The shock method, which often begins treatment of tubo-otitis in acute form - intranasal catheterization of the Eustachian tube with acetylcysteine, amoxicillin and corticosteroids, is most often used with dexamethasone in tubo-otitis.
The medications prescribed for this disease include anti-inflammatory and decongestants to restore the ventilation function of the auditory tube and symptomatic therapy of respiratory infections accompanied by rhinitis.
Apply ear drops with tuboote:
- containing phenazone and lidocaine drops Otypax in tubo-otitis should be instilled in the external auditory meatus 3-4 drops three times a day for not more than a week. They are contraindicated to use if the tympanic membrane is damaged.
- drops with antibiotic rifampicin Otofa with tubofootic staphylococcal etiology are prescribed by five drops in the ear of adults and three drops of children - two to three times a day. Their use can cause itching in the ear and rashes on the skin around it.
In clinical otolaryngology, antibiotics-aminoglycosides (neomycin, gentamicin, kanamycin, etc.) are in bad shape. Firstly, because of the rapid development of resistance of microbes to them, and also because of their accumulation in the tissues of the inner ear and damage to the cells of the cochlea and receptors of the vestibulocchlear nerves. The last factor and caused the toxicity of these antibiotics to the ears.
Nonetheless, combined Polidex drops are administered with tubo-otitis, which contain antibiotics (neomycin and polymyxin B) and corticosteroid dexamethasone. Like the two previous drugs, Polydex can only be used with an intact tympanic membrane. Adults are recommended to instill in the ear 3-4 drops twice a day, and children - 1-2 drops. In addition to an allergic skin reaction, it is possible to attach a fungal infection.
Drops of Anauran are used in the same way. Their active substances are neomycin, polymyxin B and lidocaine. Use to their children is contraindicated. A means of Sophadex with tuboote (with dexamethasone, neomycin and gramicidin) is intended for treating inflammation of the cavity of the external ear.
If otitis or tubo-otitis occurs during pregnancy, these drops are strictly prohibited! Read more about ear drops in the publication - Drops with otitis
Vasoconstrictive drops in the nose with tubootitis are used to eliminate nasal congestion, which contributes to the obstruction of the auditory tube. It is a drop of Sanorin, Naphthyzin (Nafazolin), Nazivin, Nazol, Vibracil, etc. Effective vasoconstrictor and swelling of the mucous membranes of the nose Rint spray from tubo-otitis (with oxymetazoline), which is injected into the nasal passages (one dose twice a day for five days). However, this drug is not used in cases of atrophy of the nasal mucosa, severe arterial hypertension and increased intraocular pressure, as well as hyperthyroidism; is contraindicated in children under six years of age.
Aerosol drug with corticosteroid mometasone - Nazonex with tubo-otitis - is used as an additional remedy for swelling if patients have an allergic rhinitis and chronic sinusitis in the acute stage.
Antihistamines are taken inside against the edema (Suprastin, Claritin, etc.). Fenspiride or Erespal in tubo-otitis is used for chronic rhinitis and nasopharyngitis of allergic origin: one tablet twice a day; children - syrup (two or three tablespoons). Possible side effects such as nausea, vomiting, heart rate disorder, increased drowsiness.
Homeopathy. It is not excluded the use of the homeopathic remedy Sinupret in tubo-otitis, if the patient has a cough with viscous sputum and simultaneously inflamed the paranasal sinuses. It is recommended to take two pills two or three times a day
If the treatment of tubootitis is delayed, pain in the ear does not go away and the general condition worsens - antibiotics are prescribed for tubootitis. Amoxicillin and its synonyms Amoxiclav, Augmentin, Klavocin, as well as Flemoxin soluteab - with tuboote are effective if the pathology is caused by staphylococcus and streptococci. The dose for adults is 0.25-1 g twice a day for a week; for children (depending on age) - 10-20 mg per kilogram of body weight two or three times a day. Among the side effects of this drug are skin allergies and diarrhea.
Systemic antibiotic Ciprofloxacin with tubo-otitis or Tsifran with tubo-otitis and sinusitis is taken internally-every 12 hours at 0.5-0.75 g. Pregnant and children under 16 years of age are contraindicated. Side effects are manifested by nausea, vomiting, diarrhea, abdominal pain, rashes on the skin, headache and dizziness.
Antimicrobial sulfanilamide preparation Biseptol for tubootitis and infections of all ENT organs is used in the treatment of adults and children from the age of 12 (one tablet 0.48 g twice a day, after eating, with plenty of water); children under 12 years can take Biseptol syrup - 1-2 scoops twice a day. Contraindications: renal failure, blood diseases and pregnancy. See also - Antibiotics for otitis
Novocaine blockade with tubo-otitis (if it does not pass into acute otitis media or is complicated by chronic purulent inflammation of the middle ear), as a rule, is not required.
And surgical treatment concerns correction of defects of the nasal septum, as well as removal of neoplasms in the nasopharynx and adhesions in the Eustachian tube.
Physiotherapeutic treatment of tubootitis is carried out with the help of popular electrotherapy methods.
Thus, electrophoresis is performed through the external auditory meatus (with calcium and zinc preparations).
Sessions of short-wave diathermy and UHF are prescribed for tubo-otitis on the area of the paranasal sinuses;
Darsonval with tubootitis (darsonvalization with alternating current) promotes activation of blood flow in damaged tissues and improvement of their trophism, as well as a decrease in otalgia.
Facilitates the state of ultraviolet and infrared radiation
Applied massage with tubootitis is a pneumomassage of the tympanic membrane, which helps maintain its elasticity.
By the way, you should know how to properly blow your ears with tubo-otitise to open the auditory tubes. You should take a deep breath, pinch your nose and close the rum, and then try to breathe out the air: some of it will go straight to the auditory tubes, removing the stuffiness of the ears.
Treatment of tubo-otitis in the home
As practice shows, folk treatment of tubotitis is carried out in the same ways as otitis treatment.
If the otitis is nigmoid, and the temperature is normal, then the patient's ear warms up. But is it possible to warm your ear with tuboititis? It is possible, but only under the same conditions - absence of purulent inflammation and fever. In particular, the blue lamp helps with tubo-otitisation (heating for 10 minutes followed by warming the patient's ear), as well as a warming vodka compress with tubo-otitis (which is applied around the auricle).
Traditionally, boric alcohol and boric acid are used for tubo-otitis (that is, 3% alcohol solution of boric acid): a moistened flagellum from bandage is inserted into the auditory canal, which is periodically replaced with a new one. Bury alcohol in the ear can not be! An alternative to boric alcohol can be an alcohol tincture of marigold or propolis.
When the inflammation of the auditory tube develops against the background of acute respiratory viral infection, nasopharyngitis or tonsillitis, warm-moist inhalations with tubooteitis are advisable: soda solution, alkaline mineral water, boiled potato pairs, etc.
Recommended herbal treatment:
- take after each meal 50 ml of decoction from a mixture of flowers of meadow clover, immortelle, nettle and pine buds (in equal parts);
- if the patient is prescribed antibiotics, then it is useful to drink a glass of broth prepared from the leaves of eucalyptus, dandelion root and yarrow and cypresse grass (all in the same amount, a tablespoon of the mixture for 0.5 liters of water, cook for 15 minutes, insist for three hours) ;
- drink twice a day (after eating) 100 ml of decoction from the flowers of calendula (a tablespoon of a glass of boiling water).
Is it possible to walk at tubootitis? With increased temperature and pronounced otalgia, of course, it is impossible. If they are available, doctors give the sick leave to adults and release from school - to school-age children; the length of stay at home depends on the condition and effectiveness of the treatment.