Koj puas tau pom tias koj tus me nyuam mob pob ntseg thiab tom qab ntawd, thaum nws zoo zuj zus tuaj, sab nraub qaum ntawm pob ntseg tau o, liab, thiab mob thaum kov? Los yog koj puas tau muaj qhov no koj tus kheej? Tsis txhob tsis quav ntsej qhov no ua ib qho mob pob ntseg yooj yim. Qhov no yuav yog ib qho mob hnyav uas tuaj yeem tshwm sim los ntawm kev kis kab mob pob ntseg nruab nrab uas tsis tau kho. Niaj hnub no, peb tab tom tham txog ib qho mob hu ua 'Mastoiditis', uas koj yuav tsum xav tias thaum lub sijhawm zoo li no.
Mastoiditis no yog dab tsi?
Hais yooj yim xwb, mob mastoiditis yog ib qho kab mob kis rau ntawm pob txha mastoid, uas yog ib feem ntawm lub pob txha taub hau tom qab peb pob ntseg. Pob txha no tsis yog pob txha khov kho xwb. Sab hauv nws, zoo li cov qhov me me hauv lub zes qe menyuam, muaj ntau lub qhov me me uas muaj cua (cov hlwb cua). Lub luag haujlwm tseem ceeb ntawm cov no yog los tiv thaiv cov qauv mos mos hauv pob ntseg, tswj qhov siab hauv pob ntseg, thiab txo qhov puas tsuaj rau lub pob txha taub hau yog tias muaj xwm txheej.
Feem ntau yog tias yog tias muaj kab mob pob ntseg nruab nrab (Otitis Media) tsis raug kho kom zoo, cov kab mob uas ua rau muaj kab mob yuav kis mus rau hauv pob ntseg nruab nrab mus rau qhov chaw hauv pob txha mastoid. Qhov no yog thaum mastoiditis tshwm sim. Tus mob no feem ntau tshwm sim rau cov menyuam yaus, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg laus.
Vim tias cov hlab ntsha tseem ceeb tshaj plaws thiab cov hlab ntsha hauv peb lub cev hla dhau cov pob txha mastoid no, yog tias muaj kev kis kab mob ntawm no, nws tuaj yeem kis mus rau sab nraud ntawm cov pob txha thiab ua rau muaj teeb meem kev noj qab haus huv loj heev.
Tej tus neeg kuj tseem yuav muaj tus mob ntev hu ua 'Chronic Mastoiditis', uas ua rau muaj kua tawm ntawm pob ntseg zoo li kua qaub.
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Zoo li kuv tau hais ua ntej lawm, qhov ua rau qhov no tshwm sim feem ntau yog kev kis kab mob pob ntseg nruab nrab (Otitis Media) uas tsis tau kho lossis tsis tau kho tag. Cov kab mob hauv pob ntseg nruab nrab maj mam mus rau pob txha mastoid.
Ntxiv mus, ib qho ua rau mob tsis tshua muaj yog ib qho mob hu ua 'cholesteatoma'. Qhov no yog kev sib sau ua ke ntawm cov hlwb tawv nqaij hauv pob ntseg, ua rau muaj pob. Lub pob no tuaj yeem thaiv cov kua dej ntawm pob ntseg, ua rau muaj kev kis kab mob thiab ua rau mob mastoiditis.
Cov tsos mob ntawm qhov no yog dab tsi?
Koj yuav tsum txhawj xeeb heev txog cov tsos mob no, tshwj xeeb yog tias koj tus menyuam nyuam qhuav muaj kab mob pob ntseg.
| Cov tsos mob | Piav qhia yooj yim xwb |
|---|---|
| Liab thiab o tom qab pob ntseg | Qhov no yog cov tsos mob tseem ceeb. Cov pob txha tom qab pob ntseg yuav liab tsaus thiab o heev. Nws mob heev thaum kov. |
| Pob ntseg thawb mus tom ntej | Qhov o ntawm pob ntseg yuav zoo li raug thawb mus tom ntej thiab nqis. |
| Tso tawm ntawm pob ntseg | Tej zaum yuav muaj kua qaub daj lossis ntsuab uas muaj ntxhiab tsw phem, zoo li kua qaub ntawd txuas ntxiv ntws tawm hauv pob ntseg. |
| Kub taub hau, mob taub hau | Kev kis kab mob hauv lub cev tuaj yeem ua rau kub taub hau heev, mob lub cev, thiab nkees heev ua tsis tau dab tsi. Cov menyuam yaus feem ntau raug khi qhov muag. |
Yog tsis kho ces yuav muaj tej yam txaus ntshai dab tsi tshwm sim?
Qhov no yog qhov uas peb txhua tus yuav tsum ntshai tshaj plaws. Yog tias peb xav tias nws tsuas yog mob pob ntseg xwb, tus kab mob tuaj yeem kis mus rau lwm tus thiab ua rau muaj teeb meem loj heev, txawm tias ua rau tuag taus.
| Kev nyuaj siab | Piav qhia yooj yim xwb |
|---|---|
| Kev Tsis Hnov Lus | Tus kab mob no tuaj yeem ua rau cov pob ntseg mos mos puas tsuaj thiab ua rau hnov lus tsis tau mus tas li. |
| Kev tuag tes tuag taw ntawm lub ntsej muag | Vim tias cov hlab ntsha uas tswj cov leeg ntawm lub ntsej muag hla dhau cov pob txha no, qhov kev kis kab mob tuaj yeem kis mus rau lwm qhov thiab ua rau ib sab ntawm lub ntsej muag poob qis. |
| Meningitis los yog mob hlwb | Tus kab mob no tuaj yeem kis mus rau hauv lub taub hau, ua rau mob hlwb lossis mob qog hauv hlwb. Qhov no muaj kev phom sij rau lub neej. |
| Kab mob kiv taub hau | Yog tias tus kab mob kis mus rau qhov ntawm pob ntseg uas muaj feem cuam tshuam rau lub cev qhov sib npaug (Labyrinthitis), yuav kiv taub hau thiab ntuav hnyav. |
| Cov Ntshav Txhaws | Tsis tshua muaj, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov hlab ntsha ntawm lub hlwb, ua rau muaj cov tsos mob xws li kev hloov pauv ntawm qhov muag thiab mob taub hau hnyav. |
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Yog tias koj lossis koj tus menyuam mob pob ntseg nrog rau kub taub hau, mob, liab, lossis o tom qab pob ntseg, mus ntsib kws kho mob tam sim ntawd. Tus kws kho mob yuav xub kuaj sab hauv pob ntseg nrog lub cuab yeej hu ua otoscope. Mastoiditis yog qhov tsis tshua muaj yog tias tsis muaj kab mob pob ntseg nruab nrab.
Tom qab ntawd, yuav muab ib qho qauv ntawm cov kua pob ntseg coj mus kuaj hauv chav kuaj mob (culture) kom paub tseeb tias yog hom kab mob dab tsi ua rau muaj kev kis kab mob.
Yog tias muaj kev xav tias tus mob no loj heev, lossis yog tias muaj teeb meem tshwm sim, koj yuav raug xa mus rau CT scan . Qhov no tuaj yeem pom tseeb qhov xwm txheej ntawm pob txha mastoid thiab thaj chaw ib puag ncig. Yog tias muaj ib yam dab tsi zoo li lub cyst qhov twg, nws yuav tsum tau tshem tawm thiab kho.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob tseem ceeb rau qhov no yog tshuaj tua kab mob .
Feem ntau, yog tias koj raug kuaj pom tias muaj mob mastoiditis, koj lossis koj tus menyuam yuav tsum tau mus pw hauv tsev kho mob kom tau txais kev kho mob. Nyob ntawd, koj yuav raug kws kho mob tshwj xeeb rau pob ntseg, qhov ntswg, thiab caj pas (ENT specialist). Cov tshuaj tua kab mob yuav raug muab los ntawm lub koob txhaj tshuaj (IV - Intravenous) kom tswj tau qhov kev kis kab mob sai sai.
Ntxiv mus, ib qho kev phais me me hu ua myringotomy tuaj yeem ua tau kom tshem tawm cov kua qaub ntawm pob ntseg nruab nrab. Qhov no suav nrog kev ua ib lub qhov me me hauv lub pob ntseg thiab ntws qee cov kua qaub los ntawm nws. Qee zaum, ib lub raj me me raug muab tso rau hauv lub qhov kom nws qhib. Lub raj no yuav poob tawm ntawm nws tus kheej hauv 6-12 lub hlis.
Yog tias cov tshuaj tua kab mob IV tsis kho tau sai, lossis yog tias muaj teeb meem xws li mob o lossis pob txha poob, tej zaum yuav tsim nyog phais mastoidectomy . Qhov no suav nrog kev phais tshem tawm qhov mob ntawm pob txha mastoid.
Tsis txhob hnov qab, yog tias tus kab mob raug kuaj pom thaum ntxov thiab kho nrog cov tshuaj tua kab mob zoo thiab, yog tias tsim nyog, phais, tag nrho cov teeb meem loj no tuaj yeem tiv thaiv tau thiab tuaj yeem rov zoo tag nrho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Mastoiditis yog ib qho kev kis mob hnyav rau ntawm pob txha tom qab pob ntseg. Qhov ua rau muaj qhov no yog kab mob pob ntseg nruab nrab uas tsis tau kho kom zoo.
- Cov tsos mob tseem ceeb yog o tom qab pob ntseg, liab, mob heev, kub taub hau, thiab muaj kua tawm ntawm pob ntseg.
- Tsis txhob tso tseg cov tsos mob no, tshwj xeeb tshaj yog rau cov menyuam yaus.
- Qhov zoo tshaj plaws ua thaum koj pom cov tsos mob zoo li no yog mus ntsib koj tus kws kho mob tam sim ntawd.
- Thaum pib kho mob sai npaum li cas, ces yuav tsis muaj teeb meem txaus ntshai xws li hnov lus tsis zoo thiab mob hlwb.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus