Pob ntseg pob ntseg ua rau lub neej zoo, tab sis yog tias nws nrog lwm cov tsos mob, ces feem ntau tsis xis nyob tuaj yeem qhia txog teeb meem kev noj qab haus huv loj. Raws li txoj cai, pob ntseg raug thaiv vim dej nkag thaum lub sij hawm da dej, nrog lub qhov ntswg los yog lub siab poob thaum lub davhlau, tab sis qee zaum qhov no yuav qhia txog kev txhim kho ntawm cov txheej txheem inflammatory los yog kab mob sib kis, qhov ntswg deviated septum los yog kub siab..
Physiology ntawm txheej txheem
Xav tias pob ntseg zoo li yuav khoom, ntau dua ib zaug tshwm sim hauv txhua tus. Vim li cas qhov no tshwm sim los ntawm kev xav ntawm lub cev? Cov qauv ntawm pob ntseg yog qhov nyuaj heev. Yog li, txoj haujlwm ntawm cov kwj dej (Eustachian raj), uas txuas nrog lub nasopharynx thiab nruab nrab pob ntseg, yog kom sib npaug ntawm lub siab. Yog hais tias lub auditory raj raug thaiv vim qee yam, ces lub siab nyob rau hauv nruab nrab pob ntseg tsis hloov mus rau cov kev hloov ntawm lub siab ntawm sab nraud ib puag ncig. Yog li ntawd, daim nyias nyias khoov rau sab hauv. Qhov no yog qhov ua raupob ntseg thiab kiv taub hau.
Cas of congestion
Vim li cas nws thiaj mloog nws pob ntseg? Cov laj thawj tuaj yeem sib txawv: los ntawm banal ingress ntawm dej thaum da dej rau o ntawm Eustachian raj. Pob ntseg feem ntau ua rau mob khaub thuas lossis txawm tias thaum cev xeeb tub. Nyob rau hauv tas li ntawd, cov tsos mob yog txuam nrog ib txwm kua retention nyob rau hauv lub cev ntawm expectant niam. Dab tsi ntxiv tuaj yeem ua rau pob ntseg? Nov yog cov laj thawj tseem ceeb:
- Sudden pressure drops. Thaum dhia dej lossis ya hauv lub dav hlau, muaj kev poob siab tam sim ntawd uas lub pob ntseg tsis tuaj yeem hloov mus sai sai. Qee lub sij hawm pob ntseg nce thaum mus rau hauv lub subway lossis nce toj me me.
- ARVI thiab kua ntswg. Lub nasopharynx txuas nrog lub raj auditory, thiab qhov o uas tau tshwm sim nyob rau hauv nws sai sai kis mus rau lub auditory raj, ua rau congestion.
- Otitis. Congestion thiab mob pob ntseg feem ntau nrog tus kab mob no. Cov kab mob otitis sab nraud tsis tshua pom, tab sis nruab nrab lossis sab hauv tuaj yeem ua rau muaj kev mob nkeeg, vim tias Eustachian raj muaj kev sib txuas nrog nruab nrab thiab pob ntseg.
- Sulfur plugs. Sulfur tsuas yog thaiv pob ntseg kwj dej, yog li yog tias pob ntseg raug thaiv tom qab ua luam dej, qhov teeb meem yuav tshwm sim hauv kev tsim cov ntsaws.
- Lub cev txawv teb chaws. Kab me me hauv pob ntseg, lossis ib daim paj rwb sab laug tom qab ntxuav lub pob ntseg, tuaj yeem ua rau muaj kev zoo siab.
- Kev noj tshuaj. Yog tias koj siv cov tshuaj tsis tu ncua, ua tib zoo nyeem cov lus qhia, tshwj xeeb tshaj yog cov kab lus hais txogkev phiv.
- Kua nkag hauv pob ntseg.
- Hypertension. kiv taub hau me ntsis thiab qhov kev xav ntawm congestion teeb liab hais tias nws yog ib qho tsim nyog los ntsuas cov ntshav siab nyeem ntawv thiab, yog tias tsim nyog, ntsuas ntsuas kom ruaj khov.
- Adenoiditis. Kev mob ntawm tonsils hauv nasopharynx tuaj yeem kis mus rau Eustachian raj nrog kev kho tsis tsim nyog lossis qeeb.
- Kev xeeb tub. Nyob rau hauv rooj plaub no, congestion yog txuam nrog kua retention, nce cov ntshav thiab txhim kho cov ntshav.
- Dev septum vim kev raug mob.
Ntawm dab tsi tuaj yeem tso pob ntseg? Qhov feem ntau ua rau cov tsos mob no yog teev saum toj no. Tsis tas li ntawd, qee zaum, pob ntseg raug thaiv nrog cov qog ntawm lub paj hlwb lossis lub hlwb, lub ncauj tsev menyuam osteochondrosis, kev tsis haum tshuaj, Meniere's syndrome, thiab lwm yam. Txawm li cas los xij, nws raug nquahu kom hu rau tus kws kho mob tam sim ntawd, thiab tsis txhob koom nrog kev kuaj mob tus kheej thiab kho hauv tsev.
Differential Diagnosis
Los ntawm dab tsi tuaj yeem nteg pob ntseg, tus kws kho mob yuav txiav txim kom raug. Koj yuav tsum mus ntsib kws kho mob otolaryngologist. Qee qhov xwm txheej, kev ntsuam xyuas theem pib txaus, tab sis qee zaum yuav xav tau lwm yam kev kuaj mob. X-ray yuav pab txiav txim siab qhov mob ntawm lub auditory raj los yog nasopharynx, qee zaum ua suab paj nruag los yog tympanometry zoo. Tus kws kho mob yuav sau ntawv mus kuaj ntxiv lossis xa koj mus rau lwm tus kws kho mob tshwj xeeb, xws li kws kho plawv lossis kws kho mob oncologist.
Howkho qhov teeb meem
Yog pob ntseg thaiv, kuv yuav ua li cas hauv tsev? Cov kev ntsuas uas yuav tsum tau ua yuav nyob ntawm seb tus kab mob twg raug txheeb xyuas los ntawm cov txiaj ntsig ntawm kev kuaj mob. Feem ntau, cov tsos mob tshwm sim los ntawm kev poob siab, cov yam ntxwv ntawm lub cev (piv txwv li, thaum cev xeeb tub), tsim cov sulfur plugs, lossis cov khoom txawv teb chaws hauv pob ntseg. Yog hais tias lub sij hawm nws nteg pob ntseg, ces nws yuav tsum tau txiav txim siab npaum li cas thiab nyob rau hauv dab tsi lub sij hawm qhov no tshwm sim. Cov lus piav qhia ntxaws yuav ua rau tus kws kho mob tuaj yeem tsim qhov kev kuaj mob kom raug.
Koj puas tuaj yeem ua rau pob ntseg txias? Qhov no yog qhov ua tau, vim hais tias lub nasopharynx thiab nruab nrab pob ntseg txuas nrog. Nrog rhinitis, Eustachian raj feem ntau swells thiab clogs, uas ua rau congestion. Koj tuaj yeem daws qhov teeb meem los ntawm kev ntxuav lub qhov ntswg thiab tshem tawm cov edema nrog vasoconstrictor tee. Ua ntej koj yuav tsum tau maj mam tshuab koj lub qhov ntswg, vim hais tias tshuab koj lub qhov ntswg ntau heev tuaj yeem ua rau reflux ntawm cov hnoos qeev los ntawm cov kwj dej auditory thiab ua rau tus mob hnyav dua. Nws yog ib qho tsim nyog los hloov ib qho los yog lwm lub qhov ntswg thiab tso cov qhov ntswg nrog kev siv zog me ntsis.
Tom ntej koj yuav tsum yaug koj lub qhov ntswg. Rau cov txheej txheem no, koj tuaj yeem siv cov kev daws teeb meem ntawm cov dej hiav txwv lossis cov dej qab ntsev, uas yog muag hauv khw muag tshuaj. Ntsev yaug tuaj yeem ua hauv tsev. Ua li no, ntxiv ib teaspoon ntsev rau 0.5 liv ntawm boiled dej. Thaum ntxuav, lub taub hau yuav tsum tig mus rau ib sab (nyob rau hauv cov kev taw qhia ntawm lub pob ntseg mob). Cov kua tuaj yeem txhaj rau hauv lub qhov ntswg nrog lub teeb roj hmab me me thiab lub syringe yam tsis muajkoob. Nrog congestion vim qhov ntswg qhov ntswg, cov txheej txheem yuav tsum tau nqa tawm ob peb zaug ib hnub twg. Kev ntxuav lub qhov ntswg kuj raug pom zoo rau kev tiv thaiv, yog li thawj hnub ntawm tus mob khaub thuas, koj tuaj yeem ua tiav cov txheej txheem kom tus kab mob tsis cuam tshuam rau lub cev hnov lus.
Pab txo qhov o ntawm vasoconstrictor tee. Tom qab instillation, koj yuav tsum tau pw ntawm koj sab kom cov tee nkag mus rau hauv pob ntseg kwj dej thiab tsis txhob ntws tawm. Xws li kev kho mob tuaj yeem ua tiav tsuas yog thaum tsis muaj contraindications rau vasoconstrictor tshuaj. Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li qhov ntau npaum li cas. Cov tshuaj zoo li no tsuas yog siv tau tsib hnub xwb, txwv tsis pub lawv tuaj yeem ua rau mob ntxiv.
Nyob rau tib lub sijhawm, nws yuav tsum ua raws li kev kho mob txhawm rau tshem tawm tus mob khaub thuas. Lub congestion yuav ploj mus sai li sai tau raws li qhov tshwm sim, piv txwv li rhinitis, raug tshem tawm. Tab sis yog tias tsis muaj kev txhim kho tom qab kev rov zoo los yog kev sib tsoo nrog kub taub hau, mob thiab kiv taub hau, koj yuav tsum hu rau tus kws kho mob sai li sai tau. Xws li cov tsos mob qhia tias muaj teeb meem. Nrog rau qhov mob, tsuas yog tus kws kho mob tuaj yeem txiav txim siab txog kev kho mob.
Tsis muaj teeb meem koj yuav tsum ua pa yog tias pob ntseg pob ntseg tshwm sim los ntawm qhov ntswg. Kev nqus pa tuaj yeem ua rau cov kab mob hnyav dua yog tias tus neeg mob tsim otitis media. Tsis txhob siv pob ntseg tee - cov nyiaj no tsis yog ib txwm siv tau. Koj tsis tuaj yeem ua kom sov sov, "tshuab tawm" lub raj auditory los ntawm tuav koj lub qhov ncauj thiab qhov ntswg (qhov no tsuas yog ua kom o), thiab tseem siv cov tshuaj, uas feem ntau ua rau muaj teeb meem.
Sulfur plug
Yog pob ntseg thaiv, kuv yuav ua li cas hauv tsev? Yog hais tias ib tug sulfur plug tau tsim (qhov no yuav tsum tau txiav txim los ntawm ib tug kws tshwj xeeb), ces koj yuav tsum yaug koj pob ntseg. Lub cork tuaj yeem tsim rau ntau yam laj thawj, yog li kev kho mob yuav txawv. Piv txwv li, tom qab muaj kab mob sib kis thiab thaum lub pob ntseg deformed, cov sulfur uas tau muab tshem tawm nrog cov cuab yeej tshwj xeeb uas zoo li kev sojntsuam nrog tus nuv. Feem ntau, kev yaug yog qhov txaus txaus.
Kev ntxuav, koj yuav tsum tau npaj ib lub koob txhaj tshuaj loj yam tsis muaj koob, rau hauv cov dej uas tau nqus los ntawm lub cev kub lossis sov me ntsis. Tus neeg mob yuav tsum zaum ncaj nraim thiab tuav lub thawv rau hauv uas cov dej yuav ntws. Ib lub koob txhaj tshuaj yog muab tso rau hauv pob ntseg thiab lub dav hlau ntawm cov dej yog qhia raws li phab ntsa tom qab, uas yuav tsum tau ntxuav cov sulfur plug. Qee zaum sulfur tsis tuaj yeem raug tshem tawm tam sim ntawd, yog li lub cork yuav tsum tau softened nrog cov kev daws tshwj xeeb. Hloov chaw, cov kws kho mob feem ntau pom zoo kom yaug 3-4 tee ntawm hydrogen peroxide. Qee zaum, lub cork tawm los ntawm nws tus kheej.
Nyob hauv pob ntseg
Yog dej nkag mus rau hauv pob ntseg thiab ntim khoom, qhov no yog ib qho yooj yim uas tsis ua rau muaj kev txhawj xeeb. Feem ntau cov dej ntws tawm los ntawm nws tus kheej los yog dries dhau sij hawm yam tsis ua rau muaj teeb meem. Txhawm rau ua kom cov txheej txheem nrawm, koj tuaj yeem tso paj rwb turunda rau hauv koj pob ntseg, tab sis tsis tob heev. Tom qab tshem tawm lub thaj, pw me ntsis ntawm ib sab uas cov dej nkag rau hauv. Muab ib daim phuam cia kom lub txaj tsis ntub. Raws li txoj cai, dej hauv pob ntseg tsis ua rau muaj qhov tsis zoo, tab sis nws tseem yog ib qho chaw zoo rau kev loj hlob ntawm cov kab mob. Yog li, yog tias tom qab ob peb hnub tsis kaj siabCov kev xav tsis tau ploj mus, koj yuav tsum sab laj nrog tus kws tshaj lij.
Nyob hauv dav hlau lossis hauv of elevator
Yuav tiv thaiv qhov xwm txheej tsis zoo, ua li cas? Mob pob ntseg tom qab ya davhlau? Nws yooj yim dua los tiv thaiv. Thaum tshem tawm, koj tuaj yeem zom cov pos hniav los yog tuav cov khoom qab zib nqus hauv koj lub qhov ncauj, yawn intensively. Qhov no yuam cov leeg uas qhib lub auditory raj ua haujlwm. Yog li ntawd, huab cua nkag mus rau hauv nws, thiab lub siab ntawm pob ntseg thiab nyob rau hauv ib puag ncig sab nraud yog sib npaug.
Yog tias tsis tuaj yeem zam tsis tau, ces nyem lub tis ntawm lub qhov ntswg thiab nqus tau. Cov txheej txheem no hu ua Valsalva maneuver. Tab sis ceev faj, vim txoj kev no tsis tuaj yeem siv rau kev kis kab mob. Yog tsis pab ces tos xwb. Thaum lub siab sab hauv thiab sab nraud normalizes, tag nrho cov tsis xis nyob yuav ploj mus. Cov kev pheej hmoo ntxiv uas tuaj yeem ua rau muaj kab mob thiab ua rau muaj teeb meem yog kev ua xua, kis kab mob, lossis mob khaub thuas. Yog li ntawd, ua ntej lub davhlau, siv cov tshuaj vasoconstrictor lossis tshuaj antiallergic.
Txawm hais tias rooj plaub no yooj yim heev, qee zaum qhov xwm txheej tuaj yeem loj heev. Koj yuav tsum mus ntsib kws kho mob yog tias koj hnov ntxhiab hauv pob ntseg, kiv taub hau, ntuav, mob hnyav heev thiab kav ntev li ob peb teev, ntshav ntws los ntawm pob ntseg.
khoom txawv teb chaws
Ntawm dab tsi tuaj yeem tso pob ntseg? Qhov no feem ntau tshwm sim yog tias ib qho khoom txawv teb chaws tau mus txog ntawd. Thaum sim tshem lub pob ntseg los yog thaum ua si, cov khoom txawv teb chaws yuav nyob twj ywm hauv pob ntseg: paj rwb ntaub plaub, daim ntawv,cog noob, cov ntsiab lus me me ntawm tus tsim qauv, plasticine. Hauv cov neeg laus, qee qhov ntawm cov cuab yeej pab hnov lus tuaj yeem pom. Yog tias cov khoom txawv teb chaws nkag mus rau hauv pob ntseg, koj yuav tsum mus ntsib kws kho mob, vim tias kev sim ntxuav lub pob ntseg ntawm koj tus kheej yuav ua tsis tiav. Kev ncua hauv qhov xwm txheej no tsis tuaj yeem lees txais, vim tias lub cev txawv teb chaws tuaj yeem ua rau muaj kev txhim kho ntawm cov txheej txheem inflammatory. Raws li kev tiv thaiv kev tiv thaiv, nws raug nquahu kom tsis kam cov paj rwb los yog tsis txhob lo rau lawv tob heev.
Kab mob los yog kab mob
pob ntseg thiab mob hauv otitis media? Tus kab mob no yuav tsum tau kho sai li sai tau thaum kuaj pom. Kev ntsuas tshwj xeeb yuav nyob ntawm seb tus yam ntxwv ntawm cov kab mob. Rau kev kis kab mob, tus kws kho mob yuav sau tshuaj tua kab mob, feem ntau yog tshuaj pleev. Yog tias kuaj pom tus kab mob fungal, ces siv cov tshuaj tua kab mob. Nrog mob hnyav, cov tshuaj tua kab mob tau pom zoo, thiab cov tshuaj tsim nyog yuav pab txo qhov mob. Tab sis txhua yam tshuaj yuav tsum tau sau los ntawm tus kws kho mob otolaryngologist. Qee cov tshuaj muaj cov npe dav dav ntawm contraindications, yog li kev siv ywj pheej tsis tuaj yeem lees txais.
Hypertension
Nrog ntshav siab, lub taub hau thiab pob ntseg tuaj yeem "khoom ntxiv", kiv taub hau thiab tsis muaj zog. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum ua ECG, mus ntsib kws kho plawv thiab saib xyuas ntshav siab. Cov neeg mob tau qhia kom khaws daim ntawv teev npe tswj tus kheej, uas ob zaug hauv ib hnub (thaum sawv ntxov thiab yav tsaus ntuj, zoo dua tib lub sijhawm)tib lub sijhawm), ntshav siab thiab mem tes ntawm ob txhais caj npab tau sau tseg, nrog rau kev noj qab haus huv. Tej zaum koj yuav xav tau cov tshuaj ntshav siab los yog tshuaj sedatives.
Dab ntxwg nyoog septum
Curvature tshwm sim thaum lub sij hawm active kev loj hlob los yog tom qab raug mob, tej zaum yuav congenital feature. Xws li qhov tsis xws luag tsis tas yuav ua rau lub neej tsis zoo, tab sis qee zaum nws tuaj yeem ua rau qhov ntswg thiab pob ntseg tas li. Ua pa nyuaj tuaj yeem ua rau mob ntxiv rau lub plawv, cov hlab ntsha, thiab ua pa. Vim tsis muaj huab cua tsis tu ncua, mob taub hau ntau zaus, chim siab, pw tsaug zog thiab ua rau lub neej tsis zoo.
Tam sim no, qhov kev sib txawv no tau kho nrog laser alignment lossis phais. Kev kho mob nrog lub laser tsuas yog ua tau yog tias muaj qhov tsis xws luag hauv cov pob txha mos. Kev kho phais tuaj yeem yog qhov dav lossis endoscopic. Nyob rau hauv rooj plaub tom kawg, tus kws kho mob tsis ua qhov tsis tsim nyog incisions, thiab kev cuam tshuam nws tus kheej yog nqa tawm los ntawm lub qhov ntswg. Tus neeg mob tau tawm hauv tsev kho mob rau hnub tom qab, thiab tom qab ib lub lim tiam, qhov o ploj mus, tom qab ntawd qhov ntswg ua pa rov zoo tag nrho.
