The incidence of this disease is second only to upper respiratory tract infection in clinic, and it is closely related to upper respiratory tract infection. It's otitis media
The first peak of acute otitis media is between 6- 1 1 month, and the second peak is between 4-5 years old.
According to the survey, 62% of infants under 1 year old have suffered from acute otitis media, and the proportion of infants under 3 years old is as high as 83%.
Many times because of parents' contempt, ignorance and delay, it will aggravate children's otitis media, and even lead to permanent deafness, facial paralysis, encephalitis and so on.
If someone. I already know.
What is otitis media?
There is a thin eardrum in our ears, which divides the passage of our ears into two parts. The external part is called the external auditory canal and the internal part is called the middle ear. The middle ear includes tympanic membrane, ossicular chain, tympanum and eustachian tube. Otitis media is a variety of inflammatory lesions occurring in the middle ear cavity, and it is the most common disease in otology.
acute suppurative otitis media tympanitis
The course of disease is less than 6 weeks, and trauma and cold lead to bacterial infection.
Chronic suppurative otitis media
The course of disease is more than 6 weeks, and bacterial infection is caused by trauma and cold.
Acute secretory otitis media
Non-suppurative otitis media is often secondary to blowing your nose hard, flying, diving or catching a cold.
Chronic secretory otitis media
Non-suppurative otitis media, eustachian tube dysfunction, infection, immune response, etc. Long course of disease; It is one of the important reasons for children's hearing loss.
Early prevention
Why do children get otitis media easily?
Human ears, nose, pharynx, larynx and other organs communicate with each other with pharynx as the center. Eustachian tube is the only channel for ventilation and drainage of middle ear. It is usually closed and only opens when swallowing or yawning to maintain the pressure balance on both sides of the eardrum.
The baby's eustachian tube is wide, short and straight, and the baby's immunity is poor. When catching a cold, inflammation will invade the middle ear along the eustachian tube mucosa; There are still some improper nursing in the process of raising parents, which may become the "inducement" of otitis media.
Ignore a cold
Cause of error: After catching a cold, inflammation will invade the middle ear along the eustachian tube mucosa.
The correct way: let children strengthen exercise, balance nutrition, enhance physical fitness and avoid catching a cold.
Improper ear protection
Cause of error: frequently plucking ears, plucking ears with hard objects, excessively plucking ears after entering water, leading to irritating inflammation.
The correct way: don't dig with hard objects; When the ear is flooded, you can turn your baby's ear to one side to control the water inside; You can also gently absorb water with a cotton swab.
Lie down and drink milk.
Cause of error: When the baby lies down to drink milk or cry, milk or tears will enter the middle ear through the eustachian tube.
The correct way: never let your baby lie down and drink milk; When the baby is crying, you should pick up the baby to prevent the tears from flowing into your ears.
Pinch your nose at will
Cause of error: Our nose, mouth, eyes and ears are connected. Squeezing the nose will make the secretions in the nasal cavity retrograde into the middle ear through the eustachian tube, leading to infection.
The correct way: don't pinch the child's nose at will.
Blow your nose by mistake
Cause of error: hold both nostrils and blow your nose at the same time. Nose and bacteria enter the middle ear through the eustachian tube.
The correct way: you can hold one of your child's nostrils with your fingers, let the child blow out the nose of the opposite nostril with a little force, and then blow the other side in the same way; Or put a paper or handkerchief under your nostrils, put your hands gently on both sides of your nose and blow your nose a little hard.
Articles are unsanitary
Cause of error: Towels and other articles are used for too long, and bacteria exceed the standard, which may even cause otitis media in severe cases.
The correct way: towels and other items should be kept clean and replaced at least once every 2 to 3 months.
Smoking secondhand smoke frequently.
Cause of error: Inhalation of secondhand smoke will increase the infection rate of otitis media in infants 19%.
The correct way: avoid smoking in the environment where the baby lives, and don't take the baby to the smoking place.
early discovery
How to judge whether a child has otitis media?
These days, the children's swimming pool near Mabe's home has been opened. Mabe took two-year-old Beibei to play in the water. The child used to play well in the water, but one day he suddenly stopped going into the water, rubbed his ears red and said "itchy". Ma Bei hurriedly took the children to check, and found that a cold caused acute otitis media.
It is precisely because Ma Bei paid attention to the abnormal performance of children that the inflammation was controlled in time. Apart from itchy ears, what other symptoms do children have to remind parents that "my ears are uncomfortable"?
earache
Especially acute suppurative otitis media, the onset is very fast, and the child will suddenly have earache, which will gradually increase. Acute secretory otitis media can have slight earache, and chronic secretory otitis media often has earache due to secondary infection.
Middle ear effusion
Accumulation of secretions in the middle ear cavity is a common symptom of secretory otitis media.
Hearing impairment
Ear empyema or middle ear effusion will affect hearing, causing ear tightness, tinnitus and hearing loss.
Fever and other complications
Acute suppurative otitis media, in particular, may be accompanied by high fever, nausea, vomiting and other systemic symptoms, until the ear purulent, symptoms will be alleviated.
skill
Symptoms of otitis media in infants
Infants and young children cannot express their feelings in words. How do they judge whether they may have otitis media?
1. Children scratch their ears and shake their heads, and parents cry when they touch their ears.
2. Children are not sensitive to sound. For example, when the TV is turned on, it is loud enough for him to ignore.
The child is inattentive and can't concentrate.
Wrong idea
Can you get otitis media by flying or swimming?
Actually, there is no direct causal relationship between swimming and otitis media. Normal and complete tympanic membrane and external auditory canal can protect the ear, and a small amount of water can be discharged spontaneously. On the contrary, frequent ear gouging and ear gouging after swimming destroys the normal microenvironment of the external auditory canal or causes irritating inflammation, leading to "inflammation".
Like swimming, flying does not directly cause otitis media. But if you catch a cold while flying, fall asleep when landing, or blow your nose hard, it may cause otitis media. If the child has ear diseases such as secretory otitis media, it is recommended not to travel by plane to avoid aggravating the condition.
Early treatment
Can acute otitis media recur?
Acute otitis media can easily turn into chronic otitis media if the treatment is not timely and thorough and the onset time is too long. In addition, the infant's immunity is low, and acute otitis media is also easy to turn into chronic. Therefore, how to prevent otitis media from invading children, parents should always adhere to four principles:
Early detection, early prevention, early detection and early treatment.