Nyob rau hauv tsab xov xwm peb yuav txiav txim siab seb nws txhais li cas - lub pob ntseg tau thim rov qab.
Hnov rau tus neeg yog ib lub peev xwm tseem ceeb, nrog kev pab ntawm nws peb nquag kawm txog lub ntiaj teb. Txhawm rau kom raug xa mus rau lub suab vibrations mus rau auditory ossicles, muaj tympanic membrane ntawm ciam teb ntawm sab nrauv thiab nruab nrab ntawm pob ntseg, uas tseem ua haujlwm tiv thaiv: nws npog qhov chaw ntawm lub pob ntseg los ntawm ntau yam kab mob, av thiab kab mob.
Nyob rau hauv lub xeev noj qab haus huv, daim nyias nyias yog stretched me ntsis, tab sis vim muaj ib tug xov tooj ntawm pathological teeb meem, nws nro tuaj yeem hloov. Dab tsi tuaj yeem ua rau muaj kev ua txhaum cai xws li lub pob ntseg retracted? Yuav ua li cas txheeb xyuas thiab kho tus mob no, nrog rau rov qab mus rau nws txoj haujlwm dhau los? Cia peb sim daws cov teeb meem no.
Diagnosis
Kev tshem tawm pob ntseg yog qhov mob uas yuav tsum tau kho sai li sai tau. Txij thaumtus kab mob tsim kev tsis xis nyob, ces nws muaj peev xwm paub txog kev ua txhaum ntawm daim nyias nyias los ntawm kev xav. Cov tsos mob feem ntau ntawm lub pob ntseg retracted yog:
- pain;
- tsis hnov lus;
- xav kom puv pob ntseg;
- suab nrov nrov;
- congested;
- mob thaum nqos.
Tus kws kho mob otolaryngologist yuav pab koj ua qhov kev kuaj mob kom raug, txiav txim siab seb lub pob ntseg puas tau thim rov qab, thiab sau cov kev kho kom raug. Nws yuav tshuaj xyuas nrog lub otoscope thiab txiav txim siab qhov chaw ntawm daim nyias nyias. Tshawb nrhiav cov cim qhia ntxiv ntawm kev thim rov qab tympanic membrane txuam nrog:
- huab cua lossis tawg ntawm daim nyias nyias;
- thinning ntawm daim nyias nyias;
- tissue hyperemia;
- kev txhim kho;
- granulation;
- dej hauv nruab nrab pob ntseg;
- hloov lossis tsis muaj lub teeb pom kev.
Yog vim li cas
Cov kws kho mob nco ntsoov ntau yam ua rau lub pob ntseg rov qab:
- Eustachitis, lossis ntau dua nws hu ua tubo-otitis. Nrog rau kev ua haujlwm tsis zoo ntawm lub auditory raj, muaj teeb meem nrog kev ua pa ib txwm muaj thiab tso dej ntawm lub pob ntseg nruab nrab kab noj hniav. Nrog cov ntaub so ntswg edema, cov channel raug thaiv, vim qhov kev hloov pauv siab, thiab daim nyias nyias yog nqus mus rau hauv kab noj hniav. Cov txiaj ntsig zoo li no tuaj yeem ua rau lub qhov ntswg hnyav hnyav thiab lwm yam kab mob ntawm nasopharynx. Yuav ua li cas lwm yam ua rau lub pob ntseg inverted?
- Otitis. Kev mob tshwm sim los ntawm eustachitis tuaj yeemua rau qhov xwm txheej phem zuj zus tuaj. Lwm cov tsos mob tau ntxiv rau kev tshem tawm ntawm daim nyias nyias, uas tuaj yeem tsim perforation dhau sijhawm.
- Barotrauma. Nrog rau kev poob siab loj nyob rau hauv ib puag ncig sab nraud, muaj kev cuam tshuam loj heev rau lub xeev ntawm daim nyias nyias. Ib qho kev cuam tshuam ntse ua rau lub nra hnyav dhau thiab thawb lub membrane. Concavity yog me me mus rau nruab nrab, nrog hnyav tearing.
Kev cuam tshuam tympanic membrane: kho
Yuav kho tau tus kab mob, yuav tsum muaj cov chav kawm qhia paub ntsig txog:
- tshuab tawm lub raj Eustachian. Txoj kev no rov ua kom qhov cua thiab tso dej ua haujlwm, sib npaug ntawm qhov nruab nrab ntawm qhov siab thiab kab noj hniav.
- Kev kho mob plab. Yog hais tias muaj cov txheej txheem inflammatory, uas yog provoked los ntawm kev ua txhaum ntawm lub patency ntawm Eustachian raj, nres nws lub hom phiaj thiab restore lub noj qab haus huv lub xeev ntawm cov ntaub so ntswg. Rau qhov no, cov tshuaj tiv thaiv kab mob yog siv, thiab nyob rau hauv cov ntaub ntawv ntawm ib tug purulent txheej txheem, tshuaj tua kab mob yog muab.
- Noj vasoconstrictors. Lawv txo qis puffiness thiab qhib lub auditory raj.
- Vitamin kho. Txhawm rau ntxiv dag zog rau lub cev tiv thaiv kab mob, kho lub pob ntseg thiab tshem tawm qhov tshwm sim ntawm kev noj tshuaj tua kab mob, nws yog ib qho tsim nyog yuav tsum tau ua kom lub cev muaj cov vitamins thiab minerals. Khoom noj khoom haus yuav tsum tau hloov kho, multivitamin complexes raug sau.
- Paracentesis, i.e. kev txiav ntawm daim nyias nyias. Kev phais yog siv yog tias tsim nyog kom sib npaug ntawm lub siab thiab tshem tawm cov kua dej tawm ntawm cov kab noj hniav.pob ntseg.
Eustachitis thiab nws cov tsos mob
Tus mob tubo-otitis tuaj yeem ua teeb meem tom qab mob khaub thuas lossis SARS. Nws tshwm sim nws tus kheej nrog cov tsos mob hauv qab no:
- Khaub pob ntseg.
- Hnov koj lub suab hauv pob ntseg.
- Headache.
- Zoo.
- Ntaus.
- Kev sib koom ua ke.
- Xav txog "kua dej" hauv pob ntseg.
- hnov tsis hnov.
- tawm me ntsis tawm ntawm pob ntseg.
Cov neeg mob tsis kub taub hau thiab mob hnyav. Yog tias cov txheej txheem inflammatory tsis kho, tus kab mob yuav mob ntev, uas nyuaj rau kho ntxiv thiab yuav ua rau tsis hnov lus.
Clinical signs of disease
Cov tsos mob ntawm tus mob ntsws-otitis muaj xws li:
- mucosal hloov pauv;
- hloov xim thiab txav ntawm lub pob ntseg;
- nqaim ntawm lumen ntawm Eustachian raj;
- pom liab ntawm mucosa;
- tawg thiab siab hauv pob ntseg.
Thaum kev zam txim, tus neeg mob lub peev xwm ua haujlwm tseem nyob, lub xeev kev noj qab haus huv tau txaus siab.
Eustachitis kho li cas?
Yuav kom sau cov kev kho kom raug, nws yog ib qho tsim nyog los tsim kom muaj tus kab mob. Tom qab txiav txim siab qhov tseeb, tus kws kho mob tau sau cov kev kho mob hauv qab no:
- Antibacterial thaum kis kab mobtus kab mob. Rau qhov no, tshuaj tua kab mob yog muab rau instillation rau hauv pob ntseg: Normax, Otofa, Tsipromed; rau kev tswj qhov ncauj "Amoxicillin", "Ampicillin", "Azithromycin"; Cov tshuaj tua kab mob rau kev txhaj tshuaj - Cefazolin, Netilmicin. Kev tswj hwm tus kheej ntawm ib qho tshuaj tsis tsim nyog, vim qhov no yuav ua rau tus neeg mob hnyav zuj zus.
- Kho nrog tshuaj tua kab mob, yog tias tus kab mob tshwm sim los ntawm kev ua xua tubo-otitis, hauv qhov no, Cetrin, Diazolin, Loratadin tau sau.
- txhawm rau txo cov tsos mob ntawm eustachitis, vasoconstrictor tee rau lub qhov ntswg yog siv, uas txo qhov o ntawm cov mucous membrane ("Nafthyzin", "Rinonorm", "Xylometazoline").
- Immunomodulatory tshuaj uas nce kev tiv thaiv - "Polyoxidonium", "Imunorix", "Bronchommunal".
- Txhawm rau txo qhov mob thiab ua rau nyias nyias, "Hydrocortisone" yog txhaj los ntawm catheter rau hauv nruab nrab pob ntseg.
Rau kev kho mob ntawm Eustachian raj, kev tshem tawm ntawm qhov chaw kis kab mob yog qhov tseem ceeb heev. Ua li no, ua cov txheej txheem xws li: adenoidectomy, tonsillectomy, tshem tawm cov qog, septoplasty.
Cov tsos mob thiab kev kho mob ntawm eustachitis yog sib cuam tshuam.
Physiotherapy rau Eustachitis
Rau kev kho tus kab mob, cov txheej txheem kho lub cev yog qhov yuav tsum tau:
- Pneumatic massage ntawm lub tympanic daim nyias nyias yuav ua rau nws elasticity, txo nro thiab muaj peev xwm mus normalize lub auditory ossicles.
- Laser kho yuav pab tiv thaiv qhov mob, txo qhov o,ntxuav lub cev ntawm co toxins thiab txo cov kev tsis haum tshuaj.
- UVR muaj cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab tonic.
- UHF-kev kho yuav txhawb nqa cov qog ntshav thiab cov ntshav ncig, ua kom cov haujlwm hauv nruab nrog cev.
tiv thaiv kab mob
Txhawm rau tiv thaiv kev txhim kho ntawm pathologies, cov neeg mob raug pom zoo:
- Zam kev hloov pauv sai sai ntawm lub siab, hypothermia, kev tsim qauv thiab tsis suav nrog kev dhia dej thiab nce toj.
- Ua tib zoo saib xyuas cov txheej txheem ntawm tshuab ntswg. Cov txheej txheem yuav tsum tau ua tib zoo ua ntej, tuav lub qhov ntswg sab laug thiab qhib lub qhov ncauj me ntsis, tom qab ntawd rov ua dua rau sab nraud.
- Nco ntsoov siv cov tshuaj tiv thaiv kab mob rau kev ua xua, thiab vasoconstrictors rau cov kab mob ua pa.
- Siv cov txheej txheem tawv tawv los pab tiv thaiv SARS thiab txo qhov kev pheej hmoo ntawm Eustachitis.
- Txheej huab cua mus sij hawm ntev.
YKev tshwm sim ntawm pathology
Yog tso tseg tsis kho rau lub sijhawm ntev, nws tuaj yeem ua rau cov txiaj ntsig tsis zoo.
- Tus neeg mob yuav muaj kev tsis xis nyob, muaj kev pheej hmoo ntawm kev hnov lus. Kev hnov lus raug txo vim qhov tsis hnov tsw, qhov amplitude ntawm nws cov oscillations txo qis thaum lub sij hawm dhau ntawm lub suab nthwv dej.
- Vim qhov kev ntxhov siab uas cov membrane raug nthuav tawm, nws cov qauv cuam tshuam. Thiab yog tias tsis muaj cov vitamins hauv lub cev thiab kev tsim cov collagen qeeb, qhov xwm txheej tseem hnyav dua. Yog li ntawd, daim nyias nyias ua nyias thiab nws cov suab conductivity deteriorates. Muaj kev pheej hmoo ntau duanws tawg. Feem ntau ntawm tag nrho cov, qhov no yog txaus ntshai rau cov me nyuam, vim hais tias lawv muaj feem yuav raug mob los ntawm tus kab mob no. Yog li ntawd, kev kho mob yuav tsum tau pib tam sim ntawd, sai li sai tau thaum thawj cov tsos mob tshwm sim.
Yog tias cov tsos mob ntawm lub pob ntseg thim rov qab tau tshawb pom nyob rau lub sijhawm thiab raug kuaj los ntawm tus kws tshaj lij, ces kev kho mob yuav tsis siv sijhawm ntau thiab ua haujlwm. Cov txheej txheem rov qab los ntawm pob ntseg nrawm heev, yog li koj yuav tsum tsis txhob txhawj txawm tias tau teem sijhawm phais.
