Tus mob adenoiditis hauv tus menyuam: cov tsos mob thiab kev kho mob

Cov txheej txheem:

Tus mob adenoiditis hauv tus menyuam: cov tsos mob thiab kev kho mob
Tus mob adenoiditis hauv tus menyuam: cov tsos mob thiab kev kho mob

Video: Tus mob adenoiditis hauv tus menyuam: cov tsos mob thiab kev kho mob

Video: Tus mob adenoiditis hauv tus menyuam: cov tsos mob thiab kev kho mob
Video: Was ist Polymyalgia Rheumatica ? (Deutsch; Rheuma-Arzt erklärt PMR) 2024, Hlis ntuj nqeg
Anonim

Tsis muaj me nyuam loj hlob los tsis muaj qhov ntswg. Cov tsos mob no nrog rau ntau yam kab mob: kab mob, kab mob, ua xua. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov ua rau cov hnoos qeev tuab hauv qhov ntswg. Yog tias koj muaj qhov ntswg qhov ntswg, koj yuav tsum hu rau tus kws kho mob otolaryngologist lossis kws kho menyuam yaus. Yog tias qhov no tsis ua tiav raws sijhawm, tus mob adenoiditis tuaj yeem tshwm sim hauv tus menyuam. Hnub no yuav qhia koj txog tus kab mob no thiab qhia koj yuav kho li cas.

mob adenoiditis nyob rau hauv ib tug me nyuam
mob adenoiditis nyob rau hauv ib tug me nyuam

mob adenoiditis hauv menyuam yaus

Adenoiditis yog ib qho mob ntawm cov qog nqaij hlav hauv caj pas. Cov nasopharyngeal tonsil ib txwm tsis ua rau tsis yooj yim rau tus neeg. Qee tus neeg tsis paub txawm tias muaj. Lymphoid cov ntaub so ntswg yog ib qho kev tiv thaiv kab mob. Nws yog nrog nws cov kab mob, kab mob thiab allergens ua ntej ntawm tag nrho cov ntsej muag. Cov tonsil, nyob rau hauv lub nasopharynx, tiv thaiv tus kab mob los ntawm kev sib sib zog nqus, noj brunt ntawm nws. NquagCov kab mob provoke kev loj hlob ntawm lymphoid cov ntaub so ntswg, ua rau mob adenoiditis. Hauv cov menyuam yaus hnub nyoog 2 txog 10 xyoo, cov kab mob no muaj ntau dua li cov menyuam yaus lossis cov menyuam yug tshiab.

Cov kab mob hnyav yuav tsum tau kho raws sijhawm thiab raug. Txwv tsis pub, adenoiditis tuaj yeem ua mob ntev. Cov mob zoo li no nyuaj heev los kho. Nws yog ib qho tseem ceeb kom pom cov cim qhia ntawm tus kab mob nyob rau lub sij hawm thiab qhia tus me nyuam mus rau otorhinolaryngologist. Xav txog yuav ua li cas mob adenoiditis tshwm sim hauv tus menyuam.

Yuav ua li cas kho mob adenoiditis hauv tus menyuam hnub nyoog 4 xyoos
Yuav ua li cas kho mob adenoiditis hauv tus menyuam hnub nyoog 4 xyoos

Symptoms of disease

Tus yam ntxwv ntawm cov tsos mob ntawm tus kab mob nyob rau hauv txhua tus neeg mob tej zaum yuav txawv. Feem ntau lub cev yuav tsum tau tiv nrog kev kis kab mob, qhov yuav ua rau muaj kab mob hnyav dua. Mob adenoiditis hauv cov menyuam yaus yuav muaj cov tsos mob hauv qab no:

  • nce hauv lub cev kub (tso tshwm sim vim lub cev tawm tsam nrog cov kab mob pathogenic thiab vim tso tawm cov co toxins);
  • purulent, mucous thiab tuab qhov ntswg tawm;
  • xav txog ib pob hauv lub caj pas, lub cev txawv teb chaws (tshwm sim vim muaj cov hnoos qeev tuab thiab nws ntws hauv qab caj pas);
  • o thiab congestion ntawm qhov ntswg qhov ntswg;
  • twang thiab snoring (thaum pw tsaug zog, ua pa hnyav thiab ntiav, feem ntau los ntawm qhov ncauj);
  • hnov tsis hnov pob ntseg vim pob ntseg (mob pob ntseg yuav tshwm sim thaum muaj teeb meem los ntawm otitis media);
  • debilitating unproductive thaum sawv ntxov hnoos (tso tshwm sim vim khaus ntawm lub caj pas nrog cov hnoos qeev tuab);
  • mob caj pas, tickle(tus kab mob tuaj yeem hloov mus rau pharyngeal tonsils, ces peb tab tom tham txog qhov teeb meem ntawm tonsillitis);
  • lub ntsej muag adenoid (zoo li mob mus ntev, tus menyuam lub qhov ncauj qhib thiab lub ntsej muag ntawm lub ntsej muag txuas ntxiv).

Cov neeg mob uas mob adenoiditis yuav muaj ntau yam tsos mob. Feem ntau muaj cov xwm txheej thaum cov niam txiv mus ntsib kws kho mob nrog kev tsis txaus siab ntawm qhov ntswg qhov ntswg ntev, pw tsaug zog tsis zoo, thiab ua txhaum ntawm kev ua pa ib txwm muaj. Tab sis tseem, nws ua rau nws qhia tus me nyuam rau Laura, qhov kub thiab txias, uas tau nce sai heev.

mob adenoiditis nyob rau hauv cov me nyuam cov tsos mob
mob adenoiditis nyob rau hauv cov me nyuam cov tsos mob

Tus kws kho mob pom dab tsi?

Ua ntej kho tus mob adenoiditis hauv tus menyuam, nws yog qhov tsim nyog los tsim kom muaj theem ntawm tus kab mob. Txhawm rau ua qhov no, tus kws kho mob nug tus neeg mob txog cov cim cuam tshuam thiab ua qhov kev ntsuam xyuas ywj pheej. Inflamed tonsils tuaj yeem kuaj xyuas los ntawm lub qhov ntswg lossis qhov ncauj. Muaj ntau hom mob hnyav:

  • tonsils tsuas yog npog rau sab sauv ntawm qhov ntswg;
  • adenoids tau loj hlob ntawm 2/3 ntawm vomer;
  • cov ntaub so ntswg lymphoid npog yuav luag tag nrho cov pob txha septum.

Nco ntsoov tias qhov theem ntawm tus kab mob siab dua, nws cov tsos mob qhia ntau dua. Nws yog qhov yooj yim heev los kho cov ntawv me me, tab sis ob peb tus neeg nrhiav kev pab kho mob tam sim ntawd. Ntau leej niam thiab txiv sim tshem tawm qhov ntswg los ntawm lawv tus kheej. Raws li qhov tshwm sim, tus me nyuam kho mob zoo zuj zus tuaj, thiab qhov tshwm sim ntawm qhov mob ntawm nasopharyngeal tonsils tau tshwm sim ntau dua.

mob adenoiditis nyob rau hauv cov me nyuam cov tsos mob thiab kev kho mob
mob adenoiditis nyob rau hauv cov me nyuam cov tsos mob thiab kev kho mob

Kev saib xyuas lossis kev kho mob phais?

Txhua tus niam txiv ntsib cov teeb meem piav qhia, cov lus nug tshwm sim ntawm yuav ua li cas kho mob adenoiditis hauv tus menyuam. Cov menyuam yaus hnub nyoog 4 xyoos feem ntau raug phais. Cov txheej txheem hu ua adenotomy. Vim li cas thaum muaj hnub nyoog no?

Raws li kev txheeb cais, cov menyuam yaus pib mus kawm cov tsev kawm ntawv preschool txij li 2-3 xyoos. Nyob rau lub sijhawm no, cov kab mob me me yuav tsum tau nrog ntau tus kab mob thiab kab mob. Ua ntej tus me nyuam muaj sij hawm kom rov zoo los ntawm kev mob yav dhau los, cov hnoos qeev tau rov qab los. Tag nrho cov no provokes kev loj hlob ntawm lymphoid cov ntaub so ntswg. Thaum muaj hnub nyoog plaub xyoos, hauv ntau tus menyuam yaus, nasopharyngeal tonsils ncav cuag qhov loj me uas cov menyuam yaus ua tsis taus pa ib txwm. Lawv raug yuam kom tau txais cov pa oxygen los ntawm kev ua pa los ntawm lawv lub qhov ncauj, uas cuam tshuam tsis zoo rau kev ua haujlwm ntawm txhua lub cev thiab lub cev. Lub sijhawm no, tus kws kho mob qhia tias nws yuav tsum tau tshem tawm cov ntaub so ntswg overgrown. Nws yog ib qho tsim nyog sau cia tias qhov no tsis yog ib txwm ua rau kev tshem tawm tag nrho ntawm qhov teeb meem, vim tias lub cev poob nws qhov kev tiv thaiv. Tam sim no cov kab mob tuaj yeem yooj yim nqis mus rau hauv qhov ua pa qis. Tsis tas li ntawd, hauv ntau cov menyuam yaus, cov nasopharyngeal tonsils loj hlob dua tom qab qee lub sijhawm. Cov kws kho mob xav tias kev phais yog qhov kawg. Nyob rau hauv pem hauv ntej ntawm nws, cov kws kho mob tab tom sim kho tus kab mob nrog kev saib xyuas.

Mob adenoiditis nyob rau hauv cov me nyuam Komarovsky
Mob adenoiditis nyob rau hauv cov me nyuam Komarovsky

yaug lub qhov ntswg thiab txo tus o

Yuav ua li cas yog tias muaj mob purulent adenoiditis hauv tus menyuam? Kev kho mob yuav tsum pib nrog ntxuav cov kab mob tonsils. Lymphoid cov ntaub so ntswg secretes ib tug tuab daim card, nyob rau hauv uascov kab mob kis tau sai heev. Rau kev kho kom zoo, lawv yuav tsum tau muab tshem tawm. Nrog kev pab los ntawm yooj yim manipulations, ntxuav tawm cov kab mob pathogenic los ntawm nasopharyngeal tonsils. Tam sim no hauv lub tsev muag tshuaj koj tuaj yeem yuav ntau yam tshuaj thiab cov khoom siv rau qhov no: "Dolphin", "Rinostop", "Aquamaris" thiab lwm yam. Koj tuaj yeem siv saline los yog ua rau koj tus kheej saline concentrate. Nws tsis pom zoo kom yaug qhov ntswg ntawm tus menyuam uas muaj otitis media.

Kauj Ruam thib ob hauv kev kho mob adenoiditis yog tshem tawm edema. Koj tuaj yeem siv vasoconstrictor tee lossis tshuaj tsuag: Otrivin, Nazivin, Vibrocil. Nws yog ib qho tsim nyog los qhia lawv rau hauv qhov ntswg ntawm tus menyuam hauv ib koob tshuaj nruj me ntsis los ntawm cov lus qhia thiab tsis pub ntau tshaj 3-5 hnub. Feem ntau cov niam txiv tau ntsib nrog qhov tseeb tias cov nyiaj no tsis pab. Hauv cov xwm txheej zoo li no, cov kws kho mob tau sau cov tshuaj corticosteroid: Avamys, Nasonex, thiab lwm yam. Tag nrho cov no yog tsim los txo qhov o, txo qhov mob thiab ua pa yooj yim rau tus menyuam. Tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj "Rinofluimucil" rau tus neeg mob me. Cov tshuaj tsuag no pab kom cov kua nplaum tuab thiab pab kom nws tawm sai sai.

Yuav ua li cas kho mob adenoiditis hauv menyuam yaus
Yuav ua li cas kho mob adenoiditis hauv menyuam yaus

Kev siv tshuaj tua kab mob

Kuv puas xav tau cov tshuaj tua kab mob rau tus mob adenoiditis? Feem ntau, cov tshuaj no yog tsim nyog. Pathology yog nrog los ntawm kev tsim ntawm purulent zais cia, nyob rau hauv uas cov kab mob colonies loj hlob sai. Cov tshuaj uas tshem tawm lawv tau muab sau rau hauv daim ntawv ntawm qhov ntswg tee thiab tshuaj tsuag, nrog rau cov tshuaj rau kev tswj qhov ncauj. Nyob rau hauv mob adenoiditis, nyiam yog muab rau penicillin series. Yog ibtsis muaj qhov kub thiab txias, thiab tus kab mob tshwm sim ntev dhau los, tom qab ntawd macrolides raug tshuaj.

Antimicrobials thiab tshuaj tua kab mob tuaj yeem txhaj rau hauv qhov ntswg. Isofra thiab Protorgol yog nrov heev. Thawj cov tshuaj tua cov kab mob, thiab qhov thib ob muaj cov nyhuv antiseptic. Cov menyuam loj dua raug xaiv "Polydex". Cov tshuaj no muaj phenylephrine. Cov tshuaj no pab txhawb kev ua pa, txo qhov o, khaus. Yog tias adenoiditis nyuaj los ntawm otitis, ces cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob yog txhaj rau hauv pob ntseg. Cov kws kho mob sau ntawv Otipax, Otinum, Dioxidin, Otofu.

Immunomodulators thiab kho dua tshiab

Koj twb muaj ib lub tswv yim hais tias kev kho mob adenoiditis hauv cov me nyuam yog dab tsi. Cov tshuaj feem ntau siv hauv otorhinolaryngology tau tshaj tawm rau koj. Tsis tas li ntawd, cov kws kho mob pom zoo tias cov neeg mob hluas nrog hypertrophy ntawm nasopharyngeal tonsils noj cov vitamin complexes txhawm rau txhim kho kev tiv thaiv. Cov tshuaj tsim nyog kuj yuav raug sau tseg, piv txwv li, Likopid, Interferon. Cov tshuaj tsuag qhov ntswg "Irs-19" yog qhov xav tau zoo. Nws ua kom lub cev tsis kam, txhawb kev rov qab sai.

mob purulent adenoiditis nyob rau hauv cov me nyuam kho
mob purulent adenoiditis nyob rau hauv cov me nyuam kho

mob adenoiditis hauv menyuam yaus: Komarovsky tawm tswv yim

Yevgeny Komarovsky, tus kws kho mob paub txog menyuam yaus hauv ntau lub tebchaws, pom zoo ua raws li kev tswj hwm thaum kho adenoiditis. Tus kws kho mob hais tias nyob ib puag ncig tus menyuam uas muaj kev nyab xeeb li qub yog 50% rov zoo. Hypertrophy thiab o ntawm nasopharyngeal tonsilcuam tshuam tas li moisturizing ntawm qhov ntswg qhov ntswg. Cov huab cua nyob hauv chav uas tus neeg mob nyob yuav tsum muaj av noo txaus thiab txias. Tus kws kho mob hais tias nws yuav tsum tau taug kev nrog tus menyuam muaj mob tsawg kawg yog 2-3 teev hauv ib hnub (tshwj tsis yog thaum tus menyuam kub taub hau). Komarovsky qhia kom haus ntau dua. Thaum tsis qab los noj mov, tsis txhob yuam tus menyuam noj los ntawm kev quab yuam. Muab tus neeg mob nrog kev thaj yeeb nyab xeeb thiab kev xav zoo. Tus kws kho mob qhia txog kev siv tshuaj tua kab mob tsuas yog thaum lub cev kub nce mus txog 38.5 degrees.

Summarize

Koj tau paub txog qhov ua rau mob adenoiditis hauv menyuam yaus. Cov tsos mob thiab kev kho mob ntawm pathology tau nthuav tawm rau koj mloog. Txhua yam tshuaj yuav tsum tau muab rau tus menyuam tsuas yog los ntawm tus kws kho mob tshwj xeeb. Tsis txhob xav tias koj tuaj yeem kho qhov teeb meem ntawm koj tus kheej. Ntseeg kuv, mob adenoiditis yog kho tau yooj yim dua li tshem tawm cov theem ntawm tus kab mob. Txhua yam zoo tshaj!

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