Cov tsos mob thiab kev kho mob otitis media hauv cov neeg laus tsis tshua nyiam rau cov neeg mob ntau dua li kev kho cov txheej txheem inflammatory rau cov menyuam yaus. Raws li kev txheeb cais, ntau dua 90% ntawm cov menyuam yaus hnub nyoog qis dua peb xyoos tau muaj otitis media tsawg kawg ib zaug. Cov hauv qab no yog cov ncauj lus kom ntxaws txog kev pheej hmoo, cov tsos mob, thiab kev kho mob rau sab nraud lossis sab hauv pob ntseg hauv cov neeg mob hluas.
Kev kis tus kabmob ntawm cov menyuam yaus thiab qee qhov kev pheej hmoo
Cov me nyuam yau muaj qhov mob ntawm lub cev tsis hnov lus ntau dua li cov neeg laus. Raws li txoj cai, otitis media tshwm sim feem ntau hauv cov menyuam yaus hnub nyoog qis dua peb xyoos. Ntau yam ua rau qhov no. Hauv cov menyuam mos, piv txwv li, lub raj txuas lub pob ntseg rau nasopharynx yog qhov dav thiab luv dua li cov neeg laus, yog li cov kab mob pathogenic tuaj yeem nkag mus tau yooj yim. Qee zaum cov mucosa o tuaj mus rau qhov uas nws kaw lub lumen. Yog li ntawd, huab cua pauv ntawm nasopharynx thiab nruab nrab pob ntseg raug cuam tshuam, thiab qhov no yog ib qho chaw tsim nyog rau kev loj hlob ntawm cov kab mob pathogenic, tsim cov kua paug thiab cov mucus.
Cov menyuam mos tuaj yeem raug mob otitis vim cov kua amniotic nkag mus rau hauv pob ntseg nruab nrab thaum yug menyuam. Tsis tas li ntawd, nyob rau hauv thawj xyoo ntawm lub neej, ib tug npaum li cas ntawm embryonic cov ntaub so ntswg tseem nyob rau hauv lub tympanic kab noj hniav ntawm cov crumbs, uas yog qhov zoo tshaj plaws haum rau kev loj hlob ntawm cov kab mob. Nrog rau txoj kev loj hlob ntawm tus me nyuam, cov ntaub so ntswg sai sai hloov mus rau hauv lub mucous daim nyias nyias, tab sis nyob rau hauv tej rooj plaub, tus txheej txheem no ncua tsis tau tsuas yog rau ob peb lub hlis, tab sis rau ntau xyoo. Yam uas yuav muaj tshwm sim yog ntxov ntxov, yug me nyuam tsawg, muaj teeb meem thaum lub sij hawm yug me nyuam. Qhov feem ntau kab rov tav txoj hauj lwm ntawm lub cev ntawm cov me nyuam mos pab tsim cov otitis media. Nyob rau tib lub sijhawm, cov kua amniotic seem tsis tawm, tab sis nyob rau hauv pob ntseg ntawm cov crumbs.
Hauv cov menyuam yaus hauv thawj xyoo ntawm lub neej, adenoids feem ntau dhau los ua qhov tshwm sim ntawm otitis media. Qhov no yog ib tug kab mob uas yog yus muaj los ntawm o thiab proliferation ntawm tonsil cov ntaub so ntswg nyob rau hauv lub nasopharynx. Nyob rau tib lub sijhawm, cov txheej txheem ntawm kev ua pa ntawm lub qhov ntswg raug cuam tshuam, uas ua rau muaj kev cuam tshuam ntau heev, thiab cov tonsils lawv tus kheej dhau los ua qhov tseem ceeb ntawm kev mob, los ntawm qhov chaw uas cov txheej txheem pathological kis mus rau hauv pob ntseg. Qhov no yog yooj yim los ntawm qhov tseeb hais tias cov mucous daim nyias nyias nyob rau hauv nruab nrab pob ntseg, qhov ncauj kab noj hniav thiab nasopharynx yog tib yam. Tsis tas li ntawd, cov menyuam yaus tseem tsis tau tsim kev tiv thaiv kab mob, ob qho tib si hauv zos thiab kev tiv thaiv kab mob. Lub cev "qhib" nkag mus rau cov kab mob.
Cov xwm txheej txaus ntshai hauv qhov tshwm sim ntawm otitis media hauv cov menyuam yaus yog ntxov ntxov, cev xeeb tub thiab yug menyuam, khoom tsimpub mis, yug me nyuam qis, ntau yam kev loj hlob pathologies, nrog rau kev raug mob thaum yug los. Feem ntau, tus kab mob no tau kuaj pom hauv cov menyuam yaus uas tsis tau txais cov vitamins txaus thiab lwm yam khoom noj, kev txom nyem los ntawm rickets, malnourished. Qhov tshwm sim ntawm otitis media hauv menyuam yaus yog mob qhua pias, mob npaws, ua npaws liab.
Ntau yam ntawm pathology: sab nraud, sab hauv, otitis media
Otitis tuaj yeem yog sab nraud lossis sab hauv. Sab nraud tshwm sim, raws li txoj cai, vim kev puas tsuaj rau pob ntseg kwj dej los yog auricle. Yog tias cov kab mob nkag mus rau thaj chaw no, tom qab ntawd cov txheej txheem inflammatory pib, uas yog tus cwj pwm los ntawm kev nce me ntsis hauv lub cev kub, lub sij hawm tsis xis nyob thiab mob ntawm qhov mob hnyav, thiab qhov o hauv zos. Tus kab mob no yooj yim rau kev kuaj mob, vim kev puas tsuaj thiab o ntawm lub auricle yooj yim pom.
Internal otitis media feem ntau tshwm sim raws li qhov teeb meem ntawm cov kab mob yav dhau los lossis tsis kho kom zoo, tsis saib xyuas cov txheej txheem inflammatory hauv nruab nrab pob ntseg. Pathology tshwm sim tsis yog los ntawm kev hnov mob, tab sis los ntawm kev tsis zoo ntawm kev hnov lus acuity. Feem ntau, cov neeg mob xav tias kiv taub hau. Qhov feem ntau txawv ntawm tus kab mob yog otitis media. Localized nyob rau hauv cheeb tsam tom qab lub tympanic membrane, nrog rau cov kab noj hniav tympanic, antrum, Eustachian raj thiab mastoid hlwb.
Cov tsos mob tseem ceeb thiab cov tsos mob ntawm otitis hauv cov menyuam yaus hnub nyoog sib txawv
Cia peb ua tib zoo saib cov cim qhia ntawm tus kab mob. Cov tsos mob ntawm otitis yog dab tsimenyuam thiab kev kho mob, txhais li cas, cov niam txiv yuav tsum ua li cas? Cia peb pib nrog cov tsos mob ntawm tus kab mob no. Otitis media yog hom kab mob ntau tshaj plaws hauv cov menyuam mos, cov kab mob no loj hlob sai thiab kis tau zoo. Muab daim ntawv mob hnyav thiab mob ntev. Hauv kev mob hnyav, qhov pib sai, qhov mob tshwm sim tam sim ntawd, thiab tom qab ntawd kub nce.
Koj tuaj yeem nkag siab tias koj yuav tsum pib kho mob otitis media los ntawm cov tsos mob hauv qab no:
- hnov tsis hnov ib pliag;
- xov xwm puv pob ntseg;
- mob hnyav, tas li lossis tsis sib xws;
- yuav muaj qhov tsis xis nyob tom qab lub taub hau lossis hauv cov tuam tsev;
- tinnitus;
- lymph nodes nce;
- menyuam lub cev kub nce mus txog 39 degrees;
- otitis media hauv qee kis provokes toothache;
- me nyuam mos qaug zog, nkees sai;
- tus yam ntxwv cuam tshuam pw tsaug zog thiab qab los.
Cov tsos mob tuaj yeem hnyav, tab sis feem ntau cov tsos mob me.
Muaj lwm cov tsos mob ntawm otitis media hauv cov menyuam yaus (thiab kev kho mob yuav tsum raug xaiv los ntawm tus kws kho mob daim duab, los ntawm txoj kev). Nyob rau hauv cov ntaub ntawv ntawm tus kab mob fungal, crusts thiab tev yuav tshwm sim, khaus yog sau tseg. Otitis externa yog tus cwj pwm los ntawm kev tsim ntawm lub plab ntawm lub auricle los yog hauv pob ntseg kwj dej. Cov tubercle o tuaj yeem hloov xim los ntawm liab-liab mus rau xiav. Ib tug purulent core yog tsim nyob rau hauv nruab nrab ntawm lub neoplasm. Qhov mob yuav mob heevkhaus kom txog thaum tuag ntawm cov receptors, ces nws ua me ntsis qaug zog. Tom qab nkaum qhov kub, qhov txhab tob yuav nyob twj ywm.
Thaum pib tus kab mob no, tus me nyuam kub taub hau thiab mob pob ntseg. Tsis tas li ntawd, purulent otitis media tshwm sim (cov tsos mob thiab kev kho mob hauv cov neeg laus yog kwv yees li tib yam li cov neeg mob me), thaum cov kua paug hauv pob ntseg. Yog tias tsis muaj kev kho mob, tom qab ob peb hnub, lub pob ntseg tawg, thiab qhov tso tawm tawm. Tus neeg mob pib zoo. Qhov kub thiab txias poob, thiab qhov tsis xis nyob maj mam ploj mus. Lub sijhawm rov qab los yuav siv sijhawm li ob mus rau peb lub lis piam. Lub sijhawm no, cov kua paug tsis tawm, thiab qhov tawg ntawm daim nyias nyias maj mam kho.
Cov menyuam yaus hnub nyoog qis dua lossis qis dua tuaj yeem tham txog qhov mob thiab qhov twg. Nrog cov menyuam yaus heev, txhua yam nyuaj dua. Cov menyuam mos uas muaj otitis xov xwm tuaj yeem kov lawv lub pob ntseg nrog lawv txhais tes, tsis tsaug zog thiab ua tsis taus pa. Feem ntau tus menyuam tsis kam noj. Lub tswv yim ntawm tus kab mob ntawm tus me nyuam cov niam txiv tej zaum yuav tshwm sim los ntawm qhov tseeb tias nws tig nws lub taub hau ntawm ib sab, quaj, kev txhawj xeeb. Hauv qhov no, koj yuav tsum tau qhia tus menyuam tam sim ntawd rau tus kws kho menyuam yaus uas yuav xa koj mus rau tus kws kho mob ENT.
Txoj kev kuaj mob otitis media hauv ENT tus kws kho mob lub chaw haujlwm
Tus kws kho mob otolaryngologist (ENT kws kho mob) ua qhov kev kuaj mob siv daim iav pob ntseg. Cov cuab yeej no tso cai rau koj pom cov kev hloov pauv pathological thiab pib kho otitis hauv lub sijhawm. Tsis tas li ntawd, tus kws kho mob tuaj yeem siv otoscope los tshuaj xyuas daim nyias nyias los yog tympanometry - qhov no yog ib txoj hauv kev uas tuaj yeem siv los txiav txim seb puas muaj qhov cuam tshuam ntawm lub mloog pob ntseg.cov raj, ntsuas qhov mob ntawm lub pob ntseg thiab kab noj hniav.
Kev pab thawj zaug rau tus menyuam yog tias mus ntsib kws kho mob qeeb
Kev kho mob otitis yuav tsum tau pib sai li sai tau, tab sis yog tias ncua sij hawm mus ntsib kws kho mob ENT vim lub hom phiaj, koj yuav tsum tau muab kev pab rau tus menyuam thawj zaug, uas muaj kev pab kho mob. Koj tuaj yeem siv cov tshuaj tiv thaiv kab mob uas cuam tshuam cov txheej txheem sib kis, txo qhov mob thiab txo tus menyuam lub cev kub. Cov neeg mob me tau tso cai siv tshuaj raws li paracetamol lossis ibuprofen. Koj tuaj yeem muab tus menyuam "Calpol", "Panadol", "Nurofen", "Tayled", "Cefekon", "Tylenol" thiab lwm yam tshuaj tua kab mob. Cov ntsiav tshuaj, syrup lossis suppositories muaj. Rau cov menyuam yaus, nws yog qhov zoo dua los siv tswm ciab, cov menyuam muaj hnub nyoog peb xyoos tuaj yeem muab syrup.
tshuaj loog hauv zos yog nqa nrog Otipax lossis Otirepax tee. Cov no yog kev npaj ua ke, tab sis lawv tsuas yog siv tau yog tias lub pob ntseg tsis puas (pus tsis tawm ntawm pob ntseg). Cov me nyuam mos yog instilled nrog ob tee, cov me nyuam los ntawm ob xyoos - peb mus rau plaub tee. Rau kev kho mob ntawm otitis media, koj tuaj yeem tsuas yog muab cov tshuaj tso rau hauv chav sov, thiab rau cov menyuam mos - txog li 36 degrees. Ambassadors ntawm tus txheej txheem yuav tsum tau tus me nyuam mus pw motionless ntawm nws sab rau yam tsawg kawg yog kaum feeb, qhov no yog tsim nyog kom cov tshuaj tsis tam sim ntawd ntws tawm. Lub pacifier yuav tsum tau muab tshem tawm ntawm tus menyuam yaus ua ntej instillation ntawm tee, txij li thaum nqus nrog lub qhov ntswg txhaws thiab instillation ntawm tee rau hauv pob ntseg tuaj yeem ua rau pob ntseg tawg.
Kev kho mobotitis externa hauv cov menyuam yaus ntawm ntau theem ntawm kev txhim kho kab mob
Kev kho mob otitis externa yog ua raws li cov txheej txheem classical. Ua ntej tsim cov purulent core, uas yog, ua ntej qhov pib ntawm lub infiltration theem, cawv lotions (compresses) thiab anti-inflammatory agents yog siv. Yog hais tias tus pas nrig tau tsim lawm, ces kev phais ntawm lub abscess yog tsim nyog nrog ntxuav cov kab noj hniav nrog chlorhexidine, hydrogen peroxide los yog Miramistin. Nyob rau hauv cov ntaub ntawv ntawm qhov kub thiab txias nyob rau hauv lub cev, tus kws kho mob yuav ntxiv sau tshuaj tua kab mob rau kev kho mob otitis externa.
Kev kho mob ntawm cov kab mob otitis hauv cov neeg mob hluas
Tus kab mob fungal yuav tsum tau siv cov tshuaj pleev tshwj xeeb (tshwj xeeb). Clotrimazole, Fluconazole, Candide tuaj yeem raug sau tseg. Yog tias tsim nyog, kev kho tshuaj tiv thaiv kab mob hauv cov ntsiav tshuaj kuj tau qhia ntxiv. "Mycosist", "Amphotericin", "Griseofulvin" tuaj yeem siv tau. Cov menyuam yaus hnub nyoog qis dua ob xyoos tsis tau sau tshuaj rau kev kho mob otitis media. Cov no yog cov tshuaj muaj zog txaus uas tsuas yog siv tau thaum muaj hnub nyoog laus xwb.
Kev kho mob rau otitis media: tshuaj pleev tshuaj
Tshuaj tua kab mob hnyav dhau rau kev tiv thaiv kab mob thiab plab hnyuv ntawm tus menyuam me. Yog li ntawd, kev kho mob ntawm mob otitis yog nqa tawm tsuas yog hauv zos. Muaj cov lus qhia hnyav rau kev noj tshuaj tua kab mob. Qhov no yog qhov kub thiab txias uas nyob rau peb hnub txij li thaum pib ntawm kev kho mob hauv zos, qhov mob hnyav uas tiv thaiv tus me nyuam los ntawm kev pw tsaug zog thiab noj mov ib txwm muaj, nrog rau kev mob hnyav heev.kab mob.
Txiav rau kev kho mob otitis hauv menyuam yaus yog siv tsawg kawg ib lub lis piam. Thaum lub sij hawm no, lub crumb yuav tsum tau kuaj xyuas tsawg kawg ib zaug los ntawm tus kws kho mob ENT kom paub tseeb tias muaj qhov zoo. Yog tias tsim nyog, tus kws kho mob tshwj xeeb yuav kho cov kev kho mob rau otitis media. Rau cov menyuam yaus txij li ob xyoos, kev kho hauv zos yog ntxiv nrog tshuaj tua kab mob.
Kev kho rau qhov ntswg qhov ntswg: nta thiab cov lus pom zoo
Ib yam yuav tsum tau kho rau kev kho mob otitis media hauv menyuam yaus yog qhov tsis muaj qhov ntswg. Txwv tsis pub, muaj kev pheej hmoo tias txoj kev kho yuav tsis ua kom zoo, thiab yog tias muaj kev rov zoo, qhov tshwm sim ntawm kev rov qab los yuav nyob twj ywm. Tab sis nyob rau hauv cov ntaub ntawv no, nws yog zoo kawg nkaus paub tseeb hais tias cov tsos mob thiab kev kho mob ntawm otitis media nyob rau hauv cov me nyuam yog interrelated. Txoj kev kho mob yog tsim nyob rau hauv xws li ib txoj kev xws li kho qhov ntswg qhov ntswg, ib tug inflammatory txheej txheem nyob rau hauv pob ntseg, thiab kuj tiv thaiv tus kab mob rov tshwm sim.
Nrog rhinitis, complex ua ke ("Vibrocil"), tshuaj tua kab mob ("Interferon") thiab tshuaj tua kab mob ("Isofra", "Protorgol") tee yog siv. Cov tshuaj zoo rau kev kho mob otitis media yog Otipax, Albucid (sulfacyl sodium), Otofa, Polydex. Lwm cov tshuaj yuav siv tau (raws li kws kho mob qhia).
Qhov no yog yuav kho otitis li cas rau cov menyuam yaus (hauv cov neeg laus, los ntawm txoj kev, tib lub hauv paus ntsiab lus ntawm kev kho yog siv, tshwj tsis yog cov txhais tau tias yuav txawv, vim muaj cov tshuaj tua kab mob muaj zog yog tias tsim nyog), yog tias tus kab mob nrog kua muag ntshav.
tshuaj tua kab mob thiab tshuaj tua kab mob
Hais txogtshuaj tua kab mob, tshuaj yog siv nyob rau hauv cov ntsiav tshuaj, txhaj tshuaj los yog ncua kev kawm ntawv. Cov tshuaj yuav tsum muaj kev nyab xeeb thiab siv tau. Haum penicillins, cephalosporins ntawm tiam thib ob, thib peb thiab thib plaub, macrolides (txawm hais tias tam sim no cephalosporins feem ntau siv los ntawm lawv, uas yooj yim dua rau ntau yam), aminoglycosides (yog tias otitis media yog purulent staphylococcal). Cov tshuaj tua kab mob ntawm pab pawg kawg yog siv hauv tsev kho mob.
Antihistamines kho mob
Cov kev kho mob classic feem ntau koom nrog kev teem sijhawm ntawm cov tshuaj tiv thaiv kab mob kom txo tau qhov tshwm sim ntawm qhov tshwm sim tsis zoo ntawm tus menyuam lub cev rau qee yam hauv lwm cov tshuaj. Pom zoo, raws li txoj cai, txhais tau tias tsis ua rau qaug zog, piv txwv li, "Cetirizine", "Desloratadine", "Claricens" thiab lwm yam. Tab sis niaj hnub no, ntau tus kws tshaj lij ntseeg tias kev siv tshuaj tiv thaiv kab mob tsis tsim nyog. Cov lus nug tseem qhib, txij li tam sim no tsis muaj cov qauv zoo sib xws uas txhais cov kev kho mob rau otitis media hauv menyuam yaus.
Qee cov tshuaj thiab zaub mov txawv
Dab tsi tuaj yeem kho mob otitis hauv tsev? Ntau tus niam txiv cia siab rau lwm cov tshuaj, tab sis cov kev kho mob zoo li no yuav tsum tau siv tsuas yog tom qab sab laj nrog tus kws kho mob tshwj xeeb, ntxiv rau cov tshuaj kho mob yooj yim thiab kev noj qab haus huv. Yog li, pej xeem kev kho mob ntawm otitis media (sab nrauv) suav nrog cawv compresses thiab tshuaj pleev. Nws yog txaus los thov camphor cawv los yog vodka ntawm ib daim ntaub qhwv thiabsiv rau thaj tsam cuam tshuam. Rwb thaiv tsev ntaub qhwv thiab cia rau 15-30 feeb. Aloe nplooj, txiav nyob rau hauv ib nrab, yog siv nyob rau hauv ib tug zoo xws li txoj kev.
Kev kho mob otitis hauv tsev los ntawm cua sov yog qhov tsis lees txais. Qhov no tsuas yog ua rau tus menyuam tsis zoo. Tsis tas li ntawd, koj tsis tuaj yeem ua cov tshuaj pleev dej cawv rau cov menyuam yaus hnub nyoog qis dua ib xyoos; rau cov menyuam yaus, qhov no kuj yog qhov tsis xav tau. Nws yog contraindicated los siv cov cawv cawv hauv nws daim ntawv ntshiab. Nws yog qhov zoo dua los siv vodka, boric lossis camphor dab rau compresses. Kev kho mob otitis hauv tsev yuav tsum tsim nyog - koj yuav tsum tsis txhob tig koj tus menyuam mus rau hauv "qhov chaw sim" rau ntau pua zaub mov txawv.
Tiv thaiv kev rov qab los thiab thawj tus mob otitis media
Cov tsos mob thiab kev kho mob otitis tom tsev yuav tsis tau lees paub los ntawm cov niam txiv uas saib xyuas kev tiv thaiv raws sijhawm. Ua ntej, pob ntseg huv yuav tsum muaj kev xav. Koj tsis tuaj yeem ntxuav koj lub pob ntseg nrog cov khoom improvised thiab nkag mus tob rau hauv pob ntseg kwj dej. Qhov thib ob, koj yuav tsum tsis txhob tau txais dej hauv koj pob ntseg. Tom qab da dej, txhuam los yog co cov dej tawm ntawm tus menyuam pob ntseg. Thib peb, tus menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum tsis txhob tso rau hauv qhov cua ntsawj ntshab yam tsis muaj lub taub hau. Tib yam siv rau kev taug kev ntawm txoj kev, nrog rau lub caij ntuj sov. Plaub, tag nrho cov kab mob ntawm cov kab mob ENT yuav tsum tau kho raws sijhawm thiab mus txog qhov kawg.
