Kab mob ntawm pob ntseg nruab nrab ua rau tib neeg txoj kev noj qab nyob zoo. Cov cheeb tsam no tau nkag nrog ntau cov hlab ntsha xaus. Yog li ntawd, feem ntau pathologies yog nrog los ntawm mob hnyav syndrome. Cov kab mob zoo li no yuav tsum tau kho tam sim ntawd, vim lawv ua rau tsis hnov lus. Kev puas tsuaj rau pob ntseg nruab nrab tuaj yeem cuam tshuam rau lub cev ntawm kev sib npaug, yog li cov neeg mob feem ntau muaj kiv taub hau. Nws yog ib qho tseem ceeb rau txhua tus neeg kom paub txog qhov ua rau thiab cov tsos mob ntawm cov kab mob hauv nruab nrab pob ntseg. Tom qab tag nrho, xws li pathologies yog qhov txaus ntshai heev rau kev tso tawm.
Yog vim li cas
Feem ntau, cov kab mob no tshwm sim raws li qhov teeb meem ntawm lwm yam pathologies ntawm ENT kab mob. Tom qab tag nrho, lub pob ntseg nruab nrab sib txuas lus nrog lub qhov ntswg kab noj hniav thiab caj pas. Cov kab mob sib kis hauv qab no tuaj yeem ua rau muaj kab mob ntawm pob ntseg nruab nrab:
- rhinitis;
- sinusitis;
- sinusitis;
- angina;
- flu;
- pharyngitis.
Kab mob thiab kab mob los ntawm lub qhov ntswg thiab caj pasnkag mus rau hauv nruab nrab pob ntseg thiab ua rau mob. Feem ntau qhov no tshwm sim hauv cov neeg uas muaj kev tiv thaiv qis.
Txawm li cas los xij, pathology ntawm lub cev ntawm lub cev tsis hnov lus tshwm sim tsis yog tom qab kis kab mob dhau los. Otolaryngologists txheeb xyuas cov hauv qab no ua rau cov kab mob hauv nruab nrab pob ntseg:
- pob ntseg khaus vim kev tu cev tsis zoo;
- ntev nyob txias;
- dej nkag hauv pob ntseg;
- nrov nrov thiab hloov pauv ntawm lub siab sab nraud;
- hnov mob;
- pob ntseg tsis xws luag;
- ua xua;
- pob pob ntseg huv si;
- qub sulfur plugs.
Tom ntej no, peb yuav saib cov kab mob uas muaj ntau tshaj plaws.
Acute otitis media
Feem ntau, cov neeg mob muaj mob otitis media - o ntawm pob ntseg nruab nrab. Cov menyuam yaus tshwj xeeb tshaj yog raug rau tus kab mob no, txij li lawv cov qauv ntawm lub cev ntawm qhov hnov lus muaj nws tus yam ntxwv. Tus kab mob nkag mus rau thaj tsam pob ntseg los ntawm caj pas lossis qhov ntswg los ntawm Eustachian raj. Feem ntau, cov kab mob ua rau tus kab mob yog staphylococci, pneumococci thiab Haemophilus influenzae.
Tus kab mob pob ntseg nruab nrab no ua li cas? Cov tsos mob ntawm tus mob yog feem ntau qhia tau hais tias:
- Muaj mob pob ntseg hnyav, tawg mus rau lub taub hau.
- Qhov kub nce.
- kiv taub hau dhau sijhawm.
- Tus neeg muaj kev mob nkeeg.
- Tus neeg mob yws yws ntawm congestion thiab suab nrov hauvpob ntseg.
- xav hnyav thiab puv hauv pob ntseg.
- Hnov mob zuj zus.
Raws li kev mob tshwm sim, lub pob ntseg nruab nrab kab noj hniav puv nrog exudate. Tus neeg mob hnov mob hnyav, ua daus no thiab kiv taub hau tas li. Kab mob ntawm pob ntseg nruab nrab, nrog rau suppuration, yuav tsum tau kho tam sim ntawd. Txwv tsis pub, cov txheej txheem inflammatory tuaj yeem mus rau thaj tsam ntawm pob ntseg sab hauv. Qhov no cuam tshuam rau kev loj hlob ntawm kev hnov lus tsis zoo, thiab qee zaum tsis hnov lus tag.
Influenza otitis media
hom kab mob otitis no tshwm sim raws li qhov teeb meem ntawm tus mob khaub thuas. Hauv qhov no, tus kab mob tsis yog los ntawm cov kab mob, tab sis los ntawm cov kab mob. Qhov no pathology yog txwv tsis pub hu ua bullous otitis media. Bullae tsim nyob rau hauv nruab nrab pob ntseg kab noj hniav. Lawv puv nrog cov kua dej los yog cov ntshav.
Tus neeg mob tsis yog tsuas yog mob xwb, tab sis kuj muaj paug tawm ntawm pob ntseg. Thaum cov npuas tawg, cov kua ntshiab los yog xim liab ntws tawm ntawm lub pob ntseg. Qhov no tsim cov kev mob zoo rau kev yug me nyuam ntawm cov kab mob. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum ceev faj tu cov kab noj hniav thiab tshem tawm cov exudate. Txwv tsis pub, tus kab mob tuaj yeem nkag mus rau lub hlwb thiab ua rau mob meningitis.
YMastoiditis
Mastoiditis yog ib yam kab mob loj ntawm pob ntseg nruab nrab. Cov tsos mob ntawm tus kab mob zoo li otitis media. Txawm li cas los xij, nrog mastoiditis, cov txheej txheem inflammatory kis tau los ntawm cov kab mob tympanic mus rau cov txheej txheem mastoid ntawm cov pob txha ntawm lub cev. Tus kab mob no feem ntau tshwm sim raws li qhov teeb meem ntawm otitis media. Cov neeg mob uas muaj kev tsis haum xeeb ntawm cov pob txha pob txha tshwj xeeb tshaj yog raug rau cov kab mob no.
TsuasCov tsos mob ntawm otitis media, ib tug neeg hnov mob qab pob ntseg. Nws yog nrog los ntawm kub taub hau thiab kub taub hau. Daim tawv nqaij nyob rau hauv pob ntseg yog liab thiab o. Pus tawm ntawm pob ntseg. Thaum koj nias ntawm daim tawv nqaij tom qab lub auricle, qhov mob yog hnov.
Nrog cov ntaub ntawv qib siab ntawm mastoiditis, cov txheej txheem ntawm pob txha ntawm lub cev raug rhuav tshem. Tus kab mob tuaj yeem nkag mus rau hauv lub hlwb lossis qhov muag, ua rau mob meningoencephalitis thiab sepsis.
Glomus qog
YGlomus qog yog ib qho benign neoplasm. Txawm li cas los xij, qhov no yog kab mob txaus ntshai heev ntawm pob ntseg nruab nrab. Ib lub qog uas muaj cov hlwb glomus tsim nyob rau hauv cov kab noj hniav tympanic lossis hauv thawj ntu ntawm cov hlab ntsha jugular.
Ib tug neeg hnov lus tsis zoo, thiab lub ntsej muag ua asymmetrical. Cov no yog cov tsos mob sab nraud ntawm tus kab mob. Txawm li cas los xij, cov qog glomus tsuas tuaj yeem kuaj tau nrog MRI lossis CT kuaj. Nyob rau hauv daim duab, nws zoo li ib tug liab clot tom qab lub tympanic kab noj hniav.
Nov neoplasm no nquag mus loj hlob. Cov qog tuaj yeem kis mus rau lub hlwb thiab cov hlab ntsha, uas ua rau tuag taus. Nws yog tsis yooj yim sua kom tshem tawm cov qog glomus, kev kho mob yog tsom rau kev txwv tsis pub nws txoj kev loj hlob.
Middle pob ntseg Qatar
Lub pob ntseg nruab nrab catarrh feem ntau ua ntej suppurative otitis media. Cov kab mob nkag mus rau hauv tympanic kab noj hniav nrog lub tshuab nqus tsev ntse los yog kev ntxuav ntawm qhov ntswg tsis raug.
Nyob rau hauv catarrh, cov mucous ntawm lub raj Eustachian ua rau mob. Cov txheej txheem pathological tseem tsis tau txuas mus rau tag nrho cov kab noj hniav ntawm pob ntseg nruab nrab. Cov kab mob no txhawb kev ua haujlwmcov qog ua kua paug. Tus neeg mob muaj qhov tso tawm tsis tu ncua ntawm pob ntseg. Lawv muaj cov kua dej sib xws thiab muaj cov khoom sib xyaw ntawm cov mucus. Exudate ua rau pob ntseg, uas ua rau tsis hnov lus. Kev tso tawm ntawm cov hnoos qeev ua rau muaj txiaj ntsig zoo rau kev loj hlob ntawm cov kab mob. Tom qab ntawd, tus neeg mob tsim otitis media.
tuberculosis ntawm pob ntseg
Tuberculosis ntawm tympanic kab noj hniav yog ib yam kab mob tsawg heev ntawm pob ntseg nruab nrab. Qhov no pathology suav txog kwv yees li 3% ntawm tag nrho cov mob purulent otitis media. Tus kab mob no tsis yog thawj zaug, nws ib txwm tsim tawm tsam keeb kwm ntawm pulmonary tuberculosis. Tus kab mob ua rau tus kab mob (Koch's wand) nkag mus rau hauv tympanic kab noj hniav nrog cov hlab ntsha los yog thaum hnoos.
Tubercles thiab infiltrates daim ntawv nyob rau hauv tympanic kab noj hniav. Nyob rau hauv lub neej yav tom ntej, ulcers tshwm nyob rau hauv lawv qhov chaw. Hauv cov mob hnyav heev, cov pob txha raug nthuav tawm, uas ua rau nws puas tsuaj.
Hauv kev mob hnyav ntawm pathology, cov tsos mob ntawm tus kab mob zoo ib yam li cov tsos mob ntawm purulent otitis media. Yog hais tias tus txheej txheem tuberculous mus rau hauv daim ntawv ntev, ces tus neeg mob yuav tsuas muaj suppuration ntawm lub pob ntseg kwj dej tsis muaj mob.
pob ntseg syphilis
Cov kab mob syphilitic yog cov kab mob tsis tshua muaj ntawm pob ntseg nruab nrab. Nws tshwm sim nyob rau hauv cov neeg mob nyob rau hauv lub thib ob thiab tertiary lub sij hawm ntawm syphilis. Tus kab mob ua rau tus kab mob (pallid treponema) nkag mus rau hauv kab noj hniav ntawm lub pob ntseg nrog cov hlab ntsha.
Nyob hauv pob ntseg nruab nrab, qhov mob tshwm sim, nrog rau kev tsim ntawm cov pos hniav (cov pos hniav) thiab rwj. Nyob rau tib lub sijhawm, qhov no ua rau cov ntaub so ntswg puas. Cov txheej txheem pathological tuaj yeem kis mus rau cov txheej txheempob txha.
Tympanic syphilis tsis tshua muaj nrog mob. Feem ntau cov neeg mob yws yws ntawm tinnitus nkaus xwb. Cov neeg mob no feem ntau tau sau npe nrog venereologist thiab tsis tshua nrhiav kev pab los ntawm tus kws kho mob otolaryngologist.
Diagnosis
Yog tias qhov tsis xis nyob hauv pob ntseg nruab nrab (mob, congestion, suab nrov), koj yuav tsum sab laj nrog kws kho mob otolaryngologist. Tus neeg mob tau txais kev kuaj thiab kuaj hauv qab no:
- X-ray ntawm lub cev pob txha;
- MRI thiab CT kuaj ntawm cov kab mob tympanic;
- sab pob ntseg swab;
- kab lis kev cai ntawm pob ntseg nruab nrab aspirate;
- audiometry.
Yog tias koj xav tias mob ntsws lossis mob syphilis, koj yuav tsum tau kuaj Mantoux thiab kuaj ntshav rau Wasserman cov tshuaj tiv thaiv. Txawm li cas los xij, kev puas tsuaj ntawm pob ntseg nruab nrab feem ntau tshwm sim nyob rau theem tom qab ntawm cov kab mob xws li, thaum cov kab mob hauv qab twb tau kuaj pom lawm.
Kev kho mob
Kev xaiv txoj kev kho mob ntawm pob ntseg nruab nrab yog nyob ntawm hom kab mob. Tom qab tag nrho, txhua tus mob yuav tsum tau nws txoj hauv kev los kho.
Rau otitis media thiab catarrh ntawm nruab nrab pob ntseg, cov neeg mob tau muab tshuaj tua kab mob hauv qhov ncauj:
- "Amoxiclav";
- "Ampicillin";
- "Levomycetin";
- "Ceftriaxone".
Thaum mob hnyav, cov tshuaj tau muab rau hauv daim ntawv txhaj tshuaj. Daim ntawv thov ntawm anti-inflammatory thiabtshuaj tua kab mob pob ntseg. Cov tshuaj hauv qab no raug sau tseg:
- "Otofa";
- "Tsipromed";
- "Otinum";
- "Sofradex";
- "Otipax".
Yog hais tias lub pob ntseg muaj cov kua paug, ces paracentesis yog qhov tsim nyog. Nyob rau hauv cov txheej txheem no, tus kws kho mob ua ib qho incision nyob rau hauv lub pob ntseg. Raws li qhov tshwm sim, cov exudate tawm los. Tom qab ntawd ntxuav thiab ntxuav cov kab mob uas muaj kab mob nrog tshuaj tua kab mob.
Kev kho mob mastoiditis yog ua los ntawm txoj kev zoo sib xws. Feem ntau, tus kab mob no yog amenable rau conservative kho. Nyob rau theem tom ntej ntawm pathology, kev ua haujlwm yog qhia - mastoidectomy. Nyob rau hauv cov tshuaj loog, tus neeg mob yog incised nyob rau hauv cov ntaub so ntswg subcutaneous thiab periosteum, thiab ces cov chaw cuam tshuam ntawm pob txha raug tshem tawm.
Cov qog humus hauv nruab nrab pob ntseg tsis tuaj yeem tshem tawm tag nrho. Txhawm rau kom tsis txhob muaj teeb meem txaus ntshai, nws yog ib qho tsim nyog kom tsis txhob muaj kev loj hlob ntawm neoplasm. Rau lub hom phiaj no, lub qog yog cauterized nrog ib tug laser. Qhov no cuam tshuam cov ntshav ntws mus rau thaj tsam ntawm neoplasm thiab tiv thaiv kev loj hlob ntxiv.
Yog tias tus neeg mob tau kuaj pom tias muaj kab mob ntsws lossis mob syphilitic ntawm pob ntseg nruab nrab, ces nws yuav tsum ua tib zoo kho cov kab mob hauv qab. Kev kho mob tshuaj yog tib yam li rau otitis media.
Kev Tiv Thaiv
Yuav ua li cas tiv thaiv kab mob ntawm cov kab mob tympanic? Kev tiv thaiv kab mob ntawm pob ntseg nruab nrab yog ua raws li cov lus pom zoo hauv qab no:
- Yuav tsum tau kho cov kab mob ntawm lub qhov ntswg hauv lub sijhawm thiabcaj pas.
- Yog dej nkag mus rau hauv pob ntseg, tshem cov kua tam sim ntawd.
- Ntsuag koj lub qhov ntswg hnyav dhau yuav tsum zam kom tsis txhob mob rhinitis.
- Koj yuav tsum ua tib zoo saib xyuas kev tu cev ntawm cov kwj deg sab nraud thiab tshem tawm cov quav ciab rau lub sijhawm.
- Thaum ntxuav pob ntseg, siv paj rwb buds thiab tsis txhob hnov qab ntxhib rau lub cev.
- Tus neeg mob tuberculosis thiab syphilis yuav tsum mus ntsib kws kho mob tsis tu ncua thiab ua raws li kev kho mob pom zoo.
Yog tias koj muaj qhov tsis xis nyob hauv pob ntseg nruab nrab thiab kiv taub hau, koj yuav tsum mus ntsib kws kho mob tam sim. Qhov no yuav pab tiv thaiv teeb meem hnov lus yav tom ntej.
