How many otitis media are treated in adults

Treatment of otitis in adults. Effective treatment of otitis

Otitis is an inflammatory ear disease. In order to understand why the disease occurs and what processes are taking place, consider the anatomical structure of the hearing organ and the process by which it perceives information.

Ear structure

The human ear has a very complex structure, which can be divided into three sections: the outer, middle and inner ear. The outer ear is the auricle, which perceives sound waves, directing them into the external auditory canal. The outer and middle ear are separated by a tympanic membrane, which conditionally represents a hymen or a film.

The middle ear is a cavity, a space in the temporal bone with three hearing bones located in it - a hammer, an anvil and a staple. It should be noted that the middle ear is closely related to the nasopharynx. Functionally, bones strengthen the received sound vibrations and transmit them to the inner ear. The inner ear is a labyrinth of membranes in the stony section of the temporal bone with many bends filled with liquid. The vibrations coming from the middle ear are transferred to a liquid that already affects the receptors. So information is transmitted to the brain in the form of nerve impulses.

The concept, types of otitis. Causes

Otitis is a disease that can develop in any of the three parts of the ear, depending on the place in which the inflammatory process occurs, distinguish:

1. Otitis of the external ear.
2. Otitis of the middle ear.
3. Inflammation of the inner ear (or labyrinthitis).

Causes that contribute to the onset of the disease or aggravate its course, many, but the main ones include:

• diseases of the nasopharynx, leading to swelling and inflammation of the mucous membranes of the middle ear;
• diseases that suppress and weaken the immune system (influenza, measles);
• supercooling;
• getting into the ear of cold water;
• trauma and various injuries of the tympanic membrane, which may cause infection in the middle ear cavity;
• genetic predisposition.

By nature, the causative agent causing the disease, otitis is divided into:

1. Viral.
2. Bacterial.
3. Fungal.

Let us consider in more detail the inflammatory processes that occur in each of the three parts of the human ear, the symptoms and possible complications of otitis.

External otitis media. Classification. Symptoms

External otitis is an inflammation of the skin of the auricle along with the external auditory canal, which is caused by a bacterial or fungal infection. There are two types of external otitis media: limited and diffuse.

In most cases, limited inflammation is represented by furunculosis - the formation of boils. Furuncle - acute purulent process of the sebaceous gland or hair follicle, caused by pyogenic bacteria. If there are favorable factors in the human body, including chronic infection, diabetes mellitus, local trauma and skin contamination, insect bites, staphylococcal microflora begins to actively provoke the inflammatory process.

Sometimes the disease is a complication of a previous flu or may be caused by an allergic reaction to medications. Signs of external otitis are itching; pain that occurs when touching an inflamed ear; redness and swelling of the skin of the external auditory canal, or auricle; sometimes the temperature may rise body. Hearing, as a rule, while not suffering.

Spilled otitis externa is an inflammation of the external ear, which very often can spread to the eardrum.

According to the duration of the disease, the external otitis is classified into acute and chronic. The latter is a consequence of the lack of treatment or incorrect treatment of the acute form of the disease.

Otitis of the external ear is considered to be the mildest type of disease in comparison with otitis media of the middle ear and internal otitis media and often does not lead to serious complications, although sometimes it can cause an increase in the lymph nodes system. Inflammation of the mucosa grows into a malignant form (tissue necrosis) in the presence of a person associated with severe functional diseases (diabetes) or the virus of immunodeficiency. But such cases, fortunately, are rare.

Otitis media. Classification and symptoms

Of all forms of otitis, both in children and adults, inflammation of the middle ear is most common. As noted earlier, the nature of the disease can be bacterial and viral. Among the bacteria, the main pathogens are streptococci or a hemophilic rod. To viruses that cause inflammation, you can include rhinovirus, influenza virus or respiratory syncytial virus.

The first signs of inflammation of the middle ear are pulsating, shooting or aching pains in the organ, which are intensified by swallowing, sneezing or coughing. Characteristic for this disease is also noise in the ear, weakness, sleep disorder, lack of appetite, severe deterioration of hearing.

In general, the inflammation of the middle ear is the result of a previous cold or flu, in which the immunity decreases and the number of bacteria in the nasal cavity increases. The nasal cavity is connected with the middle ear by the auditory tube, in which liquid and various microorganisms accumulate, which trigger the onset of the inflammatory process. The tympanic membrane undergoes pressure and expands in volumes to the outside, which causes pain.

The course of the disease can be different in speed of development, as well as in duration, according to what distinguish:

1. Acute otitis media (the ear accumulates fluid). This is the reason for the audibility of your own voice in your head.
2. Chronic otitis (the ear is filled with pus).

Acute otitis media. Forms

If the inflammatory process is classified according to the nature of the course (clinical picture), then the otitis can be catarrhal or purulent, thus, the development of the disease undergoes three stages - acute catarrhal otitis, acute purulent otitis and stage recovery.

Acute catarrhal otitis is an inflammatory process associated with the localization of fluid in the middle ear cavity. For this form of the disease, in addition to pain and increased body temperature (38-39 ° C), reddening and swelling of the tympanic membrane, ear congestion are characteristic. The patients note that they hear their own voice in the head during the conversation.

The appearance of foci of pus and its accumulation in the cavity of the middle ear is acute purulent otitis. Treatment for the first 2-3 days is not carried out, because as usual during this period, the eardrum ruptures and the pus outward. In this case, the patient becomes better, the body temperature returns to normal, the pain stops. In addition to pus, blood and serous discharge can be observed. If the course of the disease passes without complications, then the third stage comes in - a recovery stage.

With the onset of the reconstructive stage, the inflammatory process decreases, the suppression stops and a progressive tightening of the damaged membrane occurs. If the treatment of otitis in adults passes in accordance with the appointments and under the supervision of a specialist, then recovery occurs in 2-3 weeks. By this time, the rumor, as a rule, is fully restored.

Chronic otitis media. Stages of

If untimely or insufficient treatment, acute otitis becomes chronic. Otitis chronic is an inflammatory process, which is characterized by a permanent or recurrent suppuration from the ear. This type of otitis, in addition to already known symptoms, such as: high fever, itching, deterioration of the general condition, there are inherent complications in the form of hearing loss and persistent perforation of the drum webbeds. Usually the chronic course of the disease is a consequence of previous sinusitis or acute purulent otitis media. In some cases, this form of otitis occurs as a result of rupture (or perforation) of the tympanic membrane or curvature of the nasal septum after the injury. Depending on the localization of the perforation, and also on its size, three stages of chronic otitis are distinguished:

1. Tubotympanal otitis (mesotympanitis).
2. Epimezotimpanit.
3. Epitimpanitis.

With tubotimponal form of otitis, the violation of the tympanic membrane occurs, as a rule, in the central part, and the pathology is manifested by inflammation of the mucous membranes of the tympanic cavity. Inflammation does not affect bone tissue.

Epimezotimpanit - a stage of chronic otitis, in which there is extensive perforation of the tympanic membrane, the damage affects its upper and middle divisions.

Epitimpanoanthral form of otitis is characterized by rupture of the upper, most pliable and fragile areas of the membrane. This stage of the disease, as well as epimezotimpanit, is dangerous by the occurrence of pathological processes associated with the formation of granulomas, polyps and cholesteatoma - a capsule filled and surrounded purulent particles of the epidermis, which, constantly expanding, presses on the tympanic membrane, destroys the bone component of the middle ear and opens the "road" to the purulent process in the inner ear.

In addition, there is another form of inflammatory process - bilateral otitis - a disease that simultaneously affects the hearing organ from both sides.

If we consider the existing complications of the disease, the perforation of the tympanic membrane is the most common. With prolonged accumulation of pus there is an increase in pressure in the middle ear, resulting in the membrane becoming thinner. There is a risk of its rupture (perforation). To prevent the transition of the inflammatory process to the stage of internal otitis and to avoid subsequent development of serious pathologies, it is necessary to resort to the puncture of the tympanic membrane surgically, and not to wait for the moment when this happens spontaneously.

Inflammation of the inner ear. Symptoms

Internal otitis has another name - labyrinthitis is a disease that occurs less frequently in comparison with otitis of the external and middle ear, but is the most dangerous in terms of the threat to health and life rights. Purulent processes that affect bone tissue can cause severe complications, for example, meningitis (inflammatory process in the brain envelopes) or sepsis (blood infection due to falling into the her pus). As a rule, the internal otitis media is the result of complications of previous otitis media, or the consequences of a serious infectious disease. High body temperature, severe headache and vomiting, loss of balance - these are all symptoms of internal otitis, in which it is necessary to seek help from a specialist as soon as possible. In addition, with such forms of the disease, there is a sharp deterioration of the hearing until its complete loss.

In order to make an accurate diagnosis and, consequently, to prescribe the correct treatment regimen for the patient, doctors resort to otorhinolaryngological examination and laboratory tests.

Diagnosis of otitis. Surveys and studies

Laboratory diagnostics is carried out mainly in order to establish the nature of the origin of otitis - bacteriological or virologic. With the serological reaction of blood serum and polymerase chain reaction, antibodies to pathogens are detected. Also, the results of a general blood test will show the presence or absence of an inflammatory process in the body.

The basic instrumental methods of otitis diagnosis:

• Tympanocenosis is the study of fluid obtained by surgical puncture of the membrane. The procedure allows you to determine the antibiotic needed to fight a particular type of infection, but in practice it is not often used.
• Tympanometry - checking the mobility of the tympanic membrane.
• Otoscopy - examination of the tympanic membrane and auditory passage by means of an otoscope.
• Audiometry is the definition of hearing acuity when suspected of reducing it.
• Computer tomography of the brain and skull structure (CT), magnetic resonance imaging (MRI) - are used in case of suspicion of suppurative inflammatory processes and intracranial complications, help to diagnose the formation of various pathologies - polyps, cholesteanomas and so on.

Conservative treatment of otitis in adults

To avoid the development of complications and to achieve recovery with minimal waste of time and effort, otitis should be treated in a timely manner, in fact, like any other disease. For each form of the inflammatory process, a special treatment is provided, with its own procedures and medical preparations.

Otitis of the external ear is treated out-patient, with the use of drops, which contain an antibiotic. Sometimes antibiotics can be prescribed together with corticosteroids or antihistamines, if the disease is caused by an allergic reaction. There are also procedures for washing the ear canal with an antiseptic solution. If this therapy does not lead to recovery or is not possible due to severe edema of the ear canal and face cellulite, oral medications are prescribed. At elevated body temperature, antipyretic agents are used, as well as analgesics if pain syndrome is present. In rare cases, with the formation of purulent inflammation of the external ear tissues, surgical intervention can be indicated.

Elimination of inflammation in the middle ear in the normal course of the disease is outpatient. Treatment of otitis in adults is performed with the appointment of antibiotics, antiseptics and bed rest. To reduce the painful syndrome, a warm 96% alcohol is used as a drop (this procedure is contraindicated in suppuration). For topical administration, physiotherapy is prescribed, it is also possible to use a blue lamp. It will be superfluous and warming the compress in otitis (alcohol, vodka or based on camphor oil), which should be kept no more than 3-4 hours. It must also be remembered that you can not put a compress at an elevated body temperature.

If the disease does not go without complications, then the patient will show signs of acute otitis - the purulent otitis will develop. Treatment can be continued with the help of antibiotics or by surgical intervention.

Surgical intervention

Sometimes it happens that conservative treatment of otitis in adults does not lead to an improvement in the patient's condition. In such situations, a surgical dissection of the tympanostomy is performed. This manipulation makes it possible to avoid complications, since the puncture is done at a favorable and correct point, pus goes out through a specially installed tube, and the pain syndrome decreases, and recovery comes faster. In addition, the biomaterial (festering isolates) is subject to a laboratory bacteriological study for sensitivity to antibiotics. If, after the performed procedures, the acuity of hearing is not restored, purges and pneumatic massage can be prescribed.

There are cases when there is a natural rupture of the tympanic membrane. This is observed mainly with inflammation of the middle ear and requires immediate surgical intervention.

With tubotimponal form of otitis, the task of surgical treatment is restoring the integrity of the tympanoplasty using tympanoplasty using its own cartilage.

Epitimpanoanthral form of otitis is associated with destruction of bone tissue. In such a course of the disease, the goal of surgical intervention is to remove bone pathology and restore the tympanic membrane using prostheses made of inert materials (titanium).

Internal otitis is the result of ineffective treatment of otitis media and is dangerous due to purulent complications with damage to the membranes of the brain. Therefore, in such forms of the disease, hospitalization of the patient with further surgical care is necessary.

It should be remembered that prevention is always better than treatment. Prevention of otitis can be the timely elimination of foci of infection within the body (caries, sinusitis), as well as the elimination of hypothermia. When the first signs of the disease appear, it is important to immediately seek medical help from specialists.

syl.ru

Treatment of otitis media in adults

Diseases of the ear cause a lot of trouble for a person. The term "otitis" is used to refer to any infections that penetrate the hearing organs. This disease can be internal, middle or external. The type of ailment depends on the part of the ear that is affected, and on the time of its destructive effect. How to treat otitis media in adults, it is necessary to know in order to relieve yourself of pain in time.

How to treat otitis media at home

To begin treatment of an otitis at adults, it is necessary with recognition of illness. With this disease there is pain, the ear starts to itch and shoot, inflammation occurs. Self-medication should not be dealt with, but manifestations of the symptoms of the disease should be immediately clearly noticed, in order to provide first aid. Symptoms of the disease are manifested by its type:

1. External otitis media. Characteristic pain in the organs of hearing, itching in the region of the auricle, purulent discharge and unpleasant odor. On the skin of the ear there is peeling, swelling and redness. In this case, a person normally hears.
2. Otitis media is divided into two groups. Acute suppurative otitis media is characterized by painful sensations inside the ear. The nature of the pain can be different: aching, stitching, throbbing. It is able to localize in the areas of the jaw, temple, nape. In addition, there is an increase in body temperature. If too much pus accumulates inside the ear, then the perforation of the tympanic membrane and the release of purulent formation can occur. Chronic form of the disease brings worsening of hearing, leads to complications. It is recognized due to the constant flow of pus.
3. Adhesive and allergic otitis. With such inflammation, there is a noise in the ears, a constant decrease in the level of hearing, a headache, weakness, the appearance of adhesions.
4. Internal otitis media is a complication of the middle. This type of ailment is not accompanied by pain, there is a loss of hearing and dizziness.

Treatment of otitis should begin with the appearance of the first symptoms, before complications can occur, and the disease does not change from acute to chronic. Cope with the disease you can and sitting at home, as prescribed by a doctor of suitable means. A large range of medicines is used for the fight:

• drops;
• compresses;
• antibiotics inside;
• homeopathic remedies;
• as a supporting therapy - folk remedies.

Ear drops

Cure the outer or middle otitis easily with the help of ear drops. By composition, such drugs can be single-component (contain only antibiotic) or bicomponent (antibiotic and anti-inflammatory substance). Examples of such drugs are Otoposarin, Polidex. Drops in the ears with otitis are considered to be an effective medication. There are many drugs designed to get rid of the disease. There are drops from otitis in adults, which are used more often than others:

1. "Normaks." In the composition - norfloxacin, auxiliary substances. Indications for use - external, medium (acute and chronic), internal otitis. To drip it is necessary on 1-2 drops 4 times / day in a sick ear. The price: 100-140 р.
2. "Otofa". Contains rifamycin sodium and other substances. Indications - external, medium acute, average chronic otitis media. Dosage of application - to drip in an ear on 5 drops 3 times / day. You can pour the medicine in your ear for about 2 hours. Price: 170-220 rubles.
3. Sofredex. The composition is rich: Framicetin sulfate, gramicidin, dexamethasone. It is used for otitis externa. Drip 2-3 drops 3-4 times / day. You can use compresses, laying the ear passage with a gauze swab with the medicine. The price: 290 р.
4. "Anotite." In the composition - levomitsetin, boric acid, lidocaine hydrochloride, auxiliary substances. Indications - external, purulent middle, purulent otitis media. It is applied on 4-5 drops 3-4 times / day. The price: 40-50 р.

Antibiotics

Such medications are required for an average, diffuse, secretory form of the disease, when some drops do not help. Antibiotics can be used to treat bilateral, viral and fungal otitis media. These drugs fight inflammatory processes that have arisen in the field of auditory organs, some are capable of anesthetizing. It is recommended not to take antibiotics for more than 5 days. Increase the effect of drugs through additional drugs or folk remedies. Among the antibiotics used to treat otitis media are:

• "Spiramycin" (take 2-3 times / day for 1 capsule, price: 205 rubles);
• "Ampicillin" (drink 4 times / day for 1 capsule, price: 22 rubles);
• "Ciprofloxacin" (inside 2 times a day for 1 capsule, price: 14 rubles);
• other popular antibiotics may be used.

Other medicines

In addition to the above listed tools, treatment of otitis media of the middle ear in adults and the external type of the disease is carried out using other affordable, inexpensive but effective methods. You can use boric acid or boric alcohol. The medium is heated to body temperature by lowering the vial into warm water. Then the medicine is digested into the ear passages by pipetting 3 drops. To prevent the drug from flowing, put cotton swabs in your ears. Boric acid in otitis relieves inflammation and pain syndrome, is suitable as a first aid in the manifestation of signs of the disease.

People's means

When some medicamental methods are not enough, proven methods of treating otitis in adults come to the rescue. People's means are great, each has a special effect. Such methods should be used correctly for the first symptoms or as part of a comprehensive therapy. Sometimes you can do only with folk remedies, but it is better to use medicines from the pharmacy. Here are some natural "preparations" for solving the problem:

1. Tincture of birch buds. To prepare, you need to insist 10 g of birch buds for 200 ml of vodka or alcohol. Use the medicine after a week. Obtain the product with a wet tampon and place it in your ear. To remove pain, several procedures are required.
2. Propolis tincture. The medicine will come to the rescue with severe pain. Preheat the preparation, drip 2 drops in both ear canals, then place in the ears cotton swabs. The remedy should be kept for 15-20 minutes.
3. Sugar smoke. Original remedy. Take a tin lid without gum, pour 1 tbsp. l. sugar and place on a burning stove. When the smoke appears, fold the newspaper into a tube, place it above the smoke, hold the ear to the hole. The procedure should be at least 5 minutes. After its termination, warm your ear.

Homeopathy

Herbal treatment is gradually gaining popularity in modern society. Not uncommon and homeopathic pharmacies. Each method of treating otitis in adults - homeopathy and herbal medicine - is considered quite safe. Nature is a storehouse of useful substances. Treat the disease with the help of herbs should be after a consultation with the doctor to prevent complications. What natural means to use:

• aconite - if there is a tingling and pain in the hearing;
• belladonna - with an average otitis, strong pulsating and tearing pains, buzzing, swelling near the ear;
• Pulsatilla - for recovery with a decrease in hearing, a sense of congestion in the ear canal, purulent and bloody discharge;
• at very strong pains - ferrum fostorika.

How to treat otitis in pregnant women

There are two important features that distinguish otitis treatment in pregnancy. The first is that the benefits to the body of the medicine must exceed the harm. Everything is done so that the fetus does not suffer. If the otitis media is severe and severe, antibiotics are prescribed. They should be chosen by the doctor in accordance with the timing and course of pregnancy. In time, untreated otitis results in perforation of the tympanic membrane. Catarrhal (exudative) otitis is treated easier - by blowing or pneumomassage, without perforating intervention.

For treatment of otitis in adults, local treatment is also prescribed. To do this, use turundochki, which are placed in the ear. Together with this device, a tampon moistened with the medicine is used. Please note that the drug was approved during pregnancy. Treatment prescribed by a doctor is allowed to be supplemented with folk remedies. Natural medicines will not only alleviate the symptoms, but will also benefit the body overall. Treatment of otitis during pregnancy should be approached with all responsibility.

Video: what to do when the ear hurts

Inflammation of the organs of the auditory system occurs frequently. Treatment is often effective and passes easily, but complications also arise. Everything depends on the place of origin and severity of the disease. Treat the infection in the hearing aid immediately so that severe complications do not appear. There are a lot of funds that can lead you to recovery. These are tablets, drops, ointments, decoctions, compresses. With a light otitis can help drop, if the case is more serious, you will have to take antibiotics. From the video below you will determine which means are best used in the complex.

sovets.net

Effective treatment of otitis in adults

Inflammation of the middle ear or otitis is most often attributed to childhood diseases, but it often occurs in adults. Treatment of otitis in adults is not much different from the treatment of otitis media. This disease may appear due to the activity of streptococci or pneumococci, as well as otitis media can be viral in nature or appear as a complication of hypertrophic processes in nasopharynx. At the same time, the function of the Eustachian tube is disrupted and resistance is reduced.

Course of the disease

1. The onset and development of inflammation in the middle ear. Symptoms of otitis - pain in the ear, a slight increase in temperature, sleep, appetite decreases, there is a general malaise. The tympanic membrane is hyperemic and protrudes into the region of the auditory canal.
2. Perforation of the tympanic membrane, excretion of pus. Symptoms at this time: shooting pain in the ear. Pain can last for 5-7 days, after which it subsides and reduces inflammation.
3. Reconservation, i.e. Gradually, the excretion of pus stops. There is an overgrowth of the tympanic membrane, and all the physiological processes in the ear are restored.

Healing measures

Treatment of otitis in adults is carried out depending on the pathogen and the severity of the disease. If the inflammation is caused by the activity of bacteria, then antibiotic therapy is used. With viral otitis treatment will take time and will be more difficult.

In some cases, myringotomy is performed - this is a minimally invasive operation. In this case, a small plastic tube is inserted into the tympanic membrane. With its help, the remainder of the liquid is removed at this point, thereby reducing the pressure. The tube remains for some time in the ear and after a certain period falls out of the ear on its own, without bringing discomfort to the patient.

Sometimes the cause of otitis may be the proliferation of adenoid tissue, in this case, an operation is performed to remove adenoids, but this condition is typical of childhood.

In general, otitis treatment can proceed according to the following scheme:

• drops from inflammation;
• antibacterial therapy;
• sulfonamides;
• if necessary, antipyretics;
• painkillers;
• vitamin complex;
• the use of compresses, they are usually alternated: first warming, and then for a few minutes a cold compress;
• Locally you can dig in boric acid, but it is better to consult a doctor beforehand.

Drops in the ears with otitis

Ear drops in otitis in its effect and composition are divided into three groups:

1. Combined preparations. They contain glucocorticoids. This is Sofraks, Anauran, Garazon, Polidex, Dexona, and others.
2. Monopreparations. They include non-steroidal anti-inflammatory drugs, such drops as Otinum, Otipax.
3. Preparations with antibiotic content: Otofa, Normaks, Tsipromed, Fugentin.

Combined ear drops are used for inflammation of the middle and outer ear, with acute or chronic disease. Most often instilled with a pipette. But it should be noted that drugs containing glucocorticoids, children and pregnant women are rarely prescribed and only in the most extreme moments.

Side effects:

• peeling of the skin in the ear;
• itching and burning in the place of instillation.

But such conditions are considered a rarity, since the combined drops are discharged in small doses and for a short time.

These drugs, for example, Sophradex, are intended for instillation into the eye. In addition to anti-inflammatory action, Sofrax has antibacterial and anti-allergic properties. Apply it on 3-4 drops 2 times a day, not more. Like any other drug, Sofradex can have side effects of a local allergic nature - burning, itching, redness, and the like. Monopreparations are also anti-inflammatory, apply them 3-4 drops 2 times in day. Virtually no side effects.If the patient has a damage to the tympanic membrane, droplets containing salicylic acid are not prescribed, since there is a high probability of hearing loss.

Drops with antibiotic content are used for microbial infections of the external and middle ear, with purulent otitis and chronic disease. Antibacterial drops, for example Normax, can have side effects, such as:

• a small rash on the skin;
• itching and burning at the site of the drop;
• angioedema.

If these manifestations are present, stop taking the medication immediately and seek medical help. Only the attending physician will be able to correctly assign the necessary funds.

Antibacterial drugs

The doctor can prescribe, in addition to drops, also antimicrobials for oral administration. But these drugs are prescribed only after the correct diagnosis. Also, the place of inflammation plays an important role. With inflammation of the middle ear, the following antibiotics are recommended:

1. Amoccicillin. This antibiotic struggles with the inflammatory process and the bacteria it caused. Adults are given capsules three times a day after meals. Usually the course of admission is 7 days.
2. Ampicillin trihydrate. Form release - powder, tablets or capsules. Contraindications - pregnancy, lactation, renal or hepatic insufficiency. Of adverse reactions, allergic reactions, diarrhea, in rare cases anaphylactic shock, headaches and dysbiosis.

Chronic otitis is characterized by a protracted manifestation of the disease, so another group of antibiotics is prescribed here.

Ciprofloxacin. This drug is used in many inflammations. Ciprofloxacin is not prescribed for pregnant women and people under the age of 18 years. If the drug is prescribed to a nursing woman, then you should stop feeding for the period of treatment. Adverse Reactions:

• diarrhea;
• nausea and swelling;
• dizziness;
• fatigue;
• sleep disturbance;
• tachycardia;
• skin rash;
• candidiasis.

If an overdose occurs, then an emergency gastric lavage is prescribed.

Nethylmycin. Apply it in injections. The injection is done 2 times a day in the ear area. The course of use depends on the severity of otitis media and lasts up to 14 days. Of the side effects can occur local allergic reactions, and then very rarely. Do not use Netilmitsin pregnant and lactating women, newborns and old people.

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http://www.youtube.com/watc? = gQ4Mw7IUgR0

Applying all preparations of antibacterial action, remember about adverse reactions of any antibacterial agent - it is a dysbacteriosis; To treat otitis in adults is necessary in conjunction with probiotics.

A number of complications that may occur with otitis media

1. Mastoiditis. Inflammatory process in the cells of the mastoid process. This complication occurs after 6 years of age.
2. The penetration of pus into the area of ​​the skull through the passage between the pyramidal and temporal bone.
3. Chronic course of the disease.
4. The emergence of adhesions and scars, from which the hearing in a person decreases.
5. Persistent dry perforation of the tympanic membrane.
6. Inflammation of the pyramidal bone (petrosite).
7. Paresis of the facial nerve.

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http://www.youtube.com/watc? = gvTN8dLxyjE

Prevention of otitis includes simple rules that can be easily observed without visiting a doctor. Regularly flush your nose, you can use ordinary boiled water or special nasal sprays to remove bacteria. These sprays contain xylitol, which fights bacteria. Doctors advise using gum with xylitol.

lor03.ru

Otitis of the ear: types of otitis and causes of development

• Otitis in children
• Otitis in adults
• Treatment

Ear Otitis is an ENT disease of the hearing organ, characterized by an inflammation of one of the ear sections connected together.

The reasons for the development of otitis media can be very different, ranging from mechanical damage and improper personal hygiene, to serious complications arising from acute respiratory infections, influenza and colds.

Few people know, but even a common runny nose in neglected form can become the beginning not only of maxillary sinusitis, but also of otitis media.

Let us consider in more detail what otitis media are and what types of this disease are encountered.

The structure of the human ear is divided into three interconnected parts, which bear the following names:

• external ear;
• middle ear;
• inner ear.

Depending on the specific part of the body the inflammatory process is taking place, in medicine it is customary to distinguish three types of otitis:

• outer;
• average;
• interior.

Ear canitis: symptoms of the disease in children

Otitis in children (see the photo on the left) occurs much more often than otitis in adults whose symptoms are identical. First of all, this is due to the not fully developed structure of individual tissues and parts of the hearing organ.

Also, the symptoms of otitis media (also called inflammation of the middle ear) are observed in children with reduced immunity or due to complications of viral, colds, flu.

As already noted above, the disease is divided into three types. For each type of otitis, adults and children have their own symptoms and signs.

Whenexternal otitis media, the causes of which are often violations of the rules of personal hygiene of the child, microtrauma of the shell of the ear, internal boils, observed:

• elevated body temperature (up to 39 ° C);
• chills;
• the child's refusal to eat;
• capriciousness and irritability;
• poor sleep;
• unreasonable crying;
• puffiness and redness of the auricle;
• the appearance of small bubbles on the skin around the ear;
• pain in ear is constant or when touching;
• an increase in parotid lymph nodes.

Medication

Amoxicillin Otipax Ceftriaxone Azithromycin Dioxydin Protargol Polidexa Dimexide Levomecol Flemoxin Solutab Sumamed Otofa Miramistin Otipax

Whenaverage otitis, which most often occurs against the background of acute respiratory viral infections, as well as in children with low immunity, the following symptomatic pattern is observed:

• earache;
• continuous crying;
• lack of sleep;
• the child's desire to rub or scratch his ear (rub on the pillow);
• refusal of food;
• painful reaction when pressing on the tragus (outer cartilage of the auricle);
• elevated temperature;
• lethargy;
• vomiting;
• diarrhea;
• purulent discharge from the ear, possibly with an admixture of blood (with a purulent form of acute otitis media).

Wheninternal otitis, manifested much less frequently than the two previous forms, but it is much more dangerous than them as a result complications of otitis media or against the background of a general serious infectious disease are characterized by the following symptoms:

• elevated temperature;
• noise in ears;
• dizziness;
• nausea;
• vomiting;
• loss of balance;
• hearing loss.

Diagnosis of the symptoms of the disease will be helped by the characteristic symptoms of otitis of the ear, but this does not give the right to self-medicate. At the first manifestations of inflammation of the middle ear, it is necessary to seek help from an otolaryngologist, who, based on a real clinical picture, will prescribe the right treatment.

Symptoms of a cold in the ear in adults

Unlike children, otic otitis, the symptoms of which are known to many of us since childhood, in adulthood happen much less often and is mainly the result of hypothermia, violations of personal hygiene and complications after a viral cold diseases.

Species of otitis

Middle ear External Sharp Bilateral Allergic Outward diffuse Perforating Inside Child Eustachyte

It is much easier to diagnose an individual's disease in an adult than a child in the first place, because he can describe in detail the whole picture, including the power of pain in the ears. This will help determine the severity of the disease.

However, only the doctor can make a final verdict and prescribe the appropriate treatment for otitis media of the middle ear, after having undergone proper examination with the help of special ENT instruments.

Characterize the adult otitis as a cold of the ear, its symptoms are similar to children's:

• congestion of the ears and hearing loss;
• acute or aching pain in the ears;
• elevated temperature (not mandatory);
• headaches and dizziness;
• pains that give to the neck, teeth, whiskey, forehead;
• weakness and general malaise;
• nausea and vomiting.

In order to avoid the occurrence of such diseases of the ear, proper preventive maintenance should be carried out, and then the pain in the ears will not bother you or your children.

How and how to treat otitis media - doctor's prescriptions and recipes of folk medicine

How to treat an otitis of an ear the doctor the otolaryngologist defines, having established a kind and a degree of disease.

Treatment of otitis media

Treatment of otitis externa Treatment of otitis media of the middle ear Treatment of purulent otitis Ear drops Ear pills Antibiotics Ear wax Ear candles In adults In children In pregnant women

In any case, first of all, drug therapy is aimed at the destruction of bacteria that contribute to the development of otitis media. It is done with the help of antibiotics, and selected such drugs that can not only to eliminate the bacterial damage of the body, but also easily penetrate into the ear drum cavity to the hearth disease.

The most commonly used antibiotics for the treatment of otitis media- Tsifran, Flemoklav, Solyutab.

As a local treatment, special ear drops-antiseptics are used, most often in the ENT practice, the old-fashioned method uses a solution of boric acid.

However, there are a number of other similar drugs of a new generation that can easily cope with infections.

In addition, such drops often include anesthesia, which helps to significantly reduce and eliminate pain.

Some of the best ear drops from otitis are Sophradex, Otipax, Otinum, Garazon.

In combination with ear drops in otitis, otolaryngologists often prescribe vasoconstrictive drops in the nose (Naphthyzine, Nazol, Galazolin, Otrivin and etc.), thanks to which it is possible to remove swelling of the mucous membrane of the Eustachian tube and thereby reduce the load on the eardrum.

In addition to drops in the nose in the complex can be appointed and antihistamines (antiallergic) funds, pursuing the same goal - removing the edema of the mucosa. These can be tablets of Suprastin, Diazolinum, Loratadina, etc.

If there is an increased body temperature, which often causes otitis media, mandatory prescribed antipyretic drugs, which are also able to partially relieve or reduce pain in the ears. The most safe and effective remedy for temperature is Paracetamol.

Attention!

All of the above drugs used to treat otitis media can not be regarded as a guide to action. The question, than to treat an ear otitis independently, should not stand at all. Treatment of this disease, like most other things, can only take place under the guidance of a qualified doctor.

With a timely visit to the otolaryngologist and the exact observance of all prescriptions, the ear otitis passes quickly enough without leaving any consequences.

How to treat otitis with folk remedies

In addition to drug therapy, there are many ways of alternative treatment of otitis media. I must say that such methods are acceptable for use and are mostly of an auxiliary nature. However, it should not be forgotten that people's prescriptions can be used only after consulting a doctor and in no case should they self-medicate to avoid complications and irreversible consequences.

Folk remedies

Treatment with folk remedies Home treatment Camphor alcohol Geranium Hydrogen peroxide Tincture of propolis Tincture Calendula Furacil Alcohol Washing the Ear Aloe Boric Acid Warming Up the Compress on the Ear Blowing the Hearing Pipes

Depending on the form and degree of the disease, otitis symptoms are accompanied by different symptoms, on the basis of which various recipes of folk medicine are applied.

Recipe number 1.For example, to reduce tinnitus and prevent the development of otitis, it is recommended to chew buds of fragrant cloves or cook on based on the broth, observing the proportions of 15 grams of cloves 100 grams of hot water and take it on a teaspoon 2-3 times throughout day.

Recipe number 2.With hearing loss after otitis, it is recommended to brew and drink tea from rose petals (red) for two weeks, which will help restore hearing in a short time.

Recipe number 3.To cure otitis externa, one should take the root of elecampane, incinerate it on fire, and then grind it in a coffee grinder and mix it with a small amount of lamb fat. Lubricate the prepared earwax with otitis shell to complete recovery.

Recipe number 4.To reduce the symptoms of acute otitis will help tincture of nightshade sweet and bitter. To make it, you need to take 2 tablespoons of chopped grass and pour 100 grams of vodka. Insist for a week, then inject into your ear soaked in a means of cotton turuns 2-3 times a day.

You can also cook the infusion. To do this, pour a tablespoon of herbs with a glass of boiling water. Insist for an hour and apply as in the case of tincture, in the form of embedded turundas.

Recipe number 5.To reduce severe pain in the ears with otitis will help glycerin with alcohol. It is necessary to combine the two ingredients in equal proportions (:), moisten the turunda in this mixture and lay it in the diseased ear.

The recipe number 6.When asked how and how to treat ear inflammation, many will give an unambiguous answer - dry heat.

This is really an effective method for acute otitis, which is widely used in medicine (blue lamp, UHF).

It can also be used in the home if the ear is inflamed. To do this, take ordinary table salt, heat it in a clean dry frying pan and fill it in a linen bag.

Through an additional folded in several times the tissue, the patient's ear should be heated for 30 minutes.

It is important to know

You can not heat your ears with the help of dry heat at an elevated body temperature and purulent secretions from the auricles.

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gajmorit.com

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