Sinusitis yog ib yam kab mob insidious heev uas tsis tas yuav dhau mus yam tsis muaj kab mob rau lub cev. Qee lub sij hawm cov txheej txheem inflammatory ntawm lub sinuses cuam tshuam rau cov ntaub so ntswg nyob sib ze, uas tuaj yeem ua rau muaj qhov tsis zoo nyob rau hauv daim ntawv ntawm mob taub hau, frontal sinusitis thiab kub taub hau. Nyob rau hauv cov ntaub ntawv no, puncture ntawm lub maxillary sinuses yog inevitable. Qhov tshwm sim ntawm kev sib tsoo nrog sinusitis yog txawv heev. Cov txheej txheem no tsis tau lees tias muaj kev kho mob tiav rau tus kab mob, thiab qee qhov kev ua haujlwm yuav tsum rov ua dua.
Thaum twg kuv yuav tsum tau tho?
Sinusitis yog tsim los ntawm cov txheej txheem sib kis uas tshwm sim hauv ib lossis ob qho tib si ntawm maxillary paranasal sinuses. Thaum muaj mob, purulent paug accumulates nyob rau hauv ib tug confined qhov chaw rau lub sij hawm ntev, thiab kev kho mob ntawm tus kab mob yog los xyuas kom meej qhov tso tawm ntawm qhov ntswg secretions los ntawm lub maxillary sinuses. Yog tias tsis tuaj yeem ua kom cov kua dej txaus, tom qab ntawd ua kom tawg.
Ntxhais ntawm qhov maxillary sinus yog tshuaj tom qabceev faj kev kuaj X-ray, thaum muaj tag nrho cov lus qhia tsim nyog rau kev ua haujlwm.
Thaum lub sijhawm ua haujlwm, qhov chaw thinnest nyob rau hauv cov phab ntsa nruab nrab ntawm lub qhov ntswg qhov ntswg tau hnov ntxhiab nrog rab koob thiab ua rau pob. Tam sim ntawd tom qab no, lub qhov ntswg yog ntxuav nrog tshuaj tua kab mob, uas ua rau kom cov hauj lwm zoo ntawm ob peb zaug.
Nws yog ua tau yooj yim heev thiab nyob rau hauv ob peb theem ib puncture nrog sinusitis. Nws puas mob? Cov lus nug no txhawj xeeb rau cov neeg mob feem ntau, thiab yog li ntawd lawv txuas ntxiv kev kho mob mus txog qhov kawg. Thaum lub sij hawm puncture, tus neeg mob tsis hnov mob, vim hais tias kev ua hauj lwm tsuas yog ua nyob rau hauv cov tshuaj loog. Thiab qhov tshwm sim ntawm kev sib tsoo nrog sinusitis tsis yog ib txwm tu siab li nws zoo li ntau tus neeg mob. Yog tias koj mus dhau tag nrho cov txheej txheem pom zoo los ntawm kws kho mob thiab kho kom zoo, ces, raws li txoj cai, tsis muaj qhov tshwm sim tsis zoo.
Kev txhaj tshuaj rau sinusitis yog ib qho txheej txheem hnyav heev thiab feem ntau yog siv thaum tus neeg mob mob hnyav, thiab lwm txoj kev kho mob tsis pab. Nyob rau theem siab ntawm tus kab mob, tus neeg mob xav tias mob taub hau hnyav, tsis xis nyob hauv maxillary sinuses. Sinusitis, uas tus neeg mob tab tom sim kho, tsis ploj mus ntev (ntau tshaj 10 hnub), txawm hais tias kev kho tshuaj tsis tu ncua. Cov qib ntawm kev loj hlob ntawm tus kab mob, theem ntawm cov kua thiab muaj cov ntshav secretions yog txiav txim los ntawm X-ray kuaj, xam tomography.
Puncture tso cai rau koj tsis txhobtsuas yog ua kom yooj yim ua pa, tab sis kuj tseem siv cov khoom siv rau kev soj ntsuam, uas ua rau nws muaj peev xwm txheeb xyuas tus neeg sawv cev ntawm tus kab mob, uas tom qab ntawd pab ua kom muaj txiaj ntsig zoo rau kev kho tshuaj tua kab mob.
Thaum pib ntawm tus kab mob, thaum tus kab mob yog catarrhal nyob rau hauv qhov xwm txheej (uas yog, tsis muaj purulent paug, cov txheej txheem inflammatory ua rau tsuas yog o ntawm nasopharynx thiab ua rau nws ua tsis taus pa), sinusitis tuaj yeem kho los ntawm tshuaj kho mob, thiab kev sib tsoo hauv qhov xwm txheej no tsis tas yuav tsum tau.
Puncture ntawm maxillary sinuses: ua haujlwm li cas?
puncture ntawm sinusitis tsis yog ib txoj kev tsis raug mob, thiab nws tsuas yog siv rau hauv cov xwm txheej hnyav. Ua ntej tshaj plaws, tshuaj loog hauv zos yog ua ua ntej cov txheej txheem. Feem ntau, Tetracaine, Lidocaine 4% yog siv ntawm no, kev sib xyaw ua ke ntawm cov tshuaj loog nrog vasoconstrictor tuaj yeem siv.
Rau tshuaj loog, tampon uas muaj tshuaj kho mob tau muab tso rau hauv lub qhov ntswg, thiab thaum lub sijhawm ua haujlwm tus neeg mob tsis hnov mob, tab sis muaj qhov tsis xis nyob ntawm cov pob txha. Tom qab cov tshuaj loog siv tau, ib rab koob los ntawm tus kws kho mob otorhinolaryngologist Kulikovsky tau muab tso rau hauv qhov ntswg. Cov cuab yeej no yog hom tubular nrog cov phab ntsa tuab thiab lub cannula thaum kawg. Curved distally. Lub cannula yog docked nrog ib tug syringe, ces qhov thinnest qhov chaw nyob rau hauv lub maxillary sinus yog groped rau thiab pierced.
Tom qab hloov maj mam thiab kho kom raug, tus kws phais kom paub tseeb tias rab koob yog nyob rau hauv lub lumen ntawm lub qhov ntswg, tom qab uas cov tshuaj tua kab mob yog txhaj nrog ib tug syringe, uas dilutes cov kua paug thiab txhawb lub secretion. Gaimorovalub sinus yog ntxuav kom txog thaum cov paug tawm ntawm lub qhov ntswg kom meej. Cov txheej txheem puncture rau sinusitis xaus nrog qhov no.
Contraindications rau kev phais
Kuv puas xav tau kev txhaj tshuaj rau tus kab mob sinusitis? Cov lus nug no tsuas yog daws tau los ntawm kws kho mob raws li daim duab ntawm tus kab mob. Contraindications rau puncture yog cov kab mob somatic thiab thaum ntxov ntawm tus neeg mob (me nyuam mos). Tsis txhob ua kev phais rau tus kab mob sinusitis, uas yog nyob rau theem mob ntawm kev loj hlob. Cov pob txha uas tsis muaj pob txha txaus ua haujlwm yog kev txwv rau kev sib tsoo. Tsis tas li ntawd, tsis txhob ua kev phais rau qhov tsis xws luag hauv kev loj hlob ntawm qhov ntswg kab noj hniav thiab maxillary sinuses. Nws tsis raug qhia kom ua qhov puncture yog tias tus neeg mob mob hnyav, uas yog qhov tshwm sim ntawm kev loj hlob ntawm cov kab mob ntev.
Yog li, seb puas yuav tho qhov sinusitis (lossis tsis), tsuas yog tus kws kho mob tuaj yeem txiav txim siab raws li tus neeg mob.
Qhov tshwm sim ntawm kev sib tsoo
Qhov tshwm sim tsis zoo tom qab kev sib tsoo yog qhov tsawg heev. Feem ntau cov no yog cov ntshav ntswg, uas tau piav qhia los ntawm kev raug mob rau cov hlab ntsha thaum ua haujlwm. Feem ntau, cov xwm txheej no tsis kav ntev thiab ploj mus li ob peb hnub.
Vim lub cev ntaj ntsug ntawm cov qauv ntawm pob txha taub hau, kev sib tsoo ntawm phab ntsa ntawm lub voj voog, nrog rau sab plhu, tuaj yeem tshwm sim. Cov tshuaj tua kab mob uas kws kho mob tau sau tseg tom qab phais pab tiv thaiv kev noj qab haus huv hauv qhov xwm txheej no thiab tiv thaiv kev kis kab mob.
Ib qho teeb meem tom qab kev sib tsoo yuav tshwm sim thaum huab cua nkag mus rau hauvcov ntaub so ntswg. Yog tias huab cua nkag mus rau hauv maxillary kab noj hniav nrog rau cov kua paug, ces qhov xwm txheej yuav tsis zoo rau tus neeg mob. Ib yam li yav dhau los, noj tshuaj tua kab mob pab ntawm no, uas tiv thaiv qhov tshwm sim tsis zoo.
Yog cov kua paug lossis cua nkag mus rau hauv cov hlab ntsha, suav nrog lub qhov muag qhov muag, phlegmon lossis abscess tuaj yeem tsim, qhov muag tsis pom, txhaws ntawm cov hlab ntsha thiab txawm tias tus neeg mob tuag.
Yog tias lub qhov ntswg tau ntim tom qab lub qhov ntswg ntawm qhov ntswg, ces koj yuav tsum siv cov tshuaj tiv thaiv qhov ntswg los yog yaug qhov ntswg. Tsis tas li ntawd, tom qab ua haujlwm, koj tuaj yeem mob taub hau lossis frontal sinusitis. Qee zaum qhov kub nce. Tom qab puncture ntawm sinusitis, xws li ib daim duab yog pom yog hais tias muaj cov seem ntawm cov kua paug los yog muaj ib tug kab mob nyob rau hauv lub sinuses. Tsis pub dhau peb hnub tom qab qhov kev sib tsoo, lub cev kub poob thiab rov qab mus rau qhov qub.
Txhawm rau tiv thaiv cov teeb meem tshwm sim, tus neeg mob yuav tsum tau x-rays ntawm paranasal sinuses thaum ua haujlwm.
Kev kho thiab rov kho tus neeg mob tom qab kev sib tsoo
Yuav ua li cas tom qab qhov ntswg qhov ntswg? Lo lus nug no txhawj xeeb ntau tus neeg mob. Cov lus teb ntawm no yog qhov yooj yim: xav tau kev kho mob ntxiv thiab kho dua tshiab.
Raws li txoj cai, sinusitis tom qab puncture tawm tom qab qee cov kab mob, thiab txhawm rau kov yeej lawv, tus kws kho mob tau sau cov tshuaj tua kab mob. Yog tias muaj qhov kub thiab txias, tom qab ntawd cov tshuaj tua kab mob thiab cov tshuaj tsuag tau muab tso rau hauv qhov ntswg. Qhov zoo tshaj plaws yog kev npaj "Polydex" thiab "Isofra".
Ntawm qhov kub thiab txiasCov tshuaj antipyretic xws li Nise, Nurofen thiab Paracetamol. Feem ntau, cov tshuaj tua kab mob ntawm cov tshuaj tua kab mob penicillin, uas muaj ntau qhov kev ua haujlwm, yog siv rau hauv kev kho mob. Txhawm rau tshem tawm qhov mob hauv lub qhov ntswg, vasoconstrictors tau sau tseg. Cov seem ntawm cov mucous thiab purulent secretions raug tshem tawm los ntawm kev ntxuav cov sinuses nrog tshuaj tua kab mob.
Lub sijhawm rov ua haujlwm tom qab lub sinusitis puncture tsuas yog tsim nyog rau cov neeg mob, thiab lub sijhawm no txhua tus kws kho mob cov lus qhia yuav tsum ua raws. Nws yog ib qho tsim nyog yuav tsum ua kom muaj zog tiv thaiv kab mob, tsis txhob ua haujlwm ntau dhau thiab hypothermia. Noj kom raug thiab tag nrho, sim kom tsis txhob muaj teeb meem tshwm sim.
Kev tiv thaiv kab mob sinusitis tom qab puncture
Qhov tshwm sim ntawm kev sib tsoo nrog sinusitis yog qhov tsis tshua muaj qhov tsis zoo, feem ntau cov txheej txheem no pab tib neeg, ua pa yooj yim dua thiab txo qhov ntswg qhov ntswg. Txhawm rau tiv thaiv kev rov qab los ntawm tus kab mob no yav tom ntej, kev tiv thaiv yuav tsum tau ua tom qab kev sib tsoo.
Koj yuav tsum tsis txhob pib kho tus mob khaub thuas, thiab koj yuav tsum sim tshem nws ntawm thawj kos npe. Nyob rau hauv cov ntaub ntawv no, yaug nrog saline daws pab tau ntau heev. Lawv raug pom zoo kom nqa tawm tom qab ua haujlwm, thaum tag nrho hnub tau siv nyob rau hauv chav tsev plua plav. Tsis txhob hnov qab tias tom qab puncture ntawm sinusitis, ua ntej instillation ntawm vasoconstrictor tee, lub qhov ntswg yuav tsum tau ntxuav.
Nws yog ib qho tsim nyog yuav tsum xyuam xim rau qhov mob ntawm cov hniav enamel thiab kho koj cov hniav hauv lub sijhawm, vim tias cov kab mob hauv qhov ncauj tuaj yeem nkag mus rau hauv qhov ntswg yooj yim. Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev tiv thaiv, kom raug thiab sib npaugnoj, suav nrog cov khoom noj uas muaj cov vitamins thiab minerals hauv kev noj haus, haus cov vitamins complexes nyob rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Kev ua kom lub cev, ua pa kom raug, ua luam dej, caij ski yuav pab tau.
Tom qab pom zoo nrog tus kws kho mob, koj tuaj yeem siv cov tshuaj pej xeem los tiv thaiv sinusitis. Siv tshuaj ntsuab decoctions thiab freshly squeezed dos kua txiv rau ntxuav. Nws yog qhov zoo rau faus aloe lossis Kalanchoe hauv qhov ntswg. Ntshai horseradish thiab qej. Rub tus choj ntawm lub qhov ntswg thiab tis ntawm lub qhov ntswg nrog mustard roj.
qhov zoo thiab qhov phem
Qhov tshwm sim ntawm kev sib tsoo hauv sinusitis tuaj yeem muaj ob qho zoo thiab tsis zoo. Qhov tsis zoo ntawm qhov kev ua haujlwm no suav nrog qhov yuav tshwm sim tsis zoo. Ob tus kws kho mob thiab cov neeg mob sim zam lawv, tab sis qee zaum lawv tshwm sim. Txoj hauv kev zoo tshaj plaws hauv qhov xwm txheej no yog mus ntsib kws kho mob uas tsim nyog.
Yog tias qhov kev sib tsoo tau ua tiav, thiab kev kho mob thiab kho kom rov zoo li qub tau coj mus rau hauv tus account tag nrho cov kws kho mob cov lus pom zoo, ces tus neeg mob tus mob yuav pom zoo. Kev tshem tawm cov kua paug tawm ntawm qhov sinuses txo cov chav kawm thiab kev siv tshuaj tua kab mob, thiab tus neeg mob rov zoo dua. Ib lub qhov hauv cov pob txha pob txha yuav siv li ib hlis los kaw thiab feem ntau tsis ua rau muaj teeb meem.
Ib chav kawm ntawm cov tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob pab kom tsis txhob muaj kev phiv thiab tsis xav tau kev kho mob ntxiv.
kho sinusitis yam tsis muaj punctures
Sinusitis, zoo li ntau lwm yam kab mob, yuav tsum tau khoraws sijhawm. Yog hais tias tus kab mob nyob rau hauv lub sij hawm ntev, ces kev kho mob ntawm sinusitis tsis muaj punctures yuav tsis ua. Lwm yam yog thaum tus kab mob nyob rau hauv thawj theem ntawm kev loj hlob, nyob rau hauv cov ntaub ntawv no, koj muaj peev xwm xyuam xim sim kho tshuaj. Nws lub sijhawm yog nyob ntawm cov tsos mob ntawm tus kab mob.
Kev kho mob hauv zos yog ua raws li kev siv tshuaj vasoconstrictor uas txo qhov o ntawm qhov ntswg qhov ntswg thiab txhim kho qhov ua pa hauv lawv. Cov tee no suav nrog "Rinostop", "Galazolin", "Nazivin", "Xilen" thiab lwm yam. Kev npaj qhov ntswg yog muab tso rau hauv qhov ntswg 3 mus rau 5 zaug tsis pub ntau tshaj tsib hnub. Koj tuaj yeem ntub cov paj rwb swabs nrog cov khoom no thiab muab tso rau hauv koj lub qhov ntswg rau 5 feeb. Cov kev kho mob zoo li no raug sau tseg yog tias sinusitis tshwm sim los ntawm cov teeb meem tom qab muaj kab mob ua pa.
Tsis tas li, nrog rau mob sinusitis, koj tuaj yeem siv ntau cov tshuaj pleev, xws li oxolinic, ichthyol lossis Vishnevsky ointment. Cov tshuaj tua kab mob muaj peev xwm kov yeej cov kab mob uas ua rau kev loj hlob ntawm tus kab mob. Feem ntau yog: Macropen, Azithromycin, Isofra, Augmentin. Nws yuav tsum nco ntsoov tias tsuas yog ib tus kws kho mob yuav tsum tau muab tshuaj tua kab mob, suav nrog cov yam ntxwv ntawm tus kab mob.
Koj tuaj yeem kho sinusitis nrog tshuaj hauv tsev. Cov no yog, ua ntej ntawm tag nrho cov, inhalations, tsis tu ncua ntxuav ntawm lub qhov ntswg, siv cov tee ntawm cov roj thiab zaub hauv paus, daim ntawv thov ntawm compresses, massage ntawm lub maxillary sinuses.
Kev tshuaj xyuas ntawm tib neeg txog kev sib tsoo nrog sinusitis
Raws li tau sau tseg los ntawm ntau tus neeg mob, kev sib tsoo nrog sinusitis tau zoo heevtxheej txheem, tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv uas tus kab mob tau txais ib tug advanced daim ntawv. Cov neeg mob xav tias yuav luag tam sim ntawd. Cov txheej txheem no daws cov mob taub hau, kua paug thiab lwm yam congestion.
Ua ntej ua haujlwm, tus neeg mob tau txais tshuaj loog, thiab yog tias tsis muaj teeb meem, tus neeg mob raug tso cai mus tsev nrog tag nrho cov lus pom zoo. Rau qee tus, qhov puncture tsis mob, rau lwm tus, qhov tshwm sim tsis zoo tshwm sim tom qab kev ua haujlwm, lawv txhawj xeeb txog mob sinusitis, frontal sinusitis. Muaj cov neeg raug tho ob peb zaug ua ke tom qab kev phais.
Qee tus sau txog qhov tsis paub ntawv ntawm cov kws kho mob thiab kev ua haujlwm ntawm lub sijhawm thaum qhov mob nyem tseem tsis tau ua haujlwm. Feem ntau, yog tias qhov puncture tau ua kom raug, ua raws li txhua txoj cai tsim nyog, tsis muaj kev phiv.
Sinusitis yam tsis muaj pob
Ntau tus neeg kho mob sinusitis yam tsis muaj puncture (cov neeg mob tshuaj xyuas piav qhia txog cov txheej txheem uas lawv tau txais txiaj ntsig zoo). Ua li no, lawv siv tshuaj tua kab mob, vasoconstrictor nasal tee. Cov kev npaj "Sinuforte", "Polydex", "Klacid 500" thiab "Sinupred" pab. Lawv yaug nrog dej ntsev, txoj kev cuckoo yog tshwj xeeb tshaj yog nrov. Feem ntau, hauv kev kho mob ntawm sinusitis, kev kho lub cev, hirudotherapy yog siv, thiab lub qhov dej catheter yog siv. Cov kev kho neeg pej xeem tshwj xeeb yog siv tau. Lawv faus beet kua txiv, aloe, Kalanchoe, chim dib kua txiv, chicory tincture. Lwm txoj kev kho mob kuj tseem siv.
Yog tias tus kab mob no tsis muaj sijhawm, tab sis kho txij li thawj hnub, ces sinusitis tuaj yeem yogtshem tawm yam tsis muaj puncture. Cov neeg feem coob, siv cov tshuaj niaj hnub thiab cov kev kho neeg pej xeem, tswj kom kov yeej sinusitis thiab zam kev sib tsoo. Qee tus tsuas yog ib zaug ua rau puncture, tab sis tsis muaj qhov tsis zoo. Cov neeg mob no txaus siab rau qhov tshwm sim. Ib feem ntawm cov neeg mob tau thov tias tom qab lawv tau ua haujlwm lawm, cov punctures yuav tsum tau ua yuav luag txhua xyoo.
Puas muaj peev xwm ua tau nrog sinusitis yam tsis muaj qhov txhab? Tau kawg, yog, yog tias kev kho mob tau ua tiav raws sijhawm, nyob rau theem siab, nws tsuas yog ua tsis tau yam tsis muaj puncture. Txawm li cas los xij, yuav tsum txiav txim siab los ntawm tus kws kho mob.
