{"id":13539,"date":"2023-10-20T09:24:44","date_gmt":"2023-10-20T09:24:44","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13539"},"modified":"2023-10-20T09:24:47","modified_gmt":"2023-10-20T09:24:47","slug":"llr-policy-for-ear-wax-removal","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-ear-wax-removal\/","title":{"rendered":"Politica LLR pentru \u00eendep\u0103rtarea cear\u0103 a urechii"},"content":{"rendered":"

<\/p>\n\n\n\n

Categoria<\/strong><\/p>\n\n\n\n

Criterii de prag<\/p>\n\n\n\n

Ceara este o secre\u021bie important\u0103 \u0219i natural\u0103 care se g\u0103se\u0219te \u00een ureche. Men\u021bine canalul urechii lubrifiat \u0219i protejeaz\u0103 urechea \u00eempotriva prafului, murd\u0103riei \u0219i bacteriilor, ceea ce ajut\u0103 la prevenirea infec\u021biilor.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Eligibilitate<\/strong><\/p>\n\n\n\n

ICB-urile LLR vor finan\u021ba numai tratamentul de \u00eengrijire secundar\u0103 \u00een cazul \u00een care sunt \u00eendeplinite urm\u0103toarele criterii<\/strong>
\u00a0<\/strong>
\u00b7 Persoana are (sau este suspectat\u0103 c\u0103 are) o perfora\u021bie cronic\u0103 a membranei timpanice sau o perfora\u021bie vindecat\u0103
SAU<\/strong>
\u00b7 Exist\u0103 o istorie anterioar\u0103 de interven\u021bie chirurgical\u0103 la ureche
SAU<\/strong>
\u00b7 Exist\u0103 un corp str\u0103in cu cear\u0103 (inclusiv materie vegetal\u0103) \u00een canalul urechii
SAU<\/strong>
\u00b7 Pacientul sufer\u0103 de simptome semnificative din cauza acumul\u0103rii de cear\u0103 din urechi, inclusiv pierderea auzului sau durere, iar starea pacientului justific\u0103 micro aspira\u021bie
SAU<\/strong>
\u00b7 Are antecedente recente de otalgie \u0219i\/sau infec\u021bie a urechii medii (\u00een ultimele 6 s\u0103pt\u0103m\u00e2ni)
SAU<\/strong>
\u00b7 A avut complica\u021bii anterioare dup\u0103 irigarea urechii, inclusiv perforarea timpanului, durere sever\u0103, surditate sau vertij
SAU<\/strong>
\u00b7 Dou\u0103 \u00eencerc\u0103ri de irigare a canalului urechii \u00een \u00eengrijirea primar\u0103 nu au succes
SAU<\/strong>
\u00b7 \u00cendep\u0103rtarea cear\u0103 a urechii la pacien\u021bii care au avut deja irigarea urechilor \u00een \u00eengrijirea primar\u0103 \u0219i au nevoie de \u00eendep\u0103rtarea complet\u0103 a oric\u0103rei cear\u0103 rezidual\u0103 \u00eenainte de adaptarea aparatului auditiv
SAU<\/strong>
\u00b7 Stenoza canalului urechii
SAU<\/strong>
\u00b7 Starea activ\u0103 a pielii a urechii, eczeme, psoriazis
SAU<\/strong>
\u00b7 Traumare recent\u0103 la cap
SAU<\/strong>
\u00b7 Cear\u0103 numai \u00een urechea pentru auz (nu iriga\u021bi)
SAU<\/strong>
\u00b7 Dac\u0103 ceara urechii oclude total canalul urechii \u0219i sunt prezente oricare dintre urm\u0103toarele
o Pierderea auzului
o Dureri de urechi
o Tinitus
o Vertij
o Tuse suspectat\u0103 a fi cauzat\u0103 de cear\u0103 de urechi
o Membrana timpanic\u0103 este ascuns\u0103 de cear\u0103, dar trebuie privit\u0103 pentru a stabili un diagnostic
o Dac\u0103 persoana poart\u0103 un aparat auditiv, este prezent\u0103 cear\u0103 \u0219i trebuie luat\u0103 o amprent\u0103 a canalului urechii pentru o mucegai\u0103 sau dac\u0103 ceara provoac\u0103 fluieratul aparatului auditiv<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u00cendrumare<\/strong><\/p>\n\n\n\n

Prezentare general\u0103 | Pierderea auzului la adul\u021bi: evaluare \u0219i management | \u00cendrumare | GROZAV<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data revizuirii ARP 32: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Wax is an important and natural secretion found in the ear. 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