Ib qho teeb meem tshwm sim thaum muaj hnub nyoog ntxov yog follicular angina. Nyob rau hauv ib tug me nyuam, kev kho mob ntawm tus kab mob no nyob rau hauv feem ntau yog ruaj khov, tab sis qhov no tsis negate lub fact tias cov tsos mob ntawm tus mob no yog heev mob.
Tus kab mob
Thaum mob caj pas, thiab dhau li ntawd, hauv daim follicular, cov tsos mob tsis zoo hauv qab no ua rau lawv tus kheej hnov: tonsils, lawv kuj yog palatine tonsils, nce, thiab purulent follicles tsim rau ntawm lawv qhov chaw.
Lub luag haujlwm tseem ceeb ntawm cov tonsils yog txhawm rau lim txhua yam kev hem thawj uas tuaj yeem nkag mus rau hauv lub cev. Tab sis nrog ntau cov kab mob pathogenic, palatine tonsils pib ua rau mob, vim lawv tsis muaj sij hawm los thaiv tag nrho cov kab mob. Ib qho txheej txheem zoo sib xws yog pib nrog cov tsos mob ntawm tus mob khaub thuas. Cov no muaj xws li kub taub hau, mob caj pas thiab ua daus no. Tab sis tom qab ntawd, muaj qhov tshwm sim loj dua tuaj.
Thaum follicular tonsillitis tshwm hauv menyuam yaus, kev kho mob yog qhov tsim nyog ntsuas, txij li lub cev, raws li txoj cai, tsis tuaj yeem tiv nrog tus kab mob no ntawm nws tus kheej.muaj peev xwm.
Vim txoj kev loj hlob
Tus neeg sawv cev tseem ceeb ntawm tus kab mob no yog beta-hemolytic streptococcus. Xws li kev kuaj mob feem ntau yog ua nyob rau lub sijhawm ntawd thaum lub cev muaj zog tshaj plaws, piv txwv li, nrog rau lub caij beriberi. Nws tseem tsim nyog xav txog qhov tseeb tias kev tiv thaiv kev ua haujlwm tuaj yeem txo qis vim yog siv qee yam tshuaj. Raws li txoj kev kis tus kab mob nws tus kheej, feem ntau, cov kab mob nkag mus rau tus menyuam lub cev los ntawm lwm tus neeg nqa khoom.
Qee zaum cov niam txiv nyiam kho cov menyuam yaus uas muaj cov kab mob purulent tonsillitis hauv tsev, thiab yog tias kev tawm tsam tus kab mob tsis raug teeb tsa, ces cov kab mob yuav nyob hauv tus menyuam lub cev. Ntxiv mus, cov txiaj ntsig zoo li no tuaj yeem yog qhov tsis pom cov tsos mob tom qab kev kho mob hauv tsev. Thiab txawm hais tias kev kho mob pej xeem tau pab ua kom pom kev txhim kho, tsis muaj tshuaj tua kab mob tseem muaj feem cuam tshuam rau cov kab mob seem. Vim li no, kev kho mob ntawm follicular tonsillitis hauv cov menyuam yaus yuav tsum tsis txhob txo qis rau cov tshuaj ib txwm siv.
Kev sim tiv thaiv tus menyuam kom tsis txhob kis tus kabmob, yuav tsum xav txog qhov tseeb tias ib tus niam txiv tuaj yeem ua tus kabmob kis tau, yog li cov neeg laus yuav tsum ua tib zoo saib xyuas lawv tus mob.
Txoj kev loj hlob ntawm tus kab mob
Yuav kom paub qhov teeb meem loj, koj yuav tsum ua ntsiag to delve rau hauv lub ntsiab lus ntawm kev puas tsuaj uas nws muaj.
Thawj pib, nws tsim nyog sau cia tias nrog angina ntawm hom follicular, ntxiv rau cov mucous membrane, cov hauv paus hniav uas tsim cov ntaub so ntswg sab hauv kuj raug cuam tshuam.tonsils.
theem tom ntej ntawm kev txhim kho tus kab mob yog kev sib xyaw ntawm ob peb lub hauv paus purulent mus rau hauv ib qho abscess. Nyob rau tib lub sijhawm, yog tias koj ua tib zoo saib xyuas tus neeg mob lub tonsil, koj yuav pom cov pob daj tawg tawg thoob plaws nws qhov chaw.
Cov abscesses tau piav qhia saum toj no tau qhib tom qab li peb hnub txij li pib txheej txheem inflammatory. Kev yaig sab laug tom qab lawv kho sai sai. Tom qab ntawd muaj qhov txo qis hauv qhov kub thiab txias, txawm tias qee zaum nws yuav nyob mus ib ntus.
Nws tsim nyog paub tias abscesses tuaj yeem tshwm sim ntawm ob lub tonsils, thiab ntawm ib qho ntawm lawv.
Symptoms
Kev kho mob raws sij hawm ntawm follicular tonsillitis hauv cov menyuam yaus tsuas yog ua tau yog tias niam txiv paub qhov teeb meem sai. Vim li no, nws ua rau muaj kev nkag siab zoo rau cov tsos mob ntawm tus kab mob no.
Cov cim tseem ceeb ntawm qhov cuam tshuam ntawm purulent tonsillitis yog raws li hauv qab no:
- txias txias thiab kub taub hau;
- mob mob hauv caj pas ua rau nws tus kheej hnov, uas ua rau muaj zog thaum sim nqos;
- tawm hws;
- ntxhov pw tsaug zog;
- mob pob qij txha thiab mob hauv siab;
- muaj kev tawg;
- mob taub hau radiates rau pob ntseg;
- lub suab ntawm lub suab hloov - monotony thiab nasality dhau los ua pom;
- ua rau nws tus kheej muaj kev lom zem ntawm lub cev: huab ntawm kev nco qab thiabxeev siab.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev qaug cawv, vim tias nrog follicular angina txheej txheem no tau hais tawm.
Yog tus kab mob hnyav heev, tus me nyuam yuav muaj raws plab, tsis qab los noj mov, tsaug zog thiab convulsions. Nws yog ib qho tseem ceeb kom nkag siab tias nws yog nyob rau hauv thawj hnub ntawm tus kab mob uas cov tsos mob yuav tshaj tawm. Pom tseeb, koj yuav tsum tsis txhob cia siab rau kev kho tus kheej ntawm lub cev nrog cov teeb meem xws li follicular tonsillitis hauv cov menyuam yaus. Cov tsos mob thiab kev kho mob ntawm tus kab mob no yuav tsum tau soj ntsuam thiab ua nrog kev koom tes ntawm cov kws kho mob.
Kev nyuaj siab
Cov niam txiv yuav tsum nkag siab tias kev kho mob raws sij hawm ntawm cov kab mob purulent tonsillitis yog qhov tseem ceeb heev, vim tias tus kab mob tuaj yeem hnyav zuj zus, thiab qhov no, dhau los, yuav ua rau muaj teeb meem tshiab.
Tshwj xeeb tshaj yog, thaum cov tonsils ua rau mob, muaj kev pheej hmoo ntawm lawv qhov kev puas tsuaj loj yog tias tus kab mob rub mus. Muaj txhua qhov laj thawj xav tau qhov tshwm sim tom qab 5-6 hnub ntawm qhov pib ntawm cov tsos mob ntawm tus kab mob no.
Cov txheej txheem hauv qab no tuaj yeem txheeb xyuas tias muaj teeb meem, uas muaj kev puas tsuaj loj:
- streptococcal meningitis;
- rheumatism thiab mob caj dab;
- kev poob siab;
- sepsis;
- Leinier's syndrome.
Xav seb tus menyuam twg tuaj yeem ntsib nrog kev kho mob qeeb, cov niam txiv yuav tsum hu rau tus kws kho mob thaum xub thawj pom tus mob purulent.
Kev kho mob
Tom qab ntawdYuav ua li cas kev kuaj mob, lub sij hawm ntawm cov chav kawm ntawm tus kab mob no loj nyob ntawm tus xaiv txoj kev ntawm counteracting lub inflammatory txheej txheem. Ntxiv mus, thaum cov kws kho mob kho follicular tonsillitis nyob rau hauv ib tug me nyuam, kev kho mob yog txo los ntawm kev siv tshuaj tua kab mob. Tam sim no, qhov no yog txoj hauv kev zoo tshaj plaws los tiv thaiv qhov mob ntawm tonsils.
Rau tus menyuam kom rov zoo sai thiab ua tiav, tsis yog siv tshuaj tua kab mob nkaus xwb, tab sis kuj tseem muaj kev sib koom ua ke rau kev kho mob xws li.
Ua ntej tshaj, koj yuav tsum tau xyuam xim rau qhov kub thiab txias: yog tias nws nce mus txog 38 ° C, ces koj yuav tsum hu rau kws kho mob. Cov tshuaj tiv thaiv no tseem cuam tshuam rau lwm cov cim qhia ntawm angina.
Yog hais tias nws tshwm sim tias tus kws kho mob tuaj tsis tau thaum nruab hnub, nws yog lub sij hawm los nco ntsoov txog cov kev hauv tsev los tiv thaiv cov tonsils. Cov no yog cov kev ntsuas hauv qab no:
- koj yuav tsum tau ua kom cua sov hauv chav;
- txwv tsis pub ua si thiab muab tus menyuam pw so;
- zaub mov, suav nrog cov nplej thiab cov kua zaub, yuav tsum tau txiav (nws yog qhov zoo dua los siv lub tshuab ntxhua khaub ncaws) thiab feem ntau, hloov cov zaub mov mus rau hom zaub mov homogeneous;
- kev haus ntau ntau kuj tseem ceeb.
Cov ntsiab cai no, los ntawm txoj kev, sib haum rau cov lus pom zoo uas tau hais hauv lub ntsiab lus: "Follicular tonsillitis hauv cov menyuam yaus, kev kho mob hauv tsev" Komarovsky, tus kws kho mob uas nyiam nrog ntau tus niam txiv. Nws kuj tseem hais txog kev koom tes ntawm tus kws kho mob, vim tsis muaj leej twg uas tsis muaj qhov tsim nyog tsim nyog yuav muaj peev xwm xaiv tau.tsim nyog cov tshuaj complex.
Yuav ua li cas tiv thaiv lub cev qhuav dej
Thaum tus txheej txheem o tau pib, tus menyuam yuav tsis xav noj cov kua dej uas xav tau. Nyob rau tib lub sijhawm, muab dej rau nws tsuas yog tsis yog lub tswv yim zoo heev. Hauv qhov xwm txheej uas nws pom tseeb tias follicular tonsillitis tau pib hauv tus menyuam, kev kho mob ua ntej kev kuaj mob yuav tsum suav nrog kev siv tshuaj ntsuab decoctions. Nws tuaj yeem yog coltsfoot, rosehip, oregano, chamomile lossis hawthorn tshuaj yej. Xws li decoctions tiv thaiv intoxication ntawm tus menyuam lub cev.
Tsis txhob hnov qab txog alkaline haus, uas yuav txo qhov mob thiab khaus hauv caj pas. Mineral dej tsis muaj roj yog zoo meej rau cov hom phiaj no. Tab sis haus dej kub uas muaj mob caj pas follicular yuav tsum raug txwv, vim lawv tuaj yeem ua rau cov mucous ntawm cov tonsils.
Tshuaj tua kab mob
Tom qab ntau xyoo ntawm kev kawm txog qhov teeb meem ntawm follicular angina hauv cov menyuam yaus, kev kho mob hauv tsev tam sim no txhais tau tias yog ib qho kev ntsuas pab. Qhov zoo tshaj plaws yog kev siv tshuaj tua kab mob.
Purulent mob tonsillitis yog qhov tshwm sim ntawm kev kis tus kab mob cuam tshuam nrog streptococcal pawg A. Hauv qhov no, cov tshuaj tua kab mob cephalosporin yuav cuam tshuam. Tsis tas li, tus kws kho mob tuaj yeem sau tshuaj tiv thaiv kab mob thiab cov vitamins B, C thiab tshuaj tiv thaiv kab mob.
Nws yog ib qho tseem ceeb kom nkag siab tias yuav luag tsis muaj peev xwm muab kev kho mob kom tiav rau purulent mob caj pas yam tsis muaj tshuaj tua kab mob.
Txhua xyooDaim ntawv teev cov tshuaj pom zoo tau nthuav dav. Tab sis yog tias peb tham txog cov neeg nyiam tshaj plaws, ces nws tsim nyog hais txog Cefotiam, Benzpenicillin, Clarithromycin, Cefazolin, Sumaded, Erythromycin, Azithromycin thiab lwm yam. Rau cov tshuaj pleev ib ce, Bioparox tshuaj tsuag, uas muaj broad-spectrum antibacterial zog, yog heev haum.
Yog tias kuaj pom angina follicularis, kev kho mob hauv tus menyuam (2 xyoos thiab tshaj saud) yuav tsum ua ntu zus thiab yuav tsum muaj cov tshuaj tua kab mob. Nws yog ib qho tseem ceeb uas yuav tau ua raws li txoj cai no, txij li tus kab mob tuaj yeem txhim kho cov tshuaj tiv thaiv hauv lub sijhawm luv luv. Yog tias koj cuam tshuam cov txheej txheem kho qhov tseem ceeb thiab txuas ntxiv mus tom qab, tus kab mob tuaj yeem tsis tsuas nyob, tab sis kuj hnyav dua.
YAntipyretics
Thaum thawj cov tsos mob ntawm purulent tonsillitis tshwm sim thiab, vim li ntawd, qhov kub thiab txias nce, koj yuav tsum siv cov tshuaj uas muaj cov nyhuv antipyretic.
Ib qho ntawm cov nyiaj no yog cov menyuam yaus "Nurofen". Qhov txiaj ntsig zoo tuaj yeem muab cov tswm ciab "Cefekton" thiab lwm yam tshuaj zoo sib xws. Tab sis raws li "Aspirin", nws tsis pom zoo kom muab rau cov menyuam yaus. Tib yam mob raws li cov tshuaj no tuaj yeem sau tau yog qhov tsis txaus ntseeg ntawm qhov ua tau ntawm tus menyuam mus rau rheumatism. Qee lub sij hawm nws kuj tseem siv rau hauv kev loj hlob ntawm purulent tonsillitis.
Yog tias qhov kub tsis tau mus txog 38 ° C, ces koj yuav tsum tsis txhob siv cov tshuaj tua kab mob. Hloov chaw, nws yog qhov zoo tshaj kom cia tus menyuam lub cev kov yeej qhov kub ntawm nws tus kheej. Nws tsim nyog nco ntsoov tias koob tshuaj lojtuaj yeem ua rau muaj kev phiv tom kawg, uas, feem ntau, yuav ua rau tsis zoo rau kev ua haujlwm ntawm lub plab zom mov.
Thaum follicular tonsillitis yog kho rau cov menyuam yaus, kev kho mob (cov tshuaj tua kab mob, tshuaj tua kab mob, thiab lwm yam) yuav tsum tau tswj hwm los ntawm tus kws kho mob tsim nyog yam tsis muaj kev pib.
Txoj kev kho mob hauv zos
txuas ntxiv lub ntsiab lus ntawm qhov cuam tshuam rau cov kab mob nyuaj xws li mob tonsils, nws yog ib qho tseem ceeb uas yuav tsum tau xyuam xim rau kev siv tshuaj hauv zos. Yog tsis muaj cov khoom no, kev kho mob tsis tuaj yeem suav tias ua tiav.
Qhov no txhais tau tias koj yuav tau gargle tus menyuam lub caj pas nrog cov kev daws teeb meem tshwj xeeb, ua tib zoo tswj cov txheej txheem nws tus kheej. Muaj cov xwm txheej thaum yaug yog ib qho kev ntsuas contraindicated, nyob rau hauv cov ntaub ntawv nws yog tsim nyog irrigating lub oropharynx nrog ib tug douche. Tom qab ua tiav cov txheej txheem, tus menyuam yuav tsum nti tawm cov kua uas seem.
Los ntawm txoj kev, thaum follicular tonsillitis tshwm nyob rau hauv ib tug me nyuam (3 xyoos), kev kho mob yuav tsum pib tsuas yog tom qab kws kho mob, vim hais tias cov tsos mob ntawm o ntawm tonsils nyob rau hauv lub hnub nyoog no zoo ib yam li cov tsos mob ntawm mononucleosis.
Rov qab mus rau lub ntsiab lus ntawm kev kho mob hauv zos, nws tsim nyog hais txog cov kev xaiv ntau tshaj plaws rau cov tshuaj pleev ib ce:
- "Chlorhexidine";
- kua txiv beet;
- tov dej qab zib thiab ntsev (ib teaspoon ib khob dej);
- Furacilin ntsiav tshuaj diluted hauv dej (100 ml);
- infusions ntawm Oak bark, sage thiab chamomile.
Cov npe tshuaj nthuav me ntsis thaum nws los txog rau qib preschoolhnub nyoog. Follicular mob caj pas nyob rau hauv ib tug me nyuam (4 xyoos) kev kho mob implies cov nram qab no: cov tshuaj saum toj no ntxiv rau aerosols rau irrigation ntawm caj pas (Gexoral, Miramistin, Bioparox) thiab lozenges (Antiangin, Septefril, Septolete thiab lwm yam).
Kev Tiv Thaiv
Yog li, raws li cov ntaub ntawv saum toj no, peb tuaj yeem kos cov lus pom tseeb: purulent o ntawm tonsils hauv tus menyuam yog ntau tshaj qhov teeb meem loj. Yog li ntawd, nws yog ib qho tseem ceeb kom paub yuav ua li cas tiv thaiv kev kis tus kab mob, tshwj xeeb tshaj yog tias muaj ntau tus menyuam hauv tsev neeg. Koj yuav tsum paub txog yuav ua li cas kom tsis txhob muaj tus kab mob no.
Rau kev tiv thaiv tus kab mob zoo, nws yog ib qho tsim nyog yuav tsum txwv kev sib cuag ntawm tus neeg mob nrog lwm tus neeg hauv tsev neeg. Txhawm rau ua qhov no, koj yuav tsum muab cov txaj cais rau tus menyuam (tom qab ntxuav nws) thiab muab nws cov tais diav rau nws.
Kom zam dhau qhov tshwm sim lossis rov txhim kho tus kab mob no yuav pab kho qhov ncauj tsis tu ncua. Peb tab tom tham txog kev kho mob raws sij hawm ntawm tus mob khaub thuas, nrog rau kev mob hauv caj pas. Yog tias muaj kev xav tias caries, kev kho mob yuav tsum tsis txhob ncua. Tsis tas li ntawd, nws tsim nyog los npaj cov txheej txheem hardening rau cov menyuam yaus, tab sis tsuas yog tom qab sab laj nrog cov kws tshaj lij.
Results
Tau qhov teeb meem loj heev, cov niam txiv yuav tsum ua tib zoo soj ntsuam qhov nyuaj ntawm cov kab mob xws li follicular tonsillitis (cov duab hauv cov menyuam yaus, saib xyuas kev kho mob ntawm tus kab mob no). Kev pheej hmoo ntawm kev loj hlob hnyavCov teeb meem tau lees paub los ntawm qhov tseeb tias purulent o ntawm tonsils hauv tus menyuam yog qhov txaus ntshai rau tsis quav ntsej.
