mob pob ntseg nyuaj heev. Raws li txoj cai, nws tshwm sim tam sim ntawd, cuam tshuam nrog kev pw tsaug zog, ua haujlwm, thiab ua lub neej ib txwm muaj. Qhov mob tshwm sim poob nthav thiab rau lub sij hawm ntev unsettles. Otitis media yog kab mob pob ntseg ntau tshaj plaws. Yog tias tsis tau pib kho raws sijhawm, tus kab mob yuav ua rau muaj teeb meem. Thawj cov tsos mob ntawm otitis nyob rau hauv txhua tus neeg yog ib tug neeg, tab sis feem ntau nws tshwm sim heev. Yog tias koj tsis mus ntsib kws kho mob tam sim ntawd, thaum thawj qhov kev mob tshwm sim, muaj teeb meem tshwm sim, mus rau lag ntseg.
pob ntseg
Yuav kom paub qhov txawv cov tsos mob ntawm otitis los ntawm lwm yam pathologies, koj yuav tsum nkag siab txog cov qauv ntawm pob ntseg. Hauv peb txoj kev nkag siab, pob ntseg tsuas yog sab saud uas txhua tus pom, tab sis qhov no tsuas yog qhov pib: nws yog hu ua pob ntseg. Nws lub luag haujlwm tseem ceeb yog txhawm rau ntes cov suab thiab dhau mus dhau los ntawm sab nraud auditory meatus.
Ces lub suab mus rau nruab nrab pob ntseg. Nws yog sawv cev los ntawm lub tympanic membrane, lub auditory raj thiab lub tympanic kab noj hniav nrog peb auditory ossicles. Hauv qhov no, lub suab teeb liab yog amplified ob peb zaug. Nws yog nyob rau hauv ib feem ntawm pob ntseg uas o feem ntau tshwm sim. Thiabib qho ntawm cov tsos mob ntawm otitis media yog hnov tsis hnov qab.
Lub suab ces mus los ntawm lub pob ntseg nyuaj heev hu ua pob ntseg sab hauv.
hom kab mob pob ntseg
pob ntseg muaj peb ntu, raws li, cov tsos mob ntawm otitis media nyob rau hauv lawv txhua tus yuav txawv me ntsis. Nyob ntawm qhov chaw ntawm qhov mob, lawv paub qhov txawv:
- otitis externa;
- middle pob ntseg;
- otitis media.
Cov seem sab nraud tsis tshua muaj tshwm sim rau cov txheej txheem inflammatory. Yog hais tias mob tshwm sim, ces nws yog ib tug tshwm sim ntawm lwm yam pathologies ntawm pob ntseg, xws li boils, pob txuv, eczema. Cov tsos mob ntawm otitis media yuav tshwm sim tom qab hypothermia. Feem ntau, tag nrho cov txheej txheem inflammatory nrog rau lwm hom kab mob yog pom ntawm qhov muag liab qab. Lawv kuaj tau sai. Yog tias tam sim ntawd tus kab mob nkag mus ntxiv, ces muaj cov tsos mob ntawm otitis media hauv cov neeg laus, tus yam ntxwv ntawm pob ntseg nruab nrab.
Hauv qhov no, qhov mob ua rau lub pob ntseg thiab kab noj hniav. Yog tias koj tsis pib kho sai, ces muaj kev pheej hmoo ntawm kev tsim teeb meem loj uas lub pob ntseg puas lawm.
Kev phom sij rau cov neeg laus yog cov tsos mob ntawm otitis media uas qhia tias mob pob ntseg sab hauv. Nws tsis manifest nws tus kheej raws li ib tug ywj siab pathology, tab sis tshwm sim raws li ib tug teeb meem. Hom kab mob no yog nrog los ntawm cov teeb meem, mus rau lag ntseg. Lub ntsiab feature ntawm hom kab mob no yog qhov tsis muaj qhov mob. Cov tsos mob ntawm otitis hauv cov neeg laus tuaj yeem ua rau kiv taub hau, teeb meem hnov lus.
Kev faib tawmkab mob
Raws li lub sijhawm ntawm chav kawm, qhov mob ntawm pob ntseg tau muab faib ua cov ntaub ntawv mob ntev, mob thiab subacute. Kev mob tshwm sim ntev li ob lub lis piam. Yog hais tias lub sij hawm no tus kab mob tsis dhau, ces qhov no yuav qhia tau hais tias ib tug subacute daim ntawv. Rau cov mob ntev, cov tsos mob sluggish ntawm otitis media yog yam ntxwv. Kev kho mob tshwm sim cuam tshuam nrog kev ua lub neej tag nrho.
Raws li hom kab mob, chav kawm thiab cov tsos mob, otitis media tuaj yeem tshwm sim los ntawm cov kab mob, kab mob, fungi. Qee zaum, pathology tshwm sim vim kev ua xua, feem ntau yog vim kev raug mob. Raws li kev puas tsuaj rau lub cev auditory, o tuaj yeem tshwm sim. Feem ntau qhov no tshwm sim thaum ntxuav pob ntseg nrog paj rwb swabs, nrog kev poob siab thaum dhia dej, thaum huab cua mus ncig.
Otitis tuaj yeem yog exudative, uas cov kua tawm los tsis muaj xim. Tsis tas li ntawd, qhov mob yog catarrhal, tsis muaj paug, tab sis nrog zoo o, thiab purulent. Thaum pom kawg, cov kua paug tawm hauv pob ntseg.
Yog pob ntseg sab xis mas lawv hais txog kab mob sab xis, yog sab laug ces lawv hais txog ib sab laug. Qee zaum ob pob ntseg koom nrog (ob tog).
ua rau ntawm pathology
Cov tsos mob ntawm otitis media thiab lwm yam tshwm sim vim qhov tseeb tias cov kab mob tshwm sim hauv pob ntseg. Nws tuaj yeem yog kab mob, kab mob, fungi. Tus kab mob tuaj yeem tshwm sim rau ntau yam laj thawj, feem ntau nws ua rau:
- dej qias neeg nkag mus rau hauv pob ntseg. Qhov no tuaj yeem tshwm sim thaum ua luam dej hauv dej qhib.
- Muaj peev xwm nkag mus tau los ntawm qhov txhab, tawg. Hauvntxuav pob ntseg tuaj yeem ua rau cov phab ntsa ntawm lub pob ntseg puas. Cov kab mob pathogenic nkag mus rau cov kab mob no, ua rau ntau yam tsos mob ntawm otitis media thiab lwm yam kab mob.
- Otitis media tuaj yeem yog qhov teeb meem ntawm kev kho tsis zoo SARS.
- Ntxawm ntxuav pob ntseg. Sulfur yog ib qho kev tiv thaiv kab mob hauv pob ntseg. Rau nws kom ua tiav nws txoj haujlwm, nws yuav tsum tsis txhob muab tshem tawm txhua hnub.
- Ua txhaum kev tu cev. Txhawm rau tiv thaiv koj lub pob ntseg los ntawm kev kis kab mob, tsis txhob siv lwm tus neeg lub mloog pob ntseg lossis lub pob ntseg, vim tias lawv tuaj yeem muaj cov kab mob ua rau tus kab mob
- Kev muaj lub cev txawv teb chaws. Cov tsos mob ntawm otitis media thiab lwm yam o tuaj yeem tshwm sim los ntawm lub cev txawv teb chaws hauv pob ntseg. Kab kuj nkag tau rau hauv.
Thiab cov no tsis yog txhua qhov chaw kis tau. Kev kho mob ntawm otitis media nyob ntawm cov tsos mob, thiab tsuas yog ib tus kws kho mob tuaj yeem kuaj pom tseeb.
Kev kho mob tshwm sim ntawm tus kab mob
Qhov tshwm sim ntawm qhov mob yog nyob ntawm nws hom.
Otitis externa yog tus cwj pwm los ntawm qhov liab ntawm daim tawv nqaij ntawm auricle, mob uas tuaj yeem tawg mus rau lub puab tsaig, lub tuam tsev, khaus. Koj tuaj yeem hnov qhov tsis hnov tsw thiab tinnitus. Kev kho mob ntawm cov tsos mob ntawm otitis media thiab cov teeb meem tshwm sim tsuas yog tom qab kev kuaj mob los ntawm kws kho mob. Feem ntau, tus kab mob tshwm sim nrog boils: tom qab lawv cov kev kho mob, qhov mob ploj mus, lub pob ntseg rov qab. Nrog rau daim ntawv no ntawm tus kab mob no, yuav muaj ib txwm tso tawm los ntawm sab nraud auditory kwj dej.
Cov tsos mob thiab kev kho mob ntawm otitis media muaj feem cuam tshuam rau ib leeg:tus kws kho mob xaiv cov tsos mob kho mob txhawm rau tshem tawm qhov mob thiab lwm yam kev mob tshwm sim. Hauv cov neeg laus, pathology feem ntau tshwm sim hauv daim ntawv mob. Cov tsos mob tseem ceeb ntawm tus kab mob yog qhov mob ntawm qhov xwm txheej, uas nyuaj rau kev ua siab ntev. Inflammation ua rau tsis hnov lus. Raws li tus kab mob kis mus: cov tsos mob ntawm intoxication nce: lub cev kub nce, tab sis cov tsos mob ntawm otitis media tsis tas li tshwm sim. Kev kho mob ntawm ob qho tib si qaug cawv thiab lwm yam tshwm sim yuav tsum ua tiav.
Nrog otitis media, tej zaum yuav muaj qhov tso tawm ntawm qhov sib txawv. Yog hais tias nws yog kua paug, ces lawv tham txog ib tug purulent txheej txheem. Hauv cov neeg laus thiab menyuam yaus, cov tsos mob ntawm otitis tshwm sim los ntawm qhov muaj cov paug tawm: cov kua paug tawm hauv pob ntseg, uas tawg los ntawm thiab tawm. Qhov no feem ntau tshwm sim tom qab lub pob ntseg tawg (nws tuaj yeem tawg ntawm nws tus kheej lossis tus kws kho mob ua rau pob txha). Thaum cov kua paug tawm, tus neeg mob hnov mob, qaug zog qaug zog.
Hauv cov neeg laus thiab menyuam yaus, cov tsos mob ntawm otitis tuaj yeem tshwm sim hauv cov mob hnyav, subacute thiab mob ntev. Yog tsis muaj kev kho mob raws sij hawm thiab txaus, daim ntawv mob hloov mus rau hauv subacute, thiab tom qab ntawd mus rau ntev. Cov tom kawg tsis muaj cov cim qhia tau hais tias: hom kab no yog qhov ua rau lub pob ntseg tas li, suab nrov, tsis hnov lus.
Kev mob pob ntseg sab hauv yog suav tias yog qhov txaus ntshai tshaj plaws. Nrog rau hom mob no, tsis muaj kev xyaum, tab sis muaj mob kiv taub hau, xeev siab, thiab ntuav tuaj yeem tshwm sim. Ntawm thawj cov tsos mob ntawm otitis media, kev kho mob yog qhov tsim nyog, thiab yog tias nws tsis ua kom raug, qhov kev tshwm sim tuaj yeem ua rau poob siab.
Diagnosis
Ntau zaus, kev kuaj mob otitis media tsis nyuaj. Cov kws kho mob tsis tshua pom zoo rau cov kev kuaj mob niaj hnub no: tsuas yog nyob rau hauv cov xwm txheej uas qhov kev mob tshwm sim thiab qhov mob uas twb muaj lawm tsis pom qhov muag. Tus kws kho mob tshuaj xyuas lub pob ntseg siv lub hauv pliaj reflector los ntawm lub pob ntseg funnel los yog siv ib qho khoom siv kho qhov muag tshwj xeeb - otoscope.
Kev kuaj mob ntawm sab nraud yam mob
Thaum kuaj, tus kws kho mob pom liab, o thiab lwm yam tsos mob ntawm otitis media. Kev kho mob raug xaiv nyob ntawm qhov tso tawm, qhov ntsuas ntawm qhov nqaim ntawm lub auditory lumen thiab hom kab mob. Nrog rau sab nraud o, qhov o tuaj yeem muaj zog heev uas nws tag nrho thaiv qhov pom ntawm qhov mob ntawm pob ntseg. Nyob rau hauv rooj plaub ntawm kev kuaj mob pob ntseg, tsis muaj lwm yam kev kuaj mob tsuas yog kuaj.
Kev kuaj mob ntawm lwm hom otitis media
Nyob rau hauv daim ntawv mob ntawm pob ntseg nruab nrab, txoj hauv kev tseem ceeb los tsim kev kuaj mob yog kev kuaj xyuas. Cov cim tseem ceeb uas pab txhawm rau kuaj mob yog hyperemia ntawm tympanic membrane, perforation, txwv tsis pub txav mus los.
Qee zaum, audiometry tej zaum yuav tsum tau ua kom paub meej qhov kev kuaj mob. Hom kev kuaj hnov lus no yog siv nyob rau hauv cov mob otitis media. Nrog o ntawm pob ntseg sab hauv, kev kuaj mob yog tsim los ntawm cov tsos mob tshwm sim tawm tsam keeb kwm ntawm otitis media. Nrog o ntawm lub labyrinth, kiv taub hau yog pom, hnov acuity txo. Nyob rau hauv tas li ntawd, audiometry yuav tsum tau, thiab kev sab laj nrog ib tug neurologist thiab ophthalmologist kuj yuav tsum tau.
Thaummastoiditis yog xav tias yog tus kab mob kis tau, CT, x-rays raug sau tseg. Txawm li cas los xij, cov xwm txheej no tsis tshua muaj.
Bacterial seeding
Nyob rau hauv otitis media, kab mob kab mob tsis yog ib txwm ua. Qhov no yog vim lub fact tias cov cultivation ntawm cov kab mob yog ntev - txog ib lub lim tiam txij li thaum lub smear tau noj. Los ntawm lub sijhawm no, otitis yuav luag ploj mus. Nrog rau qhov mob ntawm pob ntseg nruab nrab, kab mob kab mob tsis muaj txiaj ntsig, vim tias cov kab mob nyob hauv qab pob ntseg.
Txawm li cas los xij, tsuas yog nyob rau hauv rooj plaub, cov kws kho mob pom zoo kom noj smear rau kev tshuaj xyuas. Yog tias thaum lub sijhawm kho cov kev kho mob tsis muab cov txiaj ntsig xav tau, bakposev yuav pab txheeb xyuas cov kab mob thiab kho cov kev kho kom raug.
txoj kev kho
Kev kho mob ntawm cov tsos mob ntawm otitis media thiab lwm yam yog ua nruj me ntsis raws li kws kho mob cov tshuaj. Rau txhua hom kev mob, xaiv ib tus neeg txoj kev kho mob, suav nrog tshuaj tua pob ntseg, tshuaj tua kab mob thiab lwm yam tshuaj.
Kev kho mob sab nraud
Cov tshuaj tseem ceeb rau kev kho mob sab nraud yog pob ntseg tee. Feem ntau lawv muaj cov tshuaj tua kab mob, uas yog vim li cas cov tshuaj no tsis raug tshuaj ntxiv.
pob ntseg pob ntseg tuaj yeem yog hom sib xyaw ua ke: muaj cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob. Lub sijhawm ntawm kev kho mob yog hais txog ib lub lim tiam. Feem ntau, Cipropharm, Normax los yog Otofu thiab lawv cov analogues raug sau tseg rau kev kho pob ntseg. Miramistin tuaj yeem muab tshuaj ua tus neeg sawv cev.
Yog tias otitis yog cov kab mob fungal, lawv tuaj yeem sau tshuaj "Candibiotic", "Clotrimazole" thiablwm yam kev npaj tshuaj.
kho mob ntawm nruab nrab pob ntseg
Kev kho yuav tsum muaj cov tshuaj hauv qab no:
- Tshuaj tua kab mob. Kev kho mob tseem ceeb rau kev mob yog tshuaj tua kab mob. Tsis ntev los no, cov txheej txheem ntawm kev rov zoo li qub tau nce siab, uas yog vim li cas kev siv tshuaj tua kab mob yog qhov teeb meem tsis sib haum xeeb. Kwv yees li 90% ntawm cov mob o yog kho tsis muaj tshuaj tua kab mob. Txawm li cas los xij, hauv 10% ntawm cov neeg mob uas tsis muaj hom tshuaj no, tus kab mob no nyuaj. Cov hom tshuaj tua kab mob tseem ceeb tshaj tawm rau otitis media yog Amoxicillin, Amoxicillin nrog clavulanic acid, Cefuroxime thiab analogues ntawm cov tshuaj no. Cov tshuaj tua kab mob tau noj tsawg kawg ib lim piam.
- pob ntseg. Lub pob ntseg yog qhov yuav tsum tau ua rau txhua tus neeg mob. Lawv txawv: nrog perforation ntawm lub pob ntseg thiab tsis muaj kev puas tsuaj, cov tshuaj sib txawv yog siv. Feem ntau, cov kws kho mob sau tshuaj Otinum, Otipax, Otizol, Otofa. Nws ua rau tsis muaj txiaj ntsig rau cov tshuaj uas muaj tshuaj tua kab mob, vim tias qhov ua kom pom tseeb ntawm cov kab mob purulent yog nyob tom qab daim nyias nyias.
- Tshuaj kom txo qhov kub. Feem ntau cov tshuaj "Paracetamol" lossis "Ibuprofen", "Ibuklin".
- painkillers.
Nrog labyrinthitis (otitis media), kev kho mob tau ua hauv tsev kho mob raws li tus kws kho mob saib xyuas. Txhawm rau tiv thaiv otitis xov xwm, koj yuav tsum ceev faj txog hypothermia, ua tib zoo saib xyuas pob ntseg, thiab tsis txhob dhia dej thaum ua luam dej hauv dej qhib. Yog tias koj dheev ntsib kev tsis xis nyob me ntsis hauv lub pob ntseg, koj yuav tsum hu tam sim ntawdtus kws kho mob.
