Երեխաներն ի տարբերություն մեծահասակների, ունեն ականջի ինֆեկցիաների ավելի մեծ հակում: Ականջի ինֆեկցիան առաջանում է թմբկաթաղանթի հետևում բակտերիաների կամ վիրուսների կուտակման հետևանքով: Այս մանրէները կարող են առաջացնել բորբոքում և հեղուկի կուտակում, որն էլ ուղեկցվում է ուժեղ ցավերով: Ականջի ինֆեկցիաները պարտադիր պետք է բուժվեն, քանի որ ցավոտ են և հետագայում կարող են ավելի լուրջ ինֆեկցիաների, նույնիսկ լսողության խանգարումների պատճառ դառնալ:
Ինչպե՞ս երեխաների մոտ հայտնաբերել ականջի ինֆեկցիան
1․Ստուգեք ականջի ինֆեկցիայի առկայությունը ձեր երեխայի մոտ: Ականջի ինֆեկցիաներն սովորաբար առաջանում են հանկարծակի: Հետևյալ ախտանիշները կօգնեն ձեզ ճիշտ կողմնորոշվել՝
- Ցավ ականջում
- Ականջում ծանրության զգացում
- Մղձավանջներ
- Լաց
- Գրգռվածություն
- Լսողության խանգարում
- Հավասարակշռության պահպանման դժվարություն
- Բարձր ջերմություն (37.8 °C և ավել)
- Ականջից հեղուկ արտադրություն
- Ախորժակի անկում
- Լուծ և փսխում
2․Ստուգեք ձեր երեխայի ականջը՝ ականջի էլեկտրոնային մոնիտորի միջոցով: Այս սարքերը (ինչպիսիք են EarCheck-ը)՝ օգտագործելով ձայնային ալիքները, հայտնաբերում են միջին ականջում հեղուկի կուտակումները: Սարքը ձայնագրում է անդրադարցված ձայնային ալիքները և ըստ դրա որոշում, թե արդյոք միջին ականջում կա հեղուկ, թե ոչ: Եթե ձեր երեխայի միջին ականջում կա հեղուկի կուտակում՝ դիմեք բժշկի: Այնուամենայնիվ, հեղուկի առկայությունը դեռ չի նշանակում, որ ձեր երեխան ունի ականջի ինֆեկցիա:
- Ականջի էլեկտրոնային մոնիտորը կարող եք պատվիրել առցանց կամ գնել դեղատնից:
- Մոնիտորն օգտագործելիս՝ հատկապես փոքր երեխաների դեպքում, հետևեք նախազգուշական միջոցներին և հրահանգներին:
- Նույնիսկ եթե մոնիտորը ցույց է տալիս, որ ականջում հեղուկի կուտակում չկա, սակայն կան ահազանգող ախտանիշներ՝ լուրջ հիվանդության հավանականությունը բացառելու համար այցելեք բժշկի:
3․Խորհրդակցեք ձեր բժշկի հետ: Բժիշկը կարող է երեխային անձամբ զննելու ցանկություն հայտնել: Պետք է այցելել բժշկի հետևյալ դեպքերում՝
- Երեխան ուժգին ցավեր ունի
- Ցավը տևում է ավելի քան 24 ժամ
- Եթե երեխան վերջերս ունեցել է մրսածություն, գրիպ կամ ինֆեկցիոն այլ հիվանդություն
- Ականջից հեղուկի արտադրություն
4․Բժիշկը կզննի երեխայի ականջը: Բժիշկն օգտագործում է օտոսկոպ, որոշ դեպքերում ՝ պնևմատիկ օտոսկոպ: Այս սարքը բժիշկին թույլ է տալիս տեսնել թմբկաթաղանթը, ինչպես նաև կիրառել օդի մեղմ հոսք՝ հետևելով թմբկաթաղանթի շարժումներին: Հետազոտությունն անցավ է:
- Եթե թմբկաթաղանթը նորմալ չի շարժվում կամ ամբողջովին մնում է անշարժ, ապա դա նշանակում է, որ թմբկաթաղանթի հետևում կա հեղուկի կուտակում:
- Զննման հիմնական մասը թմբկաթաղանթի արտաքին տեսքի ուսումնասիրությունն է` օտոսկոպի միջոցով: Ինֆեկցիայի նշաններն են՝ թմբկաթաղանթի կարմրությունը, այտուցը կամ դրա հետևում գտնվող դեղին հեղուկի առկայությունը:
Բժշկի ցուցումներով անցեք լրացուցիչ հետազոտություններ: Եթե բժիշկն անմիջապես չկարողանա կողմնորոշվել ականջի ինֆեկցիայի առկայության կամ դրա տեսակի հարցում, ապա ձեզ կխնդրի կատարել լրացուցիչ հետազոտություններ, որոնք կօգնեն նրան ճիշտ ախտորոշման հարցում: Հնարավոր են հետևյալ տարբերակները՝
- Տիմպանոմետրիա: Այս հետազոտության ընթացքում ականջի ներսի ճնշումը փոփոխվում է, իսկ սարքն արձանագրում է թմբկաթաղանթի շարժումները: Եթե թմբկաթաղանթը բավականաչափ չի տատանվում կամ մնում է անշարժ, ապա դրա հետևում առկա է հեղուկ:
- Աուդիոմետրիա: Այս հետազոտությունը թույլ է տալիս փորձարկել երեխայի լսողությունը: Երեխային հագցնում են ականջակալներ և թույլ տալիս, որ լսի տարբեր տոնայնություններով ու բարձրություններով ձայներ: Երեխային հարցնում են, արդյոք նա լսում է որևէ բան, թե ոչ:
- Համակարգչային շերտագրություն (ՀՇ/ԿՏ) կամ մագնիսոռեզոնանսային շերտագրություն (ՄՌՇ): Բժիշկը խորհուրդ կտա կատարել տեսապատկերման այս մեթոդները, եթե կա կասկած, որ վարակը դուրս է եկել միջին ականջի սահմաններից: Համակարգչային շերտագրությունը պատկեր ստեղծելու համար օգտագործում է ռենտգենյան ճառագայթներ, մինչդեռ մագնիսոռեզոնանսային շերտագրությունը օգտագործում է մագնիսական և ռադիոալիքներ: Այս մեթոդներն անցավ են, բայց հետազոտության ընթացքում անհրաժեշտ է պառկել սեղանի վրա:
Ականջի ինֆեկցիայի բուժումը
1․Սպասեք մինչև վարակն ինքնուրույն անցնի, եթե ձեր բժիշկն այդպես է խորհուրդ տալիս: Ականջի ինֆեկցիաներից շատերն ինքնուրույն անցնում են մի քանի օրվա ընթացքում՝ առանց հակաբիոտիկների: Այսպիսով դուք նաև նվազեցնում եք հակաբիոտիկակայուն շտամերի առաջացման ռիսկը: Այնուամենայնիվ, ականջի ինֆեկցիայի հենց առաջին կասկածների դեպքում ավելի լավ է երեխային տանել բժշկի՝ համոզվելու համար, որ դա իսկապես ականջի ինֆեկցիա է: Բժիշկը կարող է խորհուրդ տալ սպասել հետևյալ դեպքերում՝
-
- Եթե երեխան վեց ամսականից մեծ է, երկու տարեկանից փոքր, մեկ ականջում ունի տհաճ զգացողություն ոչ ավելի քան երկու օր, և մարմնի ջերմաստիճանը չի գերազանցում 38.9°C-ը:
- Եթե երեխան երկու տարեկանից մեծ է, գանգատվում է ոչ ավելի քան երկու օր տևող մեկ կամ երկու ականջներում առկա տհաճ զգացողությունից, և մարմնի ջերմաստիճանը չի գերազանցում 38.9°C-ը:
2․Օգտագործեք տնային միջոցներ` ձեր երեխայի տհաճ զգացողությունները թեթևացնելու համար: Ականջներում զնգոցը կարող է ծանր անհանգստություն առաջացնել: Հետևյալ միջոցները կօգնեն նվազեցնել ցավը և բարելավել գիշերային քունը․
- Տաքություն: Վարակված ականջի վրա դրեք տաք․խոնավ կտոր: Սա կօգնի նվազեցնել ցավը և տհաճ զգացողությունները:
- Ցավազրկողներ (բժշկի թույլատվությամբ): Խորհրդակցեք բժշկի հետ, թե արդյոք կարող եք ձեր երեխային տալ ցավազրկողներ, օրինակ՝ պարացետամոլ կամ իբուպրուֆեն : Երեխաներին կամ պատանիներին չի՛ կարելի տալ ասպիրին, քանի որ այն կարող է բերել Ռեյի սինդրոմի առաջացման:
3․Օգտագործեք հակաբիոտիկներ: Եթե ձեր երեխային նշանակվել է հակաբիոտիկների կուրս, ապա երեխան պետք է ընդունի կուրսը մինչև վերջ, նույնիսկ եթե նրա վիճակը բարելավվի մինչև կուրսն ամբողջովին ավարտելը: Այսպիսով, դուք կանխում եք հակաբիոտիկակայուն շտամերի առաջացման ռիսկը: Ամենայն հավանականությամբ, ձեր բժիշկը խորհուրդ կտա հակաբիոտիկներ հետևյալ դեպքերում՝
- 38.9°C-ից բարձր ջերմություն
- Մեկ կամ երկու ականջներում, միջինից ուժեղ ցավի առկայություն
- Եթե ինֆեկցիան շարունակվում է երկու կամ ավելի օր
4․Խորհրդակցեք ձեր բժշկի հետ ականջի (տիմպանոստոմայի) խողովակների անհրաժեշտության մասին: Եթե պատշաճ կերպով չհետևեք, հեղուկի կուտակումը և ականջի ինֆեկցիաները կարող են ականջին լուրջ վնաս հասցնել՝ ընդհուպ մինչև լսողության կորուստ: Եթե երեխան վեց ամսվա ընթացքում տառապել է երեքից ավելի ականջի ինֆեկցիաներով, կամ մեկ տարվա ընթացքում չորս ինֆեկցիա է տարել, կամ եթե վարակը բուժելուց հետո ականջում դեռ հեղուկ կա, ապա բժիշկը կարող է խորհուրդ տալ օգտագործել ականջի խողովակներ:
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- Բժիշկը թմբկաթաղանթի վրա փոքրիկ անցք է բացում և դրա միջոցով հեռացնում ցանկացած բնույթի կուտակված հեղուկ: Միևնույն ժամանակ, անցքի մեջ տեղադրվում է բարակ խողովակ, որի միջոցով օդը մտնում է միջին ականջ, իսկ հեղուկը ավելի ուշ հեռացվում է:
- Կախված խողովակի տեսակից, խողովակը 6-12 ամիս թողնում են ականջում, որից հետո հեռացնում են վիրահատական ճանապարհով, երբ բժիշկը կարծում է, որ խողովակն այլևս անհրաժեշտ չէ: Խողովակը հեռացնելուց հետո թմբկաթաղանթի վրա արված բացվածքը ձգվում է:
- Այս գործընթացը կատարվում է ընդհանուր անզգայացման պայմաններում: Սա ամբուլատոր պրոցեդուրա է, որը տևում է մոտ 15 րոպե:
Խուսափեք անարդյունավետ և վտանգավոր բուժումներից: Հաճախ ծնողների համար դժվար է սպասել մինչև վարակն անցնի՝ դիտելով, թե ինչպես է երեխան տառապում ցավից և լաց լինում: Չնայած դրան, դիմադրեք չստուգված տնային միջոցներ կիրառելու գայթակղությանը: Եթե, այնուամենայնիվ, որոշեք փորձել բուժման այլընտրանքային որևէ մեթոդ, ապա անպայման օգտագործելուց առաջ խորհրդակցեք բժշկի հետ: Այլընտրանքային մեթոդները կարող են ունենալ կողմնակի ազդեցություններ կամ փոխազդել դեղորայքի հետ: Մի օգտագործեք այս մեթոդները, առանց ձեր բժշկի հետ խորհրդակցելու: Նման մեթոդներից են՝
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- Հոմեոպաթիկ միջոցներ (խոտաբույսեր և հանքային աղեր): Այս սննդային հավելումները այնքան լավ չեն փորձարկվել, որքան դեղորայքը: Սա նշանակում է, որ դրանց դեղաչափը և կազմը միշտ հեռու են լավ սահմանվածից: Ավելի լավ է նման դեղեր չօգտագործել երեխայի բուժման համար:
- Խիրոպրակտիկա: Գիտական ուսումնասիրությունները չեն հաստատել այս տեխնիկայի արդյունավետությունը: Ավելին, երեխայի հետ անզգույշ մանիպուլյացիաների արդյունքում, խիրոպրակտերը կարող է վնասվածք հասցնել նրան:
- Քսիլիտոլ: Այն կարող է կանխել, բայց ոչ բուժել ականջի ինֆեկցիաները: Այնուամենայնիվ, պահանջվող դեղաչափերը կարող են բերել որովայնի ցավերի և փորլուծության: Շատ մասնագետներ խորհուրդ չեն տալիս օգտագործել այս միջոցը:
- Պրոբիոտիկներ: Այս դեղերը հասանելի են բերանային ընդունման և սփրեյների տեսքով: Գիտական ուսումնասիրությունները տալիս են հակասական արդյունքներ այս դեղերի ազդեցության վերաբերյալ:
Ականջի ինֆեկցիայի կանխարգելումը
1․Սովորեցրեք ձեր երեխային պահպանել հիգիենայի կանոնները: Դա կօգնի կանխել մրսածությունը և գրիպը, որոնք հաճախ հանգեցնում են ականջի և քթի խոռոչների խցանումների և այնտեղ հեղուկի կուտակման: Սովորեցրեք ձեր երեխային հետևյալը՝
- Լվանալ ձեռքերը ուտելուց առաջ
- Փռշտալու դեպքում փակել բերանը արմունկով, այլ ոչ թե ափով
- Չխմել և չուտել ուրիշների կողմից օգտագործված սպասքով
2․Համոզվեք, որ ձեր երեխան չի ներշնչում ծխախոտի ծուխը: Երկրորդային ծխախոտի ծուխը թուլացնում է երեխայի իմունային համակարգը՝ նրանց ավելի խոցելի դարձնելով վարակների նկատմամբ:
- Եթե ձեր ընտանիքում ինչ-որ մեկը ծխում է և չի կարողանում հրաժարվել այս վատ սովորությունից, խնդրեք նրան ծխել տնից դուրս, որպեսզի երեխան չշնչի ծխախոտի ծուխը: Նաև խնդրեք նրան, որ չմոտենա երեխային ծխած հագուստով:
3․Լակտացիա: Կրծքի կաթը պարունակում է հակամարմիններ և իմունային այլ բջիջներ, որոնք պայքարում են վարակի դեմ: Շշեից կերակրելիս փորձեք օգտագործել կրծքի կաթ, այլ ոչ թե արհեստական կաթ:
- Երբ կերակրում եք, պահեք ձեր երեխային այնպես, որ նրա գլուխը որովայնից բարձր լինի: Հնարավորության դեպքում երեխային նստեցրեք՝ պահելով նրան մեջքից: Փորձեք թույլ չտալ երեխային անկողնում պառկած ժամանակ շիշից կաթ խմել:
4․Պատվաստեք ձեր երեխային։ Պատվաստումները կօգնեն ձեր երեխայի օրգանիզմին պայքարել բակտերիալ և վիրուսային ձագման վարակների դեմ, որոնք հաճախ բերում են շնչառական համակարգի կամ ականջի ինֆեկցիաների։ Խորհրդակցեք ձեր բժշկի հետ հետևյալ պատվաստումների վերաբերյալ՝
- Հեմոֆիլուս ինֆլուենցա Բ պատվաստում (ՀԲՎ պատվաստում)
- Սեզոնային գրիպի պատվաստում
- Պնևմոկոկային պատվաստում
Զգույշ եղեք արտաքին ականջի բորբոքումից։ Սա հանդիսանում է ականջի ինֆեկցիա, որն առաջանում է ականջի մեջ ջուր լցվելու և այնտեղ բակտերիաների աճի հետևանքով։ Արտաքին ականջի բորբոքումը ախտահարում է լսողական անցուղին՝ առանց թմբկաթաղանթը թափածակելու։ Արտաքին ականջի բորբոքման ռիսկը կարելի է նվազեցնել հետևյալ միջոցներով՝
- Չպետք է լողալ այնիպիսի ջրավազաններում, որտեղ կան բակտերիաների բարձր խտություն։ Համոզվեք, որ ձեր երեխան չի լողում ջրում ջրիմուռների ծաղկման ժամանակահատվածում (այսպես կոչված ջրի «ծաղկում»)։
- Չպետք է ականջի մեջ մտցնել օտար մարմիններ։ Մի փորձեք պինդ առարկաներով հեռացնել ձեր երեխայի ականջի կեղտը(ծծումբը)։ Դա կարող է վնասել արտաքին լսողական անցուղու նուրբ մաշկը՝ բարձրացնելով երեխային լողացնելիս ինֆեկցիա առաջանալու հավանականությունը։
- Չորացրեք ականջները լողանալուց հետո։ Եթե ձեր երեխան չի կարողանում ինքնուրույն հեռացնել ջուրը ականջից՝ օգտագործեք ֆեն։ Միևնույն ժամանակ օգտագործեք ամենամեղմ ռեժիմը և պահեք ֆենը երեխայի գլխից առնվազն 30 սանտիմետր հեռավորության վրա՝ խուսափելու համար գերտաքացումից։ Չորացրեք ականջը վերջինիս վրա պահելով տաք, չոր օդի հոսք։
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B52 Play nổi tiếng với sự đa dạng trong danh mục trò chơi. Người chơi có thể thưởng thức nhiều trò chơi đánh bài phổ biến như baccarat, blackjack, poker, và nhiều trò chơi đánh bài cá nhân khác. Điều này tạo ra sự đa dạng và hứng thú cho mọi người chơi.
3. Hỗ trợ Khách hàng Chuyên Nghiệp
B52 Club tự hào với đội ngũ hỗ trợ khách hàng chuyên nghiệp, tận tâm và hiệu quả. Người chơi có thể liên hệ thông qua các kênh như chat trực tuyến, email, điện thoại, hoặc mạng xã hội. Vấn đề kỹ thuật, tài khoản hay bất kỳ thắc mắc nào đều được giải quyết nhanh chóng.
4. Phương Thức Thanh Toán An Toàn
B52 Club cung cấp nhiều phương thức thanh toán để đảm bảo người chơi có thể dễ dàng nạp và rút tiền một cách an toàn và thuận tiện. Quy trình thanh toán được thiết kế để mang lại trải nghiệm đơn giản và hiệu quả cho người chơi.
5. Chính Sách Thưởng và Ưu Đãi Hấp Dẫn
Khi đánh giá một cổng game B52, chính sách thưởng và ưu đãi luôn được chú ý. B52 Club không chỉ mang đến những chính sách thưởng hấp dẫn mà còn cam kết đối xử công bằng và minh bạch đối với người chơi. Điều này giúp thu hút và giữ chân người chơi trên thương trường game đánh bài trực tuyến.
Hướng Dẫn Tải và Cài Đặt
Để tham gia vào B52 Club, người chơi có thể tải file APK cho hệ điều hành Android hoặc iOS theo hướng dẫn chi tiết trên trang web. Quy trình đơn giản và thuận tiện giúp người chơi nhanh chóng trải nghiệm trò chơi.
Với những ưu điểm vượt trội như vậy, B52 Club không chỉ là nơi giải trí tuyệt vời mà còn là điểm đến lý tưởng cho những người yêu thích thách thức và may mắn.
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