Tonsillitis yog ib yam kab mob uas ua rau mob ntawm tonsils, lawv loj thiab liab. Qee lub sij hawm muaj cov kua paug tawm hauv qhov chaw ntawm cov tonsils, hu ua lacunae. Nyob rau hauv daim ntawv mob ntev, qhov xav tau ntawm cov tshuaj tua kab mob, nrog rau lwm txoj kev kho mob, tau lees paub. Cov no suav nrog kev ntxuav cov lacunae ntawm cov tonsils - cov txheej txheem kho mob uas muaj nyob rau hauv kev tshem tawm cov kab mob muaj nyob hauv cov ntaub so ntswg lymphoid. Xav txog vim li cas nws thiaj xav tau thiab nws yuav ua li cas.
tonsils yog dab tsi?
Ntau zaus, ENT cov kws kho mob tau sau cov tshuab nqus tsev ntxhua khaub ncaws rau cov neeg mob. Qhov tseeb, cov tonsils yog cov ntaub so ntswg lymphatic uas ua rau lub cev tsis muaj zog. Tab sis lawv cov qauv muaj xws li ib tug feature uas ib tug haum zoo yog tsim rau cov khoom noj thiab desquamated epithelial hlwb kom tau daig. Nyob rau hauv lem, qhov no yog ib qho chaw rau tsub zuj zuj thiab reproduction ntawm cov kab mob, tshwj xeeb tshaj yog staphylococcus thiab streptococcus. Yog li ntawd, nws yog ib qhov tsim nyog los ntxuav cov tonsils ib ntus thiab nyob rau lub sijhawm, thiaj li tsis ua rau muaj kev vam meej ntawm tus kab mob. Rau qhov no, ntxuavpalatine tonsil lacunae.
Cov txiaj ntsig ntawm cov txheej txheem
- Cov khoom tseem ceeb tshaj plaws ntawm txoj kev yog kev ua haujlwm zoo. Muaj cov pov thawj hauv kev kho mob zoo li no. Ntxuav cov lacunae ntawm cov tonsils tuaj yeem txo tau txawm tias cov kab mob pheej hmoo tshaj plaws mus rau lub xeev ntawm kev zam mus ntev.
- Thib ob yog kev nyab xeeb ntawm txoj kev. Thaum dej ntws tawm, kev raug mob rau cov mucous membrane lossis kev puas tsuaj rau cov tonsils tsis tuaj yeem tshwm sim.
- Kev tsis muaj kev fab tshuaj yog lwm qhov tseem ceeb ntxiv ntawm cov txheej txheem, uas tsis tuaj yeem hais txog cov tshuaj tua kab mob hauv lub cev.
- Tus nqi pheej yig ntawm cov txheej txheem xws li ntxuav cov lacunae ntawm palatine tonsils tso cai rau kev kho mob.
- Tshuaj tu cov tonsils tsis muaj kev pheej hmoo ntawm exacerbation ntawm tus kab mob, uas txhais tau hais tias qhov yuav tshwm sim ntawm kev phais - tonsillectomy (tshem tawm cov tonsils) txo.
- Ib tug me me ntawm contraindications, nrog rau qhov tsis muaj hnub nyoog txwv, ua kom ntxuav lub lacunae ntawm tonsils ib txoj kev nrov.
YContraindications
Ntawm cov, cov kab mob hauv qab no thiab cov xwm txheej ntawm lub cev tuaj yeem raug teev tseg:
- kab mob kis mob hnyav;
- mob ntshav siab;
- mob qog noj ntshav;
- tuberculosis;
- VNS ua txhaum;
- retinal detachment;
- ntxov ntxov thiab lig cev xeeb tub.
Thaum cov neeg mob cev xeeb tub, tsuas yog txoj kev ultrasound yog contraindicated.
Hardware methoddej nyab
Nqus ntxuav ntawm lacunae ntawm cov tonsils nrog "Tonsilor", ib qho khoom siv tshwj xeeb, yog cov txheej txheem ua haujlwm ntau, thaum lub sijhawm cov tonsils tau ib txhij ntxuav nrog tshuaj tua kab mob thiab ntxuav. Lub siab gradient tsim los ntawm lub tshuab nqus tsev tshem tawm cov ntsiab lus ntawm qhov khoob, thiab cov tshuaj tua kab mob pab ua kom puas cov kab mob flora.
Qhov zoo ntawm txoj kev suav nrog:
- zoo ntxuav cov qog tsis yog tsuas yog superficially, tab sis kuj nrog tob tob;
- tsis tas yuav siv cov cuab yeej ntxiv, txhua qhov kev ua haujlwm tau ua nrog ib lub nozzle;
- tom qab kev kho mob, tonsillitis mus rau hauv kev kho.
Txawm li cas los xij, tseem muaj qhov tsis zoo:
- kev kho mob tsis tuaj yeem nqa hauv tsev, raws li tus kws tshaj lij txhais tes yuav tsum tau;
- contraindications nyob rau hauv thawj thiab thib peb peb lub hlis twg ntawm cev xeeb tub, tag nrho lub sij hawm uas yog yus muaj los ntawm kev pheej hmoo ntawm exacerbation ntawm tonsillitis vim txo kev tiv thaiv.
Sib sib zog nqus ultrasonic ntxuav ntawm tonsils ua ke nrog lub tshuab nqus tsev. Physiotherapy pab kiag li lawm rau xws li cov txheej txheem tsim ultrasound nrog ib tug zaus ntawm 26.5 kHz, uas ua rau cov nyhuv ntawm cavitation (kev tsim cov pa npuas nrog lawv tom qab tawg). Nws yog tus cwj pwm los ntawm lub peev xwm los rhuav tshem cov kab mob thiab nyias cov ntsiab lus ntawm qhov khoob, tom qab ntawd lawv yooj yim los ntxuav.
Qhov zoo tshaj plaws suav nrog:
- kev sib xyaw ntawm kev ntxuav tob tob nrog kev tswj hwm ultrasonic ntawm cov tshuaj, uastxhawb kev huv thiab kho ntawm thaj chaw mob;
- kab mob tuag thiab raug tshem tawm nrog rau cov ntsiab lus ntawm lacunae, uas ua rau yug me nyuam thiab pub rau lawv;
- tag nrho cov kev tswj hwm tau ua tiav ntawm tib lub tshuab.
Qhov tsuas yog qhov tsis zoo ntawm cov txheej txheem yog tias muaj contraindications rau cov poj niam cev xeeb tub.
Kev npaj ua ntej
Kev ntxuav cov lacunae ntawm cov tonsils tuaj yeem nqa tawm siv cov tshuaj tua kab mob uas tsim nyog rau cov mucous membrane. Cov kev cai tseem ceeb rau nws:
- tsis muaj tshuaj lom;
- tiv thaiv cov tshuaj kub hnyiab ntawm cov mucous thiab tonsils;
- muaj ntau yam ntawm cov tshuaj tua kab mob, piv txwv li cov kab mob bactericidal tawm tsam cov kab mob tseem ceeb ntawm tonsillitis: staphylococci thiab streptococci, nrog rau cov kab mob thiab cov kab mob, yog li ntawd tom qab ntxuav lub pharynx, biocenosis ntawm cov nroj tsuag tsis yog. ntxhov siab;
- kev daws teeb meem yooj yim uas tsis ua rau kub hnyiab thiab tsis ua rau poob hauv kev tiv thaiv hauv zos;
- tsis muaj kev tsis haum tshuaj.
Feem ntau siv rau cov tshuaj tua kab mob yog cov tshuaj Furacilin. Rau tib lub hom phiaj, cov tshuaj "Miramistin" yog haum - ib tug bacteriophage ntawm staphylococcus aureus. Chlorhexidine tov yog nrov thiab pheej yig, thiab hydrocortisone ointment yog siv rau phonophoresis.
Kuv yuav tsum yaug kuv cov tonsils ntau npaum li cas?
Cov txheej txheem yuav tsum tau ua raws li qhov xav tau, piv txwv li, nrog rau kev ua rau mob tonsillitis. Kuj ntawmThaum muaj cov tsos mob xws li nqos nyuaj, ua pa tsis zoo, nws raug nquahu kom yaug lub lacunae ntawm tonsils. Kev tshuaj xyuas ntawm ntau tus neeg mob txog cov txiaj ntsig ntawm kev kho mob yog qhov zoo, koj tsuas yog yuav tsum xaiv tus kws kho mob ENT tus kws kho mob uas yuav qhia koj seb puas tsim nyog kho lub cev tam sim no thiab seb nws puas tuaj yeem ua ke nrog kev noj tshuaj tua kab mob.
Tus nqi kho mob
- Txij li thaum lub hom phiaj ntawm kev ntxuav caj dab yog los rhuav tshem tus kab mob thiab kev kho mob tons tonsillitis, ib qho kev ntxias tau tsis muaj nqis los ntawm no. Txawm hais tias cov txheej txheem tau ua tiav nyob rau hauv qhov zoo tshaj plaws, nws yuav tsum nco ntsoov tias cov txheej txheem ntawm kev tsim cov kab mob flora yog tas mus li. Tsis tas li ntawd, cov kab mob epithelial tuag ua haujlwm ua ib puag ncig rau lawv nyob thiab yug me nyuam. Ntxiv rau lub cev tuag ntawm cov qe ntshav dawb tiv thaiv kab mob thiab cov khoom noj uas daig hauv tonsil plugs.
Txhua yam no ua rau mob, ua pa tsis zoo thiab lwm yam tshwm sim. Txawm hais tias koj tsis muaj tonsillitis ntev, koj tuaj yeem ua rau tonsil flush rau kev tu cev.
Txhua yam saum toj no qhia tias kev kho mob yuav tsum yog ib chav kawm thiab suav nrog tsib mus rau kaum txheej txheem xws li ntxuav cov lacunae ntawm cov tonsils. Tus nqi ntawm ib qho manipulation nyob ntawm qhov chaw ntawm nws qhov kev siv, tshuaj thiab khoom siv. Feem ntau cov nyiaj no tsis pub tshaj 1,000 rubles, uas txhais tau hais tias tag nrho cov chav kawm yuav raug nqi 5,000-10,000 rubles.
Tau kawg
Nyob rau hauv cov mob tonsillitis, nws yog ib qho tseem ceeb kom tsis txhob khiavcov txheej txheem ntawm o, vim tias nws tuaj yeem ua rau lwm yam tshwm sim thiab teeb meem ntawm lub cev thiab pob qij txha. Nws yog ib qho tsim nyog los sab laj tus kws kho mob raws sij hawm, leej twg yuav sau ntawv kho mob, xaiv tus naj npawb yuav tsum tau ntxuav ntawm tonsils thiab cov tshuaj siv rau lawv. Lub tsev kho mob tau xaiv rau lub hom phiaj no, nws cov khoom siv nrog cov khoom tsim nyog thiab cov cuab yeej tseem ua lub luag haujlwm loj.
