Pharyngitis - zviratidzo uye kurapwa zvichienderana nezvinokonzera chirwere chacho

Mutsara wokutanga wekudzivirirwa kwemuviri kubva kuhutachiona hwehutachiona uye hwebhakitiriya, kutonhora uye nezvimwe zvinokanganisa zvinonzi lymphoid tissue mu pharynx. Inononoka masero e-pathogenic uye zvinotyisa zvikamu, mushure mokunge ivo vakadzingwa pamwe chete nemucheka wakashandiswa.

Pharyngitis - ichi chirwere chii?

Kana chirwere chepachivande chepa pharynx chinoshanda zvisina kunaka, uye hutachiona hunooma, zviratidzo zvehutachiona hunotanga mumatumbu e-lymphoid. Muchirapa inonzi "pharyngitis" - chii ichocho, zviri nyore kunzwisisa kubva pakushandurwa kubva mumutauro wechiLatini. Pharynx - pharynx, -itis (chiyero) - kupisa kwakasimba. Chirwere ichi chinogona kuchinja semumwe wehurumende yemuviri (mhuno, muromo, kana maruva), uye zvose panguva imwe chete.

Is pharyngitis kana kwete?

Chirwere chinokanganisa chinokonzerwa nezvikonzero zvakasiyana-siyana, pakati pacho pane zvirwere. Zvakakosha kuziva kuti nei pharyngitis yakatanga - zviratidzo uye kurapwa, nzira dzekufambisa uye mikana yezvinetso zvichienderana nezvinokonzera kurwara. Apo chirwere chekuvhiringidza chinokonzera kutanga kwacho kumucheto we hypothermia we pharynx kana kukanganisa kwemakemikari, murwere haisi nengozi kune vamwe. Kana chirwere chacho chichipfuurira nekuda kwehutachiona nehutachiona hwepathogenic, mhinduro kumubvunzo ndeyokuti pharyngitis inopararira inobatsira. Mune mamiriro ezvinhu akadaro, kuisa mukana uye kurapa kwakakodzera kunodiwa.

Pharyngitis - zvinokonzera chirwere chacho

Zvose zvinokonzera zviratidzo zvekuvhiringidza kwemaitiro mumarutsi e-lymphoid e-pharynx akakamurwa kuva mapoka matatu:

1. Kushungurudzika (magetsi) zvinokonzera. Chirwere chinotanga mushure mekurapwa, kushandiswa kwemuviri kunze kwenyika, irradiation, kutarirwa kune acids kana alkalis. Kazhinji kuputika kunokonzera kupisa kwemhepo inopisa, mhepo inotonhora, utsi hwefodya, tsvina yemakemikari inotyisa
2. Pathogenic pathogens. Vanokurudzira kuparadzaniswa pharyngitis - mavharita kana bhakitiriya. Zvisiri zvishoma ndezvomuitiro we mycosis wechirwere, zviratidzo zvayo zvinokonzera fungi ye genus Candida (thrush).
3. Immune zvinhu. Dzimwe nguva kubvumira kunotanga nekuda kwekurwiswa kwemuviri wezvidziviriro zvemuviri pamarukirwo ayo ega (zvirwere).

Viral pharyngitis

Ichi ndicho chinonyanya kunyanya kurondedzerwa chirwere. Maererano nekutsvakurudza kwemazuva ano, chikonzero chikuru, icho mu80% chemhosva chinokonzera pharyngitis iyo hutachiona. Mishonga yakakura ndeyikuti:

• furuwenza;
• rhinovirus;
• coronavirus;
• paragripp ;
• adenoviruses.

Kune mamwe maitiro emapathogenic anokonzera pharyngitis - zviratidzo uye kurapwa kwevasingawanzo uye zvakanyanya marudzi ezvirwere zvinoda nzira yakabatana. Izvo zvinokonzera kuvhiringidza mumamiriro ezvinhu aya zvinoratidzika sekufambira mberi kwechirwere chepakati:

• syncytial respiratory virus;
• herpes simplex rudzi 1 kana 2;
• Coxsackie virus;
• cytomegalovirus;
• human immunodeficiency virus;
• enteroviruses;
• Epstein-Barr virus.

Bacterial pharyngitis

Nekushaya simba kwekuchengetedzwa kwepachivande kana kuti pedyo nevatauri nevatakuri vezvinyorwa zvepathogenic, utachiona hwe microbes hunoitika. Purulent pharyngitis inowanzokonzera:

• staphylococci ;
• pneumococci;
• Yersinia;
• streptococci;
• Neisseria.

Muvanhu vakuru, pane zviratidzo zvemaitiro chaiwo ehutachiona urwu hunokonzerwa nemaBhakitiriya anotevera:

• mycoplasma;
• gonococci;
• ureaplasma;
• chlamydia.

Allergic pharyngitis

Urwu urwere hwechirwere huri kurwisana nemamiriro ekudzvinyirirwa kwehutachiona hwemuitiro uye hwemukati. Iyo inenge isingaiti inotarisana muga woga, pakutanga kune inokonzera rhinitis - pharyngitis inosangana mazuva mashoma gare gare. Iyi ndiyo nzira yakaoma kwazvo yehutano maererano nehutachiona, iyo ine unhu husingaperi. Pachigamba chekutanga chiremba anofanira kuziva, nekuda kweaive ne pharyngitis - zviratidzo uye kurapwa zvinotarisana nemuvambi wezvokuvhiringidza nzira iyo basa rekuita:

• zvipembenene;
• mold uye mbiriso fungi;
• guruva remhuri;
• makemikari akabatanidzwa;
• chikafu chezvokudya;
• mishonga;
• simiti yemapula;
• animal protein;
• utsi hwefodya.

Kuwedzera kuipa kwechirwere chechirwere kunogona kuwirirana zvinhu:

• kushungurudzwa kwebhuku remimba;
• kidyo pathology;
• kusagadzikana kwezvinhu zvakasikwa;
• basa rezvemhizha rinosangana nebasa rekudzivirira muviri;
• kukonzera muviri;
• kusawirirana kwe microflora ye mucous membrane ye pharynx;
• zvirwere zvepfungwa;
• kushungurudzika kwemasororal uye masero emagetsi.

Pharyngitis - zviratidzo

Kliniki yemifananidzo yekuputika kwe pharynx inofanana nechimiro uye nzira yehutachiona. Acute pharyngitis yakaratidza zviratidzo, izvo zvinoita kuti kuve nekusiyanisa kuonekwa uye kurapa kunotevera. Chirwere chisingagumi chechirwere hachina kunyanyisa, zvinongonzwisisika zvinokanganiswa nemamwe zvirwere zvemukati. Zviratidzo zvakanyanyiswa zvakanyanya panguva yekudzoka zvakare.

Chimiro chekuchinja mu mucous membrane ye pharynx ndechimwe chikonzero icho zviratidzo zvekuputika uye pharyngitis zvinosarudzwa:

• catarrhal;
• granulosa (granulomatous);
• hypertrophic;
• atrophic.

Catarrhal pharyngitis

Nzira yakaratidzwa yekuputira mumatumbu e-lymphoid e-pharynx mumishonga inonzi yakanakira. Huro ne catarrhal pharyngitis inowana ruvara rutsvuku, rukavhurika uye rinofukidzirwa nemasikirulent masses. Rusvingo rwemashure rwemarara rinogona kunge ruchireva kuwedzera mumamiriro emigwagwa uye tubercles. Pamberi pekutanga kurapwa kwakakosha kuziva kuti chii chinokonzera pharyngitis - zviratidzo uye kurapwa zvinonyanya kushandiswa pathogen yekuputika.

Zvimwe zviratidzo zvehutachiona hwechirwere:

• jira, kupisa nekuchenesa mumutsipa;
• kurwadziwa kwepakati pemamwe pakumedza nekudya;
• dzimwe nguva - kutengesa muviri wekushisa, kazhinji kacho inoramba yakasununguka;
• manzwiro emuviri wekunze mu pharynx;
• inzwi rinopenya;
• chido chekuramba uchikanganiswa kusunungura huro;
• kazhinji - concomit rhinitis, conjunctivitis.

Granulosa pharyngitis

Ichi chirwere chisingagumi chinoratidzirwa nekunyanyisa kwenguva. Sluggish granulosa pharyngitis - zviratidzo:

• zvakagadzikana, kusangana nemumwe nemumwe follicles pamusana wekunze kwehuro;
• rima mutsvuku mutsvuku we pharynx;
• kunyunyisa kwevhisikiti, zvakaoma kuti expectorate sputum;
• zvigaro zvekukanganiswa kukuru;
• kunzwa kwechimwe chinhu kunze kwehuro;
• hoarse voice;
• mweya wakaipa;
• kupisa, kusuruvara, kuchenesa nekumedza mumutsipa;
• kugara uchikanganiswa mukuedza kubvisa tsvina;
• yakakura pedo nhengo dzenzou;
• kuoma mumutsipa;
• dzimwe nguva - kusanganiswa kwe purulent mucus kana kuti chidimbu pamusvingo wekuseri kwelarynx;
• kupera kwekugadzirisa;
• kuora kwehupenyu hwakanaka.

Hypertrophic pharyngitis

Rudzi rwakarondedzerwa rwehutano runowedzera mumarudzi maviri. Yokutanga is granulosa kutukurwa kwakataurwa pamusoro, yechipiri is lateral hypertrophic pharyngitis. Iyo inoratidzirwa nekusimudza uye kuwedzerwa kwepasynx tissues zvakafanana nehupenyu huri kuramba huchigadziriswa. Lymphatic nemidziyo yeropa zvikuru inowedzera uye inokura, pamashure mashure makuru makuru egorosi anoumbwa.

Chikoro ne pharyngitis ishuta, yakasviba uye inobtrusive. Murwere ane chirwere chinopera kwenguva refu, panguva iyo yakasununguka uye yakaoma yakasununguka yakasunungurwa. Munhu anonzwa nguva dzose "bundu" mumutsipa, kuoma, kupisa, kuchenesa uye kuputika. Zvimwe zviratidzo:

• mweya wakaipa uye mushure mekunge uchidya;
• kuwedzera mune lymph nodes mumutsipa;
• shandura izwi nenzwi;
• headaches;
• kurasikirwa nechido;
• kugona;
• dzimwe nguva - kushungurudzika, kusvika kurutsira, kunyanya munguva yekukanganiswa kwekukanganiswa.

Atrophic pharyngitis

Ichi chimiro chechirwere chinoratidzwa nekuoma kwakanyanya kwemukasi membrane uye kuora kwekupararira kweropa mumatumbu e-pharynx. Atrophic chronic pharyngitis inopindirana nezviratidzo zvinotevera:

• pfiggim yakawanda kwazvo kumusana kwepastax;
• kugara uchinetseka mumutsipa, chido chekunatsa huro pako;
• kuumbwa kwemaoko akaoma pamucheka;
• kuoma nekumedza kudya;
• kuora kwekudya;
• kazhinji - maronda;
• yakanyanya kuoma kukohwa;
• Dhaniki yakatsvuka yemirairi ne "lacquered" sheen uye zvakajeka midzi yeropa;
• nyota yakasimba;
• kushushikana kwehope;
• kupera kwe pharyngeal reflexes;
• mweya wakaipa;
• kubuda ropa kwemapapirore mumutsipa.

Pharyngitis - kurapwa

Kurapa kwekuputika kwe pharynx kunoda munhu akaumbwa uye akabatanidzwa nenzira, kunyanya kana ichiitika muhupenyu husingaperi. Nzira yekurapa pharyngitis, otolaryngologist inofanira kusarudza pamusoro pezvikonzero zvekusimudzirwa kwechirwere, marudzi ayo, mararamiro omurwere nezvimwe zvinhu. Matanho ekurapa mazano anosanganisira:

• kuramba kubva kusvuta uye doro;
• kushandiswa kwemhepo humidifier;
• kunamatira kune zvokudya zvakatemerwa;
• kudzivirirwa kwezvikamu zvekupumadza kubva kunotonhorera uye kunokisa, makemikari akabatanidzwa, guruva uye izvo zvinogumbura;
• kurapwa kwechikwata chechirwere chinokonzera kupisa kwekuita;
• kushanyira sanatoriums chaiwo uye resorts;
• physiotherapy;
• cauterization yekuwedzera kwechiremera chemuviri (ine hypertrophic type yehosha).

Zviri nani kurongedza ne pharyngitis?

Kuita kuti huve hukama hwakanaka, kuvhara marwadzo ehutano uye kuchenesa muromo wemuromo, kushandiswa kwepiriseptic yelarynx inokosha. Kushanda kwakakwana kwe pharyngitis kunopa kuchenesa kwezuva nezuva kwehuro nechinogadziriswa nemishonga inorwisa maitiro. Mune maitiro akaoma echirwere uye panguva yekudzoka kwekuvhiringidza, nzira yacho inofanira kuteverwa maawa mashomanana. Iwe usati wapora chirwere chepirinngitis nemakonzo, unofanirwa kutarisa otolaryngologist pamusoro pemishonga yawakasarudza. Vanachiremba vanopa zvinotevera zvinotevera:

• Iodinol ;
• Furacilin;
• Rotokan;
• Dioxydin;
• Malawi;
• physiological saline;
• Chlorophyllipt;
• Miramistin ;
• Romalusan;
• muto we chamomile, sage kana lemon balm;
• Chlorhexidine;
• Hexoral nezvimwewo.

Pharyngitis - madhiragi ekurapa

Chirwere chikuru chakasarudzwa chinosarudzwa zvichienderana nechinokonzera kuputika kwe pharynx. Kupfuura kurapa pharyngitis:

1. Antiseptics. Mushure mekuchenesa, zvinonzwisisika kuisa huro nehuro ye Lugol's solution, kunwisa neKamethon, Olefar, Ingalipt, Orapept nemimwe mishonga.
2. Local painkillers. Kuchengetedza kusagadzikana mumarara uye kuita kuti kumira, tinoshandisa lozenges, lozenges nekugadzirira kwakafanana neanesthetics - Septotelet, Neo-Angin, Pharyngosept, Strepsils, Hexaliz nevamwe.
3. Antimicrobial medication. Antibiotics for pharyngitis inoshandiswa chete nokuda kwoutachiona hwechirwere ichi, inongororwa chete nachiremba mushure mekutsvaga kweputum uye mucous membrane uye kuedzwa kwekunzwisisika kweiyo mishonga yemishonga yakasiyana nemishonga. Nekurapa, zvose zvemagetsi antimicrobial (Bioparox, Imudon) uye systemic agents ( Sumamed , Erythromycin, Cefalexin) inogona kushandiswa.
4. Antimycotics. Fluconazole uye zvinyorwa zvayo zvinowanikwa munyaya yemafungiro ezvokuvhiringidza. Kusarudzwa kwemishonga yakadaro kunoshandiswawo ne otolaryngologist.
5. Anti-inflammatory and antipyretic agents. Aya mapoka emishonga haawanzoshandiswa, nokuti ne pharyngitis, kutonhora kwemuviri kunoramba kuri mukati ma 37-38 degrees. Chero mumatambudziko akaoma uye kuvapo kwezvinetso zvinoda kurapwa neParacetamol, Nimesil, Ibuprofen nemishonga yakafanana.

Pharyngitis - migumisiro

Kunyanya kunetseka kwechirwere chekuongororwa ndiko kuchinja kwacho kuchiita chimiro chisinganzwisisiki nekudzoka zvakare. Dzimwe nguva migumisiro yakaipa inomuka kana pharyngitis isina kuongororwa yakaonekwa - zviratidzo uye zvakaoma kurapwa izvo zvisingaenderani nechinokonzera chirwere chinowedzera mamiriro acho ezvinhu. Kushanda kwenguva refu kwenguva refu kwechirwere kunofungidzirwa kuti ndizvo zvinokonzera kuti zviitiko zvive zvirwere zvakakomba zvikuru. Zvinetso zve pharyngitis:

• peritonsillar uye pharyngeal abscess ;
• kuvhuvhuta kwehutori yekuongorora;
• tracheitis;
• Post-streptococcal glomerulonephritis;
• otitis media;
• laryngitis;
• chronic bronchitis;
• articular rheumatism;
• cervical lymphadenitis;
• sialadenitis.