Nws tshwm sim li no: ib tug neeg paub tseeb tias nws noj qab nyob zoo, tab sis dheev nws pib hnov ntxhiab tsw hauv thaj tsam ntawm lub qhov ntswg. Cov tsos mob zoo sib xws tuaj yeem hais txog ntau yam kab mob ib zaug. Yog li ntawd, yog tias tus choj ntawm lub qhov ntswg mob, nws yog ib qho tseem ceeb kom nkag siab tias vim li cas qhov no tshwm sim. Ua ntej tshaj plaws, koj yuav tsum hu rau tus kws kho mob uas yuav tshuaj xyuas cov tsos mob thiab xa koj mus rau kev sab laj nrog tus kws kho mob tshwj xeeb.
Neb choj yog dab tsi?
Rau cov neeg uas tsis to taub qhov teeb meem, peb yuav piav me ntsis. Tus choj ntawm lub qhov ntswg yog hu ua lub sab sauv ntawm lub qhov ntswg, uas ncaj qha nyob ib sab ntawm lub hauv pliaj. Tseem muaj ib lo lus kho mob rau cheeb tsam no. Hauv Latin nws suab zoo li nasion. Thiab yog tias koj nug tus kws kho mob seb tus choj ntawm lub qhov ntswg yog dab tsi, nws yuav teb tias qhov no yog qhov kev sib tshuam ntawm nasolabial suture nrog lub dav hlau nruab nrab sagittal (uas yog, ib qho uas conventionally faib tib neeg lub cev rau hauv vaj huam sib luag).
Yuav ua rau mob. Nose choj raug mob
Mob ntawm tus choj ntawm lub qhov ntswg tuaj yeem tshwm sim rau ntau yam. Feem ntau lub hauv paus rau kev mob yog kev raug mob, qhov ua rau ntawm kev sib ntaus, kev sib tsoo, kev poob. Cov menyuam yaus feem ntau tau txaiskev puas tsuaj thaum ua si. Kev raug mob ntawm qhov ntswg yog:
- Bruises localized nyob rau hauv cov ntaub so ntswg mos. Superficial abrasions.
- pob txha mos puas. Feem ntau, qhov no ua rau lub qhov ntswg septum, uas faib lub qhov ntswg mus rau sab xis thiab sab laug qhov ntswg.
- Fractures ntawm txawv complexity.
Yog tias tom qab tshuab lossis poob lawm, tus neeg xav tias tus choj ntawm nws lub qhov ntswg mob, ces nws yuav tsum mus ntsib kws kho mob ENT tam sim ntawd.
Neuralgia
Ntau zaus, qhov mob ntawm tus choj ntawm lub qhov ntswg yog ib qho tsos mob ntawm neuralgia. Peb tab tom tham, piv txwv li, txog cov mob uas tau piav qhia los ntawm Chilean tus kws kho mob Charlin thaum ntxov xyoo pua nees nkaum. Lub npe ntxaws ntxiv rau Charlin's syndrome yog nasociliary neuralgia. Nrog rau tus mob no, ib tug neeg muaj mob ntawm tus choj ntawm lub qhov ntswg thiab hauv pliaj. Qee zaum qhov mob kis mus rau thaj tsam qhov muag. Nyob rau hauv rooj plaub no, tej zaum yuav muaj teeb meem nrog cov khoom noj khoom haus ntawm lub cornea, thiab yuav tsum tau thov kom rov hais dua tsis yog rau ib tug neurologist, tab sis kuj mus rau ib tug ophthalmologist.
Neuralgia yog nrog los ntawm qhov mob hnyav. Muaj kev ntxhov siab thiab tawg. Feem ntau, qhov mob pib thaum hmo ntuj. Cov neeg mob tsis tsaug zog zoo thiab tsis tsaug zog zoo. Nasociliary paj hlwb muaj cov ntsiab lus "trigger". Yog hais tias tus neeg mob muaj mob me ntsis ntawm tus choj ntawm lub qhov ntswg, nias qhov "trigger" taw tes yuav ua rau mob hnyav.
Neuralgia tuaj yeem tshwm sim yam tsis muaj tsos mob ntxiv. Tab sis nyob rau hauv cov neeg mob siab heev, thaum muaj kev tawm tsam, tawm ntawm lub qhov ntswg, pulsation nyob rau hauv lub hauv pliaj, o ntawm mucous daim nyias nyias nyob rau hauv lub qhov ntswg, liab ntawm lub qhov muag thiab lacrimation pib. Pulsation nyob rau hauv lub hauv pliajcheeb tsam tuaj yeem hnov thaum lub sijhawm mob siab. Feem ntau nws tsis nyob ntawm kev qaug dab peg txhua.
Ua rau nasociliary neuralgia
Qhov feem ntau ua rau neuralgia, uas tus choj ntawm lub qhov ntswg mob thaum nias, yog qhov teeb meem ntawm kev mob ua pa nyuaj. Ntxiv mus, los ntawm lub sij hawm tus yam ntxwv mob nyob rau hauv lub cheeb tsam ntawm tus choj ntawm lub qhov ntswg tshwm, tsis muaj cov tsos mob ntawm tus mob khaub thuas.
Qhov laj thawj tom ntej yog teeb meem hniav. Innervation ntawm cov ntaub so ntswg nyob rau hauv qhov chaw ntawm o tuaj yeem txuas ib qho teeb meem kho hniav nrog ib ceg ntawm cov hlab ntsha nasociliary. Ib tug neeg yuav tsis mob hniav, tab sis vim yog mob ntawm cov hlab ntsha ntawm cov hniav, neuralgia pib, thiab vim li ntawd, tus choj ntawm lub qhov ntswg thiab lub taub hau raug mob.
Tsis tas li, cov kab mob ENT dhau los ua ib qho ua rau neuralgia txuam nrog cov hlab ntsha nasociliary. Teeb meem tuaj yeem yog qhov sib txawv ntawm qhov nyuaj. Tab sis peb mam li tham ntxiv txog qhov no hauv ntu tom ntej.
kab mob ENT: kua ntswg
Ntau zaus, cov neeg mob yws tias tus choj ntawm lub qhov ntswg mob thaum lub qhov ntswg. Cov neeg mob poob lawv qab los noj mov, muaj kev tsis xis nyob heev. Qhov ntswg qhov ntswg cuam tshuam nrog kev ua pa ib txwm muaj. Oxygen saturation phem zuj zus, uas tuaj yeem cuam tshuam kev ua haujlwm ntawm lub plawv thiab vascular system. Kev ua pa ntawm lub qhov ncauj tuaj yeem cuam tshuam rau lwm yam kabmob ua pa. Qhov ntswg qhov ntswg tuaj yeem ua rau muaj kev hloov pauv hauv intracranial thiab intraocular siab. Yog li koj tsis tuaj yeem tsis quav ntsej qhov mob ntawm tus choj ntawm lub qhov ntswg thaum lub rhinitis thiab qhov ntswg los ntawm nws tus kheej.
Sinusitis thiab nws hom
Lub cev ntawm lub qhov ntswg yog qhov nyuaj heev. Hauv ntau tus neeg mob, tus choj ntawm lub qhov ntswg mob vim yog cov txheej txheem inflammatory hauvqhov chaw ntawm lub qhov ntswg. Nws muaj ob peb paranasal sinuses: frontal, ethmoid labyrinth, sphenoid, maxillary (maxillary). Lub npe dav dav rau cov txheej txheem inflammatory ntawm cov mucous ntawm lub qhov ntswg sinuses yog sinusitis. Sinusitis yog ib hom kab mob sinusitis.
Kab mob tuaj yeem cuam tshuam tsis tau tsuas yog cov maxillary sinuses, tab sis kuj rau cov frontal. Cov kws kho mob faib cov sinusitis xws li frontal sinusitis. Nyob rau hauv cov ntaub ntawv no, tus choj ntawm lub qhov ntswg thiab lub taub hau raug mob, tsis xis nyob nyob rau hauv lub interbrow cheeb tsam yog ntxiv rau cov kev xav. Qhov mob yog npub ntau zaus, tab sis nws hnyav dua thaum koj khoov lossis nias rau nws.
Yog hais tias lub mucosa yog mob nyob rau hauv lub cheeb tsam ntawm lub hlwb ntawm lub ethmoid labyrinth, ces thaum nias ntawm tus choj ntawm lub qhov ntswg, tsis xis nyob kuj tshwm sim. Qhov no subtype ntawm sinusitis hu ua ethmoiditis. Tus kab mob no tsis tshwm sim ntau zaus, tab sis nws nyuaj rau kho thiab feem ntau yog nrog sinusitis thiab frontal sinusitis.
Ntau tus neeg xav tias mob rhinitis tsis tas yuav tsum tau saib xyuas tshwj xeeb: "Xav tias, qhov ntswg qhov ntswg, nws yuav dhau los ntawm nws tus kheej…" Tab sis qhov no yog qhov yuam kev loj heev. Qhov tsis kho qhov ntswg tuaj yeem yog qhov pib ntawm tus kab mob ntau dua - sinusitis. Kev mob ntawm maxillary sinuses ua rau tsis yog qhov ntswg congestion xwb, tab sis kuj muaj kev qaug zog, qaug zog, mob taub hau. Nws yog ib qho tseem ceeb kom paub tias yog tias lub qhov ntswg ntim rau ntau tshaj 7 hnub, koj yuav tsum tau hu rau tus kws kho mob otolaryngologist thiab qhia meej qhov twg yuav tsum tau x-ray ntawm paranasal sinuses. Yog tsis muaj X-ray, nws nyuaj rau tus kws kho mob los kuaj tus kab mob no.
YGanglioneuritis
Tus kab mob no muajlub npe thib ob yog ganglionite. Qhov teeb meem tshwm sim vim qhov swb ntawm pterygopalatine node. Qhov no yog ganglion, uas yog, ganglion, uas muaj cov hlwb. Thawj zaug, tus kab mob no tau piav qhia los ntawm ib tus kws tshaj lij Asmeskas thiab muab nws lub npe hu ua Slader's syndrome. Lub pterygopalatine ganglion yog txuam nrog lub ntsej muag thiab cov hlab ntsha trigeminal, nrog rau pob ntseg thiab ciliary ganglion. Yog li ntawd, cov txheej txheem feem ntau kis mus rau ntau lub pob. Ganglionitis ua rau o, txo reflexes. Vim nws, tus choj ntawm lub qhov ntswg, qhov muag qhov (socket) los yog lub puab tsaig sab sauv feem ntau mob. Hauv cov xwm txheej siab, qhov mob kis mus rau thaj tsam ntawm lub cev thiab mus rau caj npab. Qhov mob nyob ntawm ib sab.
Caus ntawm pterygopalatine ganglionitis (ganglioneuritis)
Ganglionitis, qhov mob ntawm tus choj ntawm lub qhov ntswg yog qhov tshwm sim ib txwm muaj, tshwm sim los ntawm pathologies ntawm txoj hlab pa sab saud, teeb meem hniav, mob ntev, mob qog. Cais, nws tsim nyog hais txog kev raug mob maxillofacial.
Yuav mus qhov twg yog mob ntawm tus choj ntawm lub qhov ntswg?
Raws li koj twb tau nkag siab lawm, muaj ntau yam ua rau mob ntawm tus choj ntawm lub qhov ntswg. Yog tias qhov tsos ntawm qhov tsis xis nyob ua ntej los ntawm qhov ntswg qhov ntswg, koj tuaj yeem tiv tauj tus kws kho mob otolaryngologist tam sim ntawd. Nws yuav ua qhov kev ntsuam xyuas thiab, raws li nws cov txiaj ntsig, sau tshuaj kho mob, ntxuav, tee lossis tshuaj tsuag hauv qhov ntswg. Thaum lub sijhawm kuaj, kuaj ntshav thiab x-ray raug tshuaj. Qhov twg los ua x-ray ntawm paranasal sinuses, qhia meej ntawm qhov chaw kho mob. Hauv kev kho mob ntawm sinusitis, puncture yog suav tias yog txoj kev zoo tshaj plaws. Tab sis yog tias qhov kev tswj hwm no tsis kam lees, tus kws kho mob sim nrhiav lwm txoj hauv kev. Rhinitis, sinusitis, frontal sinusitis thiab lwm yamhom sinusitis yuav tsum tau kho yam tsis tau ncua kom tsis txhob kis tus kab mob mus ntev thiab ua rau muaj teeb meem loj.
Yog tus choj ntawm lub qhov ntswg mob vim qhov ntswg raug mob, ces koj yuav tsum hu rau tus kws phais mob. Qhov kev xaiv zoo tshaj plaws yuav yog hu rau lub tsev kho mob ntawm maxillofacial phais. Cov kws tshaj lij ntawm cov chaw zov me nyuam yog qhov zoo tshaj plaws nyob rau hauv kev puas tsuaj ntawm cov pob txha ntawm lub qhov ntswg, vim hais tias ntawm no nws yog ib qho tsim nyog los daws tsis tau tsuas yog cov teeb meem tshuaj pleev ib ce, tab sis kuj los tswj cov kev kho kom zoo ntawm cov kab uas hla ntawm lub qhov ntswg thiab qhov ntswg septum. Rau qhov mob ntawm lub qhov ntswg tom qab raug mob, koj yuav tsum sab laj nrog kws kho mob tsis pub dhau 10 hnub tom qab. Thaum lub sijhawm no, qhov o tuaj, thiab nws yuav ua tau - yog tias tsim nyog - ua haujlwm.
Yog tias tsis muaj kev raug mob, thiab qhov mob ntawm tus choj ntawm lub qhov ntswg tsis ua ntej los ntawm qhov ntswg los yog mob ua pa, ces koj yuav tsum hu rau tus kws kho mob hlwb. Nws yog tus kws tshaj lij no uas tuaj yeem txheeb xyuas Slader's syndrome lossis Charlin's syndrome.
Yog tus choj ntawm lub qhov ntswg mob, cov kws kho mob tuaj yeem xa tus neeg mob mus rau kev sab laj kho hniav ntxiv. Raws li twb tau hais lawm, qee cov txheej txheem inflammatory uas cuam tshuam nrog cov hniav tsis ua rau mob, tab sis cuam tshuam rau lwm lub cev thiab lub cev.
Txawm li cas los xij, yog tias tus choj ntawm lub qhov ntswg mob ntau tshaj peb hnub, koj yuav tsum nrhiav kev pab. Tsuas yog kws kho mob tuaj yeem txiav txim siab qhov hnyav ntawm koj tus mob. Cov tsos mob uas koj tsis tau ua tib zoo saib tuaj yeem qhia txog kev loj hlob ntawm pathology loj.
