Dab tsi yog otitis media? Cov lus nug no tau nug los ntawm ntau tus neeg, vim tias tus kab mob no muaj ntau heev. Pathology yog nrog los ntawm cov txheej txheem inflammatory nyob rau hauv ib feem ntawm pob ntseg. Tus kab mob no nrog rau qhov mob hnyav thiab, yog tias tsis kho, ua rau muaj teeb meem loj heev.
Tau kawg, ntau tus neeg mob nrhiav cov ntaub ntawv ntxiv txog tus kabmob. Vim li cas tus kab mob no tshwm sim? Koj yuav tsum xyuam xim rau cov tsos mob dab tsi? Vim li cas otitis media txaus ntshai rau menyuam yaus? Cov kev kho twg zoo tshaj plaws? Cov lus teb rau cov lus nug no yuav pab tau ntau tus neeg nyeem.
Dab tsi yog otitis media? Cov lus qhia dav dav txog tus kab mob
Ib pob pob ntseg hu ua otitis media. Nws yuav tsum raug sau tseg tam sim ntawd tias cov txheej txheem pathological tuaj yeem cuam tshuam rau ob sab nrauv, nruab nrab thiab sab hauv pob ntseg.
Qhov tseeb, qhov no yog ib yam kab mob ntau heev, uas feem ntau ntsib los ntawm cov menyuam yaus thiab cov neeg laus. Feem ntau, otitis yog qhov tshwm sim ntawm lwm yam pathologies, xws li mob khaub thuas lossis laryngitis. Qhov tseeb yog tias qhov nruab nrab pob ntseg kab noj hniav txuas nrog nasopharynx los ntawmcev eustachian. Yog hais tias muaj cov txheej txheem inflammatory nyob rau hauv cov ntaub so ntswg ntawm lub qhov ntswg, tonsils los yog larynx, ces pathogenic microorganisms tau yooj yim txav mus rau hauv nruab nrab pob ntseg kab noj hniav, thiab los ntawm qhov ntawd kis mus rau hauv pob ntseg thiab txawm lub meninges.
Ua rau pob ntseg nruab nrab
Raws li kev txheeb cais, feem ntau, qhov mob ntawm pob ntseg nruab nrab tsis yog thawj kab mob, tab sis tshwm sim tawm tsam keeb kwm ntawm lwm yam kab mob. Ua rau otitis media tuaj yeem ua raws li hauv qab no:
- kis kab mob thiab kab mob ntawm cov kab mob ua pa sab saud (otitis media feem ntau tsim tawm tsam keeb kwm ntawm rhinitis, laryngitis, sinusitis, pharyngitis, tonsillitis);
- kev tsis haum tshuaj kuj yog qhov muaj feem cuam tshuam, vim lawv feem ntau nrog los ntawm kev mob o ntawm cov mucous ntawm qhov ntswg;
- ntau yam kab mob hauv lub cev thiab mob ntev ntawm lub qhov ntswg, nasopharynx thiab sinuses (piv txwv li tsim adenoid, deviated septum);
- kev raug mob ntawm auricle, pob ntseg;
- hauv zos lossis kev hypothermia, qhov txo qis hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
Qhov ua rau otitis hauv menyuam yaus tuaj yeem yog kab mob kis, tshwj xeeb, qhua pias, mob khaub thuas, kub taub hau.
Cov tsos mob ntawm tus kab mob yog dab tsi?
Cov tsos mob ntawm pob ntseg otitis yog yam ntxwv zoo heev:
- Feem ntau, thawj lub cim yog qhov ntse, tua, mob pob ntseg tam sim ntawd. Feem ntau, kev tsis xis nyob yuav tshwm sim thaum yav tsaus ntuj thiab hmo ntuj. Feem ntau qhov mob radiates rautuam tsev, nyob rau thaj tsam ntawm lub puab tsaig. Nws nyuaj heev los tiv nrog cov kev xav zoo li no txawm tias tus neeg laus.
- Tsis tas li ntawd, tinnitus tshwm sim ib ntus, tus neeg mob hnov lus maj mam txo qis.
- Otitis media feem ntau nrog ua npaws. Lub cev kub nce mus txog 39 degrees.
- Tseem muaj cov tsos mob ntawm kev qaug cawv - ib tug neeg qaug zog, qaug zog, poob qab los.
- Koj yuav muaj qhov pom tseeb, daj lossis purulent tawm ntawm pob ntseg.
Pom cov tsos mob ntawm koj tus kheej, koj yuav tsum hu rau tus kws kho mob otolaryngologist sai li sai tau.
theem kab mob kev loj hlob
Otitis ntawm pob ntseg hauv cov neeg laus (nrog rau cov menyuam yaus) txhim kho nyob rau ntau theem, txhua tus uas muaj cov cim qhia:
- Theem catarrhal yog, qhov tseeb, thawj theem ntawm cov txheej txheem inflammatory. Kev sib ntxiv ntawm cov kab mob pathogenic ua rau catarrhal edema.
- exudative theem yog nrog los ntawm kev tsim cov exudate. Qhov zais cia sib sau ua ke, tsim cov xwm txheej rau kev tsim cov kab mob ntau dua.
- Lub purulent theem yog nrog los ntawm cov tsub zuj zuj ntawm purulent masses. Nyob rau lub sijhawm no, cov neeg mob yws yws ntawm qhov kev xav ntawm lub siab thiab lub pob ntseg.
- Thaum tsis muaj kev kho mob, theem perforative tshwm sim - nyob rau hauv lub siab ntawm purulent masses, lub pob ntseg ruptures, thiab tawm tshwm sim. Raws li txoj cai, tom qab qhov no tus neeg mob hnov mob. Lub cev kub rov zoo li qub, qhov mob maj mam ploj mus.
- Lub sijhawm kho yog nrog los ntawm kev nruj ntawm cov ntaub so ntswg ntawm lub pob ntseg.
mob plabsab pob ntseg
Koj twb paub tias mob otitis yog dab tsi. Tab sis nws yuav tsum to taub tias qhov mob tuaj yeem cuam tshuam rau ib feem ntawm pob ntseg. Feem ntau cov neeg mob mus ntsib kws kho mob nrog qhov hu ua otitis externa. Tus kab mob yog nrog los ntawm o ntawm daim tawv nqaij ntawm auricle thiab sab nraud auditory kwj dej thiab feem ntau yog txuam nrog cov ntaub so ntswg kab mob nrog cov kab mob los yog fungal microorganisms. Cov xwm txheej txaus ntshai hauv qhov no suav nrog:
- khawb thiab lwm yam pob ntseg raug mob;
- hauv zos hypothermia (pom, piv txwv li, thaum koj tsis kam hnav lub kaus mom thaum lub caij ntuj no);
- nquag thiab ua tib zoo tshem tawm pob ntseg (ciab muaj cov haujlwm tiv thaiv tseem ceeb);
- dej nkag mus rau hauv pob ntseg, tshwj xeeb tshaj yog tias nws yog cov kua paug (piv txwv li, thaum ua luam dej hauv lub pas dej qias neeg).
Cov tsos mob tseem ceeb yog mob ntawm cov ntaub so ntswg, uas ua rau muaj zog thaum lub sij hawm siab. Tej zaum o ntawm cov qog sebaceous, uas ua rau muaj kev mob plab ntawm daim tawv nqaij. Cov ntaub so ntswg swell, ua reddish, ua kub rau kov.
Otitis media. Cov yam ntxwv ntawm daim duab kho mob
Labyrinthitis yog daim ntawv txaus ntshai tshaj plaws ntawm otitis media. Tus kab mob yog nrog los ntawm o ntawm pob ntseg thiab yuav tsum tau complex txoj kev kho (feem ntau conservative kev kho mob yog ua ke nrog phais).
Cov neeg mob uas muaj tus kab mob no tsis yog tsuas yog mob hnyav xwb, tab sis kuj los ntawm kev hnov lus tsis zoo, ntau yam kab mob vestibular. Thaum tsis kho raws sijhawm, cov txheej txheem inflammatory tuaj yeem ua taukis mus rau lub paj hlwb, uas feem ntau ua rau nws degeneration thiab tsis hnov lus. Tsis tas li ntawd, muaj kev pheej hmoo siab ntawm kev puas tsuaj rau cov meninges thiab tsim cov abscess hauv lub hlwb.
Muaj Teeb Meem
Raws li kev txheeb cais, tus kab mob feem ntau teb tau zoo rau kev kho tshuaj. Txawm li cas los xij, nrog kev kho tsis raug lossis nws tsis tuaj, tus kab mob tuaj yeem ua rau muaj kev phom sij txaus ntshai, tshwj xeeb tshaj yog thaum nws los txog rau otitis media hauv menyuam yaus. Koj yuav tsum nyeem cov npe ntawm cov teeb meem tshwm sim:
- Thaum tsis kho, tus kab mob tuaj yeem hloov mus rau hauv daim ntawv ntev. Mob otitis mob latent tab sis nyuaj kho.
- Cov txheej txheem inflammatory feem ntau kis mus rau cov paj hlwb thiab meninges. Tshwj xeeb tshaj yog thaum nws los txog rau otitis nyob rau hauv ib tug me nyuam. Cov npe ntawm cov teeb meem muaj xws li hydrocephalus, encephalitis, meningitis thiab txawm lub hlwb abscess.
- Muaj tau lub ntsej muag paresis.
- Yog tias otitis media nrog cov kua paug ntau thiab ua txhaum ntawm cov pa tawm ntawm cov pob ntseg, ces muaj peev xwm ua rau pob ntseg tawg, uas yog qhov txaus ntshai heev.
- Qee lub sij hawm cholesteatoma tshwm tawm tsam keeb kwm ntawm tus kab mob - nws yog ib qho benign cyst tsim los ntawm keratin thiab tuag epithelial hlwb.
- Vim tias qee cov paj hlwb innervate pob ntseg thiab plab zom mov, otitis media qee zaum nrog kev cuam tshuam ntawm plab hnyuv. Tus neeg mob mob plab thiab xeev siab, qee zaum ntuav tshwm sim.thiab raws plab.
- Cov txheej txheem inflammatory tuaj yeem cuam tshuam rau cov txheej txheem mastoid. Qhov no yog li cas mastoiditis tshwm sim - kab mob txaus ntshai uas, yog tias tsis kho, ua rau kev puas tsuaj ntawm cov pob txha auditory.
- Muaj qhov muaj peev xwm ua rau tsis hnov lus tsis txaus, kev loj hlob ntawm kev hnov lus tsis zoo, qee zaum nce mus rau qhov tsis hnov lus tsis txaus ntseeg.
Yog vim li cas tsis muaj ib qho xwm txheej twg koj yuav tsum tsis quav ntsej tus kab mob no lossis sim tiv nrog nws hauv tsev. Hmoov tsis zoo, qee zaum daim duab kho mob yog qhov muag plooj. Piv txwv li, yog hais tias otitis nyob rau hauv ib tug me nyuam yog nrog los ntawm digestive teeb meem, thiab qhov mob ntawm pob ntseg yog heev me me, muaj feem ntau tshwm sim hais tias tus me nyuam mos yuav tsis tau txais kev kho mob tsim nyog.
ntsuas ntsuas
Kev kuaj mob otitis media feem ntau tsis nyuaj rau tus kws tshaj lij. Twb tau thaum lub sijhawm kuaj xyuas sab nraud, cov tsos mob ntawm qhov mob tuaj yeem pom. Yog hais tias peb tham txog otitis externa, ces koj yuav pom liab thiab o ntawm lub auricle. Nrog rau qhov mob ntawm pob ntseg nruab nrab, koj tuaj yeem pom qhov o ntawm pob ntseg kwj dej, nrog rau cov kab ntawm exudate lossis kua paug.
Qee zaum tus neeg mob raug xa mus ntxiv rau audiometry - cov txheej txheem no tso cai rau koj los txiav txim siab qhov hnov lus. Txoj kev tshawb no yuav tsum tau ua yog tias muaj kev xav tias muaj kev puas tsuaj rau pob ntseg sab hauv lossis kev loj hlob ntawm cov kab mob otitis media.
kab lis kev cai kab mob yog nqa tawm yog tias cov tshuaj tua kab mob ib txwm tsis muab cov txiaj ntsig xav tau. Qhov tseeb yog tias qhov kev tshawb fawb no kav li 6-7 hnub. Yog tias koj pib kho tsuas yog ib lub lim tiam tom qab pib cov tsos mob, cesmuaj kev pheej hmoo ntawm kev tsim teeb meem. Yog li ntawd, cov kws kho mob thawj zaug sau tshuaj tua kab mob broad-spectrum. Kev txheeb xyuas tus kab mob tsuas yog ua tiav yog tias kev kho tsis tau zoo.
X-rays thiab xam tomography ntawm lub taub hau yog ua tau yog tias otitis media cuam tshuam nrog cov teeb meem, xws li tsim cov kab mob hauv lub hlwb.
Kev kho mob sab nraud
Feem ntau, otitis externa yog kho nrog pob ntseg tee. Tsis tas li ntawd, kev npaj tshuaj tua kab mob yog siv, piv txwv li, Miramistin tee lossis tshuaj pleev. Nyob rau hauv cov xwm txheej uas o yog txuam nrog cov kev ua ntawm fungal microflora, ces tshuaj pleev los yog tshuaj pleev ib ce, piv txwv li, Pimafucort thiab Candide, muaj nyob rau hauv cov kev kho mob regimen.
Hauv qhov mob hnyav tshaj plaws, nws raug nquahu kom noj tshuaj tua kab mob, tshwj xeeb, Normax, Otofa thiab Tsiprolet. Kev npaj ua ke, uas muaj cov tshuaj tua kab mob thiab corticosteroids, muab cov txiaj ntsig zoo. Piv txwv li, cov tshuaj xws li Sofradex muaj gramicidin, framycetin, dexamethasone.
Otitis media. Kev kho mob rau cov neeg laus thiab menyuam yaus
Ntau tus neeg ntsib teeb meem tsis zoo li pob ntseg pob ntseg. Yuav kho otitis li cas? Kev kho mob ntev npaum li cas? Cov lus nug no txaus siab rau ntau tus neeg mob.
Hauv kev kho mob, kws kho mob feem ntau sau tshuaj tua kab mob rau otitis media. Cov tshuaj feem ntau siv xws li Amoxicillin, Ecobol, Flemoxin,"Augmentin", "Flemoklav", "Cefuroxime". Nws yuav tsum raug sau tseg tam sim ntawd tias cov tshuaj tua kab mob feem ntau raug muab rau cov menyuam yaus, vim tias cov neeg mob me yog qhov nyuaj dua rau cov kab mob no. Hauv cov neeg laus, raws li kev txheeb cais, hauv 90% ntawm cov neeg mob, otitis media daws yam tsis siv tshuaj tua kab mob.
Ib qho yuav tsum tau ua ntawm kev kho yog siv pob ntseg tee. Tau kawg, tsuas yog tus kws kho mob tuaj yeem xaiv cov tshuaj no, vim tias cov tshuaj no txawv ntawm cov khoom thiab cov khoom. Yog hais tias lub pob ntseg tsis zoo, ces tee xws li Otizol, Otinum, Otipax feem ntau yog siv, uas muaj cov tshuaj tua kab mob (benzocaine, lidocaine). Yog hais tias lub pob ntseg perforated, ces tee nrog tshuaj tua kab mob - tsis tas yuav tsum tau siv cov tshuaj tua kab mob, vim hais tias tom qab tso tawm ntawm purulent masses, qhov tsis xis nyob yuav ploj mus.
Nws tsim nyog hais tias nrog otitis media, cov tshuaj uas muaj ethyl cawv yog nruj me ntsis txwv tsis pub, vim qhov no tsuas yog ua rau pob ntseg puas.
Raws li txoj cai, cov tsos mob ntawm tus kab mob pib txo qis tom qab 2-3 hnub tom qab pib kho. Kev kho mob, raws li txoj cai, kav 6-7 hnub (yog tias tsis muaj teeb meem). Yog hais tias tus neeg mob tus mob tsis zoo, ces qhov no yuav tsum tau qhia rau tus kws kho mob.
Surgery
Qee lub sij hawm tus kab mob yog nrog los ntawm tsim ib tug loj npaum li cas ntawm cov kua paug uas accumulates tom qab pob ntseg. Cov tsos mob ntawm otitis nyob rau hauv cov ntaub ntawv no yog intensified - cov neeg mob raug kev txom nyem los ntawm mob, ntse mob. Muaj qhov tshwm sim ntau ntawm kev nkag mus ntawm cov kab mob pathogenic rau hauv cov ntshav. Nws yog nyob rau hauv xws limob, kws kho mob ua kev phais. Kev phais kuj tau qhia:
- yog tias tsis muaj kev txhim kho nyob rau hauv peb hnub tom qab pib kho tshuaj tua kab mob, suppuration tsis ploj;
- puab pob ntseg tshwm sim;
- txheej txheem mob cuam tshuam rau lub ntsej muag paj hlwb;
- kab mob kis mus rau meninges.
Paracentesis tau ua raws li tshuaj loog hauv zos. Thaum lub sij hawm tus txheej txheem, tus kws kho mob ua ib tug zoo puncture nyob rau hauv lub thinnest ib feem ntawm lub pob ntseg, yog li tsim ib txoj kev rau lub outflow ntawm purulent masses. Raws li txoj cai, cov ntaub so ntswg kho sai sai, thiab tsuas yog ib qho caws pliav me me tseem nyob ntawm qhov chaw puncture. Qhov kev puas tsuaj los ntawm qhov kev phais ntawm lub pob ntseg yog tsawg dua los ntawm nws qhov rupture.
kev kho neeg zoo
Nws puas tuaj yeem kho otitis media hauv tsev? Tau kawg, cov tshuaj ib txwm muaj qee cov kev kho mob los pab daws qhov mob thiab lwm yam kev xav tsis zoo:
- Qee tus kws kho mob pom zoo kom siv diluted hydrogen peroxide (15 tee ntawm peroxide yuav tsum tau diluted hauv 25 ml dej). 5 tee ntawm qhov sib tov yuav tsum tau muab tso rau hauv lub pob ntseg, thiab tom qab ntawd pw ntawm koj sab rau 10-15 feeb. Tom ntej no, lub taub hau yuav tsum tau tig mus rau sab nraud kom tshem tawm cov kua dej ntxiv. Cov txheej txheem no raug txwv yog tias muaj qhov perforation ntawm lub pob ntseg.
- Decoction ntawm nplooj nplooj kuj suav hais tias muaj txiaj ntsig, uas muaj kev tiv thaiv kab mob, tiv thaiv kab mob thiabimmunostimulatory zog. 5 nplooj qhuav ntawm cov nroj tsuag yuav tsum tau nchuav nrog ib khob dej, coj mus rau ib lub boil, thiab ces infused rau ob teev (nws yog advisable kom khaws cov tshuaj nyob rau hauv ib tug thermos). Hauv pob ntseg mob, koj yuav tsum tau drip 3 tee. Cov txheej txheem rov ua dua 3-4 zaug hauv ib hnub.
Yuav tsis ua li cas?
Otitis media yog ib yam kab mob loj uas yuav tsum tsis txhob las mees. Txhua txoj hauv kev uas tsis yog ib txwm siv lossis kev kho mob hauv tsev tsuas yog siv tau nrog kev tso cai los ntawm kws kho mob. Nov yog cov npe ntawm cov txheej txheem thiab cov cuab yeej uas yuav tsum tsis txhob siv:
- Instillation ntawm pob ntseg nrog cawv los yog cawv tinctures yog contraindicated (cov tshuaj no xyaum tsis cuam tshuam rau pathogenic microorganisms, tab sis nws burns thiab irritates pob ntseg cov ntaub so ntswg thiab tuaj yeem ua rau perforation ntawm lub pob ntseg thinned);
- koj tsis tuaj yeem ua kom sov compresses yam tsis muaj kws kho mob tso cai (ua kom sov raws li qee yam kev mob tsuas yog txhawb nqa kev tsim tawm ntawm otitis media, ua kom cov ntim ntawm purulent masses);
- tsis txhob siv cov kua txiv hmab txiv ntoo, qej, dos rau instillation, vim lawv tsuas ua rau tawv nqaij ntawm pob ntseg;
- koj tsis tuaj yeem qhib abscesses nrog o ntawm cov pob txha sab nraud;
- Tsis muaj qhov twg koj yuav tsum sim qhib lub qhov ncauj ntawm koj tus kheej - qhov no yog qhov tsis hnov lus.
Kev tiv thaiv kab mob otitis media
Koj twb paub tias otitis media yog vim li cas, vim li cas pathology txhim kho thiab cov tsos mob dab tsi nws nrog. Hmoov tsis, tsis muaj kev tiv thaiv tshwj xeeb. Tab sis, ua raws li qee cov lus pom zoo ntawm cov kws tshaj lij, koj tuaj yeem txo qis qhov tshwm sim ntawm qhov tshwm siminflammatory txheej txheem:
- Txhua yam kab mob txaus ntshai ntawm cov kab mob ENT (xws li kua ntswg thiab sinusitis) yuav tsum tau kho kom raws sijhawm thiab raug - qhov no yuav tiv thaiv kab mob nkag mus rau hauv pob ntseg. Tib yam siv rau kev tshem tawm ntawm adenoids.
- Yau qhov ntswg thiab qhov ntswg tsuas yog kev tso cai los ntawm kws kho mob.
- Nws yog ib qho tseem ceeb kom muaj zog tiv thaiv kab mob, tswj cov kua dej hauv lub cev.
- Nco ntsoov tias qhov zoo tshaj plaws hauv tsev kub yog 18-20 degrees Celsius.
- Hauv tsev, nrog rau hauv chaw ua haujlwm, koj yuav tsum tswj kom muaj qhov zoo ntawm cov av noo. Kev tu ntub dej tsis tu ncua yog qhov tseem ceeb.
- Tsis txhob noj tshuaj tua kab mob yog tias koj kub taub hau hnyav.
Thiab, tau kawg, ntawm thawj cov tsos mob ceeb toom, koj yuav tsum mus ntsib kws kho mob. Otitis hauv cov neeg laus thiab menyuam yaus tuaj yeem txaus ntshai heev - koj yuav tsum tsis txhob tsis quav ntsej nws cov cim.
