Pharyngitis - cov tsos mob thiab kev kho mob raws li qhov ua rau muaj tus kab mob

Thawj kab ntawm kev tiv thaiv ntawm lub cev los ntawm cov kab mob kis thiab kab mob, kub thiab lwm yam kev phom sij yog cov qog ntshav hauv lub plab. Nws qeeb qai hlwb thiab khaus khaus, tom qab uas lawv tawm nrog rau siv cov hnoos qeev.

Pharyngitis - dab tsi yog tus kab mob no?

Yog tias qhov chaw tiv thaiv kab mob hauv lub plab tsis zoo, thiab tus kab mob tsis zoo, cov tsos mob ntawm tus txheej txheem pathological pib hauv cov ntaub so ntswg. Hauv tshuaj nws hu ua "pharyngitis" - nws yog dab tsi, nws yog ib qho yooj yim to taub los ntawm kev txhais los ntawm cov lus Latin. Pharynx - pharynx, -itis (mob ntses) - muaj zog mob. Tus kab mob no tuaj yeem cuam tshuam li ib feem ntawm lub cev (lub qhov ntswg, qhov ncauj, lossis lub ncauj), thiab tag nrho ib zaug.

Puas yog pharyngitis los yog tsis?

Pathology yog provoked los ntawm ntau yam, uas muaj cov kab mob. Nws yog ib qho tseem ceeb kom paub tias yog vim li cas cov kev tuaj yeem pharyngitis pib - cov kev mob tshwm sim thiab kev kho mob, cov kev kis kab mob thiab qhov ua rau muaj teeb meem yog nyob ntawm seb ua rau mob dab tsi. Thaum cov txheej txheem ua rau nws qhov debut rau ntawm keeb kwm ntawm hypothermia ntawm lub ntsws los yog tshuaj khaus tshuaj, tus neeg mob tsis txaus ntshai rau lwm tus. Yog hais tias tus kab mob no tau zoo dua vim yog kis tau tus kab mob nrog pathogenic microorganisms, lo lus teb rau lo lus nug yog seb pharyngitis yog kis tau zoo. Nyob rau hauv xws li mob, quarantine thiab tsim nyog kho mob yuav tsum tau.

Pharyngitis - ua rau muaj kab mob

Tag nrho cov xwm txheej ua rau cov kev mob tshwm sim ntawm txoj kev mob hlab ntsws hauv cov ntaub so ntswg ntawm lub plennx tau muab faib ua 3 pawg:

1. Kev puas tsuaj (mechanical) ua rau. Pathology pib tom qab phais kho, txawv teb chaws lub cev raug, irradiation, raug acids lossis alkalis. Feem ntau cov mob ua rau ua pa kub hnyiab, cua txias, haus luam yeeb, tshuaj lom cov tshuaj lom
2. Pathogenic pathogens. Lawv ua rau muaj tus mob inflamious pharyngitis - viral lossis kab mob. Tsawg dua yog tus mob mycosis ntawm tus kab mob no, nws cov tsos mob ua rau tus cwj pwm ntawm Candus (thrush).
3. Yeeb yam. Qee zaum cov txheej txheem ua rau pib vim yog kev tawm tsam ntawm lub cev tiv thaiv kab mob ntawm nws cov ntaub so ntswg (cov tshuaj).

Kab mob phais

Qhov no yog hom kab mob siab tshaj plaws uas tau piav qhia. Raws li qhov tseeb tshawb nrhiav, qhov tseem ceeb tshaj plaws, uas nyob rau hauv 80% ntawm tus neeg mob provokes pharyngitis yog tus kab mob. Lub ntsiab pathogens yog:

• influenza;
• rhinovirus;
• coronavirus;
• paragrippi ;
• adenoviruses.

Muaj lwm cov kab mob pathogenic uas ua rau phaj siab - cov tsos mob thiab kev kho mob ntawm cov kab mob uas tsis tshua muaj thiab mob hnyav yuav tsum muaj kev sib xyuas. Cov txheej txheem rau cov teeb meem no tshwm sim raws li kev mob ntawm tus kab mob lwm tus:

• tus kabmob ntsim kabmob;
• herpes simplex hom 1 lossis 2;
• Coxsackie tus kab mob;
• cytomegalovirus;
• tus kab mob human immunodeficiency virus;
• enteroviruses;
• Epstein-Barr tus kab mob.

Kab mob phais

Nrog lub zog ntawm lub cev tiv thaiv los yog cov neeg nyob ze nrog cov cab kuj ntawm cov kab mob pathogenic, kab mob nrog microbes tshwm sim. Purulent pharyngitis feem ntau raug kev txom nyem:

• staphylococci ;
• pneumococci;
• Yersinia;
• streptococci;
• Neisseria.

Hauv cov laus, kuj tseem muaj cov tsos mob ntawm cov kab mob hom kab mob uas tshwm sim los ntawm cov kab mob nram no:

• mycoplasma;
• gonococci;
• ureaplasma;
• chlamydia.

Kev ua xua fais fab

Hom kab mob no tawm tsam rau tom qab kev tsim txom ntawm kev mob thiab kev tiv thaiv hauv zos. Nws yeej tsis muaj npe nyob rau hauv kev rho tawm, thaum xub thawj yog ib qho kev tsis haum rhinitis - pharyngitis ob peb hnub tom qab. Qhov no yog feem ntau txoj hauv kev ntawm cov kab mob pathology hauv cov kev kho mob, uas muaj tus cim ua ntev. Thaum thawj theem tus kws kho mob yuav tsum paub, vim li cas muaj tus kabmob (pharyngitis) - cov cim thiab kev kho mob yog nyob ntawm tus thawj coj ntawm kev ywj pheej ntawm txoj haujlwm uas yog:

• kab;
• pwm thiab poov xab ntsev;
• tsev neeg plua plav;
• tshuaj chiv;
• khoom noj tsis haum;
• tshuaj noj;
• cog paj ntoo;
• tsiaj txhu;
• luam yeeb haus luam yeeb.

Tiv thaiv txoj kev mob ntawm tus kab mob no kuj yuav muaj feem cuam tshuam txog:

• kev mob ntawm cov kab mob plaw;
• mob raum kev mob;
• kev tsim txom tsis raug teeb meem;
• kev ua haujlwm uas cuam tshuam rau kev ua haujlwm ntawm kev tiv thaiv;
• allergization ntawm lub cev;
• imbalance ntawm lub microflora ntawm mucous daim nyias nyias ntawm lub pharynx;
• kab mob plawv;
• cov kev mob ntawm kev quav dej quav cawv thiab cellular tiv thaiv.

Phaw hlwb - cov tsos mob

Cov duab saib mob ntawm tus mob ntawm lub pharynx sib raug mus rau qhov zoo thiab cov chav kawm ntawm pathology. Mob phev hu ua "inflamed" tau qhia tias cov tsos mob tshwm sim, ua rau kev sib cais sib txawv thiab tom qab kho. Tus kab mob ntev ntev npaum li cas yog mob siab heev, nws yooj yim tsis meej pem nrog lwm yam mob ntawm lub qhov ncauj kab noj hniav. Cov tsos mob muaj kev nyuab siab heev thaum lub sij hawm rov huam mob.

Qhov xwm ntawm cov kev hloov hauv cov hnoos qog hauv plab yog lwm qhov qauv ntawm cov tsos mob ntawm tus mob thiab pharyngitis yog cais:

• catarrhal;
• granulosa (granulomatous);
• hypertrophic;
• atrophic.

Catarrhal pharyngitis

Daim ntawv qhia txog txoj kev mob txhab txiag nyob rau hauv cov ntaub so ntswg ntawm cov phawnxaws hauv tshuaj yog hu ua yooj yim. Lub caj pas nrog catarrhal pharyngitis tau txais ib qho xim liab, swells thiab ua mob los ntawm mucopurulent masses. Cov phab ntsa ntawm phab ntsa ntawm qhov ncauj tau qhia tias thickening nyob rau hauv daim ntawv ntawm ridges thiab tubercles. Ua ntej pib txoj kev kho nws tseem ceeb heev kom paub tias yog vim li cas cholen trigered pharyngitis - cov tsos mob thiab kev kho mob nyob ntawm seb feem ntau ntawm cov kab mob ntawm tus mob.

Lwm yam tshwm sim ntawm kab mob catarrhal:

• hwv, hawv thiab khaus ntawm caj pas;
• ob sab kev mob thaum nqos thiab noj mov;
• qee zaum - subfebrile lub cev kub, ntau zaus nws tseem nyob tsis tau li qub;
• hnov ntawm txawv teb chaws lub cev nyob rau hauv pharynx;
• lub suab hov;
• qhov kev xav tau rau qhov hnoos tsis tu ncua kom tshem tau lub caj pas;
• feem ntau - sib thooj rhinitis, conjunctivitis.

Granulosa pharyngitis

Qhov no yog ib tug kab mob ntev thaum lub caij nyoog raug kev tsim txom. Sluggish granulosa pharyngitis - cov tsos mob:

• edematous, phiajcim nrog lwm cov hauv paus hauv qab ntsa ntawm caj pas;
• maub liab xim ntawm pharynx;
• kev qaug zog ntawm qhov hnyav, hnyav thawb hnoos qeev;
• bouts ntawm hnoos heev;
• kev xav ntawm lwm yam khoom nyob hauv caj pas;
• hoarse lub suab;
• ua pa tsw phem;
• kub hnyiab, sadening, khaus thiab nqos hauv caj pas;
• tas li hnoos hauv sim ua kom tshem tau cov ntswg;
• ntxiv cov qog cov qog;
• txhaws hauv caj pas;
• qee zaum - ib lub congestion ntawm purulent mucus los yog cov quav hniav nyob tom phab ntsa ntawm lub plawv;
• tsawg dua kev ua haujlwm;
• deterioration ntawm kev thaj yeeb nyab xeeb.

Hypertrophic pharyngitis

Cov lus piav qhia txog pathology pib hauv 2 hom ntawv. Thawj yog granulosa o yam uas tau hais saum toj no, qhov thib ob yog ib qho rau ib sab ntawm cov kab mob hypertrophic pharyngitis. Nws yog tus cim los ntawm thickening thiab thickening ntawm cov ntaub so ntswg pharynx nyob mus tib seem nrog nws cov kev pheej yeem reddening. Lymphatic thiab ntshav hlab ntsha ho nthuav thiab swell, nyob sab nraub phab ntsa sab loj loj.

Hnoos nrog pharyngitis yog hypertrophic, qhuav thiab obtrusive. Tus neeg mob tau raug mob los ntawm lub caij nyoog ntev, thaum lub caij hnoos qeev hnyuv thiab hnyav hnoos. Ib tug neeg tau hnov ​​ib lub pob "lump" nyob rau hauv caj pas, tsis ua pa, hlawv, khaus thiab hws. Lwm cov tsos mob:

• ua tsis taus pa thiab tom qab noj mov thaum noj mov;
• kev nce hauv cov qog ntshav hauv lub caj dab;
• hloov lub suab thiab cov suab lus;
• mob taub hau;
• tsis qab los noj mov;
• nkees nkees;
• qee zaus - xeev siab, mus ntuav, tshwj xeeb tshaj yog thaum hnoos tawm tsam.

Atrophic pharyngitis

Daim ntawv no ntawm tus kab mob no yog pom los ntawm loj hlob dryness ntawm mucous daim nyias nyias thiab deterioration ntawm ntshav ncig nyob rau hauv cov ntaub so ntswg ntawm lub pharynx. Cov mob tshwm sim ntawm kev mob plab yog los ntawm cov tsos mob nram qab no:

• heev tuab phlegm nyob rau sab nraum qab ntawm lub pharynx;
• qhov tsis xis nyob hauv caj pas, kev ntshaw kom pom tseeb koj lub caj pas;
• tsim ntawm qhuav crusts nyob rau mucosa;
• nyuaj nrog nqos zaub mov;
• deterioration ntawm qab los noj mov;
• tsis tshua muaj - mob caj pas;
• hnoos qhuav heev;
• daj ntseg liab xim ntawm lub larynx nrog ib tug "lacquered" sheen thiab pom tseeb cov hlab ntsha;
• zog nqhis dej;
• pw tsaug zog mob;
• qhov kev tuag ntawm pharyngeal reflexes;
• ua pa tsw phem;
• los ntshav ntawm lub capillaries nyob rau hauv lub caj pas.

Pharyngitis - kev kho mob

Txoj kev kho ntawm qhov mob ntawm lub plab hnoos yuav tsum tsim kom muaj tus neeg zoo, tshwj xeeb tshaj yog tias nws tshwm sim hauv daim ntawv ntev. Yuav ua li cas kho tus kabmob kheesxaws, tus kws kho mob otolaryngologist yuav tsum txiav txim siab yog vim li cas ntawm txoj kev loj hlob ntawm tus kabmob, nws hom, txoj kev ua neej ntawm tus neeg mob thiab lwm yam. Cov kev ntsuas pib muaj xws li:

• tsis kam haus luam yeeb thiab cawv;
• siv cua tshuab ua humidifier;
• ua raws li cov lus qhia kom noj;
• tiv thaiv kab mob ntawm cov hlab ntsws los ntawm txias thiab chav, tshuaj chiv, hmoov av thiab zoo li khaus;
• kev kho mob nrog cov kab pathologies uas ua rau cov txheej txheem inflammatory;
• mus ntsib kws kho mob tshwj xeeb thiab chaw so;
• physiotherapy;
• cauterization ntawm cov ntaub so ntswg mob loj (nrog rau hom kab mob hypertrophic).

Qhov zoo dua rau gargle nrog pharyngitis?

Txhawb kom muaj kev noj qab haus huv, kev siv tshuaj kho mob qhov mob thiab kho qhov ncauj, qhov kev kho antiseptic ntawm lub plawv yog qhov tsim nyog. Txoj kev kho mob ntawm cov kabmob feem ntau yog muab yaug txhua hnub ntawm lub caj pas nrog cov kev daws teeb meem nrog tshuaj tiv thaiv kab mob. Nyob rau hauv cov ntaub ntawv mob ntawm tus kab mob thiab thaum lub sij hawm rov huam mob, qhov txheej txheem yuav tsum tau ua raws txhua ob peb teev. Ua ntej koj tuaj yeem kho tau pharyngitis by rinses, koj yuav tsum tau nrog ib tug kws kho lub cev txog cov tshuaj uas koj xaiv tau. Cov kws kho mob tau sau cov kev xaiv nram qab no:

• Iodinol ;
• Furacilin;
• Rotokan;
• Dioxydin;
• Malawi;
• kev noj qab nyob zoo lub cev;
• Chlorophyllipt;
• Miramistin ;
• Romalusan;
• broth ntawm chamomile, sage los yog txiv qaub balm;
• Chlorhexidine;
• Hexoral thiab cov zoo li no.

Pharyngitis - tshuaj rau kev kho mob

Lub ntsiab kev txhim kho tseem ceeb yog xaiv raws li qhov ua kom mob ntawm lub pharynx. Tshaj los kho tus kabmob phais:

1. Antiseptics. Tom qab muab yaug, nws yog ib qho tsim nyog kom ntub lub caj pas nrog Lugol cov kua, txuam nrog Camethon, Olefar, Ingalipt, Orapept thiab lwm yam tshuaj.
2. Lub chaw mob plawv (painkillers). Txhawm rau noj tsis xis nyob rau hauv lub plhaub thiab pab kom nqos, peb siv cov kua dej, lozenges thiab lwm yam kev npaj nrog tshuaj loog - Septotelet, Neo-Angin, Pharyngosept, Strepsils, Hexaliz thiab lwm tus.
3. Cov tshuaj antimicrobial. Cov tshuaj tiv thaiv kab mob phais yog siv tshwj xeeb rau cov kab mob ntawm tus kab mob, lawv tsuas sau los ntawm kws kho mob tom qab hnoos qeev tsom nrog cov hnoos qog thiab kuaj seb puas muaj cov kab mob zoo sib txawv rau lwm cov tshuaj. Rau kev kho mob, ob qho tshuaj antimicrobials hauv zos (Bioparox, Imudon) thiab cov neeg siv kab mob ( Sumamed , Erythromycin, Cefalexin) yuav siv tau.
4. Antimycotics. Fluconazole thiab nws cov lus hais yog tsim nyog nyob rau hauv cov ntaub ntawv ntawm fungal qhov ntawm inflammatory txheej txheem. Kev teem caij ntawm cov tshuaj no kuj tau los ntawm cov kws kho mob.
5. Anti-inflammatory thiab antipyretic cov neeg ua hauj lawm. Cov pab pawg ntawm cov yeeb yam tsis tshua siv, vim hais tias muaj pharyngitis, lub cev kub nyob hauv 37-38 degrees. Tsuas yog cov mob hnyav thiab muaj teeb meem yuav tsum tau kho nrog Paracetamol, Nimes, Ibuprofen thiab cov tshuaj zoo sib xws.

Pharyngitis - lub txim

Qhov feem ntau cov teeb meem ntawm qhov kev kuaj mob yog nws hloov mus rau hauv daim ntawv qeeb ntev nrog kev mob huam tuaj. Qee lub sijhawm yuav ua rau muaj kev phom sij yog tias cov phaj nyug tsis muaj tus paub tseeb - cov tsos mob thiab txoj kev kho mob uas tsis ua raws li qhov ua rau lub ntsws tsis zoo rau qhov teeb meem. Ntev tsis mus kev kho yog suav tias yog yam tseem ceeb rau qhov tshwm sim ntawm cov kab mob hnyav heev. Cov teeb meem ntawm pharyngitis:

• peritonsillar thiab pharyngeal abscess ;
• o ntawm lub xov tooj auditory;
• tracheitis;
• Post-streptococcal glomerulonephritis;
• otitis media;
• laryngitis;
• mob ntsws ntev;
• articular rheumatism;
• ncauj tsev txuam ncauj tsev menyuam;
• sialadenitis.