Thawj theem ntawm kev mob otitis media yog kho nrog cov txheej txheem kev saib xyuas, uas feem ntau ua rau rov ua tiav. Tab sis qee zaum, nrog rau qhov sib txuam ntawm cov kua paug tseem ceeb, muaj kev pheej hmoo ntawm perforation ntawm lub pob ntseg. Tus mob no tshwm sim los ntawm qhov mob hnyav, insomnia, tsis qab los noj mov, thiab cov tsos mob ntawm intoxication loj hlob tuaj. Hauv qhov no, koj yuav tsum mus rau txoj kev ntawm paracentesis. Qhov tseem ceeb ntawm qhov kev cuam tshuam no yog kev phais hauv pob ntseg txhawm rau txhim kho cov kua paug tawm.
Qhia rau tus txheej txheem
Paracentesis ntawm tympanic membrane yog ua tau yog tias kev kho mob tsis zoo. Tej zaum yuav xav tau kev phais sai yog tias cov tsos mob hauv qab no tshwm sim:
- mob pob ntseg tsis tu ncua;
- protrusionpob ntseg;
- hnov tsis hnov qab;
- nce cov kua qaub;
- kub taub hau;- xeev siab.
Eardrum paracentesis tau ua sai yog tias muaj cov tsos mob ntawm pob ntseg khaus lossis lub hlwb puas, xws li ntuav, kiv taub hau, mob taub hau hnyav, thiab lwm yam.
Qhov tseem ceeb ntawm txoj kev
Paracentesis (myringotomy, tympanotomy) yog ib qho kev phais me me uas tsim nyog yog tias txoj kev kho mob tsis pab. Thaum lub sij hawm tus txheej txheem, ib tug me me incision yog ua nyob rau hauv lub pob ntseg nrog ib tug microscalpel los yog ib tug tshwj xeeb koob, uas tso cai rau cov tsub zuj zuj ntawm exudate yuav raug tshem tawm.
Restoring cov kev ncaj ncees ntawm daim nyias nyias tshwm sim ntawm nws tus kheej. Tib lub sijhawm, kev huv ntawm lub pob ntseg nruab nrab yog nqa tawm. Qhov no yog qhov tsim nyog txhawm rau txhawm rau tshem tawm cov kab mob microflora thiab ntxuav tawm cov kua paug los ntawm qhov chaw nyuaj mus txog.
Yuav ua li cas thiaj ua tiav
Txoj haujlwm no tau qhia txog kev kho mob hauv xyoo 19th thiab tseem siv los kho cov txheej txheem inflammatory. Ua ntej tus txheej txheem, koj yuav tsum xeem cov zis thiab ntshav, mus rau ib coagulogram.
Kev phais mob feem ntau ua rau hnub 3-4 txij thaum pib muaj tus kab mob. Cov tsos mob tseem ceeb uas yuav tsum tau muaj paracentesis yog kub taub hau, mob hnyav hauv pob ntseg, protrusion ntawm pob ntseg.
Kev tswj hwm yog nqa tawm siv rab hmuv-zoo li rab koob, uas txiav qhov qis ntawm daim nyias nyias. Tus kws kho mob ua rau mob zoo li nokom cov koob hla dhau tag nrho cov tuab ntawm daim nyias nyias. Lub paracentesis ntawm lub tympanic daim nyias nyias yuav ua tsis tiav, raws li o ua rau ib tug tseem ceeb thickening ntawm lub tympanic membrane. Yog tias tsim nyog, ib qho shunt tau muab tso rau hauv qhov chaw puncture, uas pab txhawb kev tawm ntawm cov exudate.
Tsev txheej txheem tshuaj loog
Lo lus nug tseem ceeb rau cov uas pom zoo rau pob ntseg paracentesis yog, nws puas mob? Tseeb tiag, cov txheej txheem no mob heev, yog li cov kws kho mob siv ob peb txoj kev kho mob:
1. Provodnikov. Ib qho tshuaj loog yog txhaj rau hauv thaj chaw tom qab pob ntseg, uas ua rau txo qis ntawm cov hlab ntsha xaus.
2. Daim ntawv thov. Ib qho tshuaj loog yog siv ncaj qha rau ntawm pob ntseg.
3. General. Tympanic paracentesis nyob rau hauv cov me nyuam yog ua los ntawm kev siv hom tshuaj loog, vim nws nyuaj rau tus menyuam yaus kom nws lub taub hau tseem nyob rau lub sijhawm ua haujlwm.
Rehab
Tom qab tympanic membrane paracentesis, kev tu cev yuav tsum ua raws. Thaum kawg ntawm cov txheej txheem, lub turunda qhuav tsis muaj menyuam tau muab tso rau hauv lub pob ntseg kwj dej, uas yog qhov tseem ceeb uas yuav tsum tau hloov tsis tu ncua los tiv thaiv kev kis kab mob. Thaum xub thawj, qhov no yog ua tiav 6-8 zaug, thiab tom qab suppuration txo - 3-4 zaug ib hnub twg. Txhawm rau kom tshem tawm cov kua paug sai sai, nws raug nquahu kom pw ntawm ib sab ntawm pob ntseg cuam tshuam tom qab ua haujlwm.
Lub qhov txhab thiab lub qhov ncauj tau kho nrog tshuaj tua kab mob. Nrog cov kua qaub tuab, kev ntxuav yog siv cov tshuaj sov ntawm rivanol, furacilin, hydrogen peroxide, tom qab ntawd lub pob ntseg qhuav nrog paj rwb swab. Cov txheej txheem tuaj yeem ua tau ib zaug lossis ob zaug hauv ib hnub. Rau kev ntxuav siv cov tshuaj tsuag roj hmab. Rub lub auricle nce thiab rov qab, coj cov kwj dej uas tsis muaj siab rau ntawm phab ntsa ntawm pob ntseg.
Yuav kom ceev lub pob ntseg kom tshem tawm ntawm cov pob txha purulent, tshuab yog siv. Txhawm rau ua cov txheej txheem zoo li no, Politzer balloon lossis catheter yog siv, thaum cov pob txha purulent los ntawm tympanic kab noj hniav raug thawb rau hauv pob ntseg. Qee zaum Sigle funnel yog siv los nqus cov kua paug los ntawm cov kwj dej sab nraud.
Tom qab ua haujlwm, tus neeg mob tus mob sai sai, qhov mob zoo li qub, qhov kub thiab txias txo, thiab hnov lus zoo. Nws yuav siv sij hawm ob mus rau peb lub lis piam rau daim nyias nyias kom zoo. Hydrocortisone raug pom zoo los tiv thaiv kev caws pliav. Cov tshuaj no txhawb kev kho qhov txhab zoo dua, cov caws pliav tsim ntawm nws qhov chaw yuav me me thiab yuav tsis cuam tshuam rau qhov hnov qab.
Qhov tshwm sim thiab kev kwv yees
Thaum ua tau zoo, lub pob ntseg ntawm lub pob ntseg tsis muaj qhov tshwm sim tsis zoo. Yog tias tus txheej txheem tau ua nrog kev ua txhaum cai, cov teeb meem hauv qab no yuav tshwm sim:
- tsis tiav cov kua paug tawm. Hauv qhov no, tus kab mob tuaj yeem ua rau mob ntev. Txhawm rau kom tshem tawm cov kua qaub ntxiv, siv lub cev kho mob thiabsuction;
- kab mob ntawm lub qhov txhab vim yog siv cov khoom tsis muaj menyuam yaus thaum lub sijhawm ua haujlwm lossis nrog kev saib xyuas tsis raug thaum lub sijhawm kho. Nrog rau qhov teeb meem zoo li no, yuav tsum siv cov tshuaj tua kab mob dav dav;
- hnov tsis hnov tsw vim muaj caws pliav loj. Hmoov zoo, cov teeb meem no tsis tshua muaj.
Yog tus kws kho mob cov lus pom zoo ua raws, qhov kev cia siab feem ntau yog qhov zoo. Tsis txhob tsis kam yog tias koj tus kws kho mob pom zoo kom paracentesis ntawm tympanic membrane los daws koj qhov teeb meem. Qhov tshwm sim ntawm spontaneous membrane rupture yog ntau zuj zus, raws li cov caws pliav loj tuaj yeem tsim. Thiab nws yog qhov zoo tshaj kom tsis txhob ncua kev kho mob otitis media, yog li koj tsis tas yuav tshem tawm cov kua paug siv txoj kev phais.
