Zvikuru huro: ari causative nomumiririri chirwere nedzevakuru nevana. Zviratidzo uye mhando angina

Kunenge kuti kuchava vanhu vazhinji vasati ihosha huro. Kuti izvi zvisaitike, vamwe vanotya kuti kudya aizikirimu, usanwa zvinwiwa yakananga kubva firiji, uye zvechokwadi neshungu. Asi kana kutonhora zvikuru huro zvinowira? The causative mutumwa chirwere, sei zvakarurama vatsvakurudzi vakaona zviso zhinji kwazvo. Uye "kurwisa" riri huro yedu vakawanda zvikonzero. Angina angatanga ave kuomesa nezvimwe zvirwere chakakomba, zvakadai yokuSpain, anogona kutinunura kubva kunze noutachiona hunokuvadza. Asi kakawanda ari causative nomumiririri tonsillitis ari genus mabhakitiriya tuduku kuti vararame muromo yedu nguva dzose uye regai kukuvadza. Chii chinofanira kuitika kune utachiona izvi pakarepo kuva nehasha? Ndezvipi zvimwe utachiona kukonzera kuzvimba ari huro? Sei kukanganisa yezvakaita chirwere? How kuti uzvidzivirire uye vadiwa kwavari?

Kwazvo huro, tonsillitis kana pharyngitis?

Tingaita fungidzira ihosha huro? huro ichi tsvuku, tickling, marwadzo kana pakuparadza, fivha, lethargy, makura chido pasi. Vamwe kudanwa mamiriro iyi tonsillitis, dzimwe angina. Zvikurukuru, ndizvo zvimwechete. Shoko "tonsillitis" rinobva muchiLatin tonsillae, rinoreva 'womuarumondi', kana, mune National, tonsils. Ava inotungamirwa lymphoid zvinyama, izvo inotidzivirira kubva noutachiona hunokuvadza uye rubatsiro kutanga kutapata. Shoko "angina" rinobva muchiLatin ango, izvo zvinoreva kuti "nepavaigona, manikidzira."

Kuzvimba tonsils, umo huro sezvazvakanyorwa compressed, uye ane tonsillitis kana ihosha huro. Utachiona hwakakura kuchambokanganisa kunowanzoitika mamiriro tonsils edu anogona:

• wanda;
• mabhakitiriya;
• pathogenic notumwe.

Zvakaratidza, ihosha huro hakuna aizikirimu kana kuchitonhora zvinobata. Kwenguva yakareba kunokuvadza inotonhora pano, zvakare mhosva.

Pharyngitis anonzi kuzvimba pharynx (the chubhu unobva muromo yegurokuro), sezvo muLatin huro unorira pharynx. Asi aro okumusoro chikamu, muviri ndiwo huro pamwe tonsils. Saka, huro iri huro uye dokeriro zvinogonawo kunzi angina. Musiyano uri kuti hosha huro ndiyo chete zvirwere uye kwazvo pahuro inogona non-chirwere, kuti zviri kukonzerwa yokuwana chepfu chiutsi huro, mhepo inopisa, zvakafanana aizikirimu uye hypothermia. Zviratidzo nayo akafanana dzihwa uye anosanganisira:

• zvikuru huro;
• marwadzo kana pakuparadza;
• dzimwe nguva nefivha uye chikosoro.

Zvirwere pharyngitis, zvakare, ndiko, mukuwedzera, inogona kuomesa kwakaita yokuSpain, nezvitsvuku nefivha uye zvimwe zvirwere. Muzviitiko zvakadaro, kazhinji misdiagnosed sezvo angina. The causative mumiririri zvirwere izvi zviviri ndiro, zviratidzo zviri zvakafanana. Kusiyana kuti vanachiremba kunyange unyanzvi havasi cherechedzai, kuti angina kuzvimba vemunyika vari tonsils. A hosha huro kana haina kujeka miganhu, akatsvuka ari huro sokunge ikatevuka, tonsils kuzara pamusoro mukuru kumashure haamiri kunze.

mhando angina

Nemazita okuremekedza zvirwere kunzwisisa. Zvino funga chii siyana zvinogona kutora tonsillitis kana ihosha huro. The causative mumiririri pano kukonzera, asi kwete chete. Kuwedzera mhando microbe, akatanga ari huro, uye kusiyanisa dhigirii kukuvara, riri chaizvo kukosha kugadzwa mishonga. Pachishandiswa zvataurwa, ihosha huro:

• bluetongue;
• lacunar;
• follicular;
• pute;
• fibrinous;
• herpes;
• mwandabvu;
• maronda firimu.

pathogenic nemavhairasi

Izvi Zvivako kurarama muwande chete masero yokurarama zvisikwa, saka nguva dzose kuedza kupindira. Pavakarova nesu mumuromo dziviriro hurongwa pakarepo vanotanga kubudisa antibodies kuti neutralize hondo mvumo. Kana utano ndizvo zvose zvakanaka, uye simba rokuzvidzivirira, nemavhairasi havakwanisi kurega kana zvachose kuparadzwa.

Kana muviri simba, utachiona hwacho vari chakaunzwa mumasero tonsils - unodzivirira chipingamupinyi yedu - uye dzinotanga kushingaira bereka. Masero kufa, tonsils kuva zvomoto, kutanga nemavhairasi kwazvo huro. The causative mutumwa chirwere aigona yokuSpain utachiona, Epstein-Bar, herpes, Coxsackie, adenovirus, picornavirus, enterovirus. In tsika, rudzi utachiona hwakakura uye kuona kashoma kuvapa mumwe zita zvose - SARS. Most vanowanzotambura kubva nemavhairasi kwazvo huro:

• vana;
• vakwegura;
• inini chero chirwere, kuvhiya;
• Vakadzi vane pamuviri;
• Varwere kubva chero chirwere chirwere.

Ndiko, vari boka pangozi vanhu vane simba zvirwere. muviri wavo asingakwanisi kutanga antibodies zhinji, saka anopinda nechisimba nemavhairasi vasvike nyore kwavari masero akakodzera.

Peak nemavhairasi epahuro chikawira munguva yechando uye kure-mwaka, kunyanya pakutanga kwematsutso, kana isu kudya zvibereko zvishoma zvinyoro uye miriwo.

Yeuka: zvikuru chinotapukira nemavhairasi tonsillitis. The causative mumiririri iri zvikuru virulent, kuti zviri nyore kukanganisa vawirwa itsva kuburikidza sneezing, vangakosora, mupfungwa kukurukurirana, kutsvodana. Uyewo nemavhairasi vanogona kugadzirisa nyaya siyana uye kupinda mumuromo (kunyanya vana) tisina utsanana.

Zviratidzo ane nemavhairasi kwazvo huro:

• zvikuru huro;
• ndimbo akatsvuka (dzimwe nguva whitish unhani zviripo);
• tembiricha;
• kuzvimba node nodes zviri pamutsipa, submandibular nharaunda.

Kazhinji kune zvakafanana zviratidzo kutapukirwa noutachiona:

• kutyora nechigaro;
• svoto;
• kukosora;
• conjunctivitis;
• runny mhino.

Treatment rinoitwa pamwe antivirals akadai "Ergoferonom". Mishonga inorwisa utachiona contraindicated. At dzakakwirira tembiricha ushandiswe Antipyretic "asipurini", "paracetamol". Murwere akanga achibatsira yakawanda inodziya zvinobata, kakaridza "chlorhexidine" mhinduro furatsilina kana decoction kuti chamomil, calendula, mhinduro ine kubikira pasoda. Zvakanaka rubatsiro anorumanya. vana vavo kuita pachena mvura inodziya kuti nevakura chinodiwa kuwedzera mvura chero doro (1: 1). Bed zororo - a chinodiwa kuti nokukurumidza kupora.

Pathogenic Mabhakitiriya, ari causative nomumiririri strep kwazvo huro

Mumwe munhu anogara dzinenge 4 makirogiramu mabhakitiriya. Sezvineiwo, chete 1% vacho pathogenic. Pakati yasara 99% ndiyo inonzi mikana zvakafanira pathogenic pasi ezvinhu Somuenzaniso kana kusunungura kutapata. By pachedu tupukanana edu akaipa anogona kuwedzerwa kubva kwezvakatipoteredza "vatorwa" bacteria. Utachiona angina pakati pavo vari:

• streptococci;
• staphylococci;
• spirochetes;
• diplococci;
• Bacillus Loffnera;
• gonococcus.

Vazhinji tupukanana izvi vane zvakawanda kupatsanura yavo. Vamiriri mumwe tisawirirane kwakasiyana mumwe kwete chitarisiko asiwo maitiro. Vane propensity dzikambouya masero yakajeka secrete endo- siyana uye exotoxins ukuwo, kukonzera-siyana kuzvimba uye zvirwere. Naizvozvo, kuvabata vose zvakafanana nemishonga inorwisa mabhakitiriya asingagoni. Kuti uzive zvinodiwa uye kurwisa sei zvinodhaka, vanachiremba vari smears ose pus uye madzihwa kubva huro uye tonsils.

The causative nomumiririri strep kwazvo huro - iri anaerobic, hamutsvaki okisijeni, kwete kutamira, vaviri vaviri kana nengetani. Kupatsanura pakati Streptococci chaizvo. Vose zvavo, zvichienderana sei munoparadza masero matsvuku eropa (hemolysis mufambiro), vari mapoka mapoka matatu - Arifa, Beta uye wegamma. Alpha-dzinonzi viridans streptococci nokuti kukwana hemolysis, uye vari kukundikana mapazi anooneka greenish ruvara.

Wegamma streptococci hachiparadzi masero matsvuku eropa. Zvino vari voga ari oga boka enterococci.

Beta streptococci chose masero matsvuku eropa. Vari mapoka mapoka A kuna U. Nhengo boka A, kana pyogenic utachiona vanoonekwa mikana. Vanogona kupinda mumuromo kwezvakatipoteredza uye pakarepo kukonzera chirwere, uye anogona kununura refu hassles. Asi kamwe munhu zinyekenyeke zvirwere, kuti streptococci vanotanga mabasa zvinoparadza, kuchikonzera huro kwazvo, pharyngitis, bronchitis, nezvitsvuku nefivha, abscesses uye kunyange muchetura kuvhunduka.

The kwemabhakitiriya tonsillitis, utachiona hwakakura anonzi Staphylococcus aureus

Izvi mhando microbe vanokwanisa mikana yechipiri kuva nengozi zvikuru. Zita rinobva mushoko rechiGiriki "STAF", iro rinoreva "mazambiringa" nokuti staphylococci munogara yakarongwa mumapoka akafanana Masvinga ramazambiringa. Naivowo, vari wakaiswa uye regai zvinoda oxygen. Mumuromo yaiva kusvika 40% of tusingaoneki yasara. Chero bedzi munhu ane refu kutapata, ivo hazvikuvadzi, asi muna zvamuremadza vanhu, utachiona ava chaizvo kushingaira. Kuvabatsira uye pathogenic streptococci, staphylococci, izvo kazhinji kushanda pamwe chete. peya ichi rinowanikwa imwe zodzera kubva huro pamwe tonsillitis nezvimwe zvirwere. Anonzi Staphylococcus aureus ndiko:

• yendarama;
• epidermal;
• saprophytic;
• haemolytic.

Vose kukonzera purulent kuzvimba uye kubudisa tsvina akawanda kuti kunyange kungaita kuti rufu. Nokuti kuzvidzivirira staphylococci kubudisa chaizvo mapuroteni, penicillinase, achiuraya antibodies uye kuita nemishonga inorwisa mabhakitiriya akawanda maturo.

Rarama staphylococci, kwete chete mumuromo asiwo zvakatipoteredza. Vane naka pakusimba. Somuenzaniso, akaoma substrates vasara kubva pus uye sputum, vanoramba vachishingaira kwemwedzi mitanhatu, 3 months muguruva, havafi muzuva, iri gwenya, mumvura inopisa, disinfectant inotoda akachengeta kugadzira. Chete achibika anogona kuvauraya pakarepo.

Mamwe utachiona, kunyange asina zvishoma pathogenic, asi anenge ari mashoma zvikuru.

catarrhal angina

Shoko rokuti "catarrhal" rinoumbwa catarrhus, i.e. kumhanya-kubva mvura. Zvino ichi mhando mucosal kuzvimba anowanzonzi SARS. tonsillitis causative vehurumende vari vakuru nevana uye anogona kuva nemavhairasi kana kwemabhakitiriya. The zvinokonzera kutanga chirwere:

• activation pamusoro pathogenic tupukanana aripo pamuromo;
• kubvuta kubva kunze (uchikurukura varwere uye asiri zvaidiwa utsanana).

zviratidzo:

• rakapinza kudzikira mune utano, kusimba muviri wose;
• kurwadziwa nemusoro;
• tembiricha (mu varwere dzakasarudzwa, irambe mukati 37,2-37,5 ° C, asi zvikurukuru hunopfuura 38 ° C);
• kuwedzera submandibular node raiva pedyo nebundu mapazi;
• achifunga kuti huro "anobvarura kumusoro";
• rwadza kumedza;
• akatsvuka uye mumatenhere tonsils uye mucosa namaberere huro;
• nezve whitish Dombo pamusoro tonsils, asi pasina nemaronda;
• kuwedzera mapuroteni ari weti (ari mukuru tembiricha);
• muropa kungawedzera ESR uye ropa masero machena, asi chikamu ichi hachisi noruzhinji.

Catarrhal zvikuru huro pasina fivha kazhinji chirwere sechinhu chakasimba kufema chirwere.

Utachiona zviri zvikuru huro muvana vane makore grudnichkovogo Kutamiswa kubva amai chirwere kana dzimwe nhengo dzemhuri. Sezvo rokuzvidzivirira vachangoberekwa haina kuumbwa, chirwere angatanga kubva hypothermia uye vamwe zvirwere zvinokonzerwa nemavhairasi. Kakawanda, vana vari kutambura anonzi Staphylococcus, streptococcus uye wanda.

Zviratidzo zvakafanana mune vakuru, asi anogona Uyezve kuva:

• moodiness;
• kusada kudya;
• Hope kana, Ukuwo, kuzvidya mwoyo;
• zvakawedzera salivation;
• panguva mukuru tembiricha chinyamunhari chinorwadza, manyoka uye regurgitation.

Nzira kurapwa:

• mubhedha zororo;
• kakaridza, anorumanya;
• kunwa zvinwiwa zvakawanda;
• sulfa zvinodhaka ( "Biseptolum", "Streptocide" "Bactrim");
• antihistamines;
• antipyretics (chiratidzo);
• mavhitaminzi.

Mishonga chete gadzai chiremba pachishandiswa Analyses izvi.

kurapa angina mu vacheche algorithm anosarudza chiremba. Asati kwaro vabereki vanogona chete gogodzai mukuru tembiricha (kana kumusoro 38 ° C) nekusimba nevakawanda nzira kunoratidzwa achipukuta mhuru mwana kana chete simba huma vhiniga mhinduro. Vakazvimirira kana antipyretics kana mishonga haagoni kupiwa. Kids vakuru rimwe gore asati asvika chiremba anogona kupa mwana fivha "paracetamol" kana "Nurofen", uye kazhinji mwana anwe inodziya tii.

tonsillitis

Follicles ari huro - kuunganidza uku nhengo dzinobudisa masero ari tonsils. Under kwomuzvarirwo ezvinhu vane akafanana kwounyengeri anorovera. Pazvinenge zvomoto, anotanga tonsillitis. Zvinokonzera hosha zvakafanana kuti catarrhal tonsillitis, izvo kazhinji anova pasina kurapwa mune follicular. In vakuru nevana vaanosangana ane dhigirii zvakaenzana. The causative nomumiririri tonsillitis - streptococcus, anonzi Staphylococcus, vamwe wanda.

zviratidzo:

• inopinza kungoerekana debut, kwakunoitwa kuvhunduka kutonhora pamusoro 39 ° C, fivha, mukuru simba;
• marwadzo ari huro, kuripa munzeve;
• splenomegaly;
• marwadzo ari musoro, kumashure;
• Dzimwe nguva zviratidzo kudhaka, vana vava raidudzwa;
• hyperemic tonsils, pamwe kusiyirira chena kana zvishoma yellowish diki maronda;

• dzimwe nguva zviratidzo mwoyo nokukundikana (tachycardia, marwadzo mumwoyo);
• kuwedzera marwadzo kana akatendeuka musoro;
• muropa yakawedzera eosinophils, erythrocyte sedimentation zvazvingava, chena muropa masero.

Sezvo kazhinji vaishandira angina vari streptococci uye staphylococci, kureva utachiona, kurapwa kuri madikanwa amakavaitira nemishonga. Range yavo kwazvo - "Ampicillin", "Erythromycin", "Tsefamezin" uye vamwe.

Vana vakura vanogonawo kushandisa bhurandi kuderedza marwadzo ari huro "Orasept", "Faringosprey". Mamwe algorithm akafanana chii rinoshandiswa bluetongue angina.

inofanira risingabatanidzwi Muterere mafungu, Spicy, wakawanda, peppery chikafu. Vana vanofanira kupiwa mashed matapiri uye chiedza Porridge, uye simba-dzichifura iri contraindicated.

lacunar tonsillitis

Lacuna - mumwe paumbwe pamusoro tonsils muchimiro muhomwe uye grooves. Vane yakanaka kuchengeta navo purulent exudate madzihwa. Utachiona lacunar angina - ndiyo chete utachiona, kazhinji cocci, asi mavhairasi anogona yekudyidzana achiipa zvakatoitika chokunyevera mamiriro murwere. Zviratidzo zviri follicular lacunar angina akafanana, asi hunoratidza hazvisi zvikuru raidudzwa. Saka, varwere kazhinji tembiricha akasvetuka kusvika 40 ° C, kutemwa nomusoro kunogona kusvika kurutsa, zviratidzo kudhaka varipo muvana uye nevakuru, kurukutika, uye utera yose muviri kuti munhu asingadi kufamba. On murwere tonsils kunyange munhuwo zvake anoona chena kana tsvuku pustules. Ndivo akakura kupfuura follicular tonsillitis zvikuru, asi kwete somunhu kwazvo sapamazuva mitsipa fungal maronda. Ndiro huru musimboti wenyika kuona mutsauko kwezvirwere izvi zvitatu.

Mabatirwo follicular lacunar angina zvakafanana. Nemaronda pahuro haagoni zvinomuomera kuikanganwa chinhu, uye maronda - lubricated antiseptics. Dombo anogona chete kubviswa rinses.

Dzimwe nguva follicular uye lacunar angina akakura pachikuva fibrinous, purulent apo Dombo anopararira kusvika tonsils iri pedyo nzvimbo huro.

herpangina

In chirwere ichi pane mazita akawanda noenderana - gerpangina, aphthous kana Enterovirus vesicular pharyngitis. The causative nomumiririri herpes utachiona kwazvo huro, kana panzvimbo dzakawanda serovars coxsackie utachiona, kwete utachiona, saka asingaurayiwi kurapwa hazvisi kukodzera. The chirwere kazhinji inokanganisa vana, kusanganisira vacheche, uye vakuru kashoma chirwere. Gerpanginu tora nyore chaizvo, sezvo Coxsackie nemavhairasi vari virulent tarenda uye nokukurumidza kubva avo nhau-vanhu mumate, zvishoma fecal-nomumukanwa nzira (maoko tsvina - matoyi, pacifier - muromo). Kunyange zvakawanda kashoma, chirwere chinogona kuwanikwa kubva kuonana dzimwe mhuka, dzakadai nguruve. Kamwe muchiuno waitirwa wake, nemavhairasi kukanganisa node nodes, zvadaro ropa uye kubva ipapo kupinda huro node hurongwa.

zviratidzo:

• unopinza debut (tembiricha kusvetuka 40 ° C, utera, kusvikira nestoyaniya pamakumbo vana kazhinji vaichengeta pfari);
• zvakawedzera soreness of huro;
• runny mhino;
• dzimwe nguva kukosora;
• upundu ari huro muchimiro yakatsvukuruka vesicles, akazadzwa pachena exudate (akafanana vaya herpes arashirwa pamiromo); vaviri kwemazuva matema hombodo uye anozoumbiridzwazve kuonekwa panzvimbo yavo.

Nokuti vacheche zvikuru ngozi herpes angina. Utachiona hwakakura mumuviri wavo simba anokwanisa zvakatsamwisa yomumuzongoza, pyelonephritis, encephalitis, uye vesicles kuonekwe kwete muromo, asi pamusoro muviri.

Visual chirwere chinoitwa pashure pakuongorora mucous membranes, uye yokupedzisira pahwaro serological uye virological nemiedzo.

Kurapwa zvinosanganisira antiviral mishonga yakaoma, zvairatidza antipyretics, antihistamines, immunomodulatory. The huro ikarapwa chaizvo bhurandi, uye vana vakura vanogadzwa rinsing. Anorumanya uye inhalation Herpangina wairambidza. Mishonga inorwisa utachiona ushandiswe vari kunzwisisa chete kana dzakabudirira yematambudziko chokuita antibacterial chirwere.

purulent tonsillitis

Izwi iri dzimwe nguva kunzi vamwe zvirwere umo anogumbura pezvakaitwa kuchengetwa huro kuti vaumbe purulent exudate. lacunar ichi uye follicular tonsillitis, chinokosha chiri kuti nemaronda munogara iri tonsils uye kwete kupararira pedyo nzvimbo. The causative nomumiririri purulent tonsillitis chete utachiona, uye muna 80% ndiyo strep, 10% - aureus uye mumwe 10% - munhu tandem idzi utachiona maviri. Dzimwe nguva purulent tonsillitis kunzi fungal kana mwandabvu chimiro, asi pane zvinhu musiyano. Saka, munhu fungal angina kunokonzerwa fungal zvirwere, anowanzodanwa Candida. Its Chiratidzo chikuru - chena cheesy Dombo yose nharaunda huro, kunyange mutauro. Ndokusaka fungal angina kuvhiringidzwa thrush. Fungal Dombo iri nyore akabvisa, achiratidza matsvuku maronda. Zvinokonzera - the kwakaderera kutapata, refu kana kusingadzoreki kushandisa mishonga inorwisa mabhakitiriya. Kana causative nomumiririri tonsillitis ndiko gonococcus, kunonzi mwandabvu, kana zvakanyatsorurama mwandabvu yacho huro. Ndizvo kusara zvishomanana chete nedzevakuru. The chikonzero - nomumukanwa kurara mutakuri. Zviratidzo mwandabvu uye purulent tonsillitis zvikuru yakafanana, saka Kusiyanisa yakarurama kunobvira chete kuburikidza nokutora zodzera kubva nomumukanwa mhango. Nemaziso nemaronda vane huro mwandabvu denser kupfuura angina, plus vanogona kuparadzira kusvika mukanwa uye rurimi.

Zvakakosha kunzwisisa kuti purulent tonsillitis - chirwere chakasimba chete rinovapo hapana mazuva anopfuura 10 uye kwete recur. Kana 10 Mazuva zvakanga zvisingaiti kubvisa hosha, zvino chepakutanga zvokuongorora chakaipa. Pasina kurapwa kuti angina kunopa yematambudziko:

• abscesses iri huro;
• otitis avhareji giravhiti ane zvichibvira kunzwa vanotaura;
• sepsis;
• rheumatic fivhiri;
• marwadzo mumwoyo;
• renal kukundikana;
• chisingaperi tonsillitis.

Pakupedzisira, zvikuru huro - chinotapuriranwa chirwere. Naizvozvo, kuti varege kukanganisa mhuri dzavo, vanorwara vanofanira mukanyatsochengeta murayiro utsanana.