Zvimwe zvinorayira pamusoro pokuti ungabata sei chirwere chisingaperi

Chirwere chechirwere chetachiona chirwere chemuviri wose, iyo inoratidzirwa nekuputika kwemashure kwema toni eregia kana kutapurirana etiology.

Kusvika iye zvino, chikuru chechiusative chronic tonsillitis inonzi hemolytic streptococcus yeboka A, asi munguva pfupi yapfuura mamwe mabhakitiriya emakemikari akawanikwa panguva yebhakitiriro yekuongorora tonsillitis, zvakadai se: staphylococci, pneumococci, vanaerobic mabhakitiriya, mavairasi, fungus. Dambudziko rinonyanya kuitika mumuviri womunhu rinoramba riri streptococcus seboka A, sezvo chimiro chemuviri waro chakafanana nekugadzikana kwemashupu akawanda emuviri wedu, uye apo masimba ezvirwere zvezvirwere anokonzera zvirwere zvinopesana nebhakitiriya, zvirwere zvinogona kusiyanisa mishonga yomuviri kubva kune streptococcus, inopinda nhengo dzakasiyana-siyana dzemuviri.

Chikonzero chekusagadzikana kwemasiriniki kusvika kune nhasi hachigoni kujekeswa kusvika pakupedzisira. Pane chirevo chokuti chirwere chisingaperi chinogadziriswa mushure mokurwiswa kwakawanda kwehuro, mune dzimwe nguva zvinotendwa kuti chirwere chisingaperi chinobva kubva pakutanga, kupfuura nguva yakaoma uye kuregererwa. Mamwe masayendisiti anotenda kuti munhu anowana matachiona ane utachiona kubva pakuberekwa.

Mubvunzo wekurapa kusagadziriswa kwechirwere chinokonzerwa nehutachiona hwega-otolaryngologist, sezvo chirwere ichi chakanyanya kuoma kurapa. Varwere, vakaneta nemapoka emishonga, nguva dzose kuwedzera kwekuita angina kuzvizvibvunza mubvunzo wekuti kana zvichibvira here kuporesa matonillitis asingagumi? Mukugadzirwa kwechirwere chetonillitis, zvinhu zvakadai semamiriro ezvinhu evanhu, kusagadzikana kwakatipoteredza, utachiona hwebhakitiriya nezvimwe zvinhu zvakawanda zvinoita basa rinokosha. Nokudaro, kurapa kwakaoma kunosimbiswa. Kunyatsoporesa zvirwere zvisingagumi, zvinodhaka zvinofanira kukanganisa nharaunda yemunharaunda, pamwe chete nemuviri wose. Nokuda kwekushandisa zvakakwana kushandiswa kwemishonga inoshandiswa uye chirongwa chokupindira. Kusarudzwa kweizvi kana kuti iyo nzira inobva pachigarire chechingestion che tonsillitis.

Mishonga inoshandiswa munyaya dzinotevera:

- kubhadhara maitiro eatonillitis;

- Chimiro chechimiro chekugara kwenguva refu;

- asingabatsiri tonsillitis, kana murwere achiramba kurapwa, kana kuti murwere chete haana kukodzera kurapwa nekuda kwehutano hwake

Mishonga inodhaka inofanira kuitiswa mumagadziriro akaenzana 2 kusvika katatu pagore. Washes lacunae ne antiseptic (1% Dioxydin solution, 1: 5000 furatsilina kana 0.01% - 100 ml Miramistin, chlorhexidine nevamwe). Mushure mekushambidza masikati, toni dzinobatwa ne lugol, unogona kushandisa zvakasiyana-siyana zvepuropa pamutsipa. Kushandisa zvinodhaka kunoitwa pamwero wehupenyu hwose, nokuda kweizvi, varwere vanopiwa vitamini C pa 0.3-0.5 katatu pazuva kwemwedzi. Anti-allergenic zvinodhaka (suprastin, dimidrol, pipolphen) zvinoshandiswa, somuenzaniso, dimidrol inofanira kutorwa pa 0.05 g, kana kuti piritsi imwe 1 kusvika 2 pazuva. Iyi ndiyo nzira yekurapa inoitwa kwemazuva gumi kusvika ku15 uye inodzokororwa 2 kusvika 3 kamwe pagore, kunyanya munguva yechando, mutumbi uye yekuvhuvhu. Iwe unofanirwa kuongorora kutonhora kwezvokudya, unofanirwa kunwa yakawanda yehuni inopisa (dzinotonhora uye dzinopisa ndiro dzinofanira kudziviswa). Mune nguva yekuregererwa, murwere anorayirwa kuti awane muviri. Zvakakoshawo kuti zvese zviripo zvisingaperi zvirongwa zvinoporesa mumuviri, sezvo zvinogona kuva chikonzero chekuwedzera kwekuwedzera. Kusarudzwa zvinodhaka zvinowedzera kusagadzikana nekudzivirira kwemuviri kune imwe kunze kwepanyika (pyrogenal, ribomunil, tonzinal, tonsilgon).

Mishonga inorwisa mabhakitiriya inoshandiswa chete nokuda kwekuwedzera kwechirwere - augmentin, cefaclor, ceftriaxone, nezvimwe. Zvakanakisisa kutarisa mishonga ipi iyo mabhakitiriya ari pangozi.

Sezvo zvisizvo nguva dzose zvisingabviri kuraramisa tonsillitis isingagadzikana nenzira yemishonga, chiremba anoenda kunopindira. Pano pane dzimwe nharo iyo chiremba anowanzotarisa, kusarudza murwere weamygdalectomy (kureva, kusakidzwa kwematoni):

- 3 tonsillitis kwegore rimwe, rinogara makore matatu mumutsara;

- 4-5 zviitiko zve angina mukati megore, makore maviri mushure;

- dzinopfuura 6 matambudziko ekuwedzera kwechirwere chetonillitis mukati megore rimwe chete;

- kuitika kwezvinetso zveperiiperi;

Peritonsillar abscesses.

Izvi zvinoratidza unhu husina kubhadharwa hwetonillitis. Mune mamiriro ezvinhu akadaro, mubvunzo wekurapa kusagadziriswa kwechirwere chisingazobvunzwi, asi unowedzera pakarepo kuamygdalectomy, ndiko kuti, kubviswa zvakakwana kwemaswoni. Basa racho rinoderedza ngozi yezvinetso zvinogona kuitika pasina kuvhiyiwa. Kana zvinetso zvatove zviripo (rheumatism, glomerulonephritis, cardiopathy, peritonsillar abscess, nezvimwewo), mushure mokubvisa matonsi, nzira yezvirwere izvi inovandudza uye iri nyore kubata.

Chirwere chetachiona chisingarapiki chirwere chakakomba chinotungamirira kakawanda kunyange kune munhu ane hurema, kana asingaiti kurapa panguva. Yakawanikwa kuti boka A hemolytic streptococcus inogona kukonzerwa nehosha dzinosvika 130, kazhinji kechigadziro chemoto, izvo zvinoreva kuti kunyange kana bhakitiriya yabviswa zvachose mumuviri, chirwere chinokonzerwa nacho chicharamba chiripo. Mitemo inobata maitiro ekurapa tronicill temaillitis haisipo, mumatambudziko mazhinji, kurapa kunosarudzwa mumwe nomumwe.