Puas muaj tej lub sij hawm koj xav tias koj tus me nyuam tsis hnov koj thaum koj tham nrog lawv? Los yog koj puas qhib lub TV nrov dhau lawm? Tej zaum yog vim koj tus me nyuam lub pob ntseg puv nrog cov kua nplaum tuab. Ua cov kws kho mob, peb hu qhov mob no ua 'Pob Ntseg Nplaum'. Hauv cov lus kho mob, nws kuj hu ua '(Otitis Media with Effusion - OME)' lossis '(Secretory Otitis Media)'. Qhov no tuaj yeem tshwm sim rau ib lossis ob lub pob ntseg ntawm tus menyuam. Feem ntau nws pom tom qab muaj kab mob pob ntseg, tab sis nws kuj tuaj yeem tshwm sim los ntawm lwm yam. Tsis txhob txhawj, qhov mob no feem ntau yuav zoo dua tom qab ib pliag. Txawm li cas los xij, yog tias nws txuas ntxiv mus, nws tuaj yeem cuam tshuam rau koj tus menyuam lub pob ntseg.
'Kab Ntswg Nplaum' yog dab tsi tiag? Nws loj hlob li cas?
Hais yooj yim xwb, 'glue ear' yog ib yam kua nplaum tuab uas sib sau ua ke hauv koj tus menyuam lub pob ntseg nruab nrab (qhov chaw khoob tom qab lub pob ntseg). Nws hu ua 'glue ear' vim nws zoo li cov pos hniav.
Xav txog seb, yog peb xav kom peb hnov lus zoo, peb lub pob ntseg nruab nrab yuav tsum huv si thiab muaj cua puv nkaus. Cov cua no nkag mus rau hauv pob ntseg nruab nrab los ntawm ob lub raj hu ua Eustachian raj . Ob lub raj no txuas peb lub pob ntseg nruab nrab thiab caj pas. Yog xav kom meej meej, cov raj no khiav ntawm sab nraub qaum ntawm lub qhov ntswg mus rau caj pas thiab mus rau hauv pob ntseg nruab nrab. Ib qho ntawm cov haujlwm tseem ceeb ntawm cov raj Eustachian no yog ntws cov kua dej tsis xav tau uas sib sau ua ke hauv pob ntseg nruab nrab. Peb nqos cov kua dej uas tawm los yam tsis paub txog.
Cov raj Eustachian no hauv cov menyuam yaus dav dua li cov neeg laus, thiab lawv kuj nyob kab rov tav. Yog li ntawd, lawv tsis ua haujlwm zoo li cov neeg laus. Yog li, yog tias tus menyuam cov raj Eustachian raug thaiv vim qee qhov laj thawj, cua tsis nkag mus rau hauv pob ntseg nruab nrab. Tom qab ntawd cov hlwb hauv txheej sab hauv ntawm pob ntseg nruab nrab pib tsim cov kua nplaum tuab. Qhov ntawd yog qhov hu ua 'pob ntseg nplaum'.
Thaum lub pob ntseg nruab nrab puv nrog cov kua dej, lub qhov ntswg tsis tuaj yeem co zoo. Tom qab ntawd cov suab tsis mus rau sab hauv pob ntseg zoo. Yog vim li cas cov menyuam mos thiaj li hnov tsis tau zoo.
Leej twg yuav muaj tus mob 'pob ntseg nplaum' no ntau tshaj? Nws tshwm sim ntau npaum li cas?
'Ntsej muag nplaum' yog ib yam mob uas feem ntau cuam tshuam rau cov menyuam yaus , tshwj xeeb tshaj yog cov menyuam mos thiab cov menyuam yaus hnub nyoog qis dua 6 xyoo. Txawm li cas los xij, nws kuj tuaj yeem cuam tshuam rau cov neeg laus thiab.
Qhov no yog ib qho uas tshwm sim ntau heev uas yog koj coj tsib tus menyuam kawm ntawv preschool mus, ib tug ntawm lawv yuav muaj 'pob ntseg nplaum' txhua lub sijhawm. Tsis tas li ntawd, kwv yees li yim ntawm kaum tus menyuam yuav muaj tus mob no ua ntej hnub nyoog 10 xyoo. Yog li qhov no tsis yog ib yam tshiab.
Kuv yuav paub li cas yog tias kuv tus me nyuam muaj pob ntseg nplaum? Cov tsos mob yog dab tsi?
Cov tsos mob tseem ceeb ntawm 'pob ntseg nplaum' rau cov menyuam yaus thiab cov neeg laus yog kev hnov lus tsis zoo . Qhov no tuaj yeem tshwm sim rau ib lub pob ntseg lossis ob lub pob ntseg ib zaug. Nws tuaj yeem zoo li koj muaj ob lub pob ntseg ntsaws rau hauv koj lub pob ntseg, txo qhov suab nrov nyob ib puag ncig koj thiab ua rau koj xav tias tsis meej pem. Yog tias ib tug menyuam yaus tseem muaj kev hnov lus tsis zoo, nws tuaj yeem cuam tshuam rau lawv lub peev xwm hais lus thiab txhim kho lus . Piv txwv li, lawv yuav tsis tuaj yeem hais cov lus kom meej.
Ntxiv rau qhov ntawd, koj tus menyuam yuav muaj cov hauv qab no:
- Mob pob ntseg.
- Tinnitus yog lub suab nrov nrov los yog buzzing hauv pob ntseg.
- Muaj kev xav tias muaj kev nias, puv nkaus, lossis suab 'pop' hauv pob ntseg thaum nqos.
Cov menyuam mos tsis nkag siab thaum koj qhia rau lawv tias lawv hnov tsis tau lus. Yog li koj yog tus uas yuav tsum tau saib xyuas cov cim no. Yog tias koj tus menyuam lossis tus menyuam yaus muaj 'pob ntseg nplaum', koj yuav pom tej yam zoo li no:
- Kev hloov pauv tus cwj pwm: Xav tias tsaug zog tas li, npau taws sai dua li yav dhau los.
- Tsis muaj kev saib xyuas: Zoo li tsis muaj kev saib xyuas txhua yam.
- Nyiam ua si ib leeg xwb.
- Tsis teb thaum koj hu xov tooj.
- Thov kom ib tug neeg rov hais dua qhov koj tau hais.
- Thov kom qhib lub suab TV nrov heev.
- Tham nrov dua li ua ntej.
Yog tias koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais lus qhia.
Dab tsi ua rau 'pob ntseg nplaum'?
Pob ntseg nplaum feem ntau tshwm sim tom qab muaj kab mob pob ntseg . Nws yog tshwm sim los ntawm cov kua dej uas tseem nyob hauv pob ntseg tom qab tus kab mob ploj mus. Txawm li cas los xij, pob ntseg nplaum tsis yog ib txwm tshwm sim los ntawm kev kis kab mob pob ntseg. Qhov ua rau feem ntau yog kev txhaws hauv tus menyuam lub raj Eustachian. Qhov kev txhaws no tuaj yeem tshwm sim los ntawm ntau yam laj thawj:
- Mob khaub thuas thiab mob ntsws.
- Ntau yam kev ua xua.
- Cov adenoids o: Cov no nyob ze ntawm caj pas thiab cov qhov ntswg, ze ntawm pob ntseg.
- Kev raug cov tshuaj uas ua rau khaus xws li pa luam yeeb (Kev haus luam yeeb tsis tu ncua). Qhov no tseem ceeb heev.
- Qee yam mob caj ces xws li "(Down syndrome)"
- Cleft palate.
- GERD (kab mob gastroesophageal reflux) los yog mob kua qaub ncaug rov qab los ntev.
- Pub niam mis thaum pw: Qhov no tuaj yeem tshwm sim yog tias koj muab koj tus menyuam tso rau ntawm nws nraub qaum thaum pub mis los ntawm lub raj mis.
- Kev hloov pauv sai sai ntawm lub zog cua: zoo li thaum caij dav hlau lossis dhia dej.
Tseem Ceeb: Cov kua nplaum pob ntseg tsis yog los ntawm cov quav pob ntseg uas sib sau ua ke. Nws kuj tsis yog los ntawm dej nkag mus rau hauv pob ntseg thaum da dej lossis ua luam dej.
Cov kws kho mob kuaj mob 'pob ntseg nplaum' li cas?
Yuav kom paub seb puas muaj kua nplaum rau pob ntseg, koj tus menyuam tus kws kho mob yuav xub kuaj koj tus menyuam pob ntseg ua ntej. Lawv yuav siv ib lub cuab yeej me me (otoscope) los nrhiav cov kua dej hauv pob ntseg.
Qee zaum tus kws kho mob yuav hais tias, "Cia peb tos ib pliag thiab saib seb qhov no puas yuav ploj mus." Vim tias feem ntau qhov ntawd yog qhov teeb meem. Tab sis yog tias cov tsos mob tseem muaj tom qab ob peb lub hlis, ces lawv yuav xa koj mus kuaj thiab kho ntxiv.
Yuav ua li cas thiaj kuaj tau?
Yog koj tus kws kho mob txiav txim siab tias yuav tsum tau kuaj ntxiv, nws yuav xa koj mus rau tus kws kho mob pob ntseg lossis tus kws kho mob pob ntseg, qhov ntswg, thiab caj pas (ENT).
Tus kws tshwj xeeb yuav ua qhov kev kuaj hu ua tympanometry test los xyuas koj tus menyuam pob ntseg. Qhov kev kuaj no ntsuas seb tus menyuam lub pob ntseg txav tau zoo npaum li cas. Lawv yuav ntxig ib lub cuab yeej tshwj xeeb uas muaj lub microphone thiab lub suab rau hauv tus menyuam lub qhov ncauj. Lub cuab yeej yuav ntsuas seb qhov siab hauv lub qhov ncauj hloov li cas, thiab cov suab nthwv dej yuav tawm ntawm lub pob ntseg. Yog tias muaj kua dej hauv tus menyuam lub pob ntseg nruab nrab, lub pob ntseg yuav tsis txav tau zoo. Lawv yuav siv daim duab hu ua tympanogram los saib cov txiaj ntsig no.
Ntxiv mus, tus kws tshwj xeeb kuj tseem yuav ua qhov kev kuaj pob ntseg . Qhov no yuav xyuas seb muaj pes tsawg cov kua dej hauv pob ntseg nruab nrab tau cuam tshuam rau tus menyuam txoj kev hnov lus. Kev kuaj pob ntseg tuaj yeem pab txiav txim siab seb qhov kev hnov lus puas hnyav npaum li cas thiab yog vim li cas.
Cov kev kho mob rau 'kua nplaum pob ntseg' yog dab tsi?
Feem ntau, pob ntseg uas muaj kua nplaum yuav zoo dua nws tus kheej yam tsis tas yuav kho dab tsi li . Koj tus menyuam tus kws kho mob feem ntau yuav tos ob peb lub hlis kom pom tias cov kua dej ntawd puas ploj mus nws tus kheej. Yog tias koj tus menyuam cov tsos mob tsis zoo dua nws tus kheej, muaj cov kev kho mob uas tuaj yeem pab tau:
- Tshuaj tua kab mob: Yog tias koj tus menyuam mob nrog rau cov kua dej sib sau ua ke hauv lawv pob ntseg, nws yuav yog kev kis kab mob pob ntseg. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav sau ntawv kom siv tshuaj tua kab mob los kho nws.
- Kev phais Myringotomy: Qee zaum tus kws kho mob tshwj xeeb yuav hais kom ua ib qho kev phais me me hu ua "Myringotomy." Qhov no suav nrog kev txiav me me rau hauv tus menyuam lub pob ntseg thiab ntws cov kua dej hauv pob ntseg nruab nrab. Qee zaum tus kws kho mob tshwj xeeb yuav ntxig ib lub raj me me, khoob (Thoob Pob Ntseg / Grommet) los ntawm qhov kev phais. Lub raj no pab ua kom lub siab sib npaug ntawm lub pob ntseg thiab pob ntseg nruab nrab. Nws kuj pab ntws cov kua dej los ntawm pob ntseg nruab nrab mus rau pob ntseg sab nraud. Lub raj no feem ntau poob tawm ntawm nws tus kheej hauv ib xyoos.
- Kev phais mob Adenoidectomy: Yog tias koj tus menyuam lub pob ntseg 'glue' yog vim muaj adenoids o, koj tus kws kho mob yuav ua 'Adenoidectomy'. Kev phais mob no feem ntau ua ke nrog 'Myringotomy', uas yog kev tshem tawm cov adenoids o.
- Cov khoom pab hnov lus: Cov khoom pab hnov lus yog cov khoom siv uas ua kom lub suab nrov dua. Tus kws kho mob yuav pom zoo kom siv cov khoom pab hnov lus los pab cov menyuam yaus uas hnov lus tsis tau ib ntus. Cov menyuam yaus siv cov no thaum lub pob ntseg 'glue' kho, lossis thaum phais 'myringotomy' tsis tau.
Puas muaj teeb meem dab tsi tom qab phais?
Feem ntau, koj tus menyuam yuav tsis muaj teeb meem dab tsi tom qab phais mob myringotomy. Koj tus menyuam yuav muaj kua dej tawm hauv lawv pob ntseg li ob peb hnub tom qab phais. Yog tias cov kua dej tseem tawm ntau tshaj ob peb hnub, nrog koj tus kws kho mob tham.
Puas muaj txoj hauv kev los kho qhov 'kua nplaum pob ntseg' hauv tsev?
Yog, qee zaum muaj ob peb yam kev tawm dag zog yooj yim uas koj tuaj yeem ua tau hauv tsev uas tuaj yeem pab tshem koj tus menyuam lub pob ntseg nruab nrab ib ntus:
- Kev siv Valsalva maneuver: Qhov no yog ib txoj kev ua pa. Qhia tus me nyuam kom nws lub qhov ntswg kaw, kaw nws lub qhov ncauj, thiab sim tshuab cua tawm ntawm nws lub qhov ntswg. Tus me nyuam yuav hnov nws pob ntseg "qhib".
- Lub pob ntseg Otovent®: Lub cuab yeej no, hu ua "(Otovent®)" pab ntws cov kua dej tawm ntawm koj tus menyuam lub pob ntseg. Muab lub nozzle txuas rau lub pob ntseg tso rau hauv ib lub qhov ntswg thiab lwm lub qhov ntswg kaw nrog tus ntiv tes. Tus menyuam ces sim ua kom lub pob ntseg nqus los ntawm lawv lub qhov ntswg. Qhov no yuam kom cua los ntawm sab nraub qaum ntawm caj pas mus rau hauv pob ntseg nruab nrab, pab qhib Eustachian tube.
Tiamsis nws tseem ceeb heev rau koj mus ntsib koj tus kws kho mob ua ntej koj sim cov hau kev no.
Puas tiv thaiv tau qhov mob pob ntseg uas muaj kua nplaum?
Kev txo koj tus menyuam txoj kev pheej hmoo ntawm kev kis kab mob pob ntseg kuj tseem tuaj yeem pab txo qhov kev pheej hmoo ntawm 'pob ntseg nplaum'. Nov yog qee yam koj tuaj yeem ua tau los txo koj tus menyuam txoj kev pheej hmoo ntawm kev kis kab mob pob ntseg:
- Kev Pub Mis Niam: Cov as-ham hauv mis niam pab cov menyuam mos tiv thaiv kab mob. Kev tshawb fawb tau qhia tias cov menyuam mos uas pub niam mis niam yuav tsis tshua muaj 'mob pob ntseg nplaum'.
- Tuav koj tus menyuam kom ncaj thaum pub mis rau menyuam: Txawm koj pub niam mis lossis pub mis rau hauv lub raj mis, tuav koj tus menyuam zaum es tsis txhob pw. Qhov no tuaj yeem pab tiv thaiv cov kua dej kom tsis txhob nkag mus rau hauv Eustachian raj thaum pub mis.
- Tsis txhob haus luam yeeb yam li lwm tus: Cov menyuam yaus uas raug haus luam yeeb yam li lwm tus muaj feem yuav mob pob ntseg nplaum. Tsis txhob haus luam yeeb hauv tsev thiab hauv tsheb ntau li ntau tau.
- Kev kuaj mob ua xua: Cov khoom ua xua xws li paj ntoos, cov kab me me, thiab cov plaub tsiaj tuaj yeem ua rau Eustachian raj o. Yog tias koj xav tias qhov no yog qhov ua rau koj tus menyuam 'pob ntseg nplaum', nug koj tus kws kho mob txog kev kuaj mob ua xua.
- Kev Huv Si thiab Kev Tua Kab Mob: Qhia koj tus menyuam yuav ua li cas ntxuav lawv txhais tes kom raug. Ntxuav lawv txhais tes nrog xab npum thiab dej tsawg kawg yog 20 vib nas this. Tsis tas li ntawd, khaws cov khoom siv hauv tsev thiab cov khoom ua si kom huv si los ntawm kev so lawv tsis tu ncua.
Yog tias kuv tus menyuam muaj pob ntseg nplaum, kuv yuav tsum xav li cas?
'Ntsej muag nplaum' yog ib yam mob uas feem ntau yuav zoo dua qub. Txawm li cas los xij, yog tias cov tsos mob tseem muaj li ob peb lub hlis, nws tuaj yeem cuam tshuam rau tus menyuam lub pob ntseg. Nws tuaj yeem cuam tshuam rau lawv lub peev xwm hais lus thiab txhim kho lus. Cov teeb meem no tuaj yeem ua rau muaj teeb meem kev kawm, nrog rau teeb meem kev sib txuas lus thiab kev sib raug zoo nrog lwm tus.
Tiam sis qhov zoo tshaj plaws yog, txawm tias cov kua dej tseem nyob hauv pob ntseg tau ntau lub hlis los xij, feem ntau cov menyuam yaus tsis muaj teeb meem hnov lus lossis hais lus ntev vim yog qhov mob no.
Ib 'xyoo nplaum' tuaj yeem kav ntev npaum li cas?
Feem ntau, pob ntseg uas muaj kua nplaum yuav zoo dua li ob mus rau peb lub lis piam. Qee zaum, tus mob no yuav kav ntev li ob peb lub hlis. Yog tias nws tsis zoo dua li peb lub hlis, nrog koj tus menyuam tus kws kho mob tham txog kev kho mob kom zoo.
Ib tug me nyuam uas muaj pob ntseg nplaum puas tuaj yeem da dej lossis ua luam dej tau?
Yog tias koj tus menyuam muaj cov raj pob ntseg, tus kws kho mob yuav qhia lawv kom tsis txhob muab lawv pob ntseg ntub rau ob mus rau plaub lub lis piam tom qab phais. Qhov no txhais tau tias tsis txhob ua luam dej lossis da dej. Lawv tuaj yeem ntxuav lawv lub cev yam tsis tau muab lawv pob ntseg ntub. Tom qab lub sijhawm ntawd, feem ntau tsis muaj kev txwv rau kev da dej lossis ua luam dej hauv pas dej.
Tiamsis qee tus menyuam uas muaj feem yuav kis tau kab mob ntau dua yuav tsum tau ceev faj ntxiv. Yog tias muaj, koj tus menyuam tus kws kho mob yuav pom zoo cov yam xws li:
- Tsis txhob dhia mus rau hauv dej los yog dhia dej.
- Siv cov ntsaws pob ntseg thiab lub kaus mom ua luam dej thaum ua luam dej.
- Nyob deb ntawm cov chaw xws li cov pas dej thiab cov pas dej ua luam dej uas tsis muaj chlorine.
- Thaum ntxuav koj tus menyuam cov plaub hau, ceev faj kom tsis txhob muaj dej nkag rau hauv lawv pob ntseg.
Puas yog teeb meem yog tias ib tug me nyuam uas muaj pob ntseg nplaum 'glue' caij dav hlau?
Feem ntau cov menyuam yaus uas muaj pob ntseg nplaum yuav tsis muaj teeb meem caij dav hlau. Txawm li cas los xij, nws yog ib lub tswv yim zoo los nug koj tus menyuam tus kws kho mob txog koj tus menyuam qhov mob tshwj xeeb. Cov kua dej hauv pob ntseg nruab nrab tuaj yeem nthuav dav thaum lub sijhawm nce thiab tsaws, uas tuaj yeem ua rau tsis xis nyob. Qhov no hu ua "pob ntseg dav hlau." Kev noj lossis haus ib yam dab tsi thaum lub sijhawm nce thiab tsaws tuaj yeem pab qhib koj tus menyuam lub raj Eustachian thiab txo qhov tsis xis nyob.
Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?
Yog koj tus menyuam muaj 'pob ntseg nplaum', tej zaum koj yuav muaj ntau cov lus nug txog qhov mob no. Koj tus menyuam tus kws kho mob tuaj yeem teb cov lus nug uas koj muaj. Nov yog qee cov lus nug uas koj tuaj yeem nug tus kws kho mob:
- Vim li cas kuv tus menyuam thiaj muaj kua dej hauv nws pob ntseg?
- Puas yog kuv tus menyuam xav tau kev kho mob?
- Kuv tus menyuam xav tau kev kho mob hom twg?
- Peb yuav ua li cas thiaj tiv thaiv tau qhov teeb meem no kom tsis txhob tshwm sim rau yav tom ntej?
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Pob ntseg nplaum (Otitis Media nrog Effusion) yog ib qho mob uas pom ntau heev rau cov menyuam yaus. Feem ntau, nws yuav zoo dua nws tus kheej.Txawm li cas los xij, cov kua dej sib sau ua ke hauv pob ntseg tuaj yeem ua rau tus menyuam hnov lus tsis zoo, uas tuaj yeem cuam tshuam rau kev hais lus thiab kev loj hlob ntawm lus.
Yog li ntawd, yog tias koj pom muaj cov tsos mob ntawm tus mob no, mus ntsib koj tus menyuam tus kws kho mob tam sim ntawd. Tus kws kho mob mam li kuaj koj tus menyuam thiab muab kev kho mob kom zoo yog tias tsim nyog. Qhov xov xwm zoo yog tias feem ntau cov menyuam tsis muaj teeb meem hnov lus lossis hais lus ntev vim yog tus mob no. Yog li ntawd, tsis txhob ntshai tsis tsim nyog, tab sis nws yog ib qho tseem ceeb uas yuav tsum ceev faj.
Pob Ntseg Uas Muaj Nplaum, Pob Ntseg Uas Muaj Nplaum, Mob Pob Ntseg Uas Muaj Cov Kua Pob Ntseg, Cov Kab Mob Pob Ntseg Hauv Cov Menyuam Yaus, Kev Hnov Lus Tsis Zoo, Eustachian Tube, Myringotomy

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