Qhov tseem ceeb ntawm qhov tshwm sim ntawm tus kab mob nyob rau hauv feem ntau yog mob inflammatory txheej txheem provoked los ntawm enterobacterial, viral, fungal, mycoplasmal los yog chlamydial kab mob. Chronization ntawm lwm yam mob laryngitis tsim tawm tsam keeb kwm ntawm syphilis, tuberculosis, diphtheria, rheumatoid mob caj dab, amyloidosis, kab mob lupus erythematosus thiab lwm yam kab mob autoimmune yog tsis tshua pom. Tab sis ntau tus neeg mob xav tias yuav ua li cas mob qog noj ntshav hauv hyperplastic laryngitis? Yog tias tus kab mob pib, ces yav tom ntej nws tuaj yeem ua rau muaj cov qog nqaij hlav cancer. Yog li ntawd, nws yog ib qho tseem ceeb heev rau kev kho.
Yog vim li cas
Cov kws kho mob qhia txog qhov ua rau muaj txiaj ntsig rau kev txhim kho pathology. Cov no suav nrog:
- Taumatic kev raug mob. Qhov no suav nrog blunt thiab nkag mus rau caj dab qhov txhab, nkag mus ntawm ib qho khoom txawv teb chaws mus rau hauv kab noj hniav ntawm lub larynx, ntev intubation, tracheostomy tso, yav dhau los phaiskev cuam tshuam hauv cheeb tsam anatomical.
- Txoj kev mob inflammatory pathologies. Cov kab mob endocrine, mob ntsws ntev, mob ntsws, pharyngitis, rhinitis, thiab lwm yam tuaj yeem ua rau muaj kev loj hlob ntawm laryngitis.
- Tus cwj pwm phem. Hauv ntau tus neeg mob, kev tsim cov kev hloov pauv yog cuam tshuam nrog kev haus luam yeeb ntev, kev haus dej cawv, thiab tshuaj narcotic.
- Kev mob nkeeg. Qhov no suav nrog kev ua pa tsis tu ncua ntawm cov plua plav, cov pa taws ua haujlwm, cua qhuav lossis cua kub. Tsis tas li ntawd, cov tsos mob ntawm laryngitis yog txuam nrog lub sij hawm ntev los yog lub suab nrov ntau dhau.
- Immunodeficiency xeev. Kev tsim ntawm pathology yog tshwm sim los ntawm lub sijhawm ntev corticosteroid, radial lossis chemotherapy, tsis tu ncua hypothermia, oncological lesions ntawm cov pob txha pob txha, muaj AIDS lossis congenital immunogenetic pathologies.
Symptoms
Hyperplastic laryngitis thaum pib ntawm nws txoj kev loj hlob tej zaum yuav tsis pom thiab ua rau tsis muaj lub tswb. Txawm li cas los xij, thaum qhov mob hnyav zuj zus, qhov mob nce ntxiv, vim qhov tshwm sim ntawm cov cell ntawm mucous daim nyias nyias ntawm lub larynx loj hlob. Tom qab ntawd, kev ua haujlwm ib txwm ua ntawm lub suab qaum yuav nyuaj, cov mucous membrane pib horn.
Thaum ntxov, koj tuaj yeem txiav txim siab tus kab mob los ntawm qee yam cim:
- Lub suab ntawm lub suab pib hloov, txawv ntawm ib txwm, coarsens.
- Thaum sib tham, hoarseness tshwm, ib lub suab tau hnovhawb pob.
- Vim hlua tau nkees sai (thaum ntxov li 5-10 feeb tom qab pib sib tham).
- Tshuaj mob pob hauv pob ntseg, qhov tsis xis nyob tsis ploj mus.
- Nkauj tawm tshiab hysterical hnoos.
- caj pas pib khaus, tickle tshwm.
Nrog rau kev txhim kho ntxiv thiab kev mob hnyav, tus neeg mob yuav poob nws lub suab tsis yog rau lub sijhawm luv xwb, tab sis rau lub neej. Tsis tas li ntawd, cov hlwb uas hypertrophy nyob rau hauv lub mucous daim nyias nyias ntawm lub larynx ua rau cov tsos ntawm cov nodes uas muaj feem yuav ua malignant. Yog li ntawd, thaum kuaj pom kev ua txhaum cai thiab hloov kho lub suab meej, kev sab laj nrog tus kws kho mob otolaryngologist lossis kws kho mob yog qhov tsim nyog txhawm rau tiv thaiv kev txhim kho ntawm tus kab mob.
Kev kuaj mob ntxov
Hyperplastic laryngitis yog ib yam kab mob ntev uas tshwm sim los ntawm qhov mob ntawm lub larynx. Kev kho mob yog li peb lub lis piam.
Ua ntej pib kuaj mob, tus kws kho mob yuav tsum tau sau ntau cov ntaub ntawv uas yuav pab ua haujlwm kom raug, vim tias yav tom ntej tus kws phais yuav tsum tshem tawm tag nrho cov ntaub so ntswg.
Tus kws kho mob otolaryngologist yuav tsum qhia meej cov ntaub ntawv hauv qab no thaum xam phaj tus neeg mob:
- mob;
- tus neeg mob txoj haujlwm;
- previous events.
theem ntawm kev siv
Thaum nug tus kws kho mob yuav tsum ua tib zoo mloog tus neeg mob lub suab. Tom ntej no, ib daim ntawv ntsuam xyuas tau ua, uas suav nrog:
- kuaj lub cev. Nws suav nrog kev tshuaj xyuas cov contours ntawm caj dab nrog rau kev ua haujlwm ntawm cov leeg hauv cheeb tsam.
- Indirect laryngoscopy (kev tshuaj xyuas ntawm cov mucous ntawm lub larynx, ventricles thiab suab qaum).
- Lab test. Nws tso cai rau koj los txheeb xyuas qib ntawm leukocytes, nrog rau hloov lawv cov mis thiab nrhiav cov kab mob.
- Histological kuaj. Tshawb xyuas cov ntaub so ntswg ntawm lub larynx.
- Tomography ntawm caj dab. Nws tau ua nyob rau hauv rooj plaub uas nws tsis tuaj yeem sib txawv.
Yuav ua li cas kho tus mob hyperplastic laryngitis?
Qhov peculiarity ntawm tus kab mob yog hypertrophy ntawm lub suab qaum thiab, raws li txoj cai, muaj ib tug ntev daim ntawv. Yog tias kev kho tsis txaus (nrog rau cov tshuaj) tsis ua raws sijhawm, kev loj hlob ntawm cov ntaub so ntswg ntawm lub larynx tuaj yeem tshwm sim, uas tuaj yeem ua rau tuag taus.
Nws yuav tsum tau muab sau tseg tias kev kho tshuaj yog muab rau tus neeg mob nkaus xwb raws li cov txiaj ntsig ntawm kev ua tib zoo kuaj xyuas thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob.
Thaum pib kho?
Kev kho mob ntawm cov kab mob hyperplastic laryngitis yuav tsum tau pib tam sim tom qab kuaj pom, cov txheej txheem no yuav ntev heev. Yog tias kev kho mob tau ua tiav, ces nws yuav muaj nyob rau hauv kev sau ntawv kho mob, uas muaj ntau pawg tshuaj:
- tiv thaiv kab mob;
- immunomodulating;
- tshuaj tua kab mob;
- corticoseroid thiab tshuaj tiv thaiv kab mob.
Yog kev kho mob hauv zos, thov thovkev npaj uas npaj rau kev yaug, piv txwv li, zinc sulfate lossis abucid. Kev nqus pa tuaj yeem raug sau nrog qhov sib ntxiv ntawm electrophoresis uas muaj potassium iodide.
Ntxiv rau, kev kho tus kab mob yuav xav tau kev kho hyposensitizing thiab antispastic, nrog rau kev thaiv nrog novocaine, nws pab txo qis mucosal edema thiab reflex spasm.
Lwm txoj kev
Thaum muaj cov tsos mob ntawm kev rov qab los, nws yog ib qho tsim nyog yuav tsum tau mus txuas ntxiv kev saib xyuas kev kho mob ntawm hyperplastic laryngitis. Yog tias tsis muaj kev txhim kho, ces koj yuav tsum tau mus rau kev cuam tshuam los ntawm cov kws phais.
Qhov ua tau zoo tshaj plaws yog cov txheej txheem endolaryngeal: laser thiab xov tooj cua kho, nrog rau cryodestruction. Thaum kho, tus neeg mob raug txwv tsis pub haus luam yeeb, haus dej haus cawv. Tsis txhob noj ntsim, kub lossis txias heev.
Yog tias koj tsis pib kho tus kab mob raws sijhawm, nws tuaj yeem ua rau muaj qhov tshwm sim txaus ntshai (txog li tsim cov qog nqaij hlav).
Drug group
Txhua pawg ntawm cov tshuaj hauv kev kho mob ntev hyperplastic laryngitis muaj nws lub hom phiaj kho, uas yog:
- Npaj kom muag cov ntaub so ntswg ntawm lub larynx yog pom zoo kom siv nyob rau hauv daim ntawv ntawm kev kho inhalations. Rau cov txheej txheem zoo li no, raws li txoj cai, "Chlorobutanol" yog tshuaj. Nws yog kev cai los ua ke xws li inhalations nrog yaug lub larynx nrog dej ntxhia (piv txwv li, Borjomi, Narzan), nrog rau cov kua mis nrog dej qab zib.
- Tshuaj muaj peev xwmzoo liquefy sputum (mucus) thiab txhawb nws tso tawm. Rau cov hom phiaj no, nws raug nquahu kom siv cov tshuaj xws li "Trypsin", "Chymotrypsin" rau hauv lub caj pas, thiab cov roj vaseline yooj yim kuj tsim nyog rau cov hom phiaj no.
- Kom ua tiav cov nyhuv expectorant thiab txo qhov hnoos reflex, "Muk altin" los yog cov tshuaj zoo sib xws nrog cov muaj pes tsawg leeg yog sau.
- Txhawm rau txo qhov o ntawm cov kab mob laryngeal, kev siv tshuaj tiv thaiv kab mob yog pom zoo, tus nqi pheej yig tshaj plaws yog Loratidin thiab nws cov analogues niaj hnub no.
- Kev siv tshuaj los txo qhov mob hauv lub ntsws thiab thaiv cov txheej txheem hyperplastic yog pom zoo nyob rau hauv daim ntawv ntawm irrigations thiab infusions rau hauv lub larynx. Rau cov txheej txheem no, "Albucid", "Prednisolone", "Hydrocortisone" yog tshuaj, ua ntej infusion, cov tshuaj no yog tov nrog tshuaj tua kab mob.
- Rau cov tshuaj tua kab mob zoo thiab kho cov mucous ntawm lub larynx, nws yog ib txwm siv tshuaj xws li Resorcinol, Protargol, Collargol, Galascorbin, menthol tov thiab hiav txwv buckthorn roj rau infusions.
- Ntxiv rau cov tshuaj hauv zos, cov tshuaj immunomodulators raug sau rau hyperplastic laryngitis txhawm rau txhim kho tus neeg lub cev tiv thaiv kab mob.
kev kho neeg zoo
Kev siv cov tshuaj pej xeem thiab cov hau kev ntxiv rau kev kho tshuaj rau hyperplasticlaryngitis ho alleviates tus neeg mob tus mob thiab consolidates ua tiav cov nyhuv kho. Nws yuav tsum raug sau tseg tias lwm txoj hauv kev yuav tsum tau siv tsuas yog tom qab pom zoo nrog tus kws kho mob tuaj koom. Cov zaub mov uas siv ntau tshaj plaws thiab feem ntau siv rau kev kho mob nrog hyperplastic laryngitis tau piav qhia hauv qab no:
- Txoj kev uas yooj yim tshaj yog haus dej sov (tsuas yog sov, tsis kub lossis txias). Cov khoom no yuav pab tau rau lub sijhawm luv luv kom tshem tau cov tsos mob tsis zoo xws li hws, uas, nrog rau lub ntsws, ua rau muaj kev tsis xis nyob ntau.
- Qhov txiaj ntsig zoo yog muab los ntawm kev tso dej ntawm lub larynx nrog saline tov nrog ntxiv ntawm citric acid thiab ib tee ntawm iodine.
- Ntau qhov nqus tau ntawm cov tshuaj ntsuab tshuaj tiv thaiv kab mob (chamomile, yarrow, thyme) tau siv dav hauv cov tshuaj pej xeem.
- Daim ntawv qhia rau laryngitis yog paub: 200 g ntawm tws qej los yog dos ntxiv rau ob tablespoons zib mu. Qhov sib tov no yog siv tom qab 2 teev ob peb zaug hauv ib hnub.
- Ib yam li ntawd, txiv qaub nrog zib ntab yog pom zoo ua cov tshuaj sib xyaw - cov tshuaj no tua cov kab mob, txo qhov khaus thiab mob.
Thaum lub sijhawm kho tus mob hyperplastic laryngitis nrog cov tshuaj pej xeem, haus ntau yam tshuaj infusions thiab cov kev daws teeb meem yog siv dav, suav nrog:
- Aloe tshuaj ntsuab kua txiv hmab txiv ntoo, uas zib ntab ntxiv rau hauv qhov sib piv ntawm 1: 1. Qhov sib tov no yuav tsum tau noj sov. Daim ntawv qhia nopab txo cov tsos mob (khaus khaus, mob).
- Freshly squeezed carrot kua txiv nrog ob tablespoons zib mu ntxiv rau ib khob. Txhawm rau kom ua tiav cov txiaj ntsig kho mob, koj yuav tsum haus 1/4 ntawm qhov ua noj (iav) ua ntej noj mov.
- Ib qho sib xyaw ntawm cov mis nyuj saum toj no (150 ml) nrog rau qhov sib ntxiv ntawm yolk yuav tsum haus tam sim tom qab noj mov.
- Txhawm rau tshem tawm cov tsos mob ntawm kev ntxhib ntxhib ntxhib ntxhib los mos thiab kho lub suab, tib neeg haus dej sov (sov npias).
Kev Tiv Thaiv
Raws li kev tiv thaiv kev tiv thaiv kab mob hypertrophic laryngitis, koj yuav tsum tso tseg kev haus luam yeeb, haus cawv, tiv thaiv koj txoj hauv kev thaum ua haujlwm hauv ntau yam lag luam nrog cov pa luam yeeb. Cov neeg uas niaj hnub siv lawv lub suab rau kev ua haujlwm yuav tsum tau saib xyuas los ntawm phoniator. Nws yuav muab kev tawm dag zog thiab xaiv lub suab uas haum tshaj plaws.
Koj yuav tsum tau noj cov zaub mov kom raug (muaj cov vitamins, mos hauv qhov sib xws, nruab nrab ntawm qhov kub thiab txias, tsis txhob txias lossis kub), ua kom lub cev tawv nrog ntau txoj hauv kev, tsis txhob lig nrog kev kho mob ntawm ntau yam kab mob. cov kab mob ENT. Nws raug nquahu kom tsiv mus nyob hauv thaj chaw ecological ntawm lub nroog.
Koj tsis tuaj yeem ua qhov kev tawm dag zog uas ua rau muaj kev cuam tshuam ntawm lub suab. Mus ntsib kws kho hniav raws li xav tau kom koj cov hniav noj qab nyob zoo.
Thaum thawj cov tsos mob ntawm SARS lossis mob khaub thuas tshwm sim, koj yuav tsum mus ntsib kws kho mob tam sim lossis yuav hauvCov khw muag tshuaj txhais tau hais tias tau noj rau kev tiv thaiv lossis kev kho mob khaub thuas thiab SARS. Kev mus rau sanatoriums thiab resorts yuav pab tau. Txhawm rau txhawm rau tiv thaiv kab mob, nws raug nquahu kom haus cov tshuaj tiv thaiv kab mob uas muag hauv khw muag tshuaj.
