Tib neeg lub cev yog ib qho kev sib koom tes zoo uas ua rau muaj kev cuam tshuam ib puag ncig. Vim muaj cov khoom tiv thaiv, ntau tus kab mob tau lees paub nyob rau theem pib, yog li tus neeg yuav tsum mloog nws cov kev xav sab hauv thiaj li tiv thaiv kev txhim kho ntawm pathology ua ntej. Cov kws tshawb fawb tseem tab tom tshawb fawb txog cov kab mob lymphatic, uas yog ib qho kev tiv thaiv ntuj tsim nrog cov txheej txheem nyuaj. Yog hais tias, raws li ib tug tshwm sim ntawm ib tug kab mob, lub cev tiv thaiv kab mob puas lawm, nodules yuav tshwm sim nyob rau ntau qhov chaw ntawm lub cev. Hauv qhov no, tus neeg mob yuav tsum paub seb puas tuaj yeem ua kom sov cov qog ntshav qab zib ntawm pob ntseg thiab yuav ua li cas nrog cov kab mob no nrog tshuaj.
Limphatic system yog dab tsi?
Ib qho tseem ceeb tshaj plaws ntawm tib neeg lub cev yog lub lymphatic system. Nws yog ze ze rau kev tiv thaiv kab mob. Nodular formations, los yog lymph nodes, muab faib ua subspecies,uas yog lub luag haujlwm rau kev ua haujlwm zoo ntawm ntau yam kabmob. Lawv sawv cev rau lub hauv paus ntawm tag nrho cov lymphatic system ntawm tib neeg lub cev. Raws li qhov tshwm sim ntawm kev ua tsis tiav, qhov tshwm sim raws sij hawm rau cov tsos mob ntawm tus kab mob tsis tshwm sim, yog li ntawd, kev tiv thaiv kev ua haujlwm raug txo. Tus neeg ntawd yuav raug mob ntau yam kab mob.
Ib txwm ua haujlwm lymphatic system sai sai nthuav tawm cov kab mob microflora, thiab cov qog ntshav qab zib ua kom cov tshuaj tiv thaiv kab mob - lymphocytes. Lawv coj lub zog tseem ceeb kom tshem tawm cov kab mob. Tom qab ntawd, cov qog nqaij hlav mob maj mam daws, kev tiv thaiv rov qab los.
kab mob
Cov kws kho mob faib tag nrho cov txheej txheem inflammatory uas tshwm sim hauv cov kab mob lymphatic thiab ua rau cov kab mob ua rau ob hom:
- Lymphadenitis. Cov txheej txheem inflammatory hauv cov ntaub so ntswg ntawm cov qog nqaij hlav, uas tshwm sim vim qhov tseeb tias cov kab mob pathological nkag mus rau hauv lub cev.
- Lymphadenopathy. Qhov no yog ib qho kev tshwm sim ntawm cov kab mob lymphatic rau qhov tseeb tias tus kab mob me tau tshwm sim hauv lub cev. Qhov no yog qhov tshwm sim ib ntus, nws tsis cuam tshuam rau cov qog nqaij hlav ntawm lawv tus kheej thiab tsis ua rau kev puas tsuaj
Lub tswv yim rau kev kho mob tom ntej ntawm cov qog ntshav qab zib pob ntseg yuav nyob ntawm seb hom kab mob twg tshwm sim hauv qhov tshwj xeeb no. Yuav ua li cas ntxiv, tus kws kho mob yuav qhia rau koj. Feem ntau, kev cuam tshuam tam sim xav tau lymphadenitis, ib hom xws li lymphadenopathy daws nws tus kheej. Nws muaj peev xwm los txiav txim seb hom kab mob twg nrog kev pab los ntawm kev soj ntsuam tag nrho.
Qhov chaw thiab qhov ntev
Cov kab mob xws li cov qog ntshav qab zib tuaj yeem nyob hauv ntau qhov chaw ntawm lub cev - hauv qab ntawm caj npab, hauv puab tais, ntawm lub luj tshib. Tab sis feem ntau lawv tshwm sim ib sab ntawm auricles. Lymph nodes tsim nyob rau hauv cov chaw no ua lub luag haujlwm tiv thaiv ntawm lub qhov ncauj kab noj hniav, sab cev nqaij daim tawv thiab parietal ntawm lub taub hau, thiab ENT kab mob. Thaum tsim tshwm sim tom qab pob ntseg, cov txheej txheem inflammatory ntawm cov ntu no feem ntau pom. Thaum twg, tom qab kuaj mob, tus kws kho mob tau teeb tsa seb puas muaj cov qog ntshav hauv pob ntseg, tom qab lub auricle los yog tsis, lawv qhov loj thiab qhov hnyav yog txiav txim siab.
Cov qauv nyob hauv qab pob ntseg feem ntau tsis nce ntau dua 3-5 hli, yog li nws yog qhov nyuaj tshwj xeeb rau lawv. Thaum kuaj mob, dynamics tseem ceeb heev. Yog tias cov txheej txheem inflammatory tshwm sim sai, ces qhov loj ntawm cov qog nqaij hlav tuaj yeem ncav cuag 30 mm. Txawm li cas los xij, cov ntsuas no tsawg heev thiab xav tau kev txiav txim siab ntawm tus kheej.
Ua rau mob
Txhua qhov xwm txheej tshwj xeeb yuav tsum muaj kev kuaj mob kom ntxaws thiab qhia meej txog yam uas cuam tshuam rau qhov pom ntawm cov qog ntshav qab zib pob ntseg. Cov laj thawj rau kev ua txhaum cai no tuaj yeem sib txawv kiag li. Feem ntau, cov kab mob sib kis thiab kab mob ntawm qhov ncauj kab noj hniav thiab ENT kab mob tau pom. Cov ntu ntawm lub cev no feem ntau yooj yim rau cov kab mob. Vim li no, lymphocytes pib nce zuj zus, ua lub luag haujlwm ntawm kev tiv thaiv.
Cov kws kho mob hais tias txheej txheem no yogntuj kiag li. Tseeb tiag, tsis muaj qhov no, tib neeg lub cev tiv thaiv kab mob tsis tuaj yeem tiv nrog cov kab mob loj. Cov hauv qab no ua rau cov tsos mob ntawm cov qog nqaij hlav hauv qab pob ntseg:
- pharyngitis;
- flu;
- otitis media;
- pob ntseg furunculosis;
- kab mob ntawm pob ntseg paj;
- stomatitis;
- tonsillitis;
x
Txawm tias los ntawm cov npe luv luv no, peb tuaj yeem txiav txim siab tias pathology tshwm sim vim kev sib raug zoo ntawm cov kabmob: pob ntseg - caj pas - qhov ntswg. Qee lub sij hawm nodular tsim tom qab pob ntseg tshwm sim vim muaj kab mob sib kis, tab sis qhov no, qhov mob ntawm tag nrho cov lymphatic system tau pom.
Cov kab mob sib kis uas tshwm sim hauv qhov ncauj tuaj yeem ua rau kev hloov pauv ntawm cov txheej txheem inflammatory mus rau lwm qhov. Yog li ntawd, nyob rau hauv txhua yam kab mob, koj yuav tsum tau saib xyuas tus neeg mob tus mob, soj ntsuam kev hloov. Pathology tuaj yeem tshwm sim rau qhov tsis zoo tshaj plaws. Piv txwv li, hauv cov menyuam yaus, cov qog ntshav qab zib hauv pob ntseg feem ntau pom tom qab mob kis kab mob. Hauv cov mob hnyav heev, lawv ua rau muaj mob hnyav.
Symptoms
Cov txheej txheem inflammatory hauv cheeb tsam tom qab pob ntseg tuaj yeem ua rau ntau txoj hauv kev. Cov chav kawm ntawm tus kab mob nyob ntawm qhov ua rau thiab lub sijhawm. Feem ntau, mob o ua rau pom sai sai vim qhov tseeb tias nws pib dheev, nrog rau qhov pom pom kev loj hlob ntawm lub pob. Cov kws kho mob sau cov tsos mob hauv qab no:
- nce lub cev kub;
- pain on palpation;
- insomnia;
- mob siab thaum so;
- pulsating tinnitus;
- poob qab los;
- liab ntawm daim tawv nqaij ntawm qhov chaw ntawm qhov txhab.
Daim paib kawg yuav qhia tau tias muaj lwm yam kab mob, yog li koj yuav tsum tau sab laj nrog kws kho mob kom txiav txim siab seb puas muaj qog ntshav qab zib pob ntseg. Daim duab thaij hnub ua ntej yuav pab ua tiav daim duab kho mob. Redness thiab pulsation ntawm daim tawv nqaij ntawm qhov chaw ntawm nodule qhia tau hais tias ib tug purulent txheej txheem yog tsim. Yog tias lub sijhawm kho tsis tau, qhov no tuaj yeem ua rau muaj qhov abscess.
Qee zaum, tus kws kho mob kuaj xyuas cov qog ntshav qab zib hauv pob ntseg thaum tsis muaj lwm yam tsos mob. Qhov no qhia tau hais tias, feem ntau yuav, tus kab mob tau dhau mus ntev lossis muaj cov kab mob ntxiv.
Danger of disease
Kev tsis quav ntsej cov tsos mob ntawm pathology tuaj yeem ua rau muaj teeb meem loj. Lymphadenopathy thiab lymphadenitis yog cov kab mob loj uas tuaj yeem ua rau tuag taus yog tias tsis siv kev kho mob niaj hnub no. Qee zaum, cov kev tsim no yuav ploj mus ntawm lawv tus kheej. Qhov no feem ntau tshwm sim tom qab mob khaub thuas lossis mob caj pas. Txawm li cas los xij, nws tseem pom zoo kom mus ntsib kws kho mob thiab tsis tso cai rau nws tus kheej noj.
Thaum tus kws kho mob tau teeb tsa seb puas muaj cov qog ntshav qab zib hauv pob ntseg, koj yuav tsum tau saib xyuas cov tsos mob ntxiv. Qee lub sij hawm nodule tshwm sim raws li qhov teeb meem tom qab mob ntev, yog li nws zoo dua tsis txhob pheej hmoo, tab sis ntseeg cov kws tshaj lij. Hais txog kev txaus ntshai ntxivhais cov cim hauv qab no:
- ua pa tsis ua haujlwm;
- mob nkees nkees thiab qaug zog;
- pom cov pob ib puag ncig;
- lub cev kub uas kav ntev tshaj 3-4 hnub;
- kiv taub hau;
- teeb meem nrog plab hnyuv - ntuav thiab raws plab.
Yog tias pom muaj tsawg kawg yog ob tus tsos mob ntawm daim ntawv teev npe no, koj yuav tsum hu rau lub tsheb thauj neeg mob thiab mus rau qhov chaw kho mob. Tsuas yog nyob ntawd lawv thiaj tuaj yeem ua qhov kev sim tsim nyog thiab txheeb xyuas lub hauv paus ua rau mob.
Kuv yuav hu rau tus kws kho mob twg?
Yog tsis paub meej seb puas muaj cov qog ntshav qab zib pob ntseg lossis yog tias nws yog qhov sib txawv kiag li, ces ua ntej koj yuav tsum teem sijhawm nrog tus kws kho mob.
Tsis ntev los no, cov kws kho mob dav dav tau tshwm sim hauv nroog thiab cov chaw kho mob nyob deb nroog, uas kuj tau kuaj thawj tus neeg mob thiab xa nws, yog tias tsim nyog, mus rau lwm tus kws kho mob tshwj xeeb. Tom qab pom qhov ua rau tus kab mob no, tus kws kho mob lossis tus kws kho mob yuav xa tus neeg mob mus rau tus kws kho mob tshwj xeeb uas kho cov kab mob ENT.
Kev kuaj kab mob
Txhawm rau kuaj xyuas kom raug thiab txheeb xyuas qhov etiology ntawm tus kab mob, nws yuav tsum tau ua qee yam ntsuas. Cov no suav nrog kev kawm txog cov tsos mob thiab kev sau ntawm anamnesis. Cov haujlwm no tau ua tiav kom tus kws kho mob tuaj yeem tau txais daim duab tiav ntawm tus kabmob. Nrog lawv cov kev pab, nws yuav muaj peev xwm sau cov npe ntawm cov tsos mob cuam tshuam rau nws tus kheej thiab tsim kom muaj cov txheej txheem inflammatory.
Thaum pib, kev kuaj pom yog ua tiav, thaum tus kws kho mob txiav txim siab qhov chaw thiabqhov loj ntawm lymph node. Nrog kev pab ntawm palpation, qib ntawm qhov mob thiab qhov loj ntawm qhov tsim yog kawm. Nyob rau tib lub sijhawm, tus kws tshaj lij tuaj yeem txiav txim siab seb puas muaj cov txheej txheem purulent. Txij li cov qog ntshav qab zib pob ntseg feem ntau cuam tshuam nrog cov kab mob yav dhau los ntawm cov kab mob hauv lub pob ntseg, tus kws kho mob tshuaj xyuas lub auricles thiab txiav txim siab seb lawv puas muaj plugs, o lossis furunculosis.
Cov kauj ruam tom ntej no suav nrog kev sim kuaj - lawv noj ntshav rau cov piam thaj, nrog rau kev tshawb fawb dav dav, biochemical. Tsis tas li ntawd, cov ntshav pub dawb rau qhov muaj cov kab mob oncomarkers thiab kev sib deev, yog tias xav tau. Kev kuaj mob ntxiv yuav suav nrog kev tshuaj xyuas cov zis thiab quav rau bakposev.
Yog tias tus neeg mob muaj qhov tsis txaus ntseeg ntawm oncology, tom qab ntawd ib qho kev txhaj tshuaj - noj cov khoom ntawm cov qog nqaij hlav nrog ib rab koob nyias, nyob rau hauv kev tswj ntawm lub tshuab ultrasound. Lymphatic cov ntaub so ntswg raug xa mus rau kev kawm ntxiv, nrog kev pab los ntawm cov cuab yeej tshwj xeeb cov cellular muaj pes tsawg leeg raug kuaj xyuas. Qee zaum yuav tsum muaj MRI ntxiv los tsim kev kuaj mob txaus ntshai. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas thiab biopsies, kev kho ntxiv tau raug sau tseg, tsom rau kev ua kom tsis zoo ntawm cov kab mob pathological.
txoj kev kho
Raws li cov kws kho mob, cov qog nqaij hlav loj nyob tom qab pob ntseg tsis yog tus kab mob ywj pheej. Feem ntau lawv tshwm sim los ntawm ib qho teeb meem ntawm tus kab mob, yog li ntawd, kev kawm yuav raug tshem tawm tsuas yog los ntawm kev tshawb nrhiav qhov ua rau. Nyob rau hauv cov ntaub ntawv uas lymphadenitis tshwm sim vim muaj kab mob, tej zaum yuav muajtshuaj tua kab mob uas tua cov kab mob.
Thaum kuaj mob qog noj ntshav tau lees paub tom qab kev kuaj mob ntau yam thiab kuaj ntshav, kev kho mob yuav nyob ntawm yam xws li hom, qhov tshwj xeeb thiab theem. Kev siv tshuaj khomob, kev kho hluav taws xob, lossis kev phais yuav raug siv. Qee zaum niaj hnub broad-spectrum immunomodulators pab.
Drug therapy
Hom kev kho mob ntau tshaj plaws rau cov qog ntshav qab zib pob ntseg yog ua nrog cov tshuaj tua kab mob niaj hnub. Cov tshuaj no suav nrog pawg hauv qab no:
- macrolides;
- Ycephalosporin;
- tetracycline;
- penicillin.
Cov tshuaj no tsom rau cov kab mob tshwj xeeb, yog li nws yog ib qho tseem ceeb los txiav txim siab seb hom kab mob twg ua rau tus kab mob no.
Thaum cov qog ntshav qab zib tshwm sim vim muaj tus kab mob kis, cov tshuaj tiv thaiv kab mob tau sau tseg. Hauv qhov no, immunostimulants tshwj xeeb tshaj yog muaj txiaj ntsig zoo, pab txhawb kev tiv thaiv kab mob txhawm rau txhawm rau tiv thaiv kab mob. Cov tshuaj hauv qab no tau ua pov thawj lawv tus kheej tshwj xeeb zoo:
- "Kagocel";
- "Isoprinosine";
- Arbidol;
- "Acipol";
- Y"Cycloferon";
- Ingavirin.
Tom qab kev kho mob tiav, tshuaj ntsuab tshuaj tiv thaiv kab mob raws li Eleutherococcus thiab Echinacea tuaj yeem raug tshuaj raws li kev tiv thaiv. Nyob rau hauv cov ntaub ntawv ntawm kev sib deev kis kab mob, cov tshuaj muaj zog yog muab tshuaj los txhawb kev tiv thaiv kab mob thiab active tshuaj.
Koj ua tauPuas tuaj yeem sov cov qog ntshav qab pob ntseg?
Thaum kws kho mob sau tshuaj kho mob, nws yuav tsum qhia tias nws tsis pom zoo kom sov cov qog ntshav qab pob ntseg rau cov menyuam yaus thiab cov neeg laus. Yog tias cov txheej txheem ua kom sov tau ua tiav, qhov no feem ntau yuav ua rau muaj qhov ua rau muaj kev mob hnyav ntxiv thiab kis kab mob ntxiv hauv lub cev.
Niam cov me nyuam xav paub yog cov qog ntshav qab zib pob ntseg puas tuaj yeem taug kev. Cov kws kho mob tawm tswv yim nrog lymphadenitis los tiv thaiv cov kab mob nodule los ntawm qhov txias, sim ua kom sov. Taug kev thaum lub sijhawm no tsis pom zoo, tab sis thaum tsim nyog hla txoj kev mus kuaj, hypothermia ntawm cov qog ntshav qab zib tuaj yeem tiv thaiv los ntawm kev hnav txoj phuam sov sov ncig lub caj dab.
Yog tias purulent lymphadenitis tau kuaj pom, tus neeg mob yuav tsum paub seb puas tuaj yeem ua kom sov cov qog ntshav qab zib hauv pob ntseg los yog tsis tau. Tsis muaj qhov xwm txheej yuav tsum tau ua kom sov. Cov kev ua li no tuaj yeem ua rau cov ntshav lom vim qhov tseeb tias cov kab mob pathogenic uas tau khaws cia hauv cov qog ntshav yuav pib ua kom ntau ntxiv. Thiab tom qab kev sib kis ntawm cov kab mob pathological nrog cov hlab ntsha, lwm lub cev tuaj yeem cuam tshuam.
Txoj kev ua neeg
Yog tias tus txheej txheem nyob rau theem pib, koj tuaj yeem siv cov kev kho mob pej xeem. Txawm li cas los xij, lawv yuav tsum tau pom zoo ua ntej nrog tus kws kho mob tuaj koom. Tag nrho cov kev kho mob pej xeem uas tau ua pov thawj lawv tus kheej zoo yog tsom rau kev kho mob edema thiab ntxiv dag zog rau kev tiv thaiv. Lawv tuaj yeem muab faib ua sab nraud thiab sab hauv. Sab nraud suav nrog kev siv compresses los ntawm cov khoom hauv qab no:
- nettles;
- boiledhneev;
- St. John's wort;
- yarrow.
Nco ntsoov tias cov khoom xyaw no yuav tsum nyob hauv chav sov kom tsis txhob overheat qhov tsim tom qab pob ntseg. Cov kev kho mob sab hauv muaj xws li ntxiv dag zog rau decoctions thiab infusions. Ib qho txiaj ntsig zoo rau lub cev muab kev txais tos ntawm infusions los ntawm:
- echinacea;
- birch nplooj;
- fir;
- licorice.
Zaj lus
Txhawm rau tiv thaiv kev txhim kho ntawm qhov mob ntxiv, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd tom qab pom thawj cov tsos mob thiab cov tsos mob. Tom qab kev ntsuam xyuas, nws yuav kos cov lus xaus thiab hais seb cov qog nqaij hlav puas tuaj yeem ua rau mob tom qab pob ntseg. Lub tsev kho mob yuav kuaj xyuas tag nrho thiab tsim kom muaj qhov ua rau muaj tus kab mob. Kev ncua sij hawm mus kuaj yuav ua rau muaj teeb meem.
