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Infant otitis media, the most headache for mothers

Acute otitis media in infants and young children is a common infectious disease. The incidence rate is second only to a cold, and it is also the most common complication after a cold. Many mothers may have such doubts. The middle ear is hidden in the ears. How did the germs run in?

The answer is very simple: human nasopharynx is connected by eardronic tubes. The eustachian tube of infants and young children is particularly short, wide and flat, and the mouth of the tube is often open. If the pharynx is infected with bacteria or viruses, it is easy to infect the middle ear through the eustachian tube, causing inflammatory reactions. The bacteria that cause acute otitis media are often pneumonia, which are often pneumococcal, influenzaobacillus, etc. The virus that causes acute otitis media is often influenza virus and respiratory cytosoma. Although the virus can also cause otitis media, in general, acute otitis media is still mainly bacterial infection.

Performance of children with acute otitis media:

Ears are painful, crying, and often grab your ears with your hands, accompanied by fever, refusing to eat milk and other symptoms. If it is accompanied by the perforation of the tympanic membrane, the child’s hearing loss may be seen that the secretion of purulent mucus secretion may be seen. With acute otitis media, it should be treated positively and thoroughly. As long as timely treatment, it can be cured and without sequelae.

The diagnostic standard for acute otitis media aims to reduce unnecessary antibiotics. The main diagnostic recommendations include:

First, when a moderate to severe tympanic membrane expansion or new hair leaks caused by non -acute external ear canalitis, it should be diagnosed as acute otitis media.

Second, mild drum membrane expansion and ear pain that is shorter than 48 hours, or severe drum membrane expansion, may be otitis media. For children who can’t speak, grab ears, drag their ears, pinch their ears or rub their ears may indicate ear pain.

Medication of otitis media for the treatment of otitis media:

Treatment of otitis media should be treated for disease according to the age and condition of the baby. The main treatment recommendations include::

First, the acute otitis media on both sides or units, accompanied by severe symptoms or signs (such as moderate or severe ear pain, or ear pain for more than 48 hours, or body temperature 39 ° C or more) should use antibiotic.

Second, doctors should be treated with children with bilateral mild moderate otitis media with bilateral mild medium otitis media; for children with unilateral medium -weight acute otitis media in 6 to 11 months, doctors can doctors. Klitting antibiotics for treatment can also be based on the consent of the parents. It does not need antibiotics for the time being, but it needs to be closely followed. Once the symptoms of children worsen or have no improvement of symptoms within 48 to 72 hours, antibiotics must be used.

Third, the treatment of bacterial acute otitis media should be used as the preferred antibiotics. The recommended dose is 80-90 mg per kilogram of weight per kilograms per day, which are taken twice. This recommended dose is much larger than the dose given in the Chinese medicine manual, so it cannot be given to the manual simply according to the manual, and it is more scientific according to weight. You can also preferred amoxicillin-Claviate, which is a compound agent. Among them, amoxicillin is the main efficiency ingredient. The potassium Clavanate is the β-lactamase inhibitor and is used to produce pathogenic bacteria. The combination of β-lactamase to make it loses its activity to prevent it from destroying the effect of amoxicillin, thereby improving the curative effect of amoxicillin.

Fourth, for the acute otitis media of repeated attacks, the drum membrane is recommended instead of the use of antibiotics.

Fifth, the treatment of acute otitis media should include the evaluation of pain symptoms. If there is pain, it should be used to reduce pain.

How to prevent otitis media?

Measures to prevent acute otitis media in infants and young children include:

prevent getting cold. As the narrative of the cause above, the inflammation of the pharynx and nose after a cold spread to the eustachian tube, the pharynx and the mucosa of the eustachian tube and the lumen mucosa appeared to be congested and swollen. Preventing colds can reduce the chance of otitis media.

Adopt the correct method of snoting. Incorrect snoting method can also cause otitis media. Therefore, the correct nasal method should be advocated: hold one side of the nostril with your fingers, slightly use the nose of the opposite nostril with a little force, and use the same method to push the other side. If the nasal cavity is not easy to get out of the nasal cavity, you can use biological saline to drop nose or physiological seawater nasal spray spray nasal spray.

When swimming, avoid swallowing water into the mouth, so as not to enter the middle ear to cause otitis media through the nasopharynx.

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If infants and young children eat their supine position, the milk juice eardronic tubes enter the middle ear to cause otitis media. Therefore, the mothers should sit for the baby when feeding the baby, and hold the baby to suck the milk.

According to the vaccine inoculation timetable, the baby is vaccinated with pneumococcus combined with vaccines and the annual flu vaccine, which has a certain effect on preventing otitis media.

Moms should actively feed pure breast milk, at least 6 months old to increase the baby’s immunity and prevent otitis media.

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