Ntau tus neeg xav tias nws yog dab tsi - ganglionitis. Qhov no yog ib tug kab mob raws li o ntawm lub ganglion. Qhov no yog lub npe ntawm paj hlwb ganglion, muaj cov paj hlwb, lawv lub cev, axons thiab dendrites. Nws lub plhaub yog ua los ntawm cov ntaub so ntswg sib txuas. Yog tias ob lub nodes ua rau mob ib zaug, qhov mob no hu ua polyganglionic.
Tom qab txiav txim siab txog cov tsos mob, kuaj xyuas thiab kho tus kab mob ganglionitis, lawv pib siv tshuaj thiab kho lub cev.
Yog vim li cas
Feem ntau ua rau mob ganglionitis yog kis kab mob, ua rau muaj cov txheej txheem inflammatory. Lub hauv paus ntawm tus kab mob yog cov kab mob inflammatory hauv zos ntawm nasopharynx:
- sinusitis, mob rhinitis, pharyngitis;
- tsawg zaus - mob caj dab ntawm temporomandibular joint.
Ganglionitis ntawm pterygopalatine ganglion tuaj yeem tshwm sim los ntawm cov tshuaj lom ntawm cov hlab ntsha ganglion hauv cov mob tonsillitis, mob suppurative otitis media. Cov xwm txheej ua rauQhov tshwm sim ntawm ganglionitis ntawm pterygopalatine ganglion tsis tsaug zog, ua haujlwm dhau, muaj kev ntxhov siab, haus dej cawv, suab nrov.
Symptoms
Feem ntau cov tsos mob ntawm ganglionitis nyob ntawm seb qhov ua rau tus kab mob. Txawm li cas los xij, muaj ntau yam tshwm sim uas tshwm sim hauv ntau tus neeg mob: kub hnyiab thiab khaus khaus. Feem ntau, cov neeg mob tsim paresthesia - loog loog thiab tingling ntawm daim tawv nqaij nyob rau hauv lub cheeb tsam ntawm tus mob ganglion. Yog tias qhov mob tau kuaj pom tias yog herpetic, vesicles tshwm rau ntawm daim tawv nqaij, mob thaum kov. Hauv thaj tsam ntawm cov txheej txheem spinous ntawm lub vertebrae, qhov mob kuj tuaj yeem tshwm sim ntawm palpation. Cov tawv nqaij ntawm thaj chaw cuam tshuam hloov xim nrog rau kev ntxhib los mos.
Ganglionitis yog ib qho yooj yim los txiav txim siab nyob rau hauv cov teeb meem nyuaj tshaj plaws ntawm kev loj hlob ntawm tus kab mob, thaum cov kab mob tshwm sim ntawm qhov chaw ntawm daim tawv nqaij, thiab cov kab mob hauv nruab nrog cev poob lawv txoj haujlwm vim kev puas tsuaj rau cov hlab ntsha. Cov nqaij ntshiv nyob rau hauv qhov chaw ntawm qhov mob kuj undergo degeneration. Lawv qaug zog, poob lawv lub suab. Cov pob qij txha poob lawv txoj kev txav mus los, vim qhov ceev ntawm tus neeg mob lub reflexes txo. Feem ntau, cov neeg mob yws ntawm cov teeb meem plawv thiab angina pectoris, tab sis qhov no yog tshwm sim los ntawm o nyob rau hauv cheeb tsam ntawm lub stellate node, uas tsim kev tsis txaus siab theem nrab.
Views
Ganglionitis yog cov txheej txheem inflammatory tshwm sim hauv ganglion. Lub etiology ntawm tus kab mob no yog heev dav - los ntawm cov kab mob nyob rau hauv cov kab mobrau post-traumatic inflammatory.
Cov tsos mob sib txawv ntawm ganglionitis nyob ntawm thaj chaw ntawm cov txheej txheem inflammatory, thaum cov cim qhia ntawm tus kab mob no yog: o ntawm thaj chaw cuam tshuam, khaus, mob.
Xav txog cov hom kab mob ganglionitis, ib tus yuav tsum nyob ntawm qhov kev kuaj mob hauv qab no:
- Thaum ganglionitis nyob hauv lub sternum thiab lub xub pwg nyom sab sauv, lub npe hu ua stellate node cuam tshuam. Cov tsos mob thiab kev kho mob ntawm stellate ganglionitis yog qhov sib txawv heev thiab feem ntau ua rau tsis meej pem hauv kev kuaj mob. Hauv qhov no, tus neeg mob tuaj yeem yws yws ntawm qhov mob plawv, tom qab kuaj xyuas kom meej, qhov tseeb angina pectoris tuaj yeem kuaj tau.
- Thaum tus kab mob nyob hauv thaj tsam ntawm lub qhov muag, qhov mob tshwm sim rau ntawm Gasser node, nrog cov tsos mob ntawm keratitis, photophobia, o ntawm qhov muag, thiab pob khaus. Hom kab mob ganglionitis no yuav yog vim muaj kab mob herpes.
- Cov kab mob ua paug ntawm cov kab mob ua pa sab saud, pab hnov lus thiab kab noj hniav (tonsillitis, sinusitis, pharyngitis, otitis media, pulpitis thiab caries) tuaj yeem ua rau ganglionitis hauv pterygopalatine node nyob rau hauv ib qho ntawm cov maxillary sinuses. Qhov chaw no yog qhov mob ntawm yuav luag txhua qhov chaw ntawm lub ntsej muag thiab lub taub hau (mob kov rau pob ntseg, qhov muag qhov muag, lub taub ntswg, lub tuam tsev, qee zaum mob txawm nqes mus rau thaj tsam ntawm lub xub pwg nyom).
- Ramsey-Hunt Syndrome tuaj yeem raug ntaus nqi rau ib hom kab mob ganglionitis, thaum lub hom phiaj yog nyob hauv cheeb tsam ntawm auricle. Nws yog tshwm sim los ntawm tus kab mob herpetic. RauCov tsos mob ntawm hom no muaj xws li mob pob ntseg, kiv taub hau. Nws txawv ntawm qhov mob yav dhau los ntawm pterygopalatine ntawm qhov tshwm sim ntawm paresis ntawm lub ntsej muag paj hlwb.
- Cov tsos mob thiab kev kho mob ntawm ncauj tsev menyuam ganglionitis yog txiav txim los ntawm tus kws kho mob. Raws li txoj cai, tus kab mob yog qhov tshwm sim ntawm lub ncauj tsev menyuam osteochondrosis, ntxiv rau, ib qho ntawm cov kab mob tuaj yeem tshwm sim los yog tsim tawm tsam keeb kwm ntawm cov duab kho mob ntawm tonsillitis. Mob nyob rau hauv daim ntawv no yog localized nyob rau hauv cheeb tsam ntawm lub xub pwg girdle, lub occipital ib feem ntawm lub taub hau. Tsis tas li ntawd, ntxiv cov tsos mob ntawm ganglionitis ntawm lub ncauj tsev menyuam tej zaum yuav liab ntawm lub ntsej muag, ob lub qhov muag, asymmetrical tsos ntawm wrinkles ntawm ib sab ntawm lub ntsej muag, ua pa nyuaj vim qhov ntswg congestion.
- Mob ncaj qha rau ntawm tus nplaig, uas tib lub sijhawm nkag mus rau hauv lub puab tsaig thiab txuas ntxiv mus rau thaj tsam ntawm cov tuam tsev, caj dab thiab occiput - cov no yog cov tsos mob ntawm ganglionitis ntawm pterygopalatine ganglion. Kev kho mob thiab kev kuaj mob ntxiv nyob rau hauv cov ntaub ntawv no yog muab los ntawm ib tug kws kho mob tshwj xeeb. Tsis tas li ntawd, salivation nce, cov ntaub so ntswg ntawm tus nplaig ua hypersensitive, thiab nws ua rau tus neeg mob txav nws lub puab tsaig.
- Ganglionitis ntawm ciliary ganglion (los yog Oppenheim's syndrome) tshwm sim ntawm keeb kwm ntawm tus kab mob herpes los yog qhov tshwm sim ntawm qhov mob tsis kho sinusitis. Cov yam ntxwv symptomatology rau qhov mob no yog qhia nyob rau hauv lacrimation, localization ntawm qhov mob syndrome nyob rau hauv lub cheeb tsam ntawm lub qhov muag sockets thiab lub tuam tsev.
- Tseem muaj herpetic ganglionitis (cov tsos mob thiab kev kho mob yuav txiav txim los ntawm tus kws kho mob tshwj xeeb). Nws yuav tsum tau muab sau tseg cov yam ntxwv pob thiab mob raws cov hlab ntsha xaus ntawm tus txha nraub qaum.
Diagnosis
Kev kuaj mob yog ua raws li kev sau cov lus tsis txaus siab, anamnesis ntawm tus kab mob, kev kuaj mob tshwm sim, ntsuas ntsuas ntsuas.
Kev tsis txaus siab ntawm cov neeg mob muaj ntau yam thiab nyob ntawm qhov chaw ntawm qhov mob. Feem ntau, mob paroxysmal mob, o thiab khaus ntawm thaj chaw cuam tshuam, ua npaws, tawm hws ntau dhau, tsis muaj zog, tsis muaj zog, txwv tsis pub txav ntawm cov pob qij txha.
Daim ntawv tshuaj ntsuam keeb kwm ntawm tus kab mob yuav tso cai rau koj los tsim qhov laj thawj thiab pib kho raws sijhawm thiab raug. Tus neeg mob lub cev kub, daim tawv nqaij thiab cov mucous daim nyias nyias yog lub hom phiaj kev soj ntsuam, kev ntsuam xyuas tag nrho ntawm thaj chaw cuam tshuam tau ua.
Thaum palpation ntawm qhov projection cov ntsiab lus ntawm cov node qhia qhov mob, tsis muaj zog rhiab heev. Tsis muaj ib qho kev ntsuam xyuas tshwj xeeb uas tuaj yeem kuaj tau tus kab mob ganglionitis.
Cov kab mob ntsig txog
Tus kab mob yuav tsum sib txawv ntawm meningoradiculitis, neuritis, syringomyelia, neurovascular syndromes. Rau lub hom phiaj no, tus neeg mob raug xa mus rau kev sab laj nrog kws kho mob neurologist, ENT kws kho mob thiab kws kho hniav. Raws li cov txheej txheem kev tshawb fawb, pharyngoscopy (kev kuaj mob ntawm lub pharynx) thiab otoscopy (kev kuaj pob ntseg) yog siv. X-ray diagnostics yog ua tau.
Tom qab kev txheeb xyuas zaum kawg ntawm cov tsos mob ntawm ganglionitis ntawm stellate ganglion, kev kho mob tau muab tshuaj tam sim.
Kev kho mob
Ntau tus neeg mob xav paub yuav ua li cas kho ganglionitis. Cov tsos mobthiab kev kho mob ntawm tus kab mob yuav nyob ntawm ncaj qha rau ntawm cov degree thiab qhov hnyav, localization ntawm cov txheej txheem inflammatory. Kev kho mob, kev kho lub cev, kev phais mob tsawg dua yog siv dav.
tshuaj kho mob
Raws li twb tau hais lawm, cov tsos mob thiab kev kho mob ganglionitis (cov duab ntawm cov neeg uas muaj tus kab mob tsis zoo no tau nthuav tawm hauv tsab xov xwm) nyob ntawm seb hom kab mob. Kev kho mob yog tib neeg nkaus xwb. Tab sis tag nrho nws yuav nqes mus rau physiotherapy thiab tshuaj. Kev ua haujlwm yuav tsum tau ua qee yam, qhov teeb meem no tau txiav txim siab los ntawm txhua tus kws kho mob, raws li tus yam ntxwv ntawm txhua tus.
Yuav kho tus mob no, koj yuav tau noj cov tshuaj. Namely:
- Reception ntawm "Interferon". Lub cev xav tau tshuaj tua kab mob thiab tshuaj tua kab mob.
- Kev kho mob nrog cov tshuaj uas muaj desensitizing zog. Cov no suav nrog Diazolin, Tavegil, Ketotifen.
- Tsis tas li, chav kho mob suav nrog kev noj tshuaj loog ("Analgin", "Indomethacin", "Diclofenac").
- Ganglion blockers yuav tsum tau. Piv txwv li, "Gangleron" lossis "Pentalgin".
- Nws yuav tsis yog superfluous siv vasodilators (Nikospan, Thionikol, Papaverine).
- Nyob rau qee theem, yuav tsum muaj cov tshuaj tiv thaiv hypoxants: "Aevit", "Sodium oxybuterate".
- Rau cov metabolism hauv cov ntaub so ntswg zoo dua thiab ua kom cov txheej txheem rov ua dua tshiab, "Pentoxyl", "Petiluracil" yog qhov tsim nyog. Tseem ceebsiv immunomodulators.
Physiotherapy
Txhua qhov kev kho lub cev yuav yog txhawm rau daws txhua yam teeb meem. Nrog ganglionitis, koj yuav tsum xub nres qhov mob syndrome. Cov txheej txheem siv yog tshuaj loog. Nws yog tsim nyog los daws qhov teeb meem ntawm intoxication thiab o. Antimicrobial thiab antiviral therapy yuav pab tau ntawm no. Hauv cov txheej txheem inflammatory, txoj kev tiv thaiv exudative ntawm physiotherapy yuav pab. Kev tsis haum tshuaj uas tshwm sim yuav raug tshem tawm txhua txoj hauv kev. Yuav kom normalize tag nrho cov hauj lwm ntawm lub paj hlwb peripheral, lawv yuav mus rau ib txoj kev thaum tag nrho cov paj hlwb dawb yog khaus. Los ntawm dystrophy, ib txoj kev trophostimulating yog siv. Immunostimulating physiotherapy yuav raug xaiv los kho lub cev tsis muaj zog.
Spa kho mob
Qee zaum cov neeg mob raug xa mus so hauv tsev kho mob. Qhov no yog ua tiav thaum lub sijhawm kawg, thaum tus kab mob tshwj xeeb yog mob. Nws yog nqa tawm tsuas yog nyob rau hauv tag nrho tsis muaj pronounced teeb meem ntawm lub paj hlwb thiab mob. Resorts yog haum rau txhua yam. Nws tsis muaj teeb meem yog tias nws yog av nkos da dej lossis pob zeb puam. Qhov tseem ceeb tshaj plaws yog cov txheej txheem uas tus neeg yuav muab so rau lub paj hlwb ntawm lub cev, muab nws tus kheej tso rau hauv kev txiav txim. Yuav tsum nco ntsoov tias qhov no tshwm sim zoo tshaj plaws ntawm hiav txwv vim huab cua ntsev.
Kev Tiv Thaiv
Lub hauv paus rau kev tiv thaiv kab mob ganglionitis suav nrog kev kho raws sijhawm thiab tsim nyog, tiv thaiv kev txhim kho kab mob kis.
- Ib tug yuav tsum coj txoj kev ua neej kom raug thiab tso kev phom sijcwj pwm, tsis txhob noj ntau cov zaub mov muaj roj thiab qab ntsev.
- Koj yuav tsum tau tawm dag zog txhua hnub. Kev khiav thaum sawv ntxov yuav tsis muaj kev cuam tshuam.
- Hardening ntxiv dag zog rau lub cev tiv thaiv kab mob, tab sis koj yuav tsum tsis txhob haus koj tus kheej tam sim ntawd nrog dej khov. Koj yuav tsum tau pib maj mam nrog lub teeb douches hauv da dej, txhuam cov ceg tawv nrog cov phuam txias thiab ntub dej, thiab tom qab ntawd koj tuaj yeem txav mus rau hauv cov huab cua ntshiab, tab sis thaum xub thawj tsuas yog lub caij sov.
- Tsis txhob hnov qab txog lub taub hau thaum lub caij txias. Tom qab tag nrho, tsis muaj cov plaub hau yuav kim dua li koj tus kheej noj qab haus huv, thiab tsis muaj lub kaus mom thaum lub caij ntuj no koj tuaj yeem muaj mob hnyav dua.
- Txhawm rau tiv thaiv tus kab mob, tshwj xeeb tshaj yog nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg, koj yuav tsum ntxiv dag zog rau lub cev tiv thaiv kab mob nrog cov vitamins, noj txiv hmab txiv ntoo thiab zaub ntau dua.
Nws tseem ceeb heev kom txhaj tshuaj tiv thaiv ua ntej, nws yuav ua rau lub cev muaj zog tiv thaiv kab mob no. Thaum muaj kev sib kis, yuav tsum hnav lub npog ntsej muag tshwj xeeb.
