Purulent otitis yog ib yam mob uas tshwm sim los ntawm qhov mob ntawm pob ntseg thiab tuaj yeem ua tau ntev thiab mob. Nws cov txheej txheem pathological yog tag nrho nyob ntawm kev ua phem ntawm cov kab mob thiab muaj kev cuam tshuam hauv lub xeev ntawm tib neeg lub cev tiv thaiv kab mob. Tsis tas li, raws li kev txheeb cais, 30% yog qhov mob ntawm otitis media. Feem ntau lawv mob cov menyuam yaus hnub nyoog qis dua 5 xyoos thiab cov laus, tsawg dua cov hluas.
Ua rau purulent otitis media (raws li ICD - H66) thiab cuam tshuam rau lub cev ntawm qhov hnov lus:
- streptococci;
- staphylococci;
- pneumococci;
- Hemophilus influenzae thiab ntau yam kab mob.
Txhua yam pob ntseg yog qhov txaus ntshai heev, yog li koj yuav tsum sab laj nrog kws kho mob tam sim tom qab kuaj pom tus kab mob thawj zaug, uas tau piav qhia hauv qab no.
Cov tsos mob ntawm tus kab mob no
Thaum thawj theem ntawm mob purulent otitis media, kuaj pom cov tsos mob zoo sib xws:
- mob pob ntseg, uas, loj hlob, tuaj yeem muab rau lub kaus mom,lub tuam tsev thiab kho hniav;
- hnov tsis hnov;
- tshwm sim ntawm ntau lub suab nrov thiab congestion hauv pob ntseg;
- hyperthermia;
- hyperemia;
- intoxication syndrome.
Qhov no yog thawj theem ntawm purulent otitis nyob rau hauv cov neeg laus thiab cov me nyuam, raws li txoj cai, mus txog peb hnub. Thiab tom qab ntawd, muaj kev hloov mus rau lwm theem, thiab tus neeg mob muaj cov tsos mob hauv qab no:
- Kev tawg ntawm daim nyias nyias. Lub sijhawm no, cov kua paug tawm. Cov txheej txheem no tuaj yeem siv sijhawm txog 7 hnub.
- pob ntseg maj mam txo qis.
- Tus neeg mob qhov xwm txheej yog nyob ruaj khov.
- Lub cev kub yog ze li qub.
Cov tsos mob ntawm purulent otitis nyuaj rau kev tsis meej pem.
Yog tias koj tsis pib kho raws sijhawm, ces qhov teeb meem tsis zoo yuav tshwm sim:
- pob ntseg tawg;
- cholesteatoma;
- hnov tsis hnov;
- hnov tsis hnov;
- intracranial pathologies;
- brain abscess.
Thaum thawj cov tsos mob tshwm sim, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob tam sim ntawd txhawm rau kuaj xyuas thiab kho ntxiv. Purulent otitis media sib npaug cuam tshuam rau cov menyuam yaus thiab cov neeg laus. Thiab tsis txwv poj niam txiv neej.
Tus kab mob nkag mus li cas?
Qhov laj thawj tseem ceeb ntawm kev loj hlob ntawm tus kab mob yog qhov nkag mus rau hauv pob ntseg sab hauv thiab nruab nrab thiab txo qis ntawm tag nrho cov kev ua haujlwm ntawm lub cev.
Qhov no tuaj yeem tshwm sim ntau txoj hauv kev:
- kab mob nkag mus rau pob ntseg tom qab puas pob ntseg;
- kis tau los ntawm kab noj hniav;
- kis kab mob nkag mus rau hauv cov hlab ntsha (qhov no feem ntau pom nyob rau hauv cov kab mob khaub thuas, kub taub hau, tuberculosis thiab typhoid).
Qhov laj thawj tseem ceeb ntawm qhov kev txhim kho ntawm cov kab mob no tsis txaus lossis kho tsis raug ntawm pob ntseg mob.
Otitis muaj qhov mob hnyav thiab mob ntev.
Chronic form
Tus kab mob suppurative otitis yog txiav txim los ntawm kev mob ntawm pob ntseg nruab nrab. Nws lub ntsiab feature yog qhov ntws ntawm purulent exudate los ntawm pob ntseg kab noj hniav. Lwm cov cim qhia muaj xws li tsis hnov lus thiab perforation ntawm lub pob ntseg. Cov kab mob no, nws tsim nyog sau cia, tuaj yeem tshwm sim nws tus kheej li mob rhinitis thiab sinusitis.
Feem ntau, mob otitis xov xwm tuaj yeem tshwm sim nws tus kheej twb thaum yau lawm. Nws tuaj yeem raug provoked los ntawm staphylococci, pneumococci thiab pseudomonads. Daim ntawv no ntawm otitis media kuj tuaj yeem zoo li epitympanitis. Nyob rau hauv tas li ntawd mus rau lub mucous daim nyias nyias, cov pob txha qauv ntawm lub mastoid txheej txheem muaj nyob rau hauv lub pathological txheej txheem. Nws localization nyob rau hauv lub Upper ib feem ntawm daim nyias nyias. Daim ntawv no yog qhov txaus ntshai vim tias muaj teeb meem txaus ntshai hauv nws, xws li mob meningitis, sepsis, osteitis, thiab hlwb abscess.
Purulent otitis hauv tus menyuam feem ntau tshwm sim hauv daim ntawv mob.
Sharp shape
Mob otitis pib tom qab nkag mus ntawm cov kab mob pathogenic rau hauv pob ntseg. Cov theem ntawm nws txoj kev loj hlob:
- Catarrhal. kev loj hlob ntawm cov txheej txheem inflammatory. Nyob rau theem pib no, exudate accumulates nyob rau hauv pob ntseg. Muaj qhov mob hauv pob ntseg, qhov tsis hnov lus qis dua. Nws yog ib qho tseem ceeb mus ntsib kws kho mob tam sim no. KhoTus kab mob no feem ntau yog kho nrog tshuaj tua kab mob lossis kho lub cev.
- Purulent daim ntawv. Yog tias qhov kev kho mob tsim nyog tsis tau ua nyob rau theem pib, tom qab ntawd ib qho purulent exudate yog thaum kawg tsim, uas pib ntws tawm ntawm kab noj hniav.
- mob khaub thuas. Cov kua paug nres thiab cov tsos mob ntawm kev hnov lus tsis hnov lus pib ua ntej.
Dab tsi ua rau purulent otitis media hauv menyuam yaus?
Ua rau otitis media
Yuav luag txhua tus kab mob ENT nrog rau kev tsim cov hnoos qeev. Tom qab cov hnoos qeev pib nce, qhov kawg nkag mus rau Eustachian raj, yog li cuam tshuam qhov cua ntawm lub tympanic kab noj hniav. Pathogenic microorganisms kuj tseem ua rau muaj kev ua phem rau cov txheej txheem no.
Qhov laj thawj tseem ceeb ntawm otitis media:
- ntxiav cov kab mob los ntawm cov kab mob ENT cuam tshuam;
- kab mob ntawm qhov ntswg, nasopharynx thiab sinuses;
- kev raug mob ntawm auricle;
- kev tiv thaiv kab mob sib kis.
Txhais tau
Qhov tshwm sim ntawm suppurative otitis media yog dab tsi?
Txawm hais tias nws feem ntau ua mob pob ntseg, tab sis nrog cov teeb meem txaus, tus kab mob tuaj yeem cuam tshuam rau lwm yam kabmob. Yog tias kev kho mob tsis zoo, qhov no tuaj yeem ua rau muaj qhov tshwm sim txaus ntshai heev. Thaum suppuration dhau mus rau sab puab tsaig thiab kov cov qog qaub ncaug, qhov no yuav ua rau muaj kev tsis taus.
Tab sis tsis muaj tsawg txaus ntshai yog qhov tseeb tias tus kab mob no tsis yooj yim los txheeb xyuas. Muaj qee lub sij hawm thaum tus kab mob yuav tsis tuaj nrog qhov mob ntawm pob ntseg. Muaj ntau zaus thaum otitis media cuam tshuamkev ua haujlwm ntawm lub plab zom mov. Tag nrho qhov no tshwm sim vim peb pob ntseg thiab plab hnyuv txuas nrog tib lub paj hlwb. Yog li ntawd, feem ntau thaum lub sij hawm otitis media, tshwj xeeb tshaj yog nyob rau hauv cov me nyuam, ntuav, cem quav, thiab tsam plab yuav tshwm sim. Hauv qhov no, koj yuav raug xav tias muaj mob plab hnyuv thiab yuav raug xa mus rau tus kws phais. Tab sis cov kab mob inflammatory hauv cov me nyuam tau kuaj pom zoo tshaj plaws los ntawm kev koom nrog tus kws kho mob otorhinolaryngologist hauv tus txheej txheem.
Yog tias tam sim no tus niam ntawm tus menyuam xav tias nws tsuas yog mob plab xwb, thiab tsis nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb, qhov tshwm sim yuav tsis yog qhov tseeb, thiab otitis nyob rau hauv lub sijhawm no yuav loj hlob mus ntxiv. mob hnyav.
mob otitis nyuaj heev rau kev kho, thaum lub neej zoo txo qis - hnov lus tsis zoo, thiab cov txheej txheem inflammatory tshwm sim hauv pob ntseg thiab cov kua paug tshwm. Feem ntau cov kev kho mob ib txwm tsis txaus, nws yog ib qho tsim nyog yuav tsum tau mus rau txoj kev phais.
Kev kuaj mob otitis media
Tus kws kho mob paub txog thiab muaj peev xwm kuaj pom sab laug lossis sab xis sab xis purulent otitis media yam tsis muaj cov cuab yeej tshwj xeeb. Ib qho yooj yim kuaj ntawm auricle nrog lub taub hau reflector yuav txaus.
Kev kuaj mob otitis externa
Nrog rau hom kab mob otitis media no, tus kws kho mob tau saib xyuas ntawm daim tawv nqaij ntawm lub auricle thiab xyuam xim rau qhov loj ntawm lub auditory lumen. Yog hais tias nws yog nruj heev los yog lub tympanic daim nyias nyias yog yuav luag tsis pom thiab kua paug yog pom, ces tus kws kho mob ua ib tug kuaj mob ntawm otitis externa.
Kev kuaj mob otitis media
Nrog otitis media, tus kws kho mob kuj txwv rau sab nraudkev tshuaj xyuas. Cov cim tseem ceeb ntawm tus kab mob no yog qhov liab ntawm lub pob ntseg thiab nws qhov tsis muaj zog.
Cov tsos mob no yooj yim los kuaj. Tus neeg mob yuav tsum ua kom lub puab tsaig tsis qhib qhov ncauj. Qhov kev tawm dag zog no feem ntau siv los ntawm cov neeg dhia dej thiab cov neeg dhia dej kom sib npaug ntawm lub pob ntseg. Thaum huab cua nkag mus, lub pob ntseg pob ntseg, thiab thaum cov kab noj hniav muaj cov kua dej, yuav tsis muaj qhov tshwm sim.
Thaum otitis media, qhov perforation ntawm lub pob ntseg pom tam sim ntawd, tom qab pob ntseg kab noj hniav muaj cov kua paug thiab ntws tawm thaum nws tawg.
Kev kuaj mob otitis media
Nyob rau hauv rooj plaub no, lub rooj sib hais raug tshuaj xyuas ntawm cov cuab yeej tshwj xeeb hu ua audiometer. Yog hais tias hnov acuity poob ceeb heev nrog tus kab mob ntawm otitis media, thiab bouts ntawm kiv taub hau tshwm, muaj ib tug xav tias ntawm o ntawm pob ntseg labyrinth los yog sab hauv otitis media. Ntawm no lawv siv audiometry thiab siv rau kev kuaj mob hlwb.
Siv xam tomography thiab x-rays
Nyob rau hauv mob otitis media, x-ray yog siv los xyuas kom meej tias muaj teeb meem. Tag nrho cov no tuaj yeem nthuav tawm cov kab mob intracranial hnyav. Txawm hais tias cov no yog cov xwm txheej tsis tshua muaj, yog tias muaj qhov xav tsis thoob, ces tus neeg mob yuav tsum tau kuaj CT ntawm lub hlwb.
Ntseev cov kab mob flora hauv otitis media
Kev tshawb fawb ntawm cov kab mob flora, thaum xub thawj siab ib muag, yuav zoo li tsis muaj nuj nqis. Tom qab tag nrho, nws yuav siv sij hawm ntau los txheeb xyuas nws, thiab qhov tshwm sim yuav pom tsuas yog tom qablub lim tiam. Tab sis txij li thaum cov tshuaj tua kab mob ib txwm tsis pab rau txhua tus neeg mob, tus kws kho mob tuaj yeem tshawb pom qhov tshwm sim los ntawm smears, uas cov kab mob ua rau cov kab mob otitis media, thiab sau cov kev kho mob uas tsim nyog.
Yuav ua li cas nrog purulent otitis media?
Yog tias koj hnov qhov tsis xis nyob hauv koj pob ntseg - nws tuaj yeem mob ib ce lossis ntuav - koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Yog tias qhov no tsis ua tiav ntawm cov tsos mob thawj zaug, tom qab ntawd otitis media tuaj yeem txhim kho mus ntev, uas tuaj yeem tawm nti ntawm lub pob ntseg. Tab sis yog tias koj tsis tuaj yeem mus ntsib kws kho mob tib hnub koj pom cov tsos mob thawj zaug, koj tuaj yeem siv tshuaj tua kab mob los ntawm qhov ncauj, nrog mob hnyav - tshuaj tua kab mob.
Kev noj tshuaj rau tus kheej tuaj yeem txaus ntshai
Tab sis tsis txhob noj tshuaj rau tus kheej nrog cov zaub mov txawv hauv tsev. Chamomile infusions, boric cawv, dos lossis qej kua txiv, nrog rau ntau yam phytocandles tsis tuaj yeem siv los ua kev kho mob hauv kev tawm tsam otitis media. Tag nrho cov tshuaj "kho" no tuaj yeem ua rau lag ntseg rau lub neej.
Tab sis qhov phem tshaj plaws yog cov kua paug mus rau hauv lub hlwb, uas tuaj yeem ua rau muaj qhov tshwm sim txaus ntshai - tus neeg tuaj yeem nyob tsis taus.
Yog li ntawd, txheeb xyuas koj cov tsos mob ua ntej thiab sai li sai tau, thiab nyiam tam sim ntawd nyob rau tib hnub, mus ntsib kws kho mob.
Yuav ua li cas kho purulent otitis media?
Kho tus kab mob no tseem zoo dua nyob rau hauv qhov chaw nyob ruaj khov. Tshwj xeeb tshaj yog tias purulent otitis tau pom hauv tus menyuam. Tus kws kho mob uas tuaj koom kos ib txoj kev kho mob, coj mus rau hauv tus account theem ntawm tus kab mob thiab tus mobneeg mob.
- kho mob ntawm preperforated theem:
- siv cov tshuaj siv tshuaj thiab tshuaj pleev ib ce;
- semi-alcohol compresses ntawm pob ntseg;
- tshuaj tiv thaiv kab mob;
- tshuaj tua kab mob.
Kev kho mob purulent otitis yuav tsum tau ua tsuas yog nyob rau hauv kev saib xyuas ntawm tus kws kho mob.
Raws li theem no nce mus, nws tseem ceeb heev uas yuav tsum tau noj tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob ntxiv. Cov kev kho mob tuaj yeem ntxiv nrog cov tshuaj xws li:
- tshuaj tiv thaiv kab mob;
- mucolytics;
- kho lub cev kho mob: laser, UV, UHF;
- tshem tawm cov kua paug tawm ntawm lawv lub pob ntseg.
Kev kho mob ntawm theem kho:
- tshuab lub raj auditory;
- Txhaj tshuaj rau hauv cov kab noj hniav kom tiv thaiv adhesion ntawm kev sib sau;
- noj biostimulants;
- Yvitamin therapy.
Yuav tsum tau kho cov tshuaj tua kab mob, vim nws yog cov tshuaj uas muaj peev xwm tshem tawm qhov ua rau muaj kev loj hlob. Nws yuav tsum tau muab sau tseg tias tsuas yog ib tug kws kho mob tshwj xeeb yuav tsum tau sau ib pawg tshuaj. Nws yog tsis tsim nyog rau arbitrarily coj AB, qhov no tsuas ua rau aggravate qhov teeb meem. Cov tshuaj tua kab mob yuav tsum tau noj raws li lub sijhawm teem tseg. Yog tias pom muaj teeb meem thaum kho, tus kws kho mob tuaj yeem hloov cov tshuaj.
Lub hom phiaj tseem ceeb hauv kev tiv thaiv kab mob otitis media yog ua kom lub raj Eustachian tsis txhob thaiv los ntawm cov hnoos qeev tuab. Txhawm rau tiv thaiv otitis media los ntawm kev txhim kho, nws yog qhov yuav tsum tau nrhiav kev pab los ntawm kws kho mob raws sijhawm thiabkho cov kab mob ENT, seb nws yog ib qho mob khaub thuas lossis sinusitis.
