Yuav ua li cas kho mob caj pas follicular? Nov yog ib lo lus nug uas niam txiv nug. Cia wb mus saib kom ntxaws ntxiv.
Ib qho mob caj pas txaus ntshai tshaj plaws rau tus menyuam txoj kev noj qab haus huv yog lub ntsiab lus ntawm follicular. Xws li ib tug kab mob yog ib tug mob purulent o. Nws tshwm sim hauv cov follicles ntawm tonsils. Cov kab mob sib kis no pib tam sim tom qab thawj zaug sib cuag nrog qee yam kab mob, piv txwv li, nrog hemolytic streptococcus. Adenovirus, pneumococcus, lossis staphylococcus aureus kuj yog qhov ua rau. Follicular tonsillitis feem ntau kuaj pom hauv cov menyuam yaus, thiab nws nyuaj dua li cov neeg laus. Kev kis kab mob tshwm sim nyob rau hauv kev cuam tshuam ntawm sab nraud, thiab, ntxiv rau, cov xwm txheej sab hauv.
Yog vim li cas
Tus kab mob ua rau mob caj pas, raws li txoj cai, nkag mus rau hauv lub cev ntawm cov tub ntxhais hluas los ntawm cov pa hauv huab cua thaum tus menyuam sib txuas lus nrog tus neeg muaj kab mob los yog siv nws cov khoom, xws li cov khoom ua si, tais diav, khoom siv tu cev, thiab yog li ntawd. Qhov no feem ntau tshwm sim hauv kindergarten, tab sis, sib nrug ntawmtxawm nyob rau hauv tsev kawm ntawv los yog tsuas yog nyob rau hauv pej xeem thauj. Tsis tas li, kev kis kab mob tau yooj yim los ntawm ntau yam, uas yog sab nraud thiab sab hauv. Follicular tonsillitis yog ib yam kab mob uas tsis txaus siab.
External factors
Cov laj thawj hauv qab no yuav tsum tau hais ua lwm yam:
- Qhov tshwm sim ntawm lub zos hypothermia ntawm lub cev. Qhov no feem ntau tshwm sim thaum tus menyuam noj, piv txwv li, dej khov ntau dhau los lossis haus dej khov.
- Kev mob ntshav qab zib, uas txhais taw ntub, lossis thaum tus menyuam tawm sab nraud, taug kev hauv qhov txias hauv cov khaub ncaws hnav lossis tsis muaj lub kaus mom, lossis tsuas yog nyob hauv qhov txias ntev ntev.
- Ntaus kev ntxhov siab nrog rau kev ntxhov siab.
- Kev phais tsis tau tiav, qhov ua rau suppuration yog kev tshem tawm cov hniav tsis zoo nrog kev kis kab mob.
- Kev noj haus tsis zoo nrog rau kev ua haujlwm dhau.
- tsis muaj cov vitamins hauv lub cev.
Kev kho mob follicular tonsillitis hauv cov menyuam yaus yuav tham hauv qab no.
Internal factors
Cov laj thawj hauv qab no yuav tsum tau hais raws li qhov xwm txheej sab hauv:
- Txuag lub cev tiv thaiv kab mob.
- Muaj qee yam kev kho mob xws li cov hniav lwj nrog rau cov kab mob sinus thiab pob ntseg.
- Kev raug mob ntawm lub pharynx nyob rau hauv daim ntawv ntawm khawb, qhov txhab, abrasions thiab hais txog.
- Kev muaj ntau yam kab mob, kab mob diphtheria, kub taub hau, mob khaub thuas.
- Cov tsos mob ntawm kev ua xua, mob ntsws, ua haujlwm tsis zoo ntawm lub paj hlwb,lupus erythematosus, teeb meem ncig.
Txhua yam ntawm no tuaj yeem ua rau menyuam yaus txoj kev noj qab haus huv muaj kev pheej hmoo loj, ua rau muaj kev phom sij rau cov kab mob. Yog li ntawd, nws yog ib qho tsim nyog los txo lawv qhov cuam tshuam, tshwj xeeb tshaj yog thaum muaj kev sib kis, uas, raws li txoj cai, pib thaum lub caij txias. Sib txawv ntawm lwm hom mob caj pas thaum yau, follicular (daim duab) yog tsim sai heev. Lub sijhawm incubation yog ob hnub, thiab qee zaum nws tsuas siv ob peb teev xwb. Hauv qhov no, nws yog qhov yuav tsum tau ua kom sai li sai tau. Thawj txoj hauj lwm ntawm cov niam txiv yog kom paub tus kab mob los ntawm cov tsos mob.
Symptomatics in me nyuam
Nyob rau hauv cov menyuam yaus, cov tsos mob ntawm follicular angina tshwm sim sai heev, thiab daim duab kho mob, dhau los, tshwm sim sai thiab meej. Kev nrawm los ntawm kev qaug zog yooj yim, nrog rau qhov pib ntawm tus kab mob, mus rau qhov pom ntawm febrile convulsions tuaj yeem siv sijhawm ib teev xwb. Hauv qhov no, koj yuav tsum ua tib zoo saib xyuas koj tus menyuam kom ntau li ntau tau kom tsis txhob nco lub sijhawm thaum koj xav tau hu rau lub tsheb thauj neeg mob. Thawj cov tsos mob ntawm follicular angina yog raws li nram no:
- Zoo qhov ncauj qhuav.
- Tshuaj khaus, hnoos thiab mob caj pas tawg rau pob ntseg.
- Ntau lub plawv dhia.
Kev txhim kho ntawm tus kab mob, raws li txoj cai, yog raws li hauv qab no:
- Yog tus menyuam yaus, nws yuav qw nrov, thiab tus menyuam yaus peb xyoos tsuas yog quaj, yws yws ntawm qhov mob hnyav hauv caj pas.
- Tus me nyuam yuav tsis kam noj mov vim nws yuav mob nqos.
- Nyob rau hauv lub salivation profuse.
- Ua kom qhov kub thiab txias rau 40 ° C. Nws yog ib qho tsim nyog sau cia tias nrog follicular angina, nws nyuaj heev rau cov menyuam yaus mus yuam kev.
- Tshav pob txha thiab ua npaws ua rau ua daus no.
- Cov qog nqaij hlav o.
- Txhim kho conjunctivitis, kua ntswg thiab daim tawv nqaij pob.
Symptoms of intoxication
Cov tsos mob tseem ceeb ntawm follicular angina, uas hais txog kev qaug rau lub cev, yog:
- Kev tawm hws ntau dhau.
- Pom kev qaug zog thiab mob taub hau nrog rau kev ua pa tsis ua haujlwm.
- Tshem tawm qhov mob ntawm pob qij txha thiab hauv thaj tsam lumbar.
- nyuaj pw nrog tsis meej pem.
- Zoo raws plab thiab ntuav.
Follicular angina hauv cov neeg laus muaj tsawg dua, tab sis tseem tshwm sim.
Kev kuaj caj pas
Yog koj thov kom tus neeg qhib qhov ncauj, txawm lub qhov muag liab qab yuav pom daim duab tsis zoo:
- Suppurated follicles yuav zoo li yellowish dawb dots.
- Kev muaj qhov liab thiab qhov loj ntawm cov tonsils.
Code of follicular angina raws li ICD-10 - J03. Nyob rau hauv daim ntawv ntev, nws yuav tsis mus li ci ntsa iab. Cov tsos mob yuav smoothed tawm. Thawj qhov kev sab laj tuaj yeem muab los ntawm tus kws kho mob uas yuav tuaj rau hauv tsev, lossis los ntawm tus kws kho menyuam yaus, uas koj tuaj yeem teem sijhawm. Tab sis nws yog qhov zoo tshaj kom coj tus me nyuam mob mus rau tus kws kho mob otolaryngologist tam sim yog tias muaj qhov tsis txaus ntseeg ntawm qhov kev kuaj mob no.
Diagnosis
Kev kuaj sim rau qhov xav tias follicular tonsillitis (hauv ICD-10 - J03) ua kom paub tseeb lossis tsis lees paub qhov kev kuaj mob. Ib tus kab mob zoo sib xws yuav tsum sib txawv ntawm lwm yam zoo sib xws. Qhov no tseem ceeb heev, vim hais tias nyob ntawm qhov kev kuaj mob, qee yam tshuaj rau kev kho mob yuav raug sau tseg. Piv txwv li, kev kho mob ntawm hom angina no tsis ua tiav yam tsis muaj kev siv tshuaj tua kab mob. Nyob rau tib lub sij hawm, lawv yog kiag li contraindicated nyob rau hauv mononucleosis. Yog li, kev ntsuas rau kev kuaj mob follicular tonsillitis hauv cov menyuam yaus thiab cov neeg laus yog raws li hauv qab no:
- Clinical data collection.
- pharingoscopy.
- Kev tshawb fawb txog kab mob bacteriological uas ua rau nws tuaj yeem kuaj pom cov kab mob hauv cov qoob loo ntawm pharyngeal mucus.
- Kev xeem serological.
- Kev xa tawm ntawm kev tshuaj ntsuam dav dav.
Kev kuaj mob kom raug ua rau nws muaj peev xwm sau tau cov kev kho mob uas tsim nyog, txawm li cas los xij, nws yuav tsis tuaj yeem kho mob caj pas sai sai. Txawm tias muaj kev vam meej ntawm tus kab mob yam tsis muaj teeb meem, kev rov qab tuaj yeem tshwm sim tsuas yog hnub thib kaum. Nws ncaj qha nyob ntawm cov tshuaj thiab cov yam ntxwv ntawm tus menyuam lub cev.
Cia peb xav txog kev kho mob ntawm follicular angina hauv cov menyuam yaus thiab cov neeg laus kom ntxaws ntxiv.
Kev kho mob
Yeej, kev kho mob ntawm daim ntawv no ntawm angina yog tsom rau kev puas tsuaj ntawm cov kab mob. Thiab qhov ntawd yuav tsum tau siv tshuaj tua kab mob. Txawm tias tag nrho lawv cov pov thawj raug mob, cov niam txiv yuav tsum nkag siab tias muaj teeb meem los ntawm kev kho tsis tauangina yuav hnyav dua. Cov tshuaj hauv qab no yog siv nyob rau hauv lub moj khaum ntawm cov tshuaj:
- Ua ntej ntawm tag nrho cov, siv penicillins: Flemoxin, Augmentin, thiab macrolides: Hemomycin, Azitrox, Sumamed, thiab cephalosporins - Ceftriaxone, Cephalexin.
- Kev siv tshuaj tiv thaiv kab mob kom tshem tawm qhov mob, lymphadenitis thiab ntau yam edema, xws li Ibuklin thiab Ibuprofen.
- Antipyretics rau follicular angina (duab ntawm cov tsos mob tau nthuav tawm): "Nurofen", "Panadol", "Efferalgan". Xav tias nws yog qhov nyuaj heev los ua kom qhov kub thiab txias nrog rau daim ntawv no ntawm angina, ib chav kawm ntawm lytic sib tov los ntawm Analgin nrog Diphenhydramine yog sau.
- tshuaj tiv thaiv kab mob: Clarisens, Diphenhydramine, Cetrin, Diazolin thiab Zodak.
- Kev kho mob detoxification.
- Garg txog kaum zaug ib hnub nrog "Iodinol", "Lugol" thiab "Furacilin".
- Irrigation ntawm caj pas nrog aerosols "Tantum Verde", "Bioparox" thiab "Miramistin"
- Kev txais cov ntsiav tshuaj absorbable nrog lozenges Faringosept, Geksoral tabs thiab Septolete.
- Kev siv cov tshuaj probiotic uas tiv thaiv kev txhim kho ntawm dysbacteriosis: Bifidumbacterin, Acipol.
- Kev siv cov tshuaj immunomodulators: "Lizobakt", "Amiksin" thiab "Immunal", thiab cov vitamins.
Kev kho mob follicular tonsillitis hauv cov neeg laus tsis txawv. Tsuas yog qhov ntau npaum ntawm cov tshuaj sib txawv.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov txheej txheem rau lubricating lub caj pas nrog Lugol thiab lwm yam tshuaj tua kab mob yog txwv nruj heev. Ua ntej tshaj plaws, nws yuav tawgmucosal daim nyias nyias, thiab tseem ua rau kis tau tus kab mob.
Kev ua haujlwm
Tonsil tshem tawm rau follicular angina (ICD code - J03) muaj cov ntaub ntawv kho mob hauv qab no:
- Kev txhim kho ntawm daim ntawv decompensated ntawm tus mob tonsillitis.
- Cov tsos mob ntawm tonsillitis ntev nrog cov tsos mob toxic-allergic.
- Presence ntawm hypertrophied palatine tonsils.
- Kev muaj purulent teeb meem ntawm tonsillitis.
- Tonsillitis uas tshwm sim ntau tshaj xya zaug hauv ib xyoos.
Tej zaum yuav raug kho kho kho mob rau follicular tonsillitis. Cov cuab yeej Tonsilor niaj hnub ua rau cov tonsils los ntawm ultrasound lossis lub tshuab nqus tsev. Nyob rau hauv tus txheej txheem ntawm nws daim ntawv thov, cov kua paug yog pumped tawm, thiab, nyob rau hauv tas li ntawd, qhov chaw cuam tshuam yog ntxuav, uas relieves o nrog o.
Dab tsi ntxiv tuaj yeem siv los kho cov neeg laus angina follicularis?
kev kho neeg zoo
Kev sim ntawm keeb kwm ntawm purulent tonsillitis yog qhov tsis tsim nyog, yog li txhua txoj hauv kev yuav tsum tau pom zoo nrog tus kws kho mob. Hauv qhov no, nws raug nquahu kom ua raws li kev kho mob hauv qab no:
- Ntxawm nrog tshuaj ntsuab decoctions, kua txiv beetroot, thiab, ntxiv rau, txiv qaub los yog zib ntab dej.
- Cranberry kua txiv.
- Drinking tshuaj yej nrog raspberry jam.
- Kev cais tawm ntawm cov txheej txheem ua kom sov nyob rau hauv daim ntawv ntawm compresses, chav nqus pa thiab tshuaj pleev rau hauv lub caj dab - tag nrho cov no yog qhov tsis txaus ntseeg nrog daim ntawv mob caj pas.
- Siv decoctions ntawm thyme, sawv hips, raspberries thiab Pine koob.
- Muab tus menyuam zom propolis tom qab noj mov.
Kev kho mob nrog pej xeem tshuaj rau cov kab mob txaus ntshai xws li follicular tonsillitis tsuas yog ntxiv rau cov kev kho mob. Txhua tus niam txiv yuav tsum nkag siab qhov no.
Kev kho mob ntawm follicular tonsillitis hauv tus menyuam yuav tsum ua kom tiav.
Kev tu me nyuam mob
Raws li ib feem ntawm kev saib xyuas tus menyuam uas muaj follicular tonsillitis, nws yog ib qho tseem ceeb uas yuav tau ua raws li cov lus qhia no:
- yuav tsum tau pw.
- Yuav tsum haus dej kom ntau.
- Tsis pub taug kev.
- Chav tsev uas tus neeg mob me nyob yuav tsum tau ua pa.
- Ua ntej lub tsheb thauj neeg mob tuaj txog, sim ua kom kub siab nrog cov tshuaj tua kab mob hauv daim ntawv tswm ciab lossis vodka qhwv.
- Drinking chamomile thiab sage tshuaj yej.
- Kev ntsuas kub yuav tsum ua kom xis nyob thiab sov.
- Kev cais tawm ntawm kev noj ntsev, pickled, ntsim thiab carbonated.
- Khoom noj khoom haus yuav tsum tau muab tso rau hauv rab. Ua kua cereals thiab kua zaub nrog broths tshwj xeeb yog txais tos.
Kev kho mob ntawm follicular angina hauv menyuam yaus yog qhov ua tau zoo dua qhov pib ua ntej.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tsuas yog ib tus kws kho mob tuaj yeem qhia cov niam txiv raws nraim yuav kho cov kab mob hauv cov menyuam hauv qee qhov xwm txheej. Txhua rooj plaub yog tus kheej. Tsis muaj ib qho xwm txheej twg yuav tsum niam txiv txiav txim siab rau lawv tus kheej, txwv tsis pub muaj qhov tshwm sim loj heev yuav zam tsis tau.
Txhais tau
Ib yam ntxwv ntawm follicular angina yog kev sib kis ntawm cov kua paug, uas, txawm tias cov hlwv qhib, tsis mus dhau ntawm cov tonsils. Muaj tseeb tiag, nyob rau hauv qhov mob hnyav, qhov no tseem tshwm sim. Piv txwv li, cov ntsiab lus purulent tuaj yeem poob ncaj qha mus rau hauv caj pas, thiab los ntawm qhov ntawd kiag rau hauv ib qho khoom nruab nrog cev, vim qhov no, cov teeb meem loj tuaj yeem pib tsim tawm uas txaus ntshai heev rau kev noj qab haus huv ntawm tus menyuam:
- Tshem tawm ntawm paratonsillar abscess.
- Kev txhim kho ntawm sepsis.
- Qhov tsos ntawm Lemierre's syndrome.
- Kev txhim kho kab mob streptococcal meningitis.
- Tshuaj mob toxic shock.
- Kev txhim kho ntawm glomerulonephritis.
- Tshem tawm ntawm phlegmonous tonsillitis.
- Cov tsos mob ntawm thrombosis, phlegmon, paratonsillitis, otitis thiab laryngitis.
Txhua yam kab mob no tsis yog kho tau yooj yim xwb, tab sis tseem tso nws lub cim rau tag nrho lub neej tom ntej ntawm tus menyuam. Ib qho abscess tuaj yeem ua rau caws pliav, meningitis tuaj yeem ua rau muaj kev tsis taus, thiab sepsis feem ntau ua rau tuag taus. Qhov ntawd yog qhov txaus ntshai follicular tonsillitis, yog li koj yuav tsum tsis txhob txo nws cov nqi. Thiab, ntawm chav kawm, nws yog ib qho yooj yim los tiv thaiv kab mob dua li kho nws. Cov niam txiv yuav tsum ua tib zoo tiv thaiv tus kab mob no.
Tam sim no koj paub yuav ua li cas kho follicular mob caj pas.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv lawv tus menyuam los ntawm qhov mob caj pas hnyav, cov niam txiv txij thaum yug me nyuam yuav tsum saib xyuasKev tiv thaiv tus kab mob no, uas suav nrog ntau qhov kev ntsuas hauv qab no:
- Txo kev sib cuag nrog cov neeg mob.
- Tsis txhob cia koj tus menyuam noj cov khoom txias kom ntau, thiab tseem kom haus cov dej khov-txias.
- Ua kom cov menyuam muaj zog tiv thaiv, tiv thaiv nws, muab cov vitamins thiab ua kom haum rau kev ua kis las nrog lub neej noj qab haus huv.
- Kev noj zaub mov kom zoo thiab zoo.
- kev kho mob txhua lub sijhawm.
Yog li, nws yog ib qho tseem ceeb heev kom nkag siab tias yuav ua li cas txaus ntshai ntawm cov tsos mob ntawm follicular tonsillitis hauv cov menyuam yaus thiab qhov ua rau ua rau tus cwj pwm tsis zoo rau nws yog fraught nrog.
