Treatment of otitis in pregnancy

Pregnancy is not only a great time for a baby, but also a period when the body's defenses are reduced, which leads to the development of various diseases and the aggravation of existing ones. Often, you have to deal with a problem such as otitis in pregnancy. Especially in cases where women have had otolaryngological pathologies before.

What is dangerous for otitis in pregnancy?

The danger of this disease is that it rarely passes by itself. Often without the necessary treatment, the disease progresses and grows into tubo-otitis, which inflames the inner ear, the tympanic membrane. In the internal environment, the liquid accumulates, which changes the physical characteristics of the medium, as a result of which the ability to transfer sound vibrations to the auditory ossicles is distorted or completely lost. This leads to a sharp decline, or a complete hearing loss.

Also, the risk of otitis during pregnancy is that the accumulated fluid can turn into pus, resulting in a purulent-septic process that passes fairly quickly through the eustachian tube into the nasal cavity, spreads through it and causes inflammation of the nasopharynx. With the progression of the disease, infection along the descending pathways can penetrate into the trachea, bronchi, lungs, pleura. Accordingly, inflammatory diseases of these organs develop: tracheitis, tonsillitis, bronchitis, pneumonia, and even pleurisy.

Danger and infection in the meninges, which can provoke an infectious and inflammatory brain damage, meningitis. If there is an infection in the eyes, the conjunctivitis develops.

At pregnancy frequently the lowered immunity therefore the risk of development of the generalized infection is high enough, especially if to consider, that antibioticotherapie at pregnancy is applied only in the most extreme cases. This can lead to the development of bacteremia, septicemia, sepsis, in which infection from the local foci of infection penetrates into the blood and other normally sterile body fluids. With blood, the infection spreads throughout the body, can settle on other organs, forming new foci of infection, new inflammatory diseases.

The risk of intrauterine infection of the fetus, the development of intrauterine infection, premature births, stillbirths, sepsis of newborns is also significantly increased.

Medications

When pregnancy should be very careful about the use of any medications. During this period it is especially important to observe all the precautions: consult with a doctor about the appropriateness of using this or that remedy, carefully read the instructions before use, carefully follow all the measures of the doctor's recommendation, do not independently reduce and increase the dosage and the frequency of reception.

Side effects during pregnancy are intensified: if earlier only the mother's organism has been affected by the negative consequences, now the fetal organism also experiences all the negative reactions. The consequences may be unpredictable: fetal development abnormalities, premature birth, delayed mental and physical development, stillbirths.

In the complex treatment of otitis should include: calcium chloride 10 ml 10% solution intravenously, calcium gluconate - 10 ml 10% solution intravenously. These agents can also be used for electrophoresis. Assign dimedrol to 1 ml of a 1% solution intramuscularly, suprastin to 1 ml of "% solution intramuscularly, or 1 tablet twice a day, with about a glass of water. To prevent accumulation of fluid in the body, purulent exudate in the ear, prescribe ephedrine hydrochloride - 1 ml of a 5% solution subcutaneously.

Than to put an ear at pregnancy?

At pregnancy for treatment of an otitis at first appoint ear drops. There are various drops: anti-inflammatory, anesthetizing, warming. Drops are prescribed by the doctor, based on the results of otoscopy. Drops do not have a systemic effect on the body, they act locally, that is directly in the ear. This allows you to localize the infection and inflammation, prevent the progression of the disease and eliminate the symptoms. If drops are used, the ear must be kept warm. It is better to wear a special bandage on the ear. In the cold season it is necessary to wear a hat.

Drops from otitis in pregnancy

From otitis will help such drops, as aurisan - dig in 2-3 drops in both ears. Bury first one ear, in a supine position on the side. Wait about 10 minutes until the droplets penetrate deeper layers and do not have the necessary action, then turn over and bury the second ear.

Similarly, levomycetin droplets are used. They are good for bacterial infections. To relieve pain, you can bury in the ear naphthysine, sanorin.

[1], [2], [3], [4], [5],

Otipax during pregnancy

This drug is represented by ear drops. It is prescribed for otitis symptoms. Helps to eliminate pain, noise, other unpleasant symptoms. It can be used even during pregnancy. The appointment can only be done by a doctor, since it is necessary to know the diagnosis accurately and to be sure that there are no contraindications to its use. Otherwise, one can only aggravate the situation and intensify the inflammatory process. Treatment should be continued even if the state of health has improved, and the pain is no longer there. The composition includes lidocaine and phenazone. The pain subsides a few minutes after instillation of the ear. The advantage of the drug is that it does not penetrate into the blood, does not have a systemic effect, respectively, does not pose a hazard to the fetus.

Despite the high effectiveness of the drug, it is not devoid of certain drawbacks. So, the drug can not completely cure the disease in the event that it is caused by a bacterial or viral infection. With this form of the disease, additional prescription of antibacterial and antiviral therapy is required. In general, otypax is designed for symptomatic treatment, that is, it effectively eliminates the symptoms of the disease.

Side effects from the drug are extremely rare. In exceptional cases, there may be side effects such as allergic reactions, redness and swelling, irritation of the ear canal. Cases of overdose are unknown. Dosage, as well as the duration of treatment can be determined only by a doctor, because it is determined by the degree of severity of the inflammatory process and pain syndrome, the general well-being of the patient.

The drops are fairly simple and convenient to use. First you need to remove the cap from the bottle and install a dropper. Before digging in, you need to hold the bottle in your hands a little to warm the drug. This is very important, since a cold remedy can only worsen the condition. You should lie down, put your head on a healthy ear, and the patient should drip with a medicine (a few drops, depending on the doctor's prescription). Then you need to lie down about 5-10 minutes after your ear has dripped. This will greatly accelerate the penetration of the drug into the ear. Then the head should be turned to the other side, if necessary, in the same way, the second ear should be dripped.

When applying the drug, several conditions must be observed. It is necessary strictly to follow the treatment scheme chosen by the doctor. Do not stop treatment after the symptoms have disappeared. In addition, you can not use any other means, especially antibiotics (without doctor's prescription). Also, you can not warm up your ear, especially if there is a purulent discharge. On the street it is allowed to go out only in the hat, and also to avoid wind, hypothermia, drafts. Also, when treating you need to comply with bed rest, fully rest and eat. This will avoid complications and accelerate recovery.

Boric alcohol in pregnancy

Boric alcohol is used for compresses. Make a small turuntu from cotton wool, wet it in boric alcohol, then place directly in the ear canal. Take gauze, folded in several layers, cut out a hole for the auricle. Wet it also in boric alcohol and placed on the ear area, so that it covers not only the ear itself, but also the areas around it. We push the auricle itself into the hole made. Then we put on top a layer of cellophane, or a waterproof oilcloth. After this, a layer of cotton wool is applied, and put on a scarf made of fine fabric. On top of her put on a warm, woolen handkerchief. The compress should be kept for at least 2 hours. If the compress is properly laid, the bottom layer of cotton should always remain moist.

[6], [7], [8]

Antibiotics for otitis in pregnancy

Antibiotics are contraindicated in pregnancy, but can be prescribed if other drugs do not have the desired effect. Antibiotics are prescribed in severe conditions, to prevent generalization of infection and the development of severe inflammatory diseases. The risk of complications should be much higher than the risks for the fetus from the use of the drug.

Antibiotic therapy begins with penicillin preparations. Before the beginning of therapy, sowing of exudate is made, if any, a smear from the pharynx and nose to determine the pathogen. Once it can be isolated, an antibiotic sensitivity test is performed. Sodium and potassium salt of benzylpenicillin is injected intramuscularly at least 500,000 units after 3 hours, totaling 3,000,000 units per day. In severe disease and its spread to other organs, in particular, to the nasopharynx, the drug is administered intravenously every 3-4 hours. At the risk of infection of blood and generalization of infection - continuously drip for 6-12 hours in high doses - up to 20 000 000 units.

Well-acting streptomycin, which is administered in combination with penicillin. The daily dose of streptomycin is up to 1,000,000 units, intramuscularly, in 2 divided doses.

The antibiotics of the reserve include lincomycin and ristomycin. Lincomycin is administered orally 0.5 grams 3 times a day, or intramuscularly 600 mg twice daily. Ristomycin is administered intravenously, the daily dosage is 1 000 000 - 1 500 000 units. Enter in 2 divided doses at intervals of 12 hours.

[9], [10], [11], [12], [13]

Vitamins

In the treatment of otitis, it is better to abstain temporarily from taking the vitamin, since most otitis is accompanied by the development of the infectious process. For most microorganisms, vitamins act as growth factors that enhance the growth and multiplication of bacteria. The exception is vitamin C, which stimulates the human immune system, increases the ability to resist infectious diseases. Due to its antioxidant properties, it acts destructively on bacterial cells, inhibits their reproduction. It is recommended to take vitamin C in a double dosage - 1000 mg per day.

Physiotherapeutic treatment

For the treatment of otitis, warming is used with the help of thermal and light-emitting devices. Also often used electrophoresis, phonophoresis with the use of calcium preparations.

Folk treatment

In order to increase the body's resistance to infectious diseases, it is recommended to prepare a nutritious mixture. To do this, you need 1 banana, 2 figs and a root of ginger. Banana and figs are passed through a meat grinder, mixed together. Separately, small cubes chop the ginger root, add it to the mashed potatoes. Fill all this with 2-3 tablespoons of honey, mix thoroughly. Eat up to 5 tablespoons a day.

For instillation in the ear, you can prepare a light mixture that has a bactericidal and analgesic effect. For cooking take a sterile baby oil, add to it 2 drops of camphor and 2 drops of essential oil of fir. You can instill in the sick ear for 1-2 drops, and also use for compresses.

For a long time an ointment prepared on the basis of hops is used. It can be placed in the ear, and also applied to compresses on the area around the ear. To prepare the ointment, take about 100 grams of butter, melt it over low heat with constant stirring, add a tablespoon of oak bark and 3-4 pine cones. Boil until a stable coniferous flavor and light brown color. After this, the product is removed from the fire, allowed to stand (until completely solidified). Lubricate the prepared area around the ear, lay in the external ear canal.

[14], [15], [16], [17]

Herbal Treatment

In the treatment of otitis herbs are used for instillation in the ear, as well as for oral administration. It is recommended to use a yarrow ordinary. It is used in the form of broths, infusions, drops, oil for instillation in the ear and applying compresses, applications on the ear and around it. Stems, leaves, plant flowers are used. To prepare the broth pour boiling water and stand for about 30-20 minutes in a sealed container. To make the infusion pour vodka or alcohol and stand for 2-3 days. In the ear, 2-3 drops are added, three times a day. Broth take a glass a day, infusion - 2-3 drops on a piece of sugar.

The spine is erect, used as a decoction, which is taken orally, and used for compresses, lotions. It is also used when spreading the infection along the eustachian tube to the oral cavity and upper respiratory tract. Removes inflammation, treats erosion, stomatitis, eliminates bleeding gums. To prepare the broth, rhizomes are used.

Oregano is used as a part of ointments to lubricate the area around the ear, as well as laying in the external auditory canal. To prepare the ointment, take cocoa butter, melt it, adding a small amount of water. Cook a few minutes on low heat, adding a small amount of leaves of oregano. The resulting mixture is insisted for an hour.

Leuzea safflower is used in the form of rhizomes with roots for cooking broths, infusions. 100 ml of vodka or hot water requires about 20grams of rhizomes. They pour and insist. The broth, filled with water, is insisted under the closed lid for 30-40 minutes. The infusion filled with vodka is insisted for 2-3 days in a dark place.

Homeopathy

Homeopathic remedies are combinations of various substances of natural origin, which have a therapeutic effect on the human body. It can be plant, animal, mineral substances. But they need to be taken very cautiously, because they can have a powerful impact. Some of them are contraindicated in pregnancy. When using such drugs, you need to take precautions. And for a pregnant woman, the main precautionary measure is compulsory consultation with a doctor. This will avoid numerous side effects, both for the mother and the fetus.

A good fortifying mixture helps to restore and treat the body. The principle of its action is that the active components that make up its composition have a stimulating effect on the body. As a result, the immune system, nonspecific resistance of the organism is activated. The body becomes more hardy, and can independently fight any infection and inflammatory processes, preventing their further progression.

For cooking, take about 100 grams of sea-buckthorn, viburnum and chokeberry. They pass it all through a meat grinder. Add 3-4 tablespoons of honey and a teaspoon of ground cinnamon. Stir thoroughly, allow to stand for 1-2 hours. Take 4 tablespoons a day.

Another effective tool is a grinded eggshell on a coffee grinder. It is the richest source of calcium, phosphorus, and other microelements. Before use take half a tablespoon of dry powder, pour lemon juice. There will be a neutralization reaction, during which all harmful substances are deactivated and only active components remain. Such a drug reduces the allergic reaction, quickly removes inflammation.

Well-proven broth mummy on herbs. For cooking take anti-inflammatory herbs - chamomile, calendula and mint. Mix with each other in equal parts. Pour 500 ml of water, bring to a boil and set aside. They give the opportunity to stand for 10-15 minutes, after which they dissolve the mummy in this broth. The amount depends on the body weight and individual characteristics of the body. Drink half the glass morning and evening.

For instillation in the ear, use aloe juice, squeezed out of the leaf. Bury in the ear 2-3 drops a few times a day. Helps to remove inflammation and heal wounds, if any.

Surgery

Basically, the treatment is conservative. Surgical methods are resorted to if complications develop in the form of tubo-otitis, in which pus and fluid accumulate in the inner ear. This leads to a decrease in hearing, a risk of infection in the membranes of the brain. In the course of the operation, a tamponade is performed - the ear is pierced, fluid is removed from it, accumulated exudate.