Yog tias koj ntsib kev tsis xis nyob hauv koj lub taub hau, koj yuav tsum tsis txhob noj tshuaj rau tus kheej. Tom qab tag nrho, koj tsis zoo li yuav txiav txim siab qhov ua rau mob. Nws tuaj yeem pib vim lub caij nplooj zeeg lossis, qhov sib txawv, nce siab, neuralgia, dhau los ua qhov tshwm sim ntawm kev raug mob lossis kev ua txhaum ntawm cerebral ncig. Koj yuav tsum tau xyuam xim tshwj xeeb rau lub xeev ntawm koj txoj kev noj qab haus huv yog tias koj muaj mob hauv koj lub taub hau.
Cas ntawm teeb meem
Feem ntau, cov neeg mob uas yws rau tus kws kho mob txog qhov tsis xis nyob hauv occipital, sab cev nqaij daim tawv, pem hauv ntej lossis parietal cheeb tsam, uas tuaj sai sai, muaj teeb meem neurogenic. Ntawm cov laj thawj uas xav tias zoo li rab phom hauv lub taub hau, cov hauv qab no feem ntau raug suav hais tias.
- Poob ntawm peripheral sensory xaus. Cov teeb meem feem ntau yog nrog cov hlab ntsha trigeminal, glossopharyngeal. Tsis tas li ntawd, pab pawg neeg no suav nrog cov tshuaj lom cawv polyneuropathy, tunnel syndromes ntawm 5 thiab 9 khub ntawm cranial paj hlwb xaus.
- Teeb meem nrogcog ganglia. Cov laj thawj no yog tshwm sim los ntawm neuralgia ntawm pterygopalatine ganglion lossis cov hlab ntsha nruab nrab.
- YOtolaryngology. Teeb meem nrog lub cev tsis hnov tsw thiab hnov tsw ua rau hnov qab dab tsi tua hauv lub taub hau. Qhov ua rau ntawm qhov mob no yog purulent otitis, uas cuam tshuam rau lub pyramid ntawm lub cev ntawm cov pob txha, purulent mastoiditis, sinusitis nyob rau hauv cov theem mob.
- Tshuaj Kho Mob. Mob tshwm sim thaum lub sij hawm purulent inflammatory txheej txheem nyob rau hauv lub orbits, nyob rau hauv uas lub paj hlwb raug cuam tshuam.
- Teeb meem nrog cov cuab yeej osteoarticular. Kev xav ntawm nraub qaum tshwm sim nrog mob caj dab thiab osteomyelitis hauv thaj tsam temporomandibular.
Qhov no tsis yog ib daim ntawv teev tag nrho ntawm cov laj thawj ua rau muaj teeb meem. Muaj tsawg zaus, mob nraub qaum tshwm sim vim osteochondrosis ntawm tus txha nraub qaum, qog nqaij hlav, cysts lossis abscesses hauv qee qhov ntawm lub hlwb, cov hlab ntsha aneurysm.
pain localization
Qee tus neeg mob tsis tuaj yeem piav qhia meej tias qhov tsis xis nyob tshwm sim thaum lawv mus ntsib kws kho mob. Lawv tsuas tuaj yeem taw tes rau qhov teeb meem ntawm lub taub hau. Nws yuav tsum tau muab sau tseg tias nyob rau hauv kev kho mob xyaum tsis muaj xwm txheej ntawm piav qhia txog ob sab lumbago. Raws li txoj cai, tua mob hauv lub taub hau tshwm sim hauv qee qhov chaw.
- Frontal lobe. Feem ntau, cov neeg mob taw tes rau sab xis ntawm lub ntsej muag saum lub qhov rooj superciliary.
- mob ib ce. Nws yog nyob rau hauv cheeb tsam no uas muaj coob tus paj hlwb xaus thiab mob receptors yog concentrated.
- Parietal localization. Ntau cov paj hlwb ceg tawm hauv thaj av ntawm lub crown - qhov no yog vim li casqhov tsos mob ntawm qhov chaw ntawm lub taub hau.
- cheeb tsam occipital. Kev tua nyob rau hauv qhov chaw no tshwm sim nyob rau hauv feem ntau tom qab ib tug ntse tig ntawm lub taub hau, nyob rau hauv ib co cov neeg mob cov cheeb tsam ntshiab yuav txawv, thaum kov, ib tug tam sim ntawd mob tshwm.
Vim hais tias ib qho ntawm qhov ua rau mob yog kab mob ntawm pob ntseg, qhov ntswg lossis mob qog nqaij hlav, kev sab laj ENT yuav tsim nyog los kuaj xyuas. Tsuas yog tus kws kho mob tshwj xeeb no tuaj yeem txiav txim siab yog tias koj muaj otitis, sinusitis lossis sinusitis. Tom qab tag nrho, cov kab mob no ua rau lub fact tias ib tug neeg xav tias zoo li tua nyob rau hauv lub taub hau qab pob ntseg.
Feem ntau, yog tias qhov ua rau mob yog ib yam ntawm cov kab mob uas tau teev tseg, nws txhais tau hais tias nws kis nrog cov kua paug, uas ua rau cov hlab ntsha tawg thiab ua rau tsis xis nyob. Cov kab mob zoo li no yuav tsum tau siv tshuaj tua kab mob, qee qhov kev kho mob physiotherapy raug sau tseg. Yog tias koj xav tias koj raug tua hauv koj lub taub hau tom qab koj pob ntseg, koj yuav tsum mus ntsib kws kho mob sai li sai tau kom tsis txhob ua rau koj tus mob hnyav dua. Txawm hais tias feem ntau, cov kab mob purulent nrog ua npaws, ua rau muaj kev noj qab nyob zoo thiab mob tas li, yog li nws nyuaj heev kom tsis txhob muaj tus kab mob no.
Diagnosis
Yog tias qhov kev xav tsis zoo tshwm sim tsis tu ncua, xaus sai sai thiab muaj qhov xwm txheej, ces feem ntau tib neeg tsis pom qhov laj thawj tiv taujmus rau tus kws kho mob. Txawm li cas los xij, koj yuav tsum tsis txhob cia tus kab mob coj nws mus los yog sim kho tus kheej thaum nws tua hauv lub taub hau. Yuav ua li cas rau qhov no, tsuas yog ib tus kws tshaj lij tshwj xeeb yuav tsum txiav txim siab. Ua ntej tshaj plaws, koj yuav tsum mus ntsib tus kws kho mob ENT (kom tsis suav nrog sinusitis, sinusitis, otitis media thiab lwm yam teeb meem zoo sib xws) thiab tus kws kho mob hlwb. Tsuas yog ib qho kev ntsuam xyuas dav dav yuav tso cai rau peb los txiav txim siab qhov ua rau mob.
Tib lub sijhawm, koj yuav tsum tsis txhob tsis kam kuaj mob, vim tias qhov teeb meem tuaj yeem raug tshem tawm tsuas yog tias qhov ua rau nws tshwm sim raug txiav txim siab. Nws tseem ceeb heev uas yuav tsum paub tias tus kws kho mob tsis tuaj yeem kuaj xyuas qhov tseeb yog tias tus neeg mob tsuas qhia nws tias qhov twg yog qhov tua ntawm lub taub hau ntawm sab xis lossis sab laug. Rau kev kuaj mob, nws yog ib qho tseem ceeb kom paub qhov zaus ntawm qhov mob no, lawv lub sijhawm, cov yam ntxwv ua rau lawv pib, thiab lwm yam nta.
Kev kho mob
Tsis muaj tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj kho yam tsis tau kuaj ua ntej. Yuav pib nrog, muaj teeb meem otolaryngological yuav tsum raug cais tawm thiab tshuaj xyuas los ntawm tus kws kho mob neurologist. Yog hais tias nws tua nyob rau hauv lub taub hau vim o ntawm cov hlab ntsha xaus, ces tus neeg mob yuav tsum tau muab tshuaj thermal, physiotherapeutic los yog dej cov txheej txheem, massage ntawm qhov mob, thiab tshuaj. Cov khoom kawg suav nrog kev noj cov tshuaj uas tsis yog-steroidal anti-inflammatory, cov vitamins ntawm pawg B, thaiv cov ntsiab lus mob nrog tshuaj loog.
txheej txheem
Yog tus neeg mob yws txog kev tua lub taub hau, cov kws kho mob qhia kom siv cov cua sov. Hauv tsev kho mob,thaj chaw teeb meem tuaj yeem siv nrog paraffin, ua compresses nrog dimexide, siv cov tshuaj pleev ib nrab-cawv. Tsis tas li ntawd, cov txheej txheem physiotherapeutic feem ntau tau sau tseg: electrophoresis, laser kho, UHF, iontophoresis, sib nqus raug, galvanic tam sim no. Cov txiaj ntsig zoo tshaj plaws los ntawm lawv yog pom nyob rau hauv cov xwm txheej uas ib los yog lwm cov hlab ntsha tau tshuab hauv cov cua ntsawj ntshab. Hauv qee qhov xwm txheej, nrog cov neuralgia superficial, nws raug nquahu kom ua lub teeb zaws ntawm qhov mob.
Rau cov neeg mob kho hauv tsev, nws raug nquahu kom siv cov cua sov qhuav. Nws tuaj yeem yog cov phuam qhwv caj dab zoo tib yam uas tau qhwv ib ncig ntawm thaj chaw teeb meem. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb kom ntseeg tau tias qhov chaw no tsis tau txais supercooled yav tom ntej.
Drug therapy
Yog tias tus kws kho mob tau tsim tias neuralgia yog qhov ua rau mob nraub qaum hauv lub taub hau, tom qab ntawd, ntxiv rau cov txheej txheem, ntau cov tshuaj yuav raug sau tseg. Cov tshuaj ib txwm muaj xws li cov tshuaj tiv thaiv kab mob thiab cov tshuaj tua kab mob. Piv txwv li, yog tias tus neeg mob yws tias nws feem ntau tua hauv lub taub hau, ces nws yuav raug muab tshuaj xws li Ketanov, Indomethacin, Dexalgin. Nyob rau hauv cov ntaub ntawv ntawm mob tsis tu ncua, blockades yog nqa tawm siv kev daws teeb meem nrog Lidocaine, Bupivacaine, Novocain. Cov ntsiab lus txhaj tshuaj yog nyob tom qab pob ntseg, nyob ze ntawm qhov chaw superciliary lossis hauv thaj tsam ntawm lub puab tsaig.
Cov vitamins uas muaj nyob hauv pawg B pab txhim kho cov txiaj ntsig ntawm kev kho mob, yog li, cov tshuaj hauv qab no tuaj yeem muab rau cov neeg mob: Neurobex, Cyanocobalamin, Thiamine, Milgama, Pyridoxine.
kev kho mob zoo
Tsis pom qhov txiaj ntsig zoo los ntawm kev kho hauv thawj hnub, cov neeg mob poob siab ob leeg ntawm tus kws kho mob thiab hauv txoj kev kho mob tau muab rau lawv. Txawm li cas los xij, ntau tus tsis xav xav tias cov teeb meem ntev tsis tuaj yeem tshem tawm hauv 2-3 hnub. Lawv txoj kev kho mob yuav tsum muaj kev dav thiab ntev txaus. Tab sis yog hais tias koj mus ntsib kws kho mob nyob rau hauv thawj hnub ntawm cov tsos ntawm unpleasant rhiab heev, thaum tseem muaj ib tug mob theem ntawm cov txheej txheem inflammatory nyob rau hauv cov hlab ntsha xaus, ces cov nyhuv ntawm kev kho yuav pom yuav luag tam sim ntawd. Tsis tas li ntawd, tshem tawm qhov teeb meem nrog kev kho mob ntxov yuav yooj yim dua, thiab kev kho mob yuav siv sij hawm tsawg dua.
