Nyob rau hauv tsab xov xwm no, peb yuav saib cov tsos mob thiab kev kho mob ntawm tubo-otitis.
Qhov no yog cov txheej txheem inflammatory hauv zos hauv Eustachian raj, uas txuas cov kabmob ntawm qhov hnov thiab ua pa, uas yog, tympanic kab noj hniav lossis pob ntseg nruab nrab thiab nasopharynx hauv nws nraub qaum.
Qee tus kws kho mob otolaryngologist zoo li ntseeg tias tubo-otitis yog thawj theem ntawm otitis, tab sis kev tshawb fawb kev kho mob faib nws raws li tus lej ntawm cov kab mob ywj pheej. Tus kab mob no tsis kis tau. Nws tseem hu ua eustachitis thiab tubotympanitis. Kev kho tus kab mob tubootitis yuav tham hauv qab no.
Symptoms
Cov tsos mob tseem ceeb ntawm tus kab mob nyob rau theem pib yog qhov hnov qhov mob hauv pob ntseg, uas ua rau txo qis ntawm kev hnov lus pom. Feem ntau, cov neeg mob yws yws ntawm tinnitus, qee zaum kiv taub hau lossis hnov qhov hnyav ntawm lub taub hau.
Ntxiv rau, cov tsos mob ntawm tubo-otitis yog:
1. Kev hnov cov kua gurgling hauv pob ntseg.
2. Nasal congestion.
3. Tympanophony, uas yog, echoing nyob rau hauv lub pob ntseg ntawm nws tus kheej lub suab.
4. Mob taub hau ib ntus.
Stages
Muaj ntau theem ntawm tubootitis nyob ntawm qhov hnyav ntawm cov txheej txheem inflammatory:
1. Mob tubo-otitis. Nws yog provoked los ntawm cov kab mob sib kis thiab kav ntev li ob peb hnub.
2. Subacute tubo-otitis. Leak ib pliag.
3. Mob ntsws tubo-otitis. Nws tshwm sim ib ntus hauv daim ntawv hnyav lossis me me, tab sis tsis tu ncua cuam tshuam kev hnov lus pom.
Nyob rau hauv qhov mob hnyav ntawm tus kab mob, ntxiv rau cov tsos mob saum toj no, otalgia ntxiv, uas yog, mob hauv qhov chaw ntawm cov txheej txheem inflammatory hauv pob ntseg. Tubootitis tuaj yeem yog ib leeg lossis ob sab (txawm li cas los xij, feem ntau nws pib ntawm sab xis lossis sab laug, maj mam cuam tshuam rau ob lub pob ntseg). Cov tsos mob thiab kev kho mob ntawm tubo-otitis hauv cov neeg laus thiab menyuam yaus zoo sib xws, tab sis muaj qhov sib txawv.
Nyob rau hauv ib qho kev mob hnyav, cov neeg laus cov neeg mob kuj yuav muaj kev nce hauv lub cev kub (subfebrile), nrog rau kev ua tsis taus pa. Tus me nyuam qhov kub thiab txias yuav nce siab heev thiab nrog tus mob ua npaws.
khaus pob ntseg tsis yog cov tsos mob ntawm tubo-otitis. Txawm li cas los xij, nws yuav qhia tau tias muaj leej faj nyob rau hauv pob ntseg, dermatitis, mycosis thiab o ntawm lub auditory raj. Nws tsis suav nrog tubo-otitis o ntawm cov qog ntshav. Feem ntau, qhov mob ntawm lub pob ntseg tom qab lub pob ntseg tshwm sim tawm tsam keeb kwm ntawm serous lossis purulent otitis media nyob rau hauv daim ntawv mob.
Tshuaj kho tus mob tubootitis: tee
Tshuaj uas tau sau rau tubo-otitis suav nrogdecongestants thiab anti-inflammatory tshuaj. Lawv lub hom phiaj yog los kho cov kev ua haujlwm ib txwm ua ntawm lub suab raj, nrog rau kev kho mob ntawm cov kab mob ua pa uas muaj nrog rhinitis.
Tubo-otitis pob ntseg tau muab tshuaj. Cov feem ntau yog:
1. "Otipax". Cov tshuaj muaj xws li lidocaine thiab phenazone. Instill 3-4 tee nyob rau hauv txhua pob ntseg peb zaug ib hnub twg. Lub sijhawm ntawm kev kho mob yuav tsum tsis pub tshaj ib lub lis piam. Ib qho contraindication rau kev siv Otipax yog kev puas tsuaj rau pob ntseg.
2. "Otofa". Cov tee muaj cov tshuaj tua kab mob rifampicin. Lawv raug tshuaj rau staphylococcal genesis ntawm tubo-otitis. Kev faus yuav tsum yog 5 tee rau cov neeg laus thiab 3 rau cov menyuam yaus txog peb zaug hauv ib hnub. Cov kev mob tshwm sim ntawm cov tee no yog khaus thiab pob khaus hauv thiab ib ncig ntawm pob ntseg.
3. "Polydex". Feem ntau siv rau hauv kev kho mob ntawm tubo-otitis. Lawv muaj cov tshuaj tua kab mob xws li polymyxin B thiab neomycin, nrog rau cov tshuaj los ntawm qeb ntawm corticosteroids dexamethasone. Kev siv tshuaj tsuas yog tso cai thaum tsis muaj kev puas tsuaj rau pob ntseg. Cov neeg laus noj yog 3-4 tee, rau cov me nyuam - 1-2 tee nyob rau hauv txhua pob ntseg ob zaug ib hnub twg. Kev mob tshwm sim los ntawm nws txoj kev siv, ntxiv rau kev tsis haum tshuaj, tuaj yeem ua rau muaj teeb meem hauv daim ntawv ntawm tus kab mob fungal.
4. "Anauran". Zoo ib yam li Polydex. Cov tshuaj muaj xws li neomycin, polymyxin B thiab lidocaine, uas muab cov nyhuv analgesic. Txawm li cas los xij, cov tee no yog contraindicated rau siv hauvthaum yau.
5. "Sofradex". Muaj dexamethasone, gramicidin thiab neomycin. Tsim los daws cov txheej txheem inflammatory hauv kab noj hniav ntawm pob ntseg sab nrauv hauv kev kho tubo-otitis.
Kev siv tag nrho cov tee no thaum cev xeeb tub yog txwv tsis pub, vim tias lawv muaj cov tshuaj tua kab mob uas tau nqus mus rau hauv lub cev, uas txhais tau hais tias lawv tuaj yeem dhau ntawm qhov chaw mos rau cov menyuam hauv plab.
tshuaj ntxiv
Txhawm rau tshem tawm qhov ntswg qhov ntswg uas tshwm sim tawm tsam keeb kwm ntawm tubo-otitis, vasoconstrictor tee yog siv rau hauv qhov ntswg. Cov tshuaj ntau tshaj plaws yog Naphthyzin, Sanorin, Vibracil, Nazol, Nazivin, thiab lwm yam.
Lwm cov tshuaj vasoconstrictor zoo uas muaj cov nyhuv decongestant ntawm qhov ntswg mucosa yog "Rint" hauv daim ntawv tshuaj tsuag. Nws muaj oxymetazoline. Txawm li cas los xij, nws yog contraindicated rau siv nyob rau hauv atrophy ntawm lub qhov ntswg mucosa, arterial hypertension ntawm ib tug pronounced xwm, nce intraocular siab, raws li zoo raws li hyperthyroidism thiab cov hnub nyoog qis dua rau xyoo.
Nasonex yog corticosteroid thiab muaj mometasone. Nws yog siv los ua ib qho ntxiv decongestant. Raws li txoj cai, nws raug sau rau cov neeg mob uas muaj keeb kwm ntawm kev tsis haum rhinitis lossis mob sinusitis nyob rau theem mob.
Txhawm rau txo qhov o, cov tshuaj tiv thaiv kab mob kuj tau noj, xws li Claritin, Suprastin, thiab lwm yam. Hauv cov kab mob rhinitis ntev thiab tsis haum rau nasopharyngitis, Erespal lossis Fenspiril yog tshuaj. Cov tshuaj lausyog sau nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, syrup yog muaj rau cov me nyuam. Kev phiv los ntawm kev noj cov tshuaj no yog xeev siab thiab ntuav, tsaug zog thiab lub plawv dhia tsis zoo.
Sinupret yog ib qho tshuaj homeopathic thiab tseem raug sau rau tubo-otitis yog tias tus neeg mob yws yws ntawm qhov hnoos tsis ua haujlwm thiab ua rau mob paranasal sinuses. Cov tshuaj noj ob ntsiav tshuaj peb zaug ib hnub twg.
Thaum tubootitis txoj kev kho tsis ua haujlwm, qhov mob tsis zoo, thiab tus neeg mob tus mob hnyav zuj zus, cov tshuaj tua kab mob tau sau tseg. Yog hais tias tus kab mob no provoked los ntawm staphylococci los yog streptococci, ces tshuaj tua kab mob los ntawm amoxicillin qeb, xws li Augmentin, Amoxiclav, Clavocin, Flemoxin Solutab, thiab lwm yam. Cov kev phiv ntawm cov tshuaj no yuav ua rau muaj kev tsis haum tshuaj thiab raws plab..
Lwm cov tshuaj tua kab mob rau tubo-otitis yog Ciprofloxacin. Nws yog contraindicated rau cov menyuam yaus hnub nyoog qis dua 16 xyoo, nrog rau cov poj niam thaum cev xeeb tub. Nws tuaj yeem ua rau muaj kev cuam tshuam tsis zoo xws li xeev siab thiab ntuav, mob taub hau, kiv taub hau, pob khaus thiab mob hauv plab.
"Biseptol" yog ib qho tshuaj tua kab mob thiab tau muab tshuaj rau kev kho mob ntawm cov kab mob ENT. Cov menyuam yaus tuaj yeem noj tshuaj txij li hnub nyoog 12 xyoos. Rau ib tug hluas hnub nyoog, daim ntawv ntawm cov tshuaj yog muab nyob rau hauv daim ntawv ntawm ib tug syrup. Contraindications yog raum tsis ua hauj lwm, hematological kab mob thiab cev xeeb tub.
Kev kho tubo-otitis hauv menyuam yaus
Acute Eustachitisnthuav tawm nrog cov tsos mob:
- pob ntseg los pob ntseg, txawv teb chaws lub cev hnov;
- hnov koj lub suab hauv koj lub taub hau;
- extraneous nrov nyob rau hauv lub taub hau;
- pob ntseg thiab taub hau;
- gurgling los yog ntws dej hauv pob ntseg;
- hnov tsis hnov.
Mob tuaj yeem sib txawv ntawm qhov mob me mus rau qhov hnyav, txiav, ua rau tus menyuam mob tsis taus.
Tawm tsam keeb kwm ntawm pathology, cov cim qhia ntawm neurasthenia txhim kho: kua muag, pw tsaug zog tsis zoo, quaj qw, tsis kam noj. Tus me nyuam yau, qhov nyuaj tshaj yog rau tus mob ntawm tubo-otitis. Muaj tsawg zaus, tus kab mob no asymptomatic lossis cov tsos mob me me thiab tus neeg mob tus cwj pwm tsis hloov ntau. Cov niam txiv tuaj yeem kuaj mob salpingo-otitis los ntawm kev hnov lus tsis zoo.
Cov tsos mob thiab kev kho tus kab mob tubootitis hauv cov menyuam yaus muaj kev cuam tshuam.
Kev kho tshuaj yog tsom rau kev txwv tsis pub cov tsos mob ntawm cov txheej txheem inflammatory thiab kev tsom mus rau kis kab mob. Rau qhov no, siv tshuaj los ntawm ntau pawg:
- Tshuaj tua kab mob. Hauv cov menyuam yaus, tubo-otitis yog kho nrog tshuaj tua kab mob kom tsis txhob muaj kev mob tshwm sim. Tus kws kho mob muab tshuaj "Otofa" los yog "Tsipromed" rau instillation rau hauv pob ntseg. Rau kev siv qhov ncauj, "Amoxicillin", "Azithromycin". Nyob rau theem siab, kev txhaj tshuaj intramuscular ntawm Cefazolin tau muab.
- Antihistamines. Muab rau cov menyuam uas muaj kev tsis haum tshuaj "Tavegil", "Suprastin", "Erius", "Zodak"
- Vasoconstrictor poob rauqhov ntswg. Txhawm rau txo qhov ntswg qhov ntswg, tshuaj Otrivin, Naphthyzin.
- Immunomodulating tshuaj. Tsim nyog los txhim kho kev tiv thaiv kev ua haujlwm ntawm lub cev. Tus me nyuam raug tshuaj "Broncho-Vax", "Immunoriks", "Amiksin".
- YGlucocorticosteroids. Lawv qhov kev txiav txim yog tsom rau kev tshem tawm cov txheej txheem inflammatory. Ntawm cov tshuaj niaj hnub no, Nasonex haum rau cov menyuam yaus.
Physiotherapy
Kev kho tus kab mob tubootitis tuaj yeem nrog kev kho lub cev siv cov txheej txheem electrotherapy. Electrophoresis yog ua los ntawm kev npaj raws li zinc thiab calcium los ntawm sab nraud auditory meatus.
Ntxiv rau, cov txheej txheem luv luv diathermy thiab UHF feem ntau raug muab ncaj qha rau thaj tsam ntawm paranasal sinuses.
Darsonvalization nrog alternating tam sim no tso cai rau koj kom qhib cov ntshav ntws hauv cov ntaub so ntswg puas los ntawm tubo-otitis thiab txhim kho lawv cov trophism. Tsis tas li ntawd, qhov no physiotherapy txo otalgia. Cov mob no tau txo qis los ntawm kev raug hluav taws xob infrared thiab ultraviolet.
pob ntseg massage
Nyob rau qee lub sijhawm, tus neeg mob uas muaj tubo-otitis tau muab tshuaj tshwj xeeb zaws ntawm pob ntseg. Nws pab tswj nws elasticity thiab pab kom tsis txhob puas.
Ntawm lwm yam, koj yuav tsum paub yuav ua li cas thiaj li tshuab tawm koj lub pob ntseg nrog tubo-otitis. Qhov no yog ua kom qhib lub auditory hlab. Txhawm rau ua qhov no, ua pa tob tob, lub qhov ntswg thiab qhov ncauj raug kaw thiab pinched nrog ntiv tes, tom qab ntawd sim ua kom nqus pa. Ib feem ntawm huab cua khiavncaj qha mus rau hauv lub auditory hlab thiab pob ntseg congestion raug tshem tawm.
Yuav ua li cas ntxiv rau tubo-otitis kho rau cov neeg laus thiab menyuam yaus?
Kev kho mob hauv tsev
Txoj kev siv tshuaj ntau tshaj plaws hauv kev kho mob otitis media thiab tubo-otitis yog pob ntseg cua sov. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias cov txheej txheem no yuav ua tau tsuas yog nrog tag nrho kev ntseeg siab tias otitis media tsis yog ib tug purulent xwm, thiab kuj nyob rau hauv qhov tsis muaj kub. Hauv lwm qhov xwm txheej, kev ua kom sov tuaj yeem ua rau muaj kev phom sij rau tus neeg mob. Feem ntau, kev kho tus kab mob tubootitis hauv tsev yuav tsum tau ua nrog kev saib xyuas zoo.
Ua kom sov yog nqa nrog lub teeb xiav rau kaum feeb, ces lub pob ntseg yuav tsum tau insulated. Qee lub sij hawm ua vodka compress. Koj tuaj yeem siv boric acid lossis boric cawv. Ua li no, ib tug flagellum yog tsim, uas yog wetted nyob rau hauv ib tug 3% kua thiab tso rau hauv lub pob ntseg kwj dej. Lub flagellum hloov tsis tu ncua. Nws yog txwv tsis pub faus cawv hauv pob ntseg. Kuj tseem siv tincture ntawm calendula thiab propolis.
Yog tias cov txheej txheem mob hauv pob ntseg tshwm sim tawm tsam keeb kwm ntawm SARS, tonsillitis lossis nasopharyngitis, nws raug tso cai ua kom nqus tau. Ua li no, koj tuaj yeem siv cov kua qab zib, steamed boiled qos yaj ywm los yog alkaline ntxhia dej.
Phytotherapy
Ntxiv mus, nws muaj peev xwm ua tau cov tshuaj ntsuab nrog cov tshuaj hauv qab no:
1. Ib decoction ntawm ib tug sib tov ntawm paj ntawm meadow clover, nettle, helichrysum thiab ntoo thuv buds yuav tsum tau noj tom qab noj mov, 50 ml txhua.
2. Thaum kho tshuaj tua kab mobKoj yuav tsum haus ib khob ntawm decoction ntawm eucalyptus, dandelion paus, yarrow thiab fireweed.
3. Koj tseem tuaj yeem ua rau decoction ntawm calendula paj thiab noj 100 ml tom qab noj mov ob zaug ib hnub.
Kev kho tus mob tubo-otitis yuav tsum nyob rau hauv kev saib xyuas kev kho mob.
Yog tias tus kab mob no nrog qhov kub thiab txias, ces tsis pom zoo taug kev. Cov menyuam yaus raug zam los ntawm kev kawm lub cev.
Kev tshuaj xyuas ntawm kev kho tus kab mob tubootitis
Kev tshuaj xyuas txog kev kho tus kab mob feem ntau yog qhov zoo. Pathology teb zoo rau kev kho mob, tshwj xeeb tshaj yog tias nws yog raws sijhawm.
