Cov me nyuam yaus yog cov ruam ruam, ua ntej koj muaj sij hawm tig rov qab, nws twb muaj pob lossis pob. Cov niam txiv hluas feem ntau tuav lawv lub taub hau: yuav ua li cas saib xyuas kev raug mob thiab kev noj qab haus huv yog tias cov menyuam yaus sim nkag mus rau txhua qhov chaw thiab sim txhua yam. Tsis tas li ntawd, qhov o ntawm tag nrho lub ntsej muag los yog ib sab ntawm nws ua rau muaj kev ntshai ntawm leej niam. Tseeb, qee zaum qhov no yog pov thawj ntawm kev raug mob, thiab qee zaum - khaws cov kua dej ntau hauv lub cev. Los ntawm tsab xov xwm no, koj yuav kawm txog qhov ua rau o ntawm lub ntsej muag hauv menyuam yaus thiab kev kho mob ntawm cov kab mob cuam tshuam nrog nws.
Qhov laj thawj ntawm qhov tshwm sim
thawj kauj ruam yog los txiav txim qhov laj thawj feem ntau. Kev o ntawm lub ntsej muag hauv tus menyuam feem ntau tshwm sim tom qab quaj ntev. Cov menyuam yaus nyiam quaj rau lub sijhawm ntev nrog lossis tsis muaj - qhov no yog qhov ua rau o ntawm daim tawv muag, daim di ncauj thiab lub puab tsaig. Cov niam txiv uas muaj kev paub dhau los yeej paub tias lub ntsej muag yog o tom qab kua muag los yog vim raug mob,tej zaum tus menyuam haus dej qab zib ntau dhau lawm?
Tab sis cov niam txiv hluas, vim tsis muaj kev paub txog kev saib xyuas menyuam, tsis tuaj yeem paub qhov txawv ntawm qhov ua rau lub ntsej muag o ntawm tus menyuam.
- Cov kab mob raum ntawm qhov mob lossis kis kab mob feem ntau yog nrog los ntawm cov kua dej hauv lub cev. Qhov chaw nyiam tshaj plaws ntawm thaj chaw ntawm cov dej ntau dhau yog lub ntsej muag, thaj chaw ncig lub qhov muag, dab teg thiab pob taws. Thov nco ntsoov: yog tias koj tshem cov thom khwm, puas yuav muaj ib qho kab ntawm tus menyuam ob txhais ceg ntawm cov pos hniav. Yog tias muaj, ces qhov o ntawm lub cev thiab lub ntsej muag ntawm tus menyuam feem ntau yog tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm lub raum.
- Kab mob ntawm qhov tsis haum: cov no yog urticaria, Quincke's edema, kua muag, qhov ntswg tawm. Yog tias tus me nyuam tau o ntawm ib sab ntawm lub ntsej muag, feem ntau qhov no yog qhov tshwm sim ntawm kev tsis haum tshuaj. Hauv qab no yog ib qho algorithm ntawm yuav ua li cas thiab yuav pab tus menyuam li cas.
- Cov qog qaub ncaug parotid feem ntau yog mob qog nqaij hlav. Nyob rau hauv cov neeg, tus kab mob no hu ua "mumps". Pathology feem ntau pom hauv cov menyuam yaus hnub nyoog qis dua tsib xyoos thiab qis dua kaum.
- Cov yam ntxwv ntawm kev tsim, kev loj hlob thiab kev loj hlob ntawm lub cev, qee zaum, kuj tuaj yeem ua rau qee qhov o. Cov niam txiv hluas tuaj yeem pib ntshai vim li cas. Tab sis qee zaum qhov o ntawm lub ntsej muag hauv tus menyuam tom qab pw tsaug zog tuaj yeem cuam tshuam nrog txoj haujlwm tsis raug ntawm lub hauv ncoo thiab, raws li, lub taub hau ntawm tus menyuam.
- Nyob hauv menyuam mos, lub ntsej muag o tuaj yeem tshwm sim los ntawm kev hniav. Cov txheej txheem no nyob rau qee kis yog nrog tsis yog ua npaws thiab o ntawm cov pos hniav. Qee lub sij hawm tus me nyuam lub puab tsaig thiab txawm qhov ntswg o.
- Kab mob kis ntawm qhov muag tuaj yeem ua rau o ntawm daim tawv muag thiab qhov chaw nyob ib ncig ntawm lub qhov muag. Nyob rau tib lub sijhawm, lub qhov muag khaus heev, cov kua paug tseem nyob ntawm daim tawv muag thaum sawv ntxov, thiab qhov mob tshwm sim pib. Sinusitis, sinusitis, adenoiditis thiab lwm yam kab mob sib kis ntawm nasopharynx feem ntau muaj cov tsos mob zoo sib xws.
Kev pab tshaj lij: tus kws kho mob hu rau
Npau suavdawg, cov niam txiv nrhiav tsis tau qhov twg mus nrhiav kev pab thiab txheeb xyuas qhov ua rau lawv tus menyuam lub ntsej muag o?
Yog tus menyuam nws tus kheej tau tshaj tawm tias muaj kev raug mob, koj yuav tsum hu rau chav xwm txheej ceev. Nyob ntawd, yog tias tsim nyog, lawv yuav suture lub qhov txhab (yog tias muaj) thiab xyuas tus menyuam seb puas muaj kev raug mob craniocerebral. Nco tseg rau cov niam txiv: yog tias muaj lub sijhawm luv luv ntawm kev nco qab tom qab mob lossis xeev siab thiab ntuav, feem ntau yuav tshwm sim, CBI (kev raug mob craniocerebral kaw) tshwm sim.
Yog tus me nyuam kub taub hau, thiab o tsis yog ntawm lub ntsej muag xwb, tab sis ntawm lub cev, koj yuav tsum hu rau lub tsheb thauj neeg mob. Feem ntau, qhov no yog qhov tshwm sim ntawm mob pyelonephritis. Qee zaum, cov tsos mob no qhia tau tias muaj kab mob hauv lub ureter lossis zais zis. Mob hnyav, nrog rau kub taub hau, yuav qhia tau tias muaj cov txheej txheem inflammatory hauv lub ntsws. Cov kws kho mob hauv tsheb thauj neeg mob yuav coj tus menyuam mus rau tsev kho mob, qhov chaw lawv yuav muab kev pabcuam tsim nyog thiab ua cov kev tshawb fawb txhawm rau txheeb xyuas qhov tseeb.
Siablub ntsej muag liab nyob rau hauv tus menyuam yog ib qho mob hnyav, thiab yog tias cov niam txiv txhawj xeeb txog kev noj qab haus huv ntawm tus menyuam, tsis txhob yig, nws yog qhov zoo dua los hu rau tus kws kho mob tam sim ntawd. Kev mus ntsib ib tus kws kho mob nephrologist lossis tus neeg tsis haum tshuaj tuaj yeem siv sijhawm ntev thiab tus kab mob muaj sijhawm los txhim kho mus rau hauv daim ntawv ntev.
Pathologies ntawm urinary tract
Kidney edema yog ib yam mob hnyav. Lawv tshwm sim thaum kev ua haujlwm ntawm ob lub raum cuam tshuam - tsis yog endocrine, tsis hematopoietic, tab sis excretory, uas cuam tshuam nrog iono- thiab osmoregulatory.
Yog tias lub raum ua haujlwm tsis zoo, edema tuaj yeem yog cov hauv qab no:
- nephrotic - mos rau qhov kov, dav hauv cheeb tsam (pib nrog daim tawv muag, nqis mus rau ntawm lub ntsej muag, nqis tes, tes thiab ntiv tes o). Xws li edema yog ib qho teeb meem ntawm membranous nephropathy, amyloidosis ntawm lub raum, glomerulosclerosis, thiab lawv kuj yog cov yam ntxwv ntawm cov neeg mob ntshav qab zib mellitus.
- nephritic edema yog tus cwj pwm los ntawm kev sib txuas ntawm kev nce siab, muaj ntshav hauv cov zis, tsis muaj zog thiab tsis muaj peev xwm sawv ntawm txaj. Tus mob no yog xwm ceev kho mob.
- retention edema ntawm lub ntsej muag thiab lub cev feem ntau tshwm sim nyob rau hauv lub raum tsis ua hauj lwm thiab yog yus muaj los ntawm qhov tseeb hais tias lawv xub tshwm sim ntawm lub ntsej muag thiab ces ntawm ob txhais ceg. Yeej tsis muaj kuab paug ntawm caj npab thiab lub cev.
Txoj kev kho thiab cov lus qhia los ntawm nephrologists
Txoj kev ceev tshaj plaws thiab yooj yim tshaj plaws kom tshem tau tus menyuam edema yog muab rau nwsdiuretic, ua. tshuaj diuretic. Cov lus qhia rau kev siv rau cov ntsiav tshuaj "Furosemide" qhia tias cov tshuaj no yog contraindicated nyob rau hauv cov me nyuam hnub nyoog qis dua peb xyoos. Cov me nyuam loj, nws tuaj yeem tshem tau cov pob khaus hauv lub sijhawm luv.
Kev siv cov tshuaj diuretics cuam tshuam rau cov kua dej ntau ntxiv, ua rau nws yooj yim tshem tawm sai. Tab sis nws tsis kho qhov ua rau puffiness - cov txheej txheem inflammatory nyob rau hauv cov kab mob ntawm lub urinary system tsis ploj, yog li cia rau hnub tom qab tus me nyuam tus mob yuav phem dua.
Ntxiv rau, yuav luag txhua cov tshuaj diuretics rau cov menyuam yaus muaj ntau yam contraindications. Ntawm cov kev mob tshwm sim yog lub cev qhuav dej, kev nyuaj siab ntawm lub hauv paus paj hlwb. Yog li nws yog qhov zoo dua kom tsis txhob noj cov tshuaj diuretics lossis muab rau tus menyuam thaum muaj xwm txheej ceev, raws li kws kho mob pom zoo.
Yuav siv tshuaj twg zoo dua
Ntawm no yog cov npe tshuaj diuretic uas muaj cov tshuaj tiv thaiv kab mob raum:
- "Kanefron" yog ib qho tshuaj homeopathic uas muaj cov nyhuv diuretic me me thiab txhawb kev tawm ntawm cov xuab zeb thiab pob zeb (yog tias muaj), zoo li kev kho tus kheej thiab ua ib feem ntawm txoj kev kho mob rau cov mob pyelonephritis thiab mob cystitis.;
- "Renel" - ib qho tshuaj, qhov txiaj ntsig zoo ntawm qhov ua tiav los ntawm kev ua ntawm cov khoom xyaw tshuaj ntsuab. Nws muaj cov txiaj ntsig zoo ntawm cov ntaub so ntswg ntawm lub raum thiab zais zis, pab txo qhov o ntawm lub ntsej muag thiab lub cev vim muaj cov nyhuv diuretic.
Qhov xav tau yog ua tiav txawv rau txhua tus menyuam yaus. Lub ntsej muag o yuav txaiscov txheej txheem yav dhau los yog ob lossis peb hnub tom qab kev siv tshuaj kho tau zoo. Qee zaum, tus me nyuam yuav xav tau cov tshuaj tua kab mob (yog tias muaj cov kab mob sib kis hauv cov kab mob ntawm cov zis).
Kev tsis haum tshuaj
Cov tshuaj tsis haum (angioneurotic edema) thiab kev cuam tshuam (kev thaiv) ntawm cov vena cava zoo tshaj yog qhov ua rau lub ntsej muag o hauv zos. Lo lus no txhais tau hais tias ib sab lossis ib cheeb tsam ntawm lub cev o.
o ntawm daim tawv muag ntawm cov menyuam yaus lossis lub qhov ntswg ib leeg, lossis tsuas yog lub puab tsaig thiab ib tus ntiv tes ntawm sab laug - tag nrho cov no hais meej txog qhov tsis haum ntawm qhov teeb meem. Kab kab kuj tseem suav nrog, txij li cov tshuaj tau txhaj rau hauv qab ntawm daim tawv nqaij los ntawm muv lossis yoov tshaj cum provokes kev ua xua hauv zos.
Kev ua xua feem ntau tsis ua rau muaj kev hem thawj rau lub neej (tshwj tsis yog qee qhov tsis tshua muaj kab mob, xws li Quincke's edema). Nws raug nquahu kom qhia tus menyuam mus rau tus kws kho mob ua xua thiab ua cov kev tshawb fawb tsim nyog, qhov kev xeem hu ua, txhawm rau txheeb xyuas qhov ua xua thiab kuaj xyuas nws qhov rhiab heev rau kev kho tshuaj pharmacological.
Yog tias tus menyuam yaus ua rau muaj kev fab tshuaj tsis haum, nws tsim nyog mus ntsib kws kho mob tiv thaiv kab mob kom tau tswv yim. Feem ntau, kev nyiam ua pob khaus thiab o vim yog cov khoom txawv teb chaws rau lub cev tshwm sim vim qhov tsis muaj zog ntawm kev tiv thaiv kab mob. Kev noj tshuaj immunomodulatory tuaj yeem pab txo qhov hnyav ntawm kev tsis haum tshuaj.
Txoj Kevkev kho mob thiab cov lus qhia los ntawm allergists
Cov tshuaj zoo tshaj plaws rau kev kho mob ntawm lub ntsej muag o ntawm cov menyuam yaus ua rau muaj kev fab tshuaj:
- "Pilpofen" - siv los txo cov tsos mob ua xua rau cov menyuam yaus tshaj li ob lub hlis. Daim ntawv tso tawm - tshuaj rau kev txhaj tshuaj, dragees, ntsiav tshuaj. Nws muaj ntau yam contraindications, ua ntej siv, cov niam txiv yuav tsum tau nyeem cov lus qhia.
- "Fenistil" muaj nyob rau hauv daim ntawv ntawm tee, ntsiav tshuaj thiab tshuaj rau kev txhaj tshuaj. Pom zoo rau cov menyuam yaus txij li ib hlis thiab laus dua. Nws yog qhov zoo dua rau cov menyuam yaus noj cov tshuaj hauv daim ntawv tee, rau cov hluas thiab cov neeg laus - hauv cov ntsiav tshuaj.
- "Diazolin" yog siv los kho qhov tshwm sim ntawm kev ua xua hauv cov menyuam yaus txij li ib xyoos thiab laus dua. Daim ntawv tso tawm - ntsiav tshuaj. Cov tshuaj muaj ib tug xov tooj ntawm contraindications, ua ntej siv, cov niam txiv yuav tsum tau nyeem cov lus qhia.
kab mob sib kis
Cov kab mob sib kis hauv qab no feem ntau ua rau lub ntsej muag puffiness hauv cov menyuam yaus:
- Measles yog ib yam kab mob hnyav, tus kab mob uas txav mus rau hauv huab cua, tuaj yeem nkag mus rau hauv tus menyuam lub cev tau yooj yim. Tus kab mob muaj lub sij hawm ntev incubation - mus txog peb lub lis piam. Nyob rau tib lub sijhawm, nws yuav tsis tshwm sim nws tus kheej hauv txhua txoj kev, tom qab ntawd cov tsos mob zoo li mob khaub thuas yuav tshwm sim. Thaum ntxov, kub nce, conjunctivitis tsim. Tom ntej no los cov pob khaus hauv qhov ncauj. Tom qab ob peb teev, cov pob khaus yuav npog tag nrho lub ntsej muag thiab maj mam txav mus rau hauv lub cev.
- Scarlet fever yog ib yam kab mob sib kis uaskis tau los ntawm cov tee dej. Cov tsos mob: o ntawm daim tawv muag thiab lub ntsej muag, mob caj pas hnyav, kub nce mus txog plaub caug degrees, mob loj tonsils, ntuav thiab pob me me ntawm lub cev tuaj yeem ua tau. Daim duab peb sab nasolabial tig daj ntseg nrog liab liab kub.
- Meningitis yog ib yam kab mob txaus ntshai tshaj plaws ntawm kev kis kab mob, uas muaj qhov o ntawm lub ntsej muag thiab lub cev ntawm tus menyuam. Meningitis yog tus cwj pwm los ntawm qhov kub thiab txias, hemorrhagic pob tshwm nyob rau 2-3 hnub. Me me hematomas pib tshwm nyob rau hauv daim tawv nqaij. Los ntshav, tsis nco qab, mob taub hau hnyav - cov no yog cov tsos mob ntawm meningitis. Tus me nyuam yuav tsum tau mus pw hauv tsev kho mob sai.
Kev raug mob ntawm lub ntsej muag thiab lub taub hau
Cov menyuam yaus, vim lawv nyob tsis tswm, feem ntau ua rau lawv lub ntsej muag raug mob. Thaum lub qhov ntswg yog bruised, muaj zog o ntawm thaj chaw ib ncig ntawm lub qhov muag tshwm, tom qab ib hnub ib hematoma (bruise) feem ntau tshwm sim nyob rau hauv qhov chaw no, i.e. Kev sib sau ntawm cov ntshav hauv cov ntaub so ntswg subcutaneous.
Kev kho mob, Heparin ointment, Troxevasin lossis Troxerutin gel feem ntau yog siv. Txawm tias tsis muaj kev kho mob tshwj xeeb, qhov o thiab nqaij tawv yuav ploj mus li ntawm kaum hnub.
Yog tias koj xav tau ceev nrooj tshem tawm ntawm thaj chaw ib puag ncig ntawm lub qhov muag, koj yuav tsum siv "Veroshpiron" (cov tshuaj noj rau cov menyuam yaus yog cov kws kho mob uas tuaj koom, nyob ntawm qhov hnyav thiab qhov siab ntawm tus menyuam.) thiab "Badyaga" gel los tiv thaiv qhov tshwm sim ntawm hematomas ntawm lub ntsej muag.
Yog tus me nyuam raug mob taub hau loj, koj yuav tsum tau coj nws mus rau chav kho mob xwm txheej ceev. Nyob ntawdYog tias tsim nyog, lawv yuav suture lub qhov txhab (yog tias muaj) thiab xyuas tus menyuam kom pom tias muaj kev puas tsuaj rau lub hlwb. Yog tias tam sim ntawd tom qab qhov kev cuam tshuam muaj lub sij hawm luv luv ntawm kev nco qab lossis xeev siab, ntuav, feem ntau yuav muaj kev raug mob kaw craniocerebral. Nws raug nquahu kom sab laj nrog kws kho mob hlwb thiab, yog tias tsim nyog, ua MRI ntawm lub hlwb.
Puas yog siv tshuaj diuretics
Cov menyuam yaus raug txwv lossis qee feem txwv rau yuav luag txhua qhov kev npaj tshuaj. Diuretics tsis muaj kev zam.
Ntawm no yog ib daim ntawv teev cov tshuaj diuretics uas tau pom zoo siv rau cov menyuam yaus (yuav tsum tau siv ceev faj vim kev quav yeeb tshuaj tuaj yeem tshwm sim):
- Y "Furosemide". Txoj kev kho no yog sau nrog ceev faj. Cov lus qhia rau kev siv rau cov ntsiav tshuaj Furosemide muab ntau daim ntawv teev cov contraindications. Txawm li cas los xij, muaj cov xwm txheej thaum cov tshuaj no yog qhov tseem ceeb. Nws tuaj yeem siv tau ob qho tib si hauv cov ntsiav tshuaj thiab hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj intramuscular. Muaj peev xwm tshem tawm cov kua dej ntau dhau hauv lub cev hauv ib teev, nws yuav raug tso tawm los ntawm ob lub raum thiab zais zis;
- "Diacarb" yog ib qho tshuaj diuretic, uas feem ntau tau muab rau cov menyuam yaus los ntawm cov kws kho mob neuropathologist ua ib feem ntawm txoj kev kho mob hauv kev kho mob ntawm intracranial siab. Cov ntsiav tshuaj sai sai thiab muaj txiaj ntsig txhawb kev tso tawm cov kua dej ntau dhau los ntawm txhua qhov ntawm lub cev thiab los ntawm cov rog subcutaneous;
- "Hypothiazide" - ntsiav tshuaj nrog lub zog diureticnyhuv. Siv rau daim siab tsis ua haujlwm hnyav rau cov menyuam yaus hnub nyoog peb xyoos thiab laus dua.
Cov teebmeem thiab contraindications rau kev siv tshuaj diuretics hauv menyuam yaus:
- mob raum tsis ua haujlwm;
- kab mob siab ntawm ntau yam etiologies;
- kev ua txhaum ntawm cov dej- ntsev sib npaug hauv lub cev;
- mob ntshav qab zib mellitus;
- kab mob ntawm endocrine system;
- noj plawv glycosides;
- hypercalcemia;
- sulfonamide intolerance.
