Tsis ntev los no, tau muaj cov kab mob fungal ntau ntxiv, suav nrog cov kab mob ua pa sab sauv. Feem ntau, cov kab mob fungal ntawm pob ntseg tshwm sim thaum yau (hauv 27% ntawm cov neeg mob otitis media), tab sis kuj tuaj yeem kuaj tau rau cov neeg laus. Pab pawg muaj kev pheej hmoo suav nrog cov neeg uas tau phais pob ntseg thiab cov neeg mob uas hnav cov khoom siv hnov lus.
Ua rau kab mob fungal
Pob ntseg fungus nyob rau hauv tib neeg (otomycosis) tshwm sim vim muaj ntau yam hauv pob ntseg kwj dej ntawm qee yam kab mob tsis zoo: pwm lossis fungi ntawm genus Candida. Ib qho laj thawj yog saprophytic flora - cov kab mob mycotic uas ib txwm muaj nyob rau ntawm tib neeg cov tawv nqaij hauv cov khoom me me thiab tsis qhia txog kev ua haujlwm hauv qhov tsis muaj qhov cuam tshuam.
Lub ntsiab tseem ceeb ntawm kev pheej hmoo rau kev loj hlob ntawm otomycosis yog suav tias yog cov hauv qab no:
- kev raug mob thiab microdamages ntawm sab nrauv, nruab nrab thiab sab hauv pob ntseg;
- kev ua kom muaj zog ntawm cov qog hws;
- metabolic mob tshwm sim los ntawm ntau yam kab mob;
- siv tsis tau tshuaj tua kab mob, tshuaj pleev tshuaj hormonal;
- Ib lub cev txawv teb chaws nkag mus rau hauv pob ntseg (cov ntsiab lus ntawm kev pab cuam hnov lus hauv cov neeg laus, cov noob cog, plasticine thiab cov khoom ua si me me thaum yau, dej);
- qee yam kab mob: HIV / AIDS, ntshav qab zib, mob qog noj ntshav, leukemia;
- kis nrog cov kab mob candida hauv daim tawv nqaij lossis qhov chaw mos candidiasis;
- txo qis tiv thaiv kab mob, ntau yam kev tsis haum;
- kev tu cev tsis zoo, pob ntseg muaj kuab paug;
- nquag siv lub mloog pob ntseg, hnav lub pob ntseg;
- combing the auricle, uas feem ntau tshwm sim nrog ntau yam atopic dermatitis, tiv tauj, eczema).
Tsis muaj zog ntawm lub cev tiv thaiv kab mob
Lub kwj dej sab nraud yog qhov chaw yug me nyuam rau cov pwm lossis Candida. Cov kab mob fungal ntawm pob ntseg hauv tib neeg tsis tsim yog tias cov txheej txheem tiv thaiv ua haujlwm ib txwm. Cov tawv nqaij hauv pob ntseg kwj dej tsim cov roj nplua nyeem tshwj xeeb uas cov kab mob tsis tuaj yeem kov yeej. Yog tias qhov thaiv tau raug rhuav tshem hauv qee qhov chaw, piv txwv li, vim microdamages lossis o, ces tus kab mob yuav pib.
Tshwj xeeb tshaj yog muaj kev pheej hmoo ntawm ntsib cov kab mob yog cov neeg uas ntxuav lawv lub pob ntseg nrog cov khoom improvised los yog carelessly siv paj rwb swabs. Nyob rau hauv qhov teeb meem ntawm pob ntseg huv si, nws yog qhov zoo dua tsis txhob siv paj rwb buds tag nrho tshaj li ua qhov no.yuam kev los yog ntau dhau. Kev tiv thaiv tuaj yeem raug rhuav tshem vim cov kab mob metabolic, kab mob autoimmune, tiv thaiv keeb kwm yav dhau los ntawm kev tsis haum tshuaj lossis kev txo qis hauv kev tiv thaiv kab mob.
Kev quav yeeb tshuaj
Tau hauv pob ntseg rau cov kab mob fungal thiab lwm yam teeb meem, ntau tus neeg mob tau sau ntawv rau lawv tus kheej. Yog li ntawd, cov kws kho mob otolaryngologists qhia txog qhov nce ntawm cov neeg mob uas muaj cov kab mob mycotic ntawm cov kab mob ENT rau kev tswj tsis tau siv tshuaj tua kab mob lossis tshuaj hormonal rau kev kho mob otitis media. Feem ntau, tsis tas yuav siv cov tshuaj tua kab mob, tab sis cov neeg mob tseem siv lawv haphazardly thiab tsis muaj kws kho mob cov tshuaj.
Qhov no ua rau tsis yog tsuas yog ua txhaum txoj hnyuv microflora, tab sis kuj ua rau lub cev tsis muaj zog tiv thaiv kab mob. Yog li ntawd, fungi ntawm daim tawv nqaij, nrog rau hauv pob ntseg kwj dej, pib ua kom nquag plias. Muaj pob ntseg fungus nyob rau hauv tib neeg. Yog tias tus neeg mob tsis mus ntsib kws kho mob, tab sis txuas ntxiv mus kho nws tus kheej (feem ntau qhov no tshwm sim), tom qab ntawd cov kab mob hnyav zuj zus, qhov mob yuav mob ntev.
Localization ntawm pob ntseg fungus
Daim duab kho mob yuav txawv nyob ntawm seb qhov twg ntawm lub pob ntseg yog qhov mob hauv zos. Cov tsos mob tsis zoo ntawm pob ntseg fungus hnyav dua li cov mycelium loj hlob mus rau hauv cov txheej txheem tob ntawm daim tawv nqaij. Nyob rau hauv tas li ntawd, lub enzymatic thiab toxicity pathogenic cuam tshuam yog ntxiv rau cov neeg kho tshuab raug mob. Kab mob fungal ntawm pob ntseg tuaj yeem ua rau thaj chaw sab nraud,nyob rau hauv nruab nrab pob ntseg, ntawm lub tympanic membrane, los yog nyob rau hauv lub postoperative kab noj hniav.
Cov tsos mob ntawm pob ntseg sab nraud
Txoj kev txhim kho ntawm cov txheej txheem inflammatory yog ua ntej los ntawm thinning ntawm fatty zaj duab xis nyob rau hauv lub pob ntseg kwj dej. Qhov no tuaj yeem tshwm sim los ntawm microdamage lossis los ntawm cov av noo siab. Lub pob ntseg kwj dej ua o, cov qog nqaij hlav sab nraud tuaj yeem txhaws, thiab tus neeg mob pib khaus, kub hnyiab, thiab hnov qab pob ntseg.
Feem ntau, cov neeg mob xav tias qhov ua rau tsis xis nyob yog tsim cov sulfur plugs los yog paug. Tab sis kev sim ntawm kev ntxuav tus kheej tuaj yeem ua rau muaj kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij, uas yog qhov zoo rau kev nkag mus ntawm tus kab mob mycotic. Raws li qhov tshwm sim, cov tsos mob ntawm cov kab mob fungal ntawm pob ntseg hauv tib neeg tshwm sim: mob hnyav, hyperemia ntawm daim tawv nqaij.
Cov theem mob hnyav kuj tseem muaj qhov zais cia, qhov ntim uas nce ntxiv thaum cov kab mob loj zuj zus. Qhov ntxoov ntxoo ntawm qhov tso tawm yog nyob ntawm tus kab mob. Cov paug tawm tuaj yeem yog daj-ntsuab, grey-dub, xim av-xim av, zoo li pob ntseg lossis ntawv ntub dej.
Nrog rau qhov mob hnyav, lub lumen ntawm lub pob ntseg tuaj yeem raug kaw tag nrho. Yog li ntawd, ib tug neeg raug kev txom nyem los ntawm qhov tsis hnov lus hnyav (txo qis hauv kev hnov lus acuity), hnov suab nrov hauv pob ntseg, hnov qhov mob hnyav heev. Qhov mob mob feem ntau ua rau hnyav dua los ntawm kev nqos txav.
Ntau tus tsos mob ntxivCov kab mob fungal ntawm pob ntseg yog ib qho mob hauv zos ntawm cov qog nqaij hlav, kis mus rau cov leeg temporomandibular thiab parotid caj pas. Hauv qhov no, lub pob ntseg nruab nrab tuaj yeem koom nrog cov txheej txheem pathological, uas tuaj yeem tshwm sim hauv cov neeg mob leukemia lossis ntshav qab zib mellitus.
Cov tsos mob ntawm pob ntseg nruab nrab
Cov kab mob fungal ntawm pob ntseg nruab nrab feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem mob ntev ntawm cov kab mob tympanic. Cov neeg mob yws yws txog qhov tsis zoo ntawm kev noj qab haus huv, mob pob ntseg ntawm qhov sib txawv ntawm qhov sib txawv, ua kom hnov lus tsis zoo, kuj tseem muaj kev xav ntawm congestion thiab suab nrov extraneous. Nrog cov kab mob fungal ntawm pob ntseg, migraines feem ntau tshwm sim.
Cov tsos mob ntawm cov kab mob fungal myringitis
Fungal miringitis yog qhov mob ntawm lub pob ntseg uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem inflammatory nyob rau sab nrauv lossis nruab nrab pob ntseg. Hauv qhov no, kev txav mus los ntawm cov kab mob tympanic raug cuam tshuam, uas ua rau tsis hnov lus zoo. Tus cwj pwm los ntawm qhov muaj paug tawm ntawm pob ntseg, mob hnyav thiab lwm yam tsos mob ntawm o. Muaj mob taub hau, qee zaum nrog kiv taub hau, khaus khaus hauv pob ntseg ib ntus, qhov rhiab heev ntawm auricle nce, o tshwm. Thaum lub sijhawm mob hnyav, qee cov neeg mob muaj kev nce hauv lub cev kub. Tus mob no tsis tshua muaj tshwm sim hauv kev kho mob.
Postoperative kab noj hniav puas
Cov neeg mob uas tau mob mastoidectomy tuaj yeem ua rau mob. Thaum lub sij hawm txheej txheem los ntawm kab noj hniavCov txheej txheem mastoid tshem tawm cov kua paug thiab granulation. Kev ua haujlwm yog ua tsis tshua muaj, txij li kev cuam tshuam hauv feem ntau tuaj yeem zam tau los ntawm kev siv tshuaj tua kab mob muaj zog. Tab sis yog tias cov tshuaj tsis muaj txiaj ntsig, cov txheej txheem inflammatory ua rau mob ntev lossis mob hnyav tshwm sim, xws li lub paj hlwb abscess lossis meningitis, mastoidectomy yuav dhau los ua ib qho kev zam tsis tau.
Nyob rau hauv kab noj hniav uas cov qog mastoid nyob, cov kab mob fungal yuav pib. Kev hnov mob hauv qhov no yog nyob hauv pob ntseg nws tus kheej lossis tom qab pob ntseg kab noj hniav. Tus nqi tso tawm ntau ntxiv, tab sis cov neeg mob feem ntau tsis quav ntsej qhov yuav tsum tau mus ntsib kws kho mob, vim lawv xav tias cov tsos mob zoo li no yog qhov txawv ntawm cov qauv hauv lub sijhawm postoperative. Raws li qhov tshwm sim, cov txheej txheem inflammatory dhau mus rau theem ntev thiab pib ua tus cwj pwm los ntawm lub sijhawm exacerbations.
Txoj kev kuaj mob
Nws tsis tuaj yeem kuaj xyuas raws li daim duab kho mob nkaus xwb. Cov kev tshawb fawb soj ntsuam yuav tsum tau xaiv cov tshuaj kho kom zoo rau otomycosis. Ua ntej koj yuav tsum paub seb hom fungus twg ua rau mob, vim tias cov poov xab zoo li fungi xws li Candida yuav tsum tau tawm tsam txawv dua li pwm. Yog tias muaj kab mob pathogenic ntxiv lawm, yuav tsum tau siv tshuaj ntxiv. Qhov kawg tshwm sim ntau zaus. Cov xwm txheej zoo li no hauv kev kho mob hu ua kab mob sib xyaw.
Qhov tseem ceebmuaj peev xwm kuaj xyuas qhov sib txawv. Cov fungi ntawm genus Candida nyob rau hauv tsos, piv txwv li, zoo ib yam li quaj eczema. Yog li ntawd, nws yog ib qho tsim nyog yuav tau ua cov qoob loo los txiav txim siab cov kab mob thiab nws qhov kev nkag siab zoo rau qee yam tshuaj. Yog li, nws yog qhov zoo dua rau kev tso siab rau kev kuaj mob rau tus kws kho mob ENT, leej twg yuav tuaj yeem sau cov kev kho mob tsim nyog rau kab mob pob ntseg.
Kev kho mob
Kev kho cov kab mob fungal ntawm pob ntseg hauv tib neeg yog ua los ntawm cov tshuaj. Cov chav kawm ntawm kev kho mob suav nrog kev noj tshuaj tua kab mob, tshuaj tiv thaiv kab mob, immunostimulants thiab vitamins. Cov tshuaj tau noj ntawm qhov ncauj, thiab cov kev daws teeb meem thiab cov tshuaj pleev yog tsim nyog rau kev siv tshuaj pleev. Raws li txoj cai, Ketoconazole, Nystatin, Fluconazole, Natamycin yog siv, Bifonazole, Clotrimazole, Naftifin thiab Miconazole yog siv topically. Lub hauv paus ntawm kev kho mob tuaj yeem yog Lamisil lossis Exoderil.
Kev kho cov kab mob fungal ntawm pob ntseg hauv tib neeg, yog tias tus neeg sawv cev ua rau yog cov kab mob ntawm cov genus Candida, yog ua los ntawm kev siv cov tshuaj Quinozol, Levorin, Sangavirin hauv 0.2% concentration. Kev daws ntawm Castellani, Kanesten raws li clotrimazole, Multifungin pab. Nws muaj peev xwm tso levorin lossis nystatin tshuaj pleev rau hauv pob ntseg. Yog hais tias lub pob ntseg tsis puas, cov kev daws yuav tsum tsis txhob muab tso ncaj qha rau hauv pob ntseg. Qee lub sij hawm cov tshuaj tau tsau rau hauv cov ntaub pua tsev thiab muab tso rau hauv lub qhov dej sab nraud.
Cov nceb nceb yog qhov nkag siab rau kev siv Mycozolin, Nizoral,"Pimafutsina". Thaum tswj kev ncaj ncees ntawm cov kab mob tympanic, kev siv tshuaj "Candibiotic" raug tso cai. Cov tshuaj zoo anesthetizes vim qhov tseeb hais tias lidocaine muaj nyob rau hauv muaj pes tsawg leeg. Ua tsaug rau corticosteroid, Kadibiotic tshem tawm cov txheej txheem inflammatory sai heev. Kev kho mob tsis tshua muaj tshaj kaum hnub.
Chav dej ntawm pob ntseg yog nqa tawm nrog kev pab los ntawm ntau yam tshuaj tua kab mob thiab tshuaj kho mob. Kev sib sau ntawm cov kua qaub yog qhov muaj zog ntxiv ntawm cov kab mob, yog li kev tu cev yuav tsum tau ua nrog kev saib xyuas zoo. Nws tuaj yeem siv cov roj vaseline, hydrogen peroxide, boric acid (3%), isotonic kua, salicylic acid (3%). Cov tawv nqaij ntawm pob ntseg kwj dej yog qee zaum pom zoo kom lubricated nrog kev daws ntawm silver nitrate (10%).
Yog tias kev kho mob hauv zos tsis ua tiav lossis cov kab mob fungal rov tshwm sim, kev kho hauv zos tau ntxiv nrog cov tshuaj siv tshuaj. Kev kho mob nrog "Diflucan" yog nqa tawm mus txog ob lub lis piam, chav kawm ntawm kev noj "Orungal" tuaj yeem mus txog peb lub lis piam, qhov siab tshaj plaws ntawm kev kho mob "Nizoral" yog ib hlis. Yog tias muaj kev fab tshuaj tsis haum, nws raug nquahu kom noj cov tshuaj tiv thaiv kab mob thiab cov tshuaj calcium hauv cov tshuaj ntxiv.
Cov menyuam yaus thiab cov neeg laus, yog tias tsim nyog los kho cov kab mob tiv thaiv kab mob, raug tshuaj interferon inducers, piv txwv li, "Viferon" raws li kev noj tshuaj raws hnub nyoog. Rau tib lub hom phiaj, kev noj cov lipoic lossis pantothenic acid, B vitamins, Wobenzym thiab lwm yam tshuaj uas tau muab rau.zog metabolism optimization.
Ntseeg tshuaj kho cov kab mob
Kho pob ntseg fungus siv cov tshuaj tsoos tsuas yog ua tau raws li kev saib xyuas ntawm tus kws kho mob uas tsim nyog. Txwv tsis pub, tus kab mob tsuas yog zuj zus los yog muaj teeb meem loj tuaj. nquag siv nyob rau hauv kev kho mob ntawm fungal kab mob ntawm pob ntseg (cov tsos mob ntawm kev puas tsuaj sai sai ploj) celandine, dos kua txiv, hydrogen peroxide, chamomile.
Celandine muaj cov tshuaj tua kab mob, tshuaj loog thiab tshuaj tua kab mob, tua cov kab mob, soothes ntawm daim tawv nqaij thiab txo qhov mob. Rau kev kho mob ntawm pob ntseg fungus, tee los ntawm ib tug decoction los yog cog kua txiv yog siv. Thaum siv, nws yog ib qhov tsim nyog los tiv thaiv lub decoction los yog kua txiv los ntawm kev nkag mus rau hauv cov mucous daim nyias nyias thiab rau hauv lub qhov muag, thiab tom qab instillation, ntxuav koj txhais tes kom huv si, vim hais tias celandine yog ib tug tshuaj lom nroj tsuag. Tsis tas li ntawd, cov tshuaj no yuav tsum tsis txhob siv los kho cov menyuam yaus.
Dos kua txiv muaj zog tiv thaiv kab mob. Koj yuav tsum tau muab cov tshuaj faus rau hauv pob ntseg mob ob zaug lossis peb zaug ib hnub rau qhov siab kawg ntawm plaub hnub. Koj tuaj yeem siv qej es tsis txhob dos. Chamomile yog lub npe hu rau nws cov pronounced anti-inflammatory zog. Nrog rau cov kab mob fungal, koj tuaj yeem ntxuav koj pob ntseg ob peb zaug hauv ib hnub nrog ib lub decoction ntawm qhuav chamomile paj.
Kev mob ntawm cov kab mob fungal
Nrog rau kev txhim kho ntawm cov teeb meem loj (mastoiditis, cov txheej txheem mob ntev), kev phaiskev cuam tshuam. Kev ua haujlwm yog ua thaum nws tsis tuaj yeem tshem tawm cov kab mob pob ntseg nrog kev saib xyuas. Kev kho mob ntawm pob ntseg mycosis yog ib txoj haujlwm nyuaj, tab sis feem ntau qhov kev mob tshwm sim tau zoo, tshwj xeeb tshaj yog tias tus neeg mob nrhiav kev pab kho mob raws sijhawm. Yog tias cov txheej txheem nplaum tsim, thiab tus kab mob nyob hauv nruab nrab pob ntseg, ces qhov txo qis hauv kev hnov lus yuav tsis rov qab los. Hauv chav kawm nyuaj, cov kab mob tuaj yeem kis mus rau hauv nruab nrog cev thiab ua rau mob sepsis.
