Tej zaum koj twb tau xav tsis thoob los hnov ​​koj cov miv hnoos qeev. Cov suab nrov ua pa me me no tuaj yeem yog lub cim ntawm ntau yam kev tawm tsam ntawm lub qhov ntswg, kab noj qhov ntswg lossis pharynx. Qee qhov xwm txheej tsis zoo thiab tsis xav tau kev kho tshwj xeeb thaum lwm tus yuav tsum ceeb toom koj thiab qhia qhov kev sib tham nrog tus kws kho tsiaj.

Qhov hnyav ntawm snoring nyob ntawm qhov sib txawv. Yog li ntawd muaj ntau lo lus nug nug. Thawj yog lub sijhawm ntawm kev hloov pauv. Puas yog tus miv tau hnoos qeev txij thaum yau los lossis puas tau tshwm sim ntawm qee kis? Puas yog qhov hnoos qeev tuaj? Puas yog lawv nrog qhov ua tsis taus pa tseem ceeb (ua tsis taus pa, hnoos, nce kev ua pa, ua rau tsis haum, thiab lwm yam)? Tus miv lub qhov ntswg los? Tag nrho cov lus nug no yog txhua yam uas tso cai rau peb kom kawm paub txog qhov ua rau hnoos.

Yog tias koj ib txwm hnov ​​koj tus miv snore thiab snoring tsis muaj kev cuam tshuam rau nws tus cwj pwm, nws yuav zoo li nws yog los ntawm kev yug me nyuam tsis xws luag. Qhov no tshwj xeeb tshaj yog nyob rau hauv cov tsiaj nrog lub qhov ntswg tawg, hu ua "brachycephalic", xws li Persian, Exotic Shorthair, Himalayan lossis, rau qhov tsawg dua feem ntau, Scottish Fold. Kev xaiv cov tsiaj no txhawm rau txo qis qhov muzzle hmoov tsis tseem ua rau muaj qhov txawv txav ntawm kev hloov pauv ntawm lub qhov ntswg, qhov ntswg kab noj hniav thiab pharynx uas yog qhov ua rau pom qhov hnoos qeev. 

Feem ntau, cov kev ua tsis raug no raug zam zoo, tshwj xeeb tshaj yog hauv cov miv hauv tsev uas muaj kev tawm dag zog lub cev tsawg. Txawm li cas los xij, hauv qee qhov mob hnyav, kev nkag mus ntawm huab cua yog li cuam tshuam uas ua tsis taus pa thiab cuam tshuam rau tus miv lub neej zoo yog qhov tseem ceeb. Qee zaum tus miv yug nrog lub qhov ntswg kaw tag. Hauv qee kis, kev phais phais yuav raug txiav txim siab txhawm rau txhim kho kev ua pa. Hmoov zoo, cov koom haum yug tsiaj tau paub txog qhov kev xaiv ntau dhau ntawm cov neeg nyiam, hom kev hlub no yuav tsum tsawg dua thiab tsawg dua nyob rau xyoo tom ntej.

Brachycephalic miv tsis yog miv nkaus xwb uas raug kev txom nyem los ntawm kev yug me nyuam, txawm li cas los xij, thiab txhua tus miv muaj kev cuam tshuam rau kev ua tsis zoo ntawm lub qhov ntswg los yog pharynx. Yog tias muaj kev ua xyem xyav, kev kuaj mob yuav tsum tau ua kom paub tseeb qhov kev kuaj mob (scanner, rhinoscopy, MRI).

Puas yog koj tus miv snoring nrog los ntawm lub qhov ntswg lossis qhov muag? Koj puas pom nws txham? Yog tias qhov no tshwm sim, nws zoo li koj tus miv raug kev txom nyem los ntawm Coryza syndrome. Qhov mob no suav nrog ntau qhov kev tawm tsam (kab mob rhinitis, kab mob sib kis, gingivostomatitis, thiab lwm yam) vim yog kis los ntawm ob hom kab mob loj: kab mob herpes thiab caliciviruses. 

Kev txhaj tshuaj tiv thaiv txhua xyoo tiv thaiv cov kab mob no thiab pab txo qhov mob hnyav. Tus miv tuaj yeem pom ntau yam cim lossis tsuas yog hnoos nrog me ntsis pob tshab tawm ntawm qhov ntswg thiab txham. Kev kis tus kab mob no feem ntau kav ntev li 2 txog 3 asthiv. 

Thaum lub sijhawm no, tus miv kis tau rau nws cov congeners. Nws kuj tseem muaj rau cov kab mob kom tau txais txiaj ntsig los ntawm kev kis tus kab mob tam sim no. Cov cim qhia ntawm kev kis tus kab mob superinfection yog tom qab ntawd pom thiab tso tawm ua purulent. Hauv miv nrog lub cev tiv thaiv kab mob muaj peev xwm, tus kab mob daws tau tshwm sim sai sai. Hauv cov miv uas tsis tau txhaj tshuaj tiv thaiv kab mob (hluas heev, laus heev, IVF zoo, muaj mob) lossis tsis txhaj tshuaj, tus kab mob tuaj yeem muaj qhov tshwm sim mus sij hawm ntev nrog, piv txwv li, hnoos tas mus li thiab rov huam tuaj ntau zaus.

Yog tias hnoos cuam tshuam nrog hnoos thiab tso tawm qhov ntswg, nws muaj peev xwm ua tau nqus pa kom ua rau nyias qhov ntswg. Qhov zoo tshaj yog xauj lub tshuab ua pa hauv lub tsev muag tshuaj qub uas tso cai rau lub cev tso ntshav los sib cais ua cov tshuaj me me uas nkag mus rau tsob ntoo ua pa sab saud. Txwv tsis pub, nws muaj peev xwm tso tus miv hauv nws lub tawb thauj, lub tais dej npau rau pem hauv ntej, tawm ntawm nws lub paws, thiab npog txhua yam nrog phuam ntub dej. Ua qhov nqus no peb zaug ib hnub rau tsawg kawg 10 feeb pab daws qhov tsis xis nyob uas cuam tshuam nrog kab mob rhinitis. Nws kuj tseem tuaj yeem ntxiv cov roj yam tseem ceeb rau hauv dej los yog lub cev muaj ntsev, zoo li tib neeg, tab sis cov no tseem tuaj yeem ua pov thawj tias ua rau khaus ntawm qhov ntswg mucosa. Yog tias qhov paug tawm tuaj thiab koj tus miv pom kev nyuaj siab lossis poob nws txoj kev qab los noj mov, kev sab laj kws kho tsiaj tau pom zoo thiab tshuaj tua kab mob tuaj yeem qhia.

Thaum kawg, tom qab ob qhov ua rau muaj tshwm sim feem ntau tuaj yeem cuam tshuam qhov ntswg kab noj hniav. Hauv qhov no, hnoos yuav tsis tshwm sim ib txwm muaj tab sis yuav tau pib ntawm qee kis thiab qee zaum yuav zuj zus zuj zus tuaj. Qee qhov xwm txheej, koj kuj tseem tuaj yeem pom lwm cov cim xws li kev puas hlwb (lub taub hau qaij, lub qhov muag txawv txav, thiab lwm yam), lag ntseg, los ntswg (qee zaum ntshav).

Nyob ntawm lub hnub nyoog ntawm tus tsiaj, peb yuav tsum xav tias muaj mob polyp (hauv cov menyuam yaus) lossis ntau dua qog (hauv cov laus laus, tshwj xeeb). Ib qho ntxiv, nws tsis yog qhov yooj yim pom lub cev txawv teb chaws raug thaiv hauv nasopharynx lossis kab noj hniav ntawm lub qhov ntswg (xws li nqus pa ntawm cov nyom, piv txwv li).

Txhawm rau tshawb nrhiav qhov ua rau hnoos qeev, kev kuaj mob feem ntau yog qhov tsim nyog. CT scan thiab MRI, ua nyob rau hauv tshuaj loog dav dav, ua rau nws muaj peev xwm los ntsuas cov txheej txheem sab hauv ntawm pob txha taub hau, tuab ntawm cov ntaub so ntswg, muaj cov pus thiab tshwj xeeb yog kev ncaj ncees ntawm cov pob txha, rau CT scan. Rhinoscopy feem ntau ua tiav vim tias nws ua rau nws muaj peev xwm soj ntsuam qhov zoo ntawm qhov ntswg mucosa, txhawm rau txhawm rau txhawm rau tshuaj xyuas (biopsies) thiab tshem tawm ib lub cev txawv teb chaws.

Thaum muaj mob polyp, kev phais kev phais tau qhia. Rau cov qog, nyob ntawm hom thiab qhov chaw, kev phais feem ntau tsis tuaj yeem ua tau. Lwm yam kev xaiv yuav raug txiav txim siab (kho hluav taws xob, tshuaj kho mob, thiab lwm yam), tom qab sib tham nrog koj tus kws kho tsiaj lossis nrog kws kho mob tshwj xeeb oncology.

Hauv qhov xaus, hnoos, hauv miv, tuaj yeem ua rau tsis muaj mob (tshwj xeeb tshaj yog tias lawv cuam tshuam nrog kev hloov pauv ntawm tus tsiaj), ntawm keeb kwm kis mob, nrog mob khaub thuas, lossis cuam tshuam nrog kev ua pa ntawm txoj hlab ntsws. Thaum pom qhov tsis xis nyob, tso zis tawm los yog cov cim qhia txog lub paj hlwb, nws raug nquahu kom sab laj nrog koj tus kws kho tsiaj.