Raws li ib tus tuaj yeem to taub los ntawm lub npe, eustachiitis yog ib qho kab mob ntawm cov hlab ntsws (auditory) lub raj - lub cev uas nkag mus rau hauv cov pob ntseg hauv lub pob ntseg thiab txuas cov pob ntseg nruab nrab nrog lub pharynx. Qhov chaw ntawm qhov khoom nruab nrog ntawm kev hnov lus cuam tshuam rau qhov tshwm sim ntawm cov teeb meem txuam nrog kab mob ntawm nasopharynx (rhinitis, tonsillitis, pharyngitis). Cov tsos mob ntawm tus mob eustachyitis tuaj yeem tsim vim muaj kev txawv txav los yog cov yam ntxwv ntawm cov qauv hauv lub cev (ENT) hauv lub nruab nrog cev (curved nasal septum, polyps , adenoids, etc.). Eustachyte yuav yog ib tog los yog sab nraud.
O ntawm lub raj tshuaj, thaum tsis muaj kev kho mob zoo, tuaj yeem ua kom muaj tus kab mob catarrhal otitis.
Cov tsos mob ntawm tus mob eustachyte
Qhov pib eustachiitis, uas tau tshwm sim los ntawm mob khaub thuas los yog ua npaws hawb pob, yog tus cwj pwm tsis muaj mob nyob rau tom qab ntawm cov kev tshwm sim xws li:
- zoo nkaus li muaj kev ntxhov siab thiab ntxhov siab hauv pob ntseg, uas ib ntus tom qab yawning lossis nqos tau;
- Autophony - qhov kev hnov ntawm koj lub suab "raws li ib tus zoo";
- tsis hnov nrov thiab hnov dej ntawm pob ntseg hauv pob ntseg;
- lub suab tsis hnov lus.
Feem ntau cov kev mob tshwm sim ntawm eustachyitis, raws li txoj cai, yog qhov zoo, tsis muaj qhov kub thiab lwm cov cim qhia ntawm tus mob pib. Dua li ntawm qhov tseeb hais tias muaj cov tsos mob eustachyte mob yooj yim rau hloov, koj yuav tsum mus ntsib kws kho mob. Txoj kev mob o ntawm Eustachian raj tuaj yeem ua rau muaj kev txawv txav hauv lub cev thiab ua rau lag ntseg.
Cov tsos mob ntawm tus mob ntev eustachyitis
Mob txhaws ntswg dhau los yuav hloov mus rau hauv daim ntawv ntev. Nyob rau tib lub sij hawm, qhov tshwm sim ntawm tus kab mob yog mus tas li thiab yooj yim pom thaum nug los ntawm ib tug tshwj xeeb:
- retraction ib nrab thiab deformation ntawm daim kab xev tympanic;
- reddening thiab txhuam ntawm lub auditory (Eustachian) raj;
- persistent tsis hnov lus.
Diagnostic txoj kev rau txhim kho eustachyitis
Rau kev kuaj mob tseeb, ib tus kws kho mob tshwj xeeb muaj peev xwm siv tau ib txoj kev ntsuam xyuas:
- Otoscopy - kev soj ntsuam ntawm lub pob ntseg kwg nrog kev pab ntawm ib nqaj ntawm lub teeb uas tau pom los ntawm lub hauv paus reflector.
- Audiometry yog ntsuas ntawm kev hnov lus zoo.
- Rinoskopiya - kev kuaj ntawm lub qhov ntswg qhov ntswg nrog kev pab ntawm qhov ntswg qhov ntswg thiab qhov muag.
- Kev kuaj Valsalva yog ib qho exhalation thaum lub qhov ncauj thiab qhov ntswg raug kaw.
- Smears - los txiav txim siab tus kab mob kis (streptococci, staphylococci, pneumococci, thiab lwm yam).
Ntaus cov tsos mob ntawm eustachyitis
Txij li thaum eustachiitis yog tshwm sim ntawm kab mob catarrhal, kev kho mob yuav tsum pib nrog tshem tawm ntawm qhov pib vim. Rau lub hom phiaj no, cov tshuaj tau sau tseg tias yuav pab kom nqaim qhov cov hlab ntsha hauv nasopharynx (naphthyzine, nazivin, sanorin). Nws yog qhov tsim nyog los kos tus neeg mob kom paub tseeb tias thaum lub sij hawm los ntshav, cov hnoos qeev tuaj yeem raug muab pov rau hauv lub tshuab raj. Yuav kom qhov no tshwm sim, qhov kev ntxuav yuav tsum tau ua kom zoo dua rau txhua qhov ntswg uas muaj kev nyuab siab me ntsis.
Tom qab txoj kev kho tshuaj thiab kev tshem tawm ntawm edema, nws yog ua tau los ua cov txheej txheem ntawm tshuab raj lub eustachian raj, uas tuaj yeem tiv thaiv nws cov quav thiab pneumomassage.
Kev siv physiotherapy yuav pab ua kom muaj kev kho sai. Nyob rau hauv dav dav, qhov kev kho mob raws sij hawm ntawm eustachyte muaj
Kev tiv thaiv ntawm eustachyitis thiab precautionary ntsuas
Kev tiv thaiv kev tiv thaiv kom tiv thaiv tau tus kab mob ntawm Eustachian raj yog lub sijhawm kho cov kab mob uas ua rau o ntawm nasopharynx, kev tiv thaiv ntawm kev tiv thaiv. Yog tias koj mob, nws yog ib qho tseem ceeb kom tsis tu ncua lub qhov ntswg thiab siv cov vasoconstrictors .
Thaum cov cim ntawm eustachyte tshwm sim, cov kev ua uas cuam tshuam txog kev hloov cov kev hloov hauv cov kev sib tw atmospheric (kev sib sib zog nqus dej, dav hlau flights).