Exacerbation ntawm tonsillitis (mob ntawm tonsils) hauv tus neeg mob tsuas yog tshwm sim los ntawm qee yam ua rau muaj kev cuam tshuam. Nws yog ib qho tsim nyog los txiav txim siab qhov tseem ceeb ntawm qhov pib ntawm tus kab mob, kom paub meej txog nws cov tsos mob thiab sau ntawv kho kom raug. Yog tias thawj cov tsos mob ntawm exacerbation ntawm tonsillitis tshwm sim, yuav tsum tau mus ntsib kws kho mob kom kuaj xyuas thiab kho tom ntej. Kev kho raws sijhawm yuav tiv thaiv kev txhim kho ntawm cov teeb meem loj.
Tus yam ntxwv ntawm tus kab mob
Tej zaum txhua tus neeg tau hnov txog angina, tab sis tsis yog txhua tus nkag siab tias tus kab mob no ua rau dab tsi, thiab qhov teeb meem dab tsi tuaj yeem tshwm sim thaum nws mob ntev. Tus kab mob no yog kis kab mob ntawm cov tonsils. Exacerbation ntawm tonsillitis ntev (ICD 10 J35.0) tuaj yeem tshwm sim los ntawm ntau yam laj thawj.
Feem ntau cov kab mob ua rau mob angina yog cov kab mob, hauvtshwj xeeb tshaj yog streptococci thiab staphylococci. Tsis tas li ntawd, ib qho exacerbation tuaj yeem ua rau muaj qhov tsis zoo ntawm lub ntsej muag, kev haus dej txias, thiab kev tiv thaiv tsis muaj zog. Qhov no feem ntau tshwm sim nyob rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Koj tuaj yeem mob caj pas yog tias koj tsis ua raws li cov cai ntawm kev nyiam huv. Ua kom muaj kev pheej hmoo kis kab mob los ntawm kev sib faib khoom siv nrog tus neeg mob lossis nyob hauv ib chav nrog nws.
Tonsillitis txawv hauv nws chav kho mob, pathogenesis thiab etiology. Muaj thawj thiab theem nrab angina. Thawj yog ib qho mob caj pas classic, qhov thib ob tuaj yeem tshwm sim los ntawm lwm yam kab mob - kab mob diphtheria lossis scarlet fever. Qhov tshwj xeeb angina tshwm sim los ntawm cov kab mob fungal lossis kab mob ntawm lub cev.
Yuav ua rau exacerbation
Exacerbation of Mt. tonsillitis muaj ntau yam ua rau. Tus kab mob yog ib qho mob me me ntawm cov tonsils nrog kev hloov hauv lawv cov ntaub so ntswg. Nyob rau hauv lub remission theem, tonsillitis xyaum tsis manifest nws tus kheej nyob rau hauv txhua txoj kev. Cov kab mob lossis kab mob tseem nyob hauv cov tonsils, tab sis lub cev tiv thaiv kab mob tiv thaiv lawv cov kev loj hlob sai.
Kev mob tonsillitis tuaj yeem tshwm sim vim kev sib cuag ncaj qha nrog cov neeg nqa khoom nrog txo kev tiv thaiv. Cov hauv qab no ua rau txo qis hauv kev tiv thaiv:
- tus cwj pwm phem;
- tsis muaj kev tawm dag zog;
- malnutrition;
- pw tsis tsaug zog;
- kho tsis raws sijhawm ntawm cov txheej txheem inflammatory;
- kev ntxhov siab tsis tu ncua thiab hypothermia;
- ib puag ncig tsis zoo;
- muab xeebkab mob.
Feem ntau, lub cev tsis muaj zog qiv nws tus kheej rau angina. Yeej, exacerbation ntawm tonsillitis tshwm sim vim qhov txo qis hauv kev tiv thaiv.
Cov tsos mob tseem ceeb
Thawj hnub, tonsillitis nyob rau theem mob tuaj yeem tshwm sim los ntawm tus neeg mob tsis pom. Tab sis maj mam cov tsos mob tsuas yog nce. Ntawm cov tsos mob ntawm exacerbation ntawm tonsillitis, cov hauv qab no yuav tsum tau hais txog:
- qaug zog thiab qaug zog;
- mob tshwm sim.
hnoos feem ntau qhuav, provoked los ntawm mob caj pas. Nws yog tus cwj pwm los ntawm kev tawm tsam ntev, uas yog ntau zaus thaum hmo ntuj. Tej zaum kuj yuav hnov ib yam khoom txawv teb chaws hauv caj pas.
Nws nyuaj heev rau tus neeg nqos, qhov mob hauv nasopharynx tas li hnov. Nrog rau txhua yam kab mob, kev qaug zog thiab qaug zog hnyav tau pom, vim lub cev yuav tsum siv zog ntau los tawm tsam nws.
Cov tsos mob ntawm exacerbation ntawm tus kab mob tonsillitis tuaj yeem ua raws li hauv qab no:
- kua muag poob;
- kub nce;
- puffiness;
- nrog tonsils;
- cov cim qhia ntawm kev qaug cawv.
Cov hnoos qeev tsis muaj ntxhiab pib tawm ntawm qhov ntswg. Nws ntws hauv qab phab ntsa ntawm lub nasopharynx thiab accumulates nyob rau hauv lub qhov ntswg kab noj hniav. Nrog rau kev mob hnyav heev ntawm tonsillitis, tej zaum yuav muaj kua muag ntawm lub qhov muag, vim qhov kev nkag siab ntawm lub cev rau cov tshuaj siv tau nce ntxiv, thiab kev ua xua tshwm sim.
Txhua yam swellsnasopharynx, ua rau nws nyuaj rau tus neeg ua pa. Cov tonsils yog loj thiab redden, tab sis tsis muaj purulent plugs nyob rau hauv lawv. Qhov kub nce siab heev thiab tuaj yeem ncav cuag qhov tseem ceeb. Yog tias nws nce mus txog plaub caug degrees, ces koj yuav tsum hu rau lub tsheb thauj neeg mob.
Ntawm cov cim qhia ntawm kev qaug cawv:
- tsis muaj zog;
- mob taub hau;
- mob hauv cov leeg thiab pob qij txha.
Ib tug neeg yuav muaj kiv taub hau, tsaus muag ntawm qhov muag. Ntxiv mus, cov tsos mob no hnyav dua yog tias nws sim tawm ntawm txaj. Kev kis tus kab mob kis mob caj pas yog qhov txaus ntshai heev thiab yuav tsum tau saib xyuas kev kho mob tas li.
Thaum tus kab mob tonsillitis, cov tsos mob yuav txawv thiab ntawm cov cim tseem ceeb nws yog ib qho tsim nyog los qhia txog:
- ua pa tsis zoo;
- kub nce;
- tsim cov tsheb thauj mus los thiab cov quav hniav ntawm cov tonsils.
Nrog cov kab mob mob caj pas, tsis tsuas yog cov tonsils tig liab, tab sis tag nrho nasopharynx. Vim lub tsub zuj zuj ntawm pathogenic microorganisms, ib tug tsis kaj siab tsw putrefactive tshwm sim los ntawm tus neeg mob lub qhov ncauj.
Qhov kub nce siab rau qhov tseem ceeb thiab kav ntev. Cov txheej txheem necrotic pib hauv cov tonsils thiab ntsaws tsim los ntawm cov hlwb tuag thiab cov kua paug. Cov txheej yog greyish, tshwj xeeb thiab twv yuav raug hu ua qhov exacerbation ntawm tus kab mob.
Yog tias kev kho mob tsis ua haujlwm ntev, ces muaj cov qog nqaij hlav hauv qab lub puab tsaig thiab ntawm caj dab. Maj mam, tus kab mob tuaj yeem ua rau tsim cov abscesses, bronchitis thiab mob ntsws. Qee zaum muaj kev txhim kho ntawm endocarditis, uas ua rau muaj kev hloov pauv tsis tau hauv kev ua haujlwm ntawm lub plawv. Yog li ntawd, thaum thawj cov tsos mob ntawm exacerbation ntawm tonsillitis tshwm sim, kev kho mob yuav tsum tau pib tam sim ntawd los tiv thaiv qhov tshwm sim ntawm cov teeb meem.
Diagnostics
Qhov no yog qhov exacerbation ntawm tonsillitis zoo li hauv daim duab.
Ntxiv rau, cov tsos mob tshwm sim, uas ua rau nws yooj yim rau paub txog kab mob.
Thaum xub thawj, tus kws kho mob sau ib qho anamnesis, ua ib qho kev soj ntsuam thiab sau ntawv mus kuaj. Cov no suav nrog kev kuaj ntshav, kuaj cytological thiab kuaj kab mob bacteriological. Tus kab mob tuaj yeem xav tias muaj cov ntsiab lus purulent hauv crypts thiab mob caj pas.
Tsis tas li ntawd, cov kab lis kev cai tshwj xeeb yuav raug txiav txim siab seb cov kab mob thiab cov kab mob twg tau khaws lawv qhov kev nkag siab zoo rau. Qhov kev tshuaj ntsuam no yog qhov tseem ceeb, vim hais tias nyob rau hauv lub sij hawm ntev ntawm tus kab mob, uas yog tas li kho nrog tej yam tshuaj, cov kab mob tsim kev tiv thaiv rau lawv.
Txoj kev kho mob
Yuav ua li cas kho cov mob tonsillitis, tsuas yog tus kws kho mob tsim nyog tuaj yeem txiav txim siab tom qab kuaj. Ua li no, sau tshuaj:
- tua kab mob;
- anti-inflammatory;
nrog rau kev kho mob lub cev thiab gargling.
Ntxiv rau, koj tuaj yeem siv tshuaj kho pej xeem thiab cov tswv yim. Hauv tshwj xeeb yog mob hnyav, kev phais yog ua. Txhua yam tshuaj yuav tsumsau ntawv rau kws kho mob, vim lawv muaj tej yam tshwm sim.
Txhawm rau tiv thaiv kev rov tshwm sim ntawm tonsillitis, koj yuav tsum tau saib xyuas lub cev tiv thaiv kab mob, thiab thaum lub sijhawm muaj kev mob hnyav, nco ntsoov mus ntsib kws kho mob, vim tias kev noj tshuaj rau tus kheej tsis tuaj yeem lees txais.
Drug therapy
Yuav ua li cas kho cov kab mob tonsillitis ntev? Rau qhov no, tshuaj siv. Lawv raug xaiv tsuas yog tom qab kuaj pom, suav nrog kev nkag siab ntawm cov kab mob uas ua rau mob caj pas rau qee yam tshuaj.
Thaum muaj kab mob kis kab mob, kev kho mob ntawm tonsillitis exacerbation yuav tsum tau siv tshuaj tua kab mob. Feem ntau cov tshuaj tua kab mob no tau sau tseg - Amoxicillin, Cefadroxil.
thawj cov tshuaj belongs rau penicillin series. Nws yog sai heev thiab tag absorbed nyob rau hauv txoj hnyuv. Tsuas yog tus kws kho mob yuav tsum xaiv qhov ntau npaum li cas, suav nrog qhov hnyav ntawm cov kab mob thiab kev puas tsuaj rau tonsils.
Cov tshuaj "Cefadroxil" belongs rau pawg ntawm cephalosporins. Thaum noj kom raug, qhov siab tshaj plaws ntawm cov tshuaj nquag mus txog 1.5 teev tom qab thov. Tab sis kev tso tawm ntawm lub cev qeeb, yog li koj yuav tsum haus 1 zaug hauv ib hnub.
Tib lub sijhawm, ntxiv rau cov tshuaj probiotics los tiv thaiv txoj hnyuv. Tshwj xeeb tshaj yog cov neeg txom nyem:
- duodenitis;
- gastritis;
- luag;
- kab mob reflux.
Nyob rau hauv rooj plaub no, cov tshuaj tau sau tseg - Gastrofarm, Acipol, Normoflorin, Linex, Narine. RauKev tshem tawm ntawm mob caj pas yog kho nrog tshuaj tua kab mob thiab tshuaj tua kab mob. Nrog rau qhov mob hnyav, qhov zoo tshaj plaws txhais tau tias yog Nurofen lossis Ibuprofen. Lawv siv raws li kev kho mob. Koj tuaj yeem gargle nrog cov tshuaj tua kab mob. Rau cov txheej txheem tshuaj tua kab mob, nws raug pom zoo kom siv Chlorhexidine.
Txhawm rau tshem tawm qhov o ntawm cov tonsils, nws raug nquahu kom noj cov tshuaj tiv thaiv kab mob. Telfast, Zodak, Zirtek, Tsetrin suav hais tias yog qhov zoo tshaj plaws. Raws li kev pab, nws raug nquahu kom noj cov tshuaj immunostimulating. Txhawm rau txhawb kev tiv thaiv hauv zos, Imudon yuav tsum tau siv. Kev kho mob yog 10 hnub.
Kev ua haujlwm
Kev phais yog qhov chaw kawg, vim nws tuaj yeem ua rau muaj kev puas tsuaj loj rau lub cev tiv thaiv kab mob thiab kev tiv thaiv lub cev. Nws tsuas yog sau rau hauv cov ntaub ntawv ntawm kev mob ntev ntev, thaum cov ntaub so ntswg lymphoid hloov los ntawm cov ntaub so ntswg. Nrog paratonsillar abscess, ib qho kev txiav txim ntawm lub cev yog qhia. Cov lus qhia tseem ceeb rau kev qhib cov tonsils yog:
- kev ua tsis taus pa ntawm qhov ntswg thiab nqos cov txheej txheem;
- peritonsillar abscess;
- tsis muaj txiaj ntsig hauv kev kho kom zoo;
- txoj kev mob rheumatic.
Cov tonsils ua lub luag haujlwm tseem ceeb hauv kev tsim kev tiv thaiv kab mob. Yog vim li cas cov kws kho mob otolaryngologist sim cawm lawv thiab siv rau kev phais tsuas yog nyob rau hauv cov xwm txheej hnyav tshaj plaws. Kev ua haujlwm yog ua los ntawm ntau txoj hauv kev, uas yog:
- tshem tawm tagtonsils;
- ib nrab resection ntawm cov ntaub so ntswg overgrown;
- diathermocoagulation;
- laser tshem tawm;
- Yultrasonic tonsillectomy;
- cryolysis.
Nws tsim nyog sau cia tias kev ua haujlwm muaj qee yam contraindications uas yuav tsum tau coj mus rau hauv tus account.
kev kho neeg zoo
Ntau tus neeg txaus siab yuav ua li cas kho cov mob tonsillitis ntev nrog kev pab los ntawm pej xeem cov tshuaj, raws li lawv ntseeg tias lawv muaj txiaj ntsig zoo, tab sis muaj kev nyab xeeb. Tib lub sijhawm, cov kws kho mob tsis pom zoo kom kho nrog lawv nkaus xwb. Hauv tsev, kev ntxuav ntawm qhov ncauj kab noj hniav, caj pas thiab tag nrho lub cev yog qhia. Siv:
- yaug;
- kho lub cev.
Nws tsim nyog sau cia tias tag nrho cov nyiaj no yog siv los ua kom muaj txiaj ntsig ntawm kev saib xyuas kev noj qab haus huv raws li kws kho mob sau tseg. Kev ua kom muaj zog ntawm lub cev tiv thaiv tuaj yeem txo tus lej ntawm tus kabmob exacerbations.
Yaug nrog mob caj pas ntau pab:
- ntxuav pov tseg purulent deposits, nrog rau tshem tawm cov kab mob;
- remove festering plugs;
- tsim ib puag ncig tsis txaus rau cov kab mob;
- soften thiab moisturize lub pharyngeal mucosa, txo qhov mob thiab tsis xis nyob;
- nrawm cov txheej txheem kho ntawm mucosa.
Cov kev npaj ua tiav feem ntau tuaj yeem rhuav tshem cov kab mob ntawm cov mucosa. Cov no suav nrog "Chlorfilipt", "Furacilin". Koj tuaj yeem siv cov tshuaj cawv lossis roj - Miramistin, Yodinol, Chlorhexidine, Lugol, Rivanol.
Tsi,koj tuaj yeem siv pej xeem txoj kev. Ib qho kev daws teeb meem baking soda pab ntau heev, vim nws tsim ib qho chaw alkaline. Noj 1 tsp. dej qab zib, ntxiv rau 1 tbsp. dej sov, do thiab gargle. Qhov no yog ib qho tshuaj zoo heev uas siv tau tsis muaj kev phiv thiab tsis ua rau muaj kev fab tshuaj. Cov tshuaj ntsev flushes cov ntsiab lus los ntawm tonsils. Koj tuaj yeem siv nws ua ke nrog cov tshuaj soda.
Chamomile decoction pab kho cov mucous daim nyias nyias thiab tshem tawm qhov mob. Ua li no, ncuav lub paj ntawm cov nroj tsuag nrog dej, boil nyob rau hauv ib tug da dej da dej, tawm mus infuse rau 40 feeb. Tom qab ntawd lim thiab gargle txhua hnub.
Kev nqus pa tuaj yeem ua tau tom tsev. Txawm li cas los, nws yog tsim nyog sau cia hais tias lawv yog contraindicated nyob rau hauv high kub thiab intoxication ntawm lub cev. Nws yog qhov zoo tshaj plaws los siv ib qho inhaler. Rau kev nqus pa, koj tuaj yeem siv decoctions ntawm eucalyptus, ntoo thuv buds, mint, sage, coltsfoot.
Exacerbation of angina in me nyuam yaus
Kev kho mob yog txhawm rau txo cov tsos mob. Kev kho mob uas muaj xws li:
- ntxuav cov tonsils nrog tshuaj tua kab mob;
- nquag gargling;
- kho mob ntawm pharynx thiab tonsils nrog "Lugol" lossis "Fukortsin";
- siv tshuaj tua kab mob aerosols;
- nqus pa;
- nqus ntawm cov tshuaj tua kab mob.
Nrog rau qhov hnyav ntawm tonsillitis hauv cov menyuam yaus, cov tshuaj tua kab mob tsuas yog siv thaum muaj tus kab mob hnyav, thaum lub cev tsis muaj zog heev. Nyob rau hauv cov ntaub ntawv no, ib chav kawm ntawm cov tshuaj tua kab mob yog muab rau 10hnub.
Kev mob caj pas hauv cov poj niam cev xeeb tub
Tus kab mob no feem ntau ua rau mob toxicosis loj heev nyob rau theem tom ntej. Kuj tseem muaj kev pheej hmoo ntawm kev kis kab mob hauv lub cev ntawm tus menyuam hauv plab, vim microbes los ntawm cov tonsils nkag mus rau hauv cov hlab ntsha. Qee zaum, tus kab mob tuaj yeem ua rau nchuav menyuam.
Kev mob tonsillitis thaum cev xeeb tub feem ntau yog nrog los ntawm kev tsis muaj zog ntawm lub cev. Lub cev ntawm niam expectant tsis tuaj yeem tiv taus ntau yam kab mob. Qhov ntawd yog, muaj kev pheej hmoo ntawm kev ua haujlwm ua ntej lossis ua haujlwm tsis zoo.
Txhawm rau tiv thaiv qhov cuam tshuam tsis zoo ntawm tus kab mob thaum lub sijhawm cev xeeb tub, koj yuav tsum tsis txhob ua rau hypothermia thiab noj ib txwm. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho hniav kom raws sij hawm txhawm rau txheeb xyuas cov kab mob foci hauv lub cev hauv lub sijhawm. Nrog exacerbation ntawm tonsillitis thaum cev xeeb tub, cov dej num hauv qab no tuaj yeem raug tshuaj:
- gargling nrog infusions thiab decoctions ntawm tshuaj ntsuab;
- ntxuav cov tonsils nrog tshuaj tua kab mob;
- Gland lubrication;
- tshuaj kho mob nrog tshuaj tsuag.
Kev kho mob angina yog qhov nyuaj me ntsis los ntawm qhov tseeb tias qee cov nyiaj thaum lub sij hawm yug me nyuam yog categorically contraindicated. Yog vim li cas cov tshuaj yuav tsum tau muab los ntawm kws kho mob nkaus xwb.
Muaj Teeb Meem
Cov teeb meem tuaj yeem suav hais tias yog qhov tshwm sim ntau zaus ntawm angina. Tsis tas li ntawd, tonsillitis tuaj yeem ua rau tus kab mob paratonsillar abscess, uas yog cov cim los ntawm cov kua paug tom qab tonsils thiab cov ntaub so ntswg ntawm lub palate.
Dhau li ntawm no, muaj ntau yam kab mob,uas tsis ncaj qha ntsig txog cov tonsils, tab sis lawv qhov mob yog qhov tsis zoo rau cov kev kuaj mob no. Cov no suav nrog cov kab mob rheumatic, kev puas tsuaj rau lub plawv, raum.
prophylaxis
Kev tiv thaiv kab mob yog qhov tseem ceeb heev. Txhawm rau ua qhov no, koj yuav tsum tsis txhob coj tus cwj pwm phem, coj txoj kev noj qab haus huv, ntxiv dag zog rau lub cev. Kev tiv thaiv yog txhawm rau tiv thaiv kev mob khaub thuas.
Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev ua haujlwm niaj hnub, so kom ntau li ntau tau, tiv thaiv koj tus kheej kom tsis txhob sib cuag nrog tus neeg muaj tus kab mob, kom tsis txhob muaj tus mob hypothermia.
Reviews
Raws li kev tshuaj xyuas, yaug nrog decoctions thiab infusions ntawm cov tshuaj ntsuab pab tshem tawm exacerbation ntawm tonsillitis. Lawv pab tshem tawm qhov mob thiab tshem tawm cov paug paug ntawm cov tonsils. Tsis tas li ntawd, kev nqus pa yuav tsum tau tshuaj xyuas zoo.
Qee tus hais tias Bioparox zoo pab tshem cov kab mob thiab mob caj pas. Tsis tas li ntawd, cov cuab yeej no muaj qhov tsawg kawg nkaus ntawm contraindications.
