Qhov nruab nrab ntawm lub phov tympanic thiab sab hauv pob ntseg yog qhov kab noj rau hauv uas lub raj Eustachian emerges. Otitis media yog ib qho txheej txheem kev mob nkeeg hauv cheeb tsam no. Nyob ntawm seb cov kab mob pathology no, tus kab mob no tau muab cais ua ib qho mob ceev thiab ntev li cas. Tsis tas li ntawd, tus kab mob yog catarrhal (exudative) thiab purulent, thiab feem ntau thawj hom ntawv teev lus thaum kawg nws thiaj li dhau mus rau ob.
Acute media mob
Qhov piav qhia txog ntawm cov kev qog nqaij ntawm pathology tuaj yeem tshwm sim nyob rau hauv ob hom.
Cov mob medial catarrhal los yog exudative otitis yog tus cwj pwm ntawm kev mob plawv nyob hauv nruab nrab pob ntseg. Ib qho dej loj ntawm cov kua hauv cov kab noj hniav, uas ua rau cov tsos mob nram no:
- kev tu siab ntawm pob ntseg ;
- mob hauv lub cev, irradiating hauv whiskey, cov hniav thiab txawm hauv tag nrho ib nrab ntawm lub taub hau;
- suab nrov hauv pob ntseg cuam tshuam;
- tsis hnov lus tseeb;
- pw tsaug zog mob;
- tsis qab los noj mov;
- nce hauv qhov kub kom 38-39 degrees;
- kev tsis muaj zog;
- ua mob nyob hauv palpation ntawm tus txheej txheem mastoid;
- puffiness thiab reddening ntawm daim tawv nqaij ntawm lub auditory kwg deg.
Acute suppurative otitis media yog nrog los ntawm txuam nrog pus nyob rau hauv nruab nrab pob ntseg. Tom qab ib pliag, qhov hnyuv ruptures, ua rau exudate thiab purulent pawg ntws tawm. Raws li txoj cai, tom qab lub perforation, tus neeg mob tus mob zoo dua, tag nrho cov tsos mob ntawm lub pathology abate, thiab lub cev kub thiab lub rooj sib hais yog rov qab.
Nrog rau cov tshuaj uas tsim nyog, rov qab tshwm sim tom qab 14-20 hnub. Txwv tsis pub, qhov teebmeem yog ua tau, ib qho yog qhov kev hloov ntawm kev mob nkeeg rau hauv daim ntawv qeeb.
Chronic suppurative otitis media
Hom kab mob uas pom tias yog qhov mob ntsws thiab tawm ntawm cov kua paug ntawm pob ntseg. Kev lim hiam nyob rau hauv daim ntawv xuas phom sij yog qhov ruaj khov, qhov tawg tsis ua rau tshaj. Qhov no ua rau muaj kev txo qis hauv kev hnov lus tseeb thiab muaj tus kab mob rov qab mus ntev ntawm tus mob otitis media.
Muaj 3 hom mob no:
- mesotympanitis;
- epitimpanitisitis;
- epimezotimpanit.
Nyob rau hauv rooj plaub thawj zaug, qhov mob ua rau tsuas yog qhov mucous membrane hauv nruab nrab pob ntseg kab noj. Ob yam nram qab no muaj ntau dua, xws li cov pob txha pob txha yog koom tes rau hauv txoj haujlwm pathological, uas ua rau muaj kev pheej hmoo loj heev, kev loj hlob ntawm choleastomia (neoplasm ntawm qog hom).
Tus kab mob otitis tsuas yog tau txais kev kho mob xwb. Conservative therapy tsuas yog siv rau kev pab tiv thaiv ib ntus xwb thiab npaj rau kev phais.