Kev mob ntawm cov qog qaub ncaug (cov tsos mob, kev kho mob tau piav qhia hauv kab lus no) feem ntau yog nyob ze ntawm pob ntseg. Hauv qhov no, peb tab tom tham txog qhov mob xws li parotitis. Ntau zaus, cov txheej txheem inflammatory cuam tshuam rau cov qog nyob hauv qab tus nplaig lossis hauv qab lub puab tsaig.
kab mob
Dab tsi yog hom kab mob qog noj ntshav? Nws yuav tsum raug sau tseg tias qhov mob tuaj yeem dhau los ua qhov thib ob thiab ua raws li kev cuam tshuam ntawm tus kab mob hauv qab. Txawm hais tias thawj qhov tshwm sim feem ntau kuaj pom, uas tshwm sim hauv kev sib cais. Tsis tas li ntawd, pathology tuaj yeem txhim kho ntawm ib sab lossis cuam tshuam rau ob qho tib si. Ntau qhov kev koom tes ntawm cov qog qaub ncaug hauv cov txheej txheem inflammatory yog tsawg heev. Tus kab mob tuaj yeem kis tau rau hauv cov xwm txheej, thiab kuj yog qhov tshwm sim ntawm kev nkag mus ntawm cov kab mob.
Puas muaj qaub ncaug hauv lub cev?
Muaj peb lub qog ua kua qaub.
- Cov qog qaub ncaug loj nyob rau pem hauv ntej, hauv qab pob ntseg. Raws li twb tau hais lawm, lawv qhov mob hauv cov tshuaj hu ua mumps.
- Ob khub yog cov qog nyob hauv qab lub puab tsaig,hauv qab cov hniav.
- Qhov thib peb yog sawv cev los ntawm cov qog nyob hauv qab tus nplaig. Lawv nyob ncaj qha rau hauv lub qhov ncauj kab noj hniav, nyob rau hauv lub mucous daim nyias nyias, ntawm ob sab ntawm lub hauv paus ntawm tus nplaig.
Txhua cov qog ua kua qaub, Nws tso tawm los ntawm cov ducts uas nyob rau ntau qhov chaw ntawm lub qhov ncauj.
Symptomatics
Cov tsos mob ntawm tus kab mob qaub ncaug yog dab tsi?
Txawm hais tias ob khub ntawm cov qog qaub ncaug cov txheej txheem inflammatory yog nyob hauv zos, ntau cov cim qhia tshwj xeeb yog muaj nyob rau hauv sialadenitis:
- qhov ncauj qhuav los ntawm cov qaub ncaug qis.
- Lub xub ntiag ntawm qhov mob tua, thaj chaw hauv lub caj pas uas tau raug mob. Mob yuav kis mus rau pob ntseg, caj dab, lossis qhov ncauj. Kuj tseem muaj qhov mob tshwm sim los ntawm kev zom zaub mov lossis qhib qhov ncauj tsawg.
- o thiab pom pom hyperemia ntawm daim tawv nqaij ncaj qha mus rau cov qog qaub ncaug, uas tau mob o.
- Lub xub ntiag ntawm qhov tsis hnov tsw thiab tsw hauv lub qhov ncauj, uas yog provoked los ntawm suppuration ntawm salivary qog.
Cov tsos mob ntawm tus kab mob qog noj ntshav muaj ntau yam. Qee lub sij hawm cov neeg mob yws yws ntawm qhov kev xav ntawm qhov siab ntawm qhov chaw cuam tshuam, uas yog pov thawj tias cov ntsiab lus purulent tau sau nyob rau hauv qhov tseem ceeb ntawm qhov mob.
Raws li txoj cai, thaum muaj tus kab mob, lub cev kub nce mus txog 40 degrees. Nyob rau tib lub sijhawm, muaj asthenia, kub taub hau.
Daim ntawv txaus ntshai tshaj plaws ntawm sialadenitis
Sialadenitis,cov tsos mob ntawm uas muaj ntau haiv neeg, tshwm sim nyob rau hauv ntau hom. Hom kab mob txaus ntshai tshaj plaws ntawm cov qog ua kua qaub yog mumps, uas tseem hu ua mumps. Tus kab mob no yog fraught nrog cov teeb meem loj, txij li ntxiv rau cov qog ua kua qaub, nws tseem tuaj yeem cuam tshuam rau lwm cov qog, xws li cov qog mammary lossis qog nqaij hlav. Qee lub sij hawm cov pathology txawm txuas mus rau pancreas.
Mumps belongs rau qeb ntawm cov kab mob sib kis tau zoo, yog li, yog tias cov tsos mob tshwm sim, qhia txog qhov pib ntawm cov txheej txheem inflammatory hauv cov qog ua kua qaub, tus neeg mob yuav tsum tsis txhob sib txuas lus nrog cov neeg noj qab haus huv thiab ceev nrooj nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb. qhia meej qhov kev kuaj mob.
Thaum tsis kho raws sijhawm ntawm cov kab mob ntawm cov qog qaub ncaug hauv tib neeg lub cev, cov teeb meem ntawm cov kab mob purulent tuaj yeem tshwm sim. Yog hais tias ib qho abscess tshwm sim nyob rau hauv ib qho ntawm cov qog qaub ncaug, tus neeg mob lub cev kub yuav nce siab heev.
Raws li txoj cai, tus mob ntawm tus neeg mob hnyav heev. Qee zaum cov kua paug tawm ncaj qha rau hauv qhov ncauj. Lub fistula kuj tuaj yeem tsim, los ntawm cov kua paug tawm mus rau ntawm daim tawv nqaij.
Diagnostics
Nrog ib tus kab mob xws li sialadenitis, cov tsos mob uas muaj ntau haiv neeg, yuav tsum tau kuaj mob. Raws li txoj cai, thaum lub sij hawm txheej txheem kev ntsuam xyuas ua los ntawm tus kws kho mob lossis kws kho hniav, kev nce hauv qhov loj thiab kev hloov pauv ntawm cov qog qaub ncaug tuaj yeem raug sau tseg. Tsis tas li ntawd, tus neeg mob yuav yws txog qhov mob. Qhov no tshwm sim yog tiastus kab mob yog kab mob. Feem ntau, nrog rau tus kab mob ntawm tus kab mob, piv txwv li, nrog mumps, qhov mob yuav tsis thab tag nrho.
Yog xav tias muaj cov txheej txheem purulent, tus kws kho mob tuaj yeem sau tshuaj CT scan lossis ultrasound.
Cov hauv qab no yog cov npe ntawm cov qauv kuaj mob qog noj ntshav:
- Kev siv suav tomography yog ib txoj hauv kev niaj hnub uas tso cai rau koj kom tau txais cov duab meej.
- X-ray.
- MRI (Magnetic Resonance Imaging) muab cov duab zoo ntawm thaj chaw cuam tshuam siv nuclear sib nqus resonance.
- Ultrasound. Qhov kev kuaj mob no yog txoj hauv kev zoo tshaj plaws los kuaj pom qhov mob ntawm cov qog qaub ncaug. Nws yog nqa tawm siv ultrasonic nthwv dej thiab muaj qhov cuam tshuam tsawg kawg nkaus rau tib neeg lub cev.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv qhov tshwm sim thiab kev sib kis ntawm cov txheej txheem inflammatory mus rau lwm cov qog qaub ncaug, tus neeg mob yuav tsum ua tib zoo saib xyuas cov hauv paus ntawm kev nyiam huv, saib xyuas qhov mob ntawm qhov ncauj kab noj hniav, tonsils, pos hniav thiab hniav.
Thaum cov kab mob theem pib ntawm tus kab mob kis lossis kab mob catarrhal tshwm sim, yuav tsum tau kho raws sijhawm.
Thaum thawj lub cim ntawm kev cuam tshuam ntawm cov qog qaub ncaug, koj yuav tsum tso dej hauv qhov ncauj nrog kev daws ntawm citric acid. Txoj kev no ua rau nws muaj peev xwm tso cov kab mob qaub ncaug rau hauv txoj kev feem ntau thiab tsis muaj teeb meem los ntawm kev ua kom khaus khaus.salivation.
Txoj Kev Kho Mob
Kev mob ntawm cov qog qaub ncaug parotid yuav tsum tau kho los ntawm tus kws kho mob tshwj xeeb, vim tias kev xaiv tsis raug ntawm kev kho mob tuaj yeem ua rau muaj kev cuam tshuam ntawm cov kab mob thiab ua rau nws txoj kev hloov mus rau qhov mob ntev. Cov chav kawm ntev yog qhov txaus ntshai vim nws qhov ua rau lub sijhawm tsis zoo thiab tiv thaiv cov teebmeem ntawm cov tshuaj.
Nrog rau kev kho raws sijhawm, cov neeg mob feem ntau yuav tsum tau txais kev kho kom zoo. Qee qhov xwm txheej, kev kho mob yog ua raws li tus neeg mob sab nraud. Qee zaum tus neeg mob yuav tsum tau pw tsaug zog thiab noj zaub mov kom zoo.
Qee zaum, cov neeg mob yws ntawm qhov mob ntawm lub qhov ncauj thiab nyuaj zom. Lawv xav tau zaub mov crushed kom txo tau qhov tsis xis nyob.
Txhawm rau txo qhov tshwm sim ntawm cov txheej txheem xws li o ntawm parotid salivary caj pas, cov kws kho mob qhia kom noj cov kua dej ntau. Koj tuaj yeem siv compotes, kua txiv hmab txiv ntoo, dej qab zib txiv hmab txiv ntoo, rosehip broth thiab txawm mis nyuj. Kev kho mob tshuaj pleev ib ce tau zoo heev.
Qee zaum cov neeg mob tau pom qee yam kev kho lub cev. Piv txwv li, UHF lossis lub teeb hnub ci yuav raug siv.
Kom ua kom cov qaub ncaug tawm, nws raug qhia kom ua raws li kev noj haus uas txhawb nqa cov qaub ncaug tawm. Hauv qhov no, ua ntej noj mov, koj yuav tsum tuav ib daim nyias nyias ntawm koj lub qhov ncauj.
Ua ntej noj mov, koj tuaj yeem noj crackers thiab sauerkraut. Qee zaum cranberries lossis lwm yam khoom noj acidic siv. Qhov no ua rau nws ua tau kom tsis txhob muaj cov txheej txheem stagnation hauv cov qog ua kua qaub thiabtxhawb kev tshem tawm sai ntawm cov cell tuag thiab cov khoom lwj ntawm cov kab mob.
Txawm li cas los xij, nyob ntawm tus kab mob, tus kws kho mob tuaj yeem txiav txim siab thaum twg thiaj li pib ua kom lub cev qaub ncaug. Txhawm rau txo lub cev kub thiab txo qhov mob, cov neeg mob raug qhia kom noj cov tshuaj uas tsis yog-steroidal anti-inflammatory. Piv txwv li, "Baralgin", "Ibuprofen" lossis "Pentalgin" yog siv.
Yog tias tus neeg mob tus mob tseem hnyav zuj zus thiab cov cim tshwj xeeb ntawm cov kab mob purulent tshwm sim, ces qhov no lawv tau siv tshuaj tua kab mob.
Surgery
Kev mob ntawm cov qog qaub ncaug, cov tsos mob, kev kho mob uas peb tab tom kawm tam sim no, qee qhov raug tshem tawm los ntawm txoj kev phais. Kev cuam tshuam kev phais yuav qhib thiab tom qab tso dej ntawm cov qog uas cuam tshuam. Hauv particular, txoj kev no yog siv rau cov txheej txheem purulent muaj zog. Nyob rau hauv tas li ntawd, cov tshuaj yog txhaj ncaj qha mus rau hauv lub caj pas salivary.
Kev kho tus kab mob ntev yog suav tias yog txoj haujlwm ntev thiab nyuaj.
Nws yuav tsum tau muab sau tseg tias daim ntawv mob ntev tuaj yeem yog ob qho tib si ntawm cov txheej txheem mob hnyav thiab qhov tshwm sim thawj zaug. Feem ntau cov kev kawm ntev tau pom nyob rau hauv mob caj dab rheumatoid, Sjögren's syndrome thiab lwm yam pathologies.
Cov ntaub ntawv tseem ceeb ntawm cov mob ntev uas tsis yog tshwj xeeb sialadenitis
Daim ntawv tsis muaj tshwj xeeb yog muab faib ua cov hauv qab no:
- parenchymal;
- interstitial,qhia nyob rau hauv lub swb ntawm lub ducts (chronic sialodochitis);
- calculous, yam ntxwv ntawm lub pob zeb.
Feem ntau, tus neeg mob tsis yws txog qhov mob
Kab mob ntawm cov qog qaub ncaug nyob rau lub sijhawm mob hnyav yog tus cwj pwm los ntawm kev tuav cov qaub ncaug (colic). Los ntawm lub qhov ncauj ntawm lub duct, ib tug zais cia ntawm ib tug tuab tuab, zoo li mucus, yog tso tawm. Nws qab qab.
Kab mob ua rau kev loj hlob ntawm sialadenitis
Nrog rau ntau yam txheej txheem pathological hauv lub cev (kev puas tsuaj rau cov ntaub so ntswg, kev puas tsuaj rau lub plab zom mov, cuam tshuam ntawm endocrine system, ua haujlwm tsis zoo ntawm lub hauv paus paj hlwb), kab mob dystrophic ntawm cov qog qaub ncaug tuaj yeem txhim kho, uas. tau nthuav tawm hauv kev nce thiab cuam tshuam ntawm lawv cov haujlwm.
Raws li txoj cai, muaj kev loj hlob ntawm cov ntaub so ntswg nruab nrab, uas provokes kev loj hlob ntawm interstitial sialadenitis. Cov mob no tuaj yeem tshwm sim nrog Mikulich's syndrome, botulism, ntshav qab zib mellitus, thyrotoxicosis, scleroderma, Sjögren's syndrome.
Zoo kawg
Sialadenitis, cov tsos mob, kev kuaj mob thiab kev kho mob uas koj twb paub lawm, yog cov txheej txheem inflammatory hauv cov qog qaub ncaug. Nws tuaj yeem tshwm sim los ntawm qee yam kab mob, nrog rau qhov tsis huv ntawm qhov ncauj.
Ib yam mob tseem ceeb yog kho raws sijhawm. Txwv tsis pub, tus kab mob tuaj yeem nqa daim ntawv purulent thiab txawm tias mob ntev. Hauv cov ntawv ua haujlwmphais qhia.
