Yog tus menyuam pib hnov mob tom qab lossis thaum lub sijhawm muaj mob, qhov no yog ib ntus uas yuav dhau peb lub lis piam tom qab rov zoo. Tab sis nyob rau hauv txhua rooj plaub, koj yuav tsum tau hu rau ib tug kws kho mob kom tshem tawm otolaryngological pathologies.
kev tsis hnov lus hauv cov menyuam yaus
Yog tus menyuam hnov lus tsis zoo, tus kws kho mob otolaryngologist feem ntau yuav kuaj pom qhov tsis hnov lus. Qhov no yog qhov ua txhaum ntawm lub suab muaj nuj nqi, uas qhov kev nkag siab ntawm lub suab yog qhov nyuaj rau qee qhov.
Hauv tebchaws Russia, qhov kev ua txhaum cai no yog ib qho rau ntau dua 600,000 tus menyuam yaus, thaum 0.3% ntawm cov neeg mob hluas cov teebmeem yog qhov tshwm sim, hauv 80% tsis hnov lus tshwm sim nws tus kheej hauv thawj peb xyoos ntawm lub neej. Kev hnov lus thaum muaj hnub nyoog ntxov yog cuam tshuam nrog kev loj hlob ntawm kev txawj ntse thiab kev hais lus, yog li kev txheeb xyuas thiab rov qab los ntawm cov menyuam yaus uas hnov lus tsis hnov lus yog ib txoj haujlwm tseem ceeb ntawm cov kws kho menyuam yaus.
Qhov tshwj xeeb ntawm kev kho yog nyob ntawm hom kev tsis sib haum xeeb thiab ua rau tsis hnov lus. Koj tus menyuam puas hnov lus tsis zoo thaum muaj 3 xyoos? Cov mob no yuav yog ib ntus, tab sis muaj xwm txheej hnyav dua,Yog li ntawd, koj yuav tsum hu rau tus kws kho mob ENT kom daws qhov teeb meem.
Kev faib tsis hnov lus
Tsis hnov lus tuaj yeem ruaj khov, nce qib thiab thim rov qab. Nrog rau qhov tsis hnov lus ruaj khov tsis rov qab los thaum kho, kev loj hlob yog qhov tsis hnov lus mus tas li, tuaj yeem ua rau lag ntseg tag. Kev hnov lus thim rov qab tau txais txiaj ntsig zoo rau kev kho mob, kev hnov lus rov qab los ntawm lub sijhawm.
Cov kws kho mob paub qhov txawv ntawm qhov hnov lus tsis hnov lus los ntawm kev puas tsuaj rau cov hlab ntsha, qhov chaw hnov lus lossis lub pob ntseg sab hauv, thiab kev hnov lus tsis zoo, uas yog, ua txhaum ntawm kev sib kis ntawm lub suab nthwv dej mus rau hauv pob ntseg. Kev tsis hnov lus sib xyaw yog kev sib xyaw ntawm cov kab mob saum toj no.
Kev hnov lus tsis zoo tuaj yeem yog los yog kis tau. Yog li, yog tias tus menyuam hnub nyoog 5 xyoos pib hnov mob tsis zoo tom qab muaj mob, qhov no yog qhov tsis hnov lus ib ntus, muaj teeb meem ntawm pob ntseg lossis kab mob sib kis. Tus kab mob no tuaj yeem hloov mus ntxiv yog tias qhov chaw kho mob tsis kuaj thiab kho kom raug.
Kev tsis hnov lus hauv cov menyuam yaus
Yog tus menyuam hnub nyoog 5 xyoos tau hnov lus tsis zoo, cov laj thawj yuav raug qhia los ntawm kws kho mob thaum kuaj. Tsis tas li ntawd, tus kws kho mob otolaryngologist yuav txiav txim siab qhov tsis hnov lus. Hauv thawj kis, cov menyuam yaus tsis hnov lus zoo nyob rau hauv ib qho chaw nrov nrov, qhov thib ob yog tus cwj pwm los ntawm kev hais lus tsis zoo nyob rau hauv ib qho xwm txheej thiab nrog kev hais lus ntawm ib lo lus. Hauv qib peb, tus me nyuam hnov tsuas yog cov lus uas tau hais nyob ze ntawm pob ntseg. Fourth degree - lag ntseg.
Ua rau qhov tsis hnov lus tsis zoo
Yog ib tug me nyuam thaum muaj 4 xyoos mam li hnov dheev hnov tsis hnov lus lawm. Congenital hnov hnov tsis hnov lus tau kuaj pom ua ntej. Qhov ua rau tsis hnov lus los ntawm kev yug me nyuam tuaj yeem ua rau ntxov ntxov ntxov, yug me nyuam raug mob, qhov hnyav thaum yug me nyuam (txog 1.5 kg), ib tug poj niam noj tshuaj tua kab mob thaum cev xeeb tub los yog kis kab mob ntawm leej niam, intrauterine hypoxia.
Kev tsis hnov lus
Yog tus me nyuam pib hnov mob tom qab otitis, peb tab tom tham txog qhov hnov lus tsis zoo, uas yog ib ntus. Kev hnov lus tsis zoo tuaj yeem tshwm sim los ntawm cov kab mob ntawm cov kab mob ua pa sab sauv (kua qhov ntswg, qhov loj adenoids, rhinitis), muaj teeb meem tom qab qhua pias, mob khaub thuas, kub cev thiab lwm yam kab mob sib kis, teeb meem raum lossis mob khaub thuas.
Nyob rau hauv ib tug me nyuam me, kev hnov lus yuav tsis zoo yog hais tias lub pob ntseg sab nrauv los yog nruab nrab puas lawm, tshwm sim, piv txwv li, los ntawm cov khoom siv txawv teb chaws (me me ntawm cov khoom ua si, paj rwb, xaum, tus tsim) los yog lub hlwb raug mob. raug mob. Lub pob ntseg kwj dej tuaj yeem thaiv los ntawm ib qho sulfuric plug. Qhov teeb meem zoo li no tsis yog nyob ntawm kev nyiam huv, vim tias kev tso tawm cov sulfur yog ib qho txheej txheem physiological.
Kev hnov lus tuaj yeem cuam tshuam ib ntus los ntawm kev raug lub suab nrov heev (85 decibels lossis ntau dua) lossis los ntawm kev noj qee yam tshuaj. Cov teeb meem tsis hnov lus tuaj yeem muab tau los ntawm cov tshuaj tua kab mob lossis tshuaj neomycin.
Yuav ua li cas thiaj paub qhov poobhnov
Yog tus me nyuam pib hnov qhov hnyav dua, ces nws yuav tsum tsis teb cov lus hu uas tau hais hauv lub suab ib txwm muaj. Tswb tuaj yeem yog kev tsis txaus siab ntawm qhov tsis xis nyob lossis tinnitus, tsis tu ncua nug cov lus nug thiab thov rov hais dua. Qee leej txiv thiab leej niam pom tias tus me nyuam pib hais lus qeeb dua lossis nrov dua, thov kom lub suab nrov hauv TV. Cov tsos mob ntawm kev hnov lus tsis hnov lus no yuav tsum yog vim li cas thiaj mus ntsib tus kws kho mob tshwj xeeb.
Cov menyuam yaus uas tseem tsis tau hais lus yuav tsum teb rau lub suab nrov thiab hnyav. Feem ntau tus me nyuam tig nws lub taub hau mus rau qhov chaw ntawm lub suab ntawm nruab nrab ntim. Yog hais tias tus me nyuam tsis teb, ces nws tsim nyog qhia nws rau tus kws kho mob. Tsis hnov tsw tuaj yeem xav tau los ntawm qhov xwm txheej ntawm cooing, uas yuav dhau los ua tsis tshua muaj thiab ntau dua monotonous, vim tus menyuam tsis hnov lus intonations.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau cov menyuam yaus uas raug mob hnyav lossis raug mob lub hlwb. Cov kab mob zoo li no feem ntau ua rau muaj teeb meem hauv daim ntawv tsis hnov lus ib ntus.
kev kho tsis hnov lus
Yog tus menyuam tsis hnov lus, thawj zaug koj yuav tsum nrhiav kom paub qhov tseeb ntawm tus mob no. Cov kev xaiv kev kho mob yuav nyob ntawm seb qhov ua rau ua rau tsis hnov lus. Kev kho rau kev hnov lus tsis zoo, raws li txoj cai, muaj nyob rau hauv kev teem caij ntawm cov tshuaj tshwj xeeb (xws li tshuaj tua kab mob), kev kho lub cev, electrophoresis, vibration massage ntawm daim nyias nyias thiab tshuab los ntawm Politzer.
Nrog tsis hnov lus ruaj khov los ntawm qib peb thiab siab dua, cov khoom siv tshwj xeeb tau siv. Cov khoom siv hnov lus raug xaiv los ntawm tus kheej, lawv tuaj yeem ua rau hauv pob ntseg lossis tom qab-pob ntseg. Tsis hnov lus Sensorineural thiab tsis hnov lus sib xyaw raug kho hauv tsev kho mob. Cov tshuaj tau sau tseg uas txhawb cov ntshav khiav thiab ua kom lub cev tiv thaiv kab mob. Reflexology thiab physiotherapy cov txheej txheem yuav tsum tau.
hnov lus tsis tau them nyiaj los ntawm kev teeb tsa tshwj xeeb cog. Kev kho mob phais yog sau tseg rau qhov tsis muaj txiaj ntsig ntawm cov txheej txheem ib txwm muaj thiab kev loj hlob ntawm cov kab mob. Nws yog ib qho tseem ceeb rau cov niam txiv kom nco ntsoov tias kev kho mob ua tau zoo tsuas yog tuaj yeem mus ntsib tus kws kho mob raws sij hawm.
Yuav ua li cas kho otitis hauv menyuam yaus
Kev mob pob ntseg nruab nrab feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm tus kab mob ua pa hnyav lossis kab mob sib kis. Yog li ntawd, yog hais tias tus me nyuam muaj qhov ntswg qhov ntswg thiab pib hnov tsis zoo, koj yuav tsum tau hu rau ib tug kws kho mob kom txiav tawm otitis media.
Raws li ib feem ntawm kev kho mob, tshuaj tua kab mob hauv qhov ncauj tau muab tshuaj. Kev kho mob feem ntau pib nrog ceflosporins thiab penicillins. Yog tias koj ua xua rau cov tshuaj no, cov tshuaj macrolides yuav raug sau tseg, tab sis lawv tsis zoo li penicillins lossis ceflosporins.
Nyob rau theem pib ntawm tus kab mob, nws tsis pom zoo siv tshuaj tua kab mob hauv daim ntawv tee rau hauv pob ntseg. Tsuas yog tee nrog decongestant thiab analgesic los yog siv. Nyob rau hauv daim ntawv mob ntawm tus kab mob, nws yog tsim nyog los instill vasoconstrictor tshuaj rau hauv lub qhov ntswg. Qhov no yuav pab kho qhov kev sib txuas ntawm lub cev ntawm nruab nrab pob ntseg thiab qhov ntswg kab noj hniav. Yog tias tsis muaj kua paug, ces koj tuaj yeem ua kom sov compresses uas siv ib ncigpob ntseg.
Tus mob otitis thawj peb xyoos ntawm lub neej muaj sia nyob txog 90% ntawm cov menyuam yaus. Qhov no yog vim lub peculiarities ntawm lub anatomical qauv ntawm lub raj uas txuas lub qhov ntswg thiab pob ntseg kab noj hniav. Hauv cov menyuam yaus, nws luv dua thiab dav dua li cov neeg laus.
Lub raj Eustachian tuaj yeem o mus rau qhov uas lub lumen kaw. Yog li ntawd, lub pob ntseg yuav perforate, uas hem nrog tsis hnov lus tsis tu ncua thiab mob meningitis. Yog li ntawd, nws yog ib qho tseem ceeb heev los kho otitis nyob rau hauv lub sij hawm.
Tshem tawm cov phom ntsaws
Yog tias tus menyuam pib hnov mob zuj zus, nws muaj peev xwm hais tias yog vim li cas thiaj li tsim cov tshuaj sulfur. Nws tsis tuaj yeem raug tshem tawm hauv tsev. Tus menyuam yuav tsum tau qhia rau tus kws kho menyuam yaus lossis tus kws kho mob otolaryngologist. Txoj kev tshem tawm yog tsis mob thiab siv sij hawm me ntsis.
Yog tias tsis tuaj yeem mus ntsib kws kho mob, lub cork tuaj yeem muag nrog cov tee tshwj xeeb lossis peroxide (3% tshuaj), ob peb tee ntawm cov tshuaj yuav tsum tau muab tso rau hauv pob ntseg. Koj yuav tsum ua tib zoo nyeem cov lus qhia rau pob ntseg tee, vim qee qhov ntawm lawv muaj cov yam ntxwv tseem ceeb ntawm kev siv thiab contraindications.
Otipax, piv txwv li, yog cov tshuaj tiv thaiv zoo thiab tshuaj tua kab mob, tab sis muaj cov tshuaj uas tuaj yeem ua rau muaj kev tsis haum tshuaj loj hauv tus menyuam. Koj tsis tuaj yeem faus cov tshuaj txias. Cov tee yuav tsum xub muab sov rau hauv xib teg. Txwv tsis pub, qhov khaus ntawm pob ntseg yuav tshwm sim, uas tuaj yeem ua rau ntuav, xeev siab, thiab kiv taub hau.
Tom qab ntxuav cov sulfur rau kev tiv thaiv, koj yuav tsum tau muab cov tshuaj tsis muaj zoghydrogen peroxide (tsib tee txhua) lossis roj vaseline. Tom qab cov txheej txheem, kaum tsib mus rau nees nkaum feeb, tus menyuam yuav tsum pw ntawm nws sab. Tom qab ntawd lub pob ntseg yuav tsum tau ntxuav nrog paj rwb tourniquet.
