Kev mob pob ntseg hauv tus menyuam tuaj yeem tshwm sim los ntawm ntau yam ua rau pob ntseg sab nraud lossis sab hauv puas, nkag ntawm cov khoom me me rau hauv pob ntseg, lossis kis kab mob ntawm lub pob ntseg. Cov kws kho mob hu ua otitis media yog tus kab mob ENT feem ntau ntawm cov menyuam yaus preschool. Hais txog cov laj thawj tseem ceeb ntawm pob ntseg mob hauv tus menyuam, cov tsos mob thiab kev kho mob ntawm pathology - nthuav dav hauv kab lus.
Ua rau otitis media
Cov yam ntxwv ntawm tus qauv anatomical ntawm tus menyuam lub qhov kwj deg yog xws li cov kua dej nkag mus rau qhov luv thiab me ntsis deformed ntawm pob ntseg nruab nrab, feem ntau, nyob hauv cov kab noj hniav tom qab pob ntseg. Qhov tsim cov av noo ib puag ncig yog qhov zoo rau kev loj hlob ntawm cov kab mob flora. Txhua txoj kev ua pa ntawm txoj hlab pa, cuam tshuam nrog o ntawm ENT system thiab ntau qhov ntswg tawm, los ntawm lub neej ntawd dhau los ua qhov kev pheej hmoo tseem ceeb rau kev tsim cov mob hnyav hu ua otitis media.
Rhinitis hauv menyuam yaus, yog tias nws tsis yog qhov tshwm simallergic rhinitis, feem ntau tshwm sim nyob rau hauv lub off-season, yog li ntawd, ib tug nce nyob rau hauv cov txheeb cais ntawm pob ntseg kab mob yog sau tseg nyob rau hauv lub caij nplooj zeeg-caij nplooj ntoos hlav. Kev mob pob ntseg hauv menyuam yaus - raws li lub npe "otitis media" - muab faib ua ntau hom:
- Otitis externa yog provoked los ntawm ib puag ncig microbial, qhov tsom ntawm uas nyob rau saum npoo ntawm pob ntseg mucosa. Pathological flora nkag mus rau hauv pob ntseg los ntawm microdamages, tab sis nquag txhim kho tsuas yog thaum muaj kev tiv thaiv kab mob hauv lub cev, uas yuav tsum tau coj mus rau hauv tus account thaum teeb tsa kev kho mob.
- Kev mob pob ntseg nruab nrab hauv tus menyuam yog qhov tshwm sim ntawm cov kab mob ua pa lossis mob hnyav heev. Mob mob nyob rau hauv ib nrab ntawm cov neeg mob yog yus muaj los ntawm ib tug purulent tsim nrog tso tawm ntawm exudate los ntawm pob ntseg kwj dej.
- Cov pob ntseg sab hauv ntawm tus menyuam tshwm sim thaum muaj teeb meem tshwm sim los ntawm purulent otitis media. Tus kab mob no tshwm sim thaum tsis muaj kev kho mob lossis thaum siv cov tswv yim tsis raug ntawm kev kho mob hauv daim ntawv mob otitis media.
Lwm yam ua rau otitis media hauv menyuam yaus yog cov hauv qab no ua rau:
- txoj haujlwm tsis raug ntawm tus menyuam thaum pub mis lossis da dej, thaum lub sijhawm cov zaub mov thiab dej nkag mus rau tus menyuam lub pob ntseg;
- kev tiv thaiv qis;
- tawm-ntawm-season khaub ncaws;
- tsis pub mis niam thaum ntxov;
- Cov neeg laus haus luam yeeb nyob rau hauv lub xub ntiag ntawm tus menyuam.
Kev tshem tawm ntawm cov xwm txheej no txo qis qhov tshwm sim ntawm pob ntseg mob hauv tus menyuam hauvob peb zaug.
Cov tsos mob thiab kev kho mob otitis externa
Qhov pib ntawm tus kab mob no tuaj yeem tsis pom, vim tias nrog otitis externa tsis muaj qhov mob hnyav, tab sis cov niam txiv yuav tsum tau saib xyuas qhov tseeb tias tus menyuam qee zaum rub nws tus kheej los ntawm pob ntseg thiab tuav nws lub taub hau me ntsis. ib sab. Yog tias koj nias koj tus ntiv tes rau ntawm qhov chaw uas muaj kev ntxhov siab, tus menyuam yuav muaj kev ntxhov siab.
Lwm cov tsos mob tshwm sim ntawm pob ntseg hauv cov menyuam yaus:
- redness ntawm auricle lossis tawv nqaij ncig pob ntseg;
- ntawm kev soj ntsuam ze, tubercles thiab o yog pom hauv pob ntseg;
- muaj mob qog nqaij hlav tom qab pob ntseg ntawm tus menyuam.
Yog tus menyuam yaus tsis zoo thaum noj lossis sim nqos cov zaub mov yam tsis tau zom ua ntej, thiab tib lub sijhawm nws muaj qhov kub thiab txias subfebrile lub cev (qee zaum nws yuav tsis yog), ces muaj laj thawj xav tias. lub xub ntiag ntawm pob ntseg boil. Nws tuaj yeem pom qhov mob ntawm qhov muag liab qab yog tias muaj xim av daj daj nyob ze ntawm lub auricle. Furuncle, nyob deb ntawm lub pob ntseg, tsis kuaj pom hauv tsev. Koj yuav tsum paub tias pob ntseg latent furunculosis tuaj yeem ua rau mob qog nqaij hlav tom qab pob ntseg hauv menyuam yaus.
Nws yog ib qho tsim nyog yuav tsum pib kho tus mob furunculosis ua ntej tus me nyuam tus mob yog alleviated los ntawm ib tug ywj siab breakthrough ntawm boil. Cov ntsiab lus ntawm abscess kis tob rau hauv cov kwj dej ntawm lub suab thiab tuaj yeem ua rau cov txheej txheem thib ob. Kev kho mob pob ntseg hauv tus menyuam uas muaj otitis externa tshwm sim los ntawm furunculosis yog raugcov qauv qauv:
- kho qhov mob ntawm qhov chaw mob nrog tshuaj tua kab mob kom txog rau thaum lub pob purulent tshwm rau ntawm lub taub hau ntawm lub hau;
- daim ntawv thov ntawm cawv compresses ntawm abscess (yog tias tsim nyog);
- qhib lub hau tom qab nws tsim tag nrho, ua raws li kev kho tshuaj tua kab mob;
- daim ntawv thov nrog rov tsim cov tshuaj pleev (piv txwv li, Levomekol) nrog kev hloov pauv ntau zaus.
Thaum kuaj pom qhov mob purulent ntawm cov qog nqaij hlav thiab muaj cov kab mob staphylococcal lossis cov kab mob streptococcal hauv lub cev, cov tshuaj tua kab mob yuav tsum tau ua. Nyob rau hauv parallel - rau kev kawm ntev - tus me nyuam yog tshuaj immunomodulatory tshuaj ntawm cov nroj tsuag (piv txwv li, "Immunal" muaj echinacea).
Cov tsos mob, kev kho mob thiab cov teebmeem ntawm otitis media
Kev mob pob ntseg hauv nruab nrab ntawm tus menyuam yaus yog nrog cov tsos mob tshwm sim, hauv lub paj uas qhov tshwj xeeb tshaj plaws tuaj yeem hu ua mob, mob paroxysmal (qhov no yog hu ua "shooting"). Kev txom nyem ntawm tus menyuam yog hnyav los ntawm nqos, yog li nws yuav quaj thaum pub mis; cov me nyuam loj yuav tsis kam noj thiab haus. Qee zaum koj tuaj yeem pom cov kab mob lymphatic hauv pob ntseg hauv tus menyuam. Qhov loj ntawm cov node yuav tsis tseem ceeb, tab sis qhov mob tau hnov ntawm palpation.
Lub ncov ntawm tus mob hnyav nrog otitis media tshwm sim thaum hmo ntuj thiab nrog rau lub cev kub nce siab. Muaj tsawg zaus, tus menyuam ntuav, thiab cov kua paug tuaj yeem pom hauv auricle.xim daj. Feem ntau, purulent exudate yog tshwj tseg nyob rau hauv nruab nrab pob ntseg ntawm tus me nyuam, thiab qhov o yog tsis pom zoo sab nraud. Tsis tas li ntawd, muaj cov kua paug hauv otitis media yog debatable.
Kev kho mob ntawm pob ntseg nruab nrab ntawm tus menyuam yog raws li kev siv tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, nrog rau cov tshuaj uas nws qhov kev txiav txim yog txhawm rau txo cov tsos mob hnyav:
- dej nasal drops;
- tshuaj tiv thaiv kab mob;
- tshuaj kho mob.
Otitis media ntawm txhua yam yog txaus ntshai nrog cov teeb meem. Nws daim ntawv nyuaj tshaj plaws yog purulent, uas, nrog kev kho tsis tsim nyog lossis tsis quav ntsej cov tsos mob, tuaj yeem ua rau tsis hnov lus tsis zoo thiab deformation ntawm cov ntaub so ntswg ntawm pob ntseg. Qhov no tshwm sim thaum lub exudate - es tsis txhob tawm hauv pob ntseg kwj dej, accumulates nyob rau hauv cov kab noj hniav ntawm nruab nrab pob ntseg thiab pib cov txheej txheem nplaum (reservation ntawm tuab pus).
Lwm qhov teeb meem tseem ceeb ntawm otitis media hauv cov menyuam yaus, cov tsos mob ntawm qhov rov ua dua thib ob, theem mob hnyav tshaj plaws tom qab ncua ntev hauv kev zam txim, yog mastoiditis. Stagnation ntawm cov kua paug nrog mastoiditis nyob rau hauv qhov tsis muaj kev phais cuam tshuam kev loj hlob ntawm cov txheej txheem irreversible xws li lub hlwb abscess, lag ntseg (tag nrho los yog ib nrab), tuag tes tuag taw ntawm lub ntsej muag paj hlwb.
Chronic otitis media
Feem ntau, mob otitis xov xwm yog tshwm sim los ntawm kev kho tsis zoo ntawm kev mob hnyav, tab sis qee zaus, tus kab mob no tshwm sim ntawm nws tus kheej thiab hauv ib hnub. Thaum ntxov thaum yaumuaj hnub nyoog, qhov tsim ntawm mob otitis media feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm kub taub hau loj heev. Lwm yam ua rau pathology tuaj yeem hloov pauv tsis ntev los no lossis tam sim no nyob rau hauv ib qho kev mob qeeb zuj zus (qhov xwm txheej):
- mob ntshav qab zib mellitus;
- meningitis;
- congenital pathologies ntawm auditory kwj dej;
- muaj lwm qhov kev tsom mus rau tus kab mob hauv nasopharyngeal apparatus;
- kev tiv thaiv qis.
Cov tsos mob ntawm pob ntseg mob nyob rau hauv tus menyuam yaus (daim duab hauv qab) yog qhov cuam tshuam. Tej zaum nws yuav tsis tuaj. Thaum lub sijhawm rov qab los, tus kab mob sai sai, tsis muaj kev hloov pauv, hloov pauv ntawm txoj haujlwm qeeb mus rau qhov mob hnyav, uas teb tau zoo rau kev kho mob, thiab qhov kev xav ntawm kev kho tiav yog tsim.
Tus mob otitis muaj ob hom:
- benign - tus kab mob tsis kis mus rau hauv nruab nrab pob ntseg kab noj hniav thiab tuaj yeem mus tau ntau xyoo yam tsis muaj teeb meem pom tseeb;
- malignant - cov txheej txheem pathological kis mus rau cov pob txha pob txha ntawm pob ntseg kwj dej, deforming thiab rhuav tshem lawv.
Txawm tias qhov tso tawm ntawm purulent exudate nyob rau hauv mob otitis yuav luag tsis muaj qhov tsis xis nyob lossis mob. Cov niam txiv tsuas pom thaum lub sij hawm uas tus me nyuam pib hnov mob. Lawv tig mus rau tus kws tshaj lij thaum nws tsis tuaj yeem thim rov qab txoj haujlwm.
Yuav ua li cas kho pob ntseg pob ntseg hauv cov menyuam yaus uas muaj qhov hnyav ntawm daim ntawv ntev? Tib cov tshuaj uas siv rau hauv kev kho mob otitis media yog tsim nyog. Nws yog ib qho tseem ceeb heev - tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv ntawm rov qab rov qab - mus cuag ib tug immunologist nrog ib tug mobthiab ua raws li nws cov lus qhia.
pab xub thawj rau otitis media
Cov menyuam yaus hnub nyoog qis dua peb xyoos yog xyaum tsis tuaj yeem qhia tau tseeb txog lawv txoj kev xav thiab qhia qhov tseeb tias lawv raug mob, tab sis txawm tias tus menyuam me uas muaj mob otitis xov xwm yuav quaj ntau, tig nws lub taub hau los so, rub pob ntseg, rub. nws caj dab lossis thaj tsam ntawm lub cev. Txhawm rau kom paub meej txog kev kuaj mob thiab muab kev pab xwm txheej ceev rau tus menyuam ua ntej tus kws kho mob tuaj txog, leej niam yuav tsum coj tus menyuam hauv nws txhais caj npab, thiab thaum nws calms down, nias koj ntiv tes rau ntawm pob txha pob txha nyob rau hauv pem hauv ntej ntawm tus menyuam pob ntseg (tragus). Nrog otitis, tus me nyuam yuav quaj los yog qhia kev ntxhov siab nrog lub zog ntse.
Qhov kev ua ntawm cov niam txiv ua raws li qhov xav tias pob ntseg mob hauv tus menyuam yuav tsum yog raws li hauv qab no:
- instillations nrog qhov ntswg vasoconstrictor tee (nyiam dua cov siv yav dhau los);
- yog tus menyuam quaj tsis nres lossis kub taub hau, nws yuav tsum tau muab tshuaj los ntawm pab pawg tshuaj tua kab mob uas muaj cov nyhuv analgesic ("Nurofen", "Ibuprofen");
- thaum cov tshuaj purulent tawm ntawm pob ntseg, moisten ib lub paj rwb swab nrog 3% hydrogen peroxide, yob nws nrog ib tug flagellum thiab ua tib zoo tshem tawm cov exudate yam tsis tau qhia cov turunda tob rau hauv lub kwj deg;
- Tom qab ntsuas kev kub ntxhov, ib lub kaus mom nyias nyias lossis paj rwb phuam qhwv caj dab rau ntawm tus menyuam lub taub hau (yog tias nws sov hauv tsev).
Lwm txoj hauv kev los pab tus menyuam ua ntej nws raug kuaj los ntawm kws kho mob raug txwv nruj. Tsis muaj teeb meem yuav tsum koj tus kheej instill nrog pob ntseg tee los yog siv rau tus neeg mobthaj chaw nrog sov compresses. Nrog rau cov kab mob purulent, qhov no tsuas yog ua rau cov txheej txheem inflammatory thiab ua rau tus menyuam mob hnyav zuj zus.
Kev kho mob pej xeem rau otitis media hauv menyuam yaus
Ntau tus niam txiv, tom qab pom zoo qhov teeb meem no nrog tus kws kho mob, sim ua kom cov txheej txheem ntawm tus menyuam rov qab los nrog kev pab ntawm lwm txoj hauv kev kho otitis media. Kev siv cov tshuaj hauv tsev tsis yog lwm txoj hauv kev rau cov tshuaj ib txwm siv, tab sis tuaj yeem txo qis qhov tshwm sim ntawm qhov teeb meem.
Ntau yam zaub mov txawv los ntawm pej xeem piggy bank:
- Yog tias tus menyuam tsis ua xua rau cov khoom lag luam muv, nws raug nquahu kom siv propolis infused nrog cawv hauv qhov sib piv ntawm 1:15. Cov tincture muaj hnub nyoog 10 hnub yog diluted nrog refined zaub roj (1:6), paj rwb turundas yog moistened nrog no muaj pes tsawg leeg thiab muab tso rau hauv tus neeg mob lub pob ntseg rau 12-18 teev.
- Tus me nyuam muaj hnub nyoog 5 xyoos tuaj yeem muab cov paj rwb dipped rau hauv cov kua txiv lws suav tshiab hauv pob ntseg.
- Cov xim wormwood qhuav (1 teaspoon) yog nchuav nrog ib lub khob ntawm vodka thiab infused rau 7-10 hnub. Cov paj rwb turundas tau tsau nrog cov tshuaj tiav thiab muab tso rau hauv tus menyuam pob ntseg rau 2-3 teev kom txo qhov mob.
- Lawv muab 10 bay nplooj tag nrho, grind lawv nrog lawv txhais tes rau hauv crumbs thiab ncuav cov raw khoom nrog ib liter ntawm boiling dej. Tom qab ib nrab teev, cov txiaj ntsig tau siv tau rau haus thiab ua rau pob ntseg.
- Los ntawm cov nplooj tsis zoo ntawm peb lub xyoo aloe, kua txiv hmab txiv ntoo yog nyem tawm, dhau los ntawm 4 txheej ntawm cov ntaub qhwv thiab cov kua uas tau txhaj rau hauv pob ntsegtus me nyuam 1 poob peb zaug ib hnub.
Tom qab kev teeb tsa, nws raug nquahu kom sov lub taub hau thiab pob ntseg ntawm tus menyuam nrog lub hau. Cawv, aloe, lossis cov khoom siv dos yuav tsum tsis txhob siv yog tias tus menyuam muaj pob ntseg raug mob lossis pob ntseg deformity.
Kev kho mob otitis raws li Komarovsky
Hais txog kev kho mob otitis media hauv menyuam yaus, Dr. Komarovsky tawm tsam siv tib txoj kev kho rau txhua hom kab mob ntau yam. Nws kuj categorically tsis pom zoo nrog cov tshuaj spontaneous ntawm cov tshuaj tua kab mob tom qab kuaj pom thawj zaug ntawm pathology thiab ua ntej tus kws kho mob tau txais cov txiaj ntsig ntawm kev ntsuam xyuas. Nws yog dab tsi?
Qhov tseeb yog cov tshuaj tua kab mob tsuas yog pab tau yog tias tus kab mob yog cov kab mob keeb kwm. Lawv tsis muaj txiaj ntsig kiag li, txawm tias muaj teeb meem, yog tias cov kab mob pathogenic ntawm qhov mob tsis muaj cov kab mob sib kis. Hom kab mob otitis twg xav tau tshuaj tua kab mob:
- catarrhal (assign "Sumamed", "Augmentin");
- purulent;
- external, nrog furunculosis.
Tshuaj tshuaj tua kab mob yog tias tus menyuam tus mob tsis mob hnyav, 2-3 hnub tom qab pib tus kabmob.
Tus kws kho mob paub zoo hais tias cov niam txiv hais kom mus pw hauv tsev kho mob ntawm tus menyuam preschool nyob rau hauv rooj plaub ntawm kev kuaj mob purulent otitis media. Feem ntau, txhawm rau tshem tawm cov kua nplaum los ntawm qhov nruab nrab pob ntseg kab noj hniav, yuav tsum tau phais puncture, uasyuav tsum tau ua kom raws sijhawm. Nws yuav luag tsis tuaj yeem txiav txim siab qhov cuam tshuam ntawm cov txheej txheem no thaum tus menyuam nyob hauv tsev kho mob. Yog li, lub sijhawm zoo rau kev ua haujlwm yuav ploj mus.
Dr. Komarovsky cov lus pom zoo rau kev tiv thaiv otitis media
Raws li Dr. Komarovsky, o ntawm pob ntseg ntawm tus menyuam hauv 8 tus neeg ntawm 10 tuaj yeem tiv thaiv los ntawm kev tiv thaiv tsim nyog. Yog tias tus menyuam mob khaub thuas ntau zaus, nws yog ib qho tsim nyog ob zaug hauv ib xyoos - nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg - teem caij nrog tus kws kho mob thiab ua tib zoo ua raws li nws lub sijhawm teem tseg.
Txhua hnub, tus menyuam yuav tsum taug kev hauv huab cua ntshiab hauv cov khaub ncaws tsim nyog rau huab cua thiab caij nyoog. Kev taug kev yuav tsum tau ua haujlwm thiab ua ntej, tsis yog tom qab, noj mov. Thaum lub sij hawm txaus ntshai ntawm cov kab mob sib kis, lub sij hawm rau kev ua koob tsheej yuav tsum raug txo, tab sis tib lub sij hawm, cov tsev nyob yuav tsum tau tso cua ntau zaus.
Kev Tiv Thaiv ntawm otitis media suav nrog cov lus qhia tshwj xeeb los ntawm tus kws kho mob muaj npe nrov:
- Kev ntxuav pob ntseg txhua hnub yuav tsum ua nrog cov paj rwb qhuav, tsis yog pob ntseg;
- thaum pub mis lossis haus, tus menyuam lub taub hau yuav tsum siab dua li ntawm nws lub plab;
- txij thaum muaj peb xyoos, tus menyuam twb yuav tsum tau qhia tshuab nws lub qhov ntswg;
- thaum ua si, koj yuav tsum ua kom tus menyuam tsis txhob muab cov khoom me me, xaum rau hauv pob ntseg.
Yog tias tus menyuam mus kawm qib kindergarten, cov niam txiv mloog zoo yuav tsum xyuas kom meej tias kev tshaj tawm ntawm pab pawg yog ua los ntawm cov kws qhia ntawv nruj me ntsis raws li lub sijhawm teem tseg thiab tsuas yog thaum tsis muaj menyuam. Lub peev xwm ntawm tus menyuam kawm ntawv preschool hnav khaub ncaws kuj tseem ceeb heev.ntawm nws tus kheej, txij li cov txheej txheem no hauv qib kindergarten tau tshwm sim sai heev. Kev nthuav dav xws li lub kaus mom tsis zoo ntawm tus menyuam yuav tsis pom.
Kev kho mob rov qab kho mob otitis media
Tom qab kho cov kab mob otitis media uas tsis quav ntsej lossis purulent, cov niam txiv yuav pom tias tus menyuam qhov hnov lus tsis zoo. Qhov no tshwm sim nyob rau hauv qhov tseeb hais tias thaum lub sij hawm sib tham nws sim tig nws lub pob ntseg noj qab nyob zoo rau tus neeg hais lus, feem ntau nug dua los yog hais lus nrov dua li niaj zaus. Raws li txoj cai, tus mob no yog ib ntus thiab ploj mus tsawg dua ib hlis tom qab kov yeej tus kab mob. Yog tias qhov no tsis tshwm sim, tus kws kho mob otolaryngologist tom qab kuaj xyuas yuav pom zoo cov txheej txheem hauv qab no:
- tshuab pob ntseg;
- raug rau tympanic membrane los ntawm huab cua tam sim no ntawm lub zog sib txawv;
- electrophoresis;
- iontophoresis;
- oxygenobarotherapy.
Cov kev kho mob uas tsis muaj contraindications, uas tuaj yeem hloov mus ua kev ua si lom zem, tau ua pov thawj lawv tus kheej zoo. Tag nrho cov kev tswj hwm yuav tsum tau ua 7-10 zaug hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos thiab 10-15 zaug hauv cov menyuam kawm ntawv preschool thiab cov tub ntxhais hluas. Cov kev tawm dag zog tau ua raws li hauv qab no:
- nrog khoov thiab nruj me ntsis ntiv tes coj mus rau sab nraud ntawm auricle;
- nias xib teg rau pob ntseg, suav rau 10 thiab tshem tes sai sai;
- kaw lub pob ntseg ntawm pob ntseg nrog ntiv tes taw, thiab tom qab ntawd tso tawm sai sai, ib txhij qhib lub qhov ncauj hauv lub suab ntsiag to ntawm lub suab "o".
"Kev qoj ib ce rau pob ntseg" tuaj yeem rov ua ntau zaus thaum nruab hnub. Kev puas tsuajyuav tsis muaj zaus.
Nyob rau me nyuam yaus, txawm tias tsis hnov lus me me tuaj yeem ua rau muaj qhov tshwm sim loj. Cov menyuam yaus uas tsis hnov lus pom cov ntaub ntawv tsis zoo, txhim kho qeeb dua, muaj cov tshuaj tiv thaiv qis dua, yog li kev kho tus menyuam txoj kev hnov mob tom qab raug mob otitis xov xwm yuav tsum yog qhov tseem ceeb rau cov niam txiv.
mob ntshav qab zib pob ntseg thiab pob ntseg
Kev mob qog nqaij hlav tom qab pob ntseg hauv tus menyuam tuaj yeem pom thaum muaj hnub nyoog preschool laus, thaum lub lymphatic system ntawm tus me nyuam tau ua tiav nws txoj kev tsim. Nws yuav tsum to taub tias qhov tshwm sim ntawm subcutaneous protrusion ntawm lub peripheral lub cev tsis yog ib qho kab mob ywj pheej thiab ib txwm cuam tshuam lub cev cov tshuaj tiv thaiv rau cov txheej txheem latent pathogenic. Qhov ua rau mob qog nqaij hlav tom qab pob ntseg hauv tus menyuam muaj ntau yam:
- kev loj hlob ntawm cov ntaub so ntswg;
- tiv thaiv lub cev rau kev nkag mus ntawm cov hlwb txawv teb chaws;
- nkag mus ntawm streptococcal lossis staphylococcal pathogens los ntawm microtraumas;
- brucellosis thiab lwm yam
Ntau zaus cov tsos mob no txhawb ntxiv los ntawm kub taub hau, mob taub hau, xeev siab thiab qaug zog. Yog tias muaj kev sib xyaw ua ke ntawm cov cim no tau pom, ces peb tab tom tham, feem ntau yuav, txog suppuration ntawm lymph node. Kev ua tiav ntawm kev kuaj mob hauv tsev hauv qhov no yuav yog palpation. Thaum soj ntsuam cov tubercle ntawm daim tawv nqaij, pits los ntawm cov ntiv tes yuav qhia meej meej. Kev teem caij ntawm kev ntsuas kev kho mob rau suppuration ntawm cov qog ntshav qab zib yog koom nrogTus kws kho mob tshwj xeeb.
Lwm qhov teeb meem uas feem ntau hais hauv chaw ua haujlwm ntawm tus kws kho mob ENT yog qhov mob ntawm tus menyuam pob ntseg. Yog tias qhov tsos mob ntawm qhov mob tshwm sim ua ntej los ntawm kev mus ntsib lub tsev kho kom zoo nkauj thiab tho pob ntseg, ces tus kws kho mob yuav qhia koj kom kho qhov chaw raug mob nrog tshuaj tua kab mob hauv zos ob peb zaug thaum nruab hnub. Tsis tas li ntawd, cov kws tshaj lij pom zoo kom tsis kam muab cov qhwv ntsej uas ua los ntawm cov khoom pheej yig rau hauv tus menyuam lub pob ntseg, uas sai sai oxidize thiab ua rau muaj kev cuam tshuam tam sim ntawm lub cev nyob rau hauv daim ntawv ntawm ib qho mob pob khaus thiab suppuration.
