HealthHearing

Otomycosis: treatment with drugs and folk remedies

Otomycosis is a disease in the cavity of the external ear, in which auditory aisles cause inflammation caused by the vital activity of certain fungal microorganisms. In this article, we will understand how otomycosis is manifested. Symptoms, treatment, photos will be discussed in detail.

The causes of otomycosis

Owing to the openness of the auditory canals for permanent free access of pathogenic bacteria, the disease develops quickly enough, and the complete disposal of otomycosis symptoms takes a long time and requires a professional approach to the choice of treatment methods.

The cause of inflammation of the external auditory canals can be various mechanical injuries and unsatisfactory internal state of the human body. Most often, otomycosis occurs in the following circumstances:

  • Inadequate hygiene of the auricles and external auditory canal;

  • Damage to the external parts of the ear by foreign objects, including during care of the ears;

  • Various bruises and injuries of the ear;

  • Bathing in infected water bodies;

  • The penetration of moisture into the ear canals and prolonged water retention inside the ear;

  • Other diseases and complications, including after operations that lead to the emergence of infectious foci.

All this can provoke otomychosis. Treatment can be quite lengthy.

Fungal pathogens

The most common pathogens of otomycosis are fungal organisms from the groups Aspergillus, Candida, Penicillium, so the precise determination of the origin of the pathogenic fungus will quickly and effectively block the multiplication of microorganisms and eliminate the inflammatory processes.

However, the main difficulty in diagnosing otomycosis is also in the fact that these fungi are conditionally pathogenic, as they are always present in the healthy bacterial flora of the epidermis, and it is not always possible to establish the source of infection precisely.

Otomycosis: symptoms

Treatment of otomycosis is a painstaking and lengthy process. It is advisable not to allow its occurrence, as well as to closely monitor any negative symptoms in the ears. The most characteristic signs of otomycosis are:

  • Pain in the area of the auricles;
  • Severe irritation and itching;
  • Serous, and sometimes liquid discharge from the auditory canal;
  • Palpable unpleasant odor from the ears;
  • Appearance of a whitish mealy or yellow-brown plaque on the auricles and external auditory canal;
  • Possibly a fever, nausea and other signs of toxic poisoning.

Additional factors provoking otomycosis

In addition to the most common reasons that facilitate the transfer of microorganisms from the saprophytic state to the pathogenic one, one can also name complex diseases of the immune system and metabolism, for example, diabetes mellitus. Increased sugar in the blood becomes a favorable factor for the multiple increase in the number of pathogens on the skin, in the auditory canals and other tissues that are in close contact with the air masses.

Associated disease otomycosis may be present in somatic diseases. The general weakening of the body, hypogenous factors, beriberi, malfunctions and metabolic disorders, prolonged antibiotic intake and radiation therapy promote rapid multiplication of fungi and the transition of the disease to an open acute-symptom phase.

Otomycosis - treatment, drugs

For the beginning determine the type of pathogen and the cause of inflammation. After that, outpatient treatment of otomycosis begins. Despite the complexity of the therapeutic measures, it is extremely rare to resort to stationary options. Only if the disease is detected in severe form. Otomycosis, the treatment of which with medicaments may not work, will require the intervention of more complex therapies.

As the main medicines are used various popular antifungal agents, such as "Nystatin", "Flukonazol", "Ketoconazole", "Levorin" and others.

For external use, ointments and creams containing bifonazole, clotrimazole, terbinafine are used. For washing, an alcohol solution of oxyquinoline, a hyzymene emulsion, salicylic alcohol is used.

To remove the allergenic effects that often appear in fungal diseases, moderate desensitizing therapy and correction of the drug series with antihistamines are indicated.

Otomycosis, whose treatment involves the use of antifungal drugs, lasts from 7 to 14 days.

Recently, for effective localization of pathogenesis, the drug "Naftifin" is used, effectively blocking the synthesis of a number of enzymes in dermatophytes, molds and fungal organisms of the genus Candida, Aspergillus and Penicillium. It suppresses their further development, removes inflammatory processes and facilitates otomycosis of the ear. Treatment should be comprehensive.

External treatment of affected areas

When otomycosis is important to carry out external processing of the ears. Regularly remove the secretions and surface deposits that form in the antero-lower sections of the ear canals and the auricles. Since abundant pathogenic masses tighten the healing process and further injure the epidermis of the auricles. These procedures are highly desirable in the treatment rooms under the supervision of specialists to achieve a good sterilizing and cleansing effect.

In cases of mycotic otitis, it is necessary to remove the mycotic masses directly from the perforation of the tympanic membrane. To do this, the drum cavity is flushed with antifungal solutions, for example, a 0.01% solution of miramistine is used.

What other treatment options are used for otomycosis?

In cases of internal mycoses that arise from external foci or after an operative intervention, polyps and granulations are previously removed from the middle ear cavity. The cavity is stewed with 20% silver nitrate, and is also regularly processed behind the spur and in the back of the ear.

Infectious foci are treated with various short-term compresses and therapeutic birush, impregnated with fungicidal solutions. Turundas, or ear plugs moistened in preparations, are placed in the ear canal for several minutes 4-5 times a day. External treatment should continue for another 2-3 weeks after taking mycoseptic medicines. The total duration of treatment during the month is considered normal, although it can sometimes take longer.

Also for the removal of inflammation apply some types of physiotherapy: EP UHF, inductothermy, hydrophotococcosis hydrophoretic, prednisolone, which relieve irritation, pruritus, inhibit the reproduction of fungal organisms. Transcranial electrostimulation improves tissue regeneration, has an anesthetic effect, gives positive hemodynamics.

Relapses

Since otomycosis is provoked by a variety of factors, its treatment is often burdened by recurring events. For patients who have had the disease, observation is recommended within six months after recovery. As a preventive measure, treatment of the ears of the patient with antimycotic solutions is carried out 1-4 times a month.

With a correctly diagnosed diagnosis, recommendations are given for eliminating the causes of the disease and reducing the risk of relapse.

Methods of Traditional Medicine

In the case of otomycosis, treatment with folk remedies is also possible, but it is necessary to carry it out in a complex and under the supervision of a doctor.

Folk remedies are best used as procedures that accompany antibiotics and fungi-septic methods, as they are in themselves absolutely ineffective. In any case, it is unlikely that the diagnosis will be accurately made without professional assistance and laboratory research, especially if there is a fungal infestation in the tympanic region and the middle ear cavity.

As "home" means for external use are used:

  • Solutions of alcohol, vinegar and hydrogen peroxide;
  • Solutions of acetic acid;
  • Juice of garlic, diluted with olive or sunflower oil;
  • Diluted onion juice.

These solutions treat external infected areas, and in small quantities they can be instilled in auditory canals between fungicidal washes. Since many components can cause burns of the skin, it is necessary to adhere exactly to the dosage and not to increase their concentration and exposure time. With diagnosed damages of the tympanic membrane, no foreign solutions should be instilled.

Contraindicated also prolonged compresses or heat treatment of the skin, as this can only increase the multiplication of pathogens.

Measures to prevent otomycosis

To prevent the emergence of otomycosis, first of all, it is necessary to conduct reasonable therapy of various chronic diseases with glucocorticoid drugs and antibiotics. In severe immune diseases, it is necessary to adjust the glycemic profile, carefully observe the hygiene of the ears, use immunomodulating and restorative therapy.

At the slightest negative symptoms, you should consult specialists and strictly follow all prescribed recommendations and procedures so that otomycosis does not recur, the treatment of which takes a long time.

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