hnov tsis hnov lus tshwm sim hauv yuav luag txhua yam kab mob cuam tshuam nrog kev hnov lus tsis zoo. Nws cuam tshuam txog li 7% ntawm lub ntiaj teb cov pejxeem.
feem ntau ua rau hnov tsis hnov lus yog otitis media. Nyob rau hauv cov ntaub ntawv siab heev, lag ntseg yuav tshwm sim. Kev kho dua tshiab ntawm kev hnov lus tom qab otitis media, tsis zoo li lwm yam kab mob, yog nyob ntawm lwm txoj hauv kev, tsis yog kev saib xyuas, kev kho mob. Qhov ua rau tus kab mob no tuaj yeem yog hypothermia thiab mob khaub thuas.
hom kev hnov lus tsis hnov lus yog dab tsi?
Muaj peb hom lag ntseg vim tsis hnov lus.
- Thaum lub cev hnov lus thiab lub cev hnov mob puas lawm, ib daim ntawv sib xyaw tshwm sim hauv tus neeg.
- Kev mob ntawm lub paj hlwb (nws tseem hu ua vestibulocochlear organ), thaj chaw hnov ntawm lub hlwb (cheeb tsam ntawm lub sijhawm), Corti hlwbCov kab mob hauv nruab nrog cev thiab kev hnov lus-pom lub cev ntawm tus kws tshuaj ntsuam xyuas qhia tau tias daim ntawv neurosensory ntawm pathology tab tom tsim.
- Thaum kev hnov lus tsis zoo cuam tshuam rau lub cev tsis hnov lus, tshwj xeeb tshaj yog sab nraud pob ntseg, pob ntseg, pob ntseg ossicles hauv nruab nrab pob ntseg.
Raws li koj tuaj yeem pom, ntau hom kab mob pathology zoo heev. Kev hnov lus zoo sib txawv rau txhua kis.
Kev kho mob ntawm qhov hnov lus tsis hnov lus
Yuav kom rov qab los ntawm kev hnov lus tsis hnov lus, koj yuav tsum nyob rau hauv cov xwm txheej tshwj xeeb. Txoj kev kho mob tau muab faib ua peb theem.
- Kev ntsuas kub ceev siv rau thawj 5 hnub. Ib tug neeg raug tshuaj droppers, txhaj tshuaj, nrog rau kev kuaj xyuas thiab kuaj xyuas cov kab mob auditory txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem. Ua tsaug rau kev tshuaj xyuas tag nrho ntawm tus neeg mob lub cev, tus kws kho mob muaj peev xwm txheeb xyuas qhov tseeb ntawm qhov tsis hnov tsw sensorineural thiab kos cov lus xaus txog kev kho mob.
- theem thib ob siv sijhawm 2 lub lis piam. Raws li txoj cai, tus neeg mob tau pw hauv tsev kho mob thaum lub sijhawm nws thiab tseem tau txhaj tshuaj intramuscular.
- Lub sijhawm tom ntej, theem kawg tuaj yeem siv sijhawm txog 3 lub hlis. Ib tug neeg raug kho raws li tus neeg mob sab nraud, cov tshuaj tuaj yeem raug coj mus rau hauv daim ntawv ntawm cov ntsiav tshuaj. Kev rov zoo tag nrho ntawm kev hnov lus nrog kev kho kom raug yuav tsis ntev tom ntej.
Cov tshuaj tau sau tseg rau kev hnov lus (sensorineural) tsis hnov lus
Nyob ntawm qhov mob hnyav, ntau hom tshuaj raug sau tseg. Ib pawg ntawm cov tshuaj nootropic tau raug lees paub tias zoo. Ntawm cov no tuaj yeemrau npe ua ntej ntawm tag nrho cov "Tanakan", "Glycirin", "Semax", "Vinpocetine", "Cerebrolysin", "Nootropil". Thiab qhov no tsis yog tag nrho cov npe. Cov cuab yeej tseem ceeb ntawm cov tshuaj no yog kev txhim kho ntawm cov kab mob hauv lub cev, kev ua kom nrawm ntawm cov kua dej lom hauv lub hlwb thiab, tau kawg, pab hnov lus.
Vim cov ntshav ntws mus rau pob ntseg zoo, cov hlwb thiab cov ntaub so ntswg raug cuam tshuam los ntawm cov khoom sab nraud rov qab los rau lawv cov qauv qub thiab hnov, qhov kev kho dua tshiab uas nyob ntawm qhov tseeb ntawm cov xwm txheej no, tshwm sim.
Feem ntau, nrog kev hnov lus tsis zoo, cov kws kho mob tau sau cov tshuaj vitamin B. Ntawm cov pab pawg no, thiamine (B1), pyridoxine (B6), cyanocobalamin (B12) yog cov tshuaj tseem ceeb rau kev hnov lus. Qhov no yog vim lub fact tias lawv cuam tshuam rau lub hauv paus thiab peripheral paj hlwb, txhim kho nws cov hauj lwm thiab normalizing hlwb. Cov tshuaj vitamin raug muab rau yuav luag txhua tus neeg mob, txawm tias qhov mob hnyav npaum li cas.
"Milgamma" (nws muaj cov tshuaj saum toj no), benfotiamine ("kho" B1, uas tuaj yeem nqus tau sai dua thiab zoo dua hauv cov hnyuv dua li cov vitamin ntshiab) thiab "Milgamma compositum" (kev sib xyaw ntawm ob cov tshuaj yav dhau los.) - tag nrho lawv txhim kho kev hnov lus. Kev rov zoo tshwm sim yog tias koj ua raws li tus kws kho mob cov lus qhia thiab noj cov tshuaj kom raws sijhawm.
Kev kho mob ntau tshaj plaws rau kev hnov lus tsis zoo ntawm feem coob ntawm cov pej xeem yog tsis siv tshuaj, lossis kho lub cev. Nws nyiam los ntawm ob tus kws kho mob thiab cov neeg mob uas tsis nyiam mus rau hauv tsev kho mob kom pab.
Muajphonoelectrophoresis (PEP), laser irradiation thiab fluctuating tam sim no yog ib txoj hauv kev zoo tshaj plaws ntawm kev kho mob.
FEF tso cai rau cov tshuaj nkag mus rau hauv pob ntseg hauv lub sijhawm luv tshaj plaws thiab yog li tso cai rau nws ua sai dua. Nws tseem yog qhov nthuav tias cov txheej txheem no tshwm sim nyob rau hauv ib txoj kev, vim hais tias cov tshuaj lingers ntev nyob rau hauv lub cev thiab tsim ib tug zoo dua. Tsis tas li ntawd, phonoelectrophoresis tuaj yeem ua kom cov metabolism hauv pob ntseg, tsa nws mus rau qib qub.
Laser ntshav irradiation yog ua yog tias nws yuav tsum tau txhaj tshuaj tiv thaiv kab mob sai sai rau hauv pob ntseg kab noj hniav.
Nyob rau hauv cov xwm txheej tseem ceeb, thaum muaj kev pheej hmoo ntawm kev hnov lus tsis zoo, ib txheej txheem tshwj xeeb yog ua los ntawm kev siv tam sim no. Kev hloov pauv tam sim no pab cov ntaub so ntswg thiab cov hlwb ntawm lub pob ntseg kom rov zoo, tau txais cov khoom muaj txiaj ntsig thiab ua kom cov ntshav txaus. Ua tsaug rau cov khoom no, kev hnov lus zoo hauv kev hnov lus tsis hnov lus zoo tshwm sim ntau zaus sai dua. Raws li txoj cai, chav kho mob suav nrog 10-12 cov txheej txheem rau 10 feeb.
Kev tsis hnov lus zoo
Kev kho tus kab mob zoo li no nyob ntawm lub pob ntseg tau raug kev txom nyem npaum li cas thiab kev puas tsuaj zoo li cas. Piv txwv li, yog tias tus neeg mob raug mob rau pob ntseg sab nrauv, uas ua rau muaj kev ua txhaum ntawm kev nkag siab ntawm lub suab thiab kev nkag mus ntawm nws cov nthwv dej mus rau nruab nrab ntawm lub cev thiab daim nyias nyias, tus kws kho mob tau txais kev kho mob txaus.
Kev cuam tshuam phais yog qhia rau qee qhov ntsuas. Kev ua haujlwm yog ua tau yog tias tympanicdaim nyias nyias tau poob nws txoj kev ncaj ncees. Tus kws kho mob hloov ib lub cev nrog ib tug hluavtaws prosthesis. Xws li kev phais mob hauv cov tshuaj hu ua myringoplasty. Nyob rau tib lub sijhawm, cov kws kho mob kwv yees qhov rov ua tiav ntawm qhov hnov qab tom qab phais.
Kev hnov lus tsis zoo tuaj yeem tshwm sim nrog barotrauma. Nws yog tshwm sim los ntawm kev ua txhaum ntawm lub siab nyob rau hauv lub nasopharynx thiab nruab nrab pob ntseg. Lub tshuab Politzer yog kev kho mob zoo tshaj plaws.
Lub pob ntseg nruab nrab ua rau mob me me thiab hnyav purulent otitis media. Tus kws kho mob tau sau tshuaj tua kab mob, tshuaj uas cuam tshuam rau cov kua dej tawm ntawm pob ntseg, txhim kho cov ntshav mus rau lub cev puas tsuaj, thiab ntau yam tshuaj tiv thaiv kab mob.
Qee zaum qhov hnov lus tsis zoo heev uas tus neeg yuav tsum tau hloov lub suab ossicles. Qhov no tshwm sim nyob rau hauv cov ntaub ntawv loj ntawm otitis media thiab otosclerosis. Rau prosthetics, ib qho kev ua haujlwm yog ua, thaum lub sij hawm lub cev hloov nrog ib tug hluavtaws.
Kev kho mob rau qhov tsis hnov lus hnyav
Thaum tus neeg mob tuaj ntsib kws kho mob lig, tus kab mob kis sai heev, lossis tus neeg mob xaiv tsis mus rau lub tsev kho mob, hnov lus tsis hnov tsw tau txais cov txiaj ntsig tshiab, thiab qhov muaj peev xwm rov hnov lus yuav luag ploj mus.
Yog vim li cas, tsis yog kev saib xyuas kev kho mob, kev phais raug kho. Nrog 3 thiab 4 degrees ntawm kev hnov lus tsis hnov lus, ua tiav qhov lag ntseg, tus neeg mob tau muab cov khoom siv hnov lus. Lwm yam kev kho mob tsis tau zoo.
Txhim kho qhov hnov lus nrog qhov tsis hnov lus hnyav tsuas yog ua tau yog tias cov hlab ntsha tseem noj qab haus huv. Ces cochlear implantation (surgery) yog ua.
Otitis hauv menyuam yaus
Hmoov tsis zoo, otitis media muaj ntau dua hauv cov menyuam yaus dua li cov neeg laus. Qhov no yog vim qhov tseeb tias cov qauv ntawm cov hlwb thiab cov ntaub so ntswg thaum ntxov tseem tsis tau tsim tiav.
Otitis kuj tuaj yeem tshwm sim nrog mob khaub thuas, mob khaub thuas thiab kis kab mob, txo kev tiv thaiv. Kev hnov lus, kev kho dua tshiab uas yog qhov tshwm sim ntawm kev kho kom raug, feem ntau rov qab los nrog cov ntaub ntawv uas tsis tau tsim kho.
Muaj peb hom kab mob.
- Otitis externa. Muaj tshwm sim thaum ua txhaum kev huv ntawm tus kheej, raug mob ntawm pob ntseg kwj dej.
- SARS tuaj yeem ua rau tus kab mob nruab nrab.
- Internal otitis tshwm sim me ntsis tsawg dua li cov ntaub ntawv dhau los, tab sis kuj yog qhov txaus ntshai tshaj plaws.
Cov niam txiv, sim nkag siab qhov tshwm sim ntawm tus menyuam, yuav tsum kawm cov tsos mob hauv cov ntawv tshwj xeeb, tab sis koj yuav tsum tsis txhob noj tshuaj rau tus kheej. Thaum tus kab mob ua rau nws tus kheej hnov, koj yuav tsum hu rau tus kws kho mob otolaryngologist tam sim ntawd. Thiab tsuas yog nyob rau hauv rooj plaub no, kev kho dua tshiab ntawm cov menyuam yaus yuav muaj 100% lav.
Otitis media in cov neeg laus
Hauv cov neeg laus, otitis tshwm sim tsawg dua, raws li tau hais los saum toj no, thiab tsuas yog los ntawm qhov mob hnyav heev. Tsawg zaus, tus kab mob tshwm sim los ntawm kev tu tus kheej tsis raug thiab kab mob khaub thuas.
Tsis zoo li menyuam yaus, tus neeg laus muaj peev xwm ua taupiav qhia txog koj qhov mob kom txaus, uas tso cai rau koj kuaj xyuas cov kab mob otitis tam sim ntawd tsis yog hauv tsev kho mob nkaus xwb, tab sis kuj nyob hauv tsev.
Symptomatics:
- txo qhov hnov;
- pob ntseg ntawm qhov sib txawv hnyav;
- qee zaus ua npaws;
- kiv taub hau thiab mob taub hau;
- malaise, tsis muaj zog, cem;
- ntuav.
Raws li cov menyuam yaus, nrog rau kev kho raws sijhawm, lub rooj sib hais, uas yuav tsis ua rau muaj kev nyuaj, yuav rov qab los.
Kev kho mob otitis media nrog cov tshuaj pej xeem
Yog hais tias hnov lus tsis hnov lus los ntawm otitis, tus kws kho mob tau sau tshuaj kho mob thiab tsis siv tshuaj. Nws yog kev saib xyuas kev kho mob ua ke nrog pej xeem, hu ua "poj niam" txoj kev uas muab cov txiaj ntsig zoo tshaj plaws.
Ib txoj hauv kev yog qej tincture. Koj yuav tsum muab ib lub clove thiab crushed nws. Ntxiv cov roj camphor mus rau lub resulting slurry, sib tov kom huv si, ces muab cov sib tov rau hauv gauze thiab ntxig rau hauv pob ntseg kab noj hniav. Koj yuav tsum tau ua compress txhua hmo ua ntej yuav mus pw.
