Lacunar tonsillitis lossis tonsillitis yog ib yam kab mob kis tau los ntawm kev puas tsuaj rau lub nplhaib lymphadenoid ntawm lub pharynx. Nws yog purulent inflammatory txheej txheem, nyob rau hauv lub thickness ntawm cov tonsils, los yog, lacunae. Tsis tas li ntawd, cov ntsiab lus ntawm cov tonsils tuaj yeem nqa mus rau tag nrho saum npoo ntawm lub palate.
Nrog kev kho kom raug, koj tuaj yeem tshem tau tus kab mob 10 hnub tom qab nws pib.
Tus yam ntxwv ntawm tus kab mob
Lacunar tonsillitis (cov duab ntawm cov neeg uas tau ntsib tus kab mob no tau nthuav tawm hauv tsab xov xwm) yog cov txheej txheem kis mob hnyav uas cuam tshuam rau cov tonsils. Daim ntawv no ntawm tonsillitis cuam tshuam rau palatine tonsils, uas yog lub lacunae. Cov kab mob nkag mus rau tag nrho cov ntaub so ntswg ntawm cov tonsils, thiab tseem muaj ntau ceg ntoo uas muaj cov kua paug ntau.
Ntau zaus, lacunar tonsillitis yog provoked los ntawm cov kab mob. Yeej, qhov ncov ntawm qhov tshwm sim tshwm sim thaum lub caij txias. Ua ke nrog kev txo qis hauv huab cua, kev tiv thaiv tsis muaj zog heev. Raws li qhov tshwm sim ntawm purulent kab mob lesion, tus neeg mob lub xeev ntawm kev noj qab haus huv deteriorates sharply, thiabCov teeb meem txaus ntshai.
Hauv cov menyuam yaus, tus kab mob no nyuaj dua li cov neeg laus, yog li kev kho mob hauv tsev tsis pom zoo. Yog tias thawj cov tsos mob ntawm purulent tonsillitis tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd, qhov chaw lawv yuav kuaj xyuas thiab sau ntawv kho kom tsim nyog.
Kev tshwm sim
Ntawm cov laj thawj tseem ceeb ntawm lacunar angina, ib qho tuaj yeem tawm ib qho kev nce hauv cov kab mob ntawm cov kab mob, tshwj xeeb xws li:
- streptococci;
- staphylococci;
- pneumococci.
Ntxiv rau, lwm yam kab mob tuaj yeem ua rau mob. Koj kuj yuav tsum tau hais txog qee yam ua rau muaj kev ntxhov siab, xws li:
- kab mob kis;
- hypothermia;
- tsis txaus ntseeg hauv kev txhim kho cov tonsils;
- tsis muaj cov vitamins;
- malnutrition;
- haus luam yeeb thiab haus cawv.
Cov neeg uas tau siv ua pa los ntawm lawv lub qhov ncauj yog qhov kis tau tus kab mob los ntawm cov kab mob microflora. Kev kis tus kab mob no tshwm sim los ntawm kev sib cuag nrog tus neeg mob los ntawm cov tee dej.
Cov tsos mob tseem ceeb
Lub sijhawm ntawm lub sijhawm incubation yog kwv yees li 1-2 hnub, txhua yam nyob ntawm tus kab mob thiab lub xeev ntawm kev tiv thaiv. Lub zog ntawm tonsillitis yog nrawm heev. Ntawm cov tsos mob tseem ceeb ntawm lacunar angina, nws yog ib qho tsim nyog los qhia txog:
- kub nce siab;
- pw tsis tsaug zog;
- qaug zog thiab ua tsis taus pa;
- poob qab los;
- txo qisnoj qab haus huv;
- mob taub hau;
- sluggishness;
- mob hauv pob qij txha thiab lub siab.
Cov cim qhia ntawm tonsillitis yog mob caj pas, mob thaum nqos, thiab hnov cov pob. Cov lymph nodes ua o thiab palpable zoo heev. Lawv yog mos rau qhov kov, mob. Qee zaum, o ntawm lub caj dab sab saud.
Thaum kuaj lub larynx, o tau sau tseg, cov tonsils loj tuaj, thiab cov kab mob purulent tau sau tseg rau ntawm qhov chaw. Thaum cov quav hniav raug tshem tawm, tsis muaj cov tsos mob ntawm cov ntaub so ntswg puas thiab hemorrhage.
Lacunar tonsillitis, daim duab uas tuaj yeem ua rau txaus ntshai, tuaj yeem yog ib sab thiab ob sab. Tus kab mob txuas ntxiv rau 6-9 hnub. Daim ntawv mob hnyav hauv tus menyuam yog qhov nyuaj heev thiab feem ntau nrog:
- choking;
- xeev siab thiab ntuav;
- txhawj xeeb;
- mob plab;
- quav quav.
Daim ntawv mob ntev tshwm sim tsuas yog tias kev kho mob tonsillitis tau ua tsis raug, nrog rau kev tiv thaiv qis dua. Nws muaj cov tsos mob tsawg dua, thiab exacerbation tsuas yog tshwm sim nyob rau hauv lub xub ntiag ntawm provoking yam.
Diagnostics
Yog xav tias qhov kev loj hlob ntawm lacunar angina yog qhov xav tias, tus neeg mob tau mus pw hauv tsev kho mob hauv chav saib xyuas kab mob sib kis kom paub txog kev kuaj mob, thiab kev kho mob tom ntej raug sau tseg. Tus kws kho mob pib ua ib daim ntawv ntsuam xyuas kom paub meej txog cov tsos mob uas twb muaj lawm, lub sijhawm ntawm lawv chav kawm. Ntxiv rau, koj yuav tsum ceeb toom rau koj tus kws kho mob.hais txog kev mob yav dhau los.
Yog hais tias kev kho tshuaj tua kab mob tsis ntev los no tau ua tiav, nws raug nquahu kom nco ntsoov cov tshuaj twg tau sau tseg. Kev kho dua tshiab nrog cov tshuaj ntawm pab pawg no yuav tsis zoo heev. Tom qab ua qhov kev kuaj pom thawj zaug ntawm qhov ncauj kab noj hniav, tus kws kho mob soj ntsuam lub ntsws, lub plawv thiab ntsuam xyuas qhov mob ntawm cov qog ntshav qab zib submandibular. Tom qab ntawd cov txheej txheem rau kev kuaj mob lacunar angina yog ua, xws li:
- suav ntshav tag;
- caj pas swab;
- pharyngoscopy.
Yog tias muaj teeb meem, nws yuav tsum tau ua cov kev tshawb fawb xws li ECG, X-ray ntawm cov pob qij txha, ultrasound ntawm lub raum.
Txoj kev kho mob
Kev kho mob ntawm lacunar angina yuav tsum tau suav nrog kev ua raws li kev ua haujlwm niaj hnub, qhov chaw pw so ua lub luag haujlwm tseem ceeb. Lub luag haujlwm tseem ceeb yog ua los ntawm kev sib cais ntawm tus neeg mob, uas yuav zam kev kis kab mob hauv tsev. Kev kho mob suav nrog kev siv ntau hom tshuaj. Thaum pib, tus kws kho mob tau sau tshuaj tua kab mob rau lacunar angina, yam tsis muaj kev kho mob tuaj yeem ua tau. Txhawm rau tshem tawm cov kab mob, cov neeg ua haujlwm nrog ntau qhov kev txiav txim siab tshaj plaws. Tsuas yog tus kws kho mob uas tuaj koom yuav tsum tau sau ntawv rau lawv.
Thaum tonsillitis tshwm sim, qhov kub thiab txias nyob rau ob peb hnub. Yog li ntawd, nws yog ib qho tsim nyog yuav tau noj tshuaj antipyretics. Koj tuaj yeem coj lawv mus rau hauv daim ntawv ntsiav tshuaj, nyob rau hauv daim ntawv ntawm kev ncua lossis suppositories. Lub sijhawm ntawm kev kho mob tsis pub dhau peb hnub. Txhawm rau txo qhov o ntawm cov hlab ntsha, nws yog ib qho tsim nyog yuav tsum tau noj tshuaj antihistamine. Lawv pab tshem tawm qhov o thiab normalize tus neeg mob ua pa. Tsis tas li ntawd, lawv pab txo qee qhov mob uas tshwm sim thaum nqos, uas tso cai rau koj noj zaub mov.
Ib feem tseem ceeb ntawm txoj kev kho yog siv cov tshuaj tsuag thiab gargling. Cov dej yaug yuav tsum tau nqa tawm ntau li ntau tau, vim qhov no tsuas yog txhais tau tias cov kua paug tuaj yeem raug tshem tawm. Tsis tas li ntawd, qhov txiaj ntsig zoo heev hauv kev kho mob lacunar angina yog muab los ntawm cov tshuaj ib txwm siv.
Ib feem tseem ceeb ntawm kev kho yog khoom noj khoom haus. Intoxication ntawm lub cev thiab mob caj pas ua rau nyuaj rau cov txheej txheem ntawm kev noj zaub mov. Tsis txhob yuam tus neeg mob noj. Kev tsis kam noj zaub mov yog cuam tshuam nrog cov kev xav tau ntawm lub cev, txij li thaum lub sijhawm muaj tus kabmob muaj lub nra hnyav rau ntawm lub plab zom mov, daim siab thiab lub raum.
Nws yog ib qho tsim nyog yuav tsum tsis suav cov khoom noj khoom haus los ntawm cov khoom noj niaj hnub, thiab tsis txhob noj cov qos yaj ywm mashed, broths, cereals thiab lwm yam tais diav uas muaj kua sib xws. Txhawm rau kom rov zoo dua thiab nrawm dua, nws yog ib qho tseem ceeb kom ntseeg tau tias haus dej haus kom txaus. Koj tuaj yeem haus cov tshuaj yej tsis muaj zog heev, uas yog qhov zoo rau ntxiv zib ntab, raspberries lossis txiv qaub.
Tom qab theem mob tonsillitis dhau lawm, tus neeg mob yuav tsum tau noj cov vitamins complexes, nrog rau probiotics. Qhov no yog vim lub fact tias xws li ib tug kab mob ua rau lub cev tsis muaj zog, yog li koj yuav tsum tau tig mus rautus kws kho mob rau kev pab tsim nyog.
Chav tsev yuav tsum tau ntub dej ntau zaus kom huv si kom huab cua thiab ua kom nws huv. Qhov no tseem ceeb tshwj xeeb tshaj yog tom qab qhov kawg ntawm tus kab mob. Tsis tas li ntawd, koj yuav tsum tau ua kom cua hauv chav.
Drug therapy
Yuav ua li cas kho lacunar angina nrog tshuaj, tsuas yog tus kws kho mob tuaj yeem txiav txim siab. Txawm hais tias cov tsos mob hnyav npaum li cas, qhia tias mus pw hauv tsev kho mob. Thaum xub thawj, cov tshuaj tua kab mob tau sau tseg, tab sis lawv tsuas yog pab thaum muaj kab mob ua rau mob caj pas. Ua ntej tshaj plaws, tus kws kho mob tau sau tshuaj broad-spectrum. Cov tshuaj tua kab mob tuaj yeem rhuav tshem cov kab mob. Yog tias cov tshuaj raug xaiv kom raug, ua tiav kev puas tsuaj ntawm cov kab mob. Feem ntau siv tshuaj xws li:
- Ycephalosporins;
- Yfluoroquinolones;
- macrolides.
Kev npaj xws li Cefalexin, Sumamed, Azithromycin, Suprax yog siv. Hauv tsev kho mob, lawv tau txhaj tshuaj intramuscularly lossis intravenously. Cov tshuaj tua kab mob tuaj yeem nqa tau tom tsev, tab sis tsuas yog raws li kws kho mob qhia. Cov chav kawm ntawm kev kho yog kwv yees li 5-10 hnub, koj yuav tsum tau mus txog qhov kawg. Yog tias cov tshuaj tua kab mob tsis coj cov txiaj ntsig xav tau, ces koj yuav tsum hloov mus rau lwm qhov. Txhawm rau txo qhov kub thiab txias, kev siv tshuaj tua kab mob yog qhia, piv txwv li, xws li Panadol, Nurofen, Rapidol.
Ntxiv rau, tej zaum yuav raug xaivantihistamines los txo qhov o ntawm tonsils, xws li Dexamethasone, Suprastin, Diazolin. Cov tshuaj tiv thaiv inflammatory tau pom tias tshem tawm qhov mob thiab txo cov tsos mob uas twb muaj lawm. Tej zaum lawv yuav raug muab tshuaj rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis lub caj pas. Cov tshuaj tsuag xws li Kameton, Geksoral, Anginal yog qhov zoo heev.
caj pas tshuaj tua kab mob pab rhuav tshem cov kab mob hauv zos thiab ntxuav lub qhov ncauj ntawm cov kua paug. Kev daws tau zoo rau kev yaug: "Orasept", "Miramistin", "Furacilin", "Chlorophyllipt". Koj tuaj yeem lubricate cov tonsils nrog Lugol.
Ntxiv rau tag nrho cov tshuaj no, koj tuaj yeem siv lollipops nrog cov tshuaj tua kab mob thiab tshuaj tua kab mob, piv txwv li, Strepsils, Neo-Angin, Trachisan, Faringosept, Decatilen. Txij li thaum follicular thiab lacunar tonsillitis muaj qhov cuam tshuam tsis zoo rau kev tiv thaiv kab mob, cov tshuaj tiv thaiv kab mob tuaj yeem raug sau kom nce ntxiv: Interferon, Arbidol, Imudon, Immunal.
kev kho neeg zoo
Kev kho mob ntawm lacunar tonsillitis hauv tsev tuaj yeem ua tiav siv cov tshuaj pej xeem thiab cov tswv yim. Lawv tau ua pov thawj lawv tus kheej los ntawm qhov zoo tshaj plaws, tab sis lawv tsuas yog siv tau tom qab sab laj nrog koj tus kws kho mob.
Yuav tsum tau yaj 1 tbsp. l. butter thiab ntxiv tib tus nqi ntawm zib mu, ib tug pinch ntawm dej qab zib thiab sib tov txhua yam kom huv si kom txog thaum ib homogeneous sib tov yog tau. Koj yuav tsum tau noj cov khoom nyob rau hauv ib daim ntawv sov, ua tib zoo dissolving nyob rau hauv lub qhov ncauj kab noj hniav.
Kub 1 tbsp. dej,dissolve zib mu thiab 1 tsp nyob rau hauv nws. txiv apple cider vinegar. Gargle nrog cov txiaj ntsig daws txhua hnub. Koj tuaj yeem siv cov kua txiv beetroot los yaug nrog kua cider vinegar. Ua ntej koj yuav tsum sib tov cov npaj sib tov me ntsis.
Y Propolis tau ua pov thawj nws tus kheej zoo heev. Nrog tonsillitis, koj yuav tsum zom ib qho me me ntawm propolis rau 5 feeb ob peb zaug hauv ib hnub. Nws kuj tseem siv tau los yaug nrog propolis tincture, tom qab yaj nws hauv dej.
Alkaline inhalations, uas yog ua los ntawm kev siv lub nebulizer, suav hais tias yog ib qho tshuaj zoo. Tag nrho cov txheej txheem yog nqa tawm 3 zaug ib hnub twg. Nws pab soften lub mucous daim nyias nyias ntawm lub pharynx thiab tonsils, thiab maj mam tshem tawm qhov mob.
Surgery
Nrog exacerbation ntawm lacunar tonsillitis nyob rau hauv cov neeg laus, kev phais yuav raug qhia. Kev ua haujlwm tuaj yeem ua tau ntau txoj hauv kev, qhov yooj yim tshaj plaws yog kev ntxuav ntawm lacunae los ntawm cov ntsiab lus purulent. Rau lub hom phiaj no, galvanocaustics thiab diathermocoagulation ntawm lacunae yog nqa tawm.
Tsis ntev los no, kev kho mob laser ntawm lacunar tonsillitis hauv cov neeg laus thiab lawv txoj kev kho mob khaub thuas tau nrov heev. Tom qab cov txheej txheem, cov chaw hloov pauv tau khov, uas tso cai rau koj ua tiav cov txiaj ntsig zoo. Yog tias tag nrho cov txheej txheem no tsis tau tshwm sim, ces cov hloov pauv tonsils raug tshem tawm.
Muaj Teeb Meem
Ib qho teeb meem txaus ntshai tshaj plaws ntawm angina yog mob ntsws. Qhov no tshwm sim thaum tus kab mob nkag mus tob rau hauvkab mob. Ib qho xwm txheej zoo sib xws kuj tuaj yeem tshwm sim nrog kev txo qis hauv kev tiv thaiv.
Nyob ntawm tus yam ntxwv ntawm tus neeg mob, daim ntawv lacunar ntawm angina tuaj yeem hloov mus ua fibrous, uas yog tus cwj pwm los ntawm cov teeb meem nyuaj thiab txaus ntshai, mus txog kev koom tes hauv cov txheej txheem pathological ntawm lub hlwb. Yog tias tus kab mob ua rau tus kab mob yog streptococcus, nws tuaj yeem ua rau mob rheumatism, nephritis thiab myocarditis.
prophylaxis
Kev Tiv Thaiv yog txhawm rau txhim kho lub cev tiv thaiv kab mob, tawm dag zog, noj zaub mov kom raug, ua kom tawv nqaij, pw tsaug zog thiab so. Thaum lub caij txias, nws yog ib qho tseem ceeb kom tsis txhob hypothermia.
Qhov chaw tseem ceeb ntawm kev tiv thaiv yog tswj kev noj qab haus huv ntawm lub neej yam tsis muaj tus cwj pwm phem, yog li ntawd koj yuav tsum tsis txhob haus luam yeeb thiab haus cawv. Hardening thiab kis las yuav pab txhawb lub cev thiab txhim kho lub cev tiv thaiv kab mob.
Txhawm rau kom lub cev tiv thaiv, koj yuav tsum tau noj tshuaj immunostimulating. Nyob rau hauv lub caij nplooj zeeg thiab caij nplooj ntoos hlav, thaum tsis muaj vitamin deficiency manifests nws tus kheej, nws yog tsim nyog los noj ib tug txaus npaum li cas ntawm cov zaub tshiab thiab txiv hmab txiv ntoo nyob rau hauv cov zaub mov. Yog tias koj muaj mob thiab mob hauv caj pas, koj yuav tsum yaug nws nrog furatsilin.
Angina in a me nyuam
Tus me nyuam lub cev yog qhov yooj yim tshaj plaws rau ntau yam kab mob, uas yog vim li cas lacunar tonsillitis muaj ntau heev rau cov menyuam yaus. Hauv cov neeg mob hluas, tonsillitis yog tus cwj pwm los ntawm cov tsos mob hnyav dua. Tus kab mob no muaj cov tsos mob xws li:
- pain incaj pas;
- kub hloov pauv;
- mob taub hau;
- cuam tshuam ntawm cov txheej txheem digestive;
- insomnia;
- muscle tsis muaj zog;
- poob qab los;
- nce lub plawv dhia.
Kev kho mob lacunar tonsillitis hauv cov menyuam yaus cuam tshuam nrog kev siv tshuaj tua kab mob. Lawv yuav tsum raug sau los ntawm kws kho mob uas tsim nyog, suav nrog qhov hnyav, qhov siab thiab hnub nyoog ntawm tus menyuam. Kev kho mob yuav tsum tau pib tsuas yog thaum kuaj pom tus kab mob tiag tiag, txij li lub nra ntxiv ntawm tus menyuam lub cev yog qhov tsis xav tau.
Ua ntej ua kev kho mob, nws yog ib qho tsim nyog los txiav txim siab qhov muaj kev tsis haum tshuaj rau qee yam kab mob, uas tau ua hauv chav kuaj. Qhov no yuav txuag sij hawm thiab tsis ua mob rau tus menyuam. Angina kuj tau kho nrog cov tshuaj hauv zos, nrog rau cov tshuaj uas ntxiv dag zog rau lub cev.
Kev kho mob thaum cev xeeb tub
Thaum koj mob caj pas thaum cev xeeb tub, koj yuav tsum tsis txhob ntshai tias tus kws kho mob yuav muab tshuaj tua kab mob. Kev nyiam yog muab rau cov tshuaj aerosol uas ua haujlwm hauv zos thiab tsis nkag mus rau hauv cov kab ke hauv lub cev.
Nws yog txwv tsis pub noj "Aspirin", vim nws tuaj yeem ua rau los ntshav. Koj tuaj yeem txo qhov kub los ntawm rub koj txhais taw nrog cawv lossis vinegar. Tsis txhob nqus los yog siv ko taw da dej kub, vim lawv tuaj yeem ua rau lub tsev menyuam ua kom lub suab nrov thiab ua rau nchuav menyuam.
Thaum yaug yuav tsum zammulti-component herbal infusions, vim qhov no yuav pab txo qis kev pheej hmoo ntawm kev ua xua. Txawm tias tsis muaj kev noj qab haus huv, nws tseem yuav tsum tau noj zaub mov txawm tias me me. Tag nrho cov zaub mov yuav tsum tau txiav kom huv si kom yooj yim nqos.
Lacunar tonsillitis yog ib yam kab mob loj heev, yog vim li cas nws thiaj li yuav tsum tau kuaj xyuas thiab kho kom raws sijhawm.
