Ib lub cev txawv teb chaws nyob rau hauv lub qhov ntswg yog ib yam khoom uas nyob rau hauv lub kab noj hniav ntawm lub cev. Nws tuaj yeem yog cov organic lossis inorganic hauv keeb kwm. Feem ntau, cov teeb meem no tshwm sim hauv cov menyuam yaus.
Feem ntau, lub cev txawv teb chaws tsis nyob deb dhau, thiab lawv tuaj yeem raug tshem tawm yam tsis muaj teeb meem hauv tsev. Hmoov tsis zoo, qee zaum cov khoom tuaj yeem nkag mus rau hauv nruab nrab turbinate, tom qab ntawd tus kws kho mob kev cuam tshuam yog qhov tseem ceeb.
Nyob txawv teb chaws lub cev
Feem ntau cov niam txiv ntawm cov menyuam yaus hais txog qhov teeb meem ntawm lub cev txawv teb chaws hauv qhov ntswg. Cov menyuam mos feem ntau ntim khoom rau hauv lawv txoj hlab pa rau lawv tus kheej lossis lawv cov phooj ywg.
Cia saib lawv hom:
- live - kab;
- inorganic - khoom ua si, ntawv, ntoo lossis hlaws;
- hlau - nyees khawm thiab ntawv clips, npib lossis roj teeb;
- organic - txiv hmab txiv ntoo pips, noob paj noob hlis, zaub thiab lwm yam.
Tsis tas li ntawd, lub cev txawv teb chaws hauv qhov ntswg (ICD-10 code: T17) tuaj yeem muab faib ua radiopaque thiab qhov sib piv qis. Cov tom kawg yog qhov nyuaj rau pom hauv daim duab, cov no suav nrog cov yas,ntoo. Qee zaum cov khoom txawv teb chaws tuaj yeem nkag los ntawm choana thaum ntuav. Feem ntau, tom qab muaj ntau yam kev kho mob, cov paj rwb ntaub plaub thiab ntaub qhwv yuav nyob twj ywm hauv lub qhov ntswg.
Hauv cov neeg laus, lub cev txawv teb chaws tau daig hauv qhov sinuses, uas yog qhov hnyav dua. Qhov ua rau yog kev raug mob lossis kev kho hniav.
Symptoms
Qhov hnyav ntawm qhov tshwm sim yog nyob ntawm qhov loj ntawm lub cev txawv teb chaws hauv qhov ntswg, nws qhov chaw thiab hnub nyoog ntawm tus neeg mob. Cov tsos mob feem ntau yog: tsis xis nyob ntawm tus menyuam, muaj teeb meem ua pa, hnoos qeev, khaws nws tus ntiv tes hauv nws lub qhov ntswg, teeb meem pw tsaug zog, qhov ntswg qhov ntswg. Tus me nyuam yuav muaj mob taub hau, kiv taub hau thiab teeb meem nrog kev qab los.
Yog tias lub cev txawv teb chaws nyob hauv qhov ntswg ntev ntev, lub sijhawm dhau mus yuav muaj tawv nqaij khaus, o thiab o, ua pa tsis zoo thiab qhov ntswg, qaug zog, kua muag, mob tas li ntawm lub taub hau. Feem ntau ntawm cov tsos mob yog nyob rau hauv ib qho ntawm lub qhov ntswg, txawm li cas los xij, yog tias cov khoom txawv teb chaws tam sim ntawd nyob rau hauv ob qho tib si ntawm lub qhov ntswg, ces congestion thiab tso tawm copious mucus yuav ua ob sab. Qee zaum cov tsos mob ntawm sinusitis tuaj yeem tshwm sim: kub taub hau txog 40 degrees, o ntawm ib nrab ntawm lub ntsej muag, mob hauv qab ob lub qhov muag, thiab lub ntsej muag puv. Tej zaum yuav muaj teeb meem nrog kev ua pa, zom, thiab qhov hnov tsw tsw yog feem ntau cuam tshuam.
Kev pab ib zaug
Kev noj qab haus huv thiab lub neej ntawm ib tug neeg feem ntau nyob ntawm seb qhov kev pab thawj zaug tau sai npaum li cas. Tib lub sijhawm, kev noj tshuaj rau tus kheej tsuas yog ua tauyog tus menyuam nkag siab txog yam uas tib neeg xav tau ntawm nws thiab tuaj yeem ua raws li cov lus qhia ntawm cov neeg laus. Yog tias tus menyuam muaj hnub nyoog qis dua 3 xyoos, nws yog qhov zoo tshaj plaws coj nws mus rau tsev kho mob tam sim ntawd kom tsis txhob nkim sijhawm.
Ua ntej tshem lub cev txawv teb chaws ntawm lub qhov ntswg, nws yuav tsum nkag siab tias nws nyob deb npaum li cas. Yog tias nws pom ntawm qhov muag liab qab, ces koj yuav tsum tau txhaj tshuaj tshwj xeeb rau hauv lub qhov ntswg uas ua rau cov hlab ntsha. Tom qab 5 feeb, koj yuav tsum hais kom tus menyuam tshuab nws lub qhov ntswg. Hauv qhov no, nws yuav tsum tau pab los ntawm kev tuav nws lub qhov ntswg dawb. Yog tias qhov txheej txheem no tsis ua haujlwm, ces koj yuav tsum tau ua kom txham. Yog tias ob txoj kev no tsis pab, koj yuav tsum coj tus menyuam mus rau tsev kho mob.
Yog tias kab nkag mus rau hauv qhov ntswg, nws yog qhov zoo dua mus ntsib kws kho mob tam sim ntawd. Qhov no yog vim qhov tseeb tias nws tuaj yeem nkag mus ntxiv thiab tsim teeb meem loj. Yog tias cov khoom raug rub tawm, koj yuav tsum hu rau tus kws tshaj lij. Koj yuav tsum tau ua cov kev ntsuam xyuas tshwj xeeb uas yuav ua rau nws nkag siab tias cov mucous membrane puas puas thiab seb puas muaj cov khoom tawg hauv lub qhov ntswg. Tom qab ntawd, koj yuav tsum tau ua cov txheej txheem tshuaj tua kab mob los tiv thaiv kev mob.
Yuav txwv tsis pub ua?
Yog cov niam txiv sim rub cov khoom txawv teb chaws tawm ntawm lub qhov ntswg, yuav tsum to taub tias qhov xwm txheej no hnyav npaum li qhov ua tau. Ib qho kev ua txhaum cai tuaj yeem ua rau tus mob hnyav zuj zus. Yog vim li cas thiaj yuav tsum tau ntsuas los tiv thaiv kev loj hlob ntawm cov teeb meem.
Tsis txhob tso lub qhov ntswg los ntawm qhov cuam tshuam, siv tweezers lossis paj rwb swab thaum tshem tawmcov khoom txawv teb chaws, thiab nws tseem txwv tsis pub yaug qhov ntswg nrog cov kua dej. Sim ua kom lub cev txawv teb chaws nyob rau hauv lub qhov ntswg kuj tsis tsim nyog, tshwj xeeb tshaj yog tias ib tug neeg tab tom sim ua qhov no nrog cov khoom ntse thiab ntev. Txwv tsis pub, tag nrho cov no tuaj yeem xaus rau qhov kev puas tsuaj loj heev. Xws li "kev pab" tuaj yeem ua rau muaj kev raug mob hnyav, uas yuav ua rau muaj kev cuam tshuam kev phais uas tsis tuaj yeem.
Kuv yuav tsum hu rau tus kws tshwj xeeb twg?
Tsuas yog tus kws kho mob otolaryngologist koom nrog tshem tawm cov khoom txawv teb chaws. Yog tias tsis muaj tus kws kho mob tshwj xeeb ntawm qhov chaw, ces koj yuav tsum tau ceev nrooj nrhiav tus kws kho mob lossis kws phais. Koj tuaj yeem mus rau chav xwm txheej ceev 24-teev.
Yog tias muaj teeb meem tshwm sim thaum hmo ntuj lossis tsis muaj txoj hauv kev mus rau hauv tsev kho mob, koj yuav tsum hu rau lub tsheb thauj neeg mob, uas yuav xa tus kws kho mob otolaryngologist mus rau lub tsev. Tsis tas li ntawd, tus neeg teb xov tooj yuav qhia koj paub meej thiab qhia koj yuav ua li cas.
Txoj kev kuaj mob
Feem ntau, yog cov niam txiv tsis mus ntsib kws kho mob tam sim ntawd, tab sis tom qab qee lub sijhawm, kev kuaj mob nyuaj heev. Qhov no yog vim lub fact tias cov khoom yog ruaj ruaj nyob rau hauv lub qhov ntswg thiab lub sij hawm ntawm remission pib. Yuav kom kuaj tau nws, koj yuav tsum tau ua cov txheej txheem tshwj xeeb hu ua rhinoscopy. Thiab nws yog tsim nyog ob qho tib si pem hauv ntej thiab nram qab. Yog tias koj muaj qhov endoscope, koj tuaj yeem ua qhov endoscopy lossis pib tshawb xyuas qhov ntswg qhov ntswg nrog lub ntsuas hlau.
Qhov teeb meem yog qhov nyuaj tshaj plaws rau cov menyuam yaus uas tsis tuaj yeem lossis ntshai tham txog qhov lawv xav li cas, lossis yog lawv tsuas xav tsis taulub xub ntiag ntawm ib tug txawv teb chaws lub cev nyob rau hauv lub qhov ntswg. Nyob rau hauv tas li ntawd, ib tug x-ray yog teem nyob rau hauv 3 qhov projections.
Yog tias qhov khoom pom tsis zoo, ces qhov sib piv yog siv nrog suav tomography. Ua tsaug rau txoj kev no, koj tuaj yeem txheeb xyuas txhua yam khoom, nrog rau kev nkag siab thiab paub qhov txawv ntawm sinusitis lossis diphtheria.
Tus kws kho mob pab
Nws yuav tsum to taub tias feem ntau lub cev txawv teb chaws raug tshem tawm ntawm tus neeg mob sab nraud. Ua ntej ua cov txheej txheem no, tshuaj loog hauv zos ua tiav. Tom ntej no, vasoconstrictor tee yog qhia. Tom qab ntawd tos 15 feeb kom cov tee ua haujlwm. Tom qab ntawd cov kab hauv qhov ntswg raug tshawb xyuas thiab cov khoom raug rub tawm los ntawm kev sib txuas lossis forceps.
Yog tus me nyuam me heev, ces nws yuav muab tshuaj loog, vim nws tsis tuaj yeem ua rau nws zaum. Tsis tas li ntawd, qee zaum muaj tshuaj loog tag nrho yog muab rau cov menyuam yaus uas tsis teb rau tshuaj loog hauv zos. Tom qab cov khoom raug tshem tawm, tus kws kho mob tau sau ib qho kev kho tshwj xeeb uas yuav txo qhov mob thiab txo cov tsos mob. Txoj kev kho mob yuav nyob ntawm seb ntev npaum li cas lub cev txawv teb chaws tau nyob hauv tus menyuam lub qhov ntswg. Feem ntau, cov tshuaj tua kab mob tau sau rau hauv daim ntawv ntawm Suprax, Ampicillin thiab lwm yam. Txhawm rau kom rov ua kom cov mucosa thiab txo qhov o, sau ntawv Dolphin lossis Morenasal. Cov tshuaj calcium kuj tseem siv tau ntau zaus.
Kev txiav txim siab
Ib txoj hauv kev zoo tshaj plaws rau kev tshem tawm qhov tsis xws luag tom qab lub cev txawv teb chaws tau nkag mus yog qhov kev txiav ntawm qhov ntswg qhov ntswg. Nws yog ua nyob rau hauvyog tias ib tug neeg muaj ib tug deviated septum.
Qee zaum, thaum raug lub cev txawv teb chaws, qhov nkhaus ntawm cov pob txha mos tshwm sim, uas ua rau ua pa nyuaj. Feem ntau, cov txheej txheem no yog ua rau cov neeg mob hluas. Qhov no yog vim qhov tseeb tias nrog hnub nyoog, tus neeg lub plawv dhia ua haujlwm raug cuam tshuam, yog li muaj kev pheej hmoo loj thaum ua haujlwm li no.
Kev kho yog ua tiav yam tsis muaj kev phais ntawm lub ntsej muag. Nyob rau tib lub sijhawm, cov duab ntawm sab nrauv ntawm lub qhov ntswg tseem zoo ib yam, uas yog, tsis muaj qhov cuam tshuam rau sab nrauv ntawm lub qhov ntswg. Yog hais tias lub deformation muaj zog heev, ces cov pob txha pob txha puas raug tshem tawm, thiab cov pob txha phaj yog muab tso rau xwb. Kev ua haujlwm tuaj yeem ua tiav raws li kev siv tshuaj loog, txawm hais tias feem ntau tsuas yog siv tshuaj loog hauv zos xwb. Ua ntej ua cov txheej txheem no, premedication yog nqa tawm, uas yog, ib qho tshuaj yog siv los txhim kho cov nyhuv ntawm cov tshuaj loog hauv zos. Lub sijhawm ntawm kev ua haujlwm zoo li no nyob ntawm seb lub phaj deformed li cas.
txoj kev tiv thaiv
Txhawm rau tiv thaiv menyuam yaus, nws yuav tsum tau saib xyuas lawv cov dej num tas li. Txawm li cas los xij, muaj qee lub sij hawm thaum nws tsis tuaj yeem muab kev saib xyuas ib puag ncig, tshwj xeeb tshaj yog tias tus me nyuam tsis yog tib leeg. Yog li ntawd, muaj kev tiv thaiv kev tiv thaiv uas yuav pab txo qis qhov tshwm sim ntawm qhov teeb meem no.
Cov menyuam yaus yuav tsum tsis txhob tso tseg thaum lawv nyob hauv chav nrog khoom me me. Koj kuj yuav tsum nco ntsoov tias cov khoom ua si xws li tus tsim qauv yog rau cov menyuam yaus hnub nyoog 3 xyoos. Yog vim li ntawd cov txiv neej hluas dua lawvtsis tuaj yeem yuav. Tib yam siv tau rau cov menyuam roj hmab thiab tsheb sib tsoo.
Tsis tas li ntawd, ua ntej muab txiv hmab txiv ntoo rau tus menyuam, koj yuav tsum tshem cov pob txha ntawm lawv. Nws yog ib qho tsim nyog kom tshem tawm tag nrho cov khoom me me ntawm cov txee thiab qhov chaw uas cov menyuam tuaj yeem tau txais lawv. Tshwj tsis yog, tau kawg, koj xav kom tus menyuam ntim cov hlaws lossis ib daim ntawv clip hauv nws lub qhov ntswg.
Yog peb tham txog cov menyuam yaus hnub nyoog preschool thiab qib pib, yuav tsum muaj kev sib tham uas yuav tso cai rau lawv kom muaj kev nyab xeeb ntawm txoj kev thiab hauv tsev, thaum yuav tsum piav qhia qhov yuav tshwm sim yog dab tsi yog lawv tsis mloog.
Nyob rau hauv cov neeg laus, kev tiv thaiv yog txo kom cov hniav tas li thiab zam kev raug mob ntawm lub ntsej muag.
Kev nyuaj siab
Ib tug yuav tsum nkag siab tias muaj teeb meem dab tsi tos ib tug me nyuam thiab ib tug neeg laus nyob ntev ntawm cov khoom txawv teb chaws nyob rau hauv lub qhov ntswg. Yog tias qhov no yog kab, ces txawm tias nws tsis nce mus ntxiv hauv txoj kab, tom qab ntawd sai lossis tom qab, nws yuav tuag thiab pib decompose. Vim li no, tsis yog tsuas yog ib qho tsis kaj siab tsw yuav tawm, tab sis cov txheej txheem inflammatory yuav tshwm sim.
Yog tias cov khoom tawg yooj yim nyob hauv lub qhov ntswg, lawv tuaj yeem tawg thiab txav mus ntxiv raws txoj kev ua pa. Yog li ntawd, lawv yuav poob rau hauv lub sinuses thiab caj pas.
Lwm qhov teeb meem loj ntawm cov kab mob xws li lub cev txawv teb chaws hauv qhov ntswg (ICD code 10: T17) yog sinusitis. Nws tuaj yeem ua rau mob meningitis, tonsillitis, osteomyelitis thiab lwm yam kab mob loj. Tias yog vim li cas sai li sai tau cov khoom txawv teb chaws pom nyob rau hauv tus me nyuam los yog ib tug neeg laus thiab cov kev ntsuas tsim nyog raug coj, qhov tsawg dua nws yog qhov mob pib. Yog ibCov khoom tsis tuaj yeem muab tshem tawm ntawm nws tus kheej, koj yuav tsum hu rau tus kws kho mob otolaryngologist tom tsev.
Huab cua
Yog tias kev kho mob tau ua tiav thiab cov khoom raug tshem tawm sai sai, ces qhov kev cia siab yuav zoo li sai tau. Yog tias cov khoom muaj qhov taw qhia, feem ntau yuav ua rau lub qhov ntswg tuaj yeem raug mob, thiab qhov no yuav ua rau muaj teeb meem ntau yam. Yog tias kev kho tsis tau ua tiav, ces qhov kev pheej hmoo ntawm qhov tshwm sim yuav nce ntau zaus.
Zoo kawg
Ua kom luv, yuav tsum tau hais tias qhov mob xws li lub cev txawv teb chaws nkag mus rau hauv qhov ntswg yog qhov teeb meem tshwm sim. Raws li txoj cai, nws cuam tshuam rau menyuam yaus. Nws yuav tsum nco ntsoov tias tus tsim qauv tsim rau cov menyuam yaus hnub nyoog 3 xyoos, tsis yog hluas dua! Feem ntau, cov me nyuam muaj teeb meem qhov tseeb vim lawv yuav cov khoom ua si me me, uas lawv ua rau lub qhov ntswg. Yog li ntawd, cov niam txiv yuav tsum ua tib zoo saib xyuas lawv cov menyuam thiab yuav khoom ua si raws li lawv lub hnub nyoog. Ces yuav tsis muaj teeb meem li ntawd.
Txhawm rau ua cov txheej txheem tshem tawm lub cev txawv teb chaws los ntawm lub qhov ntswg nrog tus nuv, nws yuav tsum tau hu rau lub chaw kho mob. Cov cuab yeej no feem ntau siv rau cov teeb meem zoo li no. Nws yog kev kho mob thiab muaj lub cev tshwj xeeb. Lawv yooj yim heev kom tau txais cov khoom me me thiab loj. Yog tias cov khoom tuaj yeem ua rau lub qhov txhab ua paug, ces siv forceps tshwj xeeb.
Ib pob hauv tus menyuam lub qhov ntswg kuj yog ib qho teeb meem tshwm sim. Feem ntau nws tshwmthaum ua si nrog rab phom los yog niam cov hlaws dai. Yog li ntawd, kev tiv thaiv kev tiv thaiv raug txo qis rau ib qho xwb. Cov me nyuam yuav tsum tau ua tib zoo saib xyuas.
