Kab mob ntawm pob ntseg sab hauv yog suav tias yog ib qho ntawm cov kab mob txaus ntshai tshaj plaws hauv thaj chaw ntawm otolaryngology. Cov tsos mob ntawm txhua yam mob ntawm pab pawg no zoo sib xws, tab sis qhov ua rau ntawm lawv cov tsos thiab cov yam ntxwv ntawm chav kawm yuav txawv. Nws yog ib qho tseem ceeb uas yuav tsum tau them nyiaj txaus rau kev tiv thaiv. Nyob rau hauv cov ntaub ntawv ntawm congenital pob ntseg pathologies, nws yog tsis yooj yim sua los tham txog kev tiv thaiv, tab sis ntau hom kab mob yog kho tau.
Cia peb saib cov kab mob ntau tshaj plaws ntawm pob ntseg sab hauv.
Labyrinthite
Nws yog cov txheej txheem inflammatory thiab tseem hu ua otitis media. Ib tug diffuse thiab txwv labyrinthite yog qhov txawv. Nyob rau hauv tas li ntawd, ib feem puas rau pob ntseg tshwm sim thiab tus kab mob tsis kis mus ntxiv.
Spilled labyrinthitis cuam tshuam rau tag nrho pob ntseg kab noj hniav thiab tuaj yeem ua rau lag ntseg, suav nrog ob sab version. Tsis tas li ntawd, o ntawm purulent thiab serousib hom uas yog tus cwj pwm los ntawm kev sib sau ua kua thiab tsis muaj qhov tsis zoo.
Purulent labyrinthitis ua rau muaj kev sib txuam ntawm cov kab mob hauv pob ntseg, kev puas tsuaj ntawm receptors thiab suppuration ntawm cochlea pib. Feem ntau ua rau lag ntseg.
Kev txhim kho ntawm cov qauv sab hauv ntawm pob ntseg thiab neoplasms
Qhov no yog ib qho kev mob tshwm sim, nrog rau kev ua txhaum ntawm kev hnov lus pom. Qee lub sij hawm nws muaj peev xwm rov kho qhov hnov lus los ntawm kev phais. Txawm li cas los xij, yog tias tsis muaj cochlea lossis lub cev ntawm Corti hauv pob ntseg, qhov teeb meem tsis daws tau tam sim no.
qog nqaij hlav, hlwv, kev loj hlob ntawm cov ntaub so ntswg epithelial thiab malignant neoplasms tuaj yeem nyob hauv ib cheeb tsam ntawm pob ntseg sab hauv.
Hom kev hnov lus no tshwm sim raws li qhov teeb meem tom qab raug mob thawj kab mob ntawm pob ntseg sab hauv. Cov receptors tseem ceeb ntawm lub cev hnov lus, suav nrog cov paj hlwb, raug cuam tshuam. Raws li qhov tshwm sim, kev ua haujlwm tsis zoo tshwm sim hauv cov khoom ntsuas hluav taws xob, thaum lub suab pib tsis ua tiav thiab hloov mus rau hauv cov hlab ntsha impulse xa mus rau lub hlwb.
Otosclerotic hloov pauv
Nyob rau hauv cov ntaub ntawv no, peb tab tom tham txog kev loj hlob ntawm cov pob txha cov ntaub so ntswg nyob rau hauv cov kab noj hniav ntawm lub labyrinth, uas ua rau txhaws ntawm pob ntseg thiab nws cov hauj lwm, thiab tom qab ntawd ua rau lub lag ntseg. Puas muaj lwm yam kab mob ntawm pob ntseg nruab nrab thiab sab hauv?
Cov txheej txheem pathological hauv vestibular apparatus
Thaum kis kab mobCov kab mob nkag mus rau hauv lub vestibular apparatus, muaj kev ua txhaum ntawm kev sib koom tes. Tsis tas li ntawd, muaj cov kab mob pathologies nrog rau qhov chaw kiv taub hau. Qhov no yog vim muaj kev ua txhaum ntawm kev ua haujlwm ntawm cov kwj dej semicircular thiab lawv raug mob. Meniere tus kab mob yog ib qho ntawm cov kab mob feem ntau ntawm cov pab pawg no. Tus mob no yog tshwm sim los ntawm cov ntsiab lus ntawm endolymph nyob rau hauv lub puab pob ntseg.
Qhov tshwm sim loj tshaj plaws ntawm cov kab mob ntawm pob ntseg sab hauv yog hnov lus tsis hnov lus nyob rau theem ntawm kev sib txuas ntawm neural. Cov plaub hau receptors ntawm pob ntseg raug rhuav tshem thiab tsis muaj peev xwm rov zoo. Thaum muaj cov txheej txheem serous-type inflammatory tshwm sim, cov islets ntawm receptors tuaj yeem khaws cia thiab txawm muab tus neeg mob hnov.
Kab mob ntawm pob ntseg sab hauv ntawm lub pob ntseg purulent yog qhov txaus ntshai tshaj plaws, txij li cov ntaub so ntswg necrosis thiab lawv cov decomposition tshwm sim tawm tsam lawv keeb kwm yav dhau. Lub cochlea thiab lub cev ntawm Corti raug cuam tshuam. Cov plaub hau tsis hnov tsw tuag thiab lag ntseg mus tas li.
Cas thiab tsos mob
Tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem inflammatory, tus neeg mob muaj cov tsos mob hauv qab no ntawm tus kab mob ntawm pob ntseg:
- mob ncaj qha rau pob ntseg nws tus kheej thiab pob txha ntawm lub cev, tawg mus rau sab nraub qaum lossis tag nrho ib nrab ntawm lub taub hau.
- qaug zog thiab qaug zog.
- Kev sib koom tes thiab kiv taub hau. Hauv kab mob ntawm pob ntseg, qhov no yog ib qho mob tshwm sim.
- Ntaus thiab ntuav.
- nce lub cev kub.
- Tinnitus.
- Tachycardia.
- Qu siab auditory perception.
Tom qab kev puas tsuaj rau pob ntseg sab hauv, qhov mob tshwm sim tshwm sim, hnov lus tsis zoo, thiab kev ntxhov siab thiab qaug zog ntawm lub cev tshwm sim.
Lub pob ntseg sab hauv tuaj yeem tshwm sim rau ntau yam, suav nrog:
- Kev tsis sib haum xeeb hauv kev loj hlob ntawm tus cwj pwm innate. Cov cwj pwm phem ntawm leej niam, kev loj hlob ntawm tus me nyuam hauv plab, qhov tshwm sim ntawm caj ces, raug rau cov co toxins thiab cov kab mob sib kis tuaj yeem ua rau kev loj hlob ntawm lub cev tsis zoo.
- Kev raug mob thaum yug los vim kev quab yuam, kev ua haujlwm ua haujlwm thiab pob txha taub hau deformity thaum hla niam tus kwj dej yug.
- kev raug mob Craniocerebral. Qhov no tuaj yeem yog tshuab lossis poob los ntawm qhov siab, pob txha taub hau, qhov txhab phom, thiab lwm yam.
- Kev mob pob ntseg los ntawm sab hauv. Qhov no yuav tshwm sim los ntawm cov khoom txawv teb chaws nkag mus rau hauv pob ntseg kab noj hniav thaum phais lossis barotrauma.
- Cov txheej txheem mob ntawm tus kab mob lossis kis kab mob, suav nrog mastoiditis, otitis media, meningitis, tuberculosis, typhoid, thiab lwm yam.
- Qhov cuam tshuam ntawm txoj kev npaj acoustic. Raws li lub sijhawm ntev ntawm lub suab nrov thiab lub suab hnyav, cov receptors tau maj mam hnav tawm.
- Kev mob ntshav siab. Raws li kev haus dej cawv, kab mob kab mob, tshuaj, ntau yam tshuaj thiab lwm yam co toxins, lub cev raug lom. Qhov xwm txheej ib puag ncig kuj ua lub luag haujlwm tseem ceeb hauv cov txheej txheem no.
TsuasTsis tas li ntawd, ib qho chaw tseem ceeb yog nyob ntawm ntau yam kab mob ntawm lub cev, piv txwv li, kev ntxhov siab, osteochondrosis ntawm lub ncauj tsev menyuam, cov hlab ntsha thiab vascular pathologies.
Diagnosis
Muaj ntau ntau txoj hauv kev uas lub pob ntseg sab hauv tuaj yeem kis tau, suav nrog:
- Otogenic, tshwm sim los ntawm pob ntseg nruab nrab.
- Meningogenic, uas yog qhov tshwm sim ntawm kev puas tsuaj rau lub hlwb thiab qhov chaw intracranial.
- Hematogenous, tshwm sim los ntawm cov hlab ntsha.
Localization ntawm pathology, nrog rau theem ntawm txoj kev loj hlob thiab qhov ua rau ntawm nws tshwm sim yog nqa tawm los ntawm kev kuaj mob tshwj xeeb. Cov txheej txheem kuaj kab mob muaj xws li cov haujlwm hauv qab no:
- Otoscopy.
- kuaj ntshav thiab zis.
- Audiometry.
- Tested nrog tuning forks.
- CT thiab MRI.
- X-ray kuaj.
Yog tias cov kua dej pib tawm ntawm pob ntseg, cov qauv raug coj mus kuaj kuaj seb puas muaj cov kab mob pathogenic uas ua rau mob. Qhov kev sim no tso cai rau koj los txiav txim siab qhov rhiab ntawm microflora puas tsuaj rau qee yam tshuaj thiab sau ntawv kho kom tsim nyog.
Peb tau saib kom meej ntawm cov tsos mob thiab ua rau muaj kab mob hauv pob ntseg. Kev tiv thaiv thiab kev kho mob tau piav qhia hauv qab no.
Kev kho mob
Tsis yog txhua yam txheej txheem pathological tshwm sim hauv pob ntseg sab hauv tuaj yeem kho tau. Yog hais tias receptor tuag los yog caws pliav ntawm lub cev ntawm Corti tshwm sim, rov qab mloogzoo yog yuav luag tsis yooj yim sua. Hauv qee kis, cochlear hearing aids tuaj yeem pab tau.
Hauv lwm qhov xwm txheej, kev kho mob ntawm pob ntseg sab hauv muaj xws li cov kev kho mob hauv qab no:
- Noj tshuaj. Txhawm rau kom tsis txhob muaj cov txheej txheem inflammatory, nrog rau kev tshem tawm cov tsos mob ntawm intoxication, cov tshuaj uas tsis yog-steroidal anti-inflammatory (Ketorol, Ibuprofen, Diclofenac) tau sau tseg. Tsis tas li ntawd, cov tshuaj siv los txhawb cov hlab ntsha (Asparkam, Ascorutin, Cardiohe alth) thiab cov txheej txheem neurological. Qee zaum tus neeg mob yuav tau muab tshuaj diuretics. Cov yav tas yog tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv thaum o yog txuam nrog cov tsub zuj zuj ntawm cov kua nyob rau hauv pob ntseg.
- Kev kho mob phais. Qee lub sij hawm nws tuaj yeem tshem tawm cov ntsiab lus purulent tsuas yog qhib lub labyrinth thiab ntxuav nws. Qee qhov xwm txheej, kev cog qoob loo thiab cov txheej txheem kho dua tshiab tau ua.
- Txoj kev kho lub cev. Qee cov txheej txheem txhawb kev kho cov ntaub so ntswg thiab txhawb lub cev lub cev.
Yog tias peb tham txog cov tshuaj, ces Diakarb nyob hauv ib qho chaw tshwj xeeb ntawm lawv. Nrog rau cov kab mob ntawm pob ntseg sab hauv, nws yog ib qho tshuaj zoo ntawm cov khoom siv hluavtaws, uas muaj peev xwm tshem tawm cov kua dej ntau dhau ntawm lub cev, uas yog, nws muaj cov txiaj ntsig ntawm diuretics. Kev teem sijhawm ntawm cov tshuaj no hauv kev kho mob otitis media tsis pom tseeb thiab qee zaum ua raubewilderment, txawm li cas los xij, raws li kev txheeb xyuas, nws tsis tsim nyog tsis quav ntsej "Diakarb" rau cov kab mob ntawm pob ntseg sab hauv, txij li thaum ua ke nrog lwm cov tshuaj nws tso cai rau koj kom ceev cov txheej txheem kho.
Kev Tiv Thaiv
Txog kev tiv thaiv, koj yuav tsum mob siab rau ntau lub sijhawm rau kev noj qab haus huv, nrog rau kev noj zaub mov kom zoo, tsis txhob muaj kev ntxhov siab thiab ntxiv dag zog rau lub cev nrog cov vitamin complexes. Cov kws tshaj lij pom zoo kom siv cov kev xyaum ua pa tshwj xeeb thiab kev kho mob kom rov zoo dua.
Ntxiv rau, qhov tseem ceeb ntawm kev tiv thaiv yog pob ntseg huv. Lub suab hnyav thiab raug lub suab nrov ntev, nrog rau kev raug mob ntawm pob ntseg, yuav tsum zam. Koj kuj yuav tsum tau sab laj nrog kws kho mob raws sij hawm rau cov kab mob otitis media, vim tias tus kab mob tsis kho tuaj yeem cuam tshuam kev hnov lus thiab ua rau rov qab mob hnyav dua.
Zaj lus tham txog cov tsos mob thiab ua rau cov kab mob ntawm pob ntseg sab hauv.
