Ethmoiditis, los yog ethmoid sinusitis, yog o tshwm sim nyob rau hauv ethmoid sinuses. Nws daim ntawv mob tshwm sim nyob rau hauv cov tsos ntawm o ntawm daim tawv muag sab sauv ntawm lub ces kaum ntawm lub qhov muag. Qhov no yog nrog los ntawm qhov mob thiab kub taub hau. Feem ntau hauv cov menyuam yaus dua li cov neeg laus, mob ethmoiditis yuav tsum tau kho sai sai.

Kev txhais ntawm ethmoiditis

Ethmoiditis yog ib hom kab mob sinusitis, uas yog o uas tshwm sim nyob rau hauv lub mucous daim nyias nyias npog lub sinuses. Raws li kev ceeb toom, cov sinuses yog pob txha kab noj hniav nyob rau hauv lub ntsej muag. Muaj ntau cov sinuses nrog rau cov ethmoidal sinuses. Lawv nyob rau ntawm ob sab ntawm ethmoid, ib qho khib thiab nruab nrab pob txha nyob nruab nrab ntawm ob lub orbits.

Ethmoiditis, los yog ethmoid sinusitis, yog o ntawm ethmoid sinuses. Nws tuaj yeem tshwm sim nws tus kheej hauv cov hauv qab no:

• ib leeg lossis ob tog;
• cais lossis cuam tshuam nrog kev koom tes ntawm lwm cov sinuses;
• mob los yog mob.

Ua rau ethmoiditis

Ethmoiditis yog tshwm sim los ntawm kab mob microbial. Feem ntau cov no yog kab mob kab mob. Cov kab mob koom nrog tshwj xeeb:

• Streptococcus pneumoniae los yog pneumococcus;
• Staphylococcus aureus los yog Staphylococcus aureus;
• Hemophilus influenzae.

Kev kuaj mob ethmoiditis

Nws yog thawj zaug raws li kev kuaj mob. Muaj ob peb qhov kev kuaj mob ntxiv tuaj yeem ua raws li qhov kev thov ntawm tus kws kho mob:

• kev kuaj pom kev kho mob, tshwj xeeb los ntawm kev siv tshuab scanner lossis magnetic resonance imaging (MRI);
• bacteriological kuaj.

Cov kev ntsuam xyuas ntxiv no ua rau nws muaj peev xwm txheeb xyuas qhov kev kuaj mob ntawm ethmoiditis, txhawm rau txheeb xyuas cov kab mob pathogenic hauv nqe lus nug thiab / lossis nrhiav cov teeb meem. Yog hais tias muaj teeb meem, yuav tsum tau mus pw hauv tsev kho mob.

Mob ethmoiditis feem ntau tshwm sim hauv cov menyuam yaus. Nws feem ntau tshwm nyob ib ncig ntawm 2 mus rau 3 xyoos.

Edema ntawm daim tawv muag 

Mob ethmoiditis ua rau mob o ntawm thaj chaw orbital. Hauv lwm lo lus, mob edema tshwm rau ntawm daim tawv muag sab sauv nyob rau sab hauv ntawm lub qhov muag. Qhov no edema yog nrog los ntawm kub taub hau. Peb tham txog edematous ethmoiditis.

Cov kua paug hauv qhov muag

Tom qab daim ntawv edematous, ib daim ntawv sau tuaj yeem tshwm sim. Pus sau rau hauv lub qhov muag qhov muag. Qhov muag yuav bulging thiab mob. 

Risk ntawm intra-orbital teeb meem

Yog tias tsis muaj kev tswj hwm txaus, cov teeb meem intra-orbital tuaj yeem tshwm sim:

• ib tug tuag tes tuag taw myriad uas sib haum mus rau ib tug dilation ntawm cov menyuam kawm ntawv los ntawm tuag tes tuag taw ntawm lub paj hlwb oculomotor;
• corneal anesthesia uas yog ib tug poob ntawm rhiab heev ntawm lub cornea;
• ophthalmoplegia, uas yog, ib nrab lossis ua tiav tuag tes tuag taw ntawm qhov muag.

Kev pheej hmoo ntawm cov teeb meem intracranial

Cov teeb meem intracranial kuj tuaj yeem tshwm sim:

• oscillating kub taub hau nrog txias;
• meningeal syndrome uas yog tshwj xeeb yog mob taub hau, txhav caj dab thiab ntuav.

Hauv feem ntau ntawm cov mob ethmoiditis, kev kho tshuaj tua kab mob yog sau tseg. Nws lub hom phiaj tiv thaiv tus kab mob ua rau cov tshuaj tiv thaiv inflammatory. Kev kuaj mob feem ntau yog ua tiav 48 teev tom qab pib kho.

Thaum muaj teeb meem, kev mus pw hauv tsev kho mob yog qhov tsim nyog rau kev tsim cov tshuaj tua kab mob broad-spectrum parenteral. Nws tuaj yeem nrog kev kho corticosteroid los txo qhov mob. Kev phais dej kuj tuaj yeem ua kom tshem tawm cov abscess tsim.

Ethmoiditis tuaj yeem tshwm sim los ntawm tus kab mob pneumococcal lossis pneumococcal. Haemophilus influenzae Hom B. Cov kab mob no tiv thaiv tau los ntawm kev txhaj tshuaj tiv thaiv tus menyuam mos.

Kev tiv thaiv ntawm cov teeb meem txuas nrog ethmoiditis yuav tsum tau kho ntxov. Ntawm qhov kos npe me ntsis, kev sab laj kho mob ceev tau pom zoo.