Edema in the ears
Complaints of pain in the ear in the autumn-winter periodoften occur in adults and children. Statistics of appeals to polyclinics at this time says that at least 5% of all patients who turn to their doctor suffer from pain in the ears. But if an adult can explain what exactly the pains are, when and in connection with what they have arisen, then the child is much more complicated. It is clear to be sure that his otitis can not always be. Otitis is an inflammation of an ear. When external otitis affects the tissues of the external auditory canal and auricle, and with average otitis (the most common cause of calls to the doctor), the mucous membranes of the middle ear are affected. As a rule, this dangerous and very fraught complications on the brain disease is preceded by a catarrhal disease.
Acute inflammation of the middle ear is causedpyogenic microbes, as well as pneumococcus, Escherichia coli and other microorganisms entering the tympanum through the auditory tube. This is facilitated by inflammatory processes in the nose, its paranasal sinuses, nasopharynx, and infectious diseases (measles, scarlet fever, influenza, etc.). Less often, the infection is entered in the middle ear by the blood stream in infectious diseases such as typhoid, scarlet fever, and pemia, and very rarely it occurs with a trauma to the tympanic membrane. A very unpleasant disease is acute otitis media. It is unpleasant with pain, sometimes unbearable. For the development of acute otitis media, the auditory tube is of great importance-a narrow, long tube that connects the nasopharynx with the middle ear. It is it that swells and closes in the airplane during takeoff and landing, which causes a painful sensation of stuffiness of the ear.
Most often the scenario of development of acute otitis is as follows: on the background of a runny nose or sore throat (ie edema of the nasal mucous membrane and nasopharynx) swelling of the auditory tube develops, which causes the ear to become blocked; then the mucosa of the middle ear flows (this is a cavity with a volume of 1 cm3), so there are pains in the ear of the shooting character; edema builds up, the mucous and mucopurulent discharge appears and accumulates inside the ear, respectively, the pain intensifies, the body temperature rises. Then one day the drumthe membrane (separates the external auditory canal from the middle ear) melts under the action of pus, which in turn flows through the external auditory meatus, and the patient achieves a sharp relief of the condition-terrible ebullient pains in the ear go away. At the end of the disease, the hole in the eardrum becomes overgrown, and the patient is recovering.
It is very important to conduct immediate quality treatment so as not to remain without hearing for life. First, you need to take off the pain. This is achieved primarily by the use of painkillers. Then all the same vasoconstrictive drops go into the nose. In this case, the problem of the drops widens the pharyngeal mouth of the auditory tube in order to regulate the outflow and aeration of the middle ear as soon as possible. To do this, lie on your back and turn your head in the direction of the diseased ear, so that the droplets become caked as far as possible into the nasopharynx. Must use antibiotics. A special item is a drop in the ear.
Since there is a stage of acute otitis mediaup to perforation (perforation) and after perforation of the tympanic membrane. Through the whole tympanic membrane, though inflamed, any medicinal substance penetrates with great difficulty. Therefore, the high efficiency of any drops in the ear at this stage is highly questionable. The most effective use of local compresses on Tsitovich. On a cotton towel, neatly placed in the external ear canal, a mixture of glycerin and 70 ° alcohol in a proportion of 1/1 is instilled, outside the auditory canal is closed with cotton wool greased with any fat (baby cream, sunflower or petrolatum oil) for tightness.
All this design remains in the ear for 2-3 hours,then it is removed. Enough two compresses a day. Thus, edema of the tympanic membrane is removed, and because of the high osmotic pressure of glycerin, the swelling of the mucous membrane in the tympanic cavity decreases. I would like to warn against imposing an ordinary semi-alcohol compress on the parotid region. This compress has a strong heating and vasodilating effect, which is very dangerous in terms of development of purulent complications. When there was a postperforative stage of otitis media, it makes sense to use local complex drops with antibacterial and anti-edematous effect. In general, the average otitis is better treated under the supervision of an ENT doctor, because procedures that are beyond the control of other specialists, let alone non-medical people, may be required. Remains symptomatic therapy, i.e. painkillers, antihistamines. At the forefront in the treatment of pharyngitis comes local antibiotic therapy.
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