Kev Kho Mob Eardrum

Kev kho lub qhov ntsej mob yog hais txog ib lossis ntau txoj kev phais mob uas tau ua los kho kho cov kua muag lossis lwm yam kev puas tsuaj rau lub ntsej muag (tympanic membrane).

Ossiculoplasty yog kev kho ntawm cov pob txha me hauv nruab nrab pob ntseg.

Cov neeg laus feem coob (thiab tag nrho cov menyuam yaus) tau txais tshuaj loog. Qhov no txhais tau tias koj yuav tsaug zog thiab tsis tuaj yeem hnov ​​mob. Qee zaum, qhov tshuaj loog hauv zos yog siv nrog rau tshuaj uas ua rau koj tsaug tsaug zog.

Tus kws phais mob yuav txiav tom qab pob ntseg lossis sab hauv pob ntseg pob ntseg.

Raws li qhov teeb meem, tus kws phais yuav:

• Ntxuav tawm ib qho kev kis mob lossis cov nqaij mos ntawm lub ntsej muag lossis hauv pob ntseg hauv nruab nrab.
• Muab lub ntsej muag rau lub ntsej muag nrog ib qho ntawm tus neeg mob tus kheej cov ntaub so ntswg los ntawm txoj hlab ntshav los yog leeg cov leeg (hu ua tympanoplasty). Txoj kev ua no feem ntau yuav siv 2 mus rau 3 teev.
• Tshem tawm, hloov, lossis kho 1 lossis ntau dua ntawm 3 lub pob txha me hauv nruab nrab pob ntseg (hu ua ossiculoplasty).
• Kho me dua cov qhov hauv lub ntsej muag los ntawm tso cov gel lossis ib daim ntawv tshwj xeeb dua lub ntsej muag (hu ua myringoplasty). Txoj kev ua no feem ntau yuav siv sijhawm 10 mus rau 30 feeb.

Tus kws phais yuav siv lub tshuab tsom tsom rau saib thiab kho lub ntsej muag lossis pob txha me.

Daim npog ntsej muag yog nruab nrab ntawm pob ntseg sab nraud thiab pob ntseg nruab nrab. Nws tshee thaum suab yoj suab nws. Thaum lub ntsej muag hnov ​​zoo lossis muaj lub qhov nyob rau hauv, lub rooj sib hais yuav raug txo thiab pob ntseg kuj yuav muaj feem ntau.

Cov tshwm sim ntawm qhov lossis qhib rau hauv lub ntsej muag muaj xws li:

• Mob pob ntseg tsis zoo
• Kev tso cai ntawm eustachian raj
• Muab tej yam khoom tso hauv pob ntseg pob ntseg
• Kev phais kom muab cov leeg ntseg tso
• Kev poob plig

Yog tias qhov ntsej mob ntsej muag muaj qhov me me, myringoplasty tuaj yeem ua haujlwm kaw nws. Feem ntau, koj tus kws kho mob yuav tos tsawg kawg 6 lub lis piam tom qab lub qhov tsim tawm ua ntej qhia kev phais.

Kev siv tus mob tympanoplasty yog muaj:

• Lub taub ntsej muaj qhov loj dua lossis qhib
• Muaj mob ntsig txog pob ntseg, thiab tshuaj tua kab mob kuj tsis pab
• Muaj qhov tsim ntawm cov nqaij ntshiv ntxiv nyob ib ncig lossis tom qab lub ntsej muag

Tib qho teeb meem no tseem tuaj yeem tsim kev puas tsuaj rau cov pob txha me me (qab ossicles) uas yog qab pob ntseg pob ntseg. Yog tias qhov no tshwm sim, koj tus kws phais yuav ua ossiculoplasty.

Kev phom sij rau kev ua kom loog thiab phais feem ntau yog:

• Kev tshuaj tiv thaiv
• Cov teeb meem ua pa
• Los ntshav, ntshav txhaws, kis kab mob

Kev phom sij rau cov txheej txheem no suav nrog:

• Kev puas tsuaj rau lub ntsej muag lub ntsej muag lossis cov hlab ntshav tswj cov kev nkag siab ntawm saj
• Kev puas tsuaj rau cov pob txha me hauv nruab nrab pob ntseg, ua rau tsis hnov ​​lus
• Kiv taub hau lossis kiv taub hau
• Tsis tiav kev kho mob ntawm lub qhov hauv lub ntsej muag
• Ua kom tau hnov ​​lus tsis zoo, lossis, muaj qee zaus, tsis hnov ​​lus zoo

Qhia tus kws kho mob:

• Ua rau koj lossis koj tus menyuam muaj kev fab tshuaj dabtsi rau cov tshuaj, hnab yas, ntaub nplaum, lossis tshuaj ntxuav tawv nqaij
• Yam tshuaj uas koj lossis koj tus menyuam tabtom noj, nrog rau tshuaj ntsuab thiab cov vitamins koj yuav yam tsis muaj daim ntawv yuav tshuaj

Hnub ntawm kev phais mob rau menyuam yaus:

• Ua raws li cov lus qhia hais txog tsis noj mov los yog haus dej. Rau cov menyuam mos, qhov no suav nrog kev pub mis niam.
• Nqa ib qho tshuaj uas xav tau nrog tus me pas dej.
• Yog tias koj lossis koj tus menyuam mob thaum sawv ntxov ntawm kev phais mob, hu rau kws phais neeg mob tam sim ntawd. Cov txheej txheem yuav xav tau rov teem sijhawm.
• Mus txog tsev kho mob kom ncav sijhawm.

Koj lossis koj tus menyuam yuav tawm hauv tsev kho mob tib hnub ntawm kev phais mob, tab sis tej zaum yuav tsum tau nyob hmo ntuj yog tias muaj teeb meem dabtsi.

Txhawm rau tiv thaiv pob ntseg tom qab kev phais:

• Kev ntim yuav muab tso rau hauv pob ntseg rau thawj 5 txog 7 hnub.
• Qee zaum ib qho hnav khaub ncaws npog pob ntseg nws tus kheej.

Kom txog rau thaum koj tus kws kho mob hais tias nws tsis ua li cas:

• Tsis pub dej nkag hauv pob ntseg. Thaum da dej los yog ntxuav koj cov plaub hau, muab cov paj rwb rau hauv pob ntseg sab nraud thiab npog nws nrog roj av jelly. Los yog, koj tuaj yeem hnav lub hau da dej.
• Tsis txhob "pop" koj lub pob ntseg lossis tshuab ntswg. Yog tias koj xav txham, ua li koj lub qhov ncauj. Kos ib qho hnoos qeev hauv koj lub qhov ntswg rov rau koj lub caj pas.
• Zam kev deb ntawm huab cua thiab ua luam dej.

Maj mam so tej pob ntseg uas ua rau sab nraum lub pob ntseg. Koj yuav tau pob ntseg hauv thawj lub lis piam. Tsis txhob muab lwm yam tso rau hauv pob ntseg.

Yog tias koj muaj stitches qab pob ntseg thiab lawv tau ntub, maj mam qhuav cheeb tsam. Tsis txhob txhuam.

Koj lossis koj tus menyuam yuav hnov ​​mob qog, lossis hnov ​​nrov nrov, nias, lossis lwm yam suab hauv pob ntseg. Lub pob ntseg yuav mloog tau tias muaj txhij lossis zoo li nws muaj kua. Tej zaum yuav muaj qhov ntse, tua cov kab mob sai thiab sai sai tom qab qhov phais.

Txhawm rau kom tsis txhob kis mob khaub thuas, nyob deb ntawm cov chaw muaj neeg coob thiab cov neeg mob khaub thuas.

Feem ntau, qhov mob thiab cov tsos mob kom zoo tu siab. Hnov qhov tsis hnov ​​lus me.

Qhov tshwm sim tej zaum yuav tsis zoo li yog tias cov pob txha nyob hauv nruab nrab pob ntseg xav tau rov tsim kho dua, nrog rau cov ntsej muag hauv siab.

Myringoplasty; Tympanoplasty; Ossiculoplasty; Ossicular reconstruction; Tympanosclerosis - phais mob; Ossicular discontinuity - phais; Ossicular fixation - kev phais mob

• Kev Kho Ncu Kev Ntsej Muag - series

Adams ME, El-Kashlan HK. Tympanoplasty thiab ossiculoplasty. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: cha 142.

Chiffer R, Chen D. Myringoplasty thiab tympanoplasty. Hauv: Eugene M, Snyderman CH, eds. Kev Koom Tes Otolaryngology Lub Taub Hau thiab Caj DabCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 131.

Fayad JN, Sheehy JL. Tympanoplasty: txheej txheem txheej sau txheej txheej sau txheej sab nraud. Hauv: Brackmann DE, Shelton C, Arriaga MA, eds. Kev Kho Mob OtologicCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 8.