Ubovu pharyngitis: unyango, iimpawu kunye nothintelo. Ingozi ubovu pharyngitis

Nto ithetha ukuba, therapist ENT izifo eliphezulu iphecana yokuphefumla eziqhelekileyo. Ingakumbi ekwindla nasebusika. Magciwane yahluke kakhulu, kodwa kunzima ukuba liqhubeke kwezifo, ezifana ubovu pharyngitis. Iimpawu kunye nonyango kuya echazwe ngezantsi kumacandelo ezichaphazelekayo kweli nqaku. Kuba "imbewu" kunokuthiwa ukuba isifo akufane kwenzeke ukuba wodwa. Kaninzi iba ingxaki enye sifo.

definition

Ubovu pharyngitis - sisifo esosulelayo ukuba inwebu kwiinwebu pharynx, okubangelwa amagciwane izifo. Kwiimeko ezininzi, le nkqubo kubangelwa kukwenzakala amalungu kunye entanyeni attachment microflora lesibini okanye kwingxaki izifo yokukrala izicwili ezisecaleni kunye namaziko.

Isifo kwenzeka kwisiqalo kunxilwe kakhulu, ngoko isigulane kufuneka ngoko nangoko uye esibhedlele unyango olungxamisekileyo. mgangathweni okanye unyango angase ngokunzulu kakubi kumguli kunokubangela ezininzi iingxaki.

izizathu

Ubovu pharyngitis kunokubangela izinto ezincinane, kodwa ndlela ixhaphakileyo kuthathwa ukuba beta-hemolytic iStreptococcus iqela A. unobangela A kancinane azixhaphakanga isifo enze arganobakterii, i-arhente causative of: ukuvuza ngaphantsi, spirochetes, Mycoplasma kunye chlamydia. Ngaphezu koko, etsolo ubovu pharyngitis kwaye kunokubangela iintsholongwane, umz, adenoviruses, rhinoviruses, coronaviruses, iintsholongwane kwiqela herpes, yomkhuhlane, parainfluenza.

Iqela olusemngciphekweni abantwana ukusuka kwiminyaka emihlanu ukuya elinesihlanu kwaye kufunyanwe abanye, njengoko ixesha elininzi kumaqela ngolungelelwano. Le pathogen sisasazwa ngamathontsi emoyeni, kwaye Velocity kuxhomeke phezu kwabantu udla.

Pathogenesis

Ubovu pharyngitis iqala ukuba iintsholongwane ikoloni inwebu kwiinwebu le oropharynx. Ukuphuhlisa ukudumba lendawo ihamba ukudumba, ububomvu kunye neentlungu. Lwegciwane ungena inyama lymphoid le tonsils, ebangela ukuba ukwandisa kunye nokwanda kwe ubofu kwi zoboya. Ngasemva le isifo umqala ivela njenge ubomvu, kuba lome kwaye yenza a uqweqwe.

Kwangaxeshanye, iityhefu eziveliswa iintsholongwane, ukuphucula permeability le emithanjeni, kwaye ivumela ukufumana arhente ngeentsholongwane kungena kwegazi. Ukwanda kwenani pathogen ivuselela kwamajoni omzimba. Xa umzimba kukho antibodies gciwane. Kodwa ngaphandle koko, bona i modem ayisebenzi iiseli imisipha yenhliziyo kunye nezintso, ibangela iingxaki ezinzulu.

iimpawu

Ubovu pharyngitis kuphuhliswa kwiintsuku ezintathu ukuya kwezine emva kokuba wadibana nomntu ogulayo. Xa abadala, esi sifo iqala acute intlungu emqaleni xa ukuginya. Ngelo xesha kukho yintloko, ubuthathaka, kunye nomkhuhlane. Ezi mpawu zibangelwa yi ukunxila.

Ngokubanzi, imeko izigulane lilinganisa ngokulinganisela. Lobushushu ayidluli degrees 39 Celsius, kukho uVuyo olukhawulezayo nokuphefumla. Le inwebu kwiinwebu pharynx bubomvu, iPalatine tonsils ziphangalalisiwe, ukuze sibekho nokwaleka elityheli. Izigulane akhalaze ubuhlungu xa yokuginya, ukutya, ukuthetha. Kwezinye izigulane kukho ukukhohlela elomileyo kunye nokuziva umqala obuhlungu. Ukongeza ukudumba kwi nezihlunu le oropharynx, utshintsho kuvandlakanywa Ezingxingweni ngeempumlo, nto leyo eba ububomvu kunye yencindi yomlomo. Yena eyehlayo umva womqala andzise ukudumba.

Ukongeza, izigulane iimpawu ebona ukunxila: ukudinwa, ubuthathaka, intloko ebuhlungu, ubuhlungu kwi izihlunu, amalungu kunye namathambo. Ubushushu idla ephantsi-grade (ukuya ku ezingamashumi amathathu anesixhenxe degrees), kodwa kokufika ubofu oko ukufikelela amanani febrile.

Uhlobo avareji lubonakala njengoko ubovu pharyngitis. Iimpawu zisenokwahluka ngokuxhomekeke kubudala lomntu kunye impahla ngumsebenzi wakhe. Ngokubanzi, isigulo awutsali ngaphezu kweveki luze luphele ngokwabo, ngaphandle unyango. Iimpawu ukudumba na, kodwa ubunzima yokuginya ukuze zihlale ixesha elide, kuba tonsils ziphangalalisiwe iiveki.

Ubovu pharyngitis abantwana

Isifo amaninzi olufunyanwa izigulane kweli qela lobudala kunye ingeniso ngokukhawuleza kakhulu. Ithuba elisuke liye lancitshiswa iiyure ezingamashumi amabini anesine, uphawu lokuqala anozizi womqala. Ubovu pharyngitis kulo mzekelo sisifo lesibini kwaye ube ngumthombo zokugula imiphunga kunye sinuses paranasal. umqala Chronic obuhlungu kunokubangelwa sisifo reflux okanye regurgitation usana.

Iimpawu kubantwana bahambelana abo abadala:

- intlungu emqaleni xa yokuginya nokutya;

- lobushushu ukunyuka;

- ukozela, ubuthathaka kunye nokulahlekelwa emnyama;

- a kusiko ukukhohlela elomileyo.

ukungaphili

Ukwahlula ubovu and non-ubovu iingxaki pharyngitis. Okokuqala, njengokuba umthetho, zifumaneka kwiindawo ezikufuphi yokwakheka ngohlobo otitis, sinusitis, sinusitis, kwakunye amathumba kwaye amathumba namanqatha. Kwiimeko ezinqabe kakhulu, lo nakujoliso olutsha losulelo inokuba kwamalunga, amathambo kunye nezibilini. De kube lelo xesha, njani na antibiotics yokuqala, izehlo iingxaki wayesondele pesenti ezilishumi elinesihlanu inani elipheleleyo lamatyala. Ukuza kuthi ga ngoku, ezi zigulane azixhaphakanga. Oku kubangelwe kukunyuka komgangatho kunye nokufikeleleka konyango, kunye nento yokuba abantu kunqabile ukuya kugqirha, ukwenza self-unyango.

Ngu kubunzima ubovu ziquka inyumoniya, myocarditis, glomerulonephritis kunye nezinye izifo ephuhlisa kwisiqalo kwenkqubo omzimba abuthathaka. Oku kubangelwa yinto yokuba awakwazi ka pathogen baxelise receptors akhiwe kumphezulu weseli ngokwamalungu parenchymatous ezifana entliziyweni okanye izintso.

ekuxilongweni

Uyakwazi ukuchonga njani ubovu pharyngitis? Iifoto ze oropharynx, kulo mzekelo, akayi kuba ngokukodwa ulwazi ingcali njengoko bomvu baza kuvandlakanywa inani elibalulekileyo izifo. Ukongeza, kuphela thamsanqa ithamsanqa abafunyenwe kwaye baphathwe ngaxeshanye, ukusuka ifoto.

Ugqirha kufuneka ucele ngenyameko isigulane ukwazi iinkcukacha sifo wazibonela. Emva koko ukulinganisa iqondo lobushushu, ukuvavanya kwiindawo nkovu entloko kunye entanyeni, kakade, khangela emqaleni. Moshilongo umahluko oko kufuneka spatula wawuqalekisa. Ngayo, ugqirha iza kuzama ukwahlukanisa ukubola ububomvu kunye ujonge iziphumo. Ukuba ifilimu ngokulula kususwe, kwaye emva kokuba tonsils musa wopha, oko catarrhal tonsils okanye pharyngitis, yaye xa kukho isiphako le isifo kunye ukopha, kufuneka ucinge ukubola komqala kunye athumele umguli kusuleleko yesibhedlele.

Emva kokuba zonke zazo kunye swab engenazintsholongwane ukusuka phezu tonsils ethathwe swab lokubhalela uviwo ekuzakuqalwa. Sokukhutshwa camngcwe kwi medium zizondlo, yaye emva kweentsuku ezisixhenxe, xa inkcubeko iintsholongwane ukukhula, kuya kuba lula ukuba eyona nto-arhente causative kwesifo nicaphukile.

unyango zintsholongwane nokungasebenzi yayo

Ezifo ubovu pharyngitis zisoloko kusetyenziswa. Amachiza yokhetho ezi penicillins, kwaye kwimeko kakuhle - cephalosporins okanye macrolides. Esi sicwangciso unyango bugwetyelwe kulo mzekelo, ukuba umqala obuhlungu kubangelwa ziibhaktheriya throat. Ukuba sifo sibangelwa yintsholongwane, elwa nje ayisasebenzi kuphela kodwa yingozi. Ngenxa amagciwane kuhlala emlonyeni kunye nempumlo, ivelise ukuxhathisa kunyango. Ngokuqhelekileyo, ugqirha ke ukulinda ukuba iziphumo zeemvavanyo bacteriological, kwaye ukumisela amayeza empirically. Kamva, ukuze ulungise unyango, ukuba isigulane ayibi bhetele.

Ukuze ukumisela ngokuchanekileyo unyango, ugqirha kufuneka akhumbule iinkalo ezithile pathogen of ubovu pharyngitis:

- ukutshabalalisa iintsholongwane iStreptococcus, kuyimfuneko ukuba ezifo ubuncinane iintsuku ezilishumi;
- kwangaphambili kokuba uqale unyango, kokukhona kuya kuba esi sifo.

Ngamanye amaxesha ugqirha akakwazi ukukhetha olwa ekunene, nto leyo ukubamba pharyngitis ubovu. Unyango ithathwa alusebenzi ukuba ziqhubeka ngaphezulu kweentsuku ezintathu emva kokuqala unyango, ngokunjalo ukuba pathogen akhululwayo emva kokuthatha antibiotics. iimeko ezinjalo zixhaphake kakhulu ebantwaneni, kuba azisoloko ukwenza kanye loo gqirha ebeka, aze acacise ukungawi iintsholongwane.

ukuvimbela

Uthintelo ubovu pharyngitis kwingxakeko kungcono kunokunyanga. akuyomfuneko ukuba wenze into ethile. Le migaqo iya kunceda ukuthintela kuphela umkhuhlane:

1. Hlamba izandla. Emva ehamba esitratweni, bahamba kwizithuthi zikawonke, ukutya. Ukuba awukwazi ukusebenzisa indlu yangasese, oku akukho sizathu ngoyaba imigaqo yococeko. Ngoku kukho inani elikhulu ziwe anti-ngokudluliselwa kwentsholongwane, usula kunye mixube. Anxibe nayiphi na kwezi mali kwi sipaji.
2. Vala umlomo wakho xa ukhohlela okanye uthimla. Okokuqala, oko ngentlonelo, yaye okwesibini, kuba uzikhusele wena kunye nabanye nxamnye iintsholongwane. Qiniseka ukuba bafundise abantwana babo.
3. Zama ukusebenzisa iseti enye tableware, kwamalweyile, iitawuli nezinto nelinen.