Qhov feem ntau purulent otitis hauv menyuam yaus. Thiab feem ntau nws yog recurrent. Muaj qee yam uas tuaj yeem ua rau kev loj hlob ntawm otitis media hauv menyuam yaus. Nws tuaj yeem ua rau kis kab mob ntau zaus, nthuav dav adenoids, lossis ua rau lub cev tsis muaj zog tiv thaiv kab mob.
Cov tsos mob ntawm pathology yuav tsum yog lub hauv paus rau kev hu rau tus kws kho mob tshwj xeeb. Tus kws kho mob yuav ua qhov kev kuaj mob kom raug thiab sau cov kev kho mob kom raug rau cov kab mob otitis media hauv menyuam yaus, tsom tsis yog tsuas yog tshem tawm cov kab mob otitis media, tab sis kuj yog vim li cas nws ua rau.
Kev piav qhia
Hauv qab otitis media tau nkag siab txog cov txheej txheem inflammatory nyob rau hauv nruab nrab ntawm pob ntseg, uas yog ib feem ntawm lub mloog pob ntseg. Nws qhov tseem ceeb yog lub tympanic membrane, uas yog qhov chaw me me hauv cov pob txha ntawm lub cev, uas yog lub luag haujlwm rau kev ua cov suab vibrations nkag mus rau hauv pob ntseg.
Purulent otitis hauv menyuam yaus tuaj yeem ua rau muaj kab mob hauv kev loj hlob ntawm tus menyuam txoj kev hais lus. Qee zaum, tus kab mob tuaj yeem cuam tshuam kev puas siab puas ntswstxoj kev loj hlob, txo kev nkag siab ntawm cov ntaub ntawv thiab txo qis lub neej zoo nyob rau hauv dav.
Daim ntawv no ntawm otitis yog tus yam ntxwv los ntawm kev mob ntawm lub pob ntseg ntawm pob ntseg, nrog rau kev tsim khoom thiab sib sau ua ke ntawm cov yam ntxwv zais cia. Purulent otitis media yog me ntsis txaus ntshai tshaj li catarrhal, vim nws tuaj yeem ua rau muaj teeb meem xws li hnov lus tsis hnov lus lossis hloov intracranial. Yog hais tias tus me nyuam tau mob nrog tus kab mob otitis no, ces koj yuav tsum xyuas koj lub rooj sib hais thiab ua tib zoo saib xyuas cov kev hloov pauv ntawm txoj kev xav ntawm lub hlwb.
Yog vim li cas
Qhov feem ntau ua rau purulent otitis nyob rau hauv cov me nyuam yog o ntawm nasopharynx, mob rhinitis, adenoids thiab SARS. Cov kab mob no ua rau qhov tseeb tias cov hnoos qeev ntau dhau hauv lub qhov ntswg.
Thaum tus menyuam tshuab nws lub qhov ntswg hnyav, cov hnoos qeev nkag mus rau hauv Eustachian raj thiab thaiv nws. Qhov no ua rau tsis muaj qhov cua, thiab ua rau muaj kab mob thiab mob ntawm pob ntseg mucosa.
Thaum cov kua dej ntau ntxiv tawm, muaj qhov tsis xis nyob, mob thiab hnov lus tsis zoo. Nyob rau theem no, cov kab mob pib ua kom nquag plias. Yog li ntawd, tom qab ob peb teev lossis ob peb hnub, cov kua qaub pib tawm ntawm pob ntseg.
Tus me nyuam txoj kev noj qab haus huv yog qhov tsis zoo. Lub cev kub tuaj yeem nce. Nyob rau tib lub sijhawm, qhov kev siv ntawm qhov mob ntawm qhov chaw pob ntseg nce ntxiv. Lub pob ntseg yuav rupture nyob rau hauv lub siab ntawm cov kua paug.
Vim li cas me nyuam?
Muaj ntau yam laj thawj vim li cas suppurative otitis media raug kuaj pom hauv menyuam yaus thiab tsis yog rau cov neeg laus. Cov no suav nrog cov hauv qab no:
- Lub cev muaj nuj nqi ntawm Eustachian raj hauv tus menyuam yog nws qhov nqaim, uas ua rau nws yooj yim clogging nrog mucus.
- Enlarged adenoids feem ntau tshwm sim hauv cov menyuam yaus. Xws li formations tuaj yeem ua rau lub raj Eustachian, uas ua rau nws cov lumen.
- Cov menyuam yaus muaj kev pheej hmoo kis tus kabmob kis ntau dua li cov neeg laus.
Txoj kev sib cav
Tsis tas li, qhov kev pheej hmoo ntawm kev tsim ob sab purulent otitis hauv tus menyuam tau nce ntau ntxiv los ntawm qee yam ntxiv, piv txwv li:
- tsis muaj cov vitamins hauv lub cev.
- Hypercooling.
- siv sijhawm ntev ntawm cov tshuaj uas koom nrog pawg tshuaj tua kab mob.
- kua nkag mus rau auricle.
- Txo kev tiv thaiv.
Purulent otitis media hauv tus menyuam: cov tsos mob
Kev loj hlob ntawm daim ntawv purulent ntawm otitis media hauv menyuam yaus yog qhov mob hnyav hauv pob ntseg. Ib tug me nyuam uas muaj tus kab mob zoo li no qhia kev ntxhov siab, kua muag. Qhov xwm ntawm qhov mob tuaj yeem txawv: mob, throbbing thiab txiav.
Lwm cov tsos mob:
- Pob ntseg tsis xis nyob nce siab thaum hmo ntuj, uas tuaj yeem ua rau pw tsaug zog tsis zoo. Tsis tas li ntawd, cov menyuam yaus feem ntau pom cov tsos mob hauv qab no:
- Txhua yam kab mob tsis muaj zog.
- Ntxhais tawv nqaij.
- tsis hnov lus.
- Txoj kev purulent nrog ntshav impurities.
- nce lub cev kub.
Cov tsos mob ntawm purulent otitis hauv tus menyuam yuav tsum raug txheeb xyuas raws sijhawm. Nws yooj yim dua los kuaj pom cov kab mob hauv cov menyuam yaus, leej twg tuaj yeem pom qhov nws mob.
Nyob yug tshiab
Nrog cov me nyuam yug tshiab, tej yam nyuaj dua. Purulent otitis media tuaj yeem ua rau qhov tseeb tias tus menyuam yuav quaj tas li, xyaum tsis tsaug zog. Tsis tas li ntawd, cov tsos mob hauv qab no tshwm sim:
- Poob qab los.
- Gag reflex.
- Me nyuam yaus pw tsis tau ntawm pob ntseg.
Yog tias qhov kub thiab txias nce mus rau keeb kwm ntawm kev tsis txaus siab ntawm qhov mob hauv pob ntseg, koj yuav tsum hu rau lub tsheb thauj neeg mob, vim tias qhov kev sib xyaw no txaus ntshai heev rau tus menyuam vim muaj kev pheej hmoo ntawm cov teeb meem.
Kev kuaj mob thiab hom
Thaum txiav txim siab qhov kev kuaj mob, tus kws kho mob tshwj xeeb tso siab rau tus neeg mob cov lus tsis txaus siab, nws cov anamnesis, nrog rau cov txiaj ntsig ntawm otoscopy. Raws li txoj cai, hom kev xeem no raug xaiv raws li:
- Kev kuaj xyuas, kuaj xyuas qhov ntswg, nasopharynx thiab pob ntseg kab noj hniav tom qab ntxuav cov kwj dej.
- Vestibulological thiab audiological kuaj.
- Valsalva maneuver. Thaum lub sij hawm manipulation, cov exudate raug thawb mus rau hauv pob ntseg kwj dej.
- Kawm txog qhov zais cia hauv chav kuaj. Nws lub hom phiaj yog txhawm rau ntsuas qhov cuam tshuam ntawm cov kab mob tsis zoo rau cov tshuaj tua kab mob.
- Kev ntsuas tus neeg mob lub cev tiv thaiv kab mob.
- X-ray thiab computertomography.
Muaj ntau hom purulent otitis media hauv menyuam yaus. Txhua tus ntawm lawv yog tus yam ntxwv ntawm qee yam nta.
Mob - nws yog qhov mob hnyav thiab txuam nrog cov paug tawm hauv pob ntseg. Thaum tsis muaj kev kho raws sijhawm, muaj kev pheej hmoo ntawm tus kab mob mus ntev. Nrog rau hom kab mob otitis media, lub pob ntseg raug cuam tshuam. Kuj tseem muaj qhov txo qis hauv kev hnov lus hauv tus menyuam.
Bilateral - nyob rau hauv rooj plaub no, ob lub pob ntseg raug inflammatory kab mob ib zaug. Hom kab no yog qhov txaus ntshai heev rau kev noj qab haus huv ntawm tus menyuam, tshwj xeeb tshaj yog cov menyuam yug tshiab. Feem ntau ntawm otitis media nyob rau hauv pawg no ntawm cov me nyuam yog precisely ob tog. Nrog rau hnub nyoog, cov kev pab cuam hnov qab txhim kho thiab tus naj npawb ntawm otitis media txo qis.
Recurrent - ntau yam no yog tus cwj pwm los ntawm kev rov kis mob tom qab lub sijhawm luv luv tom qab rov zoo. Feem ntau qhov no tshwm sim vim yog xaiv txoj kev kho tsis raug lossis ua txhaum cai ntawm cov tshuaj ntawm tus kws kho mob tuaj koom. Kev rov ua dua ntawm otitis media tsis raug txiav tawm nrog qhov loj ntawm adenoids.
Purulent otitis media hauv menyuam yaus: kev kho mob
Txhawm rau zam qhov tshwm sim txaus ntshai rau kev noj qab haus huv, nws yuav tsum tau sab laj nrog kws kho mob raws sijhawm thiab kuaj xyuas. Tus kws kho mob tshwj xeeb xaiv cov kev kho mob coj mus rau hauv tus account tus neeg mob qhov kev tsis txaus siab thiab theem ntawm kev tshwm sim ntawm tus kab mob. Lub sijhawm kho kuj nyob ntawm qhov no.
Cov menyuam yug tshiab uas muaj kab mob otitis media yog cov tshuaj tua kab mob. Nyob ntawm lub hnub nyoog ntawm tus neeg mob thiab hom kab mobCov tshuaj tua kab mob tuaj yeem raug sau rau hauv cov ntsiav tshuaj lossis daim ntawv raug tshem tawm. Feem ntau, cov tshuaj los ntawm cov pab pawg penicillin tau sau tseg, tshwj xeeb tshaj yog ua ke nrog clavulanic acid.
Ntev npaum li cas yog purulent otitis media kho hauv menyuam yaus? Nws nyob ntawm qhov hnyav ntawm tus kab mob. Qhov nruab nrab, tus kab mob yuav daws tau hauv ib lub lis piam.
Cov tshuaj siv tau zoo tshaj plaws yog: Amoxicillin, Amoxiclav, Augmentin, thiab lwm yam. Yog tias penicillins tsis muaj txiaj ntsig lossis tsis pom zoo, kev nyiam yog muab rau cephalosporins xws li Ceftriaxone, Cefazolin, thiab lwm yam. e.
Yog tias cov tshuaj no tsis muab cov txiaj ntsig lossis kuaj pom qhov ua xua, cov kws kho mob tshwj xeeb tau sau tshuaj los ntawm pawg macrolide. Cov no yog cov tshuaj xws li Azithromycin, Clarithromycin, thiab lwm yam. Ib qho tshuaj tua kab mob rau cov kab mob purulent otitis hauv cov menyuam yaus yuav tsum tau xaiv los ntawm kws kho mob. Kev noj tshuaj rau tus kheej tsis tsim nyog.
Nrog purulent otitis, tus me nyuam yuav tsum tau muab tshuaj tee rau hauv lub qhov ntswg, nqaim cov hlab ntsha. Lawv txo qhov o ntawm qhov ntswg mucosa thiab nthuav cov lumen ntawm lub auditory raj. Cov no tuaj yeem yog Otrivin, Galazolin, Naphthyzin, thiab lwm yam. Cov tshuaj tiv thaiv kab mob kuj tau sau tseg ua ke nrog tee rau purulent otitis hauv menyuam yaus.
Yog tias qhov mob hnyav, cov tshuaj tiv thaiv kab mob raws li ibuprofen lossis paracetamol raug sau tseg. Lawv kuj muaj cov nyhuv antipyretic. Ob lub suppositories thiab syrups siv tau.
Yog tias tsis pom qhov perforation ntawm lub pob ntseg, cov tshuaj tee yog muab rau hauv pob ntseg. Otipaks muaj cov nyhuv analgesic thiab anti-inflammatory nyhuv. Cov tshuaj no raug sau tseg txawm rau cov me nyuam mos.
Nyob rau hauv daim ntawv mob ntawm purulent otitis media, immunomodulators thiab tshuaj tiv thaiv kab mob, xws li Viferon, tau qhia.
Qhov no yog kho mob otitis hauv menyuam yaus li cas.
Kev Tiv Thaiv
Yog tias tus kab mob tau rov ua dua, ces cov xwm txheej cuam tshuam rau qhov pom ntawm purulent otitis media yuav tsum raug tshem tawm. Feem ntau, nws yuav tsum tau ua kom muaj zog tiv thaiv kab mob, rau qhov no immunomodulatory thiab vitamin kho yog nqa tawm.
Thaum kev zam txim tshwm sim, cov txheej txheem rau tshuab cov hlab ntsws thiab zaws lub pob ntseg. Txhawm rau tshem tawm cov kab mob sinusitis, ib qho kev sib tsoo yuav ua tau. Yog tias qhov ua rau mob hnyav zuj zus ntxiv adenoids, tus kws kho mob tuaj yeem sau ntawv tshem tawm.
Nws yuav tsum nco ntsoov tias qhov tshwm sim ntawm purulent otitis media hauv menyuam yaus yog qhov txaus ntshai heev. Meningitis thiab sepsis tuaj yeem tshwm sim.
Txhawm rau zam kev txhim kho ntawm daim ntawv purulent ntawm otitis, kev tiv thaiv tshwj xeeb raug coj los siv. Lawv yog cov hauv qab no:
- Txhim kho lub cev tiv thaiv kab mob.
- Nyob zoo.
- Kev tiv thaiv kab mob kis.
- khoom noj muaj txiaj ntsig.
- Kev kho mob raws sijhawm ntawm cov kab mob nasopharynx.
Purulent otitis media belongs rau qeb ntawm cov kab mob txaus ntshai uas cuam tshuam rau kev hnov lus. Yog li ntawd, thaum yws txog qhov mob hauv pob ntseg, koj yuav tsum qhia tus menyuam mus rau tus kws kho mob tshwj xeeb thiab tsis yog tshuaj rau tus kheej.
