I-Otitis media emakati nezinja

I-Otitis media ukuvuvukala kwendlebe ezinjeni, amakati, ezinye izinhlobo zezilwane, nakubantu.

Kungaba ngaphandle (kuthinta indlebe kusuka ku-auricle kuya ku-eardrum), phakathi (umnyango ngemuva kwe-eardrum) nangaphakathi (indlebe yangaphakathi), kwezinye izimo, i-otitis media ingenzeka ngokulimala ezingxenyeni ezahlukene zendlebe ngesikhathi esifanayo. .

• I-acute otitis: ubuhlungu obukhulu kakhulu, ukukhula okungazelelwe nokushesha kwezimpawu.
• I-Chronic otitis media: Ine-symptomatology ecashile, enenkambo ende yesifo enezikhathi ezishintshayo zokukhula kanye nokuxolelwa.

Izimbangela zokubukeka

Kunezici eziningana ezivame ukuhileleka ekuveleni kwe-otitis media. 

Izimbangela eziyinhloko kanye nezici predisposing:

• I-Allergies, njenge-atopy noma i-hypersensitivity yokudla
• Izibungu zendlebe (i-otodectosis)
• Imizimba yangaphandle (isb., imbewu yotshani, isihlabathi namatshe amancane, izinambuzane)
• Ama-neoplasms ku-canal yendlebe kanye ne-auricle
• Ukuma kwendlebe. Indlebe yezinja namakati ijulile futhi igobile. Lokhu kusho ukuthi ukungcola, isibabule kanye nomswakama kunganqwabelana kalula. Ezinye izinhlobo zisengozini kakhulu kunezinye. Kuma-spaniel, ama-setters, ama-bassets, ama-sharpeis, ama-poodle, ama-St. Bernards, ama-Scottish Fold amakati kanye nezinye izinhlobo zezinja namakati anokulenga isikhathi eside, acindezelwe ekhanda, i-auricle ivala ukuvulwa komsele. Ngaphandle kokuma kwendlebe, inani eliningi lezinwele ngaphakathi endlebeni lingadala i-otitis, isibonelo, kumakati asePheresiya, ama-collies, izinja ezimise okwe-spitz. Lokhu kuvimbela ukugeleza komoya futhi kubambe umswakama, okudala indawo ekahle yokuthuthukisa ukuvuvukala. Ngesikhathi esifanayo, izinja ezinezindlebe ezinkulu eziqondile, kodwa izinwele ezimfushane, nazo zingase zibe ne-otitis media uma indlebe ishaywa kahle kakhulu (isibonelo, i-Thai Ridgebacks, i-Bull Terriers, i-Dobermans eboshiwe).
• Isimo sezulu esinomswakama ophezulu, izinga lokushisa lomoya eliphezulu noma eliphansi kakhulu
• Amanzi ezindlebeni: ukuwasha okungalungile, inja itshuza emachibini noma ezindaweni ezineqhwa ngekhanda, igingqika emachibini nasodakeni.
• Ukwakheka ngokweqile kwesibabule emiseleni yezindlebe ngokudla okungafanele kwesilwane esifuywayo, kanye nokukhuthala kakhulu, ukuhlanza njalo nokungafanele kwezindlebe

Ngokuvamile ukutheleleka kwesibili kwebhaktheriya noma ukukhunta kujoyina, okwenza inkinga ibe nzima kakhulu. Ngeshwa, ezinye izinja namakati ahloselwe i-otitis media kungaba nzima ukuphulukisa ngokuphelele futhi ngokuvamile abuyele emuva. Ukuqonda imbangela kungasiza ekwelapheni nasekuvimbeleni isimo.

Izimpawu

Izinja namakati ane-otitis media angabonisa noma yikuphi noma konke okulandelayo:

• Ukuluma ezindlebeni, ukunikina noma ukunikina ikhanda, ukuzama ukuhlikihla ifenisha noma phansi
• Isikhumba esibomvu noma esimnyama, esishisayo, esivuvukele, nesivuvukele ngaphakathi endlebeni
• Ukubonakala kwezikali, ama-crusts, izilonda endaweni engaphakathi ye-auricle
• Izindlebe ezibuhlungu, isilwane asikuvumeli ukuthinta
• Iphunga elingathandeki
• Ukukhipha indlebe
• I-Horner's syndrome - ngokulimala kwezinzwa, ukuphazamiseka kwemizwa kungabonwa, kuboniswa ngokushiywa kwejwabu leso, ukugoqa kwejwabu leso lesithathu, ukucinana komfundi, kanye ne-enophthalmos (ijule kunendawo evamile yeso emzileni).
• Iziyaluyalu ze-Vestibular: i-ataxia, ukuhamba okungaqinile, ubunzima bokuma emkhathini
• Ukutsheka kwekhanda ngasendlebeni ethintekile, indawo yekhanda engeyona eyemvelo
• Ulaka noma ukukhathala

I-Otitis media ingaba isikhathi eside, ibuhlungu kakhulu futhi icindezeleke, futhi ayihambi yodwa. 

Uma kungelashwa, lokhu kungaholela ezinkingeni ezingathi sína ezisukela ekuthelelekeni kwengaphakathi nengaphakathi lendlebe, ukulimala kwesigubhu sendlebe, ukungezwa, ukushaya indlebe kanye namafinyila endlebeni, entanyeni, esihlathini ngenxa yokunwaya, ukungena kanye nokukhula kwezifo zesibili, kuya ukulimala kwezitho ezibalulekile zekhanda (indlebe yangaphakathi ijulile, futhi ubuchopho nezinzwa ziseduze), i-sepsis ngisho nokufa.

Ukwelashwa

Ngaphambi kokuqala ukwelashwa, kuyadingeka ukunquma ukuthi hlobo luni lwe-otitis media isilwane sakho esinaso futhi ukwelashwa kuzohluka ngokusekelwe ekutholweni komtholampilo. 

I-Otitis externa ngokuvamile iphathwa ngokufaka amaconsi noma amafutha okugcoba ngqo endlebeni ethintekile. Amalungiselelo azoqukatha isithako esisodwa noma ngaphezulu kwezilandelayo, kuye ngemiphumela yokuhlolwa:

• Ama-antibiotics - ngokumelene nokutheleleka kwebhaktheriya
• I-Antimycotics - i-antifungal
• Ama-Acaricides - ukuqeda izibungu ezindlebeni
• I-anti-inflammatory - ukunciphisa ubuhlungu / ukuvuvukala
• Ama-Antiseptics - ekwelapheni i-auricle

Ngaphandle kwamaconsi ezindlebeni, udokotela wakho ngokuvamile uzoncoma ukusebenzisa isixazululo senhlanzeko yokuhlanza ukususa i-wax eyengeziwe, ukungcola, nobomvu endlebeni yakho yendlebe. Ngaphandle kokuthuthwa kwendle okufanele, amaconsi ezindlebeni ngokuvamile ahluleka ukungena emseleni futhi enze umsebenzi wawo.

Kwezinye izimo eziyinkimbinkimbi, izinja zithola ukukhishwa okuphelele komsele wokuzwa.

Uma unwaya izindlebe zesilwane sakho esifuywayo kakhulu, kufanelekile ukufaka ikhola yokuzivikela ukuze ugweme ukulimala ku-auricle kanye nokutheleleka.

Kungakhathaliseki ukuthi kufanele uhlanganyele ekuziphatheni ezindlebeni, ngaphandle kokwazi imbangela eqondile eyabangela i-otitis media, ukuhlolwa nokuhlolwa udokotela wezilwane kuzokuvumela ukuba uphathe izindlebe zesilwane sakho ngokushesha nangempumelelo.

Prevention

Ukuvimbela izifo zendlebe kuyadingeka: 

• Hlola izindlebe zesilwane sakho esifuywayo njalo
• Uma kunesidingo, susa izinwele ezingaphezulu (le nqubo yokuhlanzeka yenziwa umkhwenyana ochwepheshe)
• Uma kunesidingo, hlanza izindlebe nge-lotion ehlanzekile kanye ne-cotton swab, noma i-cotton pad egoqwe izikhathi ezingu-2-4. Kungakhathaliseki ukuthi kufanele uhlanze izindlebe zakho nge-cotton swabs bese uhlanza ngamanzi. 
• Lapho ugeza izilwane ezifuywayo, ungamanzisi ikhanda futhi uqiniseke ukuthi amanzi awangeni ezindlebeni.
• Izinja ezine-predisposition to otitis ngesikhathi sokuhamba esimweni sezulu esinama-slushy, iqhwa noma imvula zingagqoka ama-caps ezenziwe ngezinto eziphefumulayo, njengezindwangu ze-membrane ezine-lining noma ngaphandle.