Ntau tus niam txiv muaj kev ntshai ntawm cov tshuaj tua kab mob, thaum lwm tus ntseeg tias qhov no yog cov tshuaj zoo tshaj plaws thiab nws tus kheej muab tshuaj rau lawv cov menyuam rau ntau yam kab mob, tshwj xeeb tshaj yog thaum muaj mob ntev. Nrog mob caj pas hauv cov menyuam yaus, tshuaj tua kab mob qee zaum yog txoj hauv kev zoo tshaj plaws. Txawm li cas los xij, nws yuav tsum nco ntsoov tias lawv tsis siv rau txhua hom kab mob no. Tsuas yog tus kws kho mob nqaim - ENT lossis kws kho mob menyuam yaus - yuav tsum txiav txim siab seb tus menyuam puas yuav tsum tau noj tshuaj tua kab mob. Cov tshuaj tsis raug tuaj yeem ua rau tus menyuam noj qab haus huv.
peb kho mob caj pas dab tsi?
Lwm lub npe rau angina yog mob tonsillitis. Tus kab mob no yog ib qho kev kis kab mob thiab inflammatory txheej txheem uas tshwm sim hauv palatine tonsils ntawm lub nplhaib pharyngeal. Lwm lub npe nrov rau tus kab mob no yog mob tonsils.
Meanwhile, lub npe no zais plaub hom tonsillitis, uas txawv hauv zos hloov pauv hauv pharynx. Tias yog vim li cas cov lus teb rau cov lus nug nquag los ntawm cov niam txiv txog seb nws puas tsim nyog rau tus menyuam haus nrog anginatshuaj tua kab mob, nyob ntawm seb hom kab mob twg raug kuaj. Rau qee hom, tshuaj tua kab mob tsis yog qhov tsim nyog xwb, tab sis tuaj yeem tsim kev puas tsuaj.
- Catarrhal. Nws yog tus cwj pwm los ntawm kev nce hauv palatine arches thiab tonsils, nrog rau lawv qhov liab, qhov loj thiab o.
- Follicular. Hom angina no yog cov tsos mob ntawm daim ntawv catarrhal. Txawm li cas los xij, reddened thiab o tonsils muaj, ntawm lwm yam, me me daj pustules.
- mob plab membranous. Qhov saum npoo ntawm cov tonsil yog them nrog ib qho yooj yim tshem tawm zaj duab xis nyias thiab muag heev, tom qab tshem tawm cov kab mob qhib.
- Lacunar. Nyob rau hauv lub recesses ntawm cov tonsils (lacunae), cov kua paug pib sau.
Cov tsos mob dav dav
Txawm tias muaj qhov sib txawv hauv zos, rau txhua yam mob caj pas, cov tsos mob xws li:
- o thiab liab ntawm lub tuam tsev thiab tonsils;
- fever;
- mob thiab loj ntawm cov qog ntshav qab zib submandibular;
- kev mob tshwm sim;
- mob thaum nqos.
Qhov ua rau angina tuaj yeem yog cov kab mob sib txawv: spirochetes, fungi, kab mob thiab kab mob. Vim li no thiaj tsis siv tshuaj tua kab mob rau cov me nyuam mob caj pas.
Ntau zaus, angina yog qhov tshwm sim ntawm kev kis kab mob: enterovirus, herpetic, adenovirus. Nyob rau hauv cov ntaub ntawv no, tshuaj tua kab mob yuav tsis coj kiag li tsis muaj txiaj ntsig, thiab kev kho mob yog nqa tawm nrog tshuaj tua kab mob. Ntxiv mus, noj tshuaj tua kab mob hauv qhov no tuaj yeem ua tauua rau txo qis hauv kev tiv thaiv kab mob, uas yuav ua rau muaj qhov tsis zoo.
Rau cov menyuam yaus, cov tshuaj tua kab mob zoo rau mob caj pas kuj tuaj yeem raug tshuaj los tiv thaiv kab mob thib ob, txawm tias mob caj pas nws tus kheej yog tshwm sim los ntawm tus kab mob.
Angina tshwm sim los ntawm fungi kuj tsis kho nrog tshuaj tua kab mob. Hauv qhov no, lawv feem ntau tsuas ua rau qhov xwm txheej hnyav dua.
Rau kev kho cov kab mob tonsillitis hauv cov menyuam yaus, yuav tsum tau siv tshuaj tua kab mob. Feem ntau lawv raug tshuaj los ntawm kws kho mob. Streptococci yog ib hom kab mob ua rau mob caj pas. Txawm li cas los xij, palatine tonsils tuaj yeem cuam tshuam rau ob qho tib si staphylococci thiab txawm tias pneumococci, tab sis cov xwm txheej no tsis tshua muaj.
Feem ntau, streptococci ua rau follicular tonsillitis, uas cov neeg feem coob paub tias "purulent". Txij li thaum tus kab mob ua rau tus kab mob no yog cov kab mob, nws yog qhov zoo dua los muab tus me nyuam nrog purulent tonsillitis tshuaj tua kab mob. Cov kab mob dab tsi ua rau mob tonsillitis, tsuas yog tus kws kho mob tuaj yeem paub nws, yog li nws tseem ceeb heev tsis txhob noj tshuaj rau tus kheej.
Viral angina
Yog tias mob tonsillitis yog tus kab mob kis tau los ntawm tus kab mob enterovirus, herpetic lossis adenovirus, ces cov tshuaj tiv thaiv kab mob tau muab tshuaj es tsis txhob siv tshuaj tua kab mob. Tus kws kho mob, txawm tias thaum kuaj thawj zaug, feem ntau tuaj yeem paub qhov txawv ntawm qhov mob angina no los ntawm cov cim hauv qab no:
- Tsis muaj plaque ntawm tonsils, tsuas yog ci liab thiab o ntawm tonsils.
- Herpetic mob caj pas txhais tau tias muaj cov npuas me me uas muaj cov kua ntshiab ntawm cov mucous ntawm lub qhov ncauj thiab ntawm cov tonsils. qhibLawv nthuav tawm qhov mob me me.
Tsis tas li, tus kab mob tonsillitis muaj yav dhau los lossis cov tsos mob ntawm rhinopharyngoconjunctivitis:
- hnoos qhuav;
- lacrimation.
Kab mob angina pib ua npaws, thiab cov npe ntawm cov tsos mob tuaj yeem suav nrog kev qaug cawv thiab cov tsos mob hauv zos xws li cov quav hniav ntawm cov tonsils thiab mob caj pas.
Kev kho mob
Raws li txoj cai, angina tsis tas yuav mus pw hauv tsev kho mob, thiab kev kho mob tau ua tom tsev. Tus menyuam muaj mob yuav tsum tau muab cov khoom siv hauv tsev: tais diav, phuam da dej, ntaub pua chaw pw. Txwv tsis pub, lwm tus neeg hauv tsev neeg yuav kis tau. Tsis tas li ntawd, chav tsev yuav tsum tau tso cua tawm ob mus rau peb zaug hauv ib hnub thiab ntxuav kom ntub.
Tus menyuam yuav tsum haus tshuaj tua kab mob ntau npaum li cas rau angina - feem ntau tus kws kho mob txiav txim siab. Txawm li cas los xij, feem ntau, yog tias cov tshuaj tau sau tseg, tom qab ntawd ib qho kev kawm tiav yog nqa tawm. Qhov no yog qhov xwm ntawm cov tshuaj. Tsuas yog tom qab ua tiav cov chav kawm tiav peb tuaj yeem tham txog kev ua haujlwm ntawm cov tshuaj. Kev cuam tshuam kev kho mob yuav tsis muaj txiaj ntsig. Koj tuaj yeem saib txhua qhov koob tshuaj hauv cov lus qhia.
Cov menyuam yaus feem ntau tau pw hauv tsev kho mob thawj xyoo ntawm lub neej, thiab yog tias muaj cov kab mob hnyav, xws li raum tsis ua haujlwm lossis ntshav qab zib. Kev mus pw hauv tsev kho mob kuj tau qhia txog lwm yam teeb meem, thiab feem ntau yog kis tus kab mob hnyav.
Kev teem sijhawm kws kho mob ntau tshaj plaws
Tshuaj tua kab mob rau angina hauv cov menyuam yaus (cov npe hauv qab no) yog cov kws kho mob sau los ntawm cov tshuaj ntawm ntau cov tshuaj penicillins, cephalosporins thiabmacrolides.
Macrolides suav nrog:
- "Sumamed";
- Spiramycin;
- Macrofoam;
- Midecamycin;
- Azithromycin;
- Zitrocin;
- Erythromycin.
Lawv raug tshuaj yog tias muaj kev fab tshuaj rau penicillin. Nws kuj tshwm sim tias cov kab mob tsis nkag siab rau cov tshuaj penicillin. "Sumamed" yog ib qho ntawm cov neeg nyiam tshaj plaws, tshwj xeeb tshaj yog rau cov menyuam yaus, raws li nws nyiam cov ntaub so ntswg. Qhov no tso cai rau koj txo cov kev kho mob mus rau tsib hnub.
Nrog angina, tshuaj tua kab mob penicillin rau cov menyuam yaus feem ntau tau sau tseg. Cov no suav nrog:
- "Amoxiclav";
- "Medoclav";
- augmentin;
- "Ranklav";
- YTicarcillin;
- "Amoxicillin";
- Amoxiclavin thiab lwm yam.
Nyob hauv cov kab mob mob caj pas, cov tshuaj tua kab mob no nyiam dua. Feem ntau, cov menyuam yaus zam rau lawv zoo, thiab tsis muaj kev sib txuas rau cov pluas noj tsuas yog ntxiv lwm cov ntsiab lus rau lawv qhov zoo. Yog hais tias tus kab mob no tiv taus cov pa penicillins, ces Amoxiclav raug tshuaj - kev sib xyaw ntawm amoxicillin thiab clavulanic acid ua rau kom cov tshuaj tua kab mob ua kom zoo. Cov tshuaj no muaj cov tshuaj tua kab mob muaj zog tiv thaiv pneumococci, staphylococci thiab streptococci. Cov tom kawg muaj qhov tshwj xeeb rau cov tshuaj no.
Cephalosporins - cov tshuaj ntawm pab pawg no kuj yog cov tshuaj tua kab mob zoo rau cov menyuam yaus. Cov no yog cov tshuaj xws li:
- "Cephalexim";
- Pancef;
- "Aksetin";
- Cefotaxime;
- Ceftriaxone thiab lwm yam.
Cephalosporins yog lwm txoj hauv kev kho mob angina. Txhua yam tshuaj muaj zog tiv thaiv ntau yam kab mob.
Yuav xaiv li cas?
Yuav tshuaj tua kab mob dab tsi rau tus menyuam mob caj pas? Cov kws kho mob sau cov tshuaj no lossis cov tshuaj ntawd tom qab kuaj thiab txheeb xyuas cov kab mob. Cov kws kho mob muab cov khoom siv thaum kuaj thawj zaug. Feem ntau qhov no yog lub caj pas swab, uas yog xa mus rau kev kuaj kab mob ntxiv. Ntxiv nrog rau kev txheeb xyuas tus kab mob, txoj kev tshawb fawb no yuav pab kom tshem tawm kab mob diphtheria - kab mob txaus ntshai heev, uas kuj tshwm sim nws tus kheej ua mob ntawm tonsils.
Kev kawm bacteriological hauv ib lub tsev kho mob hauv xeev ib txwm siv sijhawm tsawg kawg yog ob peb hnub. Yog li ntawd, cov kws kho mob, cia siab rau cov tsos mob ntawm tus kab mob, feem ntau teem caij tam sim ntawd. Tom qab ob lossis peb hnub, tus kws kho mob tshuaj xyuas tus menyuam dua thiab sau tseg qhov ua tau zoo lossis tsis muaj txiaj ntsig ntawm cov tshuaj uas tau sau tseg. Qhov no tuaj yeem raug txiav txim los ntawm qhov xwm txheej ntawm tus menyuam, qhov mob ntawm tonsils thiab qhov kub thiab txias. Yog tias lub sijhawm no tsis muaj kev txhim kho hauv kev noj qab haus huv, thiab tus menyuam tseem kub taub hau, tus kws kho mob tau sau tshuaj tshiab raws li cov txiaj ntsig ntawm kev tshawb fawb bacteriological.
"Amoxicillin" yog ib qho tshuaj yooj yim tshaj plaws rau kev kho menyuam yaus. Yog tias koj txaus siab rau cov lus nug uas cov tshuaj tua kab mob rau angina rau tus menyuam muaj hnub nyoog 3 xyoos yog qhov tsim nyog tshaj, feem ntau. Nws yuav yog "Amoxicillin". Nyob rau hauv cov xwm txheej hnyav ntawm tus kab mob, cov tshuaj no kuj tau sau tseg, txawm li cas los xij, cov lus qhia yog tsim los ntawm kev txhaj tshuaj. Cov tshuaj tua kab mob rau angina hauv cov menyuam yaus hauv daim ntawv txhaj tshuaj tuaj yeem siv tau thaum nws tsis tuaj yeem noj lawv ib txwm.
"Amoxicillin" yog cov tshuaj tsis muaj tshuaj lom, thiab qhov no yog ib qho tseem ceeb tshaj plaws, thiab muaj nyob rau hauv ntau hom: ncua kev kawm ntawv, tshuaj ntsiav, thiab ntsiav tshuaj. Kev sib txawv no ua rau nws yooj yim dua rau kev noj tshuaj tua kab mob rau tus menyuam yaus hnub nyoog qis dua 10 xyoo.
Qee zaum cov kws kho mob tiv thaiv kev mob mus ntev. Hauv qhov no, tom qab chav kawm tseem ceeb, "Bicillin-3" lossis "Bicillin-5" tuaj yeem raug tshuaj. Ib txhaj tshuaj ib as thiv lossis ib hlis twg, raws.
cov lus qhia dav dav
Tshuaj tua kab mob yog cov tshuaj uas yuav tsum tau kho tag nrho. Nws lub sijhawm feem ntau yog txiav txim los ntawm tus kws kho mob. Txawm li cas los xij, nws yuav tsis pub tsawg tshaj tsib hnub, tshwj tsis yog cov tshuaj Sumamed tau hais tseg, cov chav kawm yog los ntawm peb mus rau tsib hnub, raws li kev txiav txim siab ntawm tus kws kho mob.
Kev kho tus kheej tom qab qee qhov kev txhim kho ntawm tus menyuam tus mob yuav ua rau muaj ntau yam teeb meem ntawm ob lub raum, kab mob plawv. Qee zaum qhov no tuaj yeem ua rau muaj kev loj hlob ntawm tonsillitis ntev. Thaum kawg ntawm kev kho mob, tus kws kho mob tau sau tshuaj tswj cov zis, ntshav thiab ECG.
Kev noj tshuaj thiab zaus ntawm kev tswj hwm yuav tsum tau ua nruj me ntsis raws li tus kws kho mob tau hais tseg, vim tias cov kev teem sijhawm tau txiav txim siab txog lub cev hnyav thiab hnub nyoog, qhov hnyav ntawm tus kab mob thiabmuaj los yog tsis muaj lwm yam pathologies. Nws yog qhov zoo dua los noj tshuaj tua kab mob rau cov menyuam yaus mob caj pas tib lub sijhawm, thiab haus dej kom ntau, tab sis tsis yog kua txiv hmab txiv ntoo, mis nyuj, txiv qaub lossis lwm yam dej qab zib.
Yog cov lus qhia qhia tias cov tshuaj tsis pom zoo rau kev sib xyaw nrog cov pluas noj, ces koj yuav tsum noj ob teev tom qab noj mov, lossis ib teev ua ntej. Tus kws kho mob yuav tsum tau sab laj yog tias tus me nyuam noj ntau yam tshuaj vitamin npaj thaum kho, txawm tias nws yog ascorbic acid zoo tib yam. Nws txo cov nyhuv ntawm qee cov tshuaj tua kab mob, thiab lwm cov vitamins tuaj yeem ua rau muaj kev tsis haum tshuaj.
Txawm tias muaj cov tshuaj tua kab mob zoo tshaj plaws rau mob caj pas, cov menyuam yaus yuav tsum muaj kua dej ntau thiab khoom noj khoom haus zoo, suav nrog zaub thiab txiv hmab txiv ntoo. Nws yog qhov zoo dua los tsis kam noj tshuaj vitamin npaj.
tshuaj ntxiv
Vim tias muaj peev xwm tsim cov tshuaj tiv thaiv tsis haum tuaj yeem txiav txim tsis tau, cov kws kho mob feem ntau pom zoo kom noj cov tshuaj antihistamine (antiallergic) thaum kawm cov tshuaj tua kab mob rau mob caj pas hauv cov menyuam yaus.
Cov npe tshuaj: "Tavegil", "Fenistil", "Diazolin", "Zodak", "Peritol", "Cetrin". Qhov kawg siv tau rau cov menyuam yaus hnub nyoog tshaj ob xyoos xwb.
Txhua yam tshuaj tua kab mob paub tias tua kab mob. Txawm li cas los xij, ua ke nrog cov kab mob pathogenic, lawv kuj ua rau lub plab hnyuv microflora. Tshwj xeeb yog tias nws yog cephalosporins - broad-spectrum tshuaj tua kab mob. Raws li qhov tshwm sim, qhov tsis txaus ntawm cov hnyuv microflora - dysbacteriosis tuaj yeem tsim.
Cov kws kho mob feem ntau sau tshuaj rau kev tiv thaivsib npaug ntawm kev noj cov tshuaj probiotics. Cov no yog "Acipol", "Acilact", "Biovestin", "Biobacton", "Lactobacterin", "Bifiliz", "Bifiform-baby", "Lineks" thiab lwm yam. Yog tias cov tshuaj no nyob hauv tus kws kho mob cov ntawv, lawv yuav tsum tau noj.
Lwm yam khoom
Ntxiv thiab, cov tshuaj tua kab mob hauv zos tuaj yeem siv raws li kws kho mob qhia. Lawv yog siv nyob rau hauv daim ntawv ntawm inhalations. Piv txwv li, cov tshuaj "Bioparox" nrog ib tug dav spectrum ntawm antimicrobial kev txiav txim muaj feem xyuam rau cov kab mob thiab fungi. Nws kuj muaj cov nyhuv anti-inflammatory. Nws tuaj yeem siv los ntawm cov menyuam yaus hnub nyoog tshaj ob xyoos. Txawm li cas los xij, qhov no tsis hloov qhov tseem ceeb ntawm cov tshuaj tua kab mob.
Ib txhia niam txiv xav tsis thoob thaum kawm tias tshuaj tua kab mob tsis muaj tshuaj tua kab mob. Thaum tus me nyuam kub taub hau, nrog rau cov tshuaj tseem ceeb, nws tsim nyog muab cov tshuaj tua kab mob, xws li Nurofen, Paracetamol thiab lwm yam.
Raws li kev noj tshuaj rau tus kheej, ntau tus niam txiv muab lawv cov tshuaj sulfa rau menyuam yaus, xws li Sulfadimezin, Bactrim, Biseptol thiab lwm yam. Tam sim no lawv tsis siv los kho cov menyuam yaus. Txhua lub sij hawm yuav tsum tau tham nrog tus kws kho mob.
Kuj, nrog rau mob caj pas purulent, koj tsis tuaj yeem siv cov tshuaj zoo li no xws li kev nqus pa thiab cua sov.
Kev noj haus thiab niaj hnub
Qhov muaj kub taub hau qhia tias pw tsaug zog. Yog tias muaj kev txhim kho ntawm tus mob, nws raug tso cai tawm ntawm txaj. Txawm li cas los xij, kev ua si sab nraum zoov yuav tsum txwv. Kev ua luam dej thiab taug kev tsuas yog ua tau tom qab qhov kub thiab txiasyuav rov zoo li qub.
Cov lus pom zoo noj zaub mov yog qhov yooj yim heev: cov zaub mov ntawm tus menyuam mob caj pas yuav tsum yooj yim zom, noj zaub mov zoo thiab muaj zog. Kev noj cov zaub mov txias lossis kub dhau tsis suav nrog. Qhov zoo tshaj plaws sov so.
Thaum ntxov, cov menyuam yaus feem ntau tsis kam noj, tab sis qhov no tsis txaus ntshai. Tsuas yog muab rau koj tus menyuam haus dej kom zoo. Haum, piv txwv li, compotes, txiv hmab txiv ntoo haus, rosehip broth, qab zib tshuaj yej nrog txiv qaub. Tom qab ntawd koj tuaj yeem pib muab rau tus neeg mob ib nrab-kua purees thiab broths, thiab tom qab ntawd rov qab mus rau cov khoom noj li niaj zaus. Los ntawm cov ntawv qhia zaub mov ib txwm, txhua yam uas muaj peev xwm ua rau khaus khaus yuav tsum raug tshem tawm: cov txuj lom, ntsev, txias thiab kub, ntsim zaub mov, marinades, crackers.
Ntxhais mob caj pas
zib ntab yog ib qho tshuaj zoo rau pej xeem uas pab tau ntau yam kab mob. Txawm li cas los xij, tonsillitis yog cov txheej txheem inflammatory, yog li ntawd, txawm li cas los xij, txawm li cas los xij, cov khoom no yuav softening, cov kws kho mob tsis qhia muab nws rau cov neeg mob ua ntej qhov mob ntawm cov tonsils.
Natural zib ntab, siv hauv nws daim ntawv ntshiab, tuaj yeem ua rau mob caj pas thiab yuav ua rau cov mucous khaus. Thaum qhov kev tawm tsam los, zib ntab tuaj yeem ntxiv rau tshuaj yej lossis rau tus menyuam lub mis. Nws tseem tso cai rau nqus me me ntawm zib mu. Nyob rau hauv tas li ntawd, nws yuav pab tau. Tom qab tag nrho, nws muab cov kab mob bactericidal thiab analgesic.
Siv qhov xaus
Yog tus kws kho mob tau tsim tias tus menyuam mob caj pas, ces lo lus nug ntawm cov tshuaj tua kab mob yuav tsum tsis txhob tshwm sim, vim tus kws kho mob nws tus kheej yuav teem sij hawm nyob ntawm seb hom kab mob. Cov kab mob tonsillitis tsis kho nrog lwm yam tsis yog tshuaj tua kab mob. Yog tias tus kab mob no pib, cov teeb meem yuav loj heev, mus txog rau kev tsis taus. Nrog cov kab mob mob caj pas, cov tshuaj tua kab mob, txawm tias muaj kev phom sij rau cov plab hnyuv microflora, yuav ua rau muaj txiaj ntsig ntau dua. Rau lwm hom mob caj pas, kev siv tshuaj tua kab mob tuaj yeem ua rau muaj kev phom sij, thiab qhov zoo tshaj plaws, nws tsuas yog tsis muaj txiaj ntsig.
Cov niam txiv yuav tsum ua raws li tus kws kho mob cov lus qhia, ua raws li qhov ntau npaum li cas, lub sijhawm kawm thiab cov xwm txheej ntawm kev noj tshuaj. Tom qab tag nrho, tsis kho tonsillitis tuaj yeem ua rau muaj teeb meem loj. Ib tug ntawm lawv yog rheumatism thiab tom qab tsim ntawm lub plawv tsis xws luag.
