Purulent pharyngitis: chithandizo, zizindikiro ndi kupewa. Kuopsa purulent pharyngitis

Zochita za dokotala ndiponso ENT chapamwamba matenda thirakiti kupuma ndi zachilendo. Makamaka m'dzinja ndi yozizira. Tizilombo toyambitsa matenda akhoza kukhala osiyana kwambiri, koma chovuta Zitatero matenda bakiteriya, monga purulent pharyngitis. Zizindikiro ndi mankhwala a adzakhululukidwa pansipa mu zigawo ziwalo za nkhaniyi. Pakuti "mbewu" tinganene kuti matenda kawirikawiri amapezeka kwayekha. Nthawi zambiri ndi vuto la matenda ena.

tanthauzo

Purulent pharyngitis - ndi matenda opatsirana a nembanemba mucous ya pharynx ndi chifukwa cha tizilombo toyambitsa matenda. Nthawi zambiri, ndondomeko izi zimachitika chifukwa cha kuvulala ziwalo ndi khosi kuphatikana sekondale microflora kapena ngati vuto la matenda yotupa wa zimakhala moyandikana ndi ziwalo.

Matendawa amapezeka pa maziko a kuledzera kwambiri, kotero wodwala ayenera yomweyo kupita kuchipatala kukalandira chithandizo mwadzidzidzi. Osauka khalidwe kapena anachedwa mankhwala akhoza kwambiri kuvulaza mtima ndipo chifukwa kwambiri matendawo.

zifukwa

Purulent pharyngitis zingachititse zosiyanasiyana tizilombo, koma mwina ambiri amaona kuti beta-hemolytic streptococcus gulu A. A pang'ono pokha wamba chifukwa cha matenda akhoza kuchita arganobakterii, nthumwi causative a chinzonono, spirochetes, Mycoplasma ndi mauka. Komanso, pachimake purulent pharyngitis ndi zingachititse mavairasi, mwachitsanzo, adenoviruses, rhinoviruses, coronaviruses, mavairasi a nsungu gulu, fuluwenza, parainfluenza.

Gulu chiopsezo ndi ana kuchokera zaka zisanu khumi ndi kulemba anthu usilikali, ngati iwo ali ambiri a nthawi m'magulu bungwe. Tizilomboto kudzera mwa m'malovu airborne, ndi kafalitsidwe mathamangidwe zimadalira anthu kudziponya.

pathogenesis

Purulent pharyngitis akuyamba kuti mabakiteriya yolowera nembanemba mucous ya oropharynx lapansi. Akutukuka kutupa m'dera limodzi ndi kutupa, redness ndi ululu. Tizilomboto akulowa minofu lymphoid wa tonsils, ndi kuchititsa iwo kuonjezera ndipo kudzikundikira mafinya mu follicles ndi. Pa kumbuyo kwa khosi mucosa zikuoneka ngati mafinya, iwo kupukuta ndi ndipamene kutumphuka.

Pa nthawi yomweyo, poizoni opangidwa ndi mabakiteriya, patsogolo permeability makoma chotengera, ndipo amalola kuti wothandizila tating'onoting'ono mu makope zokhudza zonse. The kuchuluka kwa tizilomboto kumapangitsa chitetezo cha m'thupi. Mu thupi pali chitetezo kwa tizilomboto lapansi. Koma kupatula kuti, iwo anatani maselo mtima minofu ndi impso, kuchititsa mavuto aakulu.

zizindikiro

Purulent pharyngitis akufotokozera pasanathe masiku atatu kapena anayi pambuyo kukhudzana ndi munthu wodwala. Pa akuluakulu matenda ikuyamba ndi pachimake ululu mu mmero pamene Pomeza. Pa nthawi yomweyo pali mutu, kufooka, ndipo malungo. Zizindikiro zimenezi chifukwa cha kuledzera.

Ambiri, chikhalidwe cha odwala oveteredwa monga amtengo. Kutentha si upambana 39 madigiri Celsius, pali kugunda mofulumira ndi kupuma. Nembanemba mucous ya pharynx ndi reddened, Palatine tonsils ndi anawonjezera, iwo akhoza kupezeka chikasu ❖ kuyanika. Odwala amadandaula ululu pamene Pomeza kudya, akulankhula. Odwala ena pali chifuwa youma ndi kuchita zilonda zapakhosi. Kuwonjezera kutupa mu zimakhala za oropharynx ndi, n'kusintha anati ndime m'mphuno, amene angathe kudziunjikira mafinya ndi ntchofu. Akuthamanga pansi kumbuyo kwa khosi ndi vutoli kutupa.

Komanso, odwala ndi zizindikiro ananena kuledzera: kutopa, kufooka, mutu, kusapeza mu minofu, mafupa ndi mafupa. Kutentha ndi zambiri otsika kalasi (mpaka madigiri makumi asanu ndi awiri), koma mkubwela kwa mafinya izo angafikire manambala febrile.

The zosinthika ambiri amakula chidawoneka purulent pharyngitis. Zizindikiro zingasiyane malingana m'badwo wa munthu ndi chuma cha chitetezo chokwanira wake. Ambiri, matenda amakhala osatinso kuposa sabata ndipo itha pa awo, ngakhale popanda mankhwala. Zizindikiro za kutupa, koma Pomeza mavuto zikhale kwa nthawi yaitali, chifukwa tonsils ali anawonjezera masabata.

ana Purulent pharyngitis

Matendawa nthawi zambiri matenda odwala mu gulu m'badwo uwu ndipo anapeza mofulumira. nthawi makulitsidwe yafupika maora twente-foro, ndi chizindikiro choyamba ndi redness kummero. Purulent pharyngitis mu nkhani iyi ndi matenda sekondale ndipo akhoza kukhala gwero la matenda a m'mapapo ndi m'njira za m'mphuno paranasal. Aakulu zilonda zapakhosi bwino zimayamba ndi matenda Reflux kapena regurgitation khanda.

Zizindikiro ana akufanana ndi anthu akuluakulu:

- ululu mu mmero pamene Pomeza ndi kudya

- kuwuka kutentha;

- tulo, kufooka ndi kukana kudya;

- wouma kuwakhadzula chifuwa.

zosokonezeka

Kusiyanitsa purulent ndipo sanali purulent mavuto a pharyngitis. Choyamba, monga ulamuliro, amapezeka m'madera oyandikana anatomical mu mawonekedwe a otitis, sinusitis, sinusitis, komanso abscesses ndi abscesses mafuta. Nthawi zina, ndi foci matenda akhale zimfundo, mafupa ndi ziwalo. Mpaka nthawi imeneyo, kodi mankhwala oyamba, zochitika matendawo anali pafupifupi khumi la chiwerengero cha milandu. Chibwenzi, odwala awa sakhala wamba. Ichi ndi chifukwa kuwonjezeka mu khalidwe ndi kugula mankhwala, ndipo ndi chakuti anthu kawirikawiri kupita kwa dokotala, kuchita kudziletsa chithandizo.

Ndi mavuto purulent monga chibayo, myocarditis, glomerulonephritis ndi matenda ena kuti kukhala pa maziko a chitetezo kusweka. Ichi ndi chifukwa chakuti antigens wa tizilomboto angatsanzire zolandilira yomwe imakhala padziko maselo a ziwalo parenchymatous monga mtima kapena impso.

diagnostics

Kodi kudziwa purulent pharyngitis? Photos of oropharynx, mu nkhani iyi, katswiri sadzakhala makamaka nkhani ngati redness udzachitika mu ambiri a matenda. Komanso yekha zam'tsogolo mwayi amapezeka ndi mankhwala pa nthawi yomweyo, ku chithunzi a.

dokotala azitha kufunsa wodwala kudziwa mfundo za matenda yekha. Ndiye kuyeza kutentha, kuyesa lymph mfundo ya mutu ndi khosi ndi, kumene, yang'anani pakhosi. Pakuti matenda masiyanidwe mwina tikusowa spatula wosabala. Ndi izo, dokotala adzayesa nadzawasankhula zolengeza ndi mafinya ndi kuyang'ana zotsatira. Ngati filimu ndi mosavuta anachotsa, ndipo pambuyo tonsils mulibe magazi, izo catarrhal zilonda zapakhosi kapena pharyngitis, ndipo ngati pali chilema kwa mucosa ndi magazi, muyenera kuganizira za diphtheria ndi kutumiza wodwala matenda m'chipatala.

Pambuyo mwai onse ndi wosabala swab kuchokera pamwamba pa tonsils anatengedwa swab kufufuza microbiological. Kumaliseche yokutidwa pa sing'anga michere, ndipo atapita masiku asanu ndi awiri, pamene chikhalidwe cha bakiteriya kukula, kudzakhala kotheka kuti chimodzimodzi chimene causative wothandizila matendawa chikwiyire.

Mankhwala mankhwala ndi inefficiency ake

Mankhwala kwa purulent pharyngitis nthawi zonse ntchito. The mankhwala wosankha ndi penicillin, ndi vuto la inefficiency - cephalosporins kapena macrolides. njira imeneyi chithandizo yilungamitsidwa kwa iwo, ngati zilonda zapakhosi ndi oyamba ndi bakiteriya strep. Ngati matendawa amayamba ndi mavairasi, mankhwala osati osamveka komanso zoipa. Chifukwa bakiteriya kuti momwemo kukamwa ndi mphuno, chimabala kukana mankhwala. Kawirikawiri, dokotala alibe kudikira zotsatira za mayesero bacteriological, ndi mankhwala empirically. Kenako, iye akhoza kusintha mankhwala ngati wodwalayo sadzipezera.

Pofuna molondola mankhwala chithandizo, dokotala ayenera kukumbukira zina ndi maonekedwe a tizilomboto a purulent pharyngitis:

- kuwononga mabakiteriya streptococcus, m'pofunika kutenga mankhwala kwa masiku osachepera khumi;
- koyambirira mungayambe chithandizo, kosavuta zidzakhala matendawa.

Nthawi zina dokotala sangathe kusankha mankhwala komwe angathe kudzagwira purulent pharyngitis. Mankhwalawa imatengedwa sizithandiza ngati zizindikiro amapitirirabe kwa masiku oposa atatu pambuyo chiyambi cha mankhwala komanso ngati tizilomboto limasuka atakhala mankhwala. zinthu zoterezi zimachitika kwambiri kwa ana, chifukwa iwo si nthawi zonse kuchita chimodzimodzi kupereka dokotala, ndipo anafotokoza kulimbikira kwa mabakiteriya.

kupewa

Pachimake purulent pharyngitis kupewa kuposa kuchiza. Simufunikanso kuchita chilichonse yeniyeni. malamulo amenewa angathandize kuti mupewe osati chimfine:

1. Sambani m'manja. Pambuyo mumsewu, ulendo mabasi ndi magalimoto, chakudya. Ngati simungathe ntchito bafa, ichi si chifukwa kunyalanyaza malamulo a ukhondo. Tsopano pali zambiri angakhale angelo odana ndi bakiteriya, amafafaniza ndi opopera. Kuvala aliyense wa ndalama izi ku kachikwamako.
2. Kuphimba pakamwa panu pamene kutsokomola kapena sneezing. Choyamba, ndi waulemu, ndipo kachiwiri, chifukwa mudziteteze komanso ena ndi mabakiteriya. Onetsetsani kuti kuphunzitsa ana awo.
3. Yesani kugwiritsa ntchito akonzedwa umodzi wa tableware, zopukutira m'manja zimapezeka, matawulo ndi nsalu.