Otitis media yog suav tias yog ib tus kab mob uas cov txheej txheem inflammatory tshwm sim hauv nruab nrab pob ntseg hauv qab pob ntseg. Qhov no yog nrog los ntawm qhov mob heev. Tom qab kho kom raug, feem ntau tsis muaj teeb meem. Txawm li cas los xij, qee zaum (5-10%) cov neeg mob yws yws ntawm pob ntseg tom qab otitis media. Vim li cas qhov no tshwm sim? Tsim nyog saib rau.
Root Cause
Nws tsim nyog hais ob peb lo lus hais txog tus kab mob hu ua otitis media, uas ua rau muaj teeb meem. Cov tsos mob ntawm qhov mob yog vim muaj kev phom sij ntawm ntau yam kab mob (cov kab mob, kab mob), pob ntseg raug mob. Tsis tas li ntawd, tus kab mob tuaj yeem tshwm sim tawm tsam keeb kwm ntawm caries, qhua pias, tonsillitis, kub taub hau.
Cov menyuam yaus hnub nyoog preschool feem ntau cuam tshuam, tab sis nws tuaj yeem tshwm sim rau cov neeg laus. Otitis media manifests nws tus kheej nyob rau hauv ntau txoj kev:
- Sab nraud qhov txhab - vimthaiv lub pob ntseg txwv tsis pub dhau lub suab nthwv dej.
- Poob pob ntseg nruab nrab - qhov no, cov kua paug ntau ntxiv, uas ua rau kev ua haujlwm tsis zoo ntawm lub cev hnov lus: audibility txo, suab nrov, ncha, congestion tshwm.
- Otitis ntawm pob ntseg sab hauv - tsis tsuas yog congestion tshwm, tab sis qhov kub thiab txias nce siab, qhov mob yuav siv sij hawm tua tus cwj pwm thiab muab rau lub taub hau.
Kev kho tus kab mob no, nrog rau pob ntseg pob ntseg tom qab otitis, yog qhov zoo tshaj plaws hauv tsev kho mob. Tab sis tom qab tau txais txiaj ntsig zoo, rau qee lub sijhawm tus neeg mob yuav hnov qhov txhaws hauv pob ntseg.
Ntau yam teeb meem tom qab otitis media
Thaum pom muaj cov txheej txheem mob hauv pob ntseg, kev kho mob yuav tsum pib tam sim. Txwv tsis pub, tej zaum yuav muaj qhov tshwm sim loj heev uas yooj yim zam tsis tau. Koj yuav tsum tsis txhob cia siab rau cov qub Lavxias teb sab kev cai - "tej zaum nws yuav tshuab dua." Cov txiaj ntsig tseem ceeb yog:
- tsis hnov lus. Qhov teeb meem no tshwm sim feem ntau, thaum lub rooj sib hais tuaj yeem txo qis lossis nws ploj tag nrho. Tab sis tom qab kev kho mob, txhua yam zoo li qub. Nyob rau tib lub sijhawm, qee kis, cov txheej txheem no tsis tuaj yeem thim rov qab, thiab kev hnov lus ploj mus ib txhis. Hmoov tsis zoo, qhov no siv tau rau cov menyuam yaus ntau dua.
- Meningitis. Qhov teeb meem ntawm otitis no tshwm sim thaum kho tus kab mob tsis quav ntsej. Cov txheej txheem inflammatory twb kis mus rau lub hlwb.
- Rupture ntawm pob ntseg. tshwm sim los ntawm tsub zuj zuj ntawm purulent mass.
- mob ntawm lub ntsej muag paj hlwb tshwm sim.
- Kev ua haujlwm tawgplab hnyuv.
- Kev txhim kho ntawm mastoiditis.
- Kev hloov pauv ntawm tus kab mob mus rau theem ntev. Hauv cov menyuam yaus, tus kab mob tsis kho yuav xaus nrog kev rov qab los.
Txhua yam teeb meem no tuaj yeem zam tau los ntawm kev ua cov txheej txheem kho kom raug thiab raws sijhawm. Tsis tas li ntawd, nws tseem ceeb heev los saib xyuas koj txoj kev tiv thaiv kab mob, ntxiv dag zog rau nws, thiab noj zaub mov kom zoo.
Kev nyuaj siab
Peb twb tau ntsib tus yeeb ncuab lawm, tam sim no tseem nrhiav seb yog vim li cas pob ntseg pob ntseg tsis ploj mus tom qab otitis media. Feem ntau, lub siab nyob rau hauv cov kwj dej sab nraud thiab hauv nruab nrab pob ntseg yog tib yam. Nws txoj kev sib raug zoo ntawm ob thaj chaw no yog Eustachian raj, uas yog qhov tseem ceeb ntawm lub kwj dej nyob nruab nrab ntawm pob ntseg thiab lub pharynx. Yog tias tsis muaj kev ua txhaum cai hauv lub cev no, ces huab cua dhau los ntawm cov channel, sib npaug ntawm lub siab.
Tab sis yog tias lub raj Eustachian yog nqaim lossis thaiv, huab cua ncig yuav nres. Yog li ntawd, qhov nruab nrab pob ntseg kab noj hniav yuav raug kaw nrog cov nqi sib txawv. Raws li qhov tshwm sim - congestion nyob rau hauv pob ntseg.
Muaj ntau yam vim li cas qhov no yuav tshwm sim:
- kab mob kis;
- nasal infection;
- prolonged rhinitis;
- caws;
- deformity ntawm lub qhov ntswg (kawm los yog congenital);
- middle earitis.
Raws li txoj cai, pob ntseg pob ntseg tom qab otitis media tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm o ntawm Eustachian kwj dej nyob rau hauv lub xub ntiag ntawm concomitant kab mob los yog o. Congestion tshwm sim hauv cov neeg mob tsis hais hnub nyoog li cas. Qhov no cuam tshuam rau cov menyuam mos thiab cov neeg laus.
Tab sis ntau zaus qhov tshwm sim no tshwm sim ntawm cov menyuam yaus hnub nyoog qis dua 10 xyoo. Qhov no yog vim lub fact tias nyob rau hauv ib tug me nyuam lub Eustachian raj, vim peculiarities ntawm nws cov qauv, yog ho nqaim tshaj nyob rau hauv cov neeg laus. Yog li ntawd, kev ua txhaum ntawm patency ntawm channel tshwm sim sai dua. Tab sis qhov laj thawj tseem ceeb yog kev kho mob tsis tiav ntawm otitis media.
daim duab kho mob
Ntau tus neeg mob tom qab rov zoo tsis paub yuav ua li cas tshem pob ntseg pob ntseg tom qab otitis media. Nyob ntawm seb cov txheej txheem inflammatory yuav ua li cas, txhua rooj plaub muaj nws cov tsos mob. Cov neeg uas tsim tus kab mob sab nraud feem ntau muaj cov lus tsis txaus siab hauv qab no:
- Pulsating mob hauv tuam tsev, hniav, caj dab.
- Red pob ntseg.
- Ntseeg ntawm pob ntseg hauv pob ntseg.
- kev hnov lus tshwm sim sai.
Cov cim qhia ntawm pob ntseg nruab nrab qhov sib txawv me ntsis:
- Kev mob ntawm pob ntseg ntawm kev tua xwm.
- Ntaus thiab ntuav.
- Tshuaj nrov nrov hauv pob ntseg.
- tsis hnov lus kuj tshwm sim hauv lub sijhawm luv luv.
Nrog rau pob ntseg sab hauv, kiv taub hau ntxiv rau xeev siab thiab ntuav. Yog hais tias, tom qab kev kho mob ntawm tus kab mob, congestion nyob rau hauv pob ntseg tsis dhau, nws yog ib qhov tsim nyog los xyuas seb qhov ua rau ntawm qhov tshwm sim. Cov cim qhia uas tau teev tseg saum toj no tsis tas yuav qhia txog qhov teeb meem tom qab otitis media. Muaj qee yam pathologies nrog cov tsos mob zoo sib xws. Yog li ntawd, tsuas yog tus kws kho mob tuaj koom tuaj yeem txheeb xyuas tus kab mob.
Nws yuav siv sijhawm qee lub sijhawm los tshem tawm cov tsos mob ntawm otitis hauv menyuam yaus thiab kev kho mob, thiab txhua yam nyob ntawm qhov hnyav ntawm tus kabmob. Qhov tseem ceeb tshaj plaws yog ua raws li cov lus qhia ntawm tus kws kho mob raws nraim, noj cov tshuaj raws sijhawm raws sijhawm.
Yuav ua li cas?
Txawm kom tshem tawm qhov txhaws hauv pob ntseg, muaj ntau txoj hauv kev. Koj muaj peev xwm txawm mus rau lub tswv yim ntawm pej xeem healers. Txawm li cas los xij, nws yuav tsum nco ntsoov tias kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj qhov sib txawv. Tab sis nws tsis tsim nyog ncua kev kho mob, txawm li cas los xij nws yuav hnyav dua. Nrhiav kev kho mob sai li sai tau.
Nyob ntawm daim ntawv ntawm otitis hauv menyuam yaus, cov tsos mob thiab kev kho mob txawv ntawm ib tus neeg mus rau lwm tus. Cov tshuaj uas pab ib tus neeg mob yuav tsis tsim nyog rau lwm tus neeg mob. Qhov no yog vim tus yam ntxwv ntawm lub cev ntawm txhua tus neeg. Nyob rau hauv no hais txog, nws yog prerogative ntawm tus kws kho mob mus sau cov tshuaj tsim nyog.
Diagnosis
Kev kuaj mob thiab kho cov kab mob ntawm pob ntseg, caj pas thiab qhov ntswg yog ua los ntawm kws kho mob ENT, lossis kws kho mob otolaryngologist. Hauv cov neeg, nws tseem hu ua "pob ntseg- caj pas-qhov ntswg." Tsuas yog nws thiaj tuaj yeem sau cov tshuaj tsim nyog, tau kuaj xyuas tus neeg mob yav dhau los. Thiab tom qab qhov ua rau mob pob ntseg tau tsim, txhua qhov kev siv zog raug coj mus rau nws tshem tawm.
Yog tias qhov no yog qee yam txuas nrog qhov tsis xws luag hauv cov qauv ntawm lub qhov ntswg ntawm lub hauv paus los yog tau txais qhov xwm txheej, kev phais yuav raug kho kom tshem tawm qhov tsis xws luag. Nyob rau hauv cov ntaub ntawv thaum tus kab mob yog provoked los ntawm ib tug txias,pob ntseg congestion tom qab otitis raug tshem tawm los ntawm kev noj tshuaj tiv thaiv kab mob.
Thaum lub sijhawm rov zoo los ntawm otitis media, nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj kom koj thiaj li pom tau cov paug tawm ntawm pob ntseg. Qhov tseeb yog tias lawv feem ntau tshwm sim yog tias tus kab mob tau pib lawm. Tom qab ntawd qhov tsim ntawm purulent masses yog ntxiv rau cov txheej txheem inflammatory tsis tu ncua, uas tej zaum yuav fraught nrog ib tug deterioration nyob rau hauv tus neeg mob tus mob.
Vim li no, nws tsim nyog hu rau tus kws kho mob otolaryngologist, tsis yog tus kws kho mob. Tom qab ntawv tuaj yeem xa mus ntsib kws kho mob ENT.
Drug therapy
Txawm hais tias pob ntseg pob ntseg tsis tshua muaj tshwm sim, qee cov neeg mob tsis quav ntsej nws, xav tias lawv tuaj yeem ua yam tsis muaj kws kho mob. Tab sis xws li ib txoj hauv kev rau nws tus kheej kev noj qab haus huv tsuas yog ua rau mob. Tom qab tag nrho, tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov laj thawj ntawm kev khaws cia ntawm qhov tshwm sim tom qab tus kab mob.
Raws li qhov no, pob ntseg pob ntseg tom qab otitis feem ntau yog kho nrog cov tshuaj hauv qab no:
- Cov kab mob raug tshem tawm nrog tshuaj tua kab mob.
- Yog qhov ua rau tus kab mob yog cov kab mob sulfur, ces nws raug tshem tawm los ntawm kev phais, tom qab ntawd cov tshuaj tau muab tso rau hauv pob ntseg.
- Nrog rau sab nraud, nws raug tso cai siv cawv compresses, qhia txog turundas soaked hauv cawv. Tsuas yog kev siv cov nyiaj no yam tsis tau txais kev pom zoo los ntawm tus kws kho mob tuaj koom tau poob siab heev. Txwv tsis pub, tus kab mob ua rau mob ntev, lossis ua tiav qhov poob yuav tshwm sim.hnov.
Ntxiv rau, koj tuaj yeem ntxuav koj pob ntseg nrog boric acid lossis Furacilin tov. Nws yog ib qho tsim nyog xav txog ib qho tseem ceeb - yog tias cov kua paug tawm ntawm pob ntseg, nws yog ib qho tsim nyog yuav tsum tsis txhob siv cov compresses sov thiab tee.
Yuav siv tau dab tsi?
Ntau zaus nrog pob ntseg, tus kws kho mob yuav pom zoo siv cov tee uas yuav pab tshem tawm suab nrov, rov hnov lus.
Raws li kev pom zoo:
- "Otipax" - muaj lidocaine, uas tsis tsuas yog tshem tawm pob ntseg thiab suab nrov tom qab otitis media, tab sis kuj txo qhov mob. Cov tshuaj nquag tsis tuaj yeem nkag mus rau hauv cov ntshav, thiab yog li kev siv los ntawm cov poj niam cev xeeb tub raug tso cai.
- "Otofa" - muaj cov tshuaj tua kab mob. Nrog kev pab los ntawm cov tee no, koj tuaj yeem tiv thaiv tus kab mob zoo, tab sis tib lub sijhawm, lawv tsis txo qhov mob.
- "Normax" - muaj cov tshuaj tua kab mob dav dav. Cov txiaj ntsig ntawm daim ntawv thov tuaj yeem xav tau rau hnub tom ntej.
Cov tee dej uas tau teev tseg tuaj yeem txo qis tus neeg mob tus mob, tab sis tib lub sijhawm, tsis zoo li lawv yuav tuaj yeem kho cov kab mob tsuas yog nrog lawv cov kev pab. Qhov no yuav tsum muaj kev sib koom ua ke los daws qhov teeb meem.
Physiotherapy
Tab sis yog tias koj txhawj xeeb txog pob ntseg pob ntseg tom qab otitis media, yuav ua li cas dua li siv tee? Txhawm rau ua qhov no, koj tuaj yeem tau txais kev kawm ntawm physiotherapy. Lub hom phiaj tseem ceeb hauv qhov no yog tshem tawm puffiness thiab normalize ntshav ncig. Cov txheej txheem no suav nrog:
- Magnetotherapy - kev kho mobua los ntawm raug rau ib tug tsawg-frequency magnetic teb.
- Pneumatic massage - huab cua ntws ncaj qha mus rau pob ntseg cuam tshuam.
- Amplipulse therapy - nrog rau kev tswj hwm zoo li no, lub pob ntseg muaj kab mob raug cuam tshuam rau sinusoidal modular tam sim no (SMT). Cov cuab yeej ua rau kev sib cog lus ntawm cov leeg nqaij, uas ua rau normalization ntawm cov ntshav khiav thiab tshem tawm puffiness.
- Solux yog ib yam khoom uas cuam tshuam rau lub cev hnov lus nrog lub teeb ultraviolet. Lub sijhawm ntawm kev kho mob tuaj yeem yog los ntawm 15 txog 60 feeb, nyob ntawm qhov hnyav ntawm tus kab mob.
- UHF - qhov kev kho no tau qhia thaum tus kab mob nyob rau theem ntev thiab qhov teeb meem ntawm otitis media tau dhau los mus tas li. Ntawm no, ib yam nkaus, siv hluav taws xob hluav taws xob, tab sis twb muaj zaus lawm.
Rau qhov laj thawj pom tseeb, cov txheej txheem no tsuas yog ua hauv tsev kho mob xwb.
Kev kho mob nrog tshuaj ntsuab
Ntxiv nrog rau kev kho mob ib txwm muaj, koj tuaj yeem siv rau qhov kev paub ntawm cov kws kho mob ib txwm muaj. Nws tsuas yog zoo dua rau thawj zaug nrog tus kws tshaj lij ntawm qhov teeb meem no.
kev kho neeg zoo tuaj yeem txiav txim siab raws li hauv qab no:
- Y Propolis tincture. Ua nrog dej lossis cawv. Cov sib tov yog siv rau turunda, tom qab uas nws yog embedded nyob rau hauv lub cuam tshuam lub cev ntawm lub hnov lus rau 10-12 teev. Yog li ntawd, cov txheej txheem inflammatory raug tshem tawm thiab cov kab mob pathogenic raug rhuav tshem.
- Aloe, los yog nws cov kua txiv hmab txiv ntoo. Muaj tseeb, nws tsis pom zoo kom siv nws hauv nws daim ntawv ntshiab kom tsis txhob muaj qhov tshwm sim ntawm kev ua xua. Vim li no, kua txivaloe yuav tsum tau tov nrog dej nyob rau hauv sib npaug proportions. Nrog rau qhov tshwm sim, cov kab mob pob ntseg yog instilled nyob rau hauv tus nqi ntawm 3 tee 2 zaug ib hnub twg.
- ua kom sov. Tsuas yog ua ntej ua cov txheej txheem no, koj yuav tsum tau txais kev tso cai los ntawm koj tus kws kho mob. Txwv tsis pub, qhov tshwm sim loj ntawm otitis media yuav pib.
- Tea tree oil. Cov tshuaj no muaj ib tug antiseptic, anti-inflammatory nyhuv, uas yog ib qho tseem ceeb nyob rau hauv cov ntaub ntawv ntawm purulent otitis media. Ua ntej siv, cov khoom yuav tsum tau sov so, ces drip peb tee rau hauv ob lub pob ntseg thiab tawm rau 10 feeb, ces tshem tawm cov roj ntau dhau nrog ib tug huv paj rwb swab.
- dos kua txiv. Cov cuab yeej no kuj pab tshem tawm cov txheej txheem inflammatory. Yog tias koj muab nws nrog vodka, koj tuaj yeem ua kom muaj txiaj ntsig zoo. Tso peb tee rau hauv pob ntseg.
Dhau li ntawm qhov no, muaj nyiaj rau lwm yam siv. Lub rooj ntsev (ib nrab ib diav qab zib) yuav tsum tau diluted nyob rau hauv ib khob dej sov (200 ml). Gargle nrog lub resulting daws. Tom qab ib ntus, cov pob ntseg hauv pob ntseg ploj mus, patency ntawm qhov ntswg qhov ntswg zoo tuaj.
Yog tias tom qab exudative otitis media pob ntseg congestion tseem tshuav, tshwm sim los ntawm cov kua nplaum nplaum, tom qab ntawd kom nyias nyias, koj yuav tsum tau haus dej sov hauv daim ntawv tshuaj ntsuab, kua zaub, mis nyuj sov. Haus dej kom ntau li ntau tau.
Thaum twg pob ntseg yuav ploj mus?
Raws li tau sau tseg los ntawm cov kws tshaj lij, cov kab mob uas tseem tshuav tom qab kev kho mob otitis media yog suav tias yog qhov qub. Qhov teeb meem no feem ntau daws nws tus kheej yam tsis muaj kev pab. Qhov nruab nrab rau tag nrhotshem tawm pob ntseg nrog rov hnov lus, raws li txoj cai, yuav siv li 3-4 lub lis piam.
Qhov no yog vim qhov tseeb ntawm lub pob ntseg yuav tsum tau nruj, uas tsis tshwm sim sai, tsis sib haum xeeb. Qhov no tshwm sim nyob rau hauv feem ntau, txawm li cas los xij, raws li tau sau tseg saum toj no, qee zaum congestion tseem nyob.
Zoo kawg
Ntau ntawm peb, nrog rau qhov pib ntawm lub sijhawm, pib txaus siab tsis yog thaum lub pob ntseg congestion tom qab otitis media yuav dhau mus, tab sis kuj yuav ua li cas rau qhov no. Tam sim no, riam phom nrog kev paub txog, koj tuaj yeem yooj yim tiv nrog tus kab mob, uas tsis muaj qhov tsis xis nyob tsawg dua los ntawm tus mob khaub thuas. Los yog ntau dua.
