Angina yog suav tias yog ib qho ntawm cov kab mob ntau tshaj plaws ntawm cov kab mob ua pa sab saud. Tus kab mob yog nrog los ntawm o, o ntawm tonsils thiab tsim ntawm purulent foci. Tus kab mob tuaj yeem ua ntau yam. Hauv kev xyaum kho mob niaj hnub no, cov neeg mob purulent tonsillitis feem ntau raug kaw. Nws cov tsos mob tsis kaj siab heev, vim cov neeg mob raug mob caj pas, tsis muaj zog thiab kub taub hau.
Tau kawg, ntau tus neeg tab tom nrhiav kev paub ntxiv txog tus kabmob no. Dab tsi yog thawj cov cim qhia ntawm purulent tonsillitis? Kev kuaj mob thiab cov tsos mob, kev kho mob thiab cov teeb meem tshwm sim, kev tiv thaiv - tag nrho cov ntsiab lus no tseem ceeb thiab tsim nyog kawm.
Ua rau kev loj hlob ntawm pathology
Ntau tus neeg, tsis hais poj niam los txiv neej thiab hnub nyoog, tau ntsib teeb meem xws li purulent tonsillitis. Cov cim qhia thiab kev kho mob, muaj teeb meem tshwm sim thiab cov tshuaj siv tau zoo - qhov no, tau kawg, yog qhov tseem ceebcov ntaub ntawv. Tab sis ua ntej, nws tsim nyog nkag siab txog qhov tseem ceeb ntawm kev loj hlob ntawm tus kab mob.
Angina yog ib qho kab mob sib kis uas muaj nrog kev mob thiab ntxiv suppuration ntawm cov ntaub so ntswg ntawm tonsils. Raws li kev tshawb fawb txheeb cais, feem ntau, cov txheej txheem inflammatory yog txuam nrog kev ua haujlwm ntawm streptococci, txawm hais tias angina tuaj yeem tsim tawm tsam keeb kwm ntawm cov haujlwm tseem ceeb ntawm lwm cov kab mob thiab cov kab mob.
Cov kab mob tuaj yeem nkag mus rau hauv lub cev los ntawm ib puag ncig sab nraud (nrog rau huab cua, qee zaum ua kua thiab txawm tias zaub mov). Tsis tas li ntawd, tonsillitis feem ntau yog tshwm sim los ntawm kev ua kom cov kab mob pathogenic microorganisms, uas tshwm sim tawm tsam keeb kwm ntawm lub cev tsis muaj zog. Raws li qhov no, cov kev pheej hmoo tseem ceeb tuaj yeem txheeb xyuas:
- txo qis kev ua haujlwm ntawm lub cev tiv thaiv kab mob;
- muaj ntau yam kab mob ntev (tseem cuam tshuam rau kev tiv thaiv tsis zoo);
- muaj foci ntawm tus kab mob hauv qhov ncauj (piv txwv li, cov hniav carious, cov pos hniav o tuaj yeem ua rau muaj kev phom sij) thiab paranasal sinuses;
- hypothermia (ob qho tib si thiab hauv zos);
- haus luam yeeb (ua rau cov ntaub so ntswg ntawm tonsils thiab larynx);
- kev quav cawv;
- ua pa pa phem;
- nyob hauv ib puag ncig tsis zoo;
- yam tsis huv;
- hormonal cuam tshuam (cuam tshuam rau lub cev tiv thaiv kab mob);
- kev ntxhov siab tas mus li, kev ntxhov siab ntxhov siab (cuam tshuam rau qib ntawm qee yam tshuaj hormones).
Cov tsos mob ntawm purulent tonsillitis tuaj yeem tshwm sim nyob rau hauv kev cuam tshuam ntawm ntau yam. Thiab thaum compilingkev kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum tau coj mus rau hauv tus account qhov ua rau kev loj hlob ntawm tus kab mob.
Purulent tonsillitis: duab, kos npe, cov ntaub ntawv dav dav txog daim duab kho mob
Peb twb tau kho cov yam ntxwv ntawm tus kabmob no. Ntau tus neeg, txawm li cas los xij, txaus siab rau cov cim tseem ceeb ntawm purulent tonsillitis.
Cov tsos mob, tau kawg, yuav nyob ntawm ntau yam, tshwj xeeb, qhov xwm txheej ntawm cov kab mob, daim ntawv thiab qhov hnyav ntawm tus kab mob. Txawm li cas los xij, qee qhov sib xws tuaj yeem txheeb xyuas tau.
- Cov tsos mob tseem ceeb ntawm purulent tonsillitis yog mob caj pas. Kev hnov lus tsis txaus siab yog qhov hnyav thaum sib tham, thaum nqos, nrog kev nruj ntawm lub palate.
- Thaum kuaj lub caj pas, o thiab liab ntawm cov tonsils tuaj yeem kuaj pom. Nws yog ib qho tsim nyog sau cia tias qee zaum lawv loj heev uas lawv thaiv qhov nkag mus rau hauv lub larynx, vim tias tus neeg mob ua pa nyuaj. Ntawm cov tonsils, koj tuaj yeem pom cov xim daj lossis grey, thiab qee zaum muaj cov abscesses loj heev.
- Cov tsos mob muaj xws li ua pa phem heev, cov tsos mob uas cuam tshuam nrog kev tsim thiab sib sau ua paug.
- Tseem muaj cov cim qhia ntawm kev qaug dab peg ntawm lub cev. Lub cev kub nce mus rau 38-40 degrees. Cov neeg mob yws yws ntawm qhov tsis muaj zog, ua daus no, mob lub cev, mob leeg. Muaj qhov txo qis hauv qab los noj mov thiab qhov tsos ntawm xeev siab tom qab noj mov. Qee tus neeg mob tau mob taub hau tas li.
- Tawm tsam keeb kwm ntawm tus kab mob sib kis, muaj qhov nce hauv cov qog ntshav hauv cheeb tsam, suav nrog parotid, submandibular thiab occipital.
Cov no yog lub ntsiabCov tsos mob ntawm purulent tonsillitis nyob rau hauv cov neeg laus thiab cov me nyuam. Pom qhov ua txhaum cai no, nws yog ib qho tseem ceeb heev uas yuav tau mus ntsib kws kho mob. Thaum tsis kho raws sijhawm, cov txheej txheem mob hnyav tuaj yeem hloov mus rau hauv daim ntawv ntev, uas nyuaj rau kho.
Cov ntaub ntawv tseem ceeb ntawm tus kab mob
Cov tsos mob ntawm purulent tonsillitis hauv cov neeg laus thiab menyuam yaus tuaj yeem sib txawv, vim tias tus kab mob tuaj yeem ua rau ntau hom.
- Ntau heev yog lacunar tonsillitis. Cov txheej txheem inflammatory nyob rau hauv cov ntaub ntawv no cuam tshuam rau qhov khoob thiab tsis ntev tshaj cov tonsils. Cov ntaub so ntswg yog o heev. Ib daim ntawv daj-dawb purulent plaque nyob rau saum npoo ntawm cov tonsils, uas tuaj yeem tshem tau yooj yim nrog spatula. Cov neeg mob raug kev txom nyem los ntawm qhov tsis xis nyob - cov txheej txheem yooj yim ntawm kev nqos yog nrog los ntawm qhov mob hnyav.
- Follicular angina yog tus cwj pwm los ntawm kev puas tsuaj rau follicular apparatus. Tonsils nrog daim ntawv ntawm tus kab mob no yog heev o thiab npog nrog cov quav hniav. Cov txheej txheem ntawm nqos yog nrog los ntawm qhov mob, uas feem ntau radiates rau pob ntseg. Purulent foci thaum tsis muaj kev kho mob sib koom ua ke nrog cov npoo, tsim cov abscesses loj.
Cov tsos mob ntawm purulent tonsillitis hauv cov menyuam yaus
Purulent tonsillitis nyob rau hauv tus me nyuam tshwm sim nrog tib cov tsos mob classic tau piav saum toj no. Txawm li cas los xij, cov menyuam yaus muaj tus kab mob no ntau dua vim yog lub cev tiv thaiv kab mob ua tsis tiav. Tsis tas li ntawd xwb, tus menyuam yuav tsis qhia thawj cov tsos mob ib txwm.
Kev mob ntawm tonsils hauv tus menyuam feem ntau hnyav duanyob rau hauv ib tug neeg laus. Tus cwj pwm los ntawm kev nce siab hauv lub cev kub mus rau 39-40 degrees. Cov menyuam yaus ua tsis taus pa, chim siab, feem ntau quaj, poob qab los noj mov. Raws li kev txheeb cais, cov txheej txheem inflammatory ntawm tonsils feem ntau kis mus rau pob ntseg thiab paranasal sinuses - purulent tonsillitis nyob rau hauv cov neeg mob ntawm lub chaw kho mob feem ntau nyuaj los ntawm sinusitis, sinusitis, otitis media thiab lwm yam pathologies..
ntsuas ntsuas
Tus kws paub txog otolaryngologist, tau kawg, tuaj yeem pom cov tsos mob ntawm purulent tonsillitis. Qhov ua rau tus kab mob yog lwm qhov teeb meem uas yuav tsum tau qhia meej thaum kuaj pom, vim tias kev kho mob feem ntau nyob ntawm qhov no.
Raws li txoj cai, kev kuaj mob caj pas txaus kom xav tias muaj mob caj pas. Tus neeg mob lub tonsils o thiab ua liab, npog nrog ib tug dawb los yog yellowish txheej. Lymph nodes loj tuaj. Lub cev kub yog siab, daim tawv nqaij ntawm lub ntsej muag thiab daim di ncauj yuav qhuav.
Tus neeg mob muab cov ntshav kuaj rau kev soj ntsuam (qhov nce ntawm cov leukocytes qhia tias muaj cov txheej txheem inflammatory) thiab tso zis (tawm tsam tom qab mob caj pas, qib albumin hauv cov zis feem ntau nce). Lub swab los ntawm caj pas kuj yog cov ntaub ntawv - thaum lub sij hawm kawm hauv chav kuaj, koj tuaj yeem txiav txim siab qhov xwm txheej ntawm tus kab mob.
Muaj Teeb Meem
Tam sim ntawd nws yuav tsum tau muab sau tseg tias tsis muaj ib qho xwm txheej twg koj yuav tsum tsis quav ntsej cov tsos mob ntawm purulent tonsillitis. Kev kuaj mob thiab kho raws sij hawm pab tiv thaiv tus kab mob thiab zam qhov tshwm sim tsis zoo. Txawm li cas los xij, kev txhim khoCov teeb meem tshwm sim tau, thiab koj yuav tsum paub koj tus kheej nrog lawv cov npe.
- Ib qho teeb meem ntawm tonsillitis yog otitis media. Qhov tseeb yog tias tus kab mob kis tau yooj yim los ntawm cov hlab Eustachian, cuam tshuam rau pob ntseg nruab nrab.
- Tawm tsam keeb kwm ntawm tus kab mob sib kis, cov qog ntshav qab zib feem ntau nce ntxiv. Muaj qhov ua rau lawv mob, uas yog qhov txaus ntshai heev.
- Peritonsillitis tuaj yeem raug ntaus nqi rau cov tsos mob. Tus kab mob yog nrog los ntawm tsub zuj zuj ntawm ib tug loj tus naj npawb ntawm purulent masses nyob ze ntawm lub tonsils cuam tshuam. Nrog cov kab mob zoo li no, cov abscesses yuav tsum tau ntxuav thiab cov ntaub so ntswg ntxuav nrog tshuaj tua kab mob.
- Purulent tonsillitis feem ntau nyuaj los ntawm kev mob plawv. Qhov tseeb yog tias cov kab mob pathogenic los ntawm cov ntaub so ntswg ntawm cov tonsils feem ntau nkag mus rau hauv myocardium nrog rau cov ntshav khiav - qhov no yog qhov ua kom pom tseeb ntawm qhov mob. Thaum tsis muaj kev kho raws sijhawm, angina tuaj yeem nyuaj los ntawm kab mob rheumatic.
- Qee zaum cov txheej txheem inflammatory hauv cov tonsils yog qhov nyuaj los ntawm kev tsim cov kab mob retropharyngeal abscess. Raws li kev txheeb cais, feem ntau, xws li pathology raug kuaj pom hauv cov menyuam yaus. Pus accumulates nyob rau hauv cov qog nqaij hlav nyob ib ncig ntawm lub caj pas. Cov qog nqaij hlav o thiab cov ntaub so ntswg qee zaum npog lub larynx, uas tsis tso cai rau tus neeg mob ua pa ib txwm. Lwm cov tsos mob ntawm pathology suav nrog qhov kub thiab txias, hnoos, mob caj pas, uas ua rau hnyav dua los ntawm nqos. Hauv qhov no, nws yog ib qho tseem ceeb heev kom kuaj tau tus kab mob nyob rau lub sijhawm - ib qho tsis tuaj yeem ua yam tsis muaj kev phais.
- Yog kis kab mobnkag mus rau hauv maxillary sinuses, kev loj hlob ntawm sinusitis thiab sinusitis yog ua tau.
- Lwm yam teeb meem tshwm sim tau. Purulent tonsillitis yog qee zaum nyuaj los ntawm laryngitis, septic mob caj dab, ntau yam kab mob raum (xws li glomerulonephritis).
Qhov tsos ntawm thawj cov tsos mob ntawm purulent tonsillitis yog qhov laj thawj zoo mus ntsib kws kho mob. Yog tsis muaj kev kho mob txaus, cov teeb meem saum toj no yuav tshwm sim. Tsis tas li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas lub txaj so, noj tag nrho cov tshuaj tsim nyog thiab ua raws li tus kws kho mob cov lus qhia, vim tias cov txheej txheem sib kis hauv cov tonsils tuaj yeem cuam tshuam rau kev ua haujlwm ntawm tag nrho lub cev.
Kev kho mob rau ntau hom mob angina
Tau kawg, txoj kev kho mob ncaj qha nyob ntawm daim ntawv ntawm tus kab mob, qhov xwm txheej ntawm cov kab mob thiab qhov hnyav ntawm cov tsos mob.
- Vim feem ntau, angina tsim tawm tsam keeb kwm ntawm cov kab mob, cov neeg mob tau muab tshuaj tua kab mob. Txhais tau hais tias xws li Amoxicillin, Clarithromycin, Erythromycin, Clindamycin raug suav hais tias yog siv tau.
- Qee zaus siv tshuaj tua kab mob ntxiv rau hauv daim ntawv ntawm cov tshuaj tua kab mob. Cov tshuaj nrov tshaj plaws los ntawm pab pawg no yog Bioporox. Cov tshuaj ua rau nws tuaj yeem kho cov ntaub so ntswg ntawm tonsils nrog tshuaj tua kab mob.
- Hauv qhov mob hnyav tshaj plaws, corticosteroids suav nrog hauv kev kho mob. Cov tshuaj no pab kom sai li sai tau o thiab mob, muaj pronounced anti-inflammatory zog.
- Kev npaj muaj paracetamol lossis ibuprofen pab txo qisua npaws thiab mob qa.
- Cov kev kho mob yuav tsum suav nrog cov tshuaj lozenges tshwj xeeb, tshwj xeeb yog Lisobakt, Travisil, Faringosept, Septefril. Cov tshuaj no muaj cov tshuaj tua kab mob, pab txo qhov mob thiab o ntawm caj pas. Qee zaum cov tshuaj tsuag yog siv los hloov cov ntsiav tshuaj, tshwj xeeb yog Stopangin, Miramistin.
- Cov tshuaj tiv thaiv kab mob ("Tavegil", "Suprastin") pab txo qhov o ntawm lub caj pas thiab ua kom ua pa yooj yim dua.
- Yog hais tias mob caj pas yog txuam nrog hnoos qhuav, ces hnoos syrups, xws li kws kho mob Mom, Erespal, Fluditec, tuaj yeem suav nrog hauv kev kho mob ntxiv.
Koj tuaj yeem yaug nrog dab tsi?
Thaum lub sijhawm kho, nws yog ib qho tseem ceeb heev uas yuav tsum kho cov tonsils nrog cov tshuaj tua kab mob - qhov no yuav pab txo qhov o thiab mob, ua kom qeeb ntawm cov kab mob sib kis.
- Furacilin tshuaj zoo - koj tsuas yog yuav tsum tau yaj cov ntsiav tshuaj hauv ib khob dej sov thiab yaug.
- Hauv lub tsev muag tshuaj koj tuaj yeem yuav cov tshuaj chlorophyllipt npaj txhij. Ib teaspoon ntawm cov kua yuav yuav tsum tau diluted nyob rau hauv ib khob dej sov thiab siv rau yaug.
- Cov tshuaj tua kab mob zoo heev yog chlorhexidine thiab "Stomatidine". Lawv tuaj yeem siv los ua gargle hauv daim ntawv ntshiab, tsis muaj tshuaj lom.
- Tsis tas li, koj tuaj yeem kho lub caj pas thiab cov ntaub so ntswg ntawm qhov ncauj nrog paj rwb swab dipped hauv Lugol cov tshuaj.
Txawm li cas los xij, koj yuav tsum nkag siab tias mob caj pas purulent koj yuav tsum tau yaug txhua ob teev -qhov no yuav ua kom cov txheej txheem kho kom zoo.
kev kho neeg zoo
Tau kawg, cov tshuaj ib txwm muaj ntau yam zaub mov txawv los pab daws qhov mob caj pas. Gargling daws yog qhov ua tau zoo tshaj plaws.
- Propolis muaj txiaj ntsig zoo. Koj tsuas yog yuav tsum tau ntxiv ob peb tee ntawm propolis rau ib khob dej sov - thiab cov tshuaj npaj tau.
- Camomile decoction kuj tuaj yeem siv los yaug qhov ncauj thiab caj pas, vim nws tau hais tawm cov khoom tiv thaiv kab mob.
- Koj tuaj yeem npaj tshuaj ntsuab tshuaj yej los ntawm kev sib tov sib npaug ntawm cov paj chamomile, calendula thiab St. John's wort. Ncuav ib tablespoon ntawm sib tov nrog ib khob ntawm boiling dej, insist thiab lim. Cov tshuaj sov yog qhov zoo rau gargling.
prophylaxis
Peb twb tau txiav txim siab cov cim tseem ceeb ntawm purulent tonsillitis. Kev kho mob thiab cov tsos mob, kev kuaj mob thiab cov teeb meem tshwm sim yog, ntawm chav kawm, cov ntaub ntawv tseem ceeb. Tab sis nws tsim nyog kawm txog yuav ua li cas tiv thaiv kev loj hlob ntawm tus kab mob.
Hmoov tsis zoo, tsis muaj kev tiv thaiv tshwj xeeb. Txawm li cas los xij, cov kws kho mob pom zoo ua raws qee cov cai:
- Nws yog ib qho tseem ceeb kom tsis txhob hypothermia. Nyob rau hauv cov huab cua kub, tsis txhob tsim txom cov ice cream los yog dej qab zib los ntawm lub tub yees, vim hais tias ib tug ntse txias ntawm lub caj pas yuav ua rau kom lub activation ntawm opportunistic microorganisms.
- Cov kws kho mob pom zoo kom ntxiv dag zog rau lub cev tiv thaiv kab mob. Khoom noj khoom haus kom zoo, tsim nyog lub cev ua si, taug kev hauv huab cua ntshiab, tawv tawv, noj cov vitamins - tag nrho cov no yuav pab tau.ntxiv dag zog rau lub cev tiv thaiv.
- Txhua yam kab mob ntawm qhov ncauj thiab cov hniav (xws li caries) yuav tsum tau kho raws sijhawm. Nws yog ib qho tseem ceeb uas yuav tau siv cov tshuaj ntxuav qhov ncauj tshwj xeeb (yog tias tsim nyog, lawv tuaj yeem hloov nrog cov tshuaj tsis muaj zog ntawm cov dej qab zib lossis ntsev) - lawv pab ntxuav cov kab mob ntawm cov ntaub so ntswg.
Tau kawg, pom thawj cov tsos mob ntawm purulent tonsillitis, koj yuav tsum hu rau tus kws kho mob tshwj xeeb. Txoj kev kho sai dua yog pib, qhov ntau dua qhov yuav rov qab tau sai thiab ua tiav yam tsis muaj qhov tshwm sim.
