Tus kws kho mob hauv chaw ua haujlwm feem ntau hnov cov lus tsis txaus siab los ntawm cov neeg mob tias qhov ntswg tsis ua pa. Yog tias qhov teeb meem no txhawj xeeb tsis yog thaum mob khaub thuas, ces tej zaum muaj hypertrophic chronic rhinitis. Qhov teeb meem loj ntawm qhov teeb meem no feem ntau lees paub los ntawm tib neeg thaum nws tsis tuaj yeem ua pa los ntawm qhov ntswg. Lwm cov tsos mob ntawm tus kab mob kuj tshwm sim. Tom ntej no, xav txog dab tsi yog cov tsos mob ntawm tus kab mob no, nrog rau txoj kev kho thiab kev tiv thaiv.
tus kab mob no txhais li cas?
Cov kab mob hypertrophic rhinitis (ICD-10 code J31.0.) yog ib qho mob ntawm cov mucous daim nyias nyias ntawm qhov ntswg kab noj hniav, thaum lub sij hawm lawv txoj kev loj hlob yog pom. Cov txheej txheem no muaj ob peb kauj ruam:
- Thawj theem. Lub ciliated epithelium cuam tshuam me ntsis. Cov mucous daim nyias nyias yog o. Cov ntaub so ntswg puag ncig tsis zoo.
- theem thib ob. Glandular cov ntaub so ntswg thiab ciliated epithelium raug cuam tshuam. Cov txheej txheem inflammatory txuas mus rau phab ntsa ntawm cov hlab ntsha thiab cov leeg nqaij. Vim li no, cov lymphatic thiab cov hlab ntsha pib nyem.
Thib peb. Qhov o yog nce. Cov tsos mob tau hais. Lub ciliated epithelium cuam tshuam, nrog rau cov qog nqaij hlav thiab cov mucous. Cov hlab ntsha puas. Cov txheej txheem inflammatory tuaj yeem cuam tshuam cov pob txha. Nyob rau theem no, kev phais yog qhov tseem ceeb
Ntau yam ntawm pathology
Hypertrophic chronic rhinitis tuaj yeem raug cais raws li qhov tshwm sim ntawm cov txheej txheem thiab cov yam ntxwv pathological.
Los ntawm kev nthuav dav:
- Diffuse. Uniform nce hauv ntim ntawm cov turbinates.
- Limited.
Los ntawm cov yam ntxwv pathomorphological:
- Cavernous form. Feem ntau diffuse.
- Fibrous daim ntawv. Nws tuaj yeem yog ob qho tib si diffuse thiab txwv. Kev nce qib qeeb, tab sis kev hloov pauv tsis tuaj yeem thim rov qab.
- pob txha hypertrophy. Thickening thiab loj hlob ntawm qhov ntswg mucosa. Tej zaum yuav siv cov ntawv lumpy, tsis sib xws, cone-puab.
Cov yam hauv qab no muaj kev cuam tshuam loj rau kev loj hlob ntawm pathology:
- Qhov muaj cov txheej txheem mob ntev.
- Kev ua txhaum ntawm cov hlab ntsha hauv cov ntaub so ntswg.
- Oxygen tshaib plab ntawm cov ntaub so ntswg thiab cuam tshuam cov txheej txheem metabolic hauv lawv.
- Kev txo qis hauv kev tiv thaiv hauv zos.
- Ua kom muaj kev ua haujlwm ntawm cov kab mob saprophytic.
Kev txhim kho kab mob
Dab tsi tuaj yeem ua rau muaj kab mob zoo li hypertrophic chronic rhinitis?
Cov laj thawj yuav muaj raws li hauv qab no:
- Kev tswj tsis tau siv cov tshuaj vasoconstrictor hauv zos.
- Ntau kis kab mob ntawm cov kab mob ENT.
- Tsis kho rhinitis.
- mob rhinitis ntev tsis kho.
- Kev cuam tshuam ntawm endocrine system.
- Kev muaj kab mob plawv.
- Hereditary predisposition.
- Deviated septum, txawm congenital los yog kis tau.
- Pathology ntawm neuro-reflex muaj nuj nqi ntawm lub qhov ntswg.
- tus cwj pwm phem, tshwj xeeb tshaj yog kev haus luam yeeb thiab nqus pa ntawm cov tshuaj psychotropic.
- Ua haujlwm hauv kev lag luam phom sij thiab nyob hauv thaj chaw muaj kuab lom ntau dhau. Vapors los ntawm kev lag luam phom sij, hluav taws xob, nrog rau huab cua qhuav thiab plua plav tuaj yeem ua rau cov kab mob ENT kab mob.
- Txuag lub cev tiv thaiv.
Cov tsos mob ntawm tus mob hypertrophic rhinitis
Cov tsos mob ntawm tus mob rhinitis mob ntev yuav zoo ib yam li cov kab mob ua xua lossis kis kab mob, tab sis yuav muaj nws tus yam ntxwv.
Symptomatology yuav ua raws li hauv qab no:
- Mus tawm ntawm qhov ntswg. Txawm li cas los xij, lawv tsis muaj xim thiab tsis muaj ntxhiab, tab sis tej zaum yuav muaj purulent impurities.
- Ntxhais ntswg, ua pa nyuaj. Tib lub sijhawm, vasoconstrictor tee tsis pab.
- Headache.
- Ntshai excitability.
- poob teeb meem.
- Ntawmqaug zog.
- Txoj kev paub txog ntxhiab yog maj mam deteriorating.
- Nyob hauv taub hau.
- Tus txiv neej hais los ntawm nws lub qhov ntswg.
- Kev hnav, liab thiab o ntawm daim tawv muag.
- YConjunctivitis.
Cov tsos mob thiab ua rau muaj teeb meem ntawm tus mob hypertrophic rhinitis hauv cov menyuam yaus
Cov menyuam yaus muaj kev kis kab mob ntau dua, vim lub cev nyuam qhuav tsim, yog li hypertrophic chronic rhinitis yuav muaj cov cim qhia ntxiv uas tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus menyuam yav tom ntej.
Cia peb qhia ob peb yam cim uas zoo rau menyuam yaus:
- Me nyuam ua pa ntawm qhov ncauj, ua pa nyuaj.
- Headache.
- Tuag nrawm.
- hnov tsis hnov.
- Tsis hnov tsw.
- Nkauj kho siab.
- Kev poob qis hauv tsev kawm ntawv.
- Kev tsis txaus siab.
Dab tsi yog qhov teeb meem rau tus menyuam uas muaj tus kabmob no:
- Qhov cuam tshuam tseem ceeb ntawm kev loj hlob ntawm tus menyuam lub hlwb, kev kawm tau zoo.
- Ua kom nquag otitis media, sinusitis, bronchial hawb pob, mob ntsws.
Txhawm rau zam kev hloov pauv ntawm rhinitis mus rau qhov mob hypertrophic, nws yog ib qho tsim nyog yuav tsum ua raws li tus kws kho mob cov lus pom zoo hauv kev kho thiab kho cov kab mob sib kis hauv cov menyuam yaus raws sijhawm. Nws yog ib qho tseem ceeb uas yuav tsum tau ua cov txheej txheem hardening, tswj qhov kub kom zoo hauv chav, ua kom muaj kev tiv thaiv kev tiv thaiv, thiab taug kev ntau zaus hauv huab cua ntshiab.
Diagnosis
Ua ntej tshaj, koj yuav tsum tig mustus kws kho mob otolaryngologist.
Yuav kom kuaj tau tus kab mob xws li mob hypertrophic rhinitis, cov tsos mob ib leeg tsis txaus rau tus kws kho mob. Cov kev xeem niaj hnub no tau siv.
Kev xeem ua haujlwm li cas:
- Tus kws kho mob pom qhov xwm txheej thiab lub sijhawm ntawm cov kab mob, cov tsos mob tshwm sim thiab kho li cas.
- Lub qhov ntswg raug tshuaj xyuas. Rhinoscopy tab tom ua.
- Rhinopneumometry yog siv los tshuaj xyuas qhov ua haujlwm ntawm qhov ntswg kab noj hniav.
Cov kev xeem hauv qab no kuj yuav tsum tau:
- Tau suav suav.
- Eosinophils.
- YImmunoglobulin E hauv cov ntshav.
Kev Tshawb Fawb Ntxiv:
- X-ray.
- Computed tomography ntawm lub sinuses.
kev kho mob
Txhawm rau txo qhov mob ntawm tus neeg mob kuaj pom tias muaj mob hypertrophic rhinitis, kev kho mob yuav suav nrog cov txheej txheem kho mob hauv qab no:
- Thaum thawj theem ntawm tus kab mob, kev ntxuav nrog saline daws ntawm qhov ntswg kab noj hniav yog sau.
- Nrog rau cov txheej txheem muaj zog hypertrophic, cauterization yog tshuaj nrog trichloroacetic acid lossis chromic acid, nrog rau Lapis. Kev txhaj tshuaj loog yog muab ua ntej qhov txheej txheem.
- Rau cov kab mob mucosal, Hydrocortisone yog tshuaj.
- Cov tshuaj "Splenin" tau muab tshuaj raws li kev txhaj tshuaj thiab muab tshuaj intraconically lossis ua tshuaj pleev, tom qab ntawd siv rau cov mucous daim nyias nyias nrog kev zaws.
Kev kho tshuaj tsis tuaj yeem tiv thaiv cov qauv kev hloov pauv hauv lub qhov ntswg, tab sis tuaj yeem txo tus neeg mob tus mob rau ib ntus thiab txwv tsis pub cov ntaub so ntswg thickening.
Recommended Physiotherapy Treatments
Yog tias cov txheej txheem ntawm hypertrophy ntawm lub qhov ntswg qhov ntswg me me, tus kws kho mob yuav pom zoo cov txheej txheem kho lub cev hauv qab no nrog rau kev kho tshuaj:
- UHF.
- Massage ntawm mucous daim nyias nyias siv tshuaj pleev.
- Ultraviolet irradiation ntawm nasal conchas.
Tab sis thaum txoj kev kho mob ntawm kev kho mob ua ke nrog cov txheej txheem physiotherapy tsis tau ua haujlwm zoo thaum kho tus kab mob no, nws yog qhov yuav tsum tau siv txoj hauv kev tshem tawm cov kab mob.
kho mob phais
Yog tias qhov kev loj hlob ntawm cov mucosa thiab cov txheej txheem hypertrophic tsis raug tso tseg, thiab mob hypertrophic rhinitis txuas ntxiv mus, kev kho mob tsis tuaj yeem tsis muaj kev phais.
hom kev phais twg tuaj yeem ua tau:
- Nyob rau theem pib, nrog rau daim ntawv cavernous, laser submucosal vasotomy tuaj yeem muab. Tshem tawm cov hlab ntsha hauv qab cov mucous ntawm qhov ntswg kab noj hniav.
- Galvanocaustic method. Nws yuav tsim nyog siv tshuaj loog, raws li cauterization ntawm cov ntaub so ntswg nrog hluav taws xob tam sim no.
- Txoj kev ntawm ultrasonic disintegration ntawm qhov ntswg kab noj hniav. Nws tsis muaj ntshav, tab sis yuav tsum tau tshuaj loog. Nws muaj nyob rau hauv kev puas tsuaj ntawm qhov ntswgdab dej siv lub ntsaws phais tshwj xeeb, uas yog muab nrog cov hluav taws xob tam sim no.
- Conchotomy method. Cov mucosa raug tshem tawm hauv qee qhov chaw ntawm turbinates. Yuav ua tau nyob rau hauv txawv variations:
- Laser conchotomy. Nov yog ntshav tsis muaj ntshav.
- tag nrho conchotomy.
- Partial conchotomy.
Cryodestruction method. Xav tias siv cov kua nitrogen. Muaj kev cuam tshuam rau thaj chaw hypertrophied nrog lub tshuab tshwj xeeb cryoapplicator
Tsis txhob ntshai ntawm kev phais, nws yog ua los ntawm kev siv tshuaj loog hauv zos yog tias qhov kev kuaj mob ntawm tus mob hypertrophic rhinitis tau lees paub. Kev ua haujlwm yuav siv sijhawm 20-30 feeb ua tsaug rau cov khoom siv endoscopic niaj hnub. Hnub peb, tus neeg mob tuaj yeem rov qab mus rau lawv txoj kev ua neej li qub.
kev kho neeg zoo
Yog tus kab mob tshwm sim nws tus kheej thaum ntxov, koj tuaj yeem sim lwm txoj hauv kev kho.
Tab sis ua ntej tshaj, koj yuav tsum sab laj nrog koj tus kws kho mob txog kev siv tshuaj ntsuab.
Nov yog qee txoj hauv kev:
- Saline tov nrog ntxiv ntawm iodine rau ntxuav qhov ntswg kab noj hniav.
- Siv cov roj tseem ceeb rau kev nqus pa. Siv lavender, tshuaj yej tsob ntoo, lemongrass.
- ntxuav lub qhov ntswg nrog decoctions ntawm tshuaj ntsuab: sage, chamomile, mint, St. John's wort, plantain.
- Txaus rau hauv lub qhov ntswg los ntawm ntoo los yog los ntawm ib lub decoction ntawm St. John's wort thiab plantain.
Muaj teeb meem ntawm tus kab mob thiab kev kho mob
Hypertrophic chronic rhinitis maj mam thiab tuaj yeem nyob tau ntau xyoo. Thiab yog tias tus kab mob tsis kho, nws yuav ua rau muaj teeb meem hauv qab no:
- YSinusitis.
- Adenoiditis.
- Tonsillitis.
- YTracheobronchitis.
- YConjunctivitis.
- mob lossis mob ntev ntawm eustachitis thiab tubootitis.
- kab mob kis kab mob hauv qab ua pa.
- Kev cuam tshuam ntawm lub plab zom mov.
- Kev ua txhaum ntawm cov hlab plawv.
Vim ua pa tsis zoo, kev ua haujlwm ntawm lub cev raug cuam tshuam. Nws yog ib qho tsim nyog los kho tus mob hypertrophic rhinitis nyob rau theem pib, thiaj li tsis mus rau kev cuam tshuam kev phais. Yog tias tus txheej txheem tsis quav ntsej rau ntau xyoo, tab sis kho raws sijhawm, ces qhov kev cia siab yog qhov zoo, yog tias qhov teeb meem tsis tshwm sim.
Txhawm rau tiv thaiv tus mob khaub thuas los ntawm kev loj hlob mus rau hypertrophic chronic rhinitis, kev tiv thaiv yuav tsum tau ua, tshwj xeeb tshaj yog rau cov neeg uas muaj keeb kwm yav dhau los. Tus kws kho mob yuav muab cov lus qhia tsim nyog.
ntsuas kev tiv thaiv
Nws yog qhov tsim nyog nruj me ntsis raws li kev saib xyuas ntawm tus kws kho mob kom ua tiav kev kho mob xws li mob ntev hypertrophic rhinitis. Peb tau them cov tsos mob thiab kev kho mob ua ntej, tab sis tseem ceeb heev kom paub tias kev tiv thaiv dab tsi nyob rau hauv qhov chaw.
Cia sau ob peb cov lus pom zoo uas tuaj yeem txiav txim siab txog kev tiv thaiv:
- Nyob zoo thiab kho tau txhua yam kab mob qhov ntswg.
- Hauv kev tsim khoom phom sij, plua plav thiab gassed, yuav tsum sivCov cuab yeej tiv thaiv tus kheej - lub qhov ncauj qhov ntswg lossis lub tshuab ua pa.
- Tsis txhob muaj plua plav thiab gassy ib puag ncig.
- Yog tias koj tsis haum rau cov tshuaj lossis tshuaj, koj yuav tsum tsis txhob tiv tauj nrog lawv thiab noj tshuaj tiv thaiv raws sijhawm.
- Sim tshem tawm cov tshuaj tsis haum hauv cov zaub mov thiab tiv tauj nrog lawv hauv lub neej txhua hnub.
- Tshuaj kho mob inflammatory kab mob ntawm cov kab mob ENT.
- Recommended tempering txheej txheem.
- tawm mus sab nraum zoov.
- Sunbathing.
- Txhim tiv thaiv kab mob.
- Txhob tus cwj pwm phem.
- Tsis txhob txias.
Cov tub ntxhais hluas feem ntau nug: "Puas mob hypertrophic rhinitis thiab cov tub rog muaj kev sib raug zoo?" Nws yog ib qho tsim nyog sau cia tias nrog kev kuaj mob zoo li no, ib tug tub hluas yog haum rau kev ua tub rog. Tej zaum nws yuav tsis raug sau tseg rau hauv cov tub rog tub rog yog hais tias lub qhov ntswg fetid ntws tawm, purulent los yog polyposis sinusitis tshwm sim nrog nquag exacerbations thiab pheej ua pa qhov ntswg.
