Tonsillitis yog ib yam kab mob uas mob ntawm cov tonsils tsim los ntawm kev kis kab mob. Streptococcus thiab staphylococcus lesions feem ntau pom.
Tus mob tonsillitis yog tus cwj pwm los ntawm cov tsos mob tshwm sim, uas tsis tuaj yeem tsis pom. Yog tias kev kho mob ntawm tonsillitis raug ua tiav, ces tus kab mob ntws mus rau hauv lub sijhawm ntev nrog kev rov ua dua tshiab.
Tus kab mob no tshwm sim rau cov menyuam yaus hnub nyoog 5-10 xyoo. Nyob rau hauv daim ntawv mob ntev, exacerbations tshwm sim ob peb zaug hauv ib xyoos.
Tus kab mob
Tonsillitis yog ib qho kab mob sib kis thiab mob ntawm cov tonsils. Qhov no yog ib yam kab mob ua pa uas tshwm sim. Cov palatine tonsils yog ib qho tseem ceeb ntawm lub cev tiv thaiv kab mob uas koom nrog hauv kev txhim kho kev tiv thaiv kab mob thiab muab kev tiv thaiv kev nkag mus ntawm cov kab mob mus rau hauv lub cev. Txawm li cas los xij, qee zaum, cov tonsils lawv tus kheej dhau los ua qhov tseem ceeb ntawm tus kab mob.
Qhov saum npoo ntawm cov tonsils muaj ntau lacunae, uas cov khoom noj khoom haus, kab mob microbes thiab cov ntsiab lus purulent linger. Nrog tonsillitis, cov txheej txheem pathological feem ntau cuam tshuam tsuas yog cov palatine tonsils, thiab nasopharyngeal, lingual thiab laryngeal tonsils ua rau mob tsawg dua. Tus kab mob no cuam tshuam rau cov neeg laus thiab menyuam yaus hnub nyoog qis dua 5 xyoos. Qhov tseeb tiag, tus kab mob no tshwm sim los ntawm qhov tshwm sim raws caij nyoog.
Kev faib tawm tseem ceeb
Kev kho mob tonsillitis feem ntau nyob ntawm daim ntawv ntawm tus kab mob. Raws li cov degree ntawm ntws, xws li mob thiab mob tonsillitis yog txawv. Daim ntawv mob hnyav, dhau los, tau muab faib ua:
- follicular;
- necrotic;
- ncig;
Cov kab mob tseem ceeb ntawm cov kab mob yog hemolytic streptococcus, thiab qee zaum nws tuaj yeem tshwm sim los ntawm chlamydia thiab mycoplasmas. Kev kho mob ntawm tus mob tonsillitis yuav tsum yog qhov nyuaj, vim tias tus kab mob tuaj yeem ua mob sai sai. Angina tshwm sim nrog cov tsos mob hnyav heev thiab mob mob hauv caj pas.
Kev kho mob tonsillitis ntev ntev, vim nws yog cov txheej txheem inflammatory uas tshwm sim hauv pharyngeal tonsils tau ntau lub hlis thiab txhim kho tom qab mob caj pas yav dhau los. Ib yam mob zoo sib xws tshwm sim yog tias tus kab mob no kho tsis tau tag nrho.
Daim ntawv mob ntev ntawm pathology tuaj yeem yooj yim lossis ua xua-ua xua. Nrog rau theem yooj yim, cov tsos mob hauv zos tau pom, thiab rau ib qho kev tsis haum tshuaj ntawm qhov topathology yog tus cwj pwm los ntawm kev tsis zoo nyob hauv kev noj qab haus huv. Tsis tas li ntawd, mob tonsillitis tuaj yeem raug them los yog decompensated. Daim ntawv tom kawg yog tus cwj pwm los ntawm kev txhim kho cov teeb meem hauv daim ntawv ntawm cov kab mob inflammatory ntawm lub qhov ntswg thiab pob ntseg, nrog rau abscesses.
Ua rau kab mob
Tus mob tonsillitis feem ntau yog tshwm sim los ntawm ntau yam kab mob, nrog rau cov kab mob thiab cov fungi. Daim ntawv mob ntev ntawm tus kab mob tuaj yeem txhim kho nrog kev sib xyaw ua ke ntawm ntau yam, tshwj xeeb, xws li:
- kev kho mob tsis zoo ntawm angina;
- kev cuam tshuam hauv lub cev tiv thaiv kab mob;
- muaj foci ntawm tus kab mob ntev;
- ua xua;
- frequent viral kab mob.
Cov kab mob thiab kab mob feem ntau nkag mus rau hauv lub cev los ntawm ib puag ncig sab nraud. Kev tiv thaiv tsis muaj zog tsis muaj peev xwm muab kev tiv thaiv tag nrho ntawm lub cev. Kev txo qis hauv kev tiv thaiv kab mob tuaj yeem ua rau tsis tsuas yog mob, tab sis kuj muaj kev ntxhov siab, kev noj zaub mov tsis zoo thiab cuam tshuam ntawm kev ua neej nyob. Nrog rau txoj kev mob ntawm tus kab mob no, ib tug neeg yeej tsis txaus ntshai rau lwm tus.
Dab tsi yog cov tsos mob
Cov tsos mob thiab kev kho mob ntawm tonsillitis tuaj yeem sib txawv heev, txhua yam nyob ntawm tus yam ntxwv ntawm cov kab mob thiab nws daim ntawv. Nyob rau hauv cov ntaub ntawv ntawm ib tug mob ntawm tus kab mob, cov tsos mob feem ntau yog nyob ntawm tus kab mob, cov yam ntxwv ntawm lub tonsil lesion, raws li zoo raws li cov kev mob ntawm tus neeg mob. Cov tsos mob muaj xws li:
- kub;
- mob caj pas;
- mob qog nqaij hlav thiab mob qog nqaij hlav;
- ntuav, raws plab;
- cim ntawm kev qaug cawv hnyav.
Cov tsos mob ntawm tonsils feem ntau nyob ntawm theem ntawm tus kab mob, tab sis nyob rau hauv txhua rooj plaub lawv o, reddened thiab coated. Cov tsos mob thiab kev kho mob ntawm catarrhal tonsillitis yog qhov nyuaj, yog li cov quav hniav yuav tsis tuaj, thiab qhov mob tsis tau hais tawm. Nrog rau tus kab mob tonsillitis, cov tonsils tau npog nrog cov hlwv, uas qhib lub sijhawm, thiab daim ntawv rwj. Tsis tas li ntawd, muaj cov cim qhia txog kev puas tsuaj rau lub ntsws, uas yog:
- hnoos;
- Nyob zoo ib tsoom phooj ywg.
Thaum tus kab mob hnyav, muaj cov tsos mob ntawm kev qaug dab peg, qaug zog heev thiab kev tiv thaiv tsis zoo. Cov tsos mob thiab kev kho mob ntawm tonsillitis ntev yog txawv me ntsis ntawm daim ntawv mob, thiab ntawm cov cim tseem ceeb tuaj yeem paub qhov txawv:
- khaus caj pas qhuav;
- nce me ntsis hauv qhov kub;
- tsis xis nyob thaum nqos;
- ntau cov qog nqaij hlav;
- ntxiv, cov kua paug yuav cais.
Daim ntawv mob ntev yog tus cwj pwm los ntawm qhov tshwm sim rov tshwm sim tom qab muaj kev kub ntxhov, kev ntxhov siab hnyav thiab ntau yam tsis zoo. Yog tias cov tsos mob ntawm tonsillitis ntev tshwm sim hauv cov neeg laus, kev kho mob yuav tsum tau ua tam sim ntawd kom tsis txhob ua rau muaj teeb meem tshwm sim.
Diagnostics
Raws li cov tsos mob ntawm tonsillitis hauv cov neeg laus, kev kho mob tsim nyog tau sau tseg, tab sis tsuas yog tom qab kev kuaj mob dav dav thiab txheeb xyuas cov kab mob.ua mob. Hauv daim ntawv mob hnyav, tus neeg mob tig mus rau tus kws kho mob nrog kev tsis txaus siab ntawm mob caj pas thiab ua npaws. Cov neeg uas muaj mob tonsillitis tsis txaus ntseeg ntawm qhov mob caj pas uas tshwm sim ntau zaus hauv ib xyoos.
Txhawm rau kuaj mob, tus kws kho mob ua qhov kev kuaj mob ntawm qhov ncauj, nrog kev pab los ntawm nws qhia cov cim qhia ntawm tus kab mob no. Txhawm rau txheeb xyuas cov ntsiab lus purulent, nws txo qis ib qho spatula rau hauv paus ntawm tus nplaig, thiab thawb cov tonsils ib sab nrog rau lwm tus. Cov ntsiab lus yuav tawm tuaj.
txhawm rau txheeb xyuas cov kab mob sib kis, kev kuaj mob ntawm lub qhov ntswg thiab cov kwj deg tau ua tiav. Yog tias xav tias muaj qog nqaij hlav, yuav ua rau biopsy.
Smear kuaj yuav tsum tau txheeb xyuas cov kab mob me me uas ua rau mob o thiab txiav txim siab lawv qhov rhiab heev rau cov kab mob tua kab mob. Qhov no yuav txheeb xyuas cov kab mob microorganisms uas provoked txoj kev loj hlob ntawm tus kab mob. Nrog rau cov tonsillitis tsis tu ncua, ib qho kev ntsuam xyuas rhiab heev rau cov tshuaj tau sau tseg, uas yuav tso cai rau koj xaiv txoj kev kho mob zoo tshaj plaws.
Kev kuaj ntshav kuj tau sau tseg, txij li cov kev hloov pauv hauv cov ntsuas tuaj yeem txiav txim siab cov kab mob sib kis nrog cov txheej txheem inflammatory. Nws yog tsim nyog sau cia tias nyob rau hauv daim ntawv ntev, cov ntsuas yuav nyob twj ywm nyob rau hauv ib txwm muaj.
Txoj kev kho mob
Thaum cov tsos mob ntawm tonsillitis tshwm sim hauv cov neeg laus, kev kho mob yuav tsum tau muab los ntawm tus kws kho mob uas tsim nyog nkaus xwb, txij li kev noj tshuaj rau tus kheej yuav ua rau muaj teeb meem. mobyuav tsum tau cais vim mob caj pas yog ib yam kab mob sib kis, nrog rau kev pw tsaug zog.
Feem ntau, kev kho mob ntawm tonsillitis yog sau tseg, uas qhia txog kev kho tshuaj tua kab mob, kev siv cov tshuaj hauv zos, thiab kho lub cev. Tsis tas li ntawd, pej xeem txoj kev ua ke nrog cov tshuaj muab cov txiaj ntsig zoo. Hauv cov xwm txheej hnyav tshwj xeeb, kev phais yuav raug sau tseg.
Thaum mob tonsillitis, kev kho mob yuav tsum tau ua raws sijhawm, nws yuav tsum ua kom tiav, vim nws tuaj yeem ua mob sai heev.
Kev Tiv Thaiv Kev Tiv Thaiv
Thaum tus mob tonsillitis tshwm sim hauv cov neeg laus, kev kho mob tuaj yeem ua tiav hauv chav saib xyuas kab mob sib kis nrog kev pw tsaug zog nruj. Cov neeg mob tau pom tias ua raws li kev noj zaub mov tsis zoo thiab kev haus dej haus cawv. Tus kab mob no kho tau zoo nrog tshuaj thiab kho lub cev.
Kev kho mob tonsillitis nrog tshuaj tua kab mob tsuas yog ua thaum cov kab mob tshwm sim. Yog hais tias mob caj pas yog provoked los ntawm cov kab mob, ces lawv yuav tsis muaj tshwm sim. Cov neeg mob tau muab tshuaj tua kab mob dav dav, tshwj xeeb, xws li:
- Ypenicillins (Panklav, Augmentin);
- Ycephalosporins (Cefixime, Cefaclor);
- Ymacrolides (Sumamox, Clarithromycin).
Cov kab mob tsis yooj yim rau cov neeg laus tuaj yeem kho nrog tshuaj tua kab mob xws liBioparox. Cov tsos mob ntawm kev kho mob yog tsom rau txo cov tsos mob ntawm tus kab mob thiab alleviating tus neeg mob tus mob, uas yog vim li cas lawv siv:
- tshuaj tiv thaiv kab mob ("Nurofen", "Ibufen");
- tshuaj tiv thaiv kab mob ("Cetrin", "Loratadine");
- caj pas thiab lozenges;
- yaug nrog tshuaj tua kab mob;
- immunostimulating tshuaj ("Imunorix", "Imisgen");
- Yvitamin complexes.
Tom qab txo cov tsos mob ntawm qhov mob, kev kho lub cev yog ua tiav. Cov palatine tonsils raug rau ultraviolet, electromagnetic teb. Physiotherapy pab ua kom cov ntshav ncig hauv cov tonsils, muaj cov nyhuv stimulating, activates cov tshuaj tiv thaiv. Tsis tas li ntawd, cov av nkos tau siv rau thaj tsam ntawm cov qog nqaij hlav loj. Aromatherapy yog dav siv, uas txhais tau hais tias siv cov roj yam tseem ceeb rau kev nqus thiab yaug.
Kev kho mob tonsillitis ntev hauv cov neeg laus yog ua tiav yuav luag tib yam li kev kho mob ntawm daim ntawv mob. Hom decompensated ntawm tus kab mob no tsis haum rau kev kho mob. Hauv qhov no, tsuas yog kev phais xwb.
kev kho mob phais
Kev kho mob tonsillitis ntev rau cov neeg laus thiab menyuam yaus feem ntau ua phais. Nws yog ib qho tsim nyog sau cia tias tus kab mob no tuaj yeem ua rau muaj ntau yam teeb meem uas txuas mus rau cov pob qij txha thiab lub plawv, uas yog vim li cas pyelonephritis lossis endocarditis tuaj yeem tsim.
Kev kho mob ntawm tus mob tonsillitis tau ua tiavyog muaj teeb meem xws li:
- kev kis tus kab mob tshwm sim ntau dua 2 zaug hauv ib xyoos;
- cov tsos mob txaus ntshai;
- muaj teeb meem ntawm lub plawv thiab pob qij txha.
Laser tshem tawm cov tonsils lossis txoj kev ua kom sov, thaum cov tonsils khov, suav tias yog ib qho kev kho mob zoo. Muaj qee yam contraindications rau kev kho mob ntawm tus mob tonsillitis nyob rau hauv ib tug me nyuam los yog neeg laus. Hauv particular, ntawm cov contraindications tseem ceeb yog lub xub ntiag ntawm lub plawv thiab lub raum tsis ua hauj lwm, kis kab mob, ntshav qab zib, cev xeeb tub, hemophilia, cev xeeb tub. Kev kho mob yog nqa tawm 3 lub lis piam tom qab exacerbation.
Ntseeg haiv neeg
Kev kho mob tonsillitis nrog pej xeem cov tshuaj muaj nyob rau hauv kev siv ntau yam decoctions thiab tinctures npaj rau gargling. Txhawm rau tshem tawm cov kab mob thiab kab mob, yaug lub nasopharynx nrog dej ntsev sov. Nws yuav tsum tau kos rau hauv lub qhov ntswg thiab tom qab ntawd nti tawm. Koj tuaj yeem gargle nrog dej qab zib- ntsev tov.
Rau kev yaug, koj tuaj yeem siv cov kua txiv hmab txiv ntoo tshiab, uas yog diluted nrog dej sov. Cov tshuaj no yuav pab tiv thaiv tus kab mob. Kev kho mob ntawm tonsillitis nrog cov tshuaj pej xeem hais txog kev siv cov decoction:
- oak bark;
- burdock;
- raspberries;
- St. John's wort;
- St. John's wort;
- sage;
- poplar buds.
Tsis tas li, koj tuaj yeem siv propolis tincture, dej nrog kua cider vinegar, sov champagne, kua txiv cranberry nrogntxiv zib mu. Basil roj tuaj yeem siv los kho tonsils. Decoctions ntawm chamomile, marshmallow los yog horsetail yuav pab txhawb kev tiv thaiv.
Kev kho mob tonsillitis hauv tsev yog siv cov ntsev ntsev, nrog rau cov zaub qhwv compresses, uas yog siv rau hauv caj pas. Dos inhalations pab tshem tawm mob.
Kev kho mob tonsillitis nrog cov tshuaj pej xeem yog ua tau li ntawm 2 lub hlis, thiab tom qab ntawd koj yuav tsum tau so li 2 lub lis piam thiab rov ua cov kev kho mob. Cov kev kho mob pej xeem thiab cov tswv yim yuav tsum tau siv tsuas yog tom qab sab laj nrog kws kho mob. Yog tias tsis muaj qhov tshwm sim ntawm kev kho mob lossis kev phiv tshwm sim, tom qab ntawd lwm txoj kev kho yuav tsum raug tso tseg.
Khoom noj khoom haus thiab kev ua neej
Kev kho mob tonsillitis hauv tsev txhais tau tias ua raws li kev noj haus, nrog rau kev noj txhua hnub. Nrog angina, lub cev ua si yog contraindicated. Kev ua haujlwm ntau dhau ua rau muaj qhov hnyav ntawm lub plawv, thiab tseem ua rau muaj kev pheej hmoo ntawm cov teeb meem. Yog vim li ntawd nws thiaj li yuav tsum ua raws li kev pw tsaug zog rau tag nrho lub sijhawm.
Nyob rau hauv cov kab mob tonsillitis ntev, kev kho mob hauv cov neeg laus hauv tsev qhia tau hais tias nyob ntev hauv huab cua ntshiab, nrog rau kev txav txaus. Nws tau raug pov thawj tias nrog kev ua si lub cev tsis txaus, cov khoom tiv thaiv hauv zos deteriorate ntau. Txhawm rau txhawm rau tiv thaiv kev tiv thaiv kab mob rau cov neeg mob uas muaj mob tonsillitis, nws raug pom zoo:
- zam pa luam yeeb thiab plua plav;
- moisturize huab cua sab hauv;
- txiav luam yeeb;
- harden;
- saib txhua hnub;
- siv sijhawm so;
- tsis txhob ua haujlwm dhau thiab zam kev ntxhov siab.
Cov neeg mob uas muaj tus kab mob hnyav zuj zus tau raug qhia kom ua raws li kev noj haus. Nws yog tsom rau kev ntxiv dag zog lub cev tiv thaiv thiab tshem tawm cov co toxins sai. Ua noj yuav boiling los yog steaming. Tag nrho cov zaub mov noj yuav tsum muaj tsawg li tsawg tau. Nws yog ib qho tsim nyog kom tsis suav cov zaub mov ntsim, ntsim thiab qaub.
Thaum lub sijhawm exacerbation, yuav tsum tau noj zaub mov ntau zaus hauv qee qhov me me. Nws raug nquahu kom noj zaub mov thaum lub sijhawm kub poob thiab qab los noj mov.
Tonsillitis thaum cev xeeb tub
Yuav kom yug tau tus menyuam noj qab nyob zoo, cov poj niam cev xeeb tub yuav tsum saib xyuas lawv txoj kev noj qab haus huv. Thaum tsis muaj kev kho mob txaus, muaj teeb meem loj tuaj yeem tshwm sim. Kev kis tus kab mob tuaj yeem ua rau cov ntshav tsis zoo hauv lub tsev menyuam, fetal hypoxia, placental abruption, toxicosis, nchuav menyuam, thiab yug ntxov ntxov.
Cov poj niam npaj yuav yug menyuam yuav tsum tau kuaj xyuas thiab kho cov kab mob uas twb muaj lawm. Yog tias tonsillitis tsim thaum cev xeeb tub, koj yuav tsum xaiv txoj kev kho mob. Thaum cev xeeb tub, nws yog txwv tsis pub noj tshuaj tua kab mob. Nws yog qhov zoo tshaj plaws los siv cov tshuaj pej xeem thiab kho lub cev.
Kev kho mob angina hauv menyuam yaus
Cov tsos mob thiab kev kho mob tonsillitis hauv cov menyuam yaus tuaj yeem sib txawv,nws tag nrho nyob ntawm tus yam ntxwv ntawm chav kawm ntawm tus kab mob. Qhov laj thawj tseem ceeb ntawm angina yog cov kab mob. Lawv kis tau los ntawm cov tee hauv huab cua lossis kev sib cuag hauv tsev los ntawm tus neeg mob. Txij li thaum lub cev tiv thaiv kab mob tsis tau tsim tag nrho, yog li ntawd, tom qab nkag mus ntawm tus kab mob ua rau tus kab mob mus rau hauv lub cev, cov txheej txheem inflammatory pib tam sim ntawd.
Thaum thawj cov tsos mob ntawm tonsillitis tshwm sim hauv cov menyuam yaus, kev kho mob yuav tsum tau pib tam sim ntawd, vim tias tus kab mob tuaj yeem mus rau theem ntev. Ntawm cov cim tseem ceeb los qhia:
- mob qa;
- kub nce;
- kub thiab txias;
- mob taub hau;
- poob qab los.
Kev kho mob tonsillitis hauv cov menyuam yaus tuaj yeem muab faib ua hauv zos thiab dav. Nws yog ib qho tseem ceeb kom ceev nrooj tshem tawm tus neeg sawv cev ntawm tus kab mob thiab txo cov tsos mob uas twb muaj lawm. Yog hais tias tus kab mob yog kab mob nyob rau hauv cov xwm, ces nws yog tsim nyog los nqa tawm cov tshuaj tua kab mob. Feem ntau, tus kws kho mob muab tshuaj xws li Sumamed, Augmentin, Clarithromycin, Azithromycin.
Qhov peculiarity ntawm kev kho mob tonsillitis hauv cov menyuam yaus feem ntau nyob ntawm qhov hnyav ntawm tus kabmob, tus yam ntxwv ntawm tus menyuam thiab hom pathological microflora. Nrog tus kab mob kis kab mob, tus kws kho mob tau sau tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob, tshwj xeeb, xws li Viferon. Tsis tas li ntawd, cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob, nrog rau cov tshuaj tua kab mob hauv zos uas siv los ua dej hauv caj pas yog xav tau. Kev tshuaj xyuas txog kev kho mob tonsillitis hauv cov menyuam yaus nrog kev pab ntawm cov tshuaj thiab cov tshuaj pej xeem yog qhov zoo, qhov tseem ceeb tshaj -ua kev kho mob raws sijhawm.
Muaj Teeb Meem
Cov teeb meem hauv zos ntawm cov mob tonsillitis muaj xws li:
- abscess thiab paratonsillitis;
- pharyngitis;
- lymphadenitis;
- hloov pauv ntawm parenchyma nrog cov ntaub so ntswg sib txuas.
Cov teeb meem dav dav yog vim kev kis kab mob hauv lub cev. Cov teeb meem tuaj yeem cuam tshuam rau lub plawv, lub raum, thiab pob qij txha. Tsis tas li ntawd, tej zaum yuav muaj ntshav pathologies.
prophylaxis
Kev tiv thaiv suav nrog kev ua raws li cov lus pom zoo xws li:
- tus kheej tu cev;
- khoom noj kom raug;
- ntub tu tsev;
- khaw;
- kev tiv thaiv kab mob;
- kev huv ntawm foci ntawm tus kab mob;
- ua cov tshuaj xyuas tsis tu ncua.
Txhua yam kev tiv thaiv no yuav pab tiv thaiv tus mob tonsillitis. Lawv yuav pab txhawb lub cev tiv thaiv kab mob thiab tiv thaiv ntau yam kab mob.
Tonsillitis yog ib yam kab mob nyuaj uas yuav tsum tau kho kom zoo, vim nws tuaj yeem ua rau muaj teeb meem ntau yam.
