Тубоотит – симптоми і лікування (євстахіїт) запалення в евстахиевой трубі

тубоотит – симптоми і лікування (євстахіїт) запалення в евстахиевой трубі

тубоотит (євстахіїт): симптоми і лікування

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тубоотит (євстахіїт) – основні симптоми:

тубоотит (також його називають євстахіїт) являє собою запальний процес гострого або хронічного типу, локалізований в слуховий (євстахієвої) труби. Протягом даного захворювання характеризується порушенням процесу вентиляції в області середнього вуха, а це, в свою чергу, призводить до стрімкого падіння слуху.

Євстахій досить часто розглядається в якості першої стадії такого захворювання як катаральний отит. Враховуючи нерозривний зв’язок евстахііта і патології, що формується в барабанної порожнини, використовуються об’єднують обидва цих захворювання терміни: тубоотит, симптоми якого яскраво виражені в своїх проявах, або Сальпінгоотіт.

Загальний опис захворювання

тубоотит стає наслідком переходу в слизову слухової труби запальних процесів, які виникли в області глотки або носа в результаті хронічного чи гострого риніту, ангіни або фарингіту. Захворювання може протікати в одній з двох форм, тобто бути гострим або хронічним. Гострий чи хронічний рецидивуючий евстахиит нерідко призводить до появи середнього отиту. Утворенню непрохідності слухової труби супроводжувати може, приміром, закриття носоглоточного гирла, яке провокують захворювання типу аденоїдів, гіпертрофії носової (нижньої) раковини, а також хоанального поліпи.

Причини захворювання, ускладнення

Як ми вже відзначили, євстахіїт, насамперед, розглядається в якості першої стадії розвитку катарального отиту, крім того, він також може виступати причиною утворення частих середніх отитів гнійного типу, розвитку отиту адгезивного і, як наслідок, призводить до втрати слуху. Тубоотит виникає як унаслідок хронічних захворювань, так і з причини анатомічних порушень, актуальних для ЛОР-органів. У їх числі: викривлення носової перегородки, риніти, синусити. рінофарінгити, аденоїди, поліпи, гайморити та ін.

Що стосується безпосередньо збудників захворювання, то такими є стафілококи, стрептококи, пневмококи, а також іншого типу мікроорганізми. Крім інфекцій, що провокують виникнення інфекційного тубоотіта, також не виключається і алергічна реакція, яка, відповідно, викликає алергічний євстахіїт.

Виникає запальний процес призводить до набряку і характерному потовщення, образующемуся уздовж слизових поверхонь. Це призводить до порушення загальної прохідності євстахієвої труби, погіршуючи, тим самим, вентиляцію. Зважаючи пониження в слуховий трубі тиску відбувається западання барабанної перетинки, після чого відбувається її втягування в барабанну порожнину. Таким чином, з’являється аутофония, закладеність вуха. Паралельно з цим відбувається розвиток стенозирования в області слухової труби, її стінки злипаються, що супроводжується атрофічними і склеротичними змінами в барабанної порожнини і перетинки. При ігноруванні необхідності адекватного лікування, тубоотит (євстахіїт) провокує стійку туговухість або повну глухоту.

Гострий тубоотит: симптоми

Гостра форма переважно виникає при захворюванні на грип або при сезонному катарі, що виникає в області верхніх дихальних шляхів. Основні симптоми тубоотіта проявляються в наступних станах:

    Заложенность вуха / вух; Резонанс у вусі власного голосу (аутофония), шуми у вусі / вухах; Відчуття тяжкості у відповідній області голови; Відчуття у вусі переливається рідини, що виникає при нахилі або при повороті голови.

Гострий тубоотит характеризується стабільним самопочуттям, температура знаходиться в межах нормальних показників, відсутні прояви у вигляді підвищеного больового синдрому. Гостра форма захворювання, як правило, виникає внаслідок впливу інфекції, чому супроводжує загальне зниження імунітету в області верхніх дихальних шляхів. При відсутності лікування евстахиит може перейти у форму хронічну, яка важче піддається лікуванню і призводить до падіння слуху. В цілому ж дане захворювання при правильному лікуванні усунути за кілька днів.

Хронічний тубоотит: симптоми

Хронічний тубоотит являє собою склеротичні і атрофічні зміни, що виникають у слизовій барабанної перетинки і порожнини, при цьому перетинка стає замутненої в разі постановки даного діагнозу. Хронічний тубоотит характеризується наступними симптомами:

    Деформація барабанної перетинки; Втягування барабанної перетинки; Звуження євстахієвої труби; Почервоніння в області готельних обмежених ділянок; Стійкість порушення слухової активності.

Діагностувати подібні прояви, як видно, можна при огляді фахівцем. Дана форма захворювання характеризується зменшенням просвіту, що виникає в рамках розмірів слухової труби, а це вже провокує зміни в самій перетинці і подальше її втягування. Прохідність, характерна для євстахієвої труби, в цьому випадку порушується, стінки її піддаються істотному злипання. Виникаючі симптоми мають постійний характер.

тубоотит у дітей: симптоми

У дітей слуховий прохід є кілька укороченим в розмірах і одночасно більш прямим, якщо порівнювати з дорослим слуховим проходом, що, відповідно, визначає велику схильність малюків до вушних захворюваннями та тубоотіта зокрема. Симптоми, які виникають у дітей, мають ту ж специфіку, що і симптоми у дорослих:

    Шуми у вусі / вухах; Погана чутність запаленим вухом; Заложенность вух; Тимчасова нормалізація слуху при чханні, кашлі або зевании.

Що стосується температури, то вона, як і у дорослих, знаходиться в межах норми, біль відсутня, що ускладнює самостійну діагностику захворювання і вимагає звернення до фахівця.

тубоотит: лікування

Під лікуванням даного захворювання, насамперед, мається на увазі ретельна дезінфекція слизової середнього вуха, після чого дії спрямовуються на усунення хворобливих проявів. Крім того, слід також усунути несприятливі фактори, що впливають на стан, якому піддається гирлі слухової труби при запаленні.

Для зменшення набряклості слизової в розглянутій області призначаються краплі в ніс сосудосуживающего дії, також зменшується набряклість і при використанні антигістамінних медпрепаратів. Щоб уникнути закидання слизу, що зазнала інфікування, хворі застерігаються від занадто енергійних сморканія.

Ефективним рішенням стає продування (катетеризація) слухової труби. Комплекс заходів лікувального характеру також включає в себе різного типу процедури фізіотерапевтичної спрямованості (УВЧ, УФО, пневмомассаж, лазеротерапія).

Для діагностування евстахііта (тубоотіта) і визначення відповідного лікування слід звертатися до ЛОРа.

Якщо Ви вважаєте, що у вас тубоотит (євстахіїт) і характерні для цього захворювання симптоми, то вам може допоможе лікар оториноларинголог .

Також пропонуємо скористатися нашим сервісом діагностики захворювань онлайн. який на основі введених симптомів підбирає ймовірні захворювання.

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