Ena ayamikira za mmene tiyenera kuchitira zilonda zapakhosi aakulu

Aakulu zilonda zapakhosi - matenda a chamoyo wonse, chimene amakhala ndi nonspecific kutupa kwa tonsils wa matupi awo sagwirizana kapena matenda etiology.

Pakali pano, chifukwa chachikulu cha zilonda zapakhosi aakulu gulu A hemolytic streptococcus, koma posachedwapa pa kufufuza bacteriological wa tonsil kuipitsa mbiri kuzindikiridwa tizilombo tina, monga staphylococci, pneumococci, mabakiteriya anaerobic, mavairasi, bowa. The owopsa kwa thupi Streptococcus gulu A, kuyambira Kakhungu matabwa ake ofanana ndi kapangidwe ka zimakhala zambiri thupi ndi pamene chitetezo cha m'thupi umabala akupha tizilombo ichi, chitetezo sangathe kusiyanitsa zimakhala thupi ndi streptococci, zokhudza ziwalo zosiyanasiyana.

Chifukwa cha zilonda zapakhosi aakulu pafupifupi simungakhoze muganize mpaka kumapeto. Pali chiphunzitso kuti ndondomeko aakulu anaika pambuyo ayi angapo angina, nthawi zina akukhulupirira kuti ndondomeko aakulu akufotokozera kuyambira pachiyambi, kudutsa mu gawo pachimake ndi chikhululukiro. Asayansi ena amakhulupirira kuti munthu afika tonsils m'thupi kubadwa kwambiri.

Funso mmene kuchiza zilonda zapakhosi aakulu akudzifunsa pafupifupi aliyense otolaryngologist, kuyambira matenda ndi povuta kuti kuchitira. Odwala kuzunzidwa mazana mankhwala, zonse aggravation a angina involuntarily kudzifunsa nokha funso ngati n'zotheka kuchiza zilonda zapakhosi aakulu? Mu mapangidwe zilonda zapakhosi aakulu mbali yofunika zinthu monga: chikhalidwe wamkulu wa munthu, kukana ake chilengedwe, virulence ya bakiteriya ndiponso zinthu zina zambiri. Choncho, mankhwala mabuku akukonzerani. Kwathunthu kuchiza zilonda zapakhosi aakulu, mankhwala ayenera kusonkhezera mderalo, komanso thupi lonse. Pakuti mankhwala wathunthu ntchito njira zachipatala ndi alowererepo pa opaleshoni. Kusankha njira makamaka zimadalira zilonda zapakhosi siteji chipukuta misozi.

mankhwala ntchito milandu zotsatirazi:

- kulipidwa mawonekedwe a zilonda zapakhosi;

- chosakhalitsa mawonekedwe a zilonda zapakhosi aakulu;

- uncompensated zilonda zapakhosi, ngati wodwala akukana mankhwala opaleshoni, kapena kungoti wodwalayo osayenera opaleshoni chifukwa cha zinthu thanzi

mankhwala ayenera kukhala maphunziro mwadongosolo 2 - chaka 3 nthawi. Kusamba ikuchitika mipata antiseptic (1% Dioxydinum njira 1: 5000 furatsilina kapena 0.01% - 100 ml miramistinom, chlorohexidine ndi ena). Kamodzi unachitikira lavage lacunae, tonsils kukonzedwa Lugol, opopera angagwiritsidwe ntchito pakhosi zosiyanasiyana. mankhwala ikuchitika pa mlingo wa chamoyo wonse, kwa wodwala uyu chikuyendetsedwera Vitamini C 0,3 - 0,5 katatu pa tsiku kwa mwezi umodzi. mankhwala ziwengo ndi kutumikiridwa (Suprastinum, dimidrol, pipolfen), mwachitsanzo dimidrol akhale 0,05 ga, kapena piritsi limodzi la 1 - 2 pa tsiku. Mankhwalawa kumatenga 10 - 15 masiku ndi kubwereza 2 - 3 zina chaka, makamaka m'nyengo yozizira, masika ndi autumn. Muyeneranso kuwunika kutentha kwa chakudya ayenera kumamwa kowirikiza tiyi ofunda (kupewa otentha ndi ozizira mbale). Mu chikhululukiro mtima Kwalamulidwa physiotherapy. N'kofunikanso kuti thupi wochiritsidwa uja njira zonse zilipo aakulu, kuti akhale chifukwa cha exacerbations latsopano. Mankhwala mankhwala patsogolo chitetezo chokwanira thupi ndi kukana chilengedwe (pirogenal, ribomunil, tonzinal, tonzilgon).

Maantibayotiki akagwiritsidwa ntchito lokha pa exacerbations za matenda -. Augmentin, cefaclor, ceftriaxone, etc. Ndi bwino kufufuza zimene mankhwala mabakiteriya osatetezeka.

Choncho mmene tiyenera kuchitira zilonda zapakhosi aakulu si nthawi zonse mankhwala zotheka ndi dokotala pogwiritsa ntchito alowererepo pa opaleshoni. Pali mfundo zina zomwe dokotala nthawi zambiri motsogozedwa kusankha wodwalayo amigdalektomii (ie excision wa tonsils a)

- 3 zilonda zapakhosi chaka chimodzi, kupitiriza kwa zaka zitatu zotsatizana;

- 4-5 milandu zilonda zapakhosi kwa chaka, zaka 2 motsatana;

- oposa 6 milandu exacerbation wa zilonda zapakhosi aakulu mu chaka chimodzi;

- zikamera matendawo zotumphukira;

- peritonzilyarnye abscesses.

zinthu zonsezi zikusonyeza mawonekedwe uncompensated a zilonda zapakhosi. Zikatero, salinso akufunsa funso la mmene tiyenera kuchitira zilonda zapakhosi aakulu, ndipo chitani yomweyo amigdalektomii ndi mwachitsanzo wathunthu kuchotsa tonsils lapansi. Opaleshoni kuchepetsa chiopsezo cha matenda oyamba kuti ungachitike popanda opaleshoni. Ngati mavuto kale (misempha, glomerulonephritis, cardiopathy, etc. peritonzilyarny abscess.), Pambuyo kuchotsa tonsils matenda amenewa bwino ndipo n'kosavuta kuchitira.

Aakulu zilonda zapakhosi - ndi matenda amene amatsogolera zambiri ngakhale kuti munthu wa kulemala, akapanda nthawi yocheza chithandizo. Anapeza kuti hemolytic streptococcus gulu angakhale causal matenda pafupifupi 130, nthawi zambiri ndi chikhalidwe autoimmune, kutanthauza kuti ngakhale bakiteriya kwathunthu kuchotsedwa thupi, matenda chifukwa cha izo, adzapitiriza kukhala. Standard malamulo okhudza mmene ayenera zilonda zapakhosi aakulu pafupifupi sanali sakupezeka mu ambiri a milandu, chithandizo amasankhidwa payekha.