Ulcerative membranous angina (Simanovsky-Vincent) yog ib yam tshwj xeeb ntawm purulent type tonsillitis, uas tsis tshua muaj tshwm sim hauv kev kho mob niaj hnub no. Qhov no yog vim qhov tsis txaus ntseeg ntawm kev sib kis ntawm cov kab mob pathology. Ntawd yog, hom angina no xyaum tsis sib kis. Tsis tas li ntawd, txoj kev loj hlob ntawm pathology yuav tsum muaj qhov sib txawv ntawm ntau yam provoking yam.
Tus kab mob kis tau zoo tshaj plaws yog cov tub ntxhais hluas thaum lub sijhawm txo qis kev tiv thaiv ib puag ncig tsis zoo. Qhov no tshwj xeeb tshaj yog muaj tseeb ntawm beriberi, malnutrition thiab ntau yam kab mob oncological.
Ua rau mob plab membranous angina
Tus kab mob no tshwm sim los ntawm kev rov ua dua tshiab ntawm tshwj xeeb spindle-shaped spirochetes thiab bacilli. Cov kab mob ntawm cov kab mob ulcerative-membranous angina yog cais raws li saprophytes uas nyob hauv tib neeg lub qhov ncauj kab noj hniav. Cov kab mob tsis zoo pib ua kom pom kev ua haujlwm tiv thaiv keeb kwm yav dhau los ntawm kev ua kom tsis muaj zog ntawm cov khoom tiv thaivkab mob tshwm sim los ntawm ntau yam kab mob, kev tu tus kheej tsis zoo, nrog rau cov cwj pwm phem xws li kev quav dej quav cawv lossis yeeb tshuaj.
Pathology yog kis kab mob hauv keeb kwm thiab cuam tshuam feem ntau ntawm cov mucous ntawm lub qhov ncauj thiab lub larynx. Ulcerative membranous tonsillitis yog cais raws li kev phom sij rau kev noj qab haus huv. Cov duab hauv qab no qhia txog tag nrho cov tsos mob tsis zoo uas tus neeg tau ntsib.
Hauv kev kho mob, muaj qee qhov xwm txheej thaum kuaj pom cov kab mob hauv cov neeg mob uas muaj kab mob hauv lub cev, kab mob caries thiab lwm yam kab mob hniav uas ua rau muaj txiaj ntsig zoo rau kev loj hlob ntawm cov kab mob pathogenic. Yog li ntawd, peb tuaj yeem txiav txim siab tias cov teeb meem kev kho hniav tuaj yeem dhau los ua qhov tsim nyog rau kev txhim kho cov kab mob ulcerative-film tonsillitis.
chav kho mob ntawm tus kab mob
Cov kab mob no muaj ntau tus yam ntxwv, ua tsaug uas nws muaj peev xwm paub txog angina thaum ntxov. Xav txog qee qhov ntawm lawv:
- Nthuav qhov pib mob. Tus neeg mob yuav yws yws ntawm qhov tsis xis nyob thaum nqos thiab mob me ntsis hauv caj pas. Nyob rau hauv lub neej yav tom ntej, qhov mob syndrome yuav tshwm sim.
- Asymmetry. Raws li txoj cai, pathology yog nyob ntawm ib qho tonsil. Kev koom tes ob tog tsis tshua muaj ntau.
- Hloov pauv hauv oropharynx. Tonsils tau them nrog ib zaj duab xis tshwj xeeb, uas yooj yim tshem tawm nrog paj rwb swab. Hauv qab nws pommob, qee zaum los ntshav.
- Tus neeg mob qhov xwm txheej yog qhov txaus siab. Tsis muaj cov tsos mob ntawm intoxication ntawm lub cev.
- Nyob rau hauv cov neeg mob siab heev, necrosis tuaj yeem kis mus rau cov ntaub so ntswg uas nyob ib sab. Qee zaum tus nplaig thiab cov pos hniav koom nrog.
- ua pa tsis zoo.
Nyob rau hauv feem coob, kev kho raws sij hawm ua rau kom rov ua tiav.
Symptoms
Thaum thawj theem ntawm kev loj hlob ntawm ulcerative membranous angina, cov tsos mob hauv qab no tshwm sim:
- xav tsis xis nyob thaum nqos.
- mob qa.
- mob me, nco txog tus mob khaub thuas.
Zaj duab xis ntawm cov tonsils yuav greyish lossis daj daj. Cov xim ntawm cov quav hniav zoo ib yam li qhov seem ntawm cov tswm ciab stearin, thiab cov pob zeb lawv tus kheej kuj tseem tuaj yeem npog lub arch anterior ntawm tonsils. Cov zaj duab xis yog surrounded los ntawm ib tug inflamed ntug. Tom qab tshem tawm cov yeeb yaj kiab, koj tuaj yeem pom ntau qhov mob nrog cov npoo ntshiab. Lawv feem ntau yog xim daj.
Cov tsos mob thiab kev kho mob ntawm cov hlab ntsha membranous angina muaj kev cuam tshuam.
Yog tias tus kab mob txuas ntxiv mus ntev, cov kab mob nkag mus tob dua thiab ua rau zoo li crater. Yog tias kev kho tsis tau raws sijhawm, qhov deformation ntawm tonsils tuaj yeem cuam tshuam cov ntaub so ntswg tob, nkag mus rau hauv. Qee lub sij hawm tus kab mob kis mus rau cov mucous daim nyias nyias ntawm tus nplaig thiab cov pos hniav thiab txawm captures lub periosteum. Qee zaum tus kab mob kuj kis tus nplaig.
Lymph nodes
Lymph nodes tej zaum yuav loj me ntsis tawm tsam keeb kwm ntawm peptic ulcer mob caj pas thiab ua rau tsis xis nyob. Ua tsis taus pa yog reminiscent ntawm putrefaction. Ib tus kab mob sib kis ntawm hom angina hauv txhua qhov thib kaum yog kab mob diphtheria. Yog tias tsis kho, cov qog ntshav yuav loj heev, qhov tsw ntawm qhov ncauj yuav khaus, thiab mob caj pas yuav ua tsis taus.
Lub cev kub
Raws li lub cev kub, tawm tsam keeb kwm yav dhau los ntawm cov kab mob ulcerative-film tonsillitis, nws feem ntau tsis nce lossis nyob twj ywm hauv cov ntsuas subfebrile. Txawm li cas los xij, nrog kev loj hlob ntawm tus kab mob, qhov kub thiab txias tseem tuaj yeem ua tau. Ntau tus ntaus nqi thawj cov tsos mob ntawm tus kab mob mus rau ib tug mob khaub thuas, thiab raws li qhov tshwm sim, tus kab mob no tau kuaj pom tom qab theem.
Yuav ua li cas kho mob ulcerative membranous angina, tsis yog txhua tus paub.
yam ntxwv dav dav thiab muaj teeb meem tshwm sim
Cov yam ntxwv tseem ceeb ntawm qhov mob angina yog:
- Qhia salivation.
- Mob thaum nqos lossis zom zaub mov.
- ua pa tsis zoo.
- Cov qog nqaij hlav uas nyob ib sab ua rau mob palpation.
- nce lub cev kub.
- nce ESR.
- Moderate leukocytosis.
Qee cov tsos mob ntawm tus kab mob tuaj yeem nres thaum lub sijhawmtxoj kev kho, tab sis lawv raug tshem tawm tag nrho tom qab rov zoo.
Yog tias tsis ua raws li kev kho mob ntawm cov kab mob ulcerative-film tonsillitis, cov teeb meem hauv qab no tuaj yeem tshwm sim:
- mob rheumatic fever.
- Jade nrog kev pheej hmoo ntawm kev hloov mus rau hauv lub raum tsis ua haujlwm.
- mob tonsillitis.
- polyarthritis ntawm kis kab mob.
Nyob rau hauv cov mob hnyav heev, kev kho mob yuav txuas ntxiv mus rau ob peb lub hlis kom txog thaum tus neeg mob rov zoo tag nrho.
Diagnosis
Txoj kev qhia paub ntau tshaj plaws rau kev kuaj mob ulcerative membranous tonsillitis yog khawb tawm ntawm tus neeg mob lub caj pas. Txoj kev no tso cai rau koj kom paub meej lossis tsis lees paub qhov muaj ntawm spindle-shaped rods thiab spirochetes ntawm cov mucous membrane. Nws tseem yog ib qho tseem ceeb uas yuav tau kuaj xyuas qhov sib txawv nrog cov kab mob hauv qab no:
- kab mob plab qa. Nws txawv ntawm angina hauv kev swb ntawm ob qho tib si tonsils ib zaug. Cov kab mob ulcerative pom thaum lub sij hawm tshuaj ntsuam bacteriological txiav txim tawm diphtheria.
- Necrotic ntau yam mob qa.
- Kab mob syphilitic. Los ntawm kev tshwm sim sab nraud, nws yog qhov nyuaj kom paub qhov txawv ntawm ob lub pathologies. Rau kev sib txawv, Wassermann cov tshuaj tiv thaiv yog ua tiav.
- Neoplasm. Kev kuaj ntshav biopsy thiab cystological tau ua kom paub meej qhov kev kuaj mob.
- Angina thib ob hom.
txhawm rau kuaj xyuas "ulcerative angina", nws yog ib qho tsim nyog yuav tsum tau ua qhov kev ntsuam xyuas dav dav thiab ntau yam.kev tshawb fawb siv ntau txoj kev. Qhov no yuav paub qhov txawv ntawm cov kab mob los ntawm lwm yam kab mob hnyav dua, nrog rau tsis suav nrog SARS, mob npaws lossis kub cev liab.
kev kho ntawm ulcerative membranous angbanous angbanous angina
Tom qab kev tshuaj xyuas tau ua tiav thiab kuaj pom tseeb, tus kws kho mob tshwj xeeb tshaj tawm cov kev kho mob uas tsim nyog. Nws yog ib qho tseem ceeb uas qhov no yuav tsum tau ua raws li qhov ntsuas tau los ntawm kev txheeb xyuas thiab suav nrog tus yam ntxwv ntawm txhua tus neeg mob.
Ib yam mob uas yuav tsum tau kho yog noj tshuaj tua kab mob. Qhov no yog qhov tsim nyog los ua kom muaj kev tiv thaiv hauv zos thiab nws cov kev tiv thaiv rau cov kab mob microflora. Nws tseem yog ib qho tsim nyog yuav tau ua kev kho mob nrog tshuaj pleev, piv txwv li, kho cov mucous daim nyias nyias nrog tincture ntawm iodine, tooj liab sulfate los yog cov tshuaj raws li nyiaj nitrate. Tsis tas li ntawd, ib qho kev daws ntawm novarsenol raws li glycerin, nrog rau methylene xiav, yog siv los kho cov chaw cuam tshuam.
Cov kws kho mob yuav pom zoo kho lub caj pas nrog kev daws ntawm poov tshuaj permanganate nrog hydrogen peroxide. Rinsing yuav tsum tau ua tsawg kawg peb zaug ib hnub twg. Yog tias tsis muaj qhov ua tau zoo rau ob peb hnub, hmoov nrog novarsenol suav nrog hauv kev kho mob. Cov tshuaj no kuj raug txhaj. Qhov koob tshuaj yog tus kws kho mob tau sau tseg nyob ntawm lub hnub nyoog thiab tus mob ntawm tus neeg mob.
Tsis tas li ntawd, kev kho mob ntawm tonsils nrog cov tshuaj qab zib tau sau tseg. Qhov no tsim ib qho chaw tsis zoo rau cov kab mob ntawm cov kab mob ulcerative-film tonsillitis. Nws tseem yog ib qho tseem ceeb uas yuav tau ua raws li kev noj zaub mov tshwj xeeb thiab noj cov zaub mov uas muaj cov zaub mov muaj txiaj ntsig thiabcov vitamins.
Kev Tiv Thaiv
Txhawm rau tiv thaiv rov tshwm sim ntawm cov kab mob ulcerative-membranous angina, nws yog ib qho tsim nyog yuav tau pib kho raws sijhawm thiab nqa tawm mus txog thaum rov ua tiav. Qee lub sij hawm cov kws tshaj lij tau sau npe kom tau txais cov vitamin complexes, uas tso cai rau koj los ua kom lub cev tiv thaiv kev cuam tshuam ntawm ib puag ncig tsis zoo, thiab ntxiv rau nws nrog tag nrho cov zaub mov tsim nyog.
Lub hauv paus rau kev tiv thaiv ntawm angina yog kev huv ntawm qhov ncauj. Qhov no suav nrog tsis yog tsuas yog txhuam koj cov hniav xwb, tab sis kuj mus ntsib kws kho hniav tsis tu ncua thiab kho raws sijhawm ntawm cov teeb meem kho hniav, xws li kab noj hniav.
Ntxiv rau, nws tseem ceeb heev uas yuav tsum tau ua kom muaj zog tiv thaiv kab mob. Txhawm rau ua qhov no, koj yuav tsum npau taws lub cev, ua si kis las thiab noj zaub mov zoo. Koj tuaj yeem pib noj cov vitamin complexes. Txawm li cas los xij, cov kauj ruam no yuav tsum tau sab laj nrog kws kho mob.
