Mob pharyngitis tuaj yeem tsim los ua tus kab mob ywj pheej, tab sis feem ntau nws yog kev txhim kho ntawm tus kab mob uas tsis kho. Hauv cov ntaub ntawv dav dav, qhov no pathology tau nkag siab tias yog cov txheej txheem inflammatory uas cuam tshuam rau cov qog ntshav ntawm lub pharynx thiab nws cov mucous membranes. Nws belongs rau ib qho ntawm feem ntau cov kab mob ENT. Qhov tshwm sim ntau zaus yog pom hauv cov menyuam yaus.
Kev faib tawm ntawm pharyngitis
Muaj ob hom kab mob no:
- ntsim;
- mob pharyngitis.
Thawj hom tuaj yeem tshwm sim los ntawm kev cuam tshuam rau kev khaus, plua plav nkag mus rau hauv txoj hlab pa, cua sov lossis, qhov sib txawv, hypothermia, microbes lossis fungi. Nws muab faib ua ob peb hom:
- mob siab;
- ua xua;
- fungal;
- kab mob;
- viral;
- ua los ntawm kev cuam tshuam ntawm ntau yam: irradiation, kub chav, tshuaj, dej kub.
Nyob rau hauv daim ntawv ntev, ntau yam hauv qab no txawv:
- hypertrophic;
- atrophic;
- catarrhal (simple).
Thaum lub sijhawm muaj tus kabmob, ntau hom tuaj yeem ua ke, qhov no lawv hais txog kev sib xyaw pharyngitis.
Yog vim li cas
mob pharyngitis nyob rau hauv cov neeg laus thiab cov menyuam yaus feem ntau yog vim nquag thiab (lossis) cov ntaub ntawv tsis zoo ntawm tus kabmob.
Qhov laj thawj tseem ceeb ntawm cov txheej txheem no yog raws li hauv qab no:
- ua haujlwm hauv txoj haujlwm cuam tshuam nrog lub suab nrov (xib fwb, tshaj tawm, hu nkauj);
- kev ua haujlwm hauv kev lag luam phom sij;
- txais tos kub lossis txias, nrog rau cov zaub mov ntsim, nqus cua sov lossis cua txias, plua plav;
- tshuaj mus sij hawm ntev nrog qee yam tshuaj, nqus cov pa tshuaj lom neeg, gastroesophageal reflux;
- cov xwm txheej ntxhov siab dhau lub sijhawm ntev, beriberi;
- pathologies ntawm txoj hnyuv: kab mob gastroesophageal, cholecystitis, atrophic gastritis, pancreatitis;
- kab mob endocrine thiab hormonal ntshawv siab;
- Kuv teb, pulmonary, lub raum tsis ua hauj lwm, ntshav qab zib mellitus;
- haus luam yeeb, suav nrog nws cov ntawv nquag thiab tsis ua haujlwm;
- khaub thuas uas ib ntus tshwm sim hauv lub cev, ua rau txo qis hauv kev tiv thaiv.
mob pharyngitis hauv ICD
Hauv peb lub tebchaws, ICD-10 (International Classification of Diseases of the Tenth Revision) tau tshaj tawm xyoo 1999 raws li cov ntaub ntawv tswj hwm rau kev suav nyiaj rau kev mob nkeeg, cov laj thawj rau pej xeem siv raucov chaw kho mob thiab ua rau tuag. Nws muaj tag nrho cov ua tau pathologies ntawm ntau yam kabmob. Mob pharyngitis yog tsis muaj kev zam. Nyob rau hauv ICD-10, nws belongs rau X chav kawm "Cov kab mob ntawm lub pa system", ntu "Lwm yam kab mob ntawm lub sab sauv ua pa ib ntsuj av", nws yog muab lub code J31.2.
Symptoms of disease
Feem ntau lawv zoo sib xws hauv ntau hom. Cov tsos mob tseem ceeb ntawm mob pharyngitis nyob rau hauv cov neeg laus yog:
- qhov kub nce me ntsis tuaj yeem pom lossis tsis pom;
- faus;
- hnoos qhuav thiab obsessive;
- me ntsis loj cov qog ntshav nyob rau hauv pem hauv ntej, mob ntawm palpation;
- kev tsis xis nyob yuav tawm mus rau pob ntseg;
- xav pob thiab khaus thaum nqos;
- caj pas qhuav.
Qhov thib peb thiab ob lub cim kawg yuav luag ib txwm muaj nyob rau hauv mob pharyngitis.
Thaum nws tshwm sim tawm tsam keeb kwm ntawm cov kab mob ntawm lub plab zom mov, kub siab thiab mob plab tuaj yeem hnov. Yog li, cov tsos mob ntawm tus mob pharyngitis ntev thiab kev kho mob hauv cov neeg laus yuav tsum tau txuas nrog nyob ntawm cov kab mob cuam tshuam. Tus kab mob no muaj cov tsos mob zoo ib yam li lwm yam khaub thuas. Yog li, tonsillitis ntev thiab pharyngitis txawv ntawm ib leeg nyob rau hauv uas thaum lub sij hawm thawj ailments, dynamics tau muab sau tseg nyob rau hauv lub khub tonsils ntawm lub palate, thiab nws yuav ua tau tus kab mob rau txoj kev loj hlob ntawm tus kab mob kawg.
Lub tswvyim ntawm granulosa ntau yam kab mob
Nrog kev txhim kho ntawm tus kab mob no nyob rau sab caj pasgranules yog tsim, uas muaj xws li hais ntawm lymphoid cov ntaub so ntswg thiab cov kab mob tuag, zoo li nodules. Nws yog tus cwj pwm los ntawm qhov tickling los yog kub hnyiab, nrog mob siab thaum nqos.
Cov kab mob granulosa pharyngitis tuaj yeem tshwm sim hauv cov pej xeem uas nws cov txheeb ze raug cuam tshuam los ntawm qhov tsis zoo. Ntxiv rau cov laj thawj uas tau teev tseg saum toj no, tus yam ntxwv ntawm txhua hom kab mob no, daim ntawv no tuaj yeem tshwm sim vim yog carious formations, txawv txav ntawm lub qhov ntswg kab noj hniav, curvature ntawm qhov ntswg septum..
Nyob rau hauv tus kab mob no, cov kua paug ntws mus rau hauv caj pas phab ntsa. Yog tias tus neeg mob hnoos, tom qab ntawd kev tawm tsam ntawm xeev siab thiab ntuav. Cov mucous secretions qhuav tawm, crusts tsim nyob rau hauv caj pas. Muaj ib qho kev xav ntawm ib qho khoom txawv teb chaws hauv caj pas.
Atrophic thiab subatrophic ntau yam ntawm tus kab mob
Nyob rau hauv thawj daim ntawv, ntshav crusts maj mam tshwm sim ntawm nasopharyngeal mucosa. Lawv tig daj ntseg, nyias, ua qhuav. Qhov chaw ntawm caj pas tuaj yeem npog nrog cov hnoos qeev qhuav.
Nyob rau hauv daim ntawv hypertrophic, o ntawm cov mucous daim nyias nyias yog pom, foci ntawm hyperplastic lymphoid cov ntaub so ntswg yog tsim nyob rau sab nraum qab ntawm lub pharynx, hyperemia yog sau tseg.
Nrog subatrophic pharyngitis, khaus thiab hnov mob hauv caj pas, dryness tau sau tseg. Kev hnoos tsis tshwm sim, hnoos qeev tsis sawv, muaj hnoos qhuav. Cov phab ntsa ntawm lub pharynx accumulates mucus, crusts tshwm, ib qho tsis kaj siab tsw los ntawm lub qhov ncauj kab noj hniav. Qhov hnoos yog khaus thiab ua rau insomnia.
Diagnosis
Nws yog ua tiav thaum tus neeg mob mus ntsib kws kho mob. Nyob rau hauv lub xub ntiag ntawm ib tug pathogen, tom kawg yog kuaj los ntawm ib tug smear xa mus rau kab mob kab mob. Kev suav ntshav ua tiav kuj tseem ua kom pom cov kab mob kab mob. Yog tias muaj teeb meem tom qab mob granulosa pharyngitis, laryngoscopy yog ntxiv.
Kev kuaj mob caj pas los ntawm tus kws kho mob otolaryngologist yog siv lub pharyngoscope nrog lub teeb pom kev zoo.
Yog tias tsim nyog, kev tshuaj xyuas endoscopic ntawm lub larynx thiab pharynx, tomography ntawm cov kabmob no tuaj yeem ua tau.
Kev kho mob
Txhawm rau nkag siab yuav ua li cas kho tus mob pharyngitis, koj yuav tsum tsim kom muaj qhov ua rau pom tus kab mob no. Yog tias cov kab mob ua rau cov ntaub ntawv tsis yooj yim, ces kev kho tshuaj tua kab mob tsis yog siv rau.
Nyob rau hauv cov ntaub ntawv no, lawv mus rau kev kho mob, uas muaj xws li chav nqus pa, noj, haus dej kub, sov lub caj pas, yaug. Cov tom kawg tuaj yeem ua nrog cov tshuaj antiseptic. Thaum lub sijhawm kho, koj yuav tsum tsis txhob haus luam yeeb kiag li.
Yog li, cov tsos mob thiab kev kho mob ntawm tus mob pharyngitis nyob rau hauv cov neeg laus muaj kev cuam tshuam.
noj tshuaj tua kab mob
Yog tias muaj kab mob microflora raug txheeb xyuas tias yog qhov ua rau, tus kws kho mob sau cov tshuaj no.
Ntxiv rau cov khoom tseem ceeb uas yog ib feem ntawm cov tshuaj, cov tshuaj tua kab mob suav nrog cov roj tseem ceeb thiab tshuaj loog kom tshem tawm qhov mob.
Rau pharyngitis, cov hauv qab no tau sau tsegtshuaj ntawm no series:
"Octenisept". Nrog nws cov kev pab, lawv tua tsis tau tsuas yog cov kab mob, tab sis kuj herpes kab mob, fungi thiab chlamydia. Daim ntawv tso tawm yog aerosol, qhov kev txiav txim tshwm sim 1 feeb tom qab thov thiab kav rau ib teev. Cov tshuaj muaj kev nyab xeeb, tsis muaj tshuaj lom rau lub cev.
"Bioparox" yog lub npe tshuaj rau cov tshuaj fusafungin. Nws muaj anti-inflammatory thiab antimicrobial kev ua. Nws yog tsuas yog siv nyob rau hauv mob pharyngitis nyob rau hauv daim ntawv ntawm ib tug aerosol.
"Geksoral". Tso tawm nyob rau hauv daim ntawv ntawm ib tug tov los yog tshuaj tsuag. Nws muaj ntau yam tshuaj tua kab mob thiab tshuaj tua kab mob. Kuj tseem muab deodorization, tshuaj loog, enveloping. Nws muaj cov nyhuv antiseptic.
Lwm yam tshuaj rau kev kho tshuaj
Thaum nrhiav seb yuav kho tus mob pharyngitis ntev npaum li cas, tshuaj tua kab mob ib leeg yuav tsis txaus.
Hauv qhov no, siv cov lus hauv qab no:
- "Strepsils".
- "Septolete".
- "Pharingosept". Peb yam khoom no xa mus rau lozenges thiab lozenges rau kev nqus - lawv feem ntau yog tshuaj rau cov mob me me.
- "Imudon".
- "Ambassador".
- "Hexaspray".
- "Ingalipt"
- "Kameton".
Iodinol.
Qee ntawm cov tshuaj no tuaj yeem ua rau muaj kev fab tshuaj, yog lilawv siv yog txwv.
Qee yam tshuaj xws li Sebidine, Drill nrhiav nqaim vim lawv muaj chlorhexidine uas yog tshuaj lom.
Tsis tas li ntawd, lub caj pas tuaj yeem siv cov furacilin lossis cov tshuaj tsis muaj zog ntawm poov tshuaj permanganate.
Siv tshuaj tsoos tsho
Thaum txiav txim siab yuav kho tus mob pharyngitis ntev npaum li cas, koj tuaj yeem siv tsis yog cov tshuaj ntawm cov tshuaj ib txwm siv xwb. Tsis yog qhov phem tuaj yeem pab ua ke nrog tom kawg thiab decoctions ntawm cov tshuaj ntsuab nrog tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob, ua kom sov hauv caj pas, nqus cua sov, ntim ntau ntawm cov kua dej sov.
Koj tuaj yeem ua tshuaj da dej uas muaj cov roj tseem ceeb ntxiv. Txhawm rau txo qhov mob, txhua 3 teev koj tuaj yeem zom ib clove (2 buds txhua) los yog gargle nrog ntsev sov tov, 1 tsp. ntsev hauv 500 ml dej.
Infusions rau kev nqus pa yog npaj los ntawm cov nroj tsuag hauv qab no:
- sage;
- tsob ntoo;
- chamomile;
- calendula;
- lavender;
- txiv qaub paj;
- peppermint;
- yarrow.
Txhawm rau npaj cov infusion, 10 g ntawm qhuav tshuaj ntsuab yog nchuav rau hauv 200 ml ntawm boiling dej, tom qab ntawd nws yog infused rau 1 teev, lim, 30 ml dej yog ntxiv rau inhalation.
Sab nraub qaum ntawm caj pas hauv tus mob pharyngitis tuaj yeem kho nrog kev sib xyaw ua ke txhua hnub, muaj cov hauv qab no: 1 feem ntawm 10% cawv infusion ntawm propolis thiab 2 qhov chaw.glycerin thiab txiv duaj roj.
Ytxhawm rau txo cov tsos mob ntawm qhov mob, noj 10 g ntawm Suav magnolia vine, 5 g ntawm mint thiab hlua, ncuav 200 ml ntawm dej thiab boil rau 3 feeb ntawm tsawg tshav kub. Qhov no muaj pes tsawg leeg yog infused rau ib teev, tom qab uas nws yog lim thiab noj 50 ml nyob rau hauv ib tug sov so daim ntawv. Zib ntab tuaj yeem ntxiv los txhim kho saj.
Camomile tshuaj yej kuj muaj cov tshuaj tiv thaiv kab mob. Tsis tas li ntawd, nws pab soften fabrics. Nws yog npaj raws li nram no: rau 1 tsp. crushed nplooj ntawm cov nroj tsuag noj 200 ml ntawm boiling dej, ncuav lub phytomass, infuse, lim thiab haus dej sov los yog siv los yaug.
Ib qho tshuaj npaj los ntawm qhov sib npaug ntawm nplooj nplooj, currants thiab chamomile inflorescences muaj cov nyhuv zoo sib xws. 10 g ntawm no sib tov yog nchuav nrog ib khob dej, boiled rau 5 feeb thiab infused rau ib teev. Nws tau noj sov thaum hmo ntuj, ntxiv 3 tee ntawm fir roj.
Txhawm rau txo qis kev ntxhov siab thiab tshem tawm qhov hnoos tawm, npaj ib lub decoction ntawm hop cones, txiv qaub balm nplooj, sage, oregano, St. John's wort, uas tau noj nyob rau hauv sib npaug proportions. Thaum tsaus ntuj, 2 tablespoons pw tsaug zog hauv ib lub thermos. ntawm no sau, ncuav 500 ml ntawm boiling dej, npog nrog ib tug hau thiab tawm mus infuse thoob plaws ib hmos. Thaum sawv ntxov, lim thiab haus ib feem peb ntawm ib khob ob peb zaug hauv ib hnub lossis gargle nrog cov tshuaj no.
Kev Tiv Thaiv
Koj yuav tsum tso tus cwj pwm phem xws li haus luam yeeb. Yog tias ua tau, zam kev cuam tshuam ntawm kev khaus thiab teeb meem ntawm lub cev,ua raws li kev noj zaub mov kom raug, txhawb kev tiv thaiv.
Nws yog qhov tsim nyog los kho cov teeb meem hniav hauv lub sijhawm.
Ntau dhau qhov ziab hauv chav thaum lub caij cua sov yuav tsum tau muab tshem tawm nrog cov av noo.
Thaum muaj tus kab mob xws li gastroesophageal reflux, nws yog ib qho tsim nyog yuav tsum tau tsa lub taub hau ntawm lub txaj thaum pw tsaug zog, uas yuav tiv thaiv cov kua qaub ntawm lub plab kom nkag mus rau hauv txoj hlab pas thiab tshem tawm kev ua xua ntawm pharyngeal mucosa.
In xaus
Tus mob pharyngitis tuaj yeem tshwm sim raws li tus kab mob ywj pheej nrog cov ntaub ntawv mob tshwm sim ntau zaus los yog txuas ntxiv ntawm tus kab mob tsis kho. Tsis zoo li yav tas los, kub taub hau tsis tshua pom nrog pathology nyob rau hauv kev xav. Ib daim ntawv xws li mob granulosa pharyngitis tuaj yeem tau txais txiaj ntsig, nrog rau thaum muaj teeb meem kho hniav. Cov tshuaj tua kab mob, tshuaj tua kab mob, lozenges thiab lozenges rau resorption hauv cov ntawv me, nrog rau cov tshuaj ntsuab siv tau los ua kev kho mob.
