Ezinye iingcebiso ngendlela yokuphatha tonsils ezingapheliyo

tonsils Chronic - sisifo yonke ephilayo, nto leyo luphawulwa nonspecific ukudumba tonsils of umyalezo uyalisa okanye esosulelayo.

Ukuza kuthi ga ngoku, esona sizathu tonsils esingapheliyo iqela A iStreptococcus hemolytic, kodwa mvanje kwi uviwo bacteriological of idlala smear ezichongiweyo namanye amagciwane, ezifana staphylococci, pneumococci, iintsholongwane anaerobic, iintsholongwane, nezinye izinto. Kuyingozi kakhulu kuba umzimba womntu iStreptococcus Iqela A, ekubeni isakhiwo sayo inwebu efanayo isakhiwo izicwili ezininzi lomzimba xa amajoni omzimba ukhupha izilwa le ntsholongwane, ii-antibodies abakwazi ukwahlula kwinyama emzimbeni ngokuthi streptococci, echaphazela amalungu ezahlukeneyo.

Unobangela tonsils esingapheliyo phantse abanakukwazi bana phandle de kube sekupheleni. Kukho ingcamango yokuba inkqubo ezingapheliyo ezifakwe emva badla eziliqela angina, kwezinye iimeko kukholelwa ukuba inkqubo ezingapheliyo iphuhlise ukususela ekuqaleni, ixesha kwisigaba etsolo kunye noxolelo. Ezinye iinzululwazi zikholelwa ukuba umntu ufumana tonsils ezisulelweyo zivela kanye ekuzalweni.

Umbuzo malunga nendlela yokuphatha tonsils ezingapheliyo azibuze phantse yonke otolaryngologist, ekubeni esi sifo kuba nzima kakhulu ukuba ukunyanga. Izigulane batyakatywa amakhulu amayeza, ukuqhubela rhoqo angina engathandi uzibuze umbuzo wokuba kunokwenzeka ukuba ukunyanga tonsils ezinganyangekiyo? Xa ukuyilwa tonsils ezingapheliyo zidlala indima ebalulekileyo imiba efana: imeko jikelele womntu, ukumelana kwakhe kokusingqongileyo, lo virulence ngayo iintsholongwane kunye nezinye izinto ezininzi. Ngoko ke, kukho unyango olubanzi ihleliwe. Ukuza kunyanga ngokupheleleyo tonsils ezingapheliyo, iyeza kufuneka nefuthe elikhulu kwizinga lengingqi, kodwa kwakhona emzimbeni wonke. Kuba unyango olupheleleyo usebenzise indlela zonyango kunye nongenelelo yotyando. Ukukhetha indlela ethile ixhomekeke tonsils isigaba imbuyekezo.

unyango ngamachiza isetyenziswa kwezi meko zilandelayo:

- ihlawulelwa uhlobo tonsils;

- uhlobo otshintsho tonsils ezingapheliyo;

- tonsils uncompensated, ukuba isigulane uyala unyango ngotyando, okanye nje isigulane akaphilanga kutyando ngenxa yeemeko zempilo

unyango Drug kufuneka izifundo ngendlela ye-2 - amaxesha 3 ngonyaka. Ukugeza izikhewu magciwane (: - 100 ml miramistinom, chlorohexidine kunye nabanye 5000 furatsilina okanye 0,01% 1% Dioxydinum isisombululo 1) okwenziwa. Xa kubanjwe lavage lacunae, tonsils ukuqhubekekiswa Lugol, isipreyi ingasetyenziselwa umqala ezahlukeneyo. unyango ngamachiza lwenziwa kwinqanaba yonke ephilayo, kuba le isigulane ilawulwa Vitamin C 0.3 - 0.5 kathathu ngemini inyanga. iziyobisi umzimba ephathwa (Suprastinum, dimidrol, pipolfen), umz dimidrol kufuneka-0.05 g, okanye elinye elucwecweni 1 - 2 umphinda-ngemini. Le unyango ihlala 10 - iintsuku 15 uphinde 2 - amaxesha 3 ngonyaka, ubukhulu becala ebusika, intlakohlaza ekwindla. Kufuneka kwakhona esweni iqondo lobushushu bokutya kufuneka usele leti efudumeleyo (siphephe izitya ashushu nabandayo). Xa isigulane Ngoxolelo emiselweyo ukuyifundisa. Kwakhona kubalulekile ukuba umzimba wayephilisiwe zonke iinkqubo ezikhoyo ezingapheliyo, ngoko zinokuba unobangela exacerbations ezintsha. Amisele iziyobisi eziphuhlisa okukwazi komzimba nokuzabalazela kokusingqongileyo (pirogenal, ribomunil, tonzinal, tonzilgon).

Amachiza asetyenziswa kuphela ngexesha exacerbations esisifo -. Augmentin, cefaclor, ceftriaxone, njl Kuhle ukujonga ukuba luluphi amachiza intsholongwane abasesichengeni ngakumbi.

Ngoko ukuba yokuphatha tonsils ezingapheliyo akusoloko amayeza olunokwenziwa liSebe iiholide ugqirha ungenelelo yotyando. Kukho ezinye iindawo apho ugqirha rhoqo ekhokelwa ukukhetha isigulane ukuba amigdalektomii (okt Ukusikwa le tonsils)

- 3 tonsils ngonyaka omnye, nokuqhubeka iminyaka emithathu ezilandelelanayo;

- iimeko 4-5 umqala obuhlungu kangangonyaka, 2 emgceni;

- iimeko ngaphezu 6 exacerbation tonsils engapheliyo ngamnyaka mnye;

- ukuvela iingxaki peripheral;

- peritonzilyarnye amathumba.

Ezi zinto zibonisa kwifom uncompensated tonsils. Kwiimeko ezinjalo, akusekho ubuza umbuzo yokuphatha njani tonsils ezingapheliyo, uze uqhubeke ngoko nangoko amigdalektomii, okt ngokupheleleyo ngokususwa tonsils. Operation ukucutha umngcipheko iingxaki eyayiza kwenzeka ngaphandle ungenelelo yotyando. Ukuba iingxaki sele langoku (rheumatism, glomerulonephritis, cardiopathy, njl ithumba peritonzilyarny.), Emva kususwa tonsils ezi zifo uyaphuculwa kulula ukunyanga.

tonsils Chronic - sisifo esibi ekhokelela rhoqo kude kuse nomntu lokukhubazeka, ukuba ayithanga tirhisa unyango ixesha. Kuye kwafunyaniswa ukuba iStreptococcus hemolytic iqela A usenokuba izifo kobude malunga 130, edla zohlobo samathambo, nto leyo ethetha ukuba nokuba igciwane isusiwe ngokupheleleyo emzimbeni, isifo esibangelwa kuyo, kuya kuqhubeka khona. imithetho Standard ngendlela yokuphatha tonsils esingapheliyo phantse non-ukubakho uninzi iimeko, unyango esikhethwe ngamnye.