Otitis media is one of the common diseases in childhood. It is inflammation of the tympanic mucosa of the middle ear. The prevalence is highest in children under 8 years of age.If otitis media is not treated in time, it is easy to cause meningitis, brain abscess, and even life-threatening.According to statistics from the Chinese Medical Association, more than half of children will have one or several ear infections before the age of three.
So, why are children particularly prone to this disease?
made in ChinaHearing aidExperts answer for you:
1. The ear structure is not fully developed
The human ear is connected to the nasal cavity and oral cavity. This passage is called the Eustachian tube.The Eustachian tube has a valve-like structure near the nasopharynx.The Eustachian tube not only serves as a connection, but its most important task is to balance the air pressure of the middle ear and the outer ear, which is conducive to the normal vibration of the tympanic membrane.
In children, especially those under 3 years old, the organ structure of the ears has not yet been fully developed, the eustachian tube is short and straight, the lumen is relatively wide, the physiological stenosis of the eustachian tube has not yet formed, and the tube is close to the horizontal position.Due to this characteristic of the eustachian tube in children, the secretions and bacteria from the nasopharyngeal tube are easier to enter the middle ear along the pharyngeal opening of the eustachian tube, causing otitis media.
2. Children have poor immunity
Children have poor immunity, not only the immune function of the middle ear is not fully developed, but also various organs are relatively fragile, and various viruses and bacteria are also relatively easy to invade.
The common pathogens of otitis media are pneumococcal bacteria, influenza bacteria, etc., so when young children catch a cold, the nasal cavity is blocked, mucus, adenoid inflammation and proliferation are active, nasopharyngeal secretions and bacteria accumulate, so that viruses and bacteria are easy Enter the middle ear cavity through the Eustachian tube and cause otitis media.If children suffer from infectious diseases such as measles, scarlet fever, and whooping cough, the chance of incidence of otitis media will increase.
3. Spit milk and choke milk
Infant gastrointestinal development is not perfect, and some air is swallowed when eating, so they often have nausea during feeding or shortly after feeding, causing food in the esophagus or stomach to flow back into the throat, mouth or nasal cavity.If choking occurs, bacteria are more likely to enter through the Eustachian tube, which can easily lead to otitis media or suppurative otitis media.
When the mother is breastfeeding, the breastfeeding posture and method should be correct.Infants and young children should be picked up and fed, and not too much or too anxious during artificial feeding.In particular, avoid letting your baby lie there to feed on her own, or hold her to breastfeed.
4. Abuse of pacifiers
Many mothers like to use “soothing pacifiers” without bottles to let their children fall asleep peacefully.However, children’s frequent sucking action can easily cause germs to sneak into the Eustachian tube from the back of the nasal cavity, which can cause inflammation of the middle ear.
Therefore, after half a year old, the baby should stop using the comfort pacifier at the latest 10 months later. Mothers can use the plush toys to attract the child’s attention before going to bed and let him hold him to sleep quietly.
5. Blowing your nose messily
Once the baby has rhinitis and the nose increases, the parents will often blow his nose, but if the method of blowing the nose is improper, it is very likely that the baby will suffer from otitis media.
Wrong method: pinch both sides of the nose with two fingers, and blow the nose out.Because the nostrils on both sides of the child are pinched, the nasal mucus is blocked, and it is forced by external force to spray to the posterior nasal hole, through the Eustachian tube and invade the middle ear, and the bacteria and viruses in it take the opportunity to multiply and cause Inflammation.
The correct method: Use your fingers to hold down one nostril of the child, blow out the nasal mucus from the opposite nostril with a little force, and then blow out the other side with the same method.If your child’s nasal cavity is blocked and the nose is not easy to blow out, you can use ephedrine nasal drops for children to drip the nose first, and then blow the nose after the nasal cavity is ventilated.
6, swimming choking water
Most children are beginners in swimming, and it is not uncommon for them to choke on their noses.Due to the imperfect development of children’s Eustachian tube, it is not like the adult’s Eustachian tube which can hinder the choking of water to a certain extent.Therefore, once swimming chokes, the bacteria in the water are more likely to retrograde through the nasal cavity and nasopharynx to the Eustachian tube and spread to the mucosa of the middle ear cavity, causing edema and infection, leading to middle ear effusion, obstruction, and secretions (what we commonly call ” Pus”) cannot flow out, causing acute otitis media.
It should be noted that if the ears are not cleaned in time after swimming, the humid environment will also create favorable conditions for bacteria to multiply, which can easily lead to otitis, periostitis and then otitis media.
Some parents like to dig out their baby’s ears on a regular basis. They think it is a dirty thing and hinders listening to the sound.In fact, the role of earwax is like a sentinel, guarding the door of the external auditory canal, preventing foreign bodies from invading the ear, and protecting the ear canal and tympanic membrane.
Generally speaking, if there is less earwax, there is no need to dig it out. Under normal circumstances, it will be discharged by mandibular movements such as chewing and mouth opening.If you find that your child has a lot of earwax, parents shouldn’t act recklessly.Because even if you use a soft cotton swab to help your child, there will still be a part of it being pushed into the depths by the cotton swab.Using a hard object to dig it is more likely to accidentally damage the child’s external auditory canal, and even cause otitis media.
If the baby does have too much earwax, it is recommended that parents take the baby to the hospital for a doctor.
If acute otitis media is detected in time and the right medicine is prescribed, it will usually heal immediately and will not affect the child’s hearing in the future.However, if it is not treated in time, it becomes chronic otitis media, which may cause permanent hearing loss of the child, and even life-threatening.
Some children have no obvious symptoms of cold and fever after otitis media. They may only be low-grade fever below 38°C or runny nose, which is easy to be ignored by parents; and symptoms such as earache and hearing loss are sometimes vague. Especially for children under 3 years old, the language ability is not very strong, it is difficult to tell the parents what is uncomfortable.So here to remind parents, when the baby has the following situations, we should pay great attention to it:
1. The ear hurts and no longer hurts, but the spirit is not as good as usual;
2. Grab your ears, or use your fingers to dig out the ear holes from time to time;
3. Ignore the adult, always ask the adult to repeat it, or like to turn on the volume of the TV very loudly.