Kuv pob ntseg mob, kuv yuav ua li cas? Qhov no yog qhov txaus siab rau ntau tus neeg uas raug kev txom nyem los ntawm qhov mob hnyav hauv pob ntseg. Nws ua rau muaj kev tsis xis nyob rau tus neeg, ua rau mob hnyav heev. Tshwj xeeb tshaj yog feem ntau o tshwm sim nyob rau hauv cov me nyuam, uas yog piav qhia los ntawm underdevelopment ntawm lub Eustachian raj. Qhov no ua rau nws yooj yim dua rau cov kab mob nkag mus rau hauv pob ntseg.
Kev kho mob tuaj yeem pib tsuas yog tom qab tsim tus kab mob, yog li ntawd, koj yuav tsum mus ntsib kws kho mob kom kuaj tau yog mob, ua npaws thiab lwm yam tshwm sim ntawm qhov mob tshwm sim.
Ua rau mob
Kab mob hauv pob ntseg tshwm sim los ntawm kev nkag mus ntawm cov kab mob mus rau hauv cov hlab Eustachian, thiab tom qab ntawd mus rau hauv nruab nrab pob ntseg. Ntawm cov laj thawj tseem ceeb yog cov hauv qab no:
- kis kab mob thiab kab mob;
- mob ntawm nasopharynx;
- mob khaub thuas thiab khaub thuas;
- kev puas tsuaj rau pob ntseg;
x
Tau tshuaj ntsuam thiab sau cov lus yuav tsum tau uakev kho mob, koj twv yuav raug hu yuav tsum paub yog vim li cas pob ntseg thiaj li mob, thiab yuav ua li cas cov tsos mob tshwm sim lawv tus kheej. Kev mob tshwm sim feem ntau ua rau muaj teeb meem ntawm kev kis kab mob thiab kis kab mob, suav nrog sinusitis. Cov pab pawg tseem ceeb kuj suav nrog cov neeg mob sinusitis ntev, cov neeg mob ntshav qab zib thiab tiv thaiv kab mob.
Kev faib tawm ntawm otitis media
Otitis ICD 10 H65 yog qhov mob ntawm pob ntseg uas tshwm sim los ntawm kev nkag mus ntawm cov kab mob mus rau hauv lub raj Eustachian. Tus kab mob no tuaj yeem muab faib ua ob peb pawg, uas yog:
- outer;
- medium;
- internal.
Kab mob ntawm pob ntseg sab nraud feem ntau tshwm sim nyob rau hauv daim ntawv ntawm boil. Qee zaum tus kab mob kis mus rau lub pob ntseg.
Otitis media yog tus cwj pwm los ntawm kev mob hauv qhov tob ntawm pob ntseg. Nws muab faib ua hom xws li:
- catarrhal;
- purulent;
- serous.
Raws li kev loj hlob sai, nws tuaj yeem ua mob, subacute thiab ntev. Kev mob ntawm pob ntseg sab hauv yog qhov tsawg heev. Tus kab mob tuaj yeem nkag mus tob rau hauv pob ntseg thaum lub sijhawm otitis media nrog rau cov ntshav ntws. Nyob ntawm seb cov kab mob twg ua rau mob, nws tau muab faib ua kab mob, fungal thiab kab mob.
YOtitis externa
Otitis externa yog tus cwj pwm los ntawm kev mob ntawm daim tawv nqaij thiab cov ntaub so ntswg subcutaneous ntawm lub pob ntseg sab nrauv. Nrog rau lub zos o, uas manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug boil, lub zos tshuaj yog siv. Yog tsimabscess, phais yuav tsum tau. Nyob rau hauv rooj plaub no, lub boil yog qhib thiab cov kab noj hniav yog drained.
Ntau tus xav paub yog pob ntseg pob ntseg, yuav ua li cas thiab yuav ua li cas tshem tawm qhov mob. Lub hauv paus ntawm kev kho yog siv cov tshuaj tua kab mob. Lawv tuaj yeem muab tshuaj rau hauv daim ntawv tee. Tsis tas li ntawd, cov ntaub qhwv ntaub tuaj yeem siv tau vim qhov no yuav pab khaws cov tshuaj.
Otitis media
Non-purulent otitis media (ICD 10 H65) yog tus cwj pwm los ntawm kev mob hauv pob ntseg nruab nrab. Kev kho mob txawv. Kev ua tau zoo ntawm kev kho mob feem ntau nyob ntawm theem uas nws siv. Kev npaj yog xaiv ib tus zuj zus, nyob ntawm:
- qauv ntawm cov kab mob;
- kev noj qab nyob zoo;
- mob.
Catarrhal o yog tus cwj pwm los ntawm cov txheej txheem pathological feem ntau hauv cov hlab ntsha. Qhov kub nce me ntsis kuj ua tau. Kev kho mob pib nrog tshem tawm qhov ua rau mob.
Txhawm rau tshem tawm qhov mob, tshuaj tua kab mob, tshwj xeeb, Otinum tee. Lawv muab tso rau hauv lub pob ntseg hauv daim ntawv rhuab.
mob hnyav tuaj yeem yuav luag asymptomatic. Hauv qhov no, tsuas yog hnov lus tsis hnov lus xwb. Kua, accumulating nyob rau hauv nruab nrab pob ntseg, ua rau ib tug ua txhaum ntawm auditory functions. Txhawm rau tso tawm cov kua dej serous, tshuab, shunting, lossis ua ib lub qhov me me hauv lub tympanicdaim nyias nyias. Yog tias muaj kev ua xua, tshuaj tiv thaiv kab mob.
Purulent otitis yog tus cwj pwm los ntawm qhov mob ntawm lub qhov ncauj kab noj hniav. Cov kab mob nkag mus rau hauv nruab nrab pob ntseg los ntawm Eustachian raj. Qhov no provokes lub tsub zuj zuj ntawm cov kua paug nyob rau hauv lub pob ntseg kab noj hniav. Yog li ntawd, lub pob ntseg tawg thiab cov kua paug ntws tawm.
Yog pob ntseg mob sab hauv, ces koj yuav tsum tau siv cov tshuaj tua kab mob uas yuav pab tshem tawm qhov mob thiab mob. Yog tias otitis tshwm sim nrog qhov kub thiab txias, ces yuav tsum tau siv tshuaj antipyretic. Tom qab normalization ntawm qhov kub thiab txias, cua sov tuaj yeem nqa tawm.
Nco ntsoov noj tshuaj tua kab mob rau pob ntseg, tshwj xeeb, xws li "Amoxiclav" lossis "Amoxicillin". Yog tias muaj kev tsis txaus siab rau cov nyiaj no, ces lawv hloov nrog Sumamed, Doxycycline, Rovamycin. Thaum cov kua paug tawm thiab muaj teeb meem tshwm sim, cov tshuaj tau txhaj.
Chronic otitis media
Daim ntawv mob tshwm sim thaum daim ntawv mob raug kho tsis raug lossis tsis raws sijhawm. Nyob rau hauv lub sij hawm ntev ntawm tus kab mob, kev kho mob rov qab yog siv. Nws lub luag haujlwm tseem ceeb yog ua kom lub cev tiv thaiv ntau yam tsis zoo. Txhawm rau ua qhov no, ENT feem ntau sau ntawv UV irradiation.
Yog tus kab mob no tsis kho, nws tuaj yeem ua rau tsis hnov lus mus tas li.
Cov tsos mob tseem ceeb
Ntawm cov tsos mob tseem ceeb ntawm pob ntseg mob, cov hauv qab no yuav tsum tau qhia:
- pain;
- pob ntseg lossis pob ntseg liab;
- khaus tawv nqaij hauvpob ntseg;
- daim tawv nqaij;
- hnov tsis hnov;
Kab mob tuaj yeem cuam tshuam rau kev noj qab haus huv tag nrho. Raws li kev loj hlob ntawm tus kab mob, mob taub hau, kub taub hau thiab xeev siab tuaj yeem tshwm sim. Thaum tus kab mob ua mob ntev, qhov mob yuav txo qis, tab sis cov kua paug tawm tsis tu ncua. Tus neeg mob taub hau tas li thiab xav tias xeev siab me ntsis.
Diagnostics
Yog pob ntseg mob, yuav ua li cas, tsuas yog ib tus kws kho mob uas tsim nyog tuaj yeem qhia txog qhov no tom qab kuaj pom tseeb. Txhawm rau kuaj xyuas kom raug, yuav tsum muaj kev sab laj ENT. Tus kws kho mob tshwj xeeb pib tshuaj xyuas pob ntseg muaj mob, thiab yog tias tsim nyog, nws yuav ntxiv ib qho kev kuaj ntshav kom paub tseeb tias muaj mob.
Audiometry yuav tsum tau txiav txim siab qhov nyuaj ntawm qhov txhab thiab qhov tsis hnov lus. Ib qho kev kuaj ntxiv nrog kev pab los ntawm ib qho kev ua suab paj nruag yog muab los kuaj xyuas huab cua patency.
Yog tias tus neeg mob muaj cov kua paug tawm ntawm pob ntseg, yog li qhov no, yuav tsum kuaj xyuas cov kab mob microscopic thiab bacterioscopic txhawm rau txheeb xyuas cov kab mob. Txoj kev tshawb no tuaj yeem kav 3-4 hnub. Cov txiaj ntsig tso cai rau kev kho kom zoo.
Txoj Kev Kho Mob
Yog pob ntseg pob ntseg, yuav ua li cas, tsuas yog tus kws kho qhov muag tuaj yeem hais tau tseeb tom qab kuaj pom tseeb. Tus kws kho mob xaiv ib txoj kev kho mob tshwj xeeb rau txhua tus neeg mob. Nws yog tsim nyog sau cia tias nyob rau hauv ib qho twgrooj plaub, kev kho mob yuav tsum ua kom tiav. Rau kev kho mob ntawm otitis sab nraud yuav tsum tau:
- kev tu tu huv si;
- tshuaj tua kab mob thiab tshuaj tua kab mob;
- vitamin kho;
- antipyretic;
- antiallergics.
Nco ntsoov tiv thaiv koj pob ntseg los ntawm dej. Kev kho mob otitis xov xwm tuaj yeem nqa tawm hauv tsev lossis hauv tsev kho mob, txhua yam nyob ntawm seb tus kab mob twg. Kev siv kho mob:
- vasoconstrictive nose drops;
- tshuaj tua kab mob;
- poob pob ntseg los ntawm qhov mob;
- tshuaj tiv thaiv kab mob;
- kho lub cev;
- blowing.
Qee qhov xwm txheej, raug txiav tawm ntawm lub pob ntseg, tshem tawm cov adhesions thiab tympanoplasty. Nrog serous otitis, lub auditory raj yog tshuab. Yog tias cov txheej txheem no tsis ua haujlwm, shunting yuav raug sau tseg. Ua li no, ib lub qhov me me yog ua rau hauv lub pob ntseg, tom qab ntawd ib qho shunt yog ntxig los ntawm cov ntsiab lus purulent raug tshem tawm thiab txhaj tshuaj.
Internal otitis yog kho hauv tsev kho mob nkaus xwb. Rau qhov no, siv tshuaj tua kab mob, decongestants. Nco ntsoov saib lub txaj so. Tus kws kho mob kuj tau sau cov tsos mob thiab kev kho mob phais.
Ntau tus neeg xav tias nws puas tuaj yeem ua kom lub pob ntseg nrog lub teeb xiav, thiab seb qhov no puas yuav ua rau muaj teeb meem. Cov cua sov tuaj yeem nqa tawm tsuas yog thaum tsis muaj qhov kub thiab txias, txij li hauvtxwv tsis pub, tsuas yog ua rau tus kab mob hnyav zuj zus tuaj.
Tshuaj rau cov neeg laus
Yog pob ntseg mob, yuav kho li cas - ntau tus neeg mob txaus siab rau qhov mob thiab tsis xis nyob hauv thaj chaw cuam tshuam. Kev kho mob yuav tsum tau ua raws li tus neeg mob sab nraud. Txoj kev kho mob feem ntau nyob ntawm theem thiab daim ntawv ntawm o. Thaum tsis muaj purulent tawm, kev kho mob tsuas yog ua los ntawm kev siv cov tshuaj hauv zos, cov tshuaj pob ntseg tau siv.
Thaum muaj mob abscess, tshuaj tua kab mob tau muab tshuaj rau otitis media rau cov neeg laus. Ntawm cov tshuaj tua kab mob uas nrov tshaj plaws thiab tshuaj tua kab mob, koj yuav tsum tau qhia cov hauv qab no:
- "Tsipromed";
- "Normax";
- Sofradex;
- Otipax.
"Sofradex" - ib qho tshuaj ua ke raws li cov tshuaj tua kab mob thiab corticosteroids. Cov pob ntseg tee no muaj cov txiaj ntsig xav tau ntawm thawj theem ntawm cov kab mob, kom txog thaum cov kua paug pib nkag mus rau hauv nruab nrab pob ntseg. Rau kev kho mob, 2-3 tee ntawm cov tshuaj yog siv 4 zaug ib hnub twg. Qhov kev kho mob nruab nrab yog 4-5 hnub.
Tsipromed tee yog ib qho dav-spectrum antimicrobial tus neeg saib xyuas uas pab tshem tawm cov kab mob sai sai los ntawm cov kab mob. Koj yuav tsum tau thov 1 poob 3 zaug hauv ib hnub.
Otipax tee muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Cov tshuaj nyob rau hauv nws muaj pes tsawg leeg muaj lidocaine thiab phenazole. Drops yog siv rau mob otitis media, raws li lawv pabtxo qhov mob sai heev. Kev mob suppuration hnyav yuav xav tau tshuaj tua kab mob hauv qhov ncauj.
Ntau zaus, cov tshuaj tua kab mob dav dav yog siv ntxiv rau cov kab mob otitis hauv cov neeg laus. Qhov kev sib xyaw ua ke no yuav pab txo qis kev pheej hmoo ntawm cov teeb meem thiab kev hloov pauv ntawm tus kab mob mus rau ib daim ntawv ntev.
Tshuaj rau me nyuam
Thaum koj pom cov tsos mob ntawm otitis media hauv tus menyuam, nco ntsoov sim txo qhov mob. Tom qab ntawd sab laj nrog kws kho mob uas yuav xaiv cov kev kho mob uas tsim nyog. Raws li antipyretics, nws raug nquahu kom siv "Pavnadol", "Nurofen". Tsis tas li ntawd, cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob yog tshuaj.
Tshuaj tua kab mob pab tshem tawm cov kab mob, uas ua rau kom tus menyuam rov zoo dua. Feem ntau tus kws kho mob tau sau Amoxiclav, Flemoxin, Augmentin.
Rau kev kho mob hauv zos, tee hauv pob ntseg nrog tshuaj tua kab mob yog siv rau kev mob, tshwj xeeb, xws li Otirelax, Otinum, Otipax. Cov tshuaj no pab txo qhov mob. Yog tias qhov mob tsis hnyav heev, ces yuav tau muab tshuaj Otofa lossis Dioxidin.
Thaum thawj cov tsos mob tshwm sim, kev kho mob yuav tsum pib tam sim ntawd txhawm rau tiv thaiv kev hloov pauv ntawm tus mob mus rau theem purulent.
kev kho neeg zoo
Dav siv rau pob ntseg mob pej xeem kev kho mob uas pab txo qhov mob thiab tiv thaiv kab mob sai dua. Txhawm rau ua qhov no, koj tuaj yeem siv cov cuab yeej xws li:
- Yichthyol tshuaj pleev;
- Iodine;
- qej;
- juniper;
- aloe.
Ichthyol ointment yog siv rau sab nrauv ntawm lub pob ntseg, pab kho kom sai, tshem tawm qhov mob thiab mob tshwm sim. Ib qho kev daws ntawm menthol hauv txiv duaj roj tuaj yeem muab tso rau hauv pob ntseg. Cov tshuaj no muaj cov nyhuv emollient thiab analgesic.
Iodine muaj cov tshuaj tua kab mob zoo, pab tshem tawm cov kab mob. Yog li ntawd, nws yog ib qho tsim nyog los kho qhov cuam tshuam auricle nrog cov tshuaj no. Thaum tsis muaj kev puas tsuaj rau ntawm daim tawv nqaij, lub pob ntseg tom qab tuaj yeem siv rau kev kho mob. Ua li no, moisten gauze nyob rau hauv vodka los yog cawv daws. Lub compress yog muab tso rau 6 teev. Cawv sov lub pob ntseg los ntawm kev nthuav cov hlab ntsha.
Qej tuaj yeem siv sab nraud thiab sab hauv. Lawv ua gruel los ntawm nws, sib tov nrog roj thiab insist rau 10 hnub. Tom qab ntawd glycerin ntxiv thiab instilled rau hauv pob ntseg. Cov tshuaj no pab tshem tawm cov kab mob thiab kab mob.
Koj tuaj yeem tso juniper extract hauv pob ntseg. Cov tshuaj muaj nyob rau hauv nws muaj pes tsawg leeg muaj ib tug tshuaj loog, anti-inflammatory thiab soothing nyhuv. Cov tee dej sov ntawm aloe, uas kuj zoo tiv thaiv tus kab mob uas twb muaj lawm, yuav pab txo qis qhov mob ntawm cov tsos mob uas twb muaj lawm. Cov nroj tsuag no muaj natural antiseptics. Nws tsim nyog sau cia tias nws tsis ua rau muaj kev fab tshuaj.
Boric acid yog suav tias yog ib qho tshuaj tua kab mob zoo, uas yog siv los kho cov kab mob otitis uas tsis yooj yim. Txhawm rau tshem tawm qhov mob, koj yuav tsum sib tov 1 ampoule ntawm 1-2%novocaine thiab ib lub raj mis ntawm 3% boric acid tov. Lub resulting sib tov yuav tsum tau instilled rau hauv pob ntseg 3-4 tee. Cov txheej txheem yuav tsum tau rov ua 3-4 zaug hauv ib hnub. Tsis tas li ntawd, koj tuaj yeem faus boric acid hauv nws daim ntawv ntshiab.
Hauv mob hnyav, propolis tuaj yeem siv rau kev kho mob. Ua li no, koj yuav tsum sib tov propolis tincture nrog nws cov roj extract. Moisten ib daim ntawm gauze nyob rau hauv lub resulting kua thiab, rub lub auricle rov qab me ntsis, ntxig rau hauv lub pob ntseg kwj dej. Cov tshuaj no tsuas yog siv tau yog tias tsis muaj kev fab tshuaj rau cov khoom lag luam muv.
Ua ntej siv cov tshuaj pej xeem, koj yuav tsum tau nrog kws kho mob tiag tiag, vim tias kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj teeb meem.
Muaj Teeb Meem
Mob otitis media xyaum tsis ua rau hnov lus tsis zoo, txawm li cas los xij, raug rau nws txoj kev kho kom raug thiab raws sijhawm. Cov teeb meem ntawm pob ntseg o yog cov yam ntxwv ntawm cov kab mob ntev heev thiab lawv pom lawv tus kheej li:
- mob khaub thuas meninges;
- hnov tsis hnov;
- sepsis;
- facial paj hlwb lesions.
Nrog rau lub sijhawm tshawb pom tus kab mob thiab kev kho mob nyuaj, otitis media tuaj yeem kho tau. Yeej, tag nrho cov txheej txheem ntawm kev kho mob yuav siv sij hawm tsis ntau tshaj 1 lub lis piam. Mob thiab tsis xis nyob yuav ploj mus nyob rau hnub 2 ntawm kev kho tshuaj.
prophylaxis
Otitis hauv cov neeg laus feem ntau tshwm sim vim muaj teeb meem nrog qhov ntswg ua pa. Qhov no tej zaum yuav yog vim mob sinusitis los yog deviated qhov ntswgmuab faib. Nws tuaj yeem tiv thaiv kev txhim kho ntawm otitis media tsuas yog los ntawm kev kho mob raws sijhawm ntawm cov kab mob uas twb muaj lawm.
Ntxiv rau, nws tseem ceeb heev los tiv thaiv qhov txo qis hauv kev tiv thaiv thiab kho txhua yam kab mob sib kis thiab kis tau raws sijhawm.
