Txhua qhov kev phais pob ntseg hauv cov tshuaj tau muab faib ua kev npaj thiab ceev. Rau kev phais ntawm thawj hom, tus neeg mob tuaj yeem npaj ua ntej. Tsis tas li ntawd, nws tus kheej tuaj yeem ua tus thawj coj - piv txwv li, yog tias tus neeg xav tau kev phais yas ntawm nws pob ntseg. Tus nqi nyob rau hauv rooj plaub no yuav nyob ntawm ntau yam - ntawm qhov nyuaj ntawm rooj plaub, daim ntawv teev nqi ntawm ib lub tsev kho mob tshwj xeeb, cov txheej txheem rov qab. Cov kws kho mob xa mus rau cov lus qhia nyuaj xws li cov kab mob loj xws li cov txheej txheem nyuaj ntawm nruab nrab thiab sab hauv pob ntseg - lawv tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob septic, txhua yam teeb meem ntawm lub hlwb thiab thrombosis.
Kev npaj tus neeg mob
Tau kawg, kev phais pob ntseg tsis ua tam sim tom qab tus neeg mob mus ntsib kws kho mob tshwj xeeb. Tom qab tus kws kho mob otolaryngologist sau ntawv xa mus rau hauv tsev kho mob, tus neeg mob tau kuaj xyuas ntau yam: ua tiav cov ntshav suav, biochemistry, kev txiav txim siab ntawm Rh factor, ECG, MRI, x-ray ntawm cov txheej txheem mastoid, kev tshuaj xyuas dav dav ntawm lub xeev ntawm lub rooj sib hais thiab, thaum kawg, kev kuaj xyuas los ntawm tus kws kho mob thiab kws kho mob neuropathologist. Raws li kev npaj qhia, nyob rau hauv rooj plaub no tus neeg raug tshuaj xyuas ntawm tus neeg mob sab nraud lossis tus neeg mob hauv tsev; tsuas yog tom qab ntawd koj tuaj yeem ua tautham txog pob ntseg phais.
Surgery
Yuav luag txhua qhov kev phais mob ntawm pob ntseg nruab nrab thiab sab hauv yog ua raws li kev siv tshuaj loog hauv endotracheal. Nyob rau hnub ua haujlwm, tus neeg mob tau txais kev kho mob premedication, tom qab ntawd nws raug coj mus rau chav ua haujlwm hauv lub gurney. Nws yuav tsum tau muab sau tseg tias nyob rau hauv lub ua ntej ntawm nws, yog hais tias tsim nyog, lawv txiav thiab chais tawm cov plaub hau nyob rau hauv lub cheeb tsam ntawm lub posterior quav. Txij li thaum ib qho ntawm cov tsos mob ntawm labyrinthitis yog qhov ntuav ntuav, cov neeg mob no yuav tsum tsis kam noj zaub mov thaum yav tsaus ntuj thiab sawv ntxov ua ntej kev cuam tshuam (kom tsis muaj teeb meem thaum lub pob ntseg phais). Yog tias tus kws kho mob yuav cuam tshuam nrog pob ntseg sab nraud, nws raug tso cai ua kev kho mob raws li tshuaj loog hauv zos.
Kev tswj tus neeg mob tom qab kev phais
Kev kho mob tom qab phais yog nyob ntawm hom kev cuam tshuam: txhua qhov kev ua haujlwm ntawm pob ntseg nruab nrab (anthrotomy, antromastoidotomy) yog tus cwj pwm los ntawm qhov qhib qhov txhab, uas yog tamponed thiab tom qab ntawd kaw nrog cov ntaub qhwv tsis muaj menyuam. Raws li txoj cai, thaum yav tsaus ntuj tus neeg mob pib hnov zoo dua: qhov kub thiab txias, qhov mob ploj mus. Hnub tom qab, thawj hnav khaub ncaws yog ua; Cov dej tampons raug hloov nrog cov tshiab, cov kab noj hniav tom qab raug ntxuav thiab tua kab mob nrog tshuaj tua kab mob. Kev hnav khaub ncaws hauv qab no yog ua txhua ob peb hnub thiab nres tsuas yog tom qab cov kab noj hniav tau puv tag nrog cov ntaub so ntswg granulating. Yog ibsuppuration nres, thiab qhov perforation kaw, cov sutures theem nrab tsis siv. Feem ntau, lub pob ntseg tau rov qab los, kev hnov lus rov zoo li qub. Purulent otitis media nrog lub qhov txhab kaw yuav tsum muaj kev ua haujlwm ntawm cov kab noj hniav, thaum tsuas yog cov ntaub qhwv sab nrauv yuav tsum tau hloov, thiab cov sutures yuav tsum tau kho nrog iodine. Kev hnav khaub ncaws puv yog nqa tawm tsuas yog tom qab ib lub lim tiam. Txhua lub sijhawm no, tus neeg mob tau txhaj tshuaj analgesics thiab antipyretics.
