Puas yog otitis media kis tau lossis tsis? Txij li qhov no yog lub npe ntawm mob hnyav lossis mob ntev nyob rau hauv ntau qhov chaw ntawm pob ntseg, ces tsis muaj. Tsis yog tus kab mob yuav kis tau. Txawm li cas los xij, tus kab mob no hnyav heev, thiab yog li tam sim no peb yuav tsum tham txog dab tsi yog qhov yuav tsum tau ua ua ntej rau nws qhov tshwm sim, dab tsi ua rau mob, thiab yuav ua li cas kho nws feem ntau.
YOtitis externa
Tus mob no, zoo li lwm yam kab mob, muaj qee yam kev faib tawm. Tau ntsib cov lus nug ntawm seb otitis puas kis tau los yog tsis, koj tuaj yeem mloog zoo rau kev kawm ntawm nws hom.
hom kab mob no tshwm sim los ntawm qhov mob ntawm pob ntseg sab nrauv ntawm qhov txwv lossis qhov txawv txav. Ib qho kev mob tshwm sim yog kub taub hau. Infiltration yog pom tseeb, thiab mob hnyav kuj hnov. Qhib lub hau tuaj yeem ua rau muaj kev loj hlob ntawm furunculosis.
Otitis externa (ICD-10 code - H60) yog ob hom:
- Limited. Nws pib nrog kev hnov qhov khaus khaus, uas ua rau mob. Nws radiates raupuab tsaig, caj dab, tuam tsev. Thaum zom, qhov hnov ntxhiab heev. Npau suav lawm. Infiltration feem ntau tseem ceeb.
- Diffuse. Nws pib nrog qhov kev xav "bursting", ua npaws thiab khaus. Mob tshwm sim sai sai, tawg mus rau tag nrho ib nrab ntawm lub taub hau. Xws li otitis xov xwm tuaj yeem ua rau tsis yog pw tsaug zog, tab sis kuj ua rau anorexia. Cov qog ntshav hauv cheeb tsam kuj nce ntxiv.
Puas yog otitis media kis tau lossis tsis yog - nws yog qhov tseeb, tab sis vim li cas rau nws qhov tsos? Zoo, qhov no yuav tsum tau qhia nyias.
Yog vim li cas
Otitis externa tshwm sim los ntawm kev kis kab mob hauv cov kwj dej sab nraud. Yog hais tias nws yog mechanically lossis chemically puas, cov kab mob yuav nyob hauv lub cev.
Ntau tus neeg, paub txog qhov no, yog li nug cov lus nug "yog otitis media kis tau los tsis yog." Yog li, cov lus teb yog ob zaug: tsis yog, vim tias qhov mob no tsuas yog tshwm sim los ntawm kev nkag mus ntawm pyogenic staphylococcus rau hauv lub cev. Thiab yog, vim hais tias nws yog "clung" rau nws, raws li txoj cai, los ntawm ib tug bacteriocarrier - ib tug nyob rau hauv nws lub cev nws twb tam sim no. Thiab nws, los ntawm txoj kev, yuav tsis mob nws tus kheej.
Diffuse otitis externa, piv txwv li, ua rau Klebsiella, Haemophilus influenzae, Pseudomonas aeruginosa, Staphylococcus aureus, Moraxella, Candida, Pneumococcus, thiab lwm yam
Yuav kom tus kab mob loj tuaj, pob ntseg yuav tsum puas. Tsis tas li ntawd, qhov ua rau muaj kev cuam tshuam yog txo qis kev ua haujlwm ntawm daim tawv nqaij thiab txo kev tiv thaiv. Tsis yog txhua tus neeg nqa cov kab mob raug kev txom nyem los ntawm otitis vim qhov tseeb tias kev tiv thaiv ntawm lawv cov kab mob muaj zog - cov kab mob tsuas yog tsis muaj cov xwm txheej rau kev loj hlob.
limited otitis media
Txhua daim ntawv muaj nqis qhia kom meej. Cov tsos mob ntawm otitis media thiab ua rau cov kab mob tau hais lawm, tab sis ua li cas txog kev kho mob?
Tom qab kev kuaj mob, uas suav nrog kev kuaj mob los ntawm tus kws kho mob otolaryngologist thiab otoscopy, feem ntau yog muab kev txiav txim siab ntawm qhov kub. Tom qab qhov kev ua haujlwm no, tag nrho cov kua paug tawm ntawm pob ntseg, thiab qhov mob syndrome tau txo qis. Cov txheej txheem yog qhov hnyav heev, vim tias muaj kev pheej hmoo ntawm provoking cov noob ntawm cov hauv paus plaub hau uas tseem nyob hauv pob ntseg. Qhov kev pheej hmoo yog dab tsi? Kev tsim ntawm ntau cov boils, uas ua rau furunculosis.
Tab sis thaum pom cov theem infiltration, thaj chaw cuam tshuam tsuas yog kho nrog nyiaj nitrate, thiab sab hauv nrog tshuaj tua kab mob. Kuj pom tias yog instillation ntawm cov tshuaj tua kab mob ("Ofloxacin", "Neomycin", thiab lwm yam). Kev noj tshuaj loog thiab tshuaj tiv thaiv kab mob tuaj yeem pab tshem tawm qhov mob.
YDiffuse otitis media
Thiab peb yuav tsum qhia me ntsis ntxiv txog daim ntawv no. Puas yog daim ntawv ntawm otitis media kis tau? Tsis yog (tsuas yog kab mob uas provoke nws). Hom kab mob no feem ntau fraught nrog kev hnov lus tsis hnov lus, thiab tseem tuaj nrog kev tawm ntawm pob ntseg. Yog li ntawd, nws yog hu ua purulent otitis media. Hauv cov neeg laus thiab menyuam yaus, tus kab mob no tshwm sim ntau zaus.
Lub sijhawm mob hnyav yog 2-3 lub lis piam. Tom qab ntawd cov tsos mob tshwm sim thiab tus neeg mob rov zoo. Txawm li cas los xij, qee zaum tus kab mob ua rau mob ntev. Qhov tshwm sim yog cov nti uas txo cov lumen ntawm pob ntseg kwj dej.
Kev kuaj mob cov haujlwm tseem, kev tshawb fawb ntxiv tau ua tiav rauKev sib txawv ntawm tus kab mob nrog mob eczema thiab erysipelas.
Kev kho mob suav nrog kev siv tshuaj tua kab mob thiab cov vitamins ntau, nrog rau cov tshuaj tua kab mob. Yog tias tus kws kho mob pom tias nws tsim nyog, nws yuav muab tshuaj kho immunocorrective.
Lub pob ntseg kuj tau kho nrog Burov cov kua, mercury yellow ointment, hormonal and antibacterial ointments, antibiotic drops. Yog tias cov kua paug tawm ntau, pob ntseg raug ntxuav nrog cov tshuaj tshwj xeeb.
Otitis media
Hauv qhov no, qhov mob tshwm sim hauv pob ntseg nruab nrab. Qhov no yog qhov chaw nruab nrab ntawm pob ntseg thiab pob ntseg sab hauv.
Yog vim li cas rau kev loj hlob ntawm otitis media (ICD-10 code - H65) yog kis kab mob. Hauv 65% ntawm cov neeg mob, tus neeg sawv cev ua rau yog tus kab mob streptococcal. Tsis tas li ntawd, tus kab mob tuaj yeem ua rau staphylococci thiab pneumococci. Tsis tshua muaj ntau - nceb, proteus thiab diphtheria bacillus.
Thaum lub cev tsis muaj zog, cov kab mob kis tau los ntawm Eustachian raj mus rau hauv tympanic kab noj hniav. Qhov tshwm sim tuaj yeem yog laryngitis, rhinitis, pharyngitis, ozena, tonsillitis, tonsillitis, ntau yam qog, yav tas los ua kev phais, thiab lwm yam.
Tus kab mob no tshwm sim nyob rau hauv peb theem - pre-perforated, perforated thiab reparative. Txhua tus muaj nws tus kheej cov tsos mob. Tab sis nws txhua tus feem ntau pib nrog qhov muaj zog, qhov mob tam sim ntawd hauv pob ntseg, txo qis qab los noj mov, zoo li lub suab nrov thiab congestion, nrog rau tsis hnov lus. Qhov kub kuj nce, ua daus no, tsis muaj zog, tsis muaj zog thiab qaug zog tshwm sim.
Kev kuaj mob thiab kev kho mob
Hais txog seb otitis media kis tau rau lwm tus, dab tsi yog qhov ua rau nws tshwm sim thiab nws tshwm sim li cas, peb yuav tsum tham txog cov hauv paus ntsiab lus ntawm kev kuaj mob. Cov neeg mob tsis txaus siab txaus los tsim kev kuaj mob. Otitis media tshwm sim sai, sai sai, thiab muaj cov tsos mob tshwj xeeb.
Tab sis otoscopy thiab myrootoscopy tseem yuav tsum tau ua. Tom qab kev kuaj mob, qhov nce ntawm erythrocyte sedimentation tus nqi thiab nruab nrab leukocytosis tau kuaj pom.
Tus kab mob no tau kho raws li tus neeg mob sab nraud. Yog tias muaj teeb meem tshwm sim, tus neeg mob tau mus pw hauv tsev kho mob. Txhawm rau txo qhov mob, pob ntseg tee nrog tshuaj loog yog siv. Tom qab ntawd, nws yog ntshaw kom kaw lub pob ntseg nrog paj rwb ntaub smeared nrog roj av jelly.
Puffiness yog zoo relieved los ntawm antihistamines thiab vasoconstrictor tee - Xylometazoline, Tetrizoline, Naphazoline, Oxymetazoline.
Rau kev kho dav dav, kev siv Ibufen lossis Diclofenac tau sau tseg. Tshuaj tua kab mob yog qhia rau kub taub hau thiab mob hnyav. "Cefruxin", "Spiramycin" thiab "Amoxicillin" pab tau zoo.
Chronic form
Nws yog ib qho tsim nyog los qhia me ntsis txog exudative otitis media hauv tus menyuam. Qhov no yog ib qho kab mob ntev uas feem ntau cuam tshuam rau cov menyuam hnub nyoog 2 txog 5 xyoos. Lub sij hawm dhau 8 lub lis piam.
Qhov laj thawj yog qhov thaiv ntawm Eustachian raj. Cov kab mob no yog tshwm sim los ntawm cov kab mob vim qhov kev tawm ntawm cov kua hauv lub qhov ntswg cuam tshuam. Nws tuaj yeem yog sinusitis, scleroma, adenoiditis, raug mob,Kev tsis haum rhinitis, caj pas o, SARS, laryngitis, tonsillitis, tonsillitis, aerootitis, thiab lwm yam.
Cov tsos mob feem ntau yog tib yam li cov kab mob otitis media. Puas yog tus kab mob no kis tau rau lwm tus? Tsis tas li ntawd, nyob rau hauv cov me nyuam yaus nws yog asymptomatic. Cov niam txiv pom tus mob thaum lawv paub tias tus me nyuam qhov hnov lus tsis zoo (nug kom ua kom lub suab nrov nrov, tsis hnov lus, thiab lwm yam). Qhov tsis muaj kev tsis txaus siab ua rau qhov kev kuaj mob nyuaj heev.
Cov teeb meem, kuaj mob thiab kho
Yog tias tus kab mob exudative tsis kho raws sijhawm, nws tuaj yeem ua rau cov kab mob otitis media. Qhov no yog fraught nrog perforation ntawm lub pob ntseg, mastoiditis, cholesteatoma. Thiab yog tias otitis media tshwm sim hauv menyuam yaus, kev loj hlob ntawm kev hais lus yuav ua rau tsis zoo. Kev ncua ntawm kev xav-kev xav tsis raug txiav tawm.
Qee zaum kev tshuaj xyuas los ntawm tus kws kho mob otolaryngologist tau pom zoo vim tias chav kawm yog asymptomatic thiab kuaj pom lig ua rau muaj qhov tshwm sim loj. Kev kuaj mob muaj xws li otoscopy, kuaj xyuas qhov patency ntawm lub suab raj thiab hnov lus, nrog rau microotoscopy.
Kev kho mob yog tsom rau kev tshem tawm cov kab mob uas cuam tshuam nrog patency ntawm Eustachian raj. Nws tseem yog ib qho tseem ceeb kom tshem tawm qhov mob, kho qhov hnov lus thiab tiv thaiv kev hloov pauv ntawm sclerotic. Yog tias tsis muaj txoj hauv kev los yog kev kho mob tsis zoo, kev kho phais raug qhia.
Otitis media
Kuj muaj kab mob los yog kab mobxwm. Feem ntau muaj teeb meem ntawm meningitis lossis otitis media.
Cov tsos mob tshwm sim yog qhov tshwm sim ntawm kiv taub hau tshwm sim 1-2 lub lis piam tom qab pib kis tus kab mob. Qee zaum nws nrog ntuav lossis xeev siab.
Tus kab mob no loj heev, thiab nws yog ib qho tseem ceeb uas yuav tsum tau cais nws ntawm cov kab mob uas cuam tshuam rau lub hlwb. Txhawm rau tshem tawm qhov tshwm sim ntawm mob stroke lossis qog, CT thiab MRI tau ua. Electronystagmography thiab audiometry tej zaum yuav raug sau.
Ntaus thiab ntuav raug tshem tawm los ntawm Metoclopramide thiab tshuaj tiv thaiv kab mob. Qhov zoo tshaj plaws yog cov cuab yeej xws li Diphenhydramine, Chloroliramine thiab Mebhydrolin.
Scopolamine thaj ua rau thaj kuj siv. Kev mob tshwm sim tuaj yeem txo nrog steroids (Methylprednisolone) nrog rau cov tshuaj sedatives (Diazepam thiab Lorazepam).
