Txhua tus neeg laus tsawg kawg ib zaug hauv nws lub neej tau ntsib qhov xwm txheej tsis zoo thaum nws pob ntseg tau ntim thiab qhov mob tshwm sim hauv nws kom tsawg kawg nce phab ntsa. Qhov ua rau cov tsos mob no feem ntau yog cov kab mob inflammatory. Txhawm rau kom tsis txhob pib qhov txheej txheem tob dua, koj yuav tsum hu rau tus kws kho mob otolaryngologist tam sim.
pob ntseg zoo li cas?
Lub suab ntsuas, zoo li txhua tus tib neeg lub siab xav, muaj cov qauv tsim. Nws muaj lub pob ntseg sab nrauv, nruab nrab thiab sab hauv.
Lub pob ntseg sab nraud nyob rau hauv daim ntawv ntawm auricle tsuas yog qhov pib ntawm txoj kev ntawm lub suab. Vim nws cov qauv, lub auricle ua lub luag haujlwm tiv thaiv, pab lub cev lub cev kom tsis txhob cuam tshuam los ntawm ib puag ncig, huab cua thiab lwm yam. Lub pob ntseg sab nrauv kuj suav nrog cov kwj dej auditory, uas nkag mus rau hauv lub pob ntseg.
Lub pob ntseg nruab nrab txuas ntxiv mus rau hauv lub tympanic kab noj hniav, sib cais los ntawm cov ntaub so ntswg sab nraud, uas tus kov ntawm malleus, thawj cov pob txha auditory, txuas nrog. Tom qab lub rauj nrog ib tug saw musstirrup thiab anvil. Cov npe ntawm cov auditory ossicles los ntawm qhov tseeb tias lawv muaj qhov zoo sib xws rau cov khoom ntawm tib lub npe. Lub suab nthwv dej dhau los ntawm lawv los ntawm lub pob ntseg hauv ib txoj hlua, ua suab nrov rau hauv pob ntseg, uas pib nrog lub qhov rais oval, qhov twg lub hauv paus ntawm lub stirrup nkag mus.
Lub pob ntseg sab hauv yog qhov nyuaj tshaj plaws hauv cov qauv thiab ua haujlwm tsis yog tsuas yog lub suab ntsuas, tab sis kuj yog lub cev sib npaug. Lub membranous labyrinth, muaj xws li cochlea thiab semicircular kwj dej, yog muab zais rau hauv lub cev nqaij daim tawv pob txha taub hau, uas tiv thaiv lub puab pob ntseg los ntawm kev puas tsuaj thiab txias.
Vim li cas kuv pob ntseg thaiv thiab tua?
Txawm hais tias lub cev hnov lus muaj kev tiv thaiv los ntawm lub auricle, nws tseem ceeb heev rau huab cua phem thiab kis kab mob. Yog li ntawd, feem ntau ua rau tsis xis nyob, nrog rau thaum nws mob mus tua pob ntseg, yog o.
- Otitis externa yog mob ntawm tus pinna thiab/los yog pob ntseg kwj dej. Tus kab mob no ua rau muaj kev tua thiab mob plab hauv pob ntseg, tab sis pob ntseg khaus vim muaj cov kua paug ntau hauv pob ntseg txwv tsis pub lub suab mus txog lub tympanic kab noj hniav tag nrho.
- Otitis media yog ib qho kab mob loj heev uas cuam tshuam rau hauv nruab nrab pob ntseg nrog lub pob ntseg ossicles nyob ntawd. Nws tuaj yeem tshwm sim los ntawm cov kab mob, nrog rau cov kab mob khaub thuas, mob qhua pias. Cov kab mob ntev ntawm nasopharynx thiab hypothermia tuaj yeem ua rau pom qhov mob ntawm pob ntseg. Hauv qhov no, nws tua hauv pob ntseg, thiab qhov kub tuaj yeem ncav cuag tus lej febrile.
- Otitis media lossis labyrinthitis yog ib qho mobtxheej txheem nyob rau hauv qhov tob tshaj plaws ntawm lub pob ntseg analyzer. Nws yog qhov txaus ntshai tsis yog tsuas yog los ntawm kev hnov lus, mus rau lag ntseg, tab sis kuj los ntawm kev ua txhaum ntawm kev sib npaug thiab kev sib koom tes ntawm kev txav.
- Ib lub cev txawv teb chaws hauv pob ntseg, tshwj xeeb tshaj yog cov khoom ntse, tuaj yeem ua rau pob ntseg mob, tua, thiab khoom tuaj vim muaj qhov txhaws hauv pob ntseg.
- Kev puas tsuaj rau lub cev ntawm qhov hnov lus tuaj yeem tshwm sim los ntawm kev sib tsoo ncaj qha rau pob ntseg lossis poob rau ntawm nws, nrog rau barotrauma cuam tshuam nrog kev hloov siab, lub suab raug mob.
- Cov txheej txheem mob hauv nasopharynx, tshwj xeeb tshaj yog tonsillitis, tuaj yeem kis mus rau lub suab nrov, uas coj ncaj qha mus rau nruab nrab pob ntseg. Mob hauv eustachitis tua rau hauv pob ntseg, tab sis nws raug thaiv vim yog ua txhaum ntawm patency ntawm Eustachian raj, uas ua rau lub siab poob rau hauv lub tympanic kab noj hniav.
- Rhinosinusitis - kab mob thiab kab mob hauv qhov ntswg thiab qhov ntswg. Yog hais tias tus txheej txheem ntawm o mus ntxiv mus rau pob ntseg, ces ntxiv rau qhov tseeb hais tias lub qhov ntswg yog ntim thiab tua nyob rau hauv pob ntseg, yuav tsis hnov lus.
- Trigeminal neuritis uas tshwm sim nrog hypothermia, poob siab, exacerbation ntawm cov kab mob ntev ntawm cov kab mob ENT lossis cov hniav. Qhov mob pob ntseg uas tua rau lub taub hau thiab tawm ntawm lub puab tsaig thiab pob muag yog qhov tshwm sim.
Kev tshwm sim thiab cov tsos mob ntawm otitis media
Pob ntseg nruab nrab yog feem ntau yog vim li cas pob ntseg raug thaiv, tua thiab mob. Cov laj thawj uas ua rau muaj kev loj hlob ntawm tus kab mob yog hypothermia ntawm tag nrho cov kab mob, nyob sab nraud yam tsis muaj lub kaus mom hauv qhov txias.lub caij, mob tonsillitis, pharyngitis, rhinosinusitis, tsis kho otitis externa, adenoiditis hauv cov menyuam yaus, cov hniav tsis zoo, kev txo qis hauv lub cev tiv thaiv kab mob. Raws li kev cuam tshuam ntawm cov laj thawj no, cov kab mob pathogenic thiab kab mob tuaj yeem ntes cov pob ntseg nruab nrab, uas ua rau otitis media. Cov txheej txheem tuaj yeem tshwm sim nyob rau theem mob hnyav, uas, thaum tsis muaj kev kho kom raug, dhau mus ntev.
Otitis tshwm sim los ntawm kev hnov lus tsis zoo, zoo li pob ntseg raug thaiv thiab tua. Qhov mob no tuaj yeem tiv thaiv keeb kwm yav dhau ntawm arching tas li mob ntawm kev sib txawv. Kev nce hauv lub cev kub txog 39 degrees, tsis muaj zog, mob leeg, tawm hws, tsis qab los noj mov, mob taub hau - cov no yog tag nrho cov tsos mob ntawm cov txheej txheem inflammatory. Kev hnov lus tsis zoo cuam tshuam nrog kev hloov pauv uas cuam tshuam rau lub pob ntseg thiab tuaj yeem ua rau puas tsuaj, uas yog, perforation. Tsis tas li ntawd, serous los yog purulent kua uas accumulates nyob rau hauv lub tympanic kab noj hniav vim qhov kev txiav txim ntawm cov kab mob ua rau nws nyuaj rau auditory ossicles ua hauj lwm thiab ua suab. Yog tias cov kua paug tsis ploj mus raws li kev siv tshuaj, ces qee zaum nws yuav tsum tau tho lub daim nyias nyias nyob rau hauv cov xwm txheej tsis muaj menyuam kom ntseeg tau tias cov kua dej tawm hauv nruab nrab pob ntseg.
pob ntseg congestion clinic
Ntau tus neeg coj tsis ncaj thaum ntim pob ntseg. Yuav ua li cas yog nyob ntawm qhov ua rau congestion, nrog rau lwm yam tsos mob.
Yog pom pom tias tsis muaj mob, catarrhal phenomena thiabnce hauv qhov kub thiab txias, feem ntau yuav, ib tug sulfur plug tau tshwm sim nyob rau hauv lub auditory kwj dej.
Yog tias nws ntim pob ntseg thiab lub taub hau, yog vim li cas thiaj li muaj cov kab mob vascular cuam tshuam nrog nce ntshav siab, vegetative-vascular dystonia, muaj hnub nyoog txog teeb meem atherosclerotic.
Qhov tsis hnov lus zoo li no tau pom nrog barotrauma, nrog rau kev puas tsuaj rau lub pob ntseg cuam tshuam nrog lub suab nrov unbearably.
Otosclerosis, uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov suab nrov tsis zoo thiab cov teebmeem tshuaj lom, yog qhov tsis hnov lus, suab nrov thiab mob hauv pob ntseg thiab tshwm sim ntau zaus hauv cov poj niam hluas.
Kev hnov qab tuaj yeem tshwm sim hauv cov neeg noj qab haus huv, piv txwv li, hauv lub dav hlau thaum ya tawm thiab tsaws. Yog tias pob ntseg ntim rau ntawm lub dav hlau, koj tuaj yeem nug tus neeg saib xyuas lub dav hlau yuav ua li cas tshem tawm qhov txhaws. Rau cov xwm txheej zoo li no, lawv faib cov lollipops, qhov resorption uas nyob rau hauv lub qhov ncauj tsub kom cov qaub ncaug, uas relieves tsis xis nyob thaum nqos. Paub qhov no, koj tuaj yeem ua yam tsis muaj khoom qab zib, ua kom nquag nqos txav kom sib npaug ntawm lub siab hauv lub qhov ncauj.
Kev mob ntawm pob ntseg
Cov txheej txheem mob hauv pob ntseg nruab nrab vim lawv qhov chaw muaj kev phom sij heev rau kev txhim kho cov teeb meem. Purulent otitis media muaj peev xwm ua txhaum nrog purulent tawm mus rau hauv cov txheej txheem mastoid ntawm lub cev nqaij daim tawv uas nyob ib sab ntawm pob ntseg. Hauv qhov no, mastoiditis tshwm sim. Cov mob ua npaws, daim tawv nqaij tom qab pob ntseg yog kub rau qhov kov thiab reddens, ib tug loj edematous o tuaj yeem tsim.
Nyob rau yav tom ntejkev kis tus kab mob, cov kua paug puv ib cheeb tsam, txav mus rau lub labyrinth ntawm lub pob ntseg sab hauv, nrog rau qhov chaw ntawm lub caj dab, nyob nruab nrab ntawm lub fascia ntawm cov leeg. Yog tias cov txheej txheem nkag mus tob rau hauv pob txha taub hau, lub paj hlwb tshwm sim, uas tuaj yeem ua rau tuag taus. Cov cim qhia ntawm nws yog qhov tsis zoo rau kev noj qab haus huv - kub taub hau, qaug zog, mob taub hau hnyav, tsis nco qab thiab cov tsos mob focal nyob ntawm thaj tsam cuam tshuam.
pob ntseg thiab tua: yuav ua li cas?
Thaum qhov mob tshwm sim, hnov lus tsis hnov lus nrog lossis tsis muaj qhov kub thiab txias, nws yuav tsum tau mus ntsib kws kho mob otolaryngologist sai li sai tau txhawm rau pib kho raws sijhawm, tsis tas yuav ua rau muaj teeb meem thiab ua haujlwm ntev.
Tus kws kho mob ENT yuav ua tus txheej txheem otoscopy, uas yog, kuaj lub pob ntseg thiab pob ntseg siv lub cuab yeej otoscope. Qhov no yuav tso cai rau koj los ntsuas qhov xwm txheej ntawm cov kwj dej, nws cov patency thiab kev ncaj ncees ntawm daim nyias nyias, muaj lossis tsis muaj lub cev txawv teb chaws, kev puas tsuaj sab hauv.
Yog hais tias tsis hnov lus tsis pom qhov tshwm sim ntawm otitis media, audiometry raug tshuaj los ntsuas qhov kev hnov lus. Tus neeg mob nrog cov txiaj ntsig ntawm kev kuaj mob hauv daim ntawv ntawm audiogram raug xa mus rau tus kws kho mob. Tsis tas li ntawd, tympanometry feem ntau ua, uas tso cai rau kev soj ntsuam lub hom phiaj ntawm qhov hnov lus thiab ntsuas qhov ntsuas siab yam tsis muaj kev koom tes ntawm tus neeg mob.
Yog tias muaj teeb meem ntawm purulent otitis media (abscess, mastoiditis) xav tias yuav tsum tau kuaj X-ray. Yog tias x-ray ntawm lub paj hlwb tsis muab cov duab meej, ces koj yuav tsumMRI lossis CT scan.
Kev kuaj ultrasound ntawm cov hlab ntsha ntawm lub hlwb yuav tso cai rau koj kom paub txog lawv tus mob thiab qhov cuam tshuam ntawm pathology ntawm kev hnov lus. Nws kuj tseem yuav tsum tau sab laj nrog kws kho mob hlwb thiab tus kws kho mob yog tias tsis hnov lus cuam tshuam nrog cov kab mob vascular.
Txhua yam kab mob hauv pob ntseg yuav tsum nrog kuaj ntshav. Ib qho kev tshuaj ntsuam dav dav yuav pom tias muaj lossis tsis muaj qhov mob. Cov kev ntsuas qhov ntsuas yuav pab ntsuas qhov raug ntawm txoj kev kho.
kab lis kev cai kab mob kab mob yog siv rau cov teeb meem nyuaj thaum tsis muaj txiaj ntsig ntawm kev kho tshuaj tua kab mob. Kev tso tawm ntawm pob ntseg yog sown rau ntawm qhov nruab nrab nutrient tshwj xeeb, qhov uas lawv kawm seb hom kab mob twg tau loj hlob thiab cov tshuaj twg lawv nkag siab zoo, thiab los ntawm qhov uas lawv tsis tuag.
kev kho neeg zoo
Cov tshuaj hauv tsev tau nquag siv rau cov kab mob ntawm cov kab mob ENT, thaum pob ntseg raug thaiv thiab tua. Kuv yuav ua li cas kom tsis txhob ua mob rau kuv tus kheej? Ua ntej tshaj plaws, nws yuav tsum tau muab sau tseg tias kev kho mob nrog pej xeem txoj kev yuav tsum tsis txhob nyob twj ywm ntawm tus kheej. Kev xa mus rau tus kws tshaj lij yog qhov yuav tsum tau ua.
Muab paj rwb wool soaked nyob rau hauv sov boric cawv rau hauv pob ntseg yuav pab tau ib tug me ntsis alleviate lub unpleasant rhiab heev ntawm sov. Koj tuaj yeem muab peb tee ntawm cov tshuaj no tso rau hauv pob ntseg, sov rau chav sov.
Tshwj xeeb compress rau pob ntseg. Thaum tsis muaj qhov kub thiab txias, lub compress siv camphor cawv yog siv nyob ib ncig ntawm lub auricle, ua ib qho incision hauv gauze rau pob ntseg. Nws yog ib qho tsim nyog kom tshem tawm cov ntaub so ntswg tsis pub dhau plaub teev txij li lub sijhawm ntawm daim ntawv thov, thiaj li tsis ua rau kub hnyiab. Hloov taucompresses nrog qhuav sov hnav khaub ncaws.
Kev noj cov tshuaj vitamin tshuaj ntsuab nrog txiv qaub yuav pab txhawb kev tiv thaiv thiab tiv thaiv kab mob sai dua. Ivan tshuaj yej, linden, coltsfoot, mint, rosehip, raspberry nplooj muaj cov nyhuv anti-inflammatory. Los ntawm cov tshuaj no, ib tus zuj zus los yog nyob rau hauv ib tug sib tov, koj muaj peev xwm npaj decoctions thiab infusions. Nws tseem ua tsis tau rau kev tsim txom tshuaj ntsuab, kev nkag siab ntawm tus kheej yuav tsum raug coj mus rau hauv tus account.
Nrog angina thiab pharyngitis, thaum muaj kev txaus siab rau cov txheej txheem inflammatory ntawm lub auditory raj, koj yuav tsum tau yaug koj caj pas. Rau kev yaug nrog tshuaj tua kab mob, koj tuaj yeem siv infusions thiab decoctions ntawm chamomile, calendula, sage, propolis tincture, eucalyptus..
Kev kho mob
Yog tias nws tua thiab nteg pob ntseg, yuav kho li cas, tus kws kho mob otolaryngologist yuav qhia rau koj tom qab kuaj xyuas tus neeg mob kom zoo.
Yog hais tias mob otitis media, tshuaj tua kab mob tau muab:
- YPenicillin series ("Amoxicillin").
- Cephalosporins: Kuv tiam ("Cefalexin"), II tiam ("Cefuroxime"), III tiam ("Cefotaxime").
- YMacrolides ("Azithromycin").
- YFluoroquinolones ("Levofloxacin").
Nkauj pob ntseg:
- "Sofradex" muaj cov tshuaj tua kab mob (gramicidin thiab framycetin) thiab cov tshuaj hormonal dexamethasone, uas pab txo qhov mob thiab txhim kho kev tsim dua tshiab. Cov tshuaj hormones yog contraindicated nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj rau lub pob ntseg.
- "Normax"muaj cov tshuaj tua kab mob norfloxacin los ntawm pawg fluoroquinolones.
- "Otinum" muaj cov tshuaj tiv thaiv kab mob, vim nws muaj choline salicylate (ib qho tshuaj aspirin derivative).
- "Otipax" yog kev sib xyaw ntawm phenazone thiab lidocaine, uas yog, tshuaj tiv thaiv kab mob ntxiv rau tshuaj loog.
Cov tshuaj mob: cov tshuaj uas tsis yog tshuaj steroidal los txo qhov mob ("Diclofenac", "Nimesulide", "Ketorolac"), tshuaj tua kab mob ("Aspirin", "Paracetamol", "Ibuprofen"), antihistamines ("Suprastin", "Loratadin", "Cetrin") los txo qhov o, vasoconstrictor tee ("Xylometazoline", "Nafazolin")
Tom qab cov txheej txheem mob hnyav zuj zus thiab qhov kub thiab txias normalizes, cov txheej txheem kho lub cev tau raug sau tseg: electrophoresis, UHF tam sim no, ultraviolet irradiation, pneumomassage.
Cov tshuaj tiv thaiv kab mob ntau yam
Tshuaj tua kab mob thiab lwm yam tshuaj siv los kho cov kab mob inflammatory muaj ntau yam kev phiv.
"Amoxicillin" tuaj yeem cuam tshuam rau lub plab zom mov, ua rau raws plab, xeev siab lossis ntuav.
"Azithromycin" feem ntau ua rau mob taub hau, tsis xis nyob hauv plab, raws plab, ntuav, hloov pauv ntawm cov ntshav leukocyte.
"Cephalexin" tuaj yeem ua rau lub plab ua haujlwm tsis zoo thiabplab.
"Cefuroxime" tuaj yeem ua rau muaj kev cuam tshuam hauv cov quav, qab los noj mov, nce hauv cov ntshav ntawm daim siab enzymes.
"Cefotaxime" feem ntau cuam tshuam rau kev ua haujlwm ntawm lub plab zom mov, nce ntshav hloov pauv, uas qhia tau tias muaj kev cuam tshuam rau lub siab.
"Levofloxacin" feem ntau ua rau plab zom mov (zaub mov, xeev siab).
"Sofradex" nrog rau kev siv ntev tuaj yeem ua rau muaj kev kub siab ntxiv.
Normax tuaj yeem ua rau kiv taub hau thiab saj tsis zoo hauv qhov ncauj.
Otinum thiab Otipax tuaj yeem ua rau mob pob ntseg hauv zos.
Txhua yam tshuaj yuav tsum tau muab los ntawm tus kws tshaj lij. Kev noj tshuaj rau tus kheej tuaj yeem ua rau qhov tshwm sim tsis zoo, txij li cov tshuaj muaj contraindications. Nws yuav tsum nco ntsoov tias muaj kev tsis haum tshuaj rau cov tshuaj, thiab tag nrho cov tshuaj saum toj no tuaj yeem ua rau muaj kev tsis haum tshuaj ntawm ntau cov lus qhia thiab kev nyuaj, mus txog rau kev poob siab anaphylactic.
Kev Tiv Thaiv
Txhawm rau tiv thaiv otitis externa, koj yuav tsum ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej, tsis txhob frostbite, raug mob rau pob ntseg nrog cov khoom ntse, thiab tiv thaiv lub cev txawv teb chaws thiab kab nkag mus rau hauv pob ntseg.
Txhawm rau tiv thaiv tus mob otitis xov xwm, nws cov teeb meem thiab mob ntev, nws yog ib qho tsim nyog yuav tsum ua tib zoo saib xyuas cov kab mob ntawm nasopharynx, tiv thaiv qhov tshwm sim ntawm sinusitis, mus ntsib kws kho hniav tsis tu ncua, tshem tawm cov kab mob caries. Yog tias pob ntseg raug thaiv thiab tua, ces nws yog qhov zoo dua tsis txhob yig thiab tig mustus kws kho mob kom pab.
Thaum muaj qhov ntswg qhov ntswg, tshuab lub qhov ntswg kom zoo zoo, kaw txhua lub qhov ntswg tig kom tsis txhob raug mob rau pob ntseg.
Yog tias otitis tau mob ntev, nws yuav tsum ua kom ntseeg tau tias dej tsis nkag mus rau hauv pob ntseg thaum ua luam dej thiab da dej. Nws yog qhov zoo dua los npog qhov mob pob ntseg nrog paj rwb soaked hauv cov roj thaum cov txheej txheem dej.
Tempering lub cev, tsis tu ncua taug kev hauv huab cua ntshiab, kev kawm lub cev, kev ua kis las, muab cov cwj pwm tsis zoo, kev txhawb zog los ntawm kev noj haus, thiab lub caij ntuj no - noj cov vitamins complexes.
Thaum ua haujlwm cuam tshuam nrog lub suab nrov, yuav tsum siv cov cuab yeej tiv thaiv tshwj xeeb - lub mloog pob ntseg lossis pob ntseg ntsaws.
Maj mam ntxuav koj lub pob ntseg los ntawm cov sulfur uas muaj nyob rau ntawd. Yog hais tias nws accumulates sai, ces ntxuav lub pob ntseg ntawm otolaryngologist. Tiv thaiv koj pob ntseg thaum ua haujlwm hauv qhov chaw muaj plua plav.
