>
> "LIDER d.o.o." <li...@inet.hr> wrote in message
> news:bf0n67$fej$1...@sunce.iskon.hr...
> > svaki put mi ostane nakon ronjenja i neće van, kako to rijeąiti.
> > Evo već drugi put zbog toga dobijam upalu uha.
> >
> skuzaj mora san se nasmijati.
> a skaci na jednoj nozi (zacepljena strana) i nagni glavu tako da more se
> isciditi more...:))-djecji recept ali pali u 70% slucajeva
>
Malo glupavo izgledas kad neko gleda sastrane, ali pali uvik!
"LIDER d.o.o." <li...@inet.hr> wrote in message
news:bf0n67$fej$1...@sunce.iskon.hr...
Voda ti moze ostajat u usima ako se ti nakupi suvise cerumena (usesno
maslo, koje ima funkciju uzdrzavanja kisele reakcije, zbog cega je
manja mogucnost razvoja bakterija) ili imas po prirodi suzen sluhovod.
Kod cerumena si mozes pomoc sam ili da ides doktoru. Usi si mozes
isprat mlakom vodom sa jednom plasticnom spricom (za jednokratnu
upotrebu a koristis je vise puta) od 20 ml ili vise. Spricu stavis u
uho ot prilike 1 cm duboko, tako da ima jos dosta mjesta za izlaz
vode. Glavu nagnes tako da je uho sa donje strane. Pocnes polako
spricat vodu, tako da ne osecas bolove ili jak pritisak na bubnic. To
mozes ponovit vise puta. Mozda je taj nacin jos bolji nego kod doktora
jer mozes sam dozirat tlak sa kojim ispiras uho.
Ako uzrok nije cerumen pomaze, da u uho nalijes vode do kraja, onda
brzo ogrenes glavu i malo poskocis (vidi prijasnji mail) da se voda
iscjedi.
Na kraju osusi usi i stavi neke kapi. Pomaze i ako stavis kapi pre
ulaska u more kao prevencija, naročito ako si na camcu. Uvek u tim
slucajevima imaj kapu.
(Oprosti jer mi hrvatski mozda nije najbolji)
Nadam se, da ?e vam koristiti moje informacije...
Prije nekoliko vremena imao sam velike probleme sa upalama u?i posle
ronjenja a i op?enito, dok nisam kona?no stigao do jednog specialista
ORL, koji puno radi sa profesionalnim roniocima.
Objasnio mi je, da voda koju osje?amo u uhu uop?te nije sa vanjske
strane nego da ulazi u uho sa unutra?nje strane(grla). Najlak?e je se
rije?imo ako posle ronjenja u nos nakapamo kapljice OPERIL. To moramo
obavezno napraviti le?e?i dr?e?i glavu preko ruba le?aja. Nakon
ukapanja kapi moramo tako sa?ekati par minuta nakon ?ega se dignemo i
po?nemo sa prepuhavanjem eustahijeve cijevi (radimo isto ko kad
izena?ujemo pritisak dr?e?i se za nos)
Problem upale vanjskog uha (sluhovoda) rije?imo tako, da nakon
ronjenja sluhovode isperemo sa 3% otopinom BOHROVE KISELINE (3%
Borogal), koju mo?emo nabaviti u svim apotekama.
Pozdrav iz Slo. i ?to manje upala uha.
Samo jednom sam pokupio upalu srednjeg uha i to zbog forsiranog
uzastopnog zaronjavanja na male dubine bez kompenzacije ili s
prerijetkim kompenzacijama. Sjecam se da nisam znao bih li glavu
utoplio, ohladio ili otkinuo i bacio. No, to je upala srednjeg uha -
dakle s unutrasnje strane bubnjica. Lokalni lijecnik (opca praksa)
dao mi je Geokorton kapi ili nesto tome slicno, sto sam 'ladno
zafitiljio u kantu za smece. Stvar se smirila za cca 24 sata kapima
za nos.
I iz prethodnih mailova se vidi da ljude muce dvije razlicite stvari:
1. voda u zvukovodu i 2. "voda" u srednjem uhu. Ovo drugo, naravno,
nije voda nego mukus (sluzava tekucina koja se lokalno luci).
Problemi u vanjskog uha mogu se rjesavati "izvana". Ako je o
cerumenu rijec, ispiranje spricom pali sasvim dobro. U hrvatskim
ljekarnama mogu se kupiti "Cerustop" kapi koje se nakapaju u
zvukovod prije ispiranja. Radi se o mjesavini ulja u kojoj se cerumen
otapa i onda umjesto prilicno krutog cepa za izbaciti ostaje mekana
"pasta" koja puno lakse izlazi. Umjesto cerustopa moze se koristiti
obicno parafinsko ulje koje se isto moze kupiti u ljekarnama ili bilo
koje "baby" ulje poput Johnson&Johnson. To su sve 99% parafinska
ulja s nesto dodataka, uglavnom za miris.
Spomenuta borna kiselina (ne Bohrova) je dezinficijens i antiseptik.
Ona funkcionalno nadomjesta cerumen utoliko sto ubija vecinu
bakterija koje se tu mogu naseliti. Mana joj je sto djeluje kao
stavilo i trajnija upotreba izaziva debljanje mrtvog sloja stanica na
povrsini koze. Onako napamet, kladio bih se da to u zvukovodu nije
neka sreca. Osim toga, ona ne pomaze uklanjanju vode odn. susenju
zvukovoda. Zvukovod se moze isprazniti mehanicki - skakutanjem ili
energicnim mahanjem glavom lijevo-desno, ispuhivanjem (onom istom
spricom od 20-ak ccm, ali bez vode) i "micanjem usima" lezeci na boku.
Moguce je izazvati ubrzanu evaporaciju kapanjem cistog etanola u
zvukovod i vidio sam ljude koji to rade, ali probao sam jednom i nije
mi se svidjelo - pece.
Kod vecine ljudi problem nije anatomske prirode vec u nepravovremenoj
kompenzaciji cime se unutarnje sluznice iritiraju i naticu sve dok ne
zatvore koji od inace vrlo tijesnih prolaza. Kome se upale uha ucestalo
pojavljuju, sigurno bi trebao konzultirati otorinca, a moja je sugestija
pokusati pravilno upotrijebiti kapi za nos PRIJE ronjenja bez obzira na
osjecaj prohodnosti ili neprohodnosti nosa i sinusa.
Pozdrav
Drazen
Pozdrav Dario
>
Pod uvjetom da vec nemas upalu ili neko drugo ostecenje, mozes
koristiti izopropilni alkohol ili kombinaciju od 95% izopropilnog
alkohola i 5% anhidriranog glicerina.
Isprobano u praksi i djeluje. Tu kombinaciju cesto koriste plivaci
koji imaju zimske treninge i surferi.
Anhidrirani glicerin - onaj koji ne sadrzi vodu
D.
Da ti ne duljim previse , kao i Drazen Borcic , imao sam i upalu srednjeg
uha i vanjskog i da te utjesim upala srednjeg je jedna od najneugodnijih
boljki koja te moze zadesiti , boli tako da cvilis , ne mozes spavati ...
Htio bih ti skrenuti paznju i potsjetiti, kao i ostale ronioce na referentnu
stranicu DAN Europe-a , gdje o svakoj ronilackoj boljki imas dosta dobar
opis (nazalost samo na Engleskom i mislim, na Talijanskom ...) na FAQ
(Freq. Asked Questions) ... Spominje se slicno ko na nasoj grupi "kiselnost"
zvukovoda, prisutnost bakterija i ostalih "gmizavaca" , soli nagrizen i
ispran zastitini sloj uha... O ovome je napisano slijedece :
*****************************DAN
EUROPE**************************************************************https://
www.daneurope.org/eng/faq.htm****************************
QUESTIONS & ANSWERS
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EARS AND DIVING
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Otitis External
Question:
Last year I for the first time started having troubles with my ear and
around easter time ended up with a very bad middle and outer ear infection
(external otitis). After seeing several specialists the problems was solved
with several antibiotic cures and creams. After going back to Norway I did
another check up and was told everything was fine. Did several dives in
Norway with no complications.
Went back to Asia in October and after four dives in Malaysia the infection
came back, went to see another specialist who gave me penicillin. It felt
fine and I went diving again in Thailand but after five dives the infection
came back very strong. So went to two more specialists where the last one
took swaptests and told me I have a cronic external otitis. The name of the
bacteria(culture) is Pseudomonas and it is resistent to many of the
antibiotics I have already been treated with. Got many different advice
from "never dive again" to "you will just have to try it out and see"
Started working six weeks after the last infection and managed two weeks of
diving before it hit me again. This time also bad and with the development
of many "bumps" behind my ear. A doctor told me this was the bodys
antidotes who was working to fight the infection.
My question is, is there any records on this matter and is there anything to
be done about this?
Answer:
I am very sorry for your continuing problems with external otitis. However
this is not at all an uncommon problem, even if not always reaching the
levels of moderately severe infection like it happened in your case.
The occurrence of Pseudomonas as the infecting bacterium is also the norm,
and very often this is accompanied by a Candida infection, a fungus. Both
microorganisms normally live in the ear canal, but are, so to speak, "kept
under control" by the other, more normal, bacterial guests of the human ear.
When teh environment changes, however, such as it can happen with prolonged
swimming or diving, expecially so in tropical waters, the protective ear wax
is often washed away and the pH (acidity) of the ear canal's skin changes
and turns basic. The health of the ear canal and the normal predominance of
"good" bacteria is strongly linked to an acid environment. Hence the most
important preventive measure for diving otitis externa: keeping the ear
canal acid, by means of acidic solutions, such as the ones described below.
When the situation develops to the level of a clear infection, ear canal
acidification is not any longer effective and antibiotic treatment is
requiered.
This condition is also frequent in commercial saturation divers ( such as
the ones working in the North Sea) and an effective antibiotic combination,
when Pseudomonsa is the infecting agent, is often a combination of an oral
antibiotic which is effectively working against Pseudomonas, as determined
by the laboratory antibiogram, with a local externa treatment with a mixture
of gentamycin and polymixin B or another equivalent anti-fungal active
against candida albicans.
Diving should be interrupted during the course of therapy, until all signs
and synptoms disappear.
Another very effective solution may be the Pro-Ear Mask, a specially
designed mask including pressure-equalized ear cups, that keep the ear dry
when diving. This mask has been the solution of the problem for some divers
who had found all other measures ineffective. You can learn more about the
mask by visiting the website www.proear2000.com
COMMON INJURIES TO THE EAR ASSOCIATED WITH SCUBA DIVING
Otitis Externa (swimmer's ear): This is an inflammation of the external ear
canal caused by infection. If the ear remains moist from immersion in the
water, this moisture, coupled with the warmth of the body, creates an
inviting growth area for many microorganisms, especially opportunistic
bacteria.
Signs & Symptoms: The external ear canal is red and swollen and may itch.
Pulling or touching the outer ear may cause intense pain.
Treatment: Prevention is key, especially in those persons who have
previously shown they are susceptible to this malady. Otic Domeboror
Solution and other similar preparations, may function as a prophylactic and
treatment for otitis externa when it's used as directed.
From Alert Diver
Can You Prevent Otitis Externa, or Swimmer's Ear?
BY EDWARD THALMANN, M.D.,
The US Navy Protocol: Otic Domeboro Solution: 2 percent acetic acid, water,
aluminum acetate, sodium acetate and boric acid. The acid retards bacterial
growth, while the aluminum and sodium acetate act as astringents, drawing
excess water out of the cells lining the ear canal. The divers put this
solution in each ear canal twice a day and hold the solutions for at least
five minutes at a time.
There are other preparations available over the counter (Auro-Dri, Swim-Ear)
that are less expensive and consist of 95 percent isopropyl alcohol, with
anhydrous glycerine. These preparations, however, lack acidity and are less
powerful at inhibiting bacterial growth. Application: before your first dive
in the morning and after your last dive each night, here's what to do: the
head is tilted to one side and the external ear canal gently filled with the
solution, which must remain in the canal for five minutes. The head is then
tilted to the other side, the solution allowed to run out, and the procedure
repeated for the other ear. The five-minute duration must be timed with a
watch. If the solution does not remain in the ear a full five minutes, the
effectiveness of the procedure is greatly reduced. Remember, this is a
prophylactic procedure that should be started before the ear becomes
infected - beginning it only after an infection occurs will not help much.
Do not put drops in your ear if you have any reason to suspect you may have
a ruptured eardrum from a squeeze. If you do, you may wash bacteria into the
middle ear, where an infection can be really bad news.
MORE ON SWIMMERS EAR
DAN revisits and expands on the preventive measures for otitis externa
By Edward D. Thalmann, M.D.,
Making Your Own "Home brew" to prevent ear infection, as many of our member
wrote in to share with us.
White wine vinegar is 4-6 percent acetic acid, and if it's mixed with an
equal amount of isopropyl alcohol, it would probably work fine. Using
undiluted vinegar may make the solution too acidic and cause irritation.
Using less alcohol may be wise if you find that the 50:50 mix provides too
much drying Ä this can make your ear canal sore after several days of use.
In principle, just diluting the acetic acid 50:50 with water might work
since it appears that the acidic pH is more important than the drying effect
of the alcohol. Adding propylene glycol or other moisturizers would seem
either to be a waste of time in a home-brew, or it might produce undesirable
effects according to Dr. Jones' observations.
Could lemon juice, which contains citric acid instead of acetic acid, be
used instead if vinegar, as some members advised? In principle, if a
solution was mixed to a pH of 3.0 it might, but whether other substances in
lemon juice might promote bacterial growth I cannot say. For home brew I'd
stick to what works Ä vinegar and isopropyl alcohol.
No matter what solution you use, remember its effectiveness is drastically
reduced unless it remains in the ear canal a full five minutes. Another
caution: the above solutions are for use in the otherwise normal ear with an
intact eardrum. If there is any hint that the eardrum may be torn, do not
use these solutions as they may cause damage to middle ear structures. And
if any solution causes irritation, stop using it.
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Otitis and perforated eardrum
Question:
I have been diagnosed with having a hole in my right eardrum and this has
become infected. It happened 2 days ago (29/05/2000) and is, I suspect a
resurgance of an old infection I had from about a month before. I believe I
have a "reverse block" and the pain has been quite intense.
What I need to know is - how serious is this?, should I go to a hospital or
back home (to the UK)?.
The medications I have been prescribed are listed below:
Augmentin (amoxycillin and clavulanate potassium) 375mg - 4x/day.
Taravid (otic solution - 3mg of loxacin per 1ml - 4 drops/day.
and then Oticin (500mg of chloramphenicol per 10c.c. - 2 drops every 4
hours.
Actifed (triprolidine HCI 2.5mg & pseudoephedrine HCI 60mg – 4 tablets per
day.
and! ibrupofen 400mg capsules as and when for pain.
I also have "Swim Ear" (isopropyl alcohol 95% anhydrous glycerin 5% - which
I have been using occasionally. Are these drugs OK?
Answer:
The treatment you have been prescribed is, generally speaking, appropriate
for a case of otitis media and external. However if there is a certain or
suspected perforation of the eardrum, the use of external medications to be
instilled in the external ear canal is not advisable, unless made under
direct supervision by a qualified ENT specialist. Likewise, I do not
recommend the use of the "Swim Ear" preparation until the current ear
infection and eardrum perforation are satisfactorily healed.
The situation is not very serious, but it does require specialits attention
and we do recommend that you see an ENT specialist, or go to a hospital with
an adequate ENT department.
--------------------------------------------------------------------------
Ear infections
Question:
I have been diving for over 2 years, with occasional difficulty equalising.
On a few occasions i have been a little impatient and forced them. Following
this I took "Ibruprofen" and they where fine the following day with no
lasting symptoms. During December i completed a few dives at Stoney cove and
my ears didnt feel quite right. I thought they just needed a rest. It was
cold and I thought I may have been a little congested. Subsequently I
stopped diving over Christmas and New year. I visited my GP in January on
the 15th. She was shocked when looking down my ears she saw they where full
of pus and my ear drums where ruptured. She started me on Amoxycilin for
seven days and Locorten-Vioform ear drops three times a day. I have also
been experiencing pain in my sinuses and i took Sudofed which helped but
kept me awake all night. Following this I commenced Otomize four times a
day. My left ear was still infected with pus and the right was clearing up
nicely. At present I still get occasional "twinges" in both ears. Currently
I am still using Otomize in my left ear and await the ENT consultant
appointment.
The question is can you advise me regarding this.
Answer:
The ear infections you have picked up during your diving have to clear up
completely before you can consider diving again. The perforations in your
ear drums are likely to be due to the severity of the ear infections and not
following an in water rupture as this is consistent with the history you
describe.
These perforations normally close spontaneously within a few weeks once the
infection is cleared and you would then be able to resume diving after 1-2
months when the ear drum should be strong enough to resist re-perforation.
If closure does not occur spontaneously this may need surgery and return to
diving is subject to an assessment by an ENT specialist with diving medical
knowledge.
Pozdrav...
Wizzz
Ear problems in Diving:
Symptom Cause Benefits from dry ear diving
Ear Pain Middle ear Barotrauma ("Ear Squeeze") - pain caused by
failure to equalize pressures between the outer and middle ear. Caused by
blockage in the Eustachian tube. Pressures cannot be equalized and the
eardrum is forced inward causing considerable pain, bleeding into middle ear
and sometimes rupture of the eardrum. Preliminary results from multiple
dives indicate easier pressure equalization. Possibly explained by lack of
stimulation of tympanic membrane and the resultant middle-ear secretions.
Infection or inflammation of the outer ear canal Otitis externa -
Exposure to water dilutes the ear's protective lining and exposes it
to infection. Polluted water entering the ear canal carries bacteria and
irritant chemicals.
Absolute protection from water and pollutant entry will provide
effective prevention.
Middle ear inflammation Otitis media -
Inflammation due to poor drainage and collection of fluids in the
middle ear and Eustachian tube.
Lack of tympanic membrane stimulation may obviate problems with
drainage of middle-ear secretions.
Inability to discern the direction of sound Diminished function of the
calibration of the ear, which is built to function in an air environment. No
mechanism as yet to explain this surprising but consistent observation.
Extremely important for divers ascending into busy sea lanes, potentially
avoiding accidents.
Dizziness (vertigo) and loss of direction Due to caloric stimulation
or to damage to the inner ear which affects balance. Avoidance of cold water
stimulation of the tympanic membrane, which produces the vertigo.
Build up of bony deposits in the outer ear Exostoses -
The body's mechanism for protecting the eardrum from the adverse
effects external trauma like pressure, cold, etc.
Avoidance of cold water stimulation of the external ear canal will
undoubtedly prevent exostoses entirely
WTF?!
--
lighty
Freedom is just another word for nothing left to lose.