Ib qhov chaw uas cov kab mob sib sau yog cov kab mob ua pa sab saud. Muaj feem ntau hauv cheeb tsam tsom mus rau mob o. Ntawm cov kab mob ENT, uas cov kab mob thiab cov kab mob sib sau ua ke, qhov ntswg conchas nyob hauv ib qho chaw tshwj xeeb. Lawv o thiab o yog lub ntsiab ua rau ua pa nyuaj. Pathology ntawm lub turbinates ua rau lub qhov ntswg los ntswg, snoring thiab mob taub hau. Cov kab mob ntau tshaj plaws yog sinusitis.
Qhov no yog qhov mob ntawm qhov ntswg qhov ntswg, uas tau kuaj pom hauv cov neeg laus thiab menyuam yaus. Lwm yam kab mob yog ntau yam sinusitis - frontal sinusitis, ethmoiditis, sphenoiditis. Qee zaum, muaj kev sib xyaw ua ke ntawm tag nrho cov turbinates. Kev kho mob ntawm xws li pathologies pib nrog kev kho tshuaj. Hmoov tsis zoo, qee zaum nws hloov tawm los ua haujlwm tsis zoo. Tom qab ntawd tus kws kho mob otolaryngologist pom zoo kom phais.
Concha: qauv
Conchas yog cov tsim tsim nyog los txwv cov txheej txheem inflammatory. Feem ntau, lawv muaj nyob rau hauv cov neeg laus thiab menyuam yaus. Cov qauv no yog tsim los ntawm cov pob txhahauv paus. Sab nraud, lub qhov ntswg conchas yog npog nrog mucous daim nyias nyias. Lub luag haujlwm tseem ceeb ntawm cov kabmob no yog los xyuas kom meej qhov kev tso pa tawm. Txhua lub plhaub faib lub qhov ntswg kab noj hniav mus rau 3 kab lus. Lawv lub luag haujlwm txawv thiab nyob ntawm qhov chaw thiab cov qauv uas nyob ib sab ntawm lawv.
Muaj 3 qhov ntswg conchas: sab sauv, nruab nrab thiab qis. Thawj ob yog tsim los ntawm daim hlau ntawm lub lattice labyrinth. Lub inferior turbinate yog nyob ntawm cov pob txha sib cais. Nws tsim ib txoj hauv kev uas tsim nyog rau cov kua muag tawm. Lub sab sauv thiab nruab nrab shells sib txuas lus nrog lub qhov ntswg sinuses. Thaum lawv mob los yog raug mob, txoj kev ntawm huab cua yuav nyuaj.
Kab mob
Cov turbinates tau npog nrog cov ntaub so ntswg, yog li thaum kis kab mob, lawv o thiab loj tuaj. Yog li ntawd, tsis tsuas yog ua pa nyuaj, tab sis kuj nce secretion ntawm mucus. Raws li qhov tshwm sim ntawm hypertrophy, qhov ntswg qhov ntswg tsim los ntawm cov plhaub tau txo qis, uas yog, lawv ua kom nqaim. Kev mob ntawm cov kabmob no yog qhov txaus ntshai heev, vim tias cov qauv no nyob ze rau lub hlwb. Cov teeb meem txaus ntshai ntawm kab mob ua pa sab saud yog meningitis, encephalitis thiab sepsis. Cov feem ntau pathologies yog inflammatory kab mob ntawm lub sinuses - sinusitis. Ntawm cov no, cov kab mob ntau tshaj plaws yog sinusitis.
Kev mob ntawm cov turbinates thiab sinuses ua rau ua pa nyuaj, stagnation ntawm cov hnoos qeev thiab cov kua ntswg, mob taub hau. Lwm qhov laj thawj rau cov tsos mob no yogvasomotor rhinitis nyob rau hauv cov poj niam. Nws kuj yog tshwm sim los ntawm o, tab sis qhov sib txawv tseem ceeb yog tias nrog cov kab mob no nws tsis tshua muaj peev xwm ua tiav qhov kev tso cai ruaj khov. Ib qho tshwm sim zoo sib xws tau piav qhia los ntawm cov ntshav txaus rau cov turbinates. Cov kab mob tsis tshua muaj xws li kev tsis sib haum xeeb ntawm cov kab mob ENT, kev raug mob, neoplasms.
Kev kho mob ntawm turbinate pathologies
Raws li cov nqaij mos edema, qhov ntswg conchas nce. Kev kho mob yog qhov tsim nyog, vim tias hypertrophy ntawm mucosa tuaj yeem ua rau ua tiav kev cuam tshuam ntawm sinuses. Yog li ntawd, nrog inflammatory pathologies, nws yog ib qho tsim nyog yuav tau pib kho sai li sai tau. Nws muaj nyob rau hauv kev teem caij ntawm antibacterial, antiviral agents, kev kho mob hauv zos. Allergic rhinitis xav tau cov tshuaj tiv thaiv.
Raws li koj paub, tus mob khaub thuas yog qhov laj thawj tseem ceeb rau kev siv tshuaj vasoconstrictor. Ntawm lawv yog cov tshuaj Naphthyzin, Xymelin, Nazivin, thiab lwm yam Txawm tias muaj tseeb hais tias cov tshuaj no pab tiv nrog ib tug los ntswg qhov ntswg, nws yog contraindicated rau tsim txom lawv. Qhov no muaj tseeb tshwj xeeb rau cov neeg mob me. Kev siv ntau zaus tuaj yeem ua rau atrophy ntawm qhov ntswg mucosa. Hauv cov neeg laus, cov tshuaj vasoconstrictor yog hom tshuaj. Yog li ntawd, tee yog sau tseg tsis pub dhau 5-7 hnub. Yog hais tias, ntxiv rau rhinitis, muaj cov tsos mob ntawm intoxication, thiab nyob rau hauv x-ray muaj ib daim duab ntawm sinusitis, ces yuav tsum tau siv tshuaj tua kab mob. Lawv muab tshuaj Cefazolin, Rosenfeld ointment.
Qhia rau cov txheej txheem phais
Qee zaum, tshuajkev kho mob tsis ua rau muaj kev kho mob rau tus mob khaub thuas. Feem ntau qhov no yog pom nrog vasomotor rhinitis. Nyob rau hauv lub xub ntiag ntawm no pathology, cov neeg mob feem ntau siv tshuaj vasoconstrictor. Raws li qhov tshwm sim, cov tshuaj poob lawv cov txiaj ntsig, lub cev ua rau kev quav tshuaj. Kev tshem tawm cov tee ua rau qhov rov ua dua ntawm tus mob khaub thuas. Hauv qhov no, kev kho mob phais ntawm pathology yog pom zoo. Feem ntau, otolaryngologists hais rau vasotomy ntawm turbinates. Ntxiv nrog rau cov lus qhia no, muaj lwm yam laj thawj rau kev phais.
Nrog lawv:
- Kev tsis sib haum xeeb ntawm cov turbinates thiab kab lus.
- YBenign neoplasms (polyps).
- Vascular malformation.
- Kev raug mob ua rau lub cev sib txawv thiab ua pa nyuaj.
Txawm tias qhov ntswg qhov ntswg tsis suav tias yog qhov tsos mob hnyav, qee qhov kev phais yog tib txoj kev kho. Nws yuav tsum nco ntsoov tias qhov tsis tu ncua hypertrophy ntawm turbinates tuaj yeem ua rau lub hlwb tsis muaj oxygen. Tsis tas li ntawd, qhov mob hnyav ntawm cov sinuses feem ntau nyuaj los ntawm kev ua txhaum ntawm kev ua kom pom tseeb purulent thiab kev loj hlob ntawm sepsis.
Inferior turbinate vasotomy: txoj kev piav qhia
Ib qho kev kho mob rau cov kab mob rhinitis ntev yog vasotomy. Muab hais tias cov turbinates yog hypertrophied, nws yog ib qho tsim nyog los txo cov nqaij mos edema. Nrog vasomotor rhinitis, qhov nce hauv cov kabmob tshwm sim vim muaj ntshav ntau thiab kev loj hlob ntawm cov mucous membrane. Txoj kev kho noyog txiav cov hlab ntsha. Raws li qhov tshwm sim, muaj kev ua txhaum ntawm cov ntshav muab rau cov mucous membrane thiab txo qis hauv nws cov tuab.
Cov txheej txheem no feem ntau ua rau ntawm cov turbinates qis dua. Nws tuaj yeem yog ib qho lossis ob sab. Feem ntau, hypertrophy ntawm ob lub plhaub tau pom.
YVasotomy technique
Kev phais turbinate tsis zoo yuav siv sijhawm li 15-30 feeb. Hauv qhov no, tus neeg mob yuav nco ntsoov. Txhawm rau tiv thaiv psychomotor agitation thiab ntshai, tus neeg mob yog blindfolded. Thaum tus txheej txheem, tus neeg mob nyob rau hauv ib qho chaw zaum. Tsis tas yuav npaj tshwj xeeb rau qhov kev phais phais no.
Vasotomy ntawm cov turbinates yog ua raws li tshuaj loog hauv zos. Yog tias tsim nyog, cov txheej txheem zoo li no tsis tas yuav mus pw hauv tsev kho mob ntawm tus neeg mob. Tsuas yog qhov tshwj xeeb yog cov xwm txheej uas muaj teeb meem tom qab phais (los ntshav) tshwm sim.
Vasotomy hais txog txoj kev phais ib txwm. Ib qho kev phais yog ua nyob rau hauv lub qhov ntswg kab noj hniav, thiab ib tug tshwj xeeb ntsuas, ib tug raspator, yog muab tso rau. Nrog nws, tus kws kho mob otolaryngologist cais cov mucous membrane. Raws li qhov tshwm sim ntawm cov txheej txheem no, caws pliav ntawm vascular cov ntaub so ntswg tshwm sim. Raws li qhov tshwm sim ntawm qhov rov loj hlob ntawm cov mucous membrane tsis tshwm sim.
Cauterization ntawm cov turbinates: nws yog dab tsi?
Ib txoj hauv kev ntawm kev kho mob phais yog cauterization ntawm cov hlab ntsha. Nws txawv nyob rau hauv uas tsis yog ib tug incision nrog ib tug scalpel, lub lag luam yog ua nrog ib tug laser. Hauv qabNyob rau hauv qhov kev txiav txim ntawm hluav taws xob, cov ntaub so ntswg ntawm cov turbinates puas lawm, thiab cov hlab ntsha yog "sau".
Tam sim no, txoj kev no tau nyiam dua thiab ua tiav hauv yuav luag txhua lub tsev kho mob.
Techniques rau cauterization ntawm turbinates
Muaj ntau ntau yam ntawm cauterization ntawm cov turbinates. Feem ntau yog kev phais laser. Ntxiv rau nws, sawv tawm:
- Electrocautery. Txoj kev no muaj nyob rau hauv kev sojntsuam cauterization ntawm cov hlab ntsha.
- Cryodestruction. Cov txheej txheem no yog suav tias yog feem ntau sparing, nws yog siv rau me me tsis xws luag nyob rau hauv lub mucous daim nyias nyias. Ua nrog kua nitrogen.
- Radiocoagulation. Lub ntsiab ntawm txoj kev yog tho cov ntaub so ntswg thiab ntxig rau hauv lub qhov ntawm lub cuab yeej rau cauterization ntawm cov hlab ntsha.
