main symptoms of otitis media, in the presence of severe pain, which is expressed child screaming and crying, and especially after breastfeeding, as breastfeeding change the pressure in the ear, because the channel Oistaki closes during swallowing, so the child loses his appetite and refuses to eat.
It symptoms also try pulling the ear or rubbed, as well as the emergence of discharge from the ear, which means that the hole has occurred in the eardrum, and notes that the pain decreases with the emergence of secretions, because perforation eardrum relieve pressure caused by the accumulation of fluid in the middle ear, reducing the severity of the pain.
The hearing is also affected slightly, which is late due to an accumulation of fluid in the middle ear. Hearing may be affected is the only existing supply, so parents should be seen, whether at home or if the child complained of not hearing clearly lessons or in public places.
Inflammation complications
Concentrated feared complications occur when inflammation of the middle ear in hearing significantly affected, as well as hardening can occur or a permanent hole in the eardrum. Inflammation may also occur in the back bone of the skull (mastoid) Mastoiditis, and in rare cases may occur inflammation of the membrane surrounding the brain Meningitis «meningitis, is a very dangerous development and must be treated in hospital. May cause inflammation of the middle ear as well as to the seventh nerve inflammation (facial nerve).
Treatment
Treat acute inflammation in his condition be treated medically, by antibiotics, especially varieties with the ability to high concentration in the ear fluid, such as Amoxicillin & Clvulante or Cefuroxime axetil for oral or intravenous Ceftriaxone. The treatment must continue for a period of ten days, even in the case of an improvement. And can give Albarasatamol to relieve the heat and pain, as children chewing gum (gum) may also benefit, as it helps to open channel Oistaki.
In cases of inflammation infiltrative, and with the presence of secretions and accumulation of fluid in the middle ear for a period exceeding three months and affected hearing, can put tubes penetrate the eardrum through minor surgery to speed up the exchange of fluid from the ear. These tubes fall out on their own after a period of six months to a year and a half, and before returning the situation to normal.
Prevention
Can give some vaccines such as vaccine, which protects against respiratory diseases RSV - IGIV or influenza vaccine for children who suffer frequently from ear infections, more than five or six times a year, because the flu infect always children in winter, followed by the injury increase rate likelihood of otitis media. And these vaccines can be given safely to children older than six months.
The prevention by giving doses of antibiotics, are no longer viable .. There are studies to indicate that use increases the resistance of bacteria to antibiotics. At the forefront of prevention methods, non-pharmaceutical or natural breastfeeding for a period of not less than three months, as it raises the level of the child's immune. It must also not to expose the child to nicotine cigarette for long periods, because of its detrimental effect on the whole, in addition to its direct impact on the auditory acuity.
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