Cov kab mob ntawm cov hlab ntsha los yog cov hlwv rau cov hlab ntsws yog ib hom mob heev rau cov me nyuam pib txij thaum muaj hnub nyoog 2 xyoos. Tus mob Angina yog ib yam mob heev, tab sis kuj paub tias nws mob li cas. Txwv tsis pub, tus txheej txheem mob hlav muaj peev xwm kis tau mus rau hauv daim ntawv rov ua kom ntev.
Ua rau ntawm angina rau cov me nyuam yaus
Tonsils yog cov kabmob uas muaj cov qog ntshav hauv lub cev. Lawv koom tes nrog kev tsim kab mob hauv lub cev thiab tsim los tiv thaiv lub cev los ntawm tus kab mob. Kev nyob hauv caj pas, los ntawm cov pa, zaub mov thiab dej dhau, tonsils txhua hnub sib cuag nrog ntau tus neeg kis kab mob, vim tias cov hauj lwm zoo ntawm lawv cov hauj lwm qee zaus. Yog li ntawd, cov kua qog nqaij hlav qis yuav ua rau inflamed, tab sis cov txheej txheem pathological no tseem tsis tau muaj tus kab mob tonsillitis.
Qhov tsuas yog ua rau angina yog cov kab mob hauv cov kab mob staphylococcal thiab kab mob staphylococcal. Thawj cov tshuaj microbes ua rau 80% ntawm txhua tus mob ntawm tus kab mob. Cov seem uas yog 20% yog raug kev nyuaj siab los ntawm tus kab mob staphylococcal lossis kab mob sib xyaw. Tonsillitis yog hais txog kev kis kab mob sib kis, nws tsis tuaj yeem "tuaj tos" los ntawm tasting ice cream, los yog mob hypothermia, mob caj pas kis tau los ntawm cov kab mob ntawm cov kab mob. Qhov yuav zoo ntawm tus me nyuam muaj mob nce nyob hauv cov xwm txheej nram no:
- tsis tseem ceeb;
- cov kab mob yav dhau los, kho tsis zoo;
- inflammatory foci nyob ze ntawm cov tonsils ( sinusitis , caries thiab lwm tus);
- tshaj ua haujlwm;
- tsis muaj zog tiv thaiv kab mob.
Angina hauv cov me nyuam - hom thiab cov tsos mob
Kev faib tawm ntawm tonsillitis yog nyob raws li qhov kawg thiab qhov ntawm lub yeej ntawm cov qog ntshav ntawm cov qog. Nws yog ib qho tseem ceeb kom meej meej sai npaum li cas ntawm kev mob ntawm angina hauv cov me nyuam - cov tsos mob thiab kev kho mob ntawm kev mob yog nyob ntawm seb nws daim ntawv. Qee cov kws kho mob ntxiv qhov txawv txav tonsillitis rau hauv cov kab mob microbial thiab viral, tab sis qhov no yog ib qho kev tsis haum ntawm kev faib tawm. Qhov tseeb mob caj pas yog ntawm cov kab mob tshwj xeeb heev. Tonsils muaj peev xwm kis tau tus kab mob rau tus kab mob, tab sis, xws li, swb yog ib yam kab mob, tsis yog ib qho kab mob uas tsis ywj pheej.
Hom mob caj pas hauv cov me nyuam:
- catarrhal;
- lacunar;
- follicular ;
- (herpes) los yog khaub thuas (muaj kev tsis sib haum xeeb).
Catarrhal angina hauv cov me nyuam
Ib daim ntawv yooj yim ntawm pathology, yoojyim zam thiab kho tau zoo kawg nkaus. Tus mob angina hauv tus me nyuam yog tus cwj pwm zoo ntawm cov hlab ntsws. Txoj kev ywj pheej muaj feem xyuam rau tsuas yog cov hnoos qog ntawm cov kab mob ntawm lub cev, thiab cov ntaub so ntswg nrog nyob zoo. Catarrhal angina - cov tsos mob ntawm cov me nyuam:
- lethargy;
- nkees nkees;
- xeev siab;
- mob hnyav thaum nqos;
- kub mus rau 38-38.5 degrees;
- reddening ntawm pharynx;
- puffiness ntawm cov tonsils;
- mob me ntsis hauv cov qog ntshav siab (tsis tshua muaj);
- tsis qab los noj mov.
Lacunar angina hauv cov me nyuam
Piav hom tonsillitis yog cov yam ntxwv ntawm purulent kev puas tsuaj rau cov nyom. Lacunar angina yog lus los ntawm cov tsos ntawm loj inflammatory foci uas ua ke nrog txhua lwm yam thiab tsim ib hom mesh ntawm cov ntaub so ntsig txog cov qog. Cov quav hniav yog xoob thiab ntiav, yooj yim tshem tawm mechanically. Yog tias lub lacuna puas ntsoog, qhov tshwm sim nram qab no ntawm tus mob angina hauv tus me nyuam raug pom:
- siab kub cev, hauv me nyuam yaus ncav cuag 40 degrees ;
- tsis muaj zog thiab nkees nkees;
- xeev siab thiab kiv taub hau;
- qhov mob khaus thaum nqos thiab sib tham, muab tau rau hauv pob ntseg;
- mob ib ce nyob rau hauv cov pob txha;
- tsis xis nyob hauv cov leeg;
- mob taub hau;
- tsis kam noj thiab haus.
Follicular mob caj pas hauv cov menyuam yaus
Cov lus qhia txog kev mob yog los ntawm kev tsim cov dawb-daj txheej ntawm cov hnyuv. Ntau tus kws kho mob tsis txawv ntawm cov plab hnyuv laus thiab cov thev naus laus zis hauv cov menyuam yaus - cov tsos mob thiab kev kho mob ntawm cov kab mob pathology no zoo tib yam thiab feem ntau tshwm sim ib zaug. Qee lub sij hawm cov cim qhia ntawm txhua hom kev hu ua tonsillitis yuav ua rau tus neeg mob npau taws.
Lub purulent angina pom nyob rau hauv cov me nyuam muaj xws li cov tsos mob:
- tshav kub, kub txog 41 degrees;
- mob hauv lub cev;
- tsis muaj zog hauv cov nqaij;
- mob caj pas, mob ntxiv nrog nqos;
- xeev siab, tsis muaj qab los noj mov;
- nkees nkees;
- mob taub hau;
- hloov xim yellowish-white abscesses qhov loj ntawm ib tug pinhead on tonsils.
Herpes mob caj pas hauv cov me nyuam
Ntawm no, txoj kev ywj pheej yog qhov muaj kev cuam tshuam los ntawm Coxsackie virus. Ntau zaus, tus kab mob causative yog tus kab mob ntawm hom A (tseem muaj B). Cov kab mob kis tau tus kab mob hauv cov menyuam yaus tsis muaj dab tsi ua rau herpes, tsuas yog lub npe xwb. Nws kis tau zoo heev, kis tau los ntawm cov kab mob plav, qee zaus los ntawm tsev neeg. Tus neeg sawv cev ntawm tus neeg mob ntawm tus mob yog enteroviruses, uas cuam tshuam rau cov hnyuv, lwm yam qog ntshav thiab cov leeg ntawm cov nqaij hauv lub cev.
Qhov no tonsillitis tsis yog hu rau "angina" hauv cov me nyuam - nws cov tsos mob thiab kev kho mob yog txawv ntawm cov kab mob kev puas tsuaj. Cov lus piav qhia yog tshwm sim los ntawm tus kab mob viral thiab yog ib feem ntawm nws cov kev kuaj mob. Herpes mob caj pas hauv cov me nyuam - cov tsos mob:
- Sudden nce nyob rau hauv lub cev kub mus siab cov duab (38.5-40 degrees);
- liab liab ntawm caj pas;
- mob plab hauv plab;
- ntuav;
- tsos nyob hauv caj pas ntawm me ntsis ci nodules, uas tom qab tig mus ua npuas nrog cov pos huab;
- mob ib ce nyob rau hauv cov pob txha;
- nqus mob hauv cov leeg;
- nce cov qog ntshav qis;
- xeev siab;
- copying salivation;
- khaus thiab mob caj pas;
- los ntshav ntawm lub qhov ncauj nrog lub slightest mechanical puas tsuaj, txawm tias vim cov khoom noj kom tsawg;
- random qhib ntawm npuas tom qab 3-4 hnub nrog cov tsos ntawm erosion nyob rau hauv lawv qhov chaw;
- carditis (qee zaum) - arrhythmia, tsis xis nyob hauv plawv;
- mob taub hau;
- Ntshav meningitis (tsis tshua muaj heev) nrog rau cov hlwv hlwb.
Npaum li cas qhov kub ntawm tus me nyuam muaj angina?
Kub thiab kub yog cov tsos mob tshwm sim ntawm cov txheej txheem kev mob nkeeg, lawv qhia tias kev sib ntaus sib tua tiv thaiv kev tiv thaiv kab mob. Qhov kub ntawm angina hauv cov me nyuam tseem nyob siab 3-4 hnub, tom qab uas nws maj mam normalize rau tom qab ntawm kev kho mob. Cov kws kho mob tau qhia kom tsis txhob thawb nws kom txog thaum tus nqi ntsuas ntawm tus pas ntsuas kub muaj li 38.5-39. Feem ntau cov tshuaj antipyretics tsis tas yuav tsum tau siv vim yog siv cov tshuaj tua kab mob zoo.
Dua li los kho tus mob angina hauv tus menyuam?
Txoj kev kho muaj cov txheej txheem tswj kev tshem tawm cov kab mob ntawm cov kab mob thiab tso tseg cov cim ntawm pathology. Nws yog ib qho tseem ceeb ua ntej kom paub seb tus mob angina zoo li cas hauv cov menyuam yaus - cov tsos mob thiab kev kho mob catarrhal daim ntawv txawv ntawm lacunar thiab follicular tonsillitis. Tus mob herpes o (viral, enterovirus) tsis tas yuav tsum tau kho tshwj xeeb, pw so, haus dej sov thiab haus dej ntawm daim duab kab mob. Kev txauv rov qab tshwm sim tom qab 7-10 hnub nrog kev tsim kom muaj kev tiv thaiv.
Kev kho mob ntawm angina rau cov menyuam uas muaj kab mob ntawm tus kab mob muaj xws li:
- Hauv zos npaj. Rau kev tshem tawm ntawm qhov mob, khaus thiab liab ntawm caj pas, tshuaj tsuag (Geksoral, Oracet), candies (Tharyngept, Neo-Angin) thiab lwm yam kev pom zoo. Cov menyuam yaus hnub nyoog qis dua 3 xyoos muaj kev xyuam xim.
- Antihistamines. Txhawm rau tiv thaiv kev txhawm rau tshuaj toxins tso tawm los ntawm cov kab mob, pab Cetrin, Peritol, Suprastin thiab cov tshuaj zoo sib xws.
- Antipyretic. Siv tsuas yog nyob rau hauv ntau zaus - Nurofen, Ibuprofen thiab lwm tus. Rau cov me nyuam mos, nws yog qhov zoo dua los xaiv qhov quav (Efferalgan, Cefekon thiab analogues).
- Yaug kev daws teeb meem. Cov kua haus no pab tiv thaiv cov tsos mob ntawm cov hnyuv txhaws xwb thiab txhawm rau mob qhov mob, vim li ntawd koj tuaj yeem siv cov tshuaj thiab cov tshuaj tua neeg.
- Tshuaj tua kab mob. Lub ntsiab pab pawg ntawm cov tshuaj nyob rau hauv kev kho mob. Nws yog qhov zoo los muab cov tshuaj tiv thaiv kab mob antimicrobial rau cov me nyuam nrog cov kab mob ntau yam. Tsuas yog tus kws kho mob tuaj yeem muab tshuaj tua kab mob xwb, tshwj xeeb tshaj yog yog purulent angina rau cov menyuam yaus - kev kho los ntawm kev xaiv tus kheej yog qhov txaus ntshai.
- Pro- thiab eubiotics. Cov kab mob antimicrobial cuam tshuam rau plab hnyuv microflora, yog li Bififir, Linex thiab lwm yam tshuaj raug pom zoo rau nws txoj kev rov qab.
Dua li kom mob caj pas ntawm tus mob angina rau tus menyuam?
Cov txheej txheem tau piav qhia yuav ua tau nrog cov ntsiab lus ntawm dej sov nrog ntsev, dej qab zib (1 teaspoon ib khob) thiab ib qho kev tov ntawm iodine. Yog tias xav tau, nws yog ib qho yooj yim uas nrhiav tau ib qho tshuaj tiv thaiv zoo rau tus mob angina rau cov menyuam hauv lub tsev muag tshuaj:
- Chlorophyllipt;
- Miramistin ;
- Eludral;
- Rivanol;
- Furacilin;
- Iodinol;
- Rotokan;
- Ingaphytol;
- Stomatode thiab lwm tus.
Antibiotics rau angina rau cov menyuam yaus
Yog tsis muaj antimicrobials, nws yuav tsis ua kom tiv nrog kab mob bacterial tonsillitis. Ua ntej yuav sau tshuaj tua kab mob, nws tseem ceeb heev kom tsim muaj dab tsi ua rau tus me nyuam hauv cov me nyuam - cov tsos mob thiab kev kho mob nyob ntawm seb tus kab mob ntawm qhov mob tsawg. Feem ntau lawv muaj cov kab mob hauv streptococcus, tab sis qee qhov mob staphylococcus yog los ntawm lub plennx. Tib txoj kev uas yooj yim kho qhov mob hauv caj pas hauv tus me nyuam yog siv cov tshuaj antimicrobial uas cov kab mob pathogenic feem ntau ua tau:
- Flemoxin Solutab;
- Amoxiclav;
- Ecoclave;
- Augmentin thiab lwm cov neeg sawv cev ntawm ntau hom tshuaj amoxicillins.
Thaum tsis pom zoo ntawm cov tshuaj no raug pom zoo rau cov tshuaj:
- Sumamed;
- Hemomycin;
- Azitroxy;
- Macropean.
Thaum mob hnyav, cephalosporins raug xaiv los kho:
- Aksetin;
- Cephalexin;
- Supraks;
- Zinnat.
Pej xeem kev kho rau mob caj dab
Cov kws kho mob tau txais kev pom zoo siv cov kev daws teeb meem rau kev haus ntawm caj pas los ntawm lwm yam zaub mov txawv. Kev kho mob ntawm angina hauv cov menyuam yaus hauv tsev tsis siv cov tshuaj tua kab mob yog cov siv tsis tau thiab ua rau muaj kev phom sij lossis muaj kev hloov ntawm cov hlab ntsws mus rau ib daim ntawv ntev ntev nrog kev rov huam mob heev. Qhov txhoj puab heev (chewing qaub, ua qog nrog kua txiv hmab txiv ntoo cider) yog txwv, tshwj xeeb tshaj yog tias tus me nyuam tseem me.
Tshuaj ntsuab Txoj kev lis ntshav rau yaug
Cov khoom xyaw:
- SAGE nplooj - 4 tsp;
- chamomile paj - 50 g;
- dej - 300 ml.
Npaj, siv :
- Grind lub tshuaj ntsuab thiab ncuav boiling dej.
- Tom qab ib nrab ib teev, lim qhov infusion.
- Gargle nrog cov kua nruab deg 4 zaug ib hnub twg.
Cov teeb meem ntawm mob caj pas hauv cov me nyuam
Nrog qeeb lossis kho tsis zoo, tonsillitis tuaj yeem ua rau muaj kev rau txim loj. Lacunar thiab purulent follicular angina ua rau cov teeb meem nram no hauv cov me nyuam:
- acute media media;
- laryngitis;
- sepsis;
- meningitis;
- pericarditis;
- lymphadenitis hauv cheeb tsam;
- tus mob plab;
- pyelonephritis;
- kis-mob toxic poob;
- appendicitis;
- pancarditis;
- phlegmon;
- hemorrhagic vasculitis;
- swb ntawm tus mediastinum;
- glomerulonephritis;
- trombocytopenic purpura;
- mob rheumatic ua npaws nrog hloov mus rau mob rheumatic chronic;
- myocarditis thiab lwm tus.
Prophylaxis ntawm angina rau cov me nyuam
Txhawm rau tiv thaiv tau tus kab mob nrog rau cov mob ntses (tonsillitis) nws yog qhov tseem ceeb los saib xyuas kev ua haujlwm ntawm kev tiv thaiv thiab muab qhov txuas ntxiv rau nws. Prophylaxis ntawm angina muaj xws li:
- kev noj qab haus huv thiab muaj kuab zoo;
- sib zog;
- kev kho mob raws sij hawm;
- qib siab npau suav;
- ua raws li kev cai tu cev;
- npaj txhaj tshuaj tiv thaiv me nyuam.