pob ntseg yog tib neeg lub cev tseem ceeb tshaj plaws, ua tsaug rau nws uas peb tuaj yeem pom lub suab ntawm ib puag ncig. Hmoov tsis zoo, zoo li cov kab mob ntawm lwm yam kabmob, ntau yam kab mob pob ntseg feem ntau tsim. Peb yuav xav txog cov tsos mob thiab kev kho mob ntawm qhov tshwm sim hauv kab lus.
Yog vim li cas
kab mob pob ntseg hauv tib neeg tuaj yeem tsim muaj ntau yam laj thawj. Feem ntau ntawm qhov tsis hnov lus yog:
-
mob hauv pob ntseg.
kab mob pob ntseg yees duab hauv tib neeg - Ib qho kev tawm tswv yim tuaj yeem ua rau muaj mob hnyav ntawm lub cev ntawm qhov hnov lus. Cov menyuam yaus ua rau qhov no ntau dua, vim tias lawv lub pob ntseg hnov mob ntau dua li cov neeg laus.
- Tus kab mob kis tau ua rau suppuration nyob rau hauv ib qho chaw ntawm pob ntseg kwj dej.
- kab mob pob ntseg ntawm tib neeg tuaj yeem tshwm sim vim muaj ntau yam kab mob, thiab qhov no tsis muaj txoj hauv kev nyob ntawm pob ntseg huv.
- Nyob tsis tshua muaj, tus kab mob yog tshwm sim los ntawm kev raug mob ntawm pob ntseg kwj dej, kis las kis las kis las ntau dua rau qhov no.
NyobDaim duab ntawm sab xis qhia txog qhov piv txwv ntawm pob ntseg (duab). Hauv tib neeg, ntau yam pathologies ntawm lub cev ntawm kev hnov lus tau tsim ntau zaus. Yog li ntawd, nws yog ib qho tseem ceeb kom paub seb lawv tshwm sim lawv tus kheej li cas thiab qhov kev kho mob yog dab tsi.
Tib neeg pob ntseg: cov tsos mob
Qhov kev kho mob tseem ceeb ntawm tus kab mob yog qhov mob. Feem ntau, mob yog hnov nyob rau hauv cov ntaub ntawv ntawm o ntawm lub auditory analyzer. Nws qhov kev siv zog tuaj yeem sib txawv. Kev mob feem ntau tshwm sim rau ntawm qhov muag, lub puab tsaig qis lossis tshwm sim nws tus kheej thaum nqos thiab zom mov, feem ntau mob taub hau ntawm qhov cuam tshuam.
Ntau yam tshwm sim ntawm tinnitus, tsis hnov lus, autophony (ib qho xwm txheej uas tus neeg hnov nws lub suab nrog lub pob ntseg ntsaws) - qhov no yog qhov mob pob ntseg tshwm sim hauv tus neeg. Cov tsos mob tuaj yeem tsis yog hauv zos xwb, tab sis kuj yog qhov dav dav, lub cev kub feem ntau nce, insomnia tsim, qab los noj mov.
Hom pathologies ntawm lub cev hnov lus
kab mob pob ntseg hauv tib neeg tuaj yeem txaus ntshai heev. Txawm hais tias qhov zoo sib xws ntawm kev tshwm sim, lawv muaj ntau haiv neeg. Xav txog cov kab mob pob ntseg ntau tshaj plaws ntawm tib neeg. Kev kho mob rau txhua hom kab mob yog muab los ntawm kws kho mob tom qab kuaj mob.
Neeg-mute
Qhov ua rau ntawm tus kab mob no tuaj yeem ua rau los yog kis tau (txog 3 xyoos) lag ntseg. Congenital lag ntseg tshwm sim nyob rau hauv lub embryonic lub sij hawm nyob rau hauv tus ntawm cov teeb meem tshwm sim thaum cev xeeb tub (cov kab mob kis kab mob, syphilis, tshuaj lom, tshuaj, beriberi, thiab lwm yam). noob caj noob ces,Raws li txoj cai, nws yog ua ke nrog malformations ntawm nruab nrab thiab puab pob ntseg. Cov ntaub ntawv tau txais ntau dua thiab yog qhov tshwm sim ntawm kev kis kab mob yav dhau los, kev cuam tshuam ntawm cov tshuaj ototoxic. Vim kev lag ntseg, kev ua ruam ua luaj.
Kev kho mob hauv qhov no tsis muaj txiaj ntsig. Txhua qhov kev siv zog yuav tsum raug coj los qhia kev hais lus hauv cov tsev kawm tshwj xeeb. Cov tswv yim niaj hnub no yuav pab ua kom muaj kev noj qab haus huv zoo.
Sudden lag ntseg
Tus mob no feem ntau tshwm sim los ntawm cov kab mob vascular (hemorrhage, thrombosis, embolism, vascular spasm) thiab kis kab mob. Muaj nyob rau hauv cov xwm txheej xws li cov kab mob ntshav, syphilis, ntshav qab zib, pob txha taub hau, qog ntawm lub paj hlwb.
Nyob rau hauv qhov xwm txheej no, yuav tsum tau mus pw hauv tsev kho mob tam sim thiab kev tswj hwm cov tshuaj tshwj xeeb. Kev mloog kho kho qhov teeb meem no yeej muaj tiag.
Minière tus kab mob
Tus kab mob no hais txog cov kab mob uas tsis yog kab mob ntawm pob ntseg sab hauv. Nws yog tus cwj pwm los ntawm kev tawm tsam ntawm kiv taub hau, xeev siab lossis ntuav, tinnitus, tsis txaus ntseeg, tsis hnov lus hauv ib pob ntseg, nce kev chim siab los ntawm lub suab nrov. Pathology tsim los ntawm cov kab mob ntawm cov tib neeg lub cev thiab cov kab mob hauv lub cev (kev ua xua, kub siab, hypotension, atherosclerosis, vegetative dystonia, hormonal ntshawv siab, menopause, ntau yam toxicoses, nicotine tsim txom). Tus kab mob manifests nws tus kheej raws li ib tug ntse teeb meem ntawm lub vestibular muaj nuj nqi. mobnormalizes tom qab qhov kev tawm tsam xaus, tab sis tsis hnov lus thiab tinnitus nyob twj ywm thiab maj mam nce. Tus kab mob feem ntau cuam tshuam rau ib pob ntseg.
Kev kho mob muaj xws li pw so, noj zaub mov tsis muaj ntsev, thiab da dej mustard. Txhawm rau kom tsis txhob muaj qhov mob hnyav, Syabro hmoov (caffeine-sodium benzoate, platyfillin hydrotartrate, sodium bromide) yog siv. Txhawm rau tiv thaiv ntuav, cov tshuaj "Aminazine", "Ephedrine", "Dimedrol" raug muab tso rau hauv cov hlab ntsha. Nruab nrab ntawm kev tawm tsam, electrophoresis, 5% calcium chloride tov, tshwj xeeb lub cev ce, acupuncture yog sau. Nws yog txwv tsis pub haus cawv, haus luam yeeb, nyob hauv lub hnub, ua luam dej hauv dej tob. Hauv tsev kho mob, cov txheej txheem phais yog ua ke nrog ultrasound thiab cryotherapy.
Diffuse thiab txwv otitis externa - kab mob ntawm tib neeg pob ntseg sab nraud
Limited otitis externa yog ib tug furuncle ntawm sab nraud auditory kwj dej. Nws tsim tshwj xeeb rau thaj tsam membranous-cartilaginous, qhov twg muaj cov qog sebaceous thiab plaub hau. Mob hnyav uas kis mus rau cov hniav, qhov muag, caj dab - qhov no yog li cas tus kab mob pob ntseg no tshwm sim hauv tib neeg. Kev kho mob ntawm tus kab mob nyob rau theem pib muaj kev siv tshuaj tua kab mob: "Penicillin", "Oxacillin", "Ampioks". Rau kev taw qhia rau hauv pob ntseg kwj dej, turunda yog siv, uas yog impregnated nrog 2% boric cawv. Tom qab lub boil yog qhib, ib tug turunda yog qhia, yav tas los soaked nyob rau hauv ib tug daws ntawm penicillin nyob rau hauv novocaine. Muab tshuaj "Analgin", "Acetylsalicylicacid". Kev kho phais tsis tshua siv.
Ib hom diffuse purulent otitis media yog otomycosis. Nrog rau tus kab mob no, ntau hom poov xab thiab pwm fungi tsim nyob rau ntawm phab ntsa ntawm cov kwj dej sab nraud. Yog vim li cas rau qhov tshwm sim yog hydration ntev, yav tas los purulent otitis media, uncontrolled siv cov tshuaj hormonal thiab tshuaj tua kab mob. Kev mob ntawm daim tawv nqaij, mob, khaus, paug tawm ntawm daj, grey-ntsuab, qias neeg dub, nyob ntawm seb hom fungus - qhov no yog qhov kab mob pob ntseg no tshwm sim hauv tib neeg.
Kev kho mob otomycosis muaj nyob rau hauv lub qhov quav kom huv si ntawm pob ntseg, yaug nrog 3% kev daws ntawm boric acid, yaug nrog tshuaj tua kab mob ("Kanesten", "Nitrofungin"), 10% kev daws ntawm silver nitrate. Kev kho tus kab mob no ntev heev, cov teeb meem feem ntau tshwm sim.
Ib hom otomycosis yog candidiasis ntawm pob ntseg, tshwm sim los ntawm nws cov poov xab zoo li fungus ntawm genus Candida. Tus kab mob no tshwm sim feem ntau vim yog siv cov tshuaj tua kab mob ntev. Rau kev kho mob ntawm tus kab mob no, tshuaj tua kab mob ("Levorin", "Nystatin", "Nizoral", "Griseofulvin") yog siv rau qhov ncauj, 0.1% cawv ntawm "Chinozol" yog siv topically.
Otitis media
Otitis media (mob pob ntseg nruab nrab) feem ntau tshwm sim. Thawj theem ntawm tus kab mob yog tus cwj pwm los ntawm qhov mob hauv pob ntseg, nws tuaj yeem ua rau pulsating, tua, tho txawv. Lub cev kub nce siab heev (siab dua 38 ° C). Tom qab ib ntus muaj qhov perforation (tawg)pob ntseg thiab cov kua paug ntws tawm. Lub cev kub rov qab mus rau qhov qub. Feem ntau cov teeb meem ntawm mob otitis media yog mastoiditis. Nrog rau cov kab mob zoo li no, cov txheej txheem mastoid ntawm cov pob txha ntawm lub cev yuav ua rau mob, nyob rau hauv nws cov tuab muaj cov cua hlwb uas sib txuas lus nrog lub pob ntseg nruab nrab. Nrog rau cov kab mob no, kev txhim kho ntawm cov txheej txheem purulent tau pom nyob rau hauv cov hlwb ntawm cov txheej txheem, uas tuaj yeem ua rau muaj qhov tshwm sim ntawm cov teeb meem intracranial (meningitis), txij li cov sinuses thiab daim nyias nyias ntawm lub hlwb nyob ze anatomically. Nias ntawm daim ntawv ntxiv ua rau mob.
Mastoiditis tuaj yeem ua rau mob meningitis, lub ntsej muag tuag tes tuag taw, purulent o hauv caj dab, abscesses qab pob ntseg.
Kev ntsuas kev kho mob yog los xyuas kom meej cov kua paug tawm ntawm lub pob ntseg nruab nrab thiab tawm tsam cov kab mob purulent thiab mob. Kev phais yog tsim nyog nyob rau hauv lub xub ntiag ntawm cov teeb meem thiab ineffectiveness ntawm conservative kev kho mob. Thaum lub sijhawm ua haujlwm, kev phais yog ua tom qab pob ntseg thiab cov txheej txheem mastoid tau qhib.
Otitis media
Otitis media yog labyrinthitis. Xws li cov txheej txheem inflammatory tuaj yeem ua rau mob hnyav lossis mob ntev. Tus kab mob tuaj yeem nkag mus rau hauv pob ntseg hauv ntau txoj hauv kev. Nrog purulent o - los ntawm nruab nrab pob ntseg, nrog meningitis - los ntawm meninges, nrog rau ntau yam kab mob - los ntawm cov ntshav. Cov tsos mob hauv qab no yog cov yam ntxwv ntawm cov kab mob xws li: kiv taub hau, xeev siab, tsis txaus ntseeg, nystagmus (ib yam mob uas lub qhov muag pom.ua kom tsis txhob txav mus rau sab).
Thaum thawj cov tsos mob tshwm sim, yuav tsum tau mus pw hauv tsev kho mob sai. Nyob ntawm daim ntawv ntawm tus kab mob, kev kho mob tuaj yeem ua rau kev saib xyuas thiab phais.
Cov tshuaj tua kab mob (Amoxiclav, Ceftriaxone) thiab cov tshuaj tsis-steroidal tshuaj tiv thaiv kab mob (Indomethacin, Diclofenac) yog siv los kho.
Kab lus no tau piav qhia txog kab mob pob ntseg ntawm tib neeg (cov tsos mob, ua rau, cov hauv paus ntsiab lus ntawm kev kho mob). Txhawm rau tiv thaiv cov kab mob ntawm lub cev tsis hnov lus, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas kev tu cev thiab kho cov kab mob raws sij hawm ntawm lwm yam kabmob uas nyob ze ntawm pob ntseg (pharynx, paranasal sinuses). Yog tias tib neeg tseem muaj kab mob pob ntseg, koj yuav tsum tsis txhob noj tshuaj rau tus kheej - qhov no tuaj yeem ua rau muaj qhov tshwm sim loj.
