Tus kab mob sib kis uas pib tshwm sim tom qab tonsillitis lossis ua rau muaj teeb meem tom qab purulent tonsillitis yog paratonsillitis.
Pathology yog qhov nyuaj heev thiab koom nrog tus naj npawb ntawm cov purulent abscesses - cov kua paug loj heev pib tsim rau ntawm caj pas tonsils, uas nyob hauv qab epithelium ntawm cov mucous daim nyias nyias. Kev loj hlob ntawm paratonsillitis yog txheej txheem uas tuaj yeem tshwm sim ntawm ib sab ntawm caj pas lossis ob qho tib si.
Ua rau kab mob
Qhov laj thawj tseem ceeb vim li cas paratonsillitis pib tsim yog qhov muaj cov kab mob pathogenic hauv tib neeg lub cev. Feem ntau, cov no yog cov kab mob streptococci, uas nquag ua rau muaj kev cuam tshuam ntawm cov hauv qab no:
- khoom noj khoom haus tsis raug, uas ua rau tsis muaj qhov tseem ceeb hauv lub cev,cov vitamins.
- Kev phem ib puag ncig, kev nyab xeeb, kev nyob zoo.
- Txoj kev ua neej tsis zoo (nicotine, cawv, quav yeeb tshuaj).
- Tus neeg mob AIDS ntau dua, vim nws muaj lub cev tsis muaj zog.
- Muaj mob ntshav qab zib.
- Ib tug neeg raug kev txom nyem los ntawm cov txheej txheem inflammatory ntau heev los yog exacerbations ntawm ntau yam pathologies.
- kev tiv thaiv tsis muaj zog.
- Ib tug neeg muaj molars rot. Tus kab mob, vim qhov uas suppuration tau pib, kis mus rau tonsils thiab provokes txoj kev loj hlob ntawm inflammatory txheej txheem.
- Tej zaum yuav tshwm sim los ntawm kev tshem tawm tonsil.
- kho tsis raug ntawm purulent tonsillitis.
- mob hnyav ntawm tonsillitis.
- Ib qho ua rau paratonsillitis yog hypothermia ntawm tonsils.
Tsis tas li, cov kab mob xws li adenoids, caries, stomatitis tuaj yeem dhau los ua qhov ua rau muaj kev txhim kho pathology. Hauv ICD, paratonsillitis muaj tus lej J36.
Signs of disease
Cov tsos mob ntawm cov kua paug ntawm cov tonsils tsis tshwm sim ntawm nws tus kheej. Nws yog suav tias yog ib qho teeb meem. Cov tsos mob tseem ceeb ntawm paratonsillitis suav nrog cov tsos mob hauv qab no:
- nyob rau hauv caj pas muaj qhov mob tshwm sim los ntawm qhov cuam tshuam, uas tau muab rau pob ntseg, hniav;
- Nws nyuaj rau nqos zaub mov thiab qaub ncaug;
- muaj spasm ntawm masticatory nqaij;
- nyuaj qaij lossis tig taub hau vim mob hnyav;
- muaj kev xav tias muaj ib yam khoom txawv teb chaws hauv caj pas;
- tshwm simlymph nodes o;
- ua kom lub cev kub thiab qhov hnyav tuaj yeem siab dua 40 degrees;
- ib tug neeg pheej xav tias nkees heev;
- mob taub hau thiab insomnia;
- suab ua qhov ntswg vim qhov mob hnyav, thiab hais lus yuav luag ua tsis tau;
- ua pa tsis zoo;
- cov leeg ua haujlwm raug thaiv kom tus neeg tsis tuaj yeem qhib qhov ncauj tag.
Thaum lub sijhawm muaj tus kabmob no, lwm cov tsos mob yuav tshwm sim uas tsis yog tus yam ntxwv ntawm nws. Kev kho tus kab mob paratonsillitis yuav tsum tau ua nrog kev pab los ntawm kws kho mob, vim tias tsuas yog tus kws kho mob tshwj xeeb tom qab kuaj xyuas tus neeg mob kom paub meej qhov tseeb.
Type of pathology
Tus kab mob no tau muab faib ua ntau hom, nyob ntawm seb hom kab mob inflammatory thiab qhov chaw uas nws pib tsim. Kev kho mob ntawm paratonsillitis nyob ntawm qhov no. Kev tsim cov kab mob ua rau nws muaj peev xwm paub qhov txawv ntawm cov kab mob hauv qab no:
- YEdematous paratonsillitis. Nws tshwm sim tsis tshua muaj. Cov tsos mob tseem ceeb yuav yog daj ntseg los yog pob tshab mucous daim nyias nyias. Tonsils thiab me me uvula nce hauv qhov loj, koj tuaj yeem pom me ntsis o ntawm palatine arches, ntuj. Vim li no, nws yuav nyuaj rau kev tsim kom muaj tseeb ntawm qhov mob.
- Ascessing paratonsillitis. Nyob rau hauv cov ntaub ntawv no, kev loj hlob ntawm ib tug abscess tshwm sim. Los ntawm cov mucous daim nyias nyias, nws zoo kawg nkaus pom qhov twg muaj cov paug paug.
- Infiltrative paratonsillitis. Hom kab mob no tshwm sim los ntawm qhov mob hnyav ntawm cov tonsils thiab cov ntaub so ntswg uas nyob ib sab. Ntawm qhov chaw ntawm txoj kev loj hlob ntawm cov txheej txheem inflammatory, lub palate yog deformed thiab ib tug tuaj yeem pom nws asymmetry. Yog tias daim ntawv infiltrative ntawm tus kab mob no tsis kho, ces nws hloov mus rau hauv daim ntawv purulent. Nws yog ib qho tseem ceeb kom paub tias ICD-10 code rau paratonsillitis yog J36.
Yam kab mob los ntawm qhov chaw
Raws li cov tsos mob ntawm paratonsillitis thiab thaj chaw ntawm cov txheej txheem inflammatory, ntau hom kab mob no txawv:
- Pem hauv ntej. Koj tuaj yeem pom tseeb qhov asymmetry ntawm lub palate mos, o loj heev ntawm tonsils. Microbes nkag mus rau hauv cov ntaub so ntswg ntawm xoob fiber ncaj qha los ntawm tonsils, uas provokes kev loj hlob ntawm o. Hom kab mob paratonsillitis no muaj ntau dua li lwm tus.
- Raws. Muaj o thiab kev loj hlob ntawm o nyob rau hauv lub nraub qaum darling.
- qis. Cov txheej txheem inflammatory pib tsim me ntsis hauv qab qhov chaw ntawm cov tonsils. Tsis tas li ntawd, qhov qis ntawm lub qhov rooj sab hauv feem ntau yog o. Los ntawm ib sab ntawm qhov txhab, tus nplaig yuav mob me ntsis.
- Sib. Hom kab mob paratonsillitis no tsawg dua li lwm tus. Cov txheej txheem inflammatory tsim nyob rau hauv cov ntaub so ntswg ntawm xoob fiber ntau los ntawm sab nraud nyob rau hauv kev sib raug rau cov tonsils.
mob paratonsillitis
Nws tuaj yeem txhim kho ncaj qha rau hauv caj pas thiab sab nraud ntawm caj dab. Cov tsos mob muaj xws li liab liab thiab o ntawm daim tawv nqaij. Qee qhov xwm txheej, koj tuaj yeem pom meej qhov txhab, vimib qho abscess pib tsim nyob rau hauv nws.
Yog tias qhov abscess qhib yam tsis muaj kev cuam tshuam sab nraud rau hnub 5-7 ntawm kev loj hlob ntawm tus mob paratonsillitis, qhov no txhais tau hais tias cov kab mob tsis zoo. Tab sis ntau zaus koj tsis tuaj yeem ua tsis tau yam tsis muaj kev phais, vim tias muaj kev pheej hmoo loj uas cov txheej txheem inflammatory yuav pib cuam tshuam rau cov ntaub so ntswg tob thiab tus neeg mob yuav pom qhov tsis zoo. Kev kho mob ntawm paratonsillitis abscess yuav tsum tau pib tam sim tom qab thawj cov cim tshwm sim.
kuaj kab mob
ICD paratonsillitis code - J36. Txhawm rau kom muaj peev xwm xaiv cov kev kho mob zoo tshaj plaws, nws yog ib qho tsim nyog, ua ntej ntawm tag nrho cov, ua tib zoo xyuas thiab kuaj xyuas tus neeg mob. Nws suav nrog cov hauv qab no:
- kawm los ntawm tus kws kho mob ntawm anamnesis thiab kev tsis txaus siab ntawm tus neeg mob;
- txiav txim siab seb cov paib twg tshwm sim meej dua li lwm tus;
- qhia meej los ntawm tus neeg mob seb nws puas mob sai ua ntej nrog tonsillitis lossis purulent daim ntawv ntawm tonsillitis thiab yuav kho li cas;
- kwv yees lub sijhawm kwv yees thaum tus neeg mob pib mob hnyav heev;
- ces kev tshuaj xyuas sab nraud yog ua tiav;
- Pharingoscopy tab tom ua.
Yog tias, tom qab kev kuaj mob, tus kws kho mob tseem tsis paub meej txog qhov kev kuaj mob, ces kuaj ultrasound lossis xam tomography. Yog tias tsim nyog, kev sab laj nrog tus kws kho mob yuav tsim nyog.
YKev kho tus kab mob paratonsillitis
Yog tias, tom qab kev kuaj mob, qhov kev kuaj mob xws li paratonsillitis tau tsim, ces kev kho tshwj xeeb tau ua tiav.
Cov kev kho mob yuav nyob ntawm tus mob ntawm tus neeg mob thiab seb puas muaj tus kab mob paratonsillitis. Nws yog ib qho tseem ceeb kom ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob tshwj xeeb. Paratonsillitis code raws li ICD-10 - J36.
Kev kho mob ntawm edematous thiab infiltrative form
Cov hom kab mob no tau kho nrog kev txhaj tshuaj ntawm cov tshuaj tua kab mob. Nws tuaj yeem yog "Penicillin", "Erythromycin" lossis "Cefazolin". Raws li kev kho ntxiv, koj yuav tsum tau yaug nrog tshuaj tua kab mob kom ntau li ntau tau. Antipyretic tshuaj yog siv los normalize lub cev kub. Mob yog relieved nrog analgesics. Txhua yam tshuaj yog kws kho mob sau.
Yog tsis muaj abscess
Daim ntawv no ntawm paratonsillitis tau kho zoo tom tsev. Hauv lub tsev muag tshuaj, tus neeg mob yuav tsum yuav tshuaj ntsuab, tinctures thiab cov tshuaj uas kws kho mob tau sau tseg.
Koj yuav tsum tau yaug ob peb zaug hauv ib hnub thiab tom qab ntawd qhov kev pheej hmoo ntawm cov teeb meem tsawg tsawg. Koj tuaj yeem siv cov tshuaj ib txwm siv thiab kev kho lub cev yuav yog qhov sib ntxiv zoo, uas yuav ua kom cov txheej txheem rov qab ua kom nrawm dua ob peb zaug.
Kev kho mob paratonsillitis nrog abscess
Thaum qhov tshwm sim ntawm abscess, conservative thiab, txawm ntau li ntawd, lwm txoj kev kho mob yuav tsis muaj tshwm sim. Tsis txhob nkim koj lub sijhawm rau qhov no. Lub abscess raug tshem tawm phais.
Kev ua haujlwm tsuas yog ua tiav raws li tshuaj loog hauv zos. Tom qab cov txheej txheem, qhov chaw cuam tshuam raug ntxuav kom ntau li ntau tau nrog cov tshuaj tua kab mob tshwj xeeb. Daim duab ntawm paratonsillitis yuav tso caiKoj yuav tsum ntseeg qhov mob hnyav ntawm tus kab mob no.
Txhawm rau qhib qhov abscess, yuav tsum muaj qee yam qhia. Cov no suav nrog:
- abscess tsim ntawm sab thiab nyuaj rau kho yam tsis tau phais;
- tom qab thawj zaug ua haujlwm, tus neeg mob tsis pib zoo;
- cov txheej txheem inflammatory mus ntxiv thiab pib tsim hauv cov ntaub so ntswg ntawm lub hauv siab, caj dab lossis caj pas;
- tonsillitis lossis purulent tonsillitis tshwm sim ntau zaus.
Tom qab ua haujlwm, koj kuj yuav tsum tau noj tshuaj tua kab mob thiab mus rau kev kho lub cev. Nrog lawv cov kev pab, koj tuaj yeem kho lub cev tiv thaiv kab mob sai sai tom qab paratonsillitis thiab phais.
kev kho neeg zoo
Hauv cov xwm txheej uas daim ntawv purulent ntawm paratonsillitis tseem tsis tau pib txhim kho, cov tshuaj ib txwm siv tau los ua kev kho ntxiv. Cov zaub mov hauv qab no tuaj yeem hu ua qhov zoo tshaj plaws:
- Rosehip nrog zib ntab. Nrog kev pab los ntawm cov cuab yeej no, koj tuaj yeem ua kom muaj zog tiv thaiv kab mob. Noj 60 grams ntawm qhuav rosehips, chop thiab ncuav rau hauv ib lub thermos. Ncuav dej npau npau thiab insist rau 4 teev. Tom qab ntawd quav lub gauze nyob rau hauv ob peb txheej thiab lim lub infusion. Noj 3 zaug ib hnub twg thiab nco ntsoov tuav nrog ib tug teaspoon ntawm zib mu. Kev kho mob yog tsawg kawg peb lub lis piam.
- Kev sib xyaw ntawm cov nroj tsuag tshuaj. Ua tib zoo sib xyaw willow bark, inflorescences ntawm Veronica officinalis, txiv qaub paj hauv tib tus nqi. Noj 40 grams ntawm lub resulting sib tov thiabbrew nyob rau hauv ib khob ntawm boiling dej. Tawm rau 40 feeb, ces lim thiab gargle nrog lub resulting decoction ob zaug ib hnub twg. Lub sijhawm kho yog 14 hnub.
- Kev nqus nrog zib ntab. Boil ib nrab ib liter dej nyob rau hauv ib lub lauj kaub. Ntxiv 40 grams kua zib mu. Yuav kom tsis txhob hlawv koj tus kheej, npog lub caj dab nrog ib lub phuam los yog phuam. Vapors yuav tsum tau nqus rau 10 feeb. Yuav kom tau txais txiaj ntsig zoo los ntawm kev kho mob zoo li no, nws txaus los nqa 2 inhalations ib hnub. Kev kho mob yog 5 hnub.
Nco ntsoov tias cov tshuaj ib txwm siv ua kev kho ntxiv. Tsis txhob hloov nws nrog kev kho mob tseem ceeb. Koj tuaj yeem siv cov zaub mov txawv tsuas yog tom qab sab laj nrog koj tus kws kho mob.
Cov teeb meem ntawm paratonsillitis
Raws li kev txhim kho ntawm paratonsillitis, cov teeb meem hauv qab no tuaj yeem tshwm sim:
- Ua kom o thiab ua rau lub ntsws puas. Cov hlab cua raug thaiv, ua rau ua pa nyuaj.
- Sepsis tuaj yeem tsim - ntshav lom.
- Mediastinitis tshwm sim - qhov chaw ntawm lub hauv siab uas nyob ze rau lub cev tseem ceeb ua rau mob.
- Ib qho abscess pib tsim hauv cov ntaub so ntswg ntawm caj dab.
Tsis tas li ntawd, paratonsillitis tuaj yeem ua teeb meem hauv cov hlab plawv, kab mob ntawm daim tawv nqaij, ua xua, rheumatism.
