Pob ntseg

Pob ntseg

Earwax yog ib yam khoom tsim los ntawm cov qog nyob rau hauv lub pob ntseg sab nraud. Lub pob ntseg no yog qee zaum hu ua lub luag haujlwm tiv thaiv tseem ceeb rau peb lub rooj sib hais. Tsis tas li ntawd, nws yog ib qho tseem ceeb tsis txhob sim ntxuav nws tob heev, ntawm qhov kev pheej hmoo ua rau lub pob ntseg ntsaws rau daim ntawv.

Anatomy

Earwax (los ntawm Latin "cera", siv quav ciab) yog ib yam khoom tsim los ntawm lub cev, hauv pob ntseg.

Secreted los ntawm ceruminous qog nyob rau hauv lub cartilaginous ib feem ntawm lub sab nraud auditory kwj dej, pob ntseg yog tsim los ntawm fatty tshuaj, amino acids thiab minerals, tov nrog cov sebum secreted los ntawm sebaceous qog kuj muaj nyob rau hauv lub duct, nrog rau cov khib nyiab keratin, plaub hau, plua plav, thiab lwm yam. Nyob ntawm tus neeg, lub pob ntseg no tuaj yeem ntub lossis qhuav nyob ntawm seb cov khoom muaj roj ntau npaum li cas.

Sab nrauv phab ntsa ntawm cov qog ceruminous yog npog nrog cov leeg nqaij uas, thaum cog lus, khiav tawm cov cerumen uas muaj nyob hauv caj pas. Tom qab ntawd nws sib tov nrog cov sebum, siv cov kua sib xws thiab npog cov phab ntsa ntawm cov pob txha mos ntawm cov kwj dej sab nraud. Tom qab ntawd nws hardens, sib tov nrog cov tawv nqaij tuag thiab cov plaub hau nws ntxiab, tsim cov pob ntseg ntawm qhov nkag mus rau sab nraud pob ntseg kwj dej, pob ntseg uas tsis tu ncua - nws zoo li tsis yog. .

physiology

Nyob deb ntawm kev ua "khoom noj khoom haus" earwax ua tiav cov luag haujlwm sib txawv:

  • lub luag hauj lwm ntawm lubricating daim tawv nqaij ntawm sab nraud auditory kwj dej;
  • lub luag hauj lwm ntawm kev tiv thaiv ntawm sab nraud auditory kwj dej los ntawm constituting ib tug tshuaj barrier tab sis kuj ib tug neeg kho tshuab. Zoo li lub lim dej, pob ntseg tiag tiag yuav cuab lub cev txawv teb chaws: nplai, plua plav, kab mob, fungi, kab, thiab lwm yam .;
  • lub luag haujlwm ntawm kev tu tus kheej ntawm cov kwj deg thiab cov keratin hlwb uas tau rov ua dua tshiab tsis tu ncua.

Earwax plugs

Qee lub sij hawm, pob ntseg sau rau hauv pob ntseg kwj dej thiab tsim ib lub ntsaws uas tuaj yeem ua rau tsis hnov ​​​​lus tsis zoo thiab ua rau tsis xis nyob. Qhov tshwm sim no tuaj yeem muaj ntau yam ua rau:

  • tsis tsim nyog thiab rov qab ntxuav pob ntseg nrog paj rwb swab, cov nyhuv yog los txhawb kev tsim cov pob ntseg, tab sis kuj tseem thawb nws rov qab mus rau hauv qab ntawm pob ntseg;
  • rov da dej vim hais tias cov dej, deb ntawm liquefying pob ntseg, ntawm qhov tsis tooj, nce nws ntim;
  • kev siv lub pob ntseg tsis tu ncua;
  • looj pob ntseg

Qee tus neeg muaj kev cuam tshuam rau cov pob ntseg no ntau dua li lwm tus. Muaj ntau ntau qhov laj thawj rau qhov no uas cuam tshuam rau kev khiav tawm ntawm pob ntseg mus rau sab nraud:

  • lawv cov qog ceruminous ib txwm tsim cov pob ntseg loj dua, vim tsis paub;
  • lub xub ntiag ntawm ntau cov plaub hau nyob rau hauv lub sab nraud auditory kwj dej, tiv thaiv lub pob ntseg ntawm evacuating kom zoo;
  • ib txoj kab me me ntawm pob ntseg, tshwj xeeb tshaj yog rau cov menyuam yaus.

kev kho mob

Nws raug pom zoo kom tsis txhob sim tshem lub pob ntseg ntawm koj tus kheej nrog txhua yam khoom (paj rwb swab, tweezers, koob, thiab lwm yam), uas yuav ua rau lub pob ntseg puas.

Nws yog qhov ua tau kom tau txais hauv cov khw muag tshuaj cov khoom lag luam cerumenolytic uas pab txhawb kev tshem tawm cov cerumen plug los ntawm kev ua kom tiav. Feem ntau nws yog ib yam khoom raws li xylene, lipophilic hnyav. Koj tuaj yeem siv cov dej sov so nrog qhov sib ntxiv ntawm ci dej qab zib lossis hydrogen peroxide, tawm mus rau kaum feeb hauv pob ntseg. Ceeb Toom: Cov hau kev no uas muaj cov kua dej hauv pob ntseg yuav tsum tsis txhob siv yog tias muaj qhov tsis txaus ntseeg ntawm lub pob ntseg perforation.

Qhov kev txiav tawm ntawm lub pob ntseg ntsaws yog ua tiav hauv ib qho chaw ua haujlwm, siv lub curette, ib qho blunt kov los yog ib tug nuv me me ntawm cov ces kaum thiab / los yog siv lub tshuab nqus tsev los tshem cov khib nyiab ntawm lub ntsaws. Cov khoom lag luam cerumenolytic tuaj yeem siv ua ntej rau hauv cov kwj deg sab nraud kom muag cov mucous ntsaws thaum nws nyuaj heev. Lwm txoj kev muaj xws li irrigating pob ntseg nrog ib tug me me dav hlau ntawm dej sov, siv ib tug pear los yog ib tug syringe haum nrog ib tug saj zawg zog raj, thiaj li yuav fragment lub mucous plug.

Tom qab tshem tawm cov pob ntseg pob ntseg, tus kws kho mob ENT yuav kuaj xyuas lub rooj sib hais siv lub suab. Earwax plugs feem ntau tsis ua rau muaj teeb meem loj. Txawm li cas los xij, qee zaum nws ua rau otitis externa (mob ntawm sab nraud auditory kwj dej).

Kev tiv thaiv

Nrog nws cov lubricating thiab barrier muaj nuj nqi, pob ntseg yog ib yam khoom tiv thaiv pob ntseg. Yog li ntawd nws yuav tsum tsis txhob muab tshem tawm. Tsuas yog qhov pom ntawm pob ntseg kwj dej tuaj yeem, yog tias tsim nyog, raug ntxuav nrog cov ntaub ntub dej lossis hauv da dej, piv txwv li. Nyob rau hauv luv luv, nws yog advisable kom txaus siab rau tu lub pob ntseg uas yog ib txwm evacuated los ntawm pob ntseg, tab sis tsis saib ntxiv mus rau hauv lub pob ntseg kwj dej.

Fabkis ENT Society pom zoo kom tsis txhob siv paj rwb swab kom huv si pob ntseg kom tsis txhob muaj pob ntseg ntsaws, pob ntseg pob ntseg (los ntawm compression ntawm lub ntsaws rau pob ntseg) tab sis kuj eczema thiab kab mob txaus siab los ntawm qhov rov siv cov paj rwb swab. Cov kws tshaj lij kuj tawm tswv yim tawm tsam kev siv cov khoom siv los ntxuav lub pob ntseg, xws li tswm ciab pob ntseg. Ib txoj kev tshawb fawb tau pom tseeb tias pob ntseg tswm ciab tsis muaj txiaj ntsig hauv kev ntxuav pob ntseg.

diagnostic

Cov cim sib txawv yuav qhia tau tias muaj qhov ntsaws pob ntseg:

  • txo qhov hnov ​​lus;
  • kev xav ntawm pob ntseg;
  • ringing nyob rau hauv pob ntseg, tinnitus;
  • khaus;
  • mob pob ntseg.

Thaum ntsib cov tsos mob no, koj yuav tsum sab laj nrog koj tus kws kho mob lossis tus kws kho mob ENT. Kev ntsuam xyuas siv lub otoscope (ib qho cuab yeej nruab nrog lub teeb ci thiab lub lens magnifying rau auscultation ntawm sab nraud auditory kwj dej) yog txaus los xyuas kom meej lub xub ntiag ntawm ib tug plug ntawm pob ntseg.

Sau ntawv cia Ncua