Hmoov tsis zoo, tsis hnov lus feem ntau nrog cov teeb meem nrog cov cuab yeej hais lus. Teeb meem nrog kev muaj peev xwm sib txuas lus, ua rau muaj teeb meem hauv kev sib txuas lus nrog lwm tus neeg. Thiab lawv yog ib qho ntawm qhov tsis zoo tshwm sim ntawm kev hnov lus tsis zoo. Muaj coob tus neeg raug mob los ntawm tus kab mob no, tsis tsuas yog cov neeg laus, tab sis kuj cov me nyuam. Qhov teeb meem tshwm sim nws tus kheej rau ntau yam laj thawj - los ntawm kev hloov pauv hauv cov qauv ntawm lub pob ntseg mus rau pathologies ntawm pob ntseg sab hauv.
Ib hom kev hnov lus tsis zoo yog ob tog sensorineural hnov tsis hnov lus. Hauv tsab xov xwm, peb yuav hais txog qhov ua rau ntawm tus mob no, nws cov tsos mob, kev kuaj mob thiab kev xaiv kho tau.
kab mob
ICD-10 code rau kev hnov lus tsis hnov lus zoo yog dab tsi? H90.6. Raws li qhov kev xaiv no yog "kev sib xyaw ob tog sensorineural thiab kev hnov lus tsis zoo." Yog li ntawd, tus kab mob no muaj ob hom.
Nyob rau hauv cov ntaub ntawv ntawm kev hnov lus tsis hnov lus, qhov teeb meem tseem ceeb yog qhov tsis zoo ntawm cov suab hauv nruab nrab thiab pob ntseg. Hom kab mob no tsis cuam tshuam rau tus neeg mob cov lus lees paub. Txawm li cas los xij, tsuas muaj ib txoj hauv kev los kho qhov tsis hnov lus no - tsuas yog kev cuam tshuam kev phais. Kev hnov lus zoo tuaj ntawm no hauv ob txoj hauv kev: los ntawm kev ua myringoplasty lossis los ntawm kev kho qhov chaw ntawm lub suab ossicles.
Raws li kev hnov lus tsis hnov lus (ICD-10 code - H90.6), qhov ua rau tus kab mob no txawv. Nyob rau hauv kev puas tsuaj rau paj hlwb nyob rau hauv lub puab pob ntseg los yog nyob rau hauv lub pob ntseg, kev puas tsuaj rau lub auditory paj. Qhov ua rau ntawm qhov tsis hnov lus tsis txaus ntseeg thiab ob tog sensorineural tsis hnov lus yog manifold.
Mob tuaj yeem yog qhov tshwm sim ntawm kev noj tshuaj tua kab mob. Feem ntau nws dhau los ua qhov tshwm sim ntawm cov kab mob sib kis. Yog tias tus neeg mob tau raug lub suab nrov rau lub sijhawm ntev, qhov no tuaj yeem ua rau tsis hnov lus tsis hnov lus (ob sab lossis ib sab).
Tsis txhob hnov qab txog qhov laj thawj zoo li kev cuam tshuam los ntawm kev hnov lus. Nws yog qhov txaus ntshai vim tias tus kab mob tsis cuam tshuam rau tus neeg mus ntev, tsis tshwm sim nws tus kheej hauv txhua txoj kev, thiab tom qab ntawd hnov tsis hnov lus nrov nrov. Feem ntau, cov caj ces tsis tshwm sim hauv cov xeeb leej xeeb ntxwv ntawm tus neeg mob, tab sis tom qab ib tiam.
About the neurosensory variety
Raws li kev txheeb xyuas kev kho mob, teeb meem hnov lus tsis yog qhov txawv. Hauv qhov sib txawv, 2% ntawm lub ntiaj teb cov pej xeem raug kev txom nyem los ntawm lawv. Thiab qhov kev kuaj mob feem ntau yog qhov tsis hnov lus tsis hnov lus.
Feem ntau tus kab mob no raug txiav txim rau cov neeg laus. Tab sis xws liQhov kev kuaj mob tsis tshua muaj tshwm sim ntawm cov tub ntxhais hluas (xws li vim qhov tseeb tias muaj kab mob tshwm sim tuaj yeem tshwm sim). Lwm lub npe ntawm tus kab mob no yog kev hnov lus lossis hnov lus tsis hnov lus.
Nyob rau hauv cov chav kawm ntawm txoj kev loj hlob ntawm tus kab mob, ib qho chaw ntawm lub suab-perceiving department ntawm lub rooj sib hais analyzer raug cuam tshuam. Lawv tuaj yeem yog cov hauv qab no:
- Sensory cov qauv thiab cov hlwb ntawm lub pob ntseg sab hauv.
- pob ntseg.
- Cortical cheeb tsam ntawm lub cev lub ntsej muag ntawm tib neeg lub paj hlwb cortex.
Daim ntawv hnov ntxhiab ntawm qhov hnov tsw kuj tseem txhim kho thaum cov paj hlwb ntawm pob ntseg sab hauv, cov paj hlwb lossis qhov chaw ntawm lub paj hlwb puas. Tus kab mob no txaus ntshai vim hais tias nyob rau hauv cov ntaub ntawv ntawm nws tsis tiav, kev kho mob tsis raug (los yog tsis ua tiav kev kho), nws tuaj yeem ua rau lag ntseg tag. Ntxiv mus, xws li ib tug pathological xeev ntawm kev hnov lus yog ua tiav nyob rau hauv ib tug luv luv lub sij hawm. Dab tsi yog qhov txaus ntshai, lag ntseg hauv qhov no yuav muaj tus cwj pwm hloov tsis tau.
Degrees of disease
Kev kuaj mob ntawm kev hnov lus ob sab tsis hnov lus ntawm 1 degree txhais li cas? Tus kab mob, raws li, kuj txawv hauv qib:
- Thawj (lossis tsis hnov lus me me). Nyob rau hauv lub xeev no, tus neeg mob muaj peev xwm paub qhov txawv ib tug ntxhi ntawm qhov deb ntawm 1-3 meters, thiab ib tug sib tham ntawm cov neeg ntawm qhov deb li ntawm 4 meters.
- Thib ob (lossis tsis hnov lus hnyav). Nrog rau cov kab mob pathological no, tus neeg tuaj yeem hnov kev sib tham thiab ntxhi tsuas yog los ntawm qhov ze dua.
- Thib peb. Tus neeg mob tsis hnov lub suab ntxhi hlo li. Kev hais lus nrov tuaj yeem lees paub los ntawm qhov deb ntawm 1meters.
- Plaub. Qhov kev hnov lus tsis zoo no piv rau qhov lag ntseg kiag li. Tus neeg mob NW nyuam qhuav hnov dab tsi.
YCaus ntawm pathology
Nco ntsoov tias qhov hnov lus tsis hnov lus yuav ua tau ob qho tib si kis tau thiab qhov tshwm sim. Yog hais tias koj muaj ib tug hereditary predisposition rau tus kab mob no, lub suab nrov load yuav provoke nws mus zuj zus. Piv txwv li, nyob rau hauv industrial thaj chaw uas koj ua hauj lwm. Qhov xwm txheej no tuaj yeem ua rau tsis zoo thiab tsis hnov lus txawm tias thaum muaj hnub nyoog ua haujlwm.
Tus kab mob no feem ntau pom nyob rau hauv daim ntawv tau txais. Hauv qhov no, cov hauv qab no tuaj yeem ua rau nws txoj kev loj hlob:
- Ntau yam kab mob sib kis. Ntawm lawv yog cov mob khaub thuas, kub taub hau, syphilis, thiab lwm yam.
- Cov kab mob kab mob ntawm cov kab mob auditory, ua rau otitis, labyrinthitis, meningitis.
- Kev raug mob rau sab nraud thiab sab hauv ntawm pob ntseg.
- Ntau yam tshuaj lom rau lub cev.
- kab mob vascular.
Qhov tseem ceeb ntawm tag nrho cov xwm txheej no yog tias lawv qhov cuam tshuam ua rau muaj kev cuam tshuam ntawm cov ntshav ncig hauv lub cev hauv lub cev, kev puas tsuaj rau cov hlab ntsha uas pub lub suab ntsuas ntsuas. Thiab qhov no twb ua rau tsis hnov lus.
Cov tsos mob ntawm tus kab mob. Yuav paub li cas?
Cia peb xav txog cov tsos mob tseem ceeb ntawm ob tog sensorineural hnov tsis hnov qab. Cov cim ceeb toom muaj raws li hauv qab no:
- tsis hnov lus. Koj nco ntsoov tias koj tsis hnov suab hauv lub mloog pob ntseg, los ntawm TV rauib txwm ntim. Tsis yog thawj zaug koj nkag siab qhov uas cov neeg sib tham tau hais rau koj. Los yog cov suab ntawm cov neeg hais lus sib koom ua ib lub suab nrov, thiab koj tsis tuaj yeem ua cov lus ib leeg.
- xwb pob ntseg tsis muaj laj thawj.
- Zoo kiv taub hau.
- Tinnitus.
- Kev cuam tshuam ntawm kev sib koom tes ntawm kev txav thiab lwm yam teeb meem nrog lub vestibular apparatus.
- Ntshai tsis tsim nyog.
kab mob daim ntawv
Ua ntej ntawm tag nrho cov, mob thiab mob ntev ntawm kev hnov lus tsis hnov tsw yog qhov txawv. Thawj yog txiav txim siab yog tias cov tsos mob ntawm tus kab mob tshwm sim lawv tus kheej hauv ib hlis. Daim ntawv mob ntev ntawm pathology - yog tias tus neeg mob sau tseg tias tus kab mob no tau tshwm sim ntau dua 30 hnub.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias nrog kev kho mob tsis txaus lossis nws qhov tsis tuaj, daim ntawv mob ntawm qhov hnov lus tsis hnov lus zoo yuav ua rau mob sai sai. Qee zaum, koj tuaj yeem tham txog kev lag ntseg tam sim ntawd. Thaum cov tsos mob ntawm tus kab mob tshwm sim tag nrho rau ob peb teev.
Nyob rau hauv ib puag ncig kev kho mob, nws kuj tseem nrov los faib kev lag ntseg rau qhov muag tsis pom kev thiab ob sab. Thawj yog sau tseg thaum ib pob ntseg cuam tshuam, qhov thib ob thaum ob lub pob ntseg raug cuam tshuam.
Kev Pab Cuam Tsis Taus
Raws li kev xiam oob khab, nws yog ib txwm muab thaum kuaj tus neeg mob nrog ob tog sensorineural tsis hnov lus. Tsis tas li ntawd, tus neeg mob tau txais cov xwm txheej ntawm "neeg xiam oob qhab" thaum nws tsis hnov lus thib plaub. Raws li rau cov neeg mob menyuam yaus, lawv raug xaiv rau kev tsis taus,yog tias kuaj tau tus kab mob thib peb lossis thib plaub.
YKev kuaj mob ntawm pathology
Kev kuaj mob ntawm tus kab mob no yog ua los ntawm tus kws kho mob otolaryngologist tsim nyog. Txhawm rau tsim kom muaj tus neeg mob qhov tsis hnov lus ob tog tsis hnov lus, tus kws kho mob tshwj xeeb ua cov tshuaj ntsuam xyuas.
Qhov tseem ceeb tshaj plaws ntawm cov no yog qhov kev sim hnov lus. Tus neeg mob tau txais kev mloog lus ntxhi thiab ib txwm sib tham ntawm tib neeg los ntawm qhov sib txawv. Raws li thaum nws muaj peev xwm paub txog cov lus ntawm tus kheej, qhov kev tsis hnov lus tau raug xaiv. Raws li koj nco qab, muaj plaub ntawm lawv.
thaj chaw tseem ceeb ntawm kev kho mob
Zoo ib yam li lwm yam kab mob, qhov hnov lus tsis hnov lus tau yooj yim kho yog tias kuaj pom thaum ntxov. Yog li ntawd, thaum nws tus kheej kuaj nws tus kheej cov tsos mob ntawm tus kheej, nws tseem ceeb heev kom tsis txhob ncua mus ntsib ENT.
Kev kho mob yog qhov systemic. Nws yog qhov ua tau zoo tshaj plaws rau qib 1 thiab qib 2 ntawm kev hnov lus tsis zoo. Yog tias tus neeg mob ua tib zoo ua raws li lawv tus kws kho mob cov lus qhia thiab siv cov tshuaj tsim nyog, qhov ua tau zoo ntawm kev hnov lus zoo heev.
Rau qhov tsis hnov lus tsis hnov tsw, tshuaj kho tau raug sau tseg. Tus kws kho mob sau cov tshuaj uas tuaj yeem txhim kho cov ntshav microcirculation ob qho tib si hauv thaj chaw ntawm pob ntseg thiab lub hlwb tag nrho. Cov tshuaj muaj txiaj ntsig zoo ntawm cov ntshav rheological, thiab tseem txhim kho cov metabolism hauv cov ntaub so ntswg ntawm lub cev.
Qee zaum (nyob ntawm qhov ua rau tsis hnov lus), cov tshuaj diuretics tau sau tseg thiabcov tshuaj hormonal. Cov hauv qab no yog siv los ua kev txhawb nqa, kev kho mob ntxiv:
- Vitamin complexes, tseem ceeb macro- thiab microelements.
- Electrophoresis.
- Magnetotherapy.
- Acupuncture.
- Acupuncture.
Yog tus kab mob nyob rau hauv ib qho kev tsis saib xyuas, mob hnyav, tag nrho cov txheej txheem saum toj no tsis txaus. Tus neeg mob yuav tsum tau hnav ib lub pob ntseg tas li, ib qho kev cog lus. Tsis paub xaiv qhov twg? Niaj hnub no, Siemens lub mloog pob ntseg yog tus thawj coj hauv kev ua tau zoo thiab muaj koob npe ntawm no. Cov neeg txom nyem los ntawm kev hnov lus tsis nco qab lawv qhov zoo, kev ntseeg tau, kev siv yooj yim. Tab sis cov khoom siv los ntawm lub chaw tsim khoom German hauv Russia yog tus nqi kim.
Kev Tshawb Nrhiav Thaum Ntxov
Nws puas tuaj yeem ua tiav kho ob tog sensorineural hnov tsis hnov lus? Cov kws tshaj lij piv nws nrog kev kho hniav. Yog li, txawm tias koj tau poob koj qhov hnov lus ib nrab, kev kho kom rov zoo dua yog qhov nyuaj dua li kev ua thiab txhim kho cov hniav hniav. Yog hais tias peb tham txog tus kab mob nyob rau hauv ob lub pob ntseg, ces txoj kev pheej hmoo ntawm kev kho kom tiav yuav tsawg dua.
Nrog ob tog sensorineural hnov tsis hnov qab, nyob rau hauv sib piv rau cov conductive daim ntawv ntawm tus kab mob, nws muaj peev xwm ua tau zoo siv kev kho mob. Tshwj xeeb, qhov no yog kev siv cov tshuaj uas kws kho mob tau sau tseg, kev siv hluav taws xob stimulation, siv cov txheej txheem physiotherapy. Feem ntau siv thiab nrov niaj hnub no phau ntawv kho mob. Tab sis nws yuav tsum to taub tias tag nrho cov saum toj no txoj kev ntawm kev kho mobsiv tau tsuas yog thaum pib ntawm kev kuaj kab mob.
Kev kho mob kom paub tseeb tias mob lig
Yog tias ob lub pob ntseg puas lawm los yog kuaj pom qhov tsis hnov lus hnyav thaum kuaj pom qhov hnov, kev kho mob muaj cov khoom siv hnov lus. Yam khoom twg xaiv? Tshwj xeeb, Siemens cov khoom siv hnov lus tau dav siv niaj hnub no. Cov kev kho mob saum toj no rau kev hnov lus hnyav tsis tau zoo lawm.
Yog li ntawd, nws yog ib qho tseem ceeb kom paub cov tsos mob ntawm qhov tsis hnov tsw sensorineural kom paub txog tus kab mob hauv lub sijhawm. Nco qab tias cov tseem ceeb yog qhov tsis tu ncua, kiv taub hau, teeb meem nrog lub vestibular apparatus.
Txhawm rau kom tsis txhob yuav khoom siv pob ntseg kim, ua ntej sau npe rau kev xiam oob qhab rau kev hnov lus tsis zoo ntawm ob sab, koj yuav tsum mus ntsib kws kho mob otolaryngologist ntawm thawj " tswb tswb". Nws yog ib qho tseem ceeb! Tseeb tiag, nrog rau qhov tsis hnov lus ib nrab, nws muaj peev xwm kho tau nws, kho qhov tsis hnov lus.
Kev tiv thaiv tsis hnov lus
Lub ntsiab lus ntawm kev tiv thaiv kev tiv thaiv kev cuam tshuam rau txhua yam kab mob yog tus cwj pwm zoo rau ib tus neeg noj qab haus huv. Kev tsis lees paub tus cwj pwm phem, kev ua neej nyob, kev noj zaub mov kom zoo, tiv thaiv kev ntxhov siab tas li, tswj kev ua si lub cev.
Txog kev tiv thaiv tsis hnov lus, ntawm no peb tuaj yeem hais txog kev kho mob raws sijhawm ntawm cov kab mob sib kis, kab mob cuam tshuam rau lub pob ntseg. Nws yog ib qho tseem ceeb los saib xyuas lub suab nrovxwm txheej hauv koj lub neej. Yog tias koj ua haujlwm hauv qhov chaw nrov nrov, tsis txhob hnov qab hnav pob ntseg. Hauv tsev, sim mloog nkauj, saib TV, siv lub mloog pob ntseg ntawm qhov ntim nruab nrab.
Kev hnov lus tsis hnov lus, tshwj xeeb tshaj yog ob sab, yog qhov tsis hnov lus tsis txaus ntseeg lossis tsis muaj kev kho mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws kho mob otolaryngologist kom sai li sai tau ntawm thawj cov tsos mob ntawm pathology.
