Mob pob ntseg: kev faib tawm, chaw kho mob, kho mob, pab ua ntej * Hla ntshav

Mob pob ntseg - puas rau sab nraud, nruab nrab thiab sab hauv ntawm cov khoom hauv nruab nrog ntawm kev hnov. Nyob ntawm qhov chaw hauv cheeb tsam, nws tuaj yeem tshwm sim nws tus kheej hauv cov duab hauv qab no:

qhib mob;
detachment ntawm lub plhaub;
hemorrhage;
kev hnov mob;
congestion, hum hauv pob ntseg;
hnov lus tsis zoo;
teeb meem nrog kev ua haujlwm ntawm kev txav chaw;
kiv taub hau;
xeev siab.

Txhawm rau txhawm rau hnov mob pob ntseg thiab kuaj kom pom tseeb, cov kev ntsuas mob hauv qab no tau raug sau tseg:

otoscopy;
kev soj ntsuam los ntawm kws kho paj hlwb;
xam tomography thiab xoo hluav taws xob ntawm pob txha taub hau;
Magnetic resonance imaging;
kev soj ntsuam ntawm daim ntaub khuam ntsej muag thiab lub suab.

Yog tias pom lub pob ntseg raug mob, yuav tsum tau kho tshuaj kho mob. Yog tias muaj mob hnyav pathological, kev phais mob qee zaum tsim nyog. Kev kho mob suav nrog kev kho mob qhov txhab, tshem tawm cov hematomas, kho dua tshiab ntawm cov ntaub so ntswg lub cev, nrog rau kev tiv thaiv kev kis kab mob, kev lis ntshav, tiv thaiv kev poob siab, kev txhawm rau, tiv thaiv kab mob.

Kev faib tawm, chaw kuaj mob thiab kev kho mob ntawm ntau yam kev raug mob

Pob ntseg raug mob yog qhov raug mob feem ntau vim qhov tsis zoo tiv thaiv pob ntseg. Mob lub neej ntawm ntu nruab nrab thiab sab hauv yog qhov tsis tshua muaj, tab sis lawv kuj tseem nyuaj los kho. Raws li tau hais ua ntej, daim duab kho mob tshwm nyob ntawm thaj chaw. Txoj kev kho kom zoo yog tsuas yog tom qab txiav txim siab qhov chaw ntawm kev puas tsuaj thiab nws cov hom:

Localization	Raug Mob Lub Neej	Cov tsos mob	Kev kuaj mob / Kho mob
Lub pob ntseg sab nraud	Neeg kho tshuab - blows blows, stab mob los yog rab phom raug mob, tom.	Txog tej yam: hyperemia; o tuaj; hematoma; deformation; teeb meem hauv kev ua haujlwm. Thaum raug mob: muaj kev pom ntawm kev pom kev ua kom pom tseeb; teeb meem hnov; hemorrhage; ntshav txhaws hauv zaj; pathological hloov pauv qhov zoo li ntawm auricle; kev mob mob.	otoscopy thiab tsom; kuaj pob ntseg; xoo hluav taws xob; kev soj ntsuam ntawm lub vestibular apparatus; kev soj ntsuam los ntawm tus kws kho paj hlwb (yog tias qhov hlwb xav tsis thoob); endoscopy (yog tias cov zaj yog puas ntsoog). Kev kho muaj nrog: kev ua kom tsis haum nrog iodine, lub ci ntsa iab ntsuab, hydrogen peroxide; kev ua haujlwm ntawm cov ntaub qhwv lub cev; kev phais mob; noj tshuaj tua kab mob kom tiv thaiv cov teeb meem; qhib ntawm hematomas thiab nqus ntawm cov ntsiab lus.
	Thermal - kub hnyiab thiab frostbite.	Rau roj: hyperemia; detachment ntawm dermis; sawv hlwv; charring (yog tias hnyav); mob siab mob ntsws; tsis hnov zoo. Nrog frostbite: Theem Kuv: rab ncau; II: liab; III: poob tawm ntawm rhiab; hnov lus tsis zoo.
	Tshuaj lom neeg - qhov nqus ntawm cov tshuaj lom.	Cov paib tib yam nrog rau kev raug mob thermal. Cov tsos mob tshwm sim nyob ntawm seb yam khoom twg txhaj.
Pob ntseg pob ntseg	Nkag mus ntawm txawv teb chaws. Paj rwb rau ntawm lub nruas qhov. Lub khawb lossis mos txwv. Hlawv. Lub cev muaj zog ua rau lub puab tsaig sab qis dua.	Cov tsos mob zoo ib yam li hauv kev raug mob mus rau sab nraud (ntawm tshooj yog ib feem ntawm nws).
Pob ntseg sab hauv	Tsoo raug mob lossis raug mob. Feem ntau nrog ua kom muaj kev puas siab puas ntsws hlwb. Acoustic kev poob plig (lub sijhawm luv luv sib kis nrog suab nrov). Mob acoustic ua puas (nrog kev tsis tu ncua thiab lub sijhawm siv lub suab nrov).	Thawj hom kev puas tsuaj feem ntau ua tau nws tus kheej: kev xav ntawm xeev siab; lub caij nyoog thiab mob taub hau heev; nyob hauv pob ntseg (ib qho lossis ob qho tib si); tsis muaj kev sib koom ua ke; qhov muag tsis pom tseeb; hnov lub suab tsis hnov zoo; kev puas tsuaj rau ntawm cov pob txha trigeminal; focal lossis cerebral cov tsev kho mob neurological; tsaus muag. Nrog rau cov neeg mloog ntawm kev puas tsuaj, ntshav pom nyob rau hauv cov ntaub so ntswg ntawm lub labyrinth. Thaum cov tsos mob no hla, hnov lus zoo rov qab los. Txawm li cas los xij, cov kab mob ntev ntev ua rau cuam tshuam kev qaug zog ntawm cov txais, uas ua rau pheej hnov tsis hnov lus.	CT; MRI; kev ntsuas ntawm kev ua haujlwm ntawm lub vestibular apparatus (tsuas yog nyob hauv lub xeev ruaj khov). Rov qab rau ib qho kev tawm sab nraud yog ua tau tsuas yog nrog acoustic kev raug mob nrog lub suab luv luv rau lub suab nrov. Hauv lwm qhov xwm txheej, feem ntau yuav tsum tau mus pw hauv tsev kho mob. Txoj kev kho yuav tsum yog saib xyuas ntawm tus kws kho mob otolaryngologist. Lub sijhawm ua haujlwm los kho cov ntoo anatomical yog ua tau yog tias tus neeg mob nyob rau hauv kev haum txaus siab. Feem ntau nws tsis tuaj yeem rov qab hnov lub rooj sib hais ib txwm, ib tug neeg tsis tuaj yeem ua yam tsis muaj pob ntseg. Kev kho mob hauv tsev neeg, ntxiv rau kev phais mob suav nrog: tswj cov kev ua haujlwm ntawm cov kabmob thiab cov kabmob; kev tiv thaiv ntawm cerebral edema; kev tiv thaiv ntawm cov ingress ntawm cov kab mob kis tau; kev tshem tawm; hloov ntshav poob.
Nruab nrab pob ntseg	Feem ntau nws yog ua ke nrog kev raug mob mus rau thaj av sab hauv. Feem ntau cov raug mob yog barotrauma. Qhov no mob pathological yog provoked los ntawm: nyiab loj rau qhov tob; ya los ntawm dav hlau; lub suab nrov thiab muaj zog hnia ntawm pob ntseg; ascent mus rau lub roob. Lwm yam kev raug mob: mob siab los yog kev sib tawg ntawm daim nyias nyias; hlwv ntaus.	tsis muaj kev sib koom ua ke; tsis tuaj yeem hloov ntawm cov pob muag; suab nrov hauv pob ntseg; los ntshav; teeb meem hnov; kev tso tawm ntawm cov kua dej purulent (hauv qee qhov tsis tshua muaj).	endoscopy; kuaj suab (suav nrog kev pib ntsuas); tuning diav rawg ntsuas; xoo hluav taws xob; tomography. Nws tsis yog qhov nyuaj los kho tus mob pathological. Daim nyias nyias rov qab sai. Yog tias muaj lub qhov txhab, kho nrog antiseptic. 5-7 hnub mus noj tshuaj tua kab mob (raws li kws kho mob tau sau tseg). Qhov perforation nrog kev tswj kev kho mob txaus yuav tsum zoo nyob rau hauv 6 lub lis piam. Yog tias qhov no tsis tshwm sim, yuav tsum tau saib xyuas kev kho mob (los ntawm kev ua haujlwm mus rau yas lossis laser phais me me). Qee qhov kev puas tsuaj tuaj yeem ua rau ntshav ntxiv rau hauv pob ntseg pob ntseg. Vim qhov no, o tuaj tshwm. Tus kws kho mob sau cov tshuaj vasoconstrictor. Tom qab kev tshem tawm ntawm cov tawv nqaij, cov kws kho mob ntxuav cov kab noj hniav los ntawm cov khoom ntau ntxiv. Kev phais mob tuaj yeem yog kws kho yog lub pob ntseg ntawm pob ntseg raug puas, ua kom lub taub dej paug tawm. Thaum lub sijhawm kho mob, kev ua haujlwm ntawm kev hnov lus tau tswj tshwj xeeb. Yog tias nws tsis tuaj yeem rov qab tau dua, yuav tsum muaj lub pob ntseg mloog.

Thawj pab

Mob pob ntseg tuaj yeem sib txawv. Qee qhov ntawm lawv tuaj yeem daws tau lawv tus kheej, thaum lwm tus yuav tsum tau mus ntsib kws kho mob sai. Cov tsos mob thiab lwm yam uas xav tau kev kho mob:

muaj zog tshuab rau pob ntseg;
tiv tsis taus thiab mob ntev (ntau tshaj 12 teev);
hnov lus tsis zoo los yog poob;
zoo nyob rau hauv pob ntseg;
kev ua haujlwm tsis zoo ntawm lub cev, yuav tsum tau muaj kev cuam tshuam txog kev phais mob;
hemorrhage;
kiv taub hau, tsaus muag.

Yog tias muaj kev puas tsuaj, tus neeg mob yuav tsum tau txais kev pabcuam ua ntej. Yog tias qhov kev raug mob yog qhov mob me (piv txwv li lub cev tsis muaj zog, lub qhov ncauj nqaj txiav, thiab lwm yam), thaj chaw cuam tshuam yuav tsum tau kho nrog cov tshuaj tua kab mob (hydrogen peroxide thiab lwm tus). Tom qab ntawv siv ntaub ntaub huv.

Thaum cov auricle yog nraus tag, nws yuav tsum muab qhwv nrog cov ntaub so tes uas ntub tsis tau, yog tias ua tau, hla dej nrog dej khov. Thauj tus neeg raug mob ua ke nrog ib feem ntawm cov khoom hauv nruab nrog cev hauv tsev kho mob. Qhov no yuav tsum tau ua tsis pub dhau 8-10 teev tom qab qhov xwm txheej kom cov kws kho mob muaj sij hawm los xaws lub pob ntseg rov qab.

Nrog me me ntawm qhov khov ntawm qhov txau, nws yog qhov tsim nyog los ua kom ntshav kev rov qab: txhuam koj lub pob ntseg nrog koj lub xib teg, qhwv koj lub taub hau nrog phuam qhwv caj dab lossis muab ntoo kaus mom. Nws raug nquahu kom coj tus neeg mob mus rau hauv chav sov thiab haus dej tshuaj yej. Yog tias muaj tus mob khaub thuas hnyav, cov kev coj ua yog ib yam, tab sis ntxiv rau, kev kho mob tsim nyog yuav xav tau.

Thaum lub cev txawv tebchaws nkag mus rau hauv lub auricle, koj tuaj yeem nchos nws los ntawm tilting koj lub taub hau rau qhov hloov khoom nruab nrog. Yog tias qhov no tsis pab, koj yuav tsum tau txais nws nrog tweezers (qhia tias qhov khoom ntawd yog qhov ntiav, pom meej thiab nws yog qhov tsim nyog los nqai nws). Tsis txhob muab cov paj rwb ntuag, ntiv tes, thiab lwm yam rau hauv koj lub pob ntseg. Qhov no tuaj yeem thawb nws tob dua thiab ua rau lub ntsej muag hnov zoo.

Yog tias ib tus kab tau ya mus rau hauv pob ntseg, lub taub hau yuav tsum tau qaij rau hauv kev coj los ntawm kev hloov khoom nruab nrog. Ncuav me me ntawm cov dej sov rau hauv cov zaj nyeem kom ib qho ya, kab, thiab lwm yam. ntab ntab.

Txog rau mob sib khuav me ntsis, qee ob peb kev zom zom lossis nqos yuav pab tau. Nrog rau kev raug mob hnyav ntawm cov xwm txheej no, koj yuav tsum thov cov ntaub qhwv thiab mus rau hauv tsev kho mob.

Yog tias qhov mob pathological yog provoked los ntawm kev sib cav, tus neeg raug tsim txom yuav tsum tsiv mus rau qhov chaw nyob ntsiag to. Siv ib daim ntaub qhwv thiab coj mus rau tus kws kho mob. Yog tias cov kua dej ntws tawm ntawm qhov kev hla, tso tus neeg mob rau ntawm qhov cuam tshuam los pab nws txoj kev tawm. Yog tias nws tsis tuaj yeem xa tus neeg mob mus rau hauv tsev kho mob ntawm koj tus kheej, koj tuaj yeem hu rau lub tsheb tos neeg mob.

Kev mob hnyav rau saum lub cev yog ib qho zoo sib xws. Yog li, kev pabcuam thib ib zoo sib xws. Acoustic raug mob ntawm tus mob ntev txhim kho maj mam thiab tsis tas yuav muaj kev kho mob ua ntej.

Kev Tiv Thaiv

Ib yam kab mob twg yooj yim dua los tiv thaiv dua li kho los yog phais mob tom qab. Mob pob ntseg yog tsis muaj kev zam, thiab qhov kev pheej hmoo ntawm lawv tshwm sim tuaj yeem txo los ntawm kev ua raws cov lus qhia yooj yim.

Nws yog ib qho tseem ceeb heev kom tu koj lub pob ntseg ntawm qhov av thiab quav ciab. Nws raug nquahu kom tsuas ntxuav lawv nrog xab npum thaum da dej lossis da dej. Koj tseem tuaj yeem siv cov ntaub qhwv ua kom zoo nkauj, tab sis tsis txhob ntxig lawv kom dhau lawm, txwv tsis pub koj tuaj yeem ua kom cov ntaub puas, txhaws hmoov av thiab siv quav cij txawm ntxaum. Muaj cov plaub mos mos ntawm lub plab mos ntawm lub auricle, lawv tus kheej ntxuav lub qhov, thawb txhua yam tsis tseem ceeb. Yog tias kev tu lub ntuj tau tawg rau qee qhov, koj yuav tsum hu rau tus kws kho mob otolaryngologist.

Thaum ya dav hlau, nws yog ib qho zoo hais tias yuav zom cov pos hniav los sis nqus ntawm lub lollipops. Kev zom zom thiab nqos khoom ua rau lub siab nyob hauv qhov ntsej. Thaum raus hauv dej hauv qhov tob tob, txhua qhov kev nyab xeeb yuav tsum tau muaj.

Yog tias koj muaj teeb meem pob ntseg thiab qhov ntswg txhaws ntswg, koj yuav tsum tsis txhob ya lossis dhia dej. Koj yuav tsum tau ceev faj thaum tshuab tawm: thawj tshem ib lub qhov ntswg (pinching lwm tus nrog koj cov ntiv tes), thiab tom qab ntawd lwm tus. Txwv tsis pub, koj tuaj yeem ua txhaum me me barotrauma.

Thaum ua haujlwm cuam tshuam nrog suab nrov, nws yog qhov tsim nyog los siv lub mloog pob ntseg thiab pob ntseg ntsej muag thaum ua haujlwm. Yog tias tsis tuaj yeem zam lub suab nrov, nws raug nquahu kom qhib koj lub qhov ncauj. Txhawm rau kom tsis txhob ua kom koj lub pob ntseg puas tsuaj, nws raug nquahu kom tsis txhob ua kev lom zem ntau nrog cov nkauj nrov (piv txwv, cov koom haum, kev hais kwv txhiaj, thiab lwm yam). Tsis tas li, koj tsis tuaj yeem qhib lub suab ntawm cov hluav taws xob tag nrho ntawm lub xov tooj, khoos phis tawj, thaum koj hnav lub mloog pob ntseg.

Thaum qhia ntau hom kev sib ntaus sib tua, nws yog qhov tsim nyog los tiv thaiv lub taub hau: ntoo kaus mom tshwj xeeb lossis lwm lub taub hau taub hau muab los ntawm kev qhia txog kev nyab xeeb.

Lub pob ntseg yog qhov khoom tseem ceeb heev. Yog tias muaj kev ua txhaum loj nyob hauv nws txoj haujlwm, tus neeg yuav ua tsis taus thiab yuav tsis muaj peev xwm nyob tag nrho lub neej. Yog li, koj yuav tsum mus cuag koj txoj kev noj qab haus huv kom zoo thiab ua raws li cov lus pom zoo rau kev tiv thaiv kev raug mob.