Ib tug me nyuam muaj cov kab mob qog noj ntshav: ua rau, tsos mob, kuaj mob, kho
Ib tug me nyuam muaj cov kab mob qog noj ntshav: ua rau, tsos mob, kuaj mob, kho
Anonim

Yog tus me nyuam muaj cov qog nqaij hlav, ces qhov no tuaj yeem tshwm sim rau ntau yam. Ntau yam tuaj yeem ua rau muaj kev ua txhaum cai li no. Cov kws kho mob pom zoo kom kho tam sim ntawd, tab sis ua ntej ntawd, koj yuav tsum tau ua qhov kev kuaj mob kom paub meej los txiav txim seb tus kab mob twg ua rau cov qog ntshav nce ntxiv.

Ntseeg ntawm lymphadenitis

Nws yog ib qho tseem ceeb tsis yog tsuas yog tsim kom muaj cov qog nqaij hlav hauv cov menyuam yaus, tab sis kuj yog qhov ua rau lymphadenitis. Qhov no yog ib qho kev kis kab mob los yog tsis kis kab mob uas tshwm sim hauv cov kab mob ntawm cov kab mob lymphatic. Ib tug kab mob zoo sib xws no muaj ntau heev nyob rau hauv pediatrics, vim lub immaturity ntawm lub cev nyob rau hauv ib tug me nyuam.

Kev mob ntawm cov qog ntshav qab zib submandibular
Kev mob ntawm cov qog ntshav qab zib submandibular

Feem ntau, lymphadenitis tshwm sim hauv cov menyuam yaus hnub nyoog 1-6 xyoo thiab muaj kev kawm nrawm dua li cov neeg laus. Tus kab mob no tshwm sim nyob rau hauv cov me nyuam zaum ob, yog li ntawd complicates lub chav kawm ntawm kis kab mob thiab inflammatory txheej txheem, yog li ntawd, yuav tsum tau sab laj nrog ob peb tus kws kho mob ib zaug.

Kev faib tawm tseem ceeb

nyob ntawm homCov kws kho mob paub qhov txawv thiab tsis tshwj xeeb lymphadenitis, uas muaj:

  • ntsim;
  • subacute;
  • ntxhiab ntws tawm

Raws li qhov xwm txheej ntawm kev hloov pauv hauv thaj tsam ntawm cov qog qog ntshav hauv cov menyuam yaus, serous, necrotic lossis purulent lymphadenitis yog qhov txawv. Tsis tas li ntawd xwb, tus kab mob no tuaj yeem cuam tshuam tsuas yog ib qho qog ntshav qab zib lossis ib pab pawg xwb.

Nyob ntawm qhov no, xaiv txoj kev kho mob uas pab tshem tawm cov tsos mob tsis zoo sai sai thiab zoo.

Submandibular lymph nodes o

Ntau zaus, cov txheej txheem pathological no cuam tshuam nrog kev tiv thaiv kab mob tiv thaiv kab mob nyob ze rau cov qog ntshav qab zib. Muaj 3 theem tseem ceeb ntawm chav kawm ntawm xws li pathology, uas yog:

  • pib;
  • medium;
  • pab.

Yog tias muaj cov ntsiab lus purulent hauv cov qog ntshav qab zib, qhov no qhia tau hais tias muaj teeb meem loj, kev kho mob uas tau ua tiav phais. Yog hais tias lub submandibular lymph nodes nyob rau hauv tus me nyuam yog o, ces qhov no yog ib tug txaus ntshai kos npe rau uas qhia txog kev loj hlob ntawm pathology.

Ua rau mob
Ua rau mob

theem pib raug muab zais thiab tsis muaj cov cim qhia. Raws li tus kab mob no zuj zus, cov nyob hauv qab lub puab tsaig nce, ua ntom thiab mob ntawm palpation. Ntawm cov laj thawj tseem ceeb ntawm pathology, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:

  • txheej txheem kis;
  • kev loj hlob tshiab;
  • Immune problems;
  • dent alteeb meem;
  • toxoplasmosis.

Nws yog ib qho tseem ceeb heev uas yuav tsum tau tsim kom raug qhov ua rau kev loj hlob ntawm tus kab mob, raws li nws plays ib tug tseem ceeb luag hauj lwm nyob rau hauv kev kho mob ntawm pathology. Kev mob ntawm cov qog nqaij hlav tsuas yog cov tsos mob ntawm tus kab mob, uas yuav tsum tau ua kom muaj peev xwm kho tau.

o cov qog nqaij hlav hauv caj dab

Muaj ntau yam laj thawj rau qhov no pathology. Nws yog ib qho tseem ceeb kom paub tias yog vim li cas cov qog nqaij hlav hauv tus menyuam lub caj dab ua rau mob txhawm rau txhawm rau kuaj xyuas qhov tseeb thiab xaiv cov kev kho mob uas yuav tsum tau ua. Qhov kev ua txhaum cai no yuav yog vim li cas xws li:

  • ua xua;
  • kab mob oncological;
  • kev puas tsuaj;
  • caws;
  • hypothermia, ntxhov siab;
  • metabolic disorder.
Kev mob ntawm lub ncauj tsev menyuam qog nqaij hlav
Kev mob ntawm lub ncauj tsev menyuam qog nqaij hlav

Yog tias tus menyuam muaj cov qog nqaij hlav hauv caj dab, nws yog ib qho tseem ceeb uas yuav tau pib tsim cov kab mob o, uas tuaj yeem mob hnyav lossis mob ntev. Nrog rau mob hnyav, tus menyuam hnov mob hnyav hauv lub caj dab, thiab qhov chaw mob ua rau liab. Nyob rau hauv cov ntaub ntawv ntawm ib tug ntev lub sij hawm, qhov mob tsis hnov, txawm li cas los xij, cov qog ntshav nce ntxiv. Qhov ua rau ntawm daim ntawv no ntawm pathology feem ntau yog lub cev tsis muaj zog.

o cov qog nqaij hlav hauv qab ntawm caj npab

Muaj ntau pawg ntawm cov qog ntshav hauv qab tus menyuam lub caj npab. Cov kab mob no lawv tus kheej ib txwm tsis pub tshaj 0.5 cm hauv txoj kab uas hla thiab txav mus rau hauv qab ntawm daim tawv nqaij. Yog tias cov qog ntshav qab zib nyob hauv qab caj npab ntawm tus menyuam tau mob, ces nws yuav pom tau txawm tias muaj kev kuaj xyuas yooj yim. Lymph nodes yog categorized lipab pawg xws li:

  • apical;
  • central;
  • lateral;
  • plab;
  • subscapularis.

Cov qog nqaij hlav noj qab nyob zoo yog qhov nyuaj rau kev xav, vim tias cov kabmob no me heev thiab tsis ua rau mob. Txawm li cas los xij, yog tias pathology tshwm sim hauv lub hauv siab kab noj hniav los yog lub xub pwg sib koom ua ke, tej zaum yuav muaj cov qog ntshav nce mus txog qhov tsis xis nyob, yog li nws tsis tuaj yeem txav caj npab.

Ntawm cov laj thawj tseem ceeb ntawm kev ua txhaum cai, muaj cov kab mob uas nyob ib sab. Tsis tas li ntawd, frostbite, raug mob, kub hnyiab tuaj yeem ua rau muaj qhov tshwm sim.

Axillary lymphadenitis feem ntau tshwm sim hauv cov menyuam yaus. Feem ntau qhov no yog kab mob thib ob uas tuaj yeem tshwm sim los ntawm cov kua paug thiab cov kab mob. Tsis tas li ntawd, o feem ntau tshwm sim tawm tsam keeb kwm ntawm bronchitis, mob ntsws, pathologies ntawm lub xub pwg ob leeg.

Npaj inguinal lymph nodes

Tus menyuam lub cev feem ntau tiv nrog cov txheej txheem kis tau zoo. Yog tias tus me nyuam muaj cov kab mob qog nqaij hlav hauv lub puab tsaig, qhov no yuav qhia tau tias muaj kev sib ntaus tawm tsam cov kab mob thiab cov kab mob. Kev mob tshwm sim feem ntau tshwm sim los ntawm kev puas tsuaj rau daim tawv nqaij ntawm lub cev qis, tshwj xeeb, xws li:

  • khaw;
  • splinters;
  • mob ntawm ob txhais ceg.

o tsis tshwm sim tam sim tom qab kev puas tsuaj ntawm daim tawv nqaij, tab sis tom qab li 10-20 hnub. Nrog rau cov txheej txheem kev kho mob zoo, lub cev tiv thaiv kab mob ntawm nws tus kheej, thiab cov qog daws tsis tau.kev kho mob.

Cov tsos mob tseem ceeb

Yog tus me nyuam muaj cov kab mob qog nqaij hlav, ces muaj qhov ci ntsa iab thiab hais tau cov tsos mob, xws li:

  • muaj lethargy thiab apathy;
  • poob qab los;
  • pw tsis tsaug zog;
  • mob ntawm nqos thiab palpation;
  • kev sib koom ua ke ntawm thaj chaw cuam tshuam;
  • liab ntawm daim tawv nqaij hla cov pob txha.
Cov tsos mob tseem ceeb
Cov tsos mob tseem ceeb

Qee zaum, pob khaus tuaj yeem tshwm rau ntawm lub cev. Yog hais tias cov qog nqaij hlav yog mob, tus me nyuam qhov kub thiab txias yuav luag txhua zaus, thiab mob taub hau kuj tshwm sim.

Diagnostics

Yuav ua li cas yog tias tus menyuam tau mob qog nqaij hlav tom qab kuaj pom zoo uas yuav pab txiav txim seb qhov ua rau muaj kab mob? Koj tuaj yeem txiav txim siab txog qhov muaj cov txheej txheem pathological ntawm koj tus kheej, tab sis kev kuaj pom tseeb yog tsim los ntawm kws kho mob nkaus xwb.

Thaum xub thawj, tus kws kho mob tshuaj xyuas cov qog ntshav los txiav txim siab lawv cov qauv, cov duab thiab qhov loj me. Tsis tas li ntawd, kev kuaj mob tshwj xeeb tau ua, uas suav nrog cov kev tshawb fawb xws li:

  • kuaj mob ultrasound;
  • tso zis thiab kuaj ntshav;
  • kuaj ntshav biochemical;
  • x-ray;
  • histological kuaj ntawm cov qog nqaij hlav qog.

Yog tias tsim nyog, tus kws kho mob tuaj yeem xaiv cov kws kho mob nqaim uas yuav pab kho qhov tseeb thiab xaiv cov kev kho mob uas xav tau.

Txoj kev kho mob

Thaum tus me nyuam cov qog ntshav ua rau mob,Yuav ua li cas kho xws li pathology, koj yuav tsum paub meej kom tsis txhob ua rau muaj teeb meem tshwm sim. Txhawm rau kom txoj kev kho kom zoo raws li qhov ua tau, nws yog qhov tsim nyog los tsim kom muaj qhov ua rau ntawm cov kab mob no. Rau kev kho mob, txoj kev xws li:

  • tshuaj kho mob;
  • kev kho mob phais;
  • kev kho neeg.

Kev kho mob raug xaiv cais rau txhua tus menyuam thiab txhua tus nyob ntawm hom kab mob, nrog rau qhov nyuaj ntawm nws cov chav kawm. Nws yog tsom rau kev tso tseg cov txheej txheem sib kis thiab mob thiab tshem tawm qhov tseem ceeb ntawm kev kis kab mob.

Kev phais mob
Kev phais mob

Hauv kev mob serous thiab mob lymphadenitis, kev kho mob yog siv, uas suav nrog tshuaj tua kab mob, desensitizing cov neeg ua haujlwm, nrog rau kev kho mob hauv zos. Kev siv tshuaj ntxiv dag zog kuj tau qhia.

Thaum tsis muaj qhov xav tau lossis qhov hloov pauv ntawm tus kabmob mus rau hauv daim ntawv purulent, tus menyuam tau mus pw hauv tsev khomob sai, kev txiav txim siab, kev tso dej thiab kev huv huv. Nyob rau hauv cov ntaub ntawv ntawm necrotic lymphadenitis, kev kho kom zoo ntawm cov kab noj hniav yog nqa tawm, thiab yog tias tsim nyog, tshem tawm cov qog ntshav. Anti-inflammatory therapy yog qhia nyob rau hauv lub postoperative lub sij hawm.

kev kho mob

Yog tias tus menyuam muaj cov qog nqaij hlav, ces kev kho mob feem ntau yog ua nrog kev pab ntawm kev kho tshuaj. Raws li cov txiaj ntsig ntawm kev kuaj mob, tus kws kho mob yuav sau ntawv:

  • tshuaj tua kab mob;
  • antiviral;
  • tshuaj tiv thaiv kab mob;
  • immunosuppressors.

Tshuaj tua kab mob yog sau rau hauv cov ntaub ntawv purulent, nrog rau kev kis kab mob los ntawm cov kab mob. Lawv kuj tau qhia rau kev tiv thaiv cov teeb meem. Kev xaiv ntawm cov tshuaj yog txiav txim siab nruj me ntsis ntawm tus kheej, nyob ntawm lub xeev ntawm kev noj qab haus huv, lub hnub nyoog ntawm tus menyuam thiab theem ntawm kev loj hlob ntawm pathology.

Kev kho mob
Kev kho mob

Yog tias tus kab mob no tshwm sim los ntawm cov kab mob, cov tshuaj tiv thaiv kab mob tau muab tshuaj. Thaum lawv siv, cov txheej txheem ntawm kev tsim cov kab mob raug tshem tawm thiab kev tsim tawm ntawm nws tus kheej interferon yog stimulated. Txhawm rau thaiv kev tsim cov hlwb tsis zoo, cov tshuaj tiv thaiv kab mob tau sau tseg.

Yog tus me nyuam muaj cov qog nqaij hlav hauv caj dab, gargling nrog cov tshuaj tua kab mob, nrog rau cov tshuaj pleev pleev, tuaj yeem muab tshuaj raws li kev kho mob ntxiv.

kev kho neeg zoo

Ntau tus niam txiv txaus siab: tus menyuam muaj cov qog nqaij hlav o, puas tuaj yeem ua kev kho mob nrog kev pab los ntawm pej xeem cov tshuaj. Ib tug compress ntawm celandine nplooj yuav pab tiv nrog o. Ua li no, koj yuav tsum tau scald ib tug puv tes ntawm nplooj ntawm cov nroj tsuag nrog boiling dej thiab cia txias. Tom qab ntawd cov khoom yuav tsum tau siv rau thaj tsam cuam tshuam rau 20 feeb. Cov txheej txheem raug pom zoo kom ua 2 zaug hauv ib hnub.

Kev kho neeg pej xeem
Kev kho neeg pej xeem

Kho tshuaj yej ua los ntawm mint, chamomile lossis calendula pab tiv thaiv qhov mob. Nws yog ib qho tsim nyog los yaug nrog cov tshuaj no 3-4 zaug hauv ib hnub. Pom zoo rau cov menyuam yauslaj.

Thaum tsaus ntuj, nws raug nquahu kom ua kom haus cawv, rau kev npaj uas koj yuav tsum tau dilute echinacea tincture nrog dej 1: 1. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias kev siv cov tshuaj pej xeem yam tsis tau sab laj nrog kws kho mob tuaj yeem ua rau muaj kev phom sij heev, vim qee cov nroj tsuag tuaj yeem ua rau muaj kev fab tshuaj lossis tsis zoo rau daim tawv nqaij.

Muaj Teeb Meem

Thaum tsis kho kom raug lossis tus neeg mob tsis quav ntsej cov lus pom zoo ntawm cov kws tshaj lij, tus kab mob tuaj yeem ua rau ntev, thiab tseem ua rau muaj ntau yam teeb meem uas ua rau muaj kev phom sij rau kev noj qab haus huv thiab lub neej ntawm tus neeg mob.

Kab mob tuaj yeem kis mus rau cov ntaub so ntswg nyob ze, ua rau muaj kev loj hlob ntawm periadenitis, abscess lossis phlegmon. Nrog rau qhov chaw ntawm cov txheej txheem kis kab mob hauv thaj chaw ua pa, tej zaum yuav muaj qhov tshwm sim ntawm qhov abscess, uas yuav ua rau tsim cov bronchial fistula.

Kev phais tsis raug tuaj yeem ua rau los ntshav hnyav, kis kab mob, thiab tso cov qog nqaij hlav cancer tawm sab nraud. Tsis tas li ntawd, muaj feem ntau ntawm kev tsim lymphedema.

Huab cua thiab tiv thaiv

Nrog rau kev kho raws sijhawm thiab ua tau zoo, qhov kev kuaj mob tau zoo heev, thiab nyob rau hauv cov ntaub ntawv ntawm tus kab mob ntev, nws muaj peev xwm hloov cov ntaub so ntswg lymphoid nrog cov ntaub so ntswg sib txuas. Qee zaum muaj kev ua txhaum ntawm cov kua dej lymphatic.

tseem ceeb heev yog kev tiv thaiv kab mob, uas yog txhawm rau tshem tawm cov kab mob mus ntev, kho raws sijhawm ntawm cov kab mob purulent thiab raug mob ntawm daim tawv nqaij thiab cov hniav. Kuj heevNws yog ib qho tseem ceeb los txhawb kev tiv thaiv.

Qhov teeb meem ntawm qhov mob ntawm cov qog ntshav qog ntshav nyob ntawm ntau yam sib txawv. Tus yuam sij rau kev kho kom zoo yog kev kuaj mob raws sij hawm ntawm pathology, uas tsuas yog ua tau los ntawm tus kws kho mob tuaj koom.

Pom zoo: