Rus Articles Journal

Chronic otitis at children (the emergence reason, symptoms, treatment methods) of

Otitis at children - one of the most often found diseases at early age (of 3 months to 3 - x years), can be both an independent disease, and complication of viral, bacterial, fungal and other infections. As a rule, at children`s age otitis, most often, happens sharp, and at early diagnostics and, correctly appointed treatment, quickly recovers without any complications.

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But if the treatment appointed by the doctor was carried out not completely, and only before the termination of a pain syndrome, or if the nature of otitis is defined incorrectly and appointed inadequate treatment (for example, otitis of a fungal origin it is useless to treat antibiotics), or if, so-called, recurrent otitis (when any disease of the top airways steadily is followed by an inflammation of a middle ear), or at the child is available for the child any immunodeficiency, or the main disease reducing protective forces of an organism, for example, diabetes, then sharp otitis can become chronic that considerably complicates treatment and worsens the forecast of a disease. It is considered that after the postponed sharp otitis synchronization comes within one year, and in case of recuring - within five years, especially often it occurs at the end of summer (“otitises of divers“).

the Aetiology (activators)

the Range of causative agents of otitis is extremely wide

, but chronic process is given most often golden stafilokk, enterobakteriya, a sinegnoyny stick. Recently considerably the percent of the otitises caused by various mushrooms that can be connected with decrease in protective forces of an organism, frequent and unjustified prescription of antibiotics, dysbacterioses at children of early age increased. And mycoses (the disease caused by mushrooms) arise, as a rule, again, after a multiple dose of antibiotics wide a range of action, local application of glucocorticoid preparations; transition is promoted sharp by diseases in chronic, to emergence of recurrence and heavier course of a disease.

the Clinic

the Leading symptom of chronic purulent average otitis is a long gnoyetecheniye from an ear, the remaining probodny opening of an eardrum, in a consequence - irreversible decrease in hearing is resistant. Noise in ears, feeling of “liquid transfusion“ in an ear, an ear congestion can also disturb patients.

One of symptoms of slow chronic otitis is the pain syndrome. In this case pain is connected with violation of drainage function of an acoustical pipe, that is with difficulty of outflow of pus from a floor of an awn of a middle ear. Ear pain usually not really strong, gradually accruing, sometimes it becomes intolerable, painful. On character pain can be pulsing, pricking, shooting, holding apart, quite often gives to teeth, a temple, a nape.

At an otomikoza (fungal damage of an ear) an itch in acoustical pass, hypersensibility, skin of acoustical pass and an auricle, a headache on side of the affected ear come out on top. Allocated can have various coloring and depends on a species of the mushroom which caused inflammatory process.

Wants to be noted once again that at chronic otitis the eardrum, and in especially heavy is always surprised, and a bone capsule (in it there is a labyrinth - one of ear components).

the Principles of treatment

Conservative treatment - depends, generally on character of the activator and on weight of clinical manifestations. At uncomplicated purulent otitis therapy by antibiotics is possible (a preparation of the choice is amoksitsillin, it is possible to apply also azitromitsin, tsefuroksy - acetyl, klaritromitsin). At fungal damage of a middle ear such preparations as Diflucan are used, brutat, nizorat also others. But conservative treatment is possible only in that case when outflow of pus, exudate is carried out freely. It is necessary to enter into a drum cavity any medicamentous means only after careful removal of pus, exudate. About it the purpose the ear is wiped with cotton wool, navernuty on a probe until the cotton wool which is taken out from an ear is not dry. In an ear apply disinfecting substances to an instillation (solutions of Furacilin, boric acid, a protargol, etc.) at otomikoza locally put turunda with travogeny, levarily, nizoraly etc. within a month.

As chronic otitises arise, as a rule in children with the lowered immune status, in a complex of treatment it is expedient to apply a modern immunomodulator - viferon in age dosages. It is possible to use the natural inductor of interferon to local treatment - megasin on a mazevy basis.

At most of the children having chronic otitises at more careful inspection violations from intestinal microflora therefore in complex treatment surely it is necessary to apply biological products come to light (baktisubtit, lineks and others).

it is expedient to p to use the all-strengthening preparations (lipoic acid, pantothenic acid, limontar, all polyvitamins in combination with minerals, especially vitamins of group B) and other preparations helping to correlate the violated immune status.

are applied Besides, also by physical methods of treatment: blowing off of ears, pneumo - and vibromassage, mud cure, UVCh or an electrophoresis on area of the affected ear.

Surgical treatment - at inefficiency of conservative therapy, and also at impossibility to conduct a full course of treatment are used by different types of surgical treatment. For example, the timpanoplastika (plasticity of an eardrum) is used for improvement of hearing.

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For elimination of the chronic center of an inflammation other types of surgical treatment (obshchepolostny or radical operations) can be used with it is subsequent! plasticity of remote body.

I in conclusion several practical advice to parents: