Тубоотит :необходимо лететь самолётом!(

[ALLA127]

Уважаемые доктора, помогите мне советом.
Я не в стране, за рубежом.
Евстахеит, при самопродувании не чувствую открытия устья правой трубы. Капли не помогли, ухо закладывает, но если подвигать пальцев в ушном проёме, заложенность уходит. Нет заложенности, если я лежу.Боли в ушах нет. Уши сухие. Нос не заложен. После ОРВИ.
Срочно нужно лететь, наземным транспортом ехать не могу,-нет визы.
Как быть?! Читала про жвачку,"чебурашку"(стаканы на уши). Но меня волнует то, что одна труба как бы не проходима. Боюсь разрыва перепонки, боюсь оглохнуть. Как с наименьшими потерями совершить этот перелёт?
Пожалуйста, отзовитесь.

[KhasanovMD]

[Ссылки доступны только зарегистрированным пользователям ]

Prevention — The best treatment for barotrauma is avoidance. Planning for the pressure changes and if necessary medicating to prevent them can many times avoid the problem [3]. Changing plans to avoid flying with a cold or canceling dives when the ears won't clear can avoid injury [12,18].

Use of oral decongestants, antihistamines, and nasal decongestant sprays prior to flying or diving may reduce obstruction around the eustachian tube and allow for easier pressure equalization [26-28]. Pseudoephedrine taken 30 minutes prior to flight may reduce the incidence of barotrauma [27]. Oxymetazoline is somewhat less effective. Ongoing studies are evaluating whether inhaled surfactant prior to diving could reduce Eustachian tube dysfunction [29] and whether decompression in near zero-gravity environments might effectively reduce the incidence of barotrauma [30].

Swallowing to open the eustachian tube or using the Va...va maneuver (positive pressure against a closed nasal airway) usually equilibrates pressure in the middle ear to the outside. Doing this frequently during the change in pressure can prevent large pressure differences from forming and prevent any tissue injury. Chewing gum or sucking on hard candies helps for adults, sucking on a bottle helps for infants.

Ear plugs have been designed that slow down the pressure changes from flying. These plugs, which are available in drug stores and most airports, allow more time to equalize the pressure change; they do not eliminate the need to equilibrate the pressure changes. Their benefit, however, has not been clearly demonstrated [31]. Ear plugs cannot be used with diving since equilibration of air pressure in the external ear canal blocked by ear plugs cannot easily occur underwater.

Ventilation tubes can be placed in the ear to eliminate the barrier between the middle ear and the outside world. Barotrauma cannot occur in the absence of this barrier. This is an effective preventive treatment for patients undergoing hyperbaric oxygen therapy for wound healing [32]. Ventilation tubes may also be considered for patients who have poor Eustachian tube function and who must fly frequently.

Balloon dilatation of the eustachian tube is being evaluated for chronic eustachian tube dysfunction [33,34]. This is a procedure where a balloon is passed through the nose and into the eustachian tube. It is inflated to stretch the eustachian tube. If studies confirm the long-term benefit of such intervention, then it may be a good alternative to those who want to dive or fly but cannot do so easily because of chronic eustachian tube dysfunction

[ALLA127]

Сообщение от KhasanovMD

[Ссылки доступны только зарегистрированным пользователям ]

Prevention — The best treatment for barotrauma is avoidance. Planning for the pressure changes and if necessary medicating to prevent them can many times avoid the problem [3]. Changing plans to avoid flying with a cold or canceling dives when the ears won't clear can avoid injury [12,18].

Use of oral decongestants, antihistamines, and nasal decongestant sprays prior to flying or diving may reduce obstruction around the eustachian tube and allow for easier pressure equalization [26-28]. Pseudoephedrine taken 30 minutes prior to flight may reduce the incidence of barotrauma [27]. Oxymetazoline is somewhat less effective. Ongoing studies are evaluating whether inhaled surfactant prior to diving could reduce Eustachian tube dysfunction [29] and whether decompression in near zero-gravity environments might effectively reduce the incidence of barotrauma [30].

Swallowing to open the eustachian tube or using the Va...va maneuver (positive pressure against a closed nasal airway) usually equilibrates pressure in the middle ear to the outside. Doing this frequently during the change in pressure can prevent large pressure differences from forming and prevent any tissue injury. Chewing gum or sucking on hard candies helps for adults, sucking on a bottle helps for infants.

Ear plugs have been designed that slow down the pressure changes from flying. These plugs, which are available in drug stores and most airports, allow more time to equalize the pressure change; they do not eliminate the need to equilibrate the pressure changes. Their benefit, however, has not been clearly demonstrated [31]. Ear plugs cannot be used with diving since equilibration of air pressure in the external ear canal blocked by ear plugs cannot easily occur underwater.

Ventilation tubes can be placed in the ear to eliminate the barrier between the middle ear and the outside world. Barotrauma cannot occur in the absence of this barrier. This is an effective preventive treatment for patients undergoing hyperbaric oxygen therapy for wound healing [32]. Ventilation tubes may also be considered for patients who have poor Eustachian tube function and who must fly frequently.

Balloon dilatation of the eustachian tube is being evaluated for chronic eustachian tube dysfunction [33,34]. This is a procedure where a balloon is passed through the nose and into the eustachian tube. It is inflated to stretch the eustachian tube. If studies confirm the long-term benefit of such intervention, then it may be a good alternative to those who want to dive or fly but cannot do so easily because of chronic eustachian tube dysfunction

Спасибо, конечно, но толом не поняла, можно ли пользоваться берушами при односторонней непроходимости трубы? Сорри.