Otitis yog ib qho txheej txheem inflammatory nyob rau hauv nruab nrab pob ntseg. Nws muaj ntau dua hauv cov menyuam yaus, uas cuam tshuam nrog cov yam ntxwv ntawm lub cev ntawm cov qauv ntawm lub cev hnov lus hauv cov menyuam mos. Ntxiv mus, raws li txoj cai, tus kab mob yog nrog los ntawm ib tug tseem ceeb nce nyob rau hauv kub. Kev kho mob otitis nyob rau hauv tus me nyuam yuav tsum pib nrog kev mob nyem - qhov tseem ceeb ntawm kev txhawj xeeb rau cov neeg mob hluas thiab lawv niam lawv txiv, uas yog lub ntsiab lus tseem ceeb ntawm kev hu rau tus kws kho mob tshwj xeeb.
Rau lub hom phiaj no, cov tshuaj "Paracetamol" lossis "Nurofen" raug sau tseg (nws muaj cov nyhuv analgesic tshaj tawm). Qhov ntau npaum yog xaiv raws li qhov hnyav ntawm tus menyuam lub cev. Coob leej tham txog qhov tshwm sim loj ntawm cov tshuaj no - hepatotoxicity, tab sis nws cov metabolism hauv lub cev ntawm cov menyuam yaus mus yam tsis muaj kev puas tsuaj rau daim siab, uas tso cai rau koj siv cov tshuaj zoo hauv kev xyaum menyuam yaus. Ntxiv rau nws, thaum kho otitis media hauv menyuam yaus, cov tshuaj "Meloxicam" tuaj yeem siv rau kev ua kom mob plab (nws yog cov xaiv COX-2 blockers, yog li nws tsis muaj cov nyhuv ulcerogenic), thiab rau cov menyuam yaus hnub nyoog qis dua 12 xyoos. qubtso cai kom tau txais cov txhais tau tias "Nimesulide". Tsis tas li ntawd, cov tshuaj no muaj cov nyhuv antipyretic, uas ua rau lawv cov txiaj ntsig zoo thaum muaj qhov kub thiab txias hauv tus menyuam. Rau tib lub hom phiaj, pob ntseg tee "Otipax", "Cafradex", "Otinum" kuj tau sau tseg. Lawv yuav tsum tau instilled rau hauv pob ntseg cuam tshuam ob mus rau peb zaug ib hnub twg, plaub tee ib zaug. Tsis tas li ntawd, compresses (piv txwv li, cawv) tuaj yeem siv los txo qhov mob, tab sis lawv tsuas yog siv tau tom qab qhov hnyav ntawm cov txheej txheem txo qis (uas yog, thaum tus menyuam qhov kub thiab txias tau txo qis). Thiab nws yuav tsum tau borne nyob rau hauv lub siab hais tias compresses yog contraindicated thaum nws los txog rau kev kho mob ntawm purulent otitis media. Ua ntej siv lub compress, xyuas qhov kub ntawm qhov chaw los ntawm kev thov cov ntaub qhwv rau ntawm koj txhais tes. Tsis txhob cia nws ntev ntev, txwv tsis pub koj yuav muaj tshuaj tua kab mob ntxiv rau otitis media. Txhawm rau txo qhov mob, txhim kho cov dej ntws tawm ntawm pob ntseg, thiab, raws li, rau kev kho mob lub hom phiaj, vasoconstrictor nasal tee raug sau tseg: "Nafthyzin", "Galazolin", "Xylmetazoline", "Xilen", "Dlyanos", "Nazol". ", "Otrivin". Nws yog ib qho tseem ceeb uas yuav tsum tau hloov qhov ntswg tee txhua peb hnub kom tsis txhob txo qis qhov ua tau zoo ntawm kev kho mob.
Mob tshem tawm. Tom ntej no yog dab tsi? Thiab tom qab ntawd kev kho mob ntawm otitis nyob rau hauv tus menyuam txuas ntxiv los ntawm kev cuam tshuam qhov ua rau tus kab mob. Rau qhov no, tshuaj tua kab mob tau sau tseg. Thiab lawv pib kho etiotropic nrog penicillins: tshuaj "Augmentin" thiab "Amoxiclav" nyob rau hauv daim ntawv ntawm cov hmoov. Rau kev npaj ntawm kev ncua, cov tshuaj "Lemoklav" nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj rau cov me nyuam loj. Cov koob tshuaj yog muab raws li cov lus qhia. Kev npaj Macrolide kuj tseem siv tau: Sumamed (Azithromycin), Vilprafen. Yav dhau los, macrolides tau suav hais tias yog cov tshuaj xaiv hauv kev kho mob otitis media, tab sis tam sim no lawv tau muab tso rau hauv daim teb no los ntawm cov tshuaj tua kab mob ntawm penicillin series.
Ua tau zoo kuj yog cov txheej txheem xws li tshuab pob ntseg, pneumomassage ntawm pob ntseg. Lawv pab txhim kho cov dej ntws tawm ntawm cov kua dej, uas yog kev tiv thaiv cov teeb meem.
Kev kho mob phais yog sau rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm purulent otitis media. Nyob rau tib lub sijhawm, kev saib xyuas yog them rau cov cim qhia ntawm otitis hauv menyuam yaus raws li qhov kub thiab txias, qhov mob thiab qhov mob ntawm pob ntseg. Nws ntseeg tau tias qhov pom ntawm nws cov bulging (cov tsos mob no tau kuaj pom thaum lub sijhawm otoscopy) yog qhov qhia ncaj qha rau paracentesis, piv txwv li, qhib lub tympanic membrane, ua raws li cov kua dej tawm ntawm cov kua paug.
Tom qab otitis media, tus me nyuam yuav tau txais kev kho lub cev - UHF, UVI, electropheresis, kev siv cov vitamins.
Cov teeb meem tshwm sim los ntawm otitis media suav nrog meningitis, mastoiditis - o ntawm cov txheej txheem mastoid, hnov lus tsis zoo. Perforation ntawm tympanic membrane hem cov menyuam yaus uas feem ntau muaj purulent otitis media. Yog li ntawd, kev kho mob ntawm otitis nyob rau hauv ib tug me nyuam yuav tsum tau ua los ntawm ib tug kws kho mob ENT. Thiab tsis muaj teeb meem yuav tsum tau ua lag luam no.
