Otitis Media vs Otitis Externa |Otitis Externa vs Media Clinical Kev nthuav qhia, Kev Tshawb Fawb, Kev Tswj Xyuas, thiab Kev Ntsuas
Otalgia feem ntau tshwm sim hauv cov menyuam yaus thiab cov laus. Nws tuaj yeem tshwm sim los ntawm qhov ua rau hauv zos lossis tuaj yeem raug xa mus. Nyob ntawm seb qhov twg ntawm pob ntseg koom nrog, cov laj thawj hauv cheeb tsam tuaj yeem raug cais ntxiv raws li otitis media, qhov chaw hauv nruab nrab pob ntseg kab noj hniav, thiab otitis externa, qhov twg pob ntseg sab nraud koom nrog. Kab lus no qhia txog qhov sib txawv ntawm otitis media thiab externa hais txog nws qhov kev xav ntawm lub cev, etiology, pathology, kev nthuav qhia kho mob, kev tshawb nrhiav kev tshawb nrhiav, kev tswj hwm thiab kev kwv yees.
Otitis Media
Nws yog qhov mob ntawm pob ntseg nruab nrab. Lub pob ntseg nruab nrab txhais tau hais tias lub pob ntseg nruab nrab uas yog Eustachian raj, nruab nrab pob ntseg, atic, aditus, antrum thiab mastoid cua hlwb.
Txawm li cas los xij, nyob ntawm kev sib raug zoo ntawm lub cev, nws tau muab cais ntxiv raws li mob thiab ntev. Feem ntau mob otitis xov xwm tom qab kis kab mob los yog kab mob ua pa sab sauv, tab sis tsis ntev cov kab mob pyogenic nkag mus rau hauv nruab nrab pob ntseg. Nws feem ntau yog kis kab mob hauv keeb kwm thiab kev txwv tus kheej.
Feem ntau tus neeg mob nrog otitis media thaum ntxov ua rau lag ntseg thiab mob pob ntseg, uas cuam tshuam kev pw tsaug zog, thiab ua rau lub cev. Tus neeg mob yuav kub taub hau siab thiab tsis xis nyob. Thaum lub sij hawm ntawm suppuration, pob ntseg tuaj yeem ua rau tsis xis nyob thiab tom qab tawg ntawm cov kab mob tympanic ntawm cov tsos mob tshwm sim. Tshwj tsis yog tias kev daws teeb meem yuav ua rau mob mastoiditis, subperiosteal abscess, lub ntsej muag tuag tes tuag taw, labyrinthitis, petrositis, ntxiv dural abscess, meningitis, hlwb abscess los yog lateral sinus thrombophlebitis. Cov kab mob otitis ntev tshwm sim los ntawm kev tsim cholesteretoma, uas tuaj yeem ua tau los yog tau los ntawm keeb kwm. Cov teeb meem ntawm cov kab mob otitis ntev yuav luag zoo ib yam li mob otitis media xws li mob, mob intracranial, lub ntsej muag tsis muaj zog, meningitis thiab lwm yam.
Tus mob otitis media raug kuaj pom yog tias lub tympanic membrane tshwm o, liab thiab pob nrog poob ntawm qhov chaw ntawm kev kuaj otoscopic. Ib qho chaw daj tuaj yeem pom ntawm lub tympanic membrane qhov twg qhov tawg yuav tshwm sim. Nyob rau hauv mob otitis media, perforation ntawm lub tympanic membrane tej zaum yuav pom nyob rau hauv nruab nrab los yog peripheral. Sib nrug los ntawm X-ray mastoid, CT scan ntawm lub cev nqaij daim tawv, kab lis kev cai thiab rhiab heev ntawm pob ntseg tawm, thiab audiogram los soj ntsuam lub rooj sib hais yog siv los kuaj thiab ntsuas cov teeb meem.
Kev tswj cov kab mob otitis media suav nrog kev kho kab mob tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob hauv pob ntseg, cov cua sov hauv zos qhuav, myryngotomy, thiab kev kho mob ntawm cov kab mob xws li tonsils kis, adenoids, qhov ntswg ua xua, kev xaiv kev kho mob phais thiab kev phais kho dua tshiab.
Nyob rau hauv mob otitis media, prognosis yog zoo tshwj tsis yog nws nyuaj. Txawm li cas los xij, cov menyuam yaus uas muaj qhov rov tshwm sim ntawm tus mob otitis media, otitis media nrog effusion thiab mob otitis media muaj kev pheej hmoo siab ntawm kev tsim cov kab mob tsis hnov lus thiab hnov mob.
YOtitis Externa
Nws yog qhov mob ntawm pob ntseg sab nrauv thiab pob ntseg. Nws yog ntxiv subdivided ntawm lub hauv paus etiological rau hauv pawg kab mob thiab pab pawg reactive. Cov kab mob muaj xws li kab mob, fungal thiab viral kab mob thaum pab pawg neeg muaj xws li eczematous otitis externa, seborrhoeic otitis externa thiab neurodermatitis.
Feem ntau tus neeg mob otitis externa feem ntau tshwm sim nrog pob ntseg, uas yog mob hnyav thaum lub pob ntseg sab nraud raug kov lossis rub maj mam. Rub lub tragus ua rau mob yog kuaj mob otitis externa hauv kev kuaj lub cev. Tus neeg mob kuj yuav pom pob ntseg tawm thiab khaus. Kev khaws cov khib nyiab thiab tso tawm nrog cov nqaij o tuaj yeem ua rau tsis hnov lus ib ntus.
Ntawm kev kuaj otoscopic, qhov ua rau tuaj yeem pom tseeb. Niger tej zaum yuav tshwm sim li dub taub hau filamentous loj hlob thiab kab mob candida li dawb los yog creamy deposits.
Kev tswj tus mob otitis externa feem ntau yog cov tsos mob. Nws suav nrog kev kho cov kab mob tua kab mob, tshuaj tua kab mob, siv cov cua sov hauv zos, pob ntseg tso quav thiab cov tshuaj wicks.
Kev kuaj mob zoo yog tias otitis externa teb tau zoo rau kev kho mob, tab sis muaj teeb meem tuaj yeem tshwm sim yog tias tsis saib xyuas. Feem ntau cov neeg laus mob ntshav qab zib mellitus thiab cov tshuaj tiv thaiv kab mob feem ntau ua rau muaj teeb meem xws li malignant / necrotizing otitis externa.
Qhov txawv ntawm Otitis Media thiab Otitis Externa yog dab tsi?
• Otitis media yog o ntawm pob ntseg nruab nrab thaum otitis externa yog o ntawm pob ntseg thiab pob ntseg.
• Otitis media feem ntau tshwm sim los ntawm kev kis kab mob, thaum feem ntau ua rau otitis externa yog cov kab mob tshwm sim xws li eczematous pob ntseg kwj dej ntawm daim tawv nqaij, thiab muab cov khoom tso rau hauv pob ntseg.
• rub lub tragus ua rau mob yog kuaj mob otitis externa hauv kev kuaj lub cev.
• Otitis media yog tias nyuaj tuaj yeem ua rau tsis hnov lus thiab hnov mob, tab sis otitis externa tsuas yog ua rau tsis hnov lus ib ntus xwb.
