pob ntseg loj dua yog dab tsi? Nws ua haujlwm li cas? Koj yuav pom cov lus teb rau cov lus nug no thiab lwm yam hauv kab lus. Cov hlab ntsha no yog ib feem ntawm lub ncauj tsev menyuam plexus (plexus cervicalis), uas yog tsim los ntawm cov ceg anterior ntawm plaub lub ncauj tsev menyuam nqaj qaum (CI-CIV). Nyob rau hauv lub weave, ntxiv rau cov ceg uas tsim nws, peb lub voj voog thiab cov ceg txuas ntxiv ntawm lawv yog qhov txawv, uas tau muab faib ua peb pawg: kev sib txuas, cov leeg thiab cov tawv nqaij. Tshawb nrhiav cov yam ntxwv ntawm auricular zoo paj hauv qab no.
Dermal ceg ntawm lub ncauj tsev menyuam plexus
Nws paub tias lub ncauj tsev menyuam plexus muaj:
- Occipital me paj hlwb, uas tshwm sim los ntawm lub ncauj tsev menyuam thib peb thiab thib ob (CIII thiab CII), khiav mus rau tom qab ciam teb ntawm cov leeg clavicular sternomastoideus, thiab tawm hauv nws, feem ntau.muab faib ua ob peb ceg. Cov tom kawg ua raws li thiab mus rau sab nraum lub taub hau, ces ceg tom qab lub auricle thiab saum toj no nws nyob rau hauv lub cheeb tsam ntawm daim tawv nqaij, bordering qab lub cheeb tsam ntawm ceg ntawm cov hlab ntsha loj occipital, nyob rau hauv pem hauv ntej - nrog rau ntu ntawm lub pob ntseg loj. Cov hlab ntsha occipital tsawg dua muaj kev sib txuas nrog ntau dua occipital thiab pob ntseg paj thiab lub ntsej muag (nws posterior auricular paj).
- Lub pob ntseg loj (nervus auricularis magnus) yog cov hlab ntsha loj tshaj plaws ntawm lub ncauj tsev menyuam plexus. Nws pib los ntawm CIII (CIV), ua raws li ciam teb tom qab ntawm cov leeg clavicular sternomastoideus thiab, hla nws hauv qab cov hlab ntsha me me, txav mus rau sab nrauv ntawm cov leeg. Ntawm no lub cev ntawm cov hlab ntsha mus rau pem hauv ntej thiab mus txog rau lub auricle thiab faib mus rau hauv lub posterior thiab anterior ceg. Cov ceg ntawm cov hlab ntsha auricular yog dab tsi? Lub anterior yog thinner, ceg nyob rau hauv daim tawv nqaij ntawm ntu ntawm lub caj pas parotid, pob ntseg thiab nyob rau hauv daim tawv nqaij ntawm sunken nto ntawm lub auricle. Lub dorsal ceg ceg nyob rau hauv daim tawv nqaij qab pob ntseg thiab nyob rau hauv daim tawv nqaij ntawm protruding nto ntawm pob ntseg plhaub.
- Cov hlab ntsha ntawm lub caj dab tshwm sim los ntawm CII (CIII), mus, zoo li pob ntseg paj hlwb, mus rau tom qab ciam teb ntawm cov leeg clavicular sternomastoideus, hla nws thiab tom qab ntawd ua raws li kev coj mus rau pem hauv ntej raws sab nrauv. ntawm cov leeg no, nruab nrab ntawm nws thiab cov leeg ntawm lub caj dab subcutaneous. Cov hlab ntsha no muaj kev sib txuas nrog lub ncauj tsev menyuam ntawm lub ntsej muag paj hlwb, tsim lub ncauj tsev menyuam lub voj voog nrog nws.
- Cov hlab ntsha supraclavicular tshwm sim los ntawm CIII (CIV), ua raws li ciam teb tom qab ntawm cov leeg sternocleidomastoid thiab tawm ntawm qab nws nyob rau hauv qab ntawm lub caj dab perpendicular,nyob ntawm no nyob rau hauv cheeb tsam ntawm lub clavicular-scapular daim duab peb sab, nyob rau hauv lub fascia. Tom qab ntawd, tho lub fascia, cov hlab ntsha mus rau hauv lub clavicle, thiab kiv cua tawm mus rau hauv peb pawg ntawm ceg: medial supraclavicular qab haus huv, nruab nrab thiab lateral.
Function
Pom zoo, lub cev ntawm lub pob ntseg ntau dua yog qhov sib txawv. Nws paub tias muaj kev sib txuas nrog cov paj hlwb posterior auricular (los ntawm lub ntsej muag paj hlwb) thiab cov hlab ntsha occipital tsawg dua. Cov paj hlwb no yog qhov nkag siab heev hauv kev ua haujlwm.
Nws cov fibers ua kom tiav cov innervation ntawm daim tawv nqaij ntawm auditory sab nraud txoj kev, mandibular cheeb tsam thiab ib feem activates daim tawv nqaij ntawm lub auricle. Thaum nws puas lawm, qhov rhiab heev ntawm cov ntu no cuam tshuam, qhov mob tshwm sim hauv thaj tsam ntawm cov kwj dej sab nraud, nrog rau thaj tsam ntawm lub kaum sab xis ntawm lub puab tsaig.
Neuralgia
Neuralgia ntawm pob ntseg loj yog dab tsi? Symptomatically, nws zoo ib yam rau purulent o ntawm pob ntseg nruab nrab (otitis media), uas yog vim li cas nws yog ib qho nyuaj rau kev kuaj xyuas kom raug. Xav tias mob pob ntseg, tus neeg mob tig mus rau ENT tsis muaj txiaj ntsig, thaum tsuas yog kws kho mob hlwb tuaj yeem xaiv cov cuab yeej siv los kho qhov teeb meem no.
Ntse ntawm pathology
Cov paj hlwb ntawm pob ntseg muaj cov qauv tsim, uas yog tsim los ntawm kev hnov lus thiab lub paj hlwb tsis muaj zog. Nrog neuralgia ntawm pob ntseg, tib neeg nco txog cov tsos mob hauv qab no:
- ntse thiab tua mob hauvpob ntseg;
- Xav tau lub pob ntseg.
Ntau zaus qhov mob tshwm sim hauv lub puab tsaig qis, uas ua rau nws nyuaj rau kev txheeb xyuas qhov ua rau qhov mob thiab ua rau kev kuaj mob, uas yuav tsum tau sab laj nrog peb tus kws kho mob tshwj xeeb - kws kho hniav, kws kho mob otolaryngologist thiab kws kho mob hlwb.
Yog vim li cas
Raws li txoj cai, neuralgia ntawm pob ntseg pob ntseg tshwm sim vim muaj kev mob siab rau hauv lub cev. Cov kab mob kis tau los ntawm cov hlab ntsha thoob plaws hauv lub cev thiab nkag mus rau thaj tsam ntawm cov hlab ntsha cranial, ua kom muaj mob. Qhov ua rau neuralgia tuaj yeem yog:
- thaiv lossis mob ntawm cov qog qaub ncaug;
- sinusitis;
- angina, suav nrog kev ncua;
- purulent thiab ntev o ntawm pob ntseg nruab nrab (otitis media);
- kab mob kis kab mob thiab kab mob hniav.
Qee zaum ob qhov mob ntawm pob ntseg ntau dua pom. Qhov no tshwm sim nrog cov kab mob xws li sepsis, pneumonia thiab raum pathology. Kev puas tsuaj rau pob ntseg pob ntseg yuav yog ib qho ntawm cov tsos mob ntawm mob ntshav qab zib polyneuropathy.
Symptoms
Lub pob ntseg ntau dua ua haujlwm tseem ceeb heev. Nrog neuralgia ntawm pob ntseg, qhov mob tuaj yeem kis mus rau lub puab tsaig, tab sis cov neeg mob feem ntau tham txog qhov mob hauv pob ntseg thiab ib ncig ntawm nws lub plhaub, nthuav mus rau thaj tsam ntawm lub cev. Qhov mob yog pom nyob rau hauv daim ntawv ntawm qaug dab peg, nrog rau ib co influences nws yuav ua rau aggravated. Yam uas ua rau mob hnyav dua no yog zaub mov kub, huab cua ntub, kev ntxhov siab lossis kev ntxhov siab.
Kev mob hnyav yog luv luv thiab tuaj yeem kav ntev li ob peb feebmus txog ib teev.
Kev kho mob
Lub hauv paus ntawm kev kho yog tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Txhawm rau txo qhov mob, siv cov tshuaj ibuprofen lossis diclofenac. Lawv kuj pab txo qhov mob. Tsis tas li ntawd, txhawm rau txo qhov mob, tshuaj kho mob nrog ibuprofen lossis analgin yog qhia. Nws yog ib qho tseem ceeb kom noj cov tshuaj antispasmodic. Qhov no relieves spasm ntawm cov leeg ntawm lub auditory raj, uas ua rau kom qhov tsis xis nyob thiab nrog neuralgia.
Txhawm rau txhim kho tus neeg mob txoj kev noj qab haus huv thiab ua kom rov zoo sai, tshuaj sedative tau qhia. Lawv normalize pw tsaug zog thiab ntxiv dag zog rau lub paj hlwb, uas ua rau kom rov zoo. Feem ntau, kev kho yog ntxiv nrog cov vitamins B, vasodilators (piv txwv li, nrog nicotinic acid).
Yog tias kev kho mob tsis tuaj yeem ua tiav vim li cas, kev kho lub cev yog siv - electrophoresis, acupuncture, amplipulse.
Nco nco dab tsi?
Nws tsis tuaj yeem siv cov cuab yeej kho mob pej xeem raws li raug tshav kub rau pob ntseg neuralgia. Hauv qhov no, kev ua kom sov tuaj yeem ua rau muaj kev txhawb nqa ntawm cov txheej txheem inflammatory. Yog hais tias qhov mob hauv pob ntseg tshwm sim sai sai, thiab tsis muaj kev mob tshwm sim thiab cov tsos mob ntawm tus mob khaub thuas, ua ntej ntawm tag nrho cov, koj yuav tsum sab laj nrog kws kho mob neurologist.
Yog tias tsis xis nyob nrog qhov kub thiab txias, koj yuav tsum mus ntsib kws kho mob otolaryngologist. Feem ntau neuralgia dhau los ua tus khub ntawm tus neeg mob. Vim qhov tseeb tias qhov mob tsis ploj mus ntawm nws tus kheej, thiab kev tawm tsam tsis kav ntev, tib neeg nyiamtsis quav ntsej kev tsis xis nyob. Txoj hauv kev no tsis yog lawm, vim tias txhua yam mob yuav tsum tau kho raws sijhawm.
Occipital neuralgia
Tus kab mob no yog cov tsos mob nyuaj, suav nrog cov tsos mob ntawm kev puas tsuaj rau cov hlab ntsha uas ua rau lub ncauj tsev menyuam plexus. Occipital neuralgia tuaj yeem txhim kho vim muaj kev cuam tshuam ntawm ntau yam etiological, uas suav nrog:
- ntau yam qaug cawv thiab kab mob, cov txheej txheem pathological tshwm sim hauv ntu ncauj tsev menyuam ntawm tus txha nraub qaum - spondylarthrosis, deforming spondylosis;
- tuberculous spondylitis;
- kab mob ntawm lub plawv - kub siab thiab aneurysm ntawm cov hlab ntsha vertebral ua ke nrog cov kab mob hauv cov hlab ntsha hauv lub cev;
- qog tsim nyob rau hauv lub ncauj tsev menyuam ntu ntawm tus txha caj qaum, cranio-spinal zone, posterior fossa;
- pachymeningitis ntawm lub ncauj tsev menyuam ntu.
Kev kho mob ntawm occipital neuralgia suav nrog kev siv tshuaj kho mob. Tsis tas li ntawm no koj yuav tsum kho tus mob yooj yim.
