Kev mob hauv cov menyuam mos ntawm qhov maxillary sinuses feem ntau tshwm sim thaum muaj hnub nyoog plaub xyoos thiab laus dua. Txog thaum lub sijhawm ntawd, vim yog cov qauv ntawm cov sinuses thiab lawv cov me me, xws li tus kab mob no tau kuaj pom tsis tshua muaj. Ob sab sinusitis nyob rau hauv cov me nyuam yog heev hnyav dua unilateral, txij li thaum lub hom phiaj ntawm kev kis kab mob yog tsim tam sim ntawd ntawm ob sab. Tom ntej no, peb yuav pom tias ob sab ntawm tus kab mob no tshwm sim li cas, xav txog kev kho mob, cov cim qhia thiab ua rau nws tshwm sim.
Qhov laj thawj tseem ceeb
Lub ntsiab tseem ceeb uas ua rau pom qhov tshwm sim ntawm ob sab sinusitis nyob rau hauv cov menyuam yaus yog cov kab mob thiab cov kab mob, vim lawv cov dej num tseem ceeb, cov kua paug hauv cov maxillary sinuses. Cov kab mob tsis zoo tuaj yeem nkag mus rau lawv vim tsis kho tus mob khaub thuas, SARS, kub taub hau, qhua pias thiab lwm yam kab mob sib kis, nrog rau cov kab mob caries, stomatitis, thiab lwm yam. Kev txheeb cais qhia tias hauv tsib feem pua ntawm cov neeg mob, mob khaub thuas hauv menyuam yaus ua rau tsuas yog cov txheej txheem zoo li no.mob. Tam sim no cia saib yuav ua li cas tus mob no tshwm sim nws tus kheej hauv cov menyuam yaus.
Cov tsos mob hauv menyuam yaus
Paub txog ob sab sinusitis hauv cov menyuam yaus tsis yog qhov nyuaj, txij li tag nrho cov cim qhia tau hais thiab pom lawv tus kheej tam sim:
- Kev muaj qhov kub thiab txias hauv ob lub qhov ntswg, ua ke nrog ua pa nyuaj.
- Cov kua paug tawm ntawm qhov ntswg yog qhov tseeb lossis muaj xim ntsuab.
- Tshuaj mob hauv thaj tsam ntawm ob sab plhu, mob thaum qaij taub hau thiab pob ntseg.
- Tsis hnov tsw thiab qab los nrog qaug zog, qaug zog. Cov me nyuam no ruam heev.
Nws tshwm sim tias cov tsos mob ntawm sinusitis tsis ua npaws tshwm. Yog tias muaj tsawg kawg yog ob peb yam ntawm cov cim no, koj yuav tsum tsis txhob yig, koj yuav tsum hu rau tus kws kho mob otorhinolaryngologist. Kev kho mob tsis tu ncua rau ob sab sinusitis hauv tus menyuam hnub nyoog 3 xyoos, thiab ntawm lwm lub hnub nyoog, yog fraught nrog cov teeb meem loj thiab qee zaum txaus ntshai xws li purulent otitis media, meningitis lossis meningoencephalitis.
Ntau yam ntawm cov kab mob no hauv cov menyuam yaus
Muaj ib qho mob thiab mob ntev ntawm ob sab sinusitis hauv cov menyuam yaus. Hauv chav kawm mob hnyav, tag nrho cov tsos mob ntawm tus kab mob tau hais tawm thiab ua rau tus menyuam tsis xis nyob. Nyob rau hauv cov kev tshwm sim uas ntsuas tsis tau raws li lub sij hawm, tus kab mob yuav ua tau ntev, tawm tsam qhov tshwm sim los ua tsis muaj zog, tab sis tus kab mob nws tus kheej tsis rov qab. Rau qee lub sijhawm, lub xeev ntawm lub cev tuaj yeem txhim kho, tab sis tom qab qee lub sijhawm yuav muaj qhov exacerbation, thiab yog li nws yuav yog.coj qhov chaw nyob rau hauv ib lub voj voog. Xws li "lub voj voog" ua rau qaug zog heev rau cov neeg mob me, txo lawv txoj kev tiv thaiv.
Raws li qhov xwm txheej ntawm qhov mob, catarrhal thiab purulent cov ntaub ntawv ntawm tus kab mob yog qhov txawv. Qhov sib txawv ntawm thawj hom yog nyob rau hauv tag nrho cov kua paug nyob rau hauv lub sinuses, thiab cov pathology yog mob. Nyob rau hauv daim ntawv thib ob ntawm tus kab mob, ib qho purulent loj tawm ntawm lub qhov ntswg.
Yuav ua li cas kho sinusitis sai sai? Qhov no yuav nyob ntawm qhov kev kuaj mob raws sijhawm.
Diagnosis
Nws yuav ua tau kom ntseeg tau tias tus me nyuam muaj ob sab sinusitis los yog nws yog cov tsos mob ntawm lwm yam kab mob los ntawm kev kuaj X-ray ntawm lub sinuses. Koj tuaj yeem ua CT scan, tab sis qhov no yog txoj hauv kev kim. Raws li txoj cai, x-ray yog txaus rau kev kuaj pom tseeb hauv feem ntau.
Nrog rau ob sab catarrhal sinusitis hauv tus menyuam, leukocytosis tuaj yeem pom ncaj qha hauv cov ntshav nrog rau kev nce ntawm cov neutrophils, uas yog ib qho ntawm cov leukocytes. Tag nrho cov no yog txiav txim siab nyob rau hauv kev tsom xam dav dav ntawm biomaterial. Tam sim no cia saib seb cov txheej txheem twg muaj nyob rau niaj hnub no kom tshem tau tus kab mob hauv nqe lus nug. Yuav ua li cas kho sinusitis hauv tsev, peb yuav qhia hauv qab no.
Kev kho mob
Yog tias tus menyuam raug kuaj pom tias muaj "ob sab sinusitis", kev kho mob tuaj yeem nqa tawm hauv tsev thiab nyob rau sab nraud, tab sis ib txwm nyob hauv kev saib xyuas ntawm tus kws kho mob otorhinolaryngologist. Nws yog ib qho tsim nyog yuav tsum ua raws li lub sijhawm mus ntsib ENT, ua raws li tag nrho nws cov lus qhia. Qhov ceev tshaj plaws yog dab tsiYuav ua li cas kho sinusitis? Txog niaj hnub no, kev saib xyuas kev kho mob tau siv, suav nrog kev siv tshuaj tua kab mob txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm
Ntxuav nrog sinusitis yog qhov zoo tshaj plaws ua tiav raws li kev taw qhia ntawm tus kws kho mob otorhinolaryngologist muaj peev xwm, vim tias kev siv tsis zoo tuaj yeem ua rau nkag mus rau ntawm cov tshuaj tua kab mob rau hauv pob ntseg thiab provoke otitis media. Sinus lavage muaj npe tom qab tus kws kho mob Asmeskas Arthur Proetz, uas thawj zaug siv cov txheej txheem no. Tab sis niaj hnub no cov neeg hu nws "cuckoo". Nws cov ntsiab lus yog raws li hauv qab no: ib qho tshuaj tua kab mob yog nchuav rau hauv ib lub qhov ntswg, thaum cov ntsiab lus pathogenic raug rub tawm ntawm lwm qhov hauv lub siab. Thaum lub sij hawm xws li ib tug manipulation, nws yuav tsum tau hais tias "ku-ku" thiaj li hais tias cov tshuaj tsis txhob poob rau hauv lub caj pas thiab tus me nyuam mos tsis inadvertently choke. Cov txheej txheem no muaj kev nyab xeeb rau cov menyuam mos thiab ua kom yooj yim rau tus mob.
Yuav ua li cas sai kho sinusitis, tus kws kho mob yuav qhia. Thaum cov txheej txheem kev saib xyuas tsis txaus, tus kws kho mob yuav muab rau txhawm rau txhawm rau txhawm rau txhawm rau ntxuav nws cov ntsiab lus. Tom ntej no, ib tug antiseptic yog muab tso rau hauv. Qhov kev ntsuas no tsis tshua siv, tab sis hauv tsev kho mob zoo, cov txheej txheem rau cov menyuam mos yog ceev thiab yuav luag tsis mob.
Ib yam rau qhov puncture yog siv YAMIK-catheter nrog ob balloons. Nws yog txhaj rau hauv lub qhov ntswg nyob rau hauv lub zos tshuaj loog. Ob lub balloons yog inflated nyob rau tib lub sij hawm: lub anterior ib tug nyob rau hauv lub qhov ntswg, lub posterior ib tug nyob rau hauv lub nasopharynx. Nrog kev pab los ntawm ib tug syringe, cua yog pumped tawm ntawm cov kab noj hniav. Lub tshuab nqus tsev tsim qhib lub sinuses thiab cov ntsiab lus purulent yog nqus tawm mus rau hauv lub syringe.
Txawm li cas los xij, kev kho mob hauv cov menyuam yaus ntawm txhua hom kab mob sinusitis, suav nrog ob sab, yuav tsum tau ua tiav, siv tshuaj thiab cov txheej txheem physiological. Yog tias tus me nyuam zoo lawm, koj yuav tsum tsis txhob tso tseg txoj kev kho mob uas kws kho mob pom zoo. Nws yog ib qho tsim nyog los ua kom tiav txhua qhov kev teem caij, ua kom muaj txiaj ntsig zoo. Nrog rau kev mus ntsib kws kho mob raws sij hawm, nrog rau cov lus pom zoo, nws yuav tsis tuaj yeem kho ob tog ntawm tus kab mob ua haujlwm.
Yuav tsum muaj tshuaj tua kab mob?
Txoj kev kho kom tsim nyog thiab tsim nyog tshaj plaws hauv qhov no yog kev kho tshuaj tiv thaiv kab mob. Yog li ntawd, feem ntau cov tshuaj no tau sau tseg nyob rau hauv tus txheej txheem ntawm kev tawm tsam tus kab mob. Tab sis peb yuav tsum tsis txhob hnov qab tias nws tsis yog niam txiv lossis cov txheeb ze nrog cov neeg zej zog uas muaj cai sau tshuaj tua kab mob, tab sis cov kws kho mob tsim nyog. Hmoov tsis zoo, koob tshuaj tiv thaiv kab mob thaum kho ob sab sinusitis hauv cov menyuam yaus yog qhov loj, thiab chav kawm tsis yog xya hnub, tab sis tsawg kawg kaum.
Qhov tseeb yog tias txhawm rau ua kom tau txais kev kho mob zoo ntawm tus kab mob no, nws yog ib qho tsim nyog yuav tsum muaj cov concentration txaus ntawm cov kab mob tua kab mob hauv cov ntshav, tab sis ncaj qha rau hauv cov mucous membrane ntawm maxillary sinuses lawv tus kheej. Hauv qhov no, yog tias kev kho mob nrog cov kab mob antimicrobial pib, nws yuav tsum tsis txhob cuam tshuam,txawm tias tus me nyuam qhia tau tias muaj kev txhim kho hauv tus mob.
Yuav tshuaj tua kab mob dab tsi los haus rau sinusitis hauv menyuam yaus?
Nyob rau theem pib ntawm tus kab mob no, tus menyuam tau muab tshuaj tua kab mob ntsig txog penicillin series. Lawv ua rau lub cev softer dua lwm tus, ua rau muaj kev phiv tsawg, peb tab tom tham txog Amoxiclav, Ampicillin thiab Amoxicillin.
Yog tias cov tshuaj penicillins tsis tuaj yeem tiv nrog lawv txoj haujlwm thiab tsis tuaj yeem kho tus menyuam mos, lossis tus neeg mob me nyuam qhuav tau noj tshuaj tua kab mob ntawm pawg no, tom qab ntawd tus kws kho mob muab tshuaj macrolides xws li Roxithromycin, Clarithromycin, Azithromycin. los yog "Sumameda."
Yog tias cov macrolides tsis tau txais cov txiaj ntsig zoo lossis cov crumbs muaj theem ntawm tus kab mob, tus kws kho mob yuav sau ib qho ntawm cov tshuaj cephalosporin. Tus menyuam yuav tau noj hnyav dua, tab sis tib lub sijhawm cov tshuaj siv tau zoo tshaj plaws, xws li Ceftriaxone nrog rau Cefuroxime lossis Cedex.
Thiab tsis tshua muaj, hauv kev kho mob sinusitis ntev hauv tus menyuam, cov kws kho mob siv fluoroquinolones. Cov no tsis yog cov menyuam yaus cov tshuaj tua kab mob, tab sis qee zaum lawv tseem raug muab rau cov menyuam mos tom qab tsib xyoos txhawm rau tshem tawm cov mob hnyav los ntawm Pseudomonas aeruginosa: Cifran, Ciprofloxacin, Lomefloxacin. Tom ntej no, peb yuav kawm txog pej xeem txoj kev kho.
Kho tus menyuam hauv tsev
Yog li, cia peb tshawb nrhiav kev kho mob sinusitis hauv tsev. Cov kev xaiv hauv qab no tuaj yeem pab cov neeg mob hluas ua pa ntsiag to:
- Kev ua acupressure -siab rau tej ntsiab lus. Xws li manipulation zoo heev pab cov crumbs los ntawm clearing lawv lub qhov ntswg. Qhov cuam tshuam yog nyob nruab nrab ntawm cov pob muag, me ntsis saum lub hauv paus ntawm lub qhov ntswg. Koj yuav tsum nias nrog koj qhov Performance index lossis ntiv tes xoo rau peb caug vib nas this. Lub siab yuav tsum muaj zog me ntsis kom tus menyuam tsis mob.
- Cov tshuaj hauv tsev ua los ntawm chamomile thiab qab zib kuj pab ua kom lub qhov ntswg dawb. Ob tablespoons ntawm cov khoom tseem ceeb yog ntxiv rau lub khob. Cov khoom uas tshwm sim no txo qhov mob, thiab tus menyuam tuaj yeem ua pa ib txwm.
- Kev nqus pa yog lwm txoj hauv kev kho mob ntawm sinusitis hauv tsev. Ntxiv kaum tee ntawm bronchial balm rau boiling dej (kua ntim - 1 liter). Tos ob peb feeb kom cia cov tshuaj muaj pes tsawg leeg kom txias me ntsis. Npog tus me nyuam lub taub hau nrog phuam thiab hais kom nws ntsoos saum cov tais diav. Thaum lub sijhawm txheej txheem no, koj yuav tsum ceev faj tsis txhob hlawv koj tus kheej.
- Ib yam khoom xws li zib ntab tuaj yeem cawm tau. Nws muab tso rau hauv lub qhov ntswg. Vim lub cev kub, nws pib yaj thiab kis thoob plaws hauv lub qhov ntswg.
- Royal jelly tuaj yeem pab tau zoo. Nws yog muag hauv daim ntawv lozenges.
Nyob rau hauv cov me nyuam feem ntau, ob sab sinusitis yog tshwm sim los ntawm tus kab mob. Kev kho mob hauv tsev nrog kev pab los ntawm pej xeem cov tshuaj yog undoubtedly ib txoj kev nyab xeeb, tab sis tsis yog txhua leej txhua tus ua tiav cov txiaj ntsig sai. Kev kho mob yog nqa tawm symptomatically, nyob rau hauv kev twb kev txuas nrog rau qhov no, tshuaj tiv thaiv mob thiab o feem ntau yog muab. Tshuaj tua kab mob muabTsuas yog muaj cov tsos mob ntawm tus kab mob kis los yog thaum kho yav dhau los tsis pab thiab tus kab mob no zuj zus.
Txhim kho qhov txhab rau cov menyuam yaus nyob ntawm hnub nyoog
Cov cuab yeej no nyob ntawm seb tus neeg mob hnub nyoog npaum li cas. Kev ntxuav yog nqa tawm, raws li txoj cai, nrog tsis muaj dej saline los yog boiled dej. Hiav txwv ntsev tov kuj siv.
Rau cov menyuam mos thiab menyuam yaus hnub nyoog qis dua ob xyoos, siv cov qauv hauv qab no. Tus me nyuam pw ntawm nws nraub qaum thiab nws lub qhov ntswg ua tib zoo ntxuav nrog paj rwb flagella moistened nrog boiled dej. Tom qab ntawd maj mam instill ib tee dej hiav txwv ntsev tov rau hauv txhua lub qhov ntswg. Tos ob peb feeb, thaum lub sij hawm lub sij hawm cov kua nyob rau hauv lub depths ntawm lub qhov ntswg yuav tsum dissolve tag nrho cov crusts. Tom qab ntawd cov ntsiab lus tau kos tawm nrog lub aspirator, uas yog ib qho tshwj xeeb pear uas tuaj yeem yuav ntawm lub tsev muag tshuaj.
Rau cov menyuam mos, nws raug tso cai siv cov tee lossis tshuaj tsuag, uas yog raws cov dej hiav txwv ntuj. Nws yog ntshaw tias lawv yuav tsum tau nruab nrog ib tug txwv tshwj xeeb nozzle los tiv thaiv kev sib sib zog nqus ntawm lub taub hau mus rau hauv lub qhov ntswg thiab muaj ib tug mos mos hom tshuaj tsuag. Cov nyiaj no suav nrog, piv txwv li, tshuaj "Rinostop Aqua Baby".
ntxuav qhov ntswg nrog sinusitis nyob rau hauv ib tug me nyuam los ntawm ob xyoos yog txawv. Tus me nyuam raug hais kom tig nws lub taub hau me ntsis rau ib sab. Ib tug tov rau ntxuav yog sau nyob rau hauv ib tug pear. Ntxig nws lub taub rau hauv lub qhov ntswg ntiav ntiav thiab pib txheej txheem. Tom qab ntawd rov ua qhov qub los ntawm ob lub qhov ntswg,thaum tilting lub taub hau ntawm crumbs mus rau lwm sab. Tom qab lub manipulation, tus neeg mob me me raug hais kom tshuab nws lub qhov ntswg. Qhov no yuav tsum tau ua nrog cov txheej txheem kom raug: qhib koj lub qhov ncauj, pinching ib lub qhov ntswg tig, tshuab tawm rau lwm tus.
Thaum lub qhov ntswg tshuab ntswg, hnoos qeev tuaj yeem nkag mus rau hauv pob ntseg thiab provoke otitis media. Lwm txoj hauv kev yooj yim tshaj plaws yog siv cov tshuaj tsuag npaj ua raws li cov dej hiav txwv ntuj, uas yog muag hauv khw muag tshuaj. Nyob rau hauv cov ntaub ntawv no, tus txheej txheem yuav tsis tshua tsis kaj siab thiab sai. Rau ib tug me nyuam, qhov no yog qhov tseem ceeb ntxiv.
Yau qhov ntswg ntawm cov menyuam kawm ntawv kuj ua txawv me ntsis. Thaum lub hnub nyoog no, nws twb tau piav qhia rau cov menyuam yaus txog qhov tseem ceeb ntawm cov txheej txheem, thiab lawv tuaj yeem nqa tawm ntawm lawv tus kheej, tau kawg, nyob rau hauv kev saib xyuas ntawm cov neeg laus. Txoj kev no tsis txawv tshwj xeeb ntawm cov txheej txheem uas siv rau cov menyuam yaus hnub nyoog tshaj ob xyoos. Es tsis txhob pear, koj tuaj yeem siv lub lauj kaub tshwj xeeb roj hmab, uas yog lub thawv nrog lub qhov ntswg ntev.
Koj tuaj yeem siv lwm txoj hauv kev, uas koj yuav tsum tau qaij koj lub cev hla lub tub lossis lub dab dej, nqus pa thiab tuav koj cov pa. Nyob rau tib lub sij hawm, ib tug spray nozzle los yog irrigation ntim tau muab tso rau hauv lub qhov ntswg. Cov tshuaj yog pub rau hauv lub qhov ntswg kab noj hniav, nyob rau hauv tus txheej txheem, lub qhov ntawm lub cev yog ntxuav thiab cov kua tawm ntawm lub qhov ntswg thib ob.
Kev nyuaj siab
Nrog kev kho tsis raug lossis tsis muaj kev kho mob, ob qho tib si hauv zos thiab cov teeb meem dav dav tuaj yeem txhim kho, zoo li cov txheej txheem ntev, uas yog, tsim cov kab mob sinusitis ntev. Tsis tas li ntawd, cov nram qab no tsis zooqhov tshwm sim:
- Qhov tshwm sim ntawm qhov abscess lossis phlegmon ntawm lub orbit.
- Tshuaj mob meningitis thiab sepsis.
Kuv yuav tsum ceeb toom rau koj tias ncua sijhawm mus ntsib kws kho mob, nrog rau kev kho tus kheej tsis txaus, tuaj yeem ua rau muaj kev puas tsuaj loj.
Kev Tiv Thaiv
Rau qhov no, cov txheej txheem siv tau, xws li lwm yam kab mob. Nws yog ib qho tsim nyog los tiv thaiv kab mob khaub thuas thiab otolaryngological pathologies, kev ua kom lub cev muaj zog, ntxiv rau kev tshem tawm cov kab mob sib kis raws sij hawm, tshwj xeeb tshaj yog cov cuam tshuam nrog pathologies ntawm cov kab mob ua pa.
Raws li ib feem ntawm kev tiv thaiv tshwj xeeb tiv thaiv keeb kwm yav dhau los ntawm cov kab mob sinusitis, nws yuav tsum ua tib zoo ua tib zoo nrhiav kom pom qhov tsis xws luag hauv lub qhov ntswg thiab kho nws (suav nrog kev phais).
