Purulent pharyngitis: kurapwa, zviratidzo uye ekudzivirira. The ngozi purulent pharyngitis

In tsika, asi chiremba uye pfava yokumusoro kufema turakiti zvirwere zviri zvikuru zvakajairika. Kunyanya mumatsutso uye muchando. Utachiona zvinogona akasiyana chaizvo, asi chakaomesesa munobuda zvinokonzerwa noutachiona, akadai purulent pharyngitis. Zviratidzo uye vabatwe chichagamuchirwa kurondedzerwa pazasi mukati dzazvinogara zvikamu ino. Nokuti "mbeu" zvinganzi kuti chirwere kazhinji inoitika ari ega. Kakawanda iri kuomesa nomumwe chirwere.

tsananguro

Purulent pharyngitis - ane zvirwere pamusoro mucous Kamudzira ari pharynx, anokonzerwa pathogenic tusingaoneki. Kazhinji, izvi zvinokonzerwa kukuvadzwa zvomukati uye mutsipa kuda yechipiri microflora kana somunhu kuomesa kwakaita anogumbura zvirwere pedyo nyama uye nhengo dzomuviri.

Hosha kunoitika uri yaitwa zvikuru kudhaka, saka murwere hwobva kuenda kuchipatara kupiwa mishonga. Chenhando kana kunonoka kurapwa kunogona zvakakomba kukuvadza murwere uye kukonzera yakawanda yematambudziko.

zvikonzero

Purulent pharyngitis kunogona kukonzera siyana zvigare, asi vakawanda nzira iri kutorwa Beta-hemolytic streptococcus boka A. A duku ishoma kukonzera chirwere anogona kuita arganobakterii, ari causative mutumwa mwandabvu, spirochetes, Mycoplasma uye Chlamydia. Uyezve, chenjera purulent pharyngitis uye zvinogona kukonzera nemavhairasi, semuenzaniso, adenoviruses, rhinoviruses, coronaviruses, nemavhairasi kuti boka herpes, yokuSpain, parainfluenza.

Boka pangozi muri vana vashanu kusvika gumi makore vaiendeswa, sezvo ivo vari vazhinji nguva chakarongwa mumapoka. Utachiona hwakakura pachishandiswa kuenda neherikoputa mumate, uye kupararira velocity kunobva kuvanhu kukudyira.

pathogenesis

Purulent pharyngitis kunotanga kuti utachiona nyuchi kuti mucous Kamudzira yacho oropharynx. Kuumba dzomunharaunda kuzvimba iri achiperekedzwa kuzvimba, akatsvuka uye kurwadziwa. Utachiona hwakakura anopinda lymphoid zvinyama zviri tonsils, zvichiita kuti kuwedzera uye kuunganidza pus ari follicles. On seri huro mucosa hunoratidzika pus, izvozvo unoomesa nokuumba munhu goko.

Panguva iyoyowo, zvinokachidza yakabereka nemabhakitiriya, kuvandudza permeability ari mudziyo masvingo, uye rinobvumira kuti microbial vamiririri kupinda systemic riparadzirwe. Kuwedzera kwenhamba utachiona hwakakura kunomutsa dziviriro yezvirwere mumuviri. Mumuviri pane antibodies kuna nayo utachiona. Asi kunze kuti, ivo vakaitei pomwoyo masero neitsvo, zvichikonzera zvakakomba matambudziko.

zviratidzo

Purulent pharyngitis hwapedyo mukati nhatu mazuva mana pashure kuonana munhu anorwara. In vakuru, chirwere inotanga rikwanise kurwadziwa huro kana pakuparadza. Panguva iyo pane nemusoro, simba, uye fivha. Zviratidzo izvi zvinokonzerwa kudhaka.

Kazhinji, mamiriro ezvinhu varwere yavose sezvavakatarirwa sezvo zvine mwero. Temperature hazvirevi pfuura 39 Celsius, pane nokukurumidza kurova kwehana uye kufema. The mucous Kamudzira yacho pharynx reddened, palatine tonsils awanda, vanogona kuva yellowish unhani. Varwere vanotsutsumwa kurwadziwa apo pakuparadza, kudya, kutaura. Mune dzimwe varwere pane yakaoma chikosoro uye kunzwa kwazvo huro. Kuwedzera kuzvimba munyama pamusoro oropharynx, kuchinja zvinochengetwa mune nasal ndima, izvo zvinogona kuunganidza pus uye madzihwa. Iye anomhanya pasi seri huro uye kuwedzera kuzvimba.

Uyewo, varwere vari akaona zviratidzo kudhaka: kuneta, utera, nomusoro, kusagadzikana mune tsandanyama, mapfundo mapfupa. Kazhinji tembiricha yakaderera wegiredhi (kusvika madhigirii matatu navanomwe), asi pamwe veMubatanidzwa pus inogona kusvika febrile digits.

Paavhareji musiyano wezvinyorwa kunoratidzwa sezvo purulent pharyngitis. Zvingaratidza siyana zvichienderana nemakore ari munhu uye zvinhu kutapata ake. Kazhinji, chirwere chinogara asisiri kupfuura vhiki uye inoguma pachavo, kunyange pasina kurapwa. Zviratidzo kuzvimba vari, asi pakuparadza nematambudziko anogona kuramba vamwe nguva, nekuti tonsils awanda kuchitsauko mavhiki.

Purulent pharyngitis vana

The chirwere kakawanda chirwere Varwere muzera rino boka uye mberi zvikuru nokukurumidza. The incubation nguva ipfupi kuti maawa makumi maviri nemana, wokutanga chiratidzo ndiyo akatsvuka pahuro. Purulent pharyngitis hazvisi chirwere yechipiri uye vanogona kuva manyuko chirwere mumapapu uye paranasal sinuses. Chirwere zvikuru huro zvinogona kukonzerwa reflux chirwere kana regurgitation mucheche.

Zviratidzo muvana anoenderana nedzevakuru:

- kurwadziwa huro apo pakuparadza uye vachidya;

- tembiricha vosimba;

- Hope, simba uye kurasikirwa havi;

- munhu wakaoma kugura chikosoro.

yematambudziko

Kusiyanisa purulent uye asiri purulent matambudziko ose pharyngitis. Chokutanga, sezvo mutemo, ivo vanowanikwa pedyo anatomical nzvimbo muchimiro otitis, sinusitis, sinusitis, uyewo abscesses uye abscesses mafuta. Mune zvisingawanzoitiki pacho foci chirwere uve mapfundo, mapfupa uye nhengo dzomukati. Kusvikira panguva iyoyo, sei vaiva nemishonga vokutanga, kuitika yematambudziko akanga pedyo namashanu muzana uwandu Muzviitiko. To musi, varwere ava ishoma. Izvi imhaka nokuwedzera unhu uye Accessibility kurapwa, uye nepfungwa yokuti vanhu kashoma kuenda kwachiremba, achiita kuzvidzora kurapwa.

By purulent matambudziko zvinosanganisira nemabayo, myocarditis, glomerulonephritis nezvimwe zvirwere zvinokura pamusoro pakanyorwa munhu isisina zvirwere. Izvi imhaka yokuti maantigen pakati nayo utachiona vanotevedzera receptors riri pamusoro pemvura masero parenchymatous nhengo dzakadai mwoyo kana neitsvo.

Diagnostics

Sei kuziva purulent pharyngitis? Photos of oropharynx pane izvi, nyanzvi hakuzoitiki kunyanya idzidzise sezvo akatsvuka chichange kuchengetwa chinokosha nhamba zvirwere. Uyezve, chete pfuma Teller vari panoonekwa uye kubatwa panguva imwe chete, kubva mufananidzo.

Chiremba anofanira kunyatsoongorora kubvunza murwere kuziva mashoko chirwere akazvionera. Zvadaro ayere tembiricha, kuedza node nodes musoro uye mutsipa uye, chokwadi, tarira huro. For differential chirwere zvingaratidza kuva chena spatula. With payo, chiremba achaedza kuparadzanisa bheji racho uye pus uye mutarise zvabuda. Kana firimu iri nyore avabvisa, uye mushure tonsils regai ropa, icho catarrhal tonsillitis kana pharyngitis, uye kana pane kuremara pamusoro mucosa uye ropa, unofanira kufunga diphtheria uye kutumira murwere kuchipatara utachiona.

Mushure ose manipulations pamwe chena swab kubva penyika tonsils akatorwa swab nokuda microbiological kuzviongorora. Zvinoyerera kuifukidza pamusoro inotonhorera svikiro, uye shure kwamazuva manomwe, kana tsika kwemabhakitiriya kukura, zvichiita kutaura chaizvo izvo causative nomumiririri chirwere wakatsamwisa.

Inorwisa mabhakitiriya kurapa chacho inefficiency

Mishonga nokuti purulent pharyngitis nguva dzose kushandiswa. Mishonga rwokusarudza vari penicillins, uye kana inefficiency - cephalosporins kana macrolides. Izvi kurapwa zano iri mukaruramiswa Pakadaro, kana hosha huro kunokonzerwa strep utachiona. Kana chirwere anokonzerwa utachiona, mishonga havasi basa chete asiwo hunokuvadza. Nekuti utachiona kuti uchanogara muromo uye mhuno, unobereka kuramba kurapwa. Kazhinji, chiremba asingadi kumirira migumisiro bacteriological miedzo, uye mishonga empirically. Pave paya, anogona kuchinja kurapa, kana murwere asingadi nani.

Kuti zvakarurama taurira kurapwa, chiremba vanofanira kuyeuka zvimwe zvaidiwa nayo utachiona kubva purulent pharyngitis:

- kuparadza streptococcus utachiona, zvakakodzera kutora mishonga kwemazuva anenge gumi;
- kwokutanga wotanga kurapwa, nyore zvichava kuti chirwere.

Dzimwe nguva chiremba havagoni kusarudza zvakarurama mushonga, izvo zvinogona kusunga purulent pharyngitis. Marapirwo ichaongororwa basa kana zviratidzo izvi zvikaramba zviripo mazuva anopfuura matatu pashure pakutanga yokurapa, uyewo kana nayo utachiona asunungurwa pashure pokutora mishonga inorwisa mabhakitiriya. mamiriro ezvinhu akadaro zvakawanda mune vana, nokuti havasi kuita chaiwo varwere chiremba, uye anotsanangura nemishonga utachiona.

dziviriro

Chenjera Kudzivirira purulent pharyngitis kunopfuura mushonga. Haufaniri kuita chinhu chaicho. Mitemo izvi kuchabatsira kudzivisa kwete chete vanhuwo chando:

1. Geza maoko. Ndafamba mumugwagwa, kufamba mabhazi, zvokudya. Kana usingakwanisi kushandisa chimbudzi, ichi hachisi chikonzero kufuratira nemitemo utsanana. Zvino kune vazhinji Anti-kwemabhakitiriya gels, ndokupisika uye bhurandi. Pfeka chero mari idzi vari chikwama.
2. Vhara muromo wako apo vangakosora kana sneezing. Chekutanga, zviri noruremekedzo, uye chepiri nekuti WAIZOZVIDZIVIRIRA nevamwe pamusoro utachiona. Iva nechokwadi kuti vadzidzise vana vavo.
3. Edza kushandisa chimwe akagadzirwa tableware, napkins, matauro nomucheka.