Perforated nruas ntsej. Lus Txhais. Symptomatology. Kev Kho Mob. kev tiv thaiv

Lub perforation ntawm lub tympanic membrane - yog, nyob rau hauv lwm yam lus, nyias zaj duab xis, nkauj nraug rau nruab nrab thiab lwm lub pob ntseg. Nws yog zoo dua lub npe hu hais tias tus nruab nrab pob ntseg yog nyob nruab nrab ntawm lub txheej (nyob rau hauv uas peb muaj peev xwm pom) thiab cov inner pob ntseg. Raws li ib feem ntawm hais tias lub cev, muaj peb me me pob txha, hu ua rauj, thaiv thiab txoj hlua eeb nees. Nws yog ib cov me me pob txha nyob rau hauv lub cev muab hnov muaj nuj nqi. Vim mob khaub thuas thiab kab mob tshwm sim inflammatory dab, ua rau cov tsim dej, thiab feem ntau paug. Tympanic membrane perforation tshwm sim thaum lub kua paug "pom" sab nraum. Qhov no sosprovozhdaetsya kua los ntawm lub pob ntseg, raws li zoo raws li ib tug yuav txo tau (thiab nyob rau hauv tej rooj plaub tsis) lub rooj sib hais.

Tsis tas li ntawd, lub nruas ntsej tej zaum yuav perforated (tawg) vim kev raug mob. Yog vim li cas rau tej qho kev raug mob yog feem ntau ib tug hit nyob rau hauv lub pob ntseg, cov khoom ntse (piv txwv li, kev ua si rau me nyuam, los yog tu lub pob ntseg ntawm tej tshuaj nyob rau hauv cov neeg laus) los yog cia li siab hloov (explosions, thiav mus rau lub taub hau, dhia). Tympanic membrane perforation nyob rau hauv cov me nyuam tej zaum yuav yog vim muaj teeb meem ntawm kis kab mob.

yooj yim cov tsos mob

Tus kab mob no yog heev txaus ntshai vim hais tias nws yuav ua tau kom lub rooj sib hais kev puas tsuaj (nyob rau hauv tej rooj plaub, irreversible). Thaum lub mob ntawm "tympanic membrane perforation" cov tsos mob yuav raws li nram no:

• ntse, cia li mob nrog los ntshav;
• kiv taub hau;
• ringing los yog buzzing nyob rau hauv lub pob ntseg;
• tsis hnov lus;
• tawm los ntawm lub pob ntseg (feem ntau yog purulent cim).

kev kho mob

Yog hais tias koj nrhiav tau koj tus kheej nyob rau hauv ib co los yog tag nrho cov tsos mob no, nws yog pom zoo kom mus rau tus kws kho mob, thiab sai li sai tau. Specialist ntawm otoscopy (tshwj xeeb daim ntawv ntsuam xyuas) yuav muab rau koj ib tug kev kuaj mob. Yog hais tias tus kws kho mob tau paub tseeb hais tias hais tias koj yeej muaj ib tug perforated nruas ntsej, cov kev kho mob yuav muab qhov chaw nyob rau hauv ib lub qauv. Yog hais tias qhov raug mob pob ntseg "ntws", lub highlight twb sau, thiab tus kws kho mob cov tshev mis mus saib seb lawv muaj kua paug, los yog (ntau tsis tshua muaj) hlwb txha nqaj qaum kua. Yog hais tias tus kws kho mob yog tsis muaj peev xwm txheeb xyuas nws tus kheej, tso tawm xa mus rau hauv txoj kev kuaj rau txoj kev tshawb no ntawm lawv cov muaj pes tsawg leeg.

Pob ntseg, lwm cov hoob kawm, kom ib tug menyuam tsis taus ntaub qhwv. Yog hais tias daim nyias nyias yog puas tiag, nws tej kev kho mob yuav muaj xws li tam sim ntawd phais. Lub hom phiaj ntawm lub lag luam no - zaj duab xis compound mus tshem tawm nws tseem ceeb kev puas tsuaj. Xws li ib tug lag luam yog hu ua ib tug tympanoplasty los yog myringoplasty. Nws yog ua nyob rau hauv kev tshuaj loog. Tus kws phais ua ib tug me me incision saum toj no lub lub pob ntseg, los ntawm uas yuav siv sij hawm ib tug me me daim ntawm daim tawv nqaij, los ntawm cov uas ces SEWS li cov kev puas tsuaj nyob rau hauv daim nyias nyias ntawm lub pob ntseg. Qhov no lub lag luam yuav siv sij hawm qhov chaw nrog rau cov kev pab ntawm ib tug tshuab kuaj kab mob, tom qab ntawd koj yuav muaj ib tug ob peb lub lis piam li ib lub paj rwb kua ntswg nyob rau hauv lub pob ntseg. Tus kws kho mob inserts lub kua ntswg tam sim ntawd tom qab kev phais.

Yog hais tias cov kis yog me me, koj muaj peev xwm ua tsis muaj kev phais, ces daim nyias nyias yuav kho rau ib lub sij hawm ntawm los ntawm 8 rau 10 hnub. Thaum lub sij hawm no, nws yuav tsum tau nyob rau hauv lub saib xyuas ntawm dab neeg. Tab sis nyob rau hauv tej rooj plaub, txawm me kev puas tsuaj yog tsis overgrown los ntawm tej yam ntuj tso txhais tau tias, thiab lawv kev kho mob yuav tsum tau yuav tsum tau phais. Ntawm cov tshuaj feem ntau tus kws kho painkillers, sedatives. Nyob rau hauv tej rooj plaub, siv tshuaj tua kab mob noj ntawm ncauj.

kev tiv thaiv

Nyob rau hauv thiaj li accelerate tus txheej txheem ntawm kev kho mob thiab txo qhov yuav ua teeb meem, koj yuav tsum nco ntsoov hais tias kom txog rau thaum tag nrho zoo ntawm lub pob ntseg yuav tsum tsis txhob tshuab koj lub qhov ntswg, pinching nws qhov ntswg, thiab koj yuav tsum ua kom paub tseeb tias mus rau lub pob ntseg tsis paim quav dej (da dej kaw lawv nrog paj rwb ntaub plaub soaked nyob rau hauv cov roj los yog qab zib). Yuav kom tsis txhob muaj cov tshwm sim ntawm tus kab mob, siv xws ntsuas ntawm kev tiv thaiv thiab kev tiv thaiv:

• tej ceev kev kho mob ntawm pob ntseg mob, txij li thaum ncua sij hawm ntawm kev kho mob ntawm nruab nrab pob ntseg kab mob feem ntau ua rau tsub zuj zuj ntawm cov kua, uas ua rau lub saum toj no tus kab mob;
• thaum lub sij hawm flights rau hauv dav hlau los tiv thaiv eardrums kom zom cov pos hniav los yog noj (ib co kab) khoom qab zib. Nws muab kev tiv thaiv los ntawm siab spikes. Nrog ib tug txias, nrog los ntawm ib tug los ntswg qhov ntswg, los ntawm flights yuav tsum tau tso tseg los yog tsawg kawg ua ntej yuav-off coj kom zoo dua ntawm vasoconstrictor qhov ntswg;
• tsis txhob siv cov khoom ntse (hooks, pins, koob) rau tu pob ntseg;
• Tsis txhob excessively ntev nyob nyob rau hauv nrov tej kev kawm.