Болить вухо – симптоми, причини і лікування

Болить вухо – симптоми, причини і лікування

Що робити, коли болить вухо

У відповідь на питання, що робити, коли болить вухо, можна отримати масу найрізноманітніших порад. Від рекомендацій тримати вухо в теплі, приймати рясне тепле питво, до закапування у вушний канал настоянки прополісу або теплого відвару ромашки. У народній медицині в хід йде все від гвоздичної масла до товченого часнику. На ділі ж біль може бути механічною, травматичної, інфекційної природи або зовсім виявитися симптомом захворювань, не пов’язаних з лор-органами.

Тому перш ніж слідувати порадам, необхідно звернутися до отоларинголога, який визначить, чому болить вухо, і як лікувати конкретне захворювання.

Болить вухо – причини

Існує два типи болю – локальна і иррадиирующая. Локальна відчувається безпосередньо в зоні ураженого органу, тобто в даному випадку в області вуха. Такий больовий імпульс може виникати з таких причин:

    Патологічні процеси в зовнішньому каналі (прищики, механічні подразнення, інфекція, закупорка і запалення органу слуху через надлишок сірки); Розрив барабанної перетинки; Патологічні процеси у внутрішньому вусі (переохолодження, інфекційні захворювання, різниця тиску між внутрішнім і зовнішнім вухом); Ударне навантаження на орган слуху.

Иррадиирующая або відбита – біль надходить з органу, віддаленого від патологічного вогнища. У цьому випадку, коли болить вухо, причину потрібно шукати в розташованих поруч органах. Иррадиирующие больові імпульси можуть виникнути з наступних причин:

    Синусит; Свинка; Інфекція придаткових пазух носа; Запалення горла, зубів; Патологічний прикус; Артрит щелепно-скроневого суглоба.

Коли болить вухо, може спостерігатися як локальний, так і з иррадиирующий імпульс. Існує ряд найбільш поширених факторів, що викликають захворювання, а також відповідні методи їх лікування.

Болить вухо через сірчаної пробки

Вушна сірка виконує кілька функцій – вона виводить назовні чужорідні частинки, затримує грибки і бактерії, створює вологе середовище для барабанної перетинки. Сірка потроху виділяється під час жування, кашлю, розмови. Але коли процес саморегуляції порушується, утворюється так звана сірчана пробка, через яку і болить вухо. Неприємні відчуття виникають, коли сірчаний затор досягає барабанної перетинки.

Через те, що пробка тисне на блукаючий нерв спостерігається запаморочення, головний біль, блювота, кашель. Коли затор ущільнюється, крім того що болить вухо, пацієнт відчуває закладеність, чує шум, спотворення свого голосу і зовнішніх звуків.

Для видалення затору використовуються такі методи як промивання шприцом Жанні, електровідсмоктувач, введення препаратів, розм’якшуються й видаляють сірчану пробку. У домашніх умовах, коли болить вухо, краплі для гігієни слухового проходу часто допомагають виправити ситуацію. Перед їх вибором варто проконсультуватися з отоларингологом.

Болить вухо через інфекцію

Орган слуху умовно поділяється на зовнішнє, середнє і внутрішнє вухо. До інфекцій зовнішньої частини слухового проходу відносять зовнішній отит. який ще називають «вухом плавця», оскільки найчастіше він розвивається після потрапляння води. Втім, для того, щоб занести інфекцію, досить невдало почистити вуха ватяними гнотиком. Якщо болить вухо і температура піднімається, при цьому на шкірі зовнішнього слухового проходу спостерігається висип, це з великою ймовірністю пов’язано з інфекцією. Крім того, неприємні відчуття можуть викликати розташовані на зовнішній частині слухового проходу фурункули.

Інфекцію середнього вуха називають середнім отитом. Їй більше всього схильні немовлята і діти до 6 років. Це обумовлено формою евсстахіевой труби, яка у дітей ширше і коротше, ніж у дорослих. Через це в порожнину середнього вуха у дитини часто потрапляє слиз з носоглотки, а у немовлят навіть їжа або при відрижці вміст шлунка.

Якщо причина того, що болить вухо – середній отит, то неприємні відчуття будуть посилюватися при жуванні, ковтанні і спробах висякатися, оскільки в цих станах тиск в області слухового органу підвищується. Унаслідок цієї недуги, може розвинутися пронос, нудота, блювання, слабкість, загальмованість, втрата апетиту, шум і дзвін у вухах. І, звичайно, з’являються два класичних симптому – болить вухо і температура підвищується. У важких випадках середній отит може спровокувати розрив барабанної перетинки і глухоту.

Запалення внутрішнього вуха, або вірусний лабіринтит, проявляється у вигляді запаморочення і шуму у вухах. При бактеріальному запаленні болить вухо, і температура підвищується, паморочиться голова, очі швидко і хаються, з вушного проходу може виділятися гній.

У випадку з зовнішнім запаленням вуха пацієнтові призначаються жарознижуючі і знеболюючі ліки. Лікарська допомога полягає в очищенні слухового проходу від гною і закапуванні медичних препаратів. При інфекційних патологіях, коли болить вухо, краплі повинні містити антибіотики і кортизон.

При середньому отиті також призначаються болезаспокійливі і протизапальні засоби. Але специфічне лікування включає в себе відновлення прохідності євстахієвих труб. Тому коли болить вухо, краплі закапують у ніс – це препарати для зменшення набряку. Також призначаються антибіотики.

При запаленні внутрішнього вуха лікування полягає в курсі антибіотиків і видаленні гною, яке іноді вимагає хірургічного втручання.

Розрив барабанної перетинки

Барабанна перетинка являє собою тонку мембрану, яка розділяє зовнішнє і середнє вухо, а також передає повітряні коливання на слухову кісточку. Тому при пошкодженні барабанної перетинки погіршується слух.

Коли болить вухо у зв’язку з травмою вищеописаної мембрани, виникає гострий біль, з’являються гнійні, кров’янисті або прозорі виділення, шум у вухах, запаморочення і слух знижується аж до його втрати. Якщо болить вухо, як лікувати його в такому випадку? У якості першої допомоги рекомендується закрити зовнішній слуховий прохід грудкою стерильної вати і накласти пов’язку. При цьому якщо болить вухо, краплі чи інші препарати в слуховий прохід вводити не можна. Пацієнта потрібно терміново направити до ЛОР-лікаря, у важких випадках для відновлення слуху знадобиться хірургічне втручання (тимпанопластика).

Болі у вусі при ковтанні

Коли неприємні відчуття виникають у вусі при ковтанні, ЛОР-лікар першим ділом запідозрить гострий отит. Однак якщо симптоми це не підтверджують, причина може ховатися в захворюваннях сусідніх органів. Приміром, болі у вусі при ковтанні – симптом злоякісних пухлин гортані і порожнини рота, в цьому випадку дискомфорт турбує протягом довгого часу і супроводжується стомлюваністю, апатичністю, втратою ваги, збільшенням лімфовузлів.

Болі у вусі при ковтанні також можуть вказувати на свинку, особливо якщо у пацієнта відзначається припухлість навколо вуха, підвищення температури і нездужання як при грипі. Також болі виникають при фарингіті. тонзиліті і абсцесі області шиї, і носять иррадиирующий характер.

Самолікування в будь-якому випадку небезпечно, а необхідні препарати і процедури може призначити тільки ЛОР-лікар.

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