Boric acid in the ear is used in almost every family, if someone from the family has problems with the ear. In order to carry out the treatment of sick ears at night, it is necessary to apply turndochki - these are cotton swabs moistened with boric alcohol. This is a very convenient and secure way.
The use of turic acid boron acid is one of the most common methods in the treatment of ear diseases. In what cases this technique is used, what is the difference from this article to the simple instillation of the drug in the ear, what is the turunda.
What it is?
The word "turunda" is derived from the Latin turunda, which means dressings.
The concept of hard-to-reach places includes:
- nasal passage;
- urethra;
- anus;
- auditory canal;
- purulent wound;
Externally turunds are flagella twisted of gauze or wool. Pharmacies sell ready-made and sterile products, but if necessary, they can be made independently.
Advantages and disadvantages
Turunda in the ear, compared with a simple instillation, have the following advantages:
- The medicine with which the flagellum is soaked does not flow from the ear.
- More even distribution of the active substance in the ear canal.
- Longer term of action of medicine.
- The availability of drugs and its low cost.
The disadvantages of this method include the risk of damage to the eardrum with the wrong introduction of the flagellum. In addition, you can injure the delicate skin of the ear canal. If only a piece of a cotton or gauze tampon remains in the ear for a long time, it can lead to inflammation and serious complications.
What are the differences from compress and instillation?
Turunda for non-purulent otitis are a more gentle and safe way to cope with the disease, compared with instillation of the drug in the ears.
When instilled, painful sensations may occur - itching, tingling or burning, which disappear within a few minutes. When using a turundum, such pain is almost absent.
Compression with boric acid, in contrast to turunds with the same medicine, is a warming and analgesic procedure. There is no direct contact of the drug with the delicate skin of the ear canal and eardrum, and the therapeutic effect is due to local heating in the ear.
And although the compress is a less radical method of treatment than the introduction of turunda or instillation, it can ease the course of the disease and relieve pain syndromes.
Which way and when to choose?
All three ways to use boric alcohol in otitis, instillation, warming compresses and turunda in the ear - have different medical indications. Therefore, before applying this or that method of treatment at home, you should always consult a doctor. Only a specialist can determine exactly whether the use of boric acid is appropriate for your particular case.
Instillation in the ear is used for uncomplicated ear pathologies. Boric alcohol in a three-percent concentration destroys the pathogenic bacterial microflora in the focus of inflammation, strengthens the local immunity. A prerequisite is the absence of perforation of the eardrum.
A boiling alcohol wrap compress is indicated for external otitis, as well as for otitis media in the acute or chronic phases. Compress helps to increase the local temperature and the production of neutrophils that destroy disease agents.
Some doctors do not approve of compresses as a treatment for ear pathologies and allow a warming compress only as a single procedure, if there is pain and there are difficulties in obtaining emergency medical care.
An absolute contraindication for a warming compress is:
- active inflammatory process;
- suppuration;
- furunculosis of the face;
- as well as increased body temperature.
Failure to comply with this requirement can aggravate the pathological process and even provoke rupture of the membrane.
Turunda impregnated with boric alcohol, put in the case when there are doubts about the integrity of the eardrum.
At the same time for a longer period the warming effect is preserved and the membrane suffers less. Indications for use are the same: non-complicated inflammation of the middle ear, as well as the presence of boils in the ear canal.
When is it contraindicated?
Turunda with boric alcohol in the ears are unacceptable in the following cases:
- age of the child less than 3 years;
- pregnancy;
- breast-feeding;
- individual intolerance to the components;
- purulent otitis media;
- high body temperature;
- renal dysfunction.
Step-by-step instructions for making
At home, you can make turunda from different materials - cotton wool, cotton pad, bandage or gauze. All manipulations are carried out with sterile materials and clean hands.
How to make flagella from fleece?
Take a small piece of cotton, fluff it and stretch in different directions.- Starting from the center, twist it into a thin roller. Roller length - 10-12 cm, diameter - 2 mm.
- Bend the roller in half and twist both halves in a spiral.
Take a small piece of cotton, fluff it and stretch in different directions.As a result, you will have a rather dense turunda so that it does not bend and, at the same time, soft enough not to injure the delicate tissue of the ear canal.
There is another way to make turunda:
- It is necessary to wind fluff wool on a toothpick or straightened clip in such a way as to obtain a flagellum of conical shape with a length of 3-4 cm.
- Then you can take out a toothpick and try to seal the resulting conical tampon so that it does not bend.
How to make a cotton pad?
- Take one cotton pad and divide it into two parts.
- Roll each piece into a bundle of the right size.
A flagellum made of a cotton pad is easier and faster to do, because the disc rolls down easier and puffs less compared to regular cotton wool. The thickness of the jacket for a child should not exceed 3-5 mm.
How to make a product from a bandage or gauze?
- Cut a piece of 12-15 cm long and 1 cm wide.
- Wrap the edges of the strip carefully inwards so that the threads do not stick out.
- Take a strip of opposite edges and twist.
- Fold in half and twist the resulting ends together.
Flagella of bandage and gauze are dense and fairly soft., therefore preferable for small children.
How to use and how much to keep?
Before using wadded or gauze flagella, it is necessary to clean the ear canal from earwax (sulfur plugs). For this, three per cent hydrogen peroxide is used.
Put 4-5 drops of peroxide into your ear and lie down for about 10 minutes.- Bend your head so that all the liquid flows out.
- Scrape sulfur residues with cotton buds.
- Apply 5-6 drops of warmed (in a water bath) to body temperature of boric alcohol on the turunda.
- Put the flagellum into the ear using twisting neat movements, while the tip of the turunda should remain outside.
- Leave the turundum in the ear for 2-3 hours until completely dry.
- At the end of the procedure, remove the tampon from the ear. If there is a need to remove the remnants of the solution from the ear canal with dry cotton wool.
- The multiplicity of this procedure - two or three times a day and once for a full night. The interval between the daily procedures is not less than 5 hours.
- The duration of treatment is not more than 7 days.
In the absence of positive results, be sure to consult a doctor.
Put 4-5 drops of peroxide into your ear and lie down for about 10 minutes.Turunda in the ear should be far enough away, slightly touching the eardrum. It is forbidden to force the flagellum too deeply and, in addition, to ram it. It is not recommended to put too much medicine on the swab.
If you use a turunda of gauze or bandage, then it is better to put it in the ear dry, using sterile tweezers. The fact is that the gauze flagellum soaked in boric acid becomes too flexible, and its introduction into the ear canal is much more complicated. Therefore, warm boric alcohol is pipetted onto an already inserted tampon.
In addition to pure boric alcohol when using turunda, you can use its mixture with glycerin. This can be done in two ways.
- Mix warm glycerin and boric alcohol in equal parts. The resulting solution is used for wetting tampons.
- Moisten turunda first with boric alcohol, and then with the same amount of glycerin. Further actions - according to the above instructions.
Side effects
With the right use of boric acid, side effects are extremely rare., for example, due to individual intolerance. But with the wrong (overdose), long-term and uncontrolled use of boric alcohol, the following conditions are possible:
- nausea and vomiting;
- Gastrointestinal Disorder, diarrhea;
- convulsions;
- stupefaction, dizziness;
- disorders of the liver or kidneys;
- headache;
- shock condition.
At the slightest signs of such consequences should immediately stop the use of drugs of boric acid and see a doctor.
What other actions are taken to treat the hearing organs?
In some cases, instead of boric alcohol, we use chloramphenicol or furacilin alcohol for wetting turculases. The decision on additional actions in the treatment of otitis takes a doctor. Otorhinolaryngologist may appoint:
- ear drops with penicillin antibiotics, amoxicillins;
- analgesic drops with lidocaine;
- anti-inflammatory drugs - prednisone, dexomethasone, as well as nonsteroidal anti-inflammatory drugs;
- iodine solution and silver nitrate 40% - as a means for scarring of the eardrum, if there was its perforation;
- physiotherapy (UHF, electrophoresis).
Despite the simplicity and sufficient effectiveness of the use of turu with boric alcohol, this method is used mainly as an auxiliary in the treatment of ENT diseases. It is important to know that treatment of ear diseases should be comprehensive and the use of one of the procedures can not guarantee complete recovery. At the first symptoms of discomfort should consult a doctor. And do not forget about the dangers of self.
