Ears hurt... How to cope with otitis at children of
Always the cheerful kid suddenly begins to cry unexpectedly stridently... He wants to eat, but attempt to swallow favourite porridge causes crying again? He cannot sleep, tries to settle more conveniently on a pillow, but it is impossible to him? Perhaps, the child is hurt by an ear.
to See sufferings of the baby which is not even where and what hurts it capable to explain, - serious test for parents. Worst of all to realize own helplessness. That the similar situation did not take unawares, in advance to know about a disease better as it is possible in more detail. Especially as timely detection of an illness will help its effective treatment and will give the chance to minimize probability of complications.
the Vast majority of diseases of an ear belongs to group of inflammatory and has the general term - otitis (otitis; from Greek. otos - an ear and a suffix - itis used for formation of names of inflammatory processes which can carry sharp and chronic character ).
Inflammatory diseases of an external ear
From them at children external otitis meets more often . It arises if the infection gets into skin of external acoustical pass (when cleaning ears or combing hair). At the same time skin around acoustical pass reddens, and pass is shchelevidno narrowed at the expense of hypostasis. Quite often there translucent separated appears.
the disease of an external ear caused by streptococci of group A - an erysipelatous inflammation Also meets . Infection happens through microcracks, injuries of skin. The disease begins with the fact that body temperature rises to 39,0 °C and above, there is a fever, the child refuses food. The auricle at the same time reddens, swells, on skin of external acoustical pass bubbles often appear. or an inflammation of a hair follicle in external acoustical pass can become p>
Besides, the reason of pain in an ear . Microinjuries of skin and the reduced organism resilience can become prerequisites of its emergence. Outside the furuncle is not visible, however its existence can be assumed on indirect signs, such as ear pain which amplifies at touch and chewing and increase in parotid lymph nodes. After several days the ripened abscess is opened, and pain abates. At in due time begun treatment of complications it is possible to avoid.
Treatment . The assessment of the general condition of the child and definition of tactics of fight against an illness is necessary. At the easy course of a disease it is possible to be limited to local treatment in house conditions - lotions, ointments, balms. In hard cases hospitalization in a hospital and addition to local treatment of the general therapy - antibacterial, anti-inflammatory etc. is shown. In all cases the doctor has to appoint preparations, self-treatment is inadmissible.
the Inflammation of a middle earwith
are Allocated by sharp and chronic average otitises.
Sharp average otitis is unconditional “leader“ in occurrence frequency among pathologies of an organ of hearing. This disease arises against a SARS more often (as its complication) at children with the weakened immunity, premature, and also - at the kids who are on artificial feeding and therefore the deprived maternal antibodies (protective proteins of blood) transferred with breast milk. In most cases the infection gets into a middle ear from the inflamed nasopharynx on an acoustical pipe. At children of early age (till 3 years) an acoustical pipe wide and short that considerably facilitates a way of a microbe. Besides kids of the first year of life mainly are in horizontal position that complicates slime outflow outside and promotes its stagnation in a nasopharynx. Babies the reason of otitis can have a hit of mix or breast milk from a nasopharynx in a middle ear.Sharp average otitis is subdivided by
into two forms: catarrhal and purulent .
Symptoms . The main manifestation of sharp average catarrhal otitis is ear pain. The child of early age cannot tell about it or specify the place which hurts. He stridently shouts, rubs about a pillow the head, sometimes gnashes teeth, cannot fall asleep. At unilateral defeat the kid seeks to reach the compelled position, lying on a sore ear, sometimes reaches for it a hand, refuses food as sucking and swallowing strengthen pain. It is possible to establish the party of defeat if accurately to press on a trestle - the ledge which is ahead of acoustical pass. On the party of defeat there will be a painful reaction, the child will begin to cry and will try to turn away from an irritant. Better to estimate this test, it is possible to carry out it when the child sleeps (though it will be grieves many mothers to disturb a crumb). Besides at the child body temperature increases, he quickly gets tired, the periods of concern are replaced by slackness, block, vomiting, a diarrhea can join.
At children sharp average catarrhal otitis can very quickly (in the first days since the beginning of a disease) to pass into purulent . It is characterized by a gnoyetecheniye from an ear that indicates a rupture of an eardrum (at the same time ear pain abates) and is the indication to rendering urgent medical care (the child needs to put a dry wadded turunda (wick) in external acoustical pass, it is obligatory to put on a hat and to go to the doctor).
of Complication . Danger of this disease consists in serious complications which can come at out of time begun treatment or the lightning course of a disease. The most frequent of them is mastoidit - an acute inflammation of a mastoidal shoot of a temporal bone. There is pain in zaushny area, her skin can redden and swell, bulk up, at the same time the auricle is bulged forward and from top to bottom, the child bows towards defeat.
Other state which can be considered as complication is the syndrome of irritation of covers of a brain (a meningialny syndrome) arising from - for underdevelopment of structures of a middle ear when distribution of an inflammation out of its limits constrains nothing, and also - at the expense of a plentiful vascular network and communication with a skull cavity.
at the same time spasms, vomiting, confusion of consciousness and decrease in physical activity arise. The child for simplification of the state reflex throws back the head.
Treatment . At the first suspicions on an ear disease (at concern, the changed condition of the child), it is necessary to cause on the house of the pediatrician or the ENT specialist - the doctor, to consult at the expert in policlinic, the medical center. At in due time begun and correct treatment it is possible to relieve the baby of sufferings without any unpleasant consequences. For example, at sharp average otitis in most cases happens rather conservative (not surgical) treatment. Therapy surely includes a course of antibiotics in the tableted form or in the form of injections (at purulent average otitis) not less than for 5 - 7 days, especially to children till two years. It becomes to prevent development of complications. Besides, it is regularly necessary to apply preparations to narrowing of vessels (vasoconstrictive drops in a nose) that maintains passability of an acoustical pipe. Also local treatment is applied:at sharp average catarrhal otitis dry thermal procedures in an ear as heat makes active a shelter - and limfoobrashcheny inflammations in the center, and also additional development of protective blood cells are effective
- of . For example - warming up by a blue lamp (reflector), semi-spirit (1 part of alcohol and 1 part of warm water) or vodka compresses, and also turunda with ear drops (see further); to
- at sharp average purulent otitis needs careful and systematic removal of pus by wadded turunda, an ear toilet disinfecting solutions (for example, 3% solution of peroxide of hydrogen), antibiotics.
In addition to the main treatment thermal physioprocedures can be appointed: Ural federal district (ultra-violet radiation), UVCh - therapy (the electrotreatment method based on impact on an organism of the sick ultrahigh-frequency electromagnetic field), laser radiation, mud cure.Treatment of sharp average catarrhal otitis takes with
on average week, and sharp average purulent otitis - more than two weeks.Should understand
that the choice of this or that preparation depends on a phase of inflammatory process, antibiotics have to be appointed with the obligatory accounting of sensitivity of microbes to them. In case of inefficiency of treatment replacement of a preparation is required. Independent appointment as parents of the treatment based on experience of the previous visit of the doctor can lead to undesirable consequences or mask process, complicating diagnostics.
Local treatment by rules
So if for treatment of sharp average catarrhal otitis the doctor appointed semi-spirit or vodka compresses ( at a gnoyetecheniye from an ear compresses are contraindicated ), then it is necessary to do them as follows.Needs to take
a four-layer gauze napkin which size has to go beyond an auricle on 1,5 - 2 cm, in the middle make a cut for an ear. The napkin needs to be moistened in spirit solution or vodka, to wring out, impose on area of an ear (to place an auricle in a cut). From above to impose kompressny (waxed) paper the size it is slightly more than gauze and to cover with a piece of cotton wool the size exceeding the paper size. All this can be fixed by the scarf tied on the child`s head. The compress should be held while it makes thermal impact (3 - 4 hours).Ear drops
the Direct instillation of ear drops is dangerous by as in house conditions it is impossible to examine an ear as it will be made by the ENT specialist - the doctor and to specify character of an inflammation at the moment, to see, is damaged or not an eardrum. If at a rupture of an eardrum of a drop get into a cavity of a middle ear, they can cause damage of acoustical stones or lead to damage of an acoustical nerve that will entail relative deafness. Instead the turund needs to make of dry cotton wool, to accurately insert it into external acoustical pass and to drip for vatu warm medicine 3 - 4 times a day. The portion of drops has to be heated to the body temperature (36,6 °C). It is possible to heat, for example, a pipette in hot water, and then to gather in it medicine or at first to gather a preparation, and then to heat a pipette with it in hot water. If the pipette - the batcher is applied to a bottle with drops, then it is convenient to heat that part of medicine which will be located in a pipette at a bubble turning in hot water. Previously it is necessary to close a cap. Ear drops for children with the anti-inflammatory and anesthetizing effects, for example OTIPAKS, it is useful to have in the home first-aid kit.
as in house conditions it is impossible to examine an ear as it will be made by the ENT specialist - the doctor and to specify character of an inflammation at the moment, to see, is damaged or not an eardrum. If at a rupture of an eardrum of a drop get into a cavity of a middle ear, they can cause damage of acoustical stones or lead to damage of an acoustical nerve that will entail relative deafness. Instead the turund needs to make of dry cotton wool, to accurately insert it into external acoustical pass and to drip for vatu warm medicine 3 - 4 times a day. The portion of drops has to be heated to the body temperature (36,6 °C). It is possible to heat, for example, a pipette in hot water, and then to gather in it medicine or at first to gather a preparation, and then to heat a pipette with it in hot water. If the pipette - the batcher is applied to a bottle with drops, then it is convenient to heat that part of medicine which will be located in a pipette at a bubble turning in hot water. Previously it is necessary to close a cap.
Ear drops for children with the anti-inflammatory and anesthetizing effects, for example OTIPAKS, it is useful to have in the home first-aid kit.the General recommendations
needs to provide with
to the child free nasal breath. For this purpose as required it is required to exempt the nasal courses from slime by means of a special suction - a pear or zhgutik twisted from cotton wool and moistened in children`s oil. The kid should put on a scarf or a cap that during the day his ears were in heat the head. During an illness it is not recommended to bathe the child, but it is possible to rub off him. It is allowed to walk with the baby after at it ear pain disappears and temperature is normalized. At the same time on walk the kid surely has to be in a hat.
In certain cases at otitises - especially at emergence of complications - should resort to surgical treatment in a hospital.
Transition of sharp of average otitis in chronic happens under the influence of a set of factors. It is possible to refer decrease in the general and local resilience of an organism which arises at pathology of various bodies and systems, and also the expressed rickets, diabetes, frequent cold, adenoides (growth of lymphoid fabric in a nasopharynx), a nose partition curvature to them.
the Main symptoms of chronic average otitis are existence of a resistant opening in an eardrum and a gnoyetecheniye from an ear which can periodically stop and again renew, causing the wavy course of process. Chronic otitises are accompanied by all means by decrease in hearing which amplifies at long existence of a disease.
Not purulent diseases of a middle ear
treats not purulent diseases of a middle ear meeting at children more often tubootit (other name - evstakhiit) - the inflammation of a mucous membrane of an acoustical (evstakhiyevy) pipe leading to its hypostasis and narrowing.
of Tubootit can appear at catarrhal diseases when against an inflammation of a mucous membrane of a nasopharynx also the mucous membrane of an acoustical pipe inflames.
Symptoms . There is one - or bilateral constant relative deafness, noise in ears, feeling of their congestion. At a zevaniye, a vysmarkivaniye the hearing can improve for some time.
Treatment . Therapy at a tubootita has to be complex and first of all the acoustical pipe directed to elimination of violation of functioning. It is necessary to cure the infection center in a nasopharynx, applying antibiotics of local action, antiseptics (disinfecting) substances, physiotreatment. The good effect gives introduction of drugs a box on the ears through an acoustical pipe. This procedure is carried out by the ENT specialist - the doctor.
If an infection source in a nasopharynx are the increased adenoides, then tubootit can lead to permanent loss of hearing. Their timely removal helps to avoid such failure.
It is known that an illness it is much easier to warn, than to treat her. Observance of several simple rules will help to reduce risk of a disease of otitis at the child. If it is about the smallest, it is desirable to provide as long as possible to them food with breast milk as it is a source of the main protective forces of a small organism. >
When feeding it is better for p to hold the baby closer to vertical position, in order to avoid throwing of liquid in an ear through an acoustical pipe.
the Reasonable hardening also increases organism resilience.
If the kid everything is caught a cold, adults at his treatment need to remember that in a prone position in a nasopharynx the stagnation increasing risk of infection of a middle ear is formed. Therefore it is necessary to delete pathological contents from a nose cavity with a suction - a pear and to periodically turn the baby from one side on another.
Should avoid uncontrolled application of antibiotics.
In case adenoides serve as the reason of an inflammation of a middle ear, they are subject to removal.
All children with diseases of ears have to be followed up by a doctor since the beginning and throughout an illness. It is impossible independently, without survey and appointments of the doctor at all, to dig in medicines in ears. At suspicion on the developing complications the child is subject to immediate hospitalization in a hospital and to intensive treatment at which the urgent surgical help is not excluded.
should not be fond of self-treatment, to appoint treatment according to the recommendation of employees of a drugstore or friends, to supply to the child with preparations, the information on which is obtained from advertizing, or to hope excessively for omnipotence of traditional medicine.Purpose of medicamentous therapy the ENT specialist - the doctor after survey and inspection has to make