Koj tus me nyuam puas mob khaub thuas ntau zaus? Koj puas tau pom tias tom qab ob peb hnub, koj tus me nyuam tsuas tuav nws pob ntseg thiab tsis xis nyob me ntsis? Puas muaj tej lub sij hawm nws xav tias nws tsis mloog zoo thaum koj tham nrog nws? Nws yog ib qho ib txwm rau koj ua ib leej niam uas ntshai heev thaum muaj tej yam zoo li no tshwm sim. Tab sis tsis txhob txhawj, qhov no yog ib qho mob yooj yim uas tuaj yeem kho tau rau cov menyuam yaus me. Hnub no peb tab tom tham txog ib qho mob zoo li no, Otitis Media with Effusion (OME).
Otitis Media nrog Effusion (OME) yog dab tsi?
Hais yooj yim xwb, Otitis Media with Effusion (OME) yog thaum koj lub pob ntseg nruab nrab puv nrog cov kua dej. Qhov no qee zaum hu ua 'Serous Otitis Media'. Qhov tseem ceeb yog, qhov no tsis yog kua qaub . Qhov no txhais tau tias qhov no tsis yog kev kis kab mob pob ntseg uas ua rau kua qaub puv pob ntseg nruab nrab. Qhov no tsuas yog cov kua dej sib sau ua ke.
Xav txog peb lub pob ntseg nruab nrab zoo li ib chav me me. Muaj ib lub raj me me uas txuas chav no rau peb lub caj pas. Peb hu qhov no ua '(Eustachian tube)'. Lub luag haujlwm tseem ceeb ntawm lub raj no yog los ntws cov kua dej ntau dhau hauv pob ntseg nruab nrab mus rau lub caj pas thiab los sib npaug lub zog cua hauv pob ntseg. Hauv qhov xwm txheej ntawm OME, lub raj no raug thaiv rau qee qhov laj thawj, thiab cov kua dej uas tsim hauv pob ntseg nruab nrab tsis tuaj yeem ntws tawm thiab daig hauv. Vim li no, koj yuav hnov qhov hnyav lossis muaj kev xav tias muaj qee yam daig hauv pob ntseg.
Tus mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 6 lub hlis thiab 3 xyoos. Raws li kev tshawb fawb, ntau dua 80% ntawm cov menyuam yaus yuav muaj OME tsawg kawg ib zaug hauv lawv lub neej ua ntej lawv mus txog hnub nyoog kawm ntawv.
Vim li cas qhov no thiaj tshwm sim rau cov menyuam yaus? Cov laj thawj yog dab tsi?
Qhov laj thawj tseem ceeb uas ua rau tus menyuam pob ntseg puv nrog cov kua dej zoo li no yog vim tias Eustachian tube uas peb tau tham txog ua ntej tsis ua haujlwm zoo. Tsis zoo li cov neeg laus, lub raj no nyob txawv me ntsis rau cov menyuam yaus. Tsis tas li ntawd, lub raj no tuaj yeem raug thaiv vim yog tej yam xws li mob khaub thuas thiab ua xua ntau zaus.
Cia peb saib cov laj thawj tseem ceeb rau qhov no hauv lub rooj hauv qab no.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Lub raj tsis tau loj hlob tag nrho. | Lub raj Eustachian hauv cov menyuam yaus luv thiab kab rov tav, ua rau nws nyuaj rau cov kua dej ntws. |
| Mob khaub thuas thiab mob caj pas ntau zaus | Thaum mob khaub thuas thiab mob caj pas, lub qhov ntswg, caj pas, thiab lub raj Eustachian yuav o. Qhov o no thaiv lub raj thiab ua rau cov kua dej sib sau ua ke. |
| Cov Adenoids uas mob o | Cov adenoids yog cov qog ntshav uas nyob tom qab lub qhov ntswg thiab saum lub caj pas. Thaum lawv o, lawv tuaj yeem thaiv qhov qhib ntawm lub raj Eustachian thiab ua rau cov kua dej sib sau ua ke. |
| Kev ua xua | Kev ua xua rau tej yam xws li hmoov av thiab paj ntoos kuj tuaj yeem ua rau cov hlab cua o thiab txhaws. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Hauv OME, qhov mob pob ntseg tsis hnyav heev. Qee zaum, qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob dab tsi. Txawm li cas los xij, yog tias koj pom cov no hauv koj tus menyuam, txhawj xeeb.
- Kev hnov lus tsis zoo: Qhov no yog qhov tsos mob uas tshwm sim ntau tshaj plaws thiab feem ntau tshwm sim. Nws tuaj yeem pom los ntawm tej yam zoo li tus menyuam tsis teb thaum koj hais lus lossis tig lub TV nrov dhau.
- Kev tuav lossis rub pob ntseg: Tus menyuam yuav pheej tuav lossis rub lawv pob ntseg vim lawv hnov muaj qee yam tsis xis nyob lossis hnyav hauv lawv pob ntseg.
- Teeb meem kev sib npaug: Peb lub pob ntseg nruab nrab kuj pab txhawb kev sib npaug hauv lub cev. Yog li thaum nws puv nrog cov kua dej, tus menyuam yuav xav tias me ntsis co thiab yuav xav tias tsis sib npaug thaum taug kev.
- Kev hais lus qeeb: Thaum ib tug me nyuam tsis hnov lus zoo, lawv yuav muaj kev ncua sij hawm kawm khaws cov lus thiab hais lus kom raug. Qhov teeb meem no tuaj yeem tshwm sim yog tias qhov mob no kav ntev.
Tiam sis nco ntsoov, cov tsos mob no tsis yog ib txwm yog los ntawm OME. Lawv kuj tuaj yeem yog los ntawm lwm yam teeb meem kev noj qab haus huv. Yog li qhov zoo tshaj plaws ua yog mus ntsib koj tus kws kho mob hauv tsev neeg thiab coj koj tus menyuam mus kuaj mob.
Cov kev kho mob rau qhov no yog dab tsi?
Thaum koj coj koj tus menyuam mus rau kws kho mob, nws yuav txiav txim siab seb yuav kho li cas raws li tus menyuam tus mob.
Tsuas yog tos kom nws zoo dua (Kev Saib Xyuas)
Feem ntau, uas yog, feem ntau, cov kua pob ntseg no yuav ntws tawm ntawm nws tus kheej hauv 4 txog 6 lub lis piam yam tsis tas kho dab tsi. Yog li thawj qhov uas tus kws kho mob yuav ua yog saib tus menyuam thiab hais tias, "Cia peb tos thiab saib." Qhov no kuj hu ua "Tos kom zoo."
Cov tshuaj
Vim tias OME tsis yog ib qho kev kis kab mob, cov kws kho mob feem ntau tsis sau tshuaj tua kab mob rau nws. Txawm li cas los xij, yog tias tus menyuam muaj lwm yam kev kis kab mob, xws li kev kis kab mob ntawm caj pas, nrog rau OME, cov tshuaj tua kab mob yuav raug muab los ua kev kho mob. Cov tshuaj Antihistamines thiab cov tshuaj decongestants kuj tsis tshua muaj sau vim tias lawv tsis muaj ntau yam cuam tshuam rau OME.
Kev tso cov raj pob ntseg (Myringotomy)
Qee zaum, cov kua dej hauv pob ntseg tsis nqes txawm tias tom qab 2 lossis 3 lub hlis lawm los xij. Qhov no ua rau tus menyuam hnov lus tsis zoo, cuam tshuam rau lawv txoj kev kawm thiab kev hais lus. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav hais kom phais me me. Qhov no hu ua "Myringotomy".
Hauv qhov no, tus kws phais yuav ua ib lub qhov me me hauv pob ntseg thiab ntws tag nrho cov kua dej hauv pob ntseg nruab nrab los ntawm nws. Tom qab ntawd, kom tiv thaiv cov kua dej kom tsis txhob sib sau ua ke dua, yuav muab ib lub raj me me (Myringotomy tube) ntxig rau hauv lub qhov me me ntawd. Tom qab muab qhov no ntxig rau hauv, tus menyuam lub pob ntseg yuav rov qab zoo li qub. Tsis txhob txhawj, lub raj no yuav poob tawm ntawm nws tus kheej tom qab li 6 txog 12 lub hlis.
Cov yam uas ua rau muaj kev pheej hmoo ntawm kev tsim OME
Txawm hais tias ib tug me nyuam twg los xij tuaj yeem muaj OME, qee yam tseem ceeb tuaj yeem ua rau muaj qhov kev pheej hmoo no ntau ntxiv.
| Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo | |
|---|---|
| Mob khaub thuas ntau zaus. | Siv sijhawm nrog tus menyuam hauv chaw zov menyuam. |
| Kev raug pa luam yeeb thib ob. | Tsis pub niam mis. |
| Pub mis rau tus menyuam mos los ntawm lub raj mis thaum nws pw lossis pw ntxeev. | Yav dhau los tau muaj mob pob ntseg ntau zaus. |
| Muaj qhov tsis zoo li qub ntawm lub ntsej muag xws li daim di ncauj tawg (cleft palate) uas muaj thaum yug los. | |
Thaum twg yuav tsum mus ntsib kws kho mob
Kev mob pob ntseg qee zaum tuaj yeem yog ib qho tsos mob ntawm lwm yam teeb meem kev noj qab haus huv. Yog li, yog tias koj muaj kev txhawj xeeb txog koj tus menyuam, tsis txhob yig mus nrhiav kev pab kho mob. Tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob.
- Yog tias cov tsos mob tsis zoo dua tom qab 24 teev .
- Yog koj tus menyuam hnub nyoog qis dua 6 lub hlis, nrhiav kev kho mob tam sim ntawd.
- Yog tus me nyuam hais tias nws mob pob ntseg tsis taus .
- Yog koj pom ib yam kua dej los yog kua qaub tawm ntawm koj tus menyuam pob ntseg .
- Yog tias koj tus menyuam muaj teeb meem pw tsaug zog vim yog mob khaub thuas lossis ua pa tsis tau zoo.
Yog tias muaj xwm txheej zoo li no, coj koj tus menyuam mus ntsib koj tus kws kho mob sai li sai tau. Yog tias muaj xwm txheej ceev, mus rau Chav Kho Mob Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob pob ntseg uas muaj kua dej hauv pob ntseg (OME) yog ib yam mob uas pob ntseg puv nrog kua dej, tsis yog kua qaub. Feem ntau pom muaj rau cov menyuam yaus.
- Qhov ua rau muaj tus mob no yog kev txhaws ntawm lub raj Eustachian vim yog tej yam xws li mob khaub thuas.
- Feem ntau tus mob no yuav ploj mus nws tus kheej hauv ob peb lub lis piam yam tsis tas yuav kho dab tsi li.
- Feem ntau cov tshuaj tua kab mob tsis raug sau rau qhov no.
- Yog tias muaj kev cuam tshuam mus sij hawm ntev rau tus menyuam txoj kev loj hlob ntawm kev hnov lus lossis kev hais lus, tus kws kho mob yuav qhia lwm yam kev kho mob, xws li phais.
- Yog koj muaj kev txhawj xeeb lossis kev tsis ntseeg txog koj tus menyuam pob ntseg, nco ntsoov sab laj nrog kws kho mob.
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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