Fired up gagging of the pharynx Classification of the diagnostic class. Gostri fired up throat ailment: symptoms, symptoms, signs, causes

Gostriy pharyngit is a gostre fired mucous membrane of all forms of the pharynx. Tse zhvoryuvannya partly buvak suputnim at respiratory infections virus and microbial etiology (influenza, adenovirus, coccal).

The ailment to feel soreness, for a sore throat, perspiration, dryness, hoarseness of the voice, and when looking at it, there is a change in mucus in all of the pharynx, purchase of viscous mucus on the back

Symptoms in the back - weakness, fever, discomfort - overwhelmed by the main ailments. For the treatment of hospitable pharyngitis, it is recommended to use oily-balsamic drops in nis, summery in the usual quantities of regional, vaseline and menthol oils 3-5 times a day, warm puddles of ingestion, winter

Differential diagnostics of gossty pharyngitis is carried out with diphtheria, scarlet fever, bark, rubella and other infectious diseases.

Angina - hospitality of infantile migdalin and mucous membrane of the pharynx.

Angini for key data and pharyngoscopic pictures subscribe to catarrhal, follicular, lacunar, virazkovo-filmy and necrotic.

Angina is a nonspecific infectious-allergic disease, especially streptococcal etiology, in case of any muscle inflammation, the most development is in the lymphadenoid tissue of the pharynx, most often in the adrenal glands.

To appear clinically in the eyes of catarrhal, follicular and lacunar angina.

Nonspecific angina is catarrhal, if only the mucous membrane of the dysplasia is present, follicular is the loss of follicles, lacunarna is accumulating in lacunae. Wicked, as a rule, streptococcus group A.

However, pneumococcal angina, staphylococcal angina and angina develop, in the ethology of which there is a change in coccal flora. A type of this angina is an alimentary angina, which is known to be an epidemic streptococcus. The microbe is introduced, as a rule, when the technology is destroyed, it is prepared by neohinny pratsivnikov.

catarrhal angina I will lose the mucous membrane of the migdines and the arch, at which the hypothermia of the given pharynx, ale of the nalloti is indicated.

Ailments are unique to pain in case of burning, burning in the area of ​​the pharynx. Mаk bacterіalnu or viral etiology. The temperature is subfebral, more feverish.

Regional lymph nodes can also be improved. Zakvoryuvannya protykaє 3-5 days. Lіkuvannya - rinsing with soda, shavlієyu, smearing the migdalin with iodine-glucerin, taking in the middle of aspirin.

Catarrhal angina needs to be seen as a grievous pharyngitis, in which case the whole mucus membrane of the pharynx, especially the back wall, is hostile.

Follicular and lacunar angina to be haunted by one and the same schoolchildren, and by some sort of critical interruption, as well as by the backward reaction of the body, and happy... Pole visibility in development form nalot_v on migdalena.

With follicular angina, follicle suppuration occurs, and leukocyte folds white color shine through the slime shell. In case of lacunar angins, burned to repair for gaps, de і accumulate gnіy, which will start from gaps on the surface of the migdalin.

After 1-2 days, the piles will widen over the entire surface of the migdalin, and two types of angins will not come out. Ailments appear to be severe pains with discomfort, discomfort in the throat, it is seen as a result.

Shiyni lymph nodes increased rapidly, the temperature rises to 39 and 40 ° C.

On the 2nd - 3rd add, carry out a differential diagnosis with differential. Already at the first look at a sick person, it is necessary to take a smear on a diphtheria stick, and try to see it with a cotton penzlik.

It’s important to know, to speak the corny of vulgar angina, because it’s important to know it, but it’s bleeding at the same time, because of the newest diphtheria.

In general, it is necessary to introduce antidifferentiated syrovatka in a general manner.

Treatment of follicular and lacunar angina polyagi in a rinse of the pharynx, an alcohol-based compress, an indication of analgesics, desensitizers (diphenhydramine, suprastin, tavegil), antibiotics We are averse to recommending a sparing child.

Angina, scho wicked to be adenoviruses, Against the viglyadi of the poured gosty pharyngitis, if you want you can supravodzhuvatsya and nalotami on the migdalens. Typical for adenovirus infection is a wider lesion of lymph nodes and even more often with conjunctivitis.

It is especially typical for adenovirus type 3, which is a vicious faryngocon'junctival fever. I will look for a picture even if the virus is influenza, however, in 10-12% of the virus it can become more common with streptococcal angina.

GOSTRE FIRING MIGDALIKIV INSHOY LOCALIZATION... Angina lingual migdalini maє characteristic symptoms- pains in the area of ​​large pharyngeal arches, it is very easy to see it when trying to visually swallow it.

Setting up the diagnosis of polyagus in the indirect laryngoscopy behind the aid of the laryngeal mirror.

Angina of the nasopharyngeal dysplasia... More localized in the area of ​​the nasopharynx, a thick mucus vision is seen from the nose, it means Hostry undead... With the posterior rhinoscopy, a swelling of the cyanotic effusion of mydaline is visible, in some cases with nallots, along the posterior stints of the pharynx there is a thick mucus.

Angina with scarlet fever It can be done differently. Most often, angina is catarrhal and lacunarna.

With the classic overload of scarlet fever, it is characteristic of the earliness of the soft winter in the circumference of the winter, but it does not expand beyond the border of the soft winter, the swelling of the soft green leaves and the thickening of the thick eggs.

To make a diagnosis, it is necessary to eliminate all the symptoms of the disease, the perspiration for all scarlet visp in the area of ​​the nipple-like outgrowth and the original surfaces of the symptoms.

Look for the important form of scarletini, which is opposed to the viewer:

1) pseudo-membranous angina from the statements of the enlarged on the mucous membrane of the dysplasia, the pharynx, the nasopharynx, and to see the fibrinous exudate in the eyes of the viscera of a thinly folded, soft, soft ring. It is the case that the hyperemia of the circumference appears, the visip appears on the first day of the disease. The prognosis is given to the form of scarlet fever of unpleasantness;

2) curvy-necrotic angina, which is characterized by the appearance of siruvate beaches on the mucky obolontsi, quickly transforms into slopes. It can be very easy to solve the problem with the fixes of persistent defects of soft children. Bіchnі shiynі lіmfovuzli urazhayutsya great passion;

3) gangrenous angini, which is very spontaneous. The process is to be repaired by appearing on the mydalines of the bruised-gray nalot and the more glibky ruinous fabrics right up to the sleepy arteries.

Angina with diphtheria can be against in the winter key forms... In case of diphtheria, the nalloti should go beyond between the bows. For angina pathognomonic є suvor, the gap between the broadened nallots in the boundaries of the migdalin. As the nalloti widen beyond the bows, the goiter can be placed on the basis of the diagnosis of nonspecific angins. The heart is a simple diagnostic test. Pour from the window with a spatula and remove the cold water from the glass.

Yakshcho water is kalamutnіє, nalit razchinyaєtsya, meaning, the price of angina. As soon as the water was overshadowed by a glimpse, and the particles of water spilled, then the diphtheria.

Angina at the bark against the catarrhal mask in the prodromal period and in the period of visibility.

In another, the diagnosis of the cortex is not vicious, in the prodromal period it is necessary to follow the appearance of a cow enanthem in the wyglyadi of red hearts to the beaches on the mucous membranes of solid children, and also to the beaches of Filatov - Koplik on internal surface open the stenon duct. Perebіg angini with bovine rubella is similar to the bark.

Angina with flu the opposite is so, as it is catarrhal, however, a hyperaemia is poured out to my dalini, arches, tongue, back of the pharynx.

erysipelasє to important illnesses, often opposed at once from the peak of the individual. Repair for high temperatureі superficially suffer from severe pain in case of contamination. Slizova is made into a yaskravo-chervoniy color with sharply oxidized cordons of pochvoninnya, to be built lacquered through the embankment.

Angina with tularemia to repair grief - from a chill, zalalnoy weakness, guilty conviction, improvement of the spleen.

For differential diagnostics, it is important to establish contact with grizzlies (water pikes, budinkovy mishas and gray waterworms) or lumps (mosquitoes, gedzi, mites).

Angina with tularemia in a large number of vineyards in case of infection with alimentary path - with implantation of water, incubation period 6-8 days for an infected person.

The most differentiating and diagnostic acquaintance is to serve as an illumination of buboes - packets of lymph nodes in the country, which only reach the size of a chicken egg.

Lymph nodes may suppurate. The picture of the pharynx can be catarrhal or often filmy sore throat, it can be diagnosed as diphtheria.

monocytic angina(Infectious mononucleosis or Filatov's ailment) can be clinically contradictory - from catarrhal to viral-necrotic. The ethiology of this ailment is not sufficiently understood. Clinically: improvement of liver and spleen (hepatolienal syndrome), the manifestation of weak and sickly on doty lymphatic institutions (shiynyh, potilychnyh, piddlepalnyh, groin and groin)

Pathognomonic symptom є appearance of atypical mononuclear cells in the peripheral blood.

agranulocytic angina It is tied to a higher or higher level of granulocytes in the periphery of the blood because of the savings of monocytes and lymphocytes on aphids of high leukopenia. The ethiology of the affliction is not defined, but it is considered to be polyethiological. Zakvoryuvannya mate with overworldly and uncontrolled zasosuvannya lykarsky zasobiv, Such as analgin, piramedone, antipyrin, phenacitin, sulfanilamidi, antibiotics, levomycetin, enap.

key picture It is important to grow up because of symptoms of severe sepsis and necrotic angina, microbial splinters, which inhabit the pharynx, to become intellectually pathogenic flora and when leukocyte infection occurs in the presence of an unhealthy bleeding Zahvoryuvannya protikak vazhko, z high fever, Stomatitis, gingivitis, esophagitis. The stove has been improved. Diagnosis is based on blood analysis: leukopenia growth, less than 1000 leukocytes in 1 mm 3 blood, granulocyte volume. The prognosis is severely irritating to the development of sepsis, laryngeal obstruction, pharyngeal tissue necrosis with severe bleeding. Likuvannya is stored for the fight against secondary infections - signs of antibiotics, vitamins, looking behind the throat (gargling, smearing, irrigation with antiseptic, astringent, balsamic rosemary) The prognosis for the whole disease is serious.

Alimentary-toxic aleicia it is characteristic that, on the basis of agranulocytosis, if there are only granulocytes (neutrophils, eosinophils) in peripheral blood, all forms of leukocytes are known. To get rid of a special fungus caught in a special fungus, to multiply in overwintered cereals, but to get rid of untidy in the fields, and to revenge even a toxic speech - Poin, to find even a small number of hems to grow in contact with those in contact the whole shlunkovo-intestinal tract, І to navіtryannya with a lot of feces on the weekends of the week

The poison is thermostable, therefore, the thermal processing of boros (preparation of baked virobes, chlib) does not use toxicity.

On the side of the pharynx, a necrotizing angina swings sharply, if the eyes of the eyes look like siren ganchirks, and a sharp, boring smell is seen from the mouth.

The number of leukocytes in the peripheral blood is up to 1000 or less, with a large granular leukocyte increase in the daytime. Characteristic of the temporalis is a fever, the appearance of a hemorrhagic visipa. Lіkuvannya in the early stage of the polyaga in the prominence of the slunk, klizmi, the sign of the carried, to spare the children, internal infusion of physiological differences with vitamins, hormones, glucose, in the transfusion of blood, leukocytes.

In the stage of angina and necrosis, antibiotics are recognized. at sharp key developments ill-health forecast of unpleasantness.

Angini with gostrich leukemia go through step by step severity in the presence of the stage of leukemia. An ear of angina (as a rule, catarrhal) is opposed to a friendly, repentance for the only visible prosperity, and only blood analysis is allowed at the early stage of a catarrh Gostry leukemia, Scho again to bring about the prescription of blood supply for angina.

Angina in case of leukemia development, if the number of leukocytes in the blood reaches 20,000 or more, and the number of erythrocytes falls to 1-2 million, angina is most important in the vigilance of the vigorous-necrotic and gangrenous lymphatic form of the temples. To admit nasal bleeding, bleeding in the body and tissue, improving all lymph nodes. The prognosis of unpleasantness, ailments will die in 1-2 fate. Lіkuvannya angini is symptomatic, miscene, early priznachayut antibiotics, vitamins.

pharyngeal tuberculosis There can be two forms in viglyadas - hospitality and chronicity. When the form is hostile, hyperaemia is characteristic of the mucous membrane of the arches, the soft puffiness, the tongue, the nagadu angina, the temperature can be 38 ° C and the food. sposter small pains when kovtannі, popping on the mucous membrane of sirich humps, then іkh bends. A characteristic anamnesis, the manifestation of the other forms of tuberculosis, additional help in diagnosis.

Of chronic forms of tuberculosis, more often than buvay virazkov, it develops from infiltrations, often without symptoms. The edges of the curve are raised above the surface, the bottom is covered with gray nalot, so that granulation juices appear. Most often, it is spontaneous to the posterior stage of the pharynx. The overflow of processes in the throat is due to various reasons: the sick camp, the grudge, the regime, the social minds, the quick and correct love.

In case of miliary tuberculosis, the prognosis is unpleasant, the process develops even more quickly with a lethal result in 2-3 months.

The elimination of tuberculosis of the pharynx, which is of the lowest form, became surprisingly successful when streptomycin appeared, which is administered internally, 1 g per day in an average stretch of 3 types. Unfavorable results in one day and one R-therapy.

syphilis of the pharynx... Primary syphilis is most often the enemy of infantile migraine. Chancre, as a rule, is painless.

Call on the red, intertwined aphids of the upper part of the migdalin to establish a solid infiltrate, then the erosion, as it goes over the curve, the surface of the cartilage. There are improved lymph nodes at the battlefield, painless during palpation.

The primary syphilis grows more and more, tyzhnymi, zvvyayay on one migdalene.

The sickness will burn in the second angina, there is a feverish woman, rizky pains. When a syphilis is suspected, it is necessary to carry out a Wasserman reaction.

Secondary syphilis appears in 2-6 months after infection in viglyadi eritemi, papules. Erythema in the throat will burst into the softness of the baby, the bows, the eyes, the lips, the surface of the cheeks, the move. The diagnosis of syphilis at the first stage is important before the appearance of papules of the size of a lentil grain to a bean, the surface of them is covered with naphtha with a form of greasy blister, the circumference is hyperemic.

Most often papules are localized on the surface of the migdalin and on the arches.

The third period of syphilis is manifested in the viglyad gumi, which is the wine, as a rule, through a sprinkle of rock from the ear to the ear. Most often gumi is set on the back of the pharynx and in my palate. Some of them are surrounded by infiltration on aphids and hyperemia of the mucous membrane of the pharynx. Skargi in the whole period can be seen.

In case of a slight interruption, the paresis of a soft day-to-day is indicated, it means eating in nis. The overrun of the tertiary syphilis is even more variable, to lie down at the localization and rate of development of gumi, as it is possible to enmity the cyst of the facial skull, mova, magistral verdict of the shia, vicious middle of the bleeding, sprouting in the ears.

In case of adolescence for syphilis, a venereologist's consultation is given to clarify the diagnosis and the sign of rational treatment.

fusospirochetosis. ethiological factorє symbiosis of a spindle-like stick and spirochete in an empty company. A characteristic manifestation of ailment is the appearance of erosions on the surface of the infantile migdalin, which is siruvated, and it is easy to recognize it with nalot.

V cob stage Illness in the daytime sub'active vision, the progress is progressing, and only after 2-3 days there is a slight pain in case of recovery, there may be more regional lymph nodes on the battlefield.

During pharyngoscopy in the whole period, a glib, a twist of the mirage appears, it is covered with a syrupy stinking nalot, it is easy to see. Signal symptoms, as a rule, do not turn.

at differential diagnostics it is necessary to include diphtheria, syphilis, cancer of the disease, blood loss, for which blood analysis, Wasserman's reaction, smear on diphtheria stick is needed.

Pharyngitis and stomatitis will rarely come down to the damage of the migdalin, so that the disease becomes important.

Likuvannya polyagaє in zasosuvanny rinsing with water peroxide, 10% solution of berthollet salt, potassium permanganate. However nykrashі lіki lіkuvannya є Ryasne zmazuvannya virazki 10% solution of honey vitriol 2 times a day.

The ear of warming up will be designated already on the third day, so, in its own right, serve as a differential diagnosis with syphilis, bloodied blood. Forecast in case of a quick addiction with hospitality.

Candidomycosis pharynx become infected with other fungi, often in weakened ailments, for uncontrolled intake of high doses of antibiotics, which causes dysbacteriosis in the pharynx and herbal tract.

There are sore throats, a feverish woman, on the last few days of the mucous membrane of the pharynx, there are some large amounts of necrosis of the disease of the migdalin, arch, palate, and the back stage of the pharynx.

Differentiation of seizure seizures on diphtheria, fusospirochetosis, lesions in case of blood loss. The diagnosis is made on the basis of microscopy of smear materials with a lot of yeast fungi. Likuvannya transmission of all antibiotics, irrigation of the pharynx with a weak soda break, smudging in the eyes of Lugol's risk on glucerin.

In order to become ill, it is necessary to recognize the form of pharyngomycosis, when in the gaps of the mydalins, they appear to appear on the surface of the gust and solid thorns. Oscillations in the daytime are signs of burning up the navkolishnіh fabrics and sub'єktivnі vіdchuttya, sickness in the last hour we may not be ill. conservatively not very effective. As a rule, you will be able to see the lesions of mydalene.

Between the capsule of the pharyngeal and pharyngeal fascia there is the parathonsillar cells, and behind the pharyngeal fascia, laterally, the cells of the parapharyngeal space grow. The space is stored up with cells, ignited, and at the end of the stage - and abscess formation begins to form the lineage of the named affliction. Abscess is more often nonspecific flora as a result of tonsillogenic enlargement of infection. To reclaim a sickness from the state, s show a pain in case of kovtanny, often from one side.

Call paratonsillar abscess in the history of the transferred angina in the period of life. When looking around the pharynx, a thin swelling and tissue hyperemia near the focal length (arches, flesh of the back, tongue), the flickering of the focal length from the bottom, change until the middle line is evident.

The abscess is formed in the middle of about 2 dB. Significant symptoms - weakness, fever, malaise shiny lymph nodes on the side of the abscess. The tradition of paratonsillar abscess is, by definition, a classic one: ryasna slime, trismus of jugular mucus and blight blight (as a result of paralleling mucous membranes of the infant frankincense).

The treatment of abscesses is associated with combination of: antibiotics in the internal area, antibiotics for pain in case of cold and fasting, aspirin, analgesics, a semi-alcoholic compress on the internal area of ​​the disease (on the sides of the abscess), antihistamines.

run overnight surgical treatment... Anterior-upper abscesses (accumulate for the anterior arch and small palate of the upper pole of the mydalini), posterior (when pus is purchased in the area of ​​the posterior arch), callous (purchase of the capsule) Anesthesia, which, as a rule, is misplaced - smearing mucous with 5% cocaine or 2% cocaine. Wrap a servet on the scalpel in such a rank, but it didn’t grow more than 2 mm, and it’s possible to injure the main carotid basin.

The incision is carried out in case of anterior abscess strictly in the sagittal area in the middle of the back from the posterior root tooth to the ovule, then a blunt probe should be inserted into the anterior abscess or the blood-spinal plug (Holsted) and to reduce the edge of the incision for shortening

When you see pus, the sick person's camp, as a rule, is meaningful. Through the dob edge of the rozrizu znovu to grow with a zatiskachy for the vidalennya stingy with pus. In the same order, the posterior abscess is rosted through the posterior arch. More importantly and more importantly, the growth of a callous abscess, which is more and more protective through the damage of the wounds. It is helpful when you can use a syringe in front of you with a needle, if in the development of pus the growth is carried out at a direct puncture. Rinsing with furatsilin is carried out for any kind of growth in the throat. A pharyngeal abscess is even more rare - the accumulation of pus in the area of ​​the back of the pharynx. In children, it is connected with the manifestation of lymphatic universities in the retropharyngeal space, in older adults - as an extension of the last paratonsillar abscess.

The inflammation of the pharyngeal congestion can be divided into two main groups - the congestion of the migdalin and the congestion of the mucous membrane of the pharynx. The first vipadku Mova Ide about angins, the other - about pharyngitis. Angini and pharyngitis can be both self-inflicted ill, as well as supporters.

2.5.1. Gostriy pharyngit (pharyngitis acuta)- gostre zapalennya mucous membrane of the pharynx. Becomes self-conscious as self-inflicted, and, more often than not, catarrhal inflamed upper dikhalnyh nobles.

Ethiology - virus and bacterial infections. Virusna etiology of hospitable pharyngitis is developed in 70% of cases, bacterial in 30%. Factors є retinal and muscle hypothermia, pathology of nasal emptying, nasal sinuses and nasopharynx, posterior Infectious diseases, Courtesy and malignant alcohol, morbidity in the intestinal tract.

Diagnostics does not represent foldability, but it is necessary to carry out, but a similar clinical picture can be given by diphtheria, catarrhal angina and іnshі infectious diseases. Microbial detection of smear from the surface of the posterior pharynx and migdalin allows to clarify the diagnosis.

Klinika. Characterized by the appearance of dryness, burning, pain in the throat. At the sight of an angina with a gallant catarrhal pharyngitis, the throat becomes stronger when the throat is empty, that is, E. Kovtanny sleepless. Prokovtuvannya їzhі mensh is big. In addition, the ailment is placed on the back of the back of the pharynx on the back of the back of the throat, sniffing through the rocket. Self-esteem is insignificant, the temperature does not move up to 37 ° C.

At pharyngoscopy, the mucous membrane of the pharynx is hyperemic, swollen, mucous fires are visible in the muscles. Often, on the back and back of the pharynx, it is possible to develop around the follicles in the round, red-worm-colored granules (Fig. 82).

Fig. 82. Gostriy faringit.

lykuvannya... Call me mistseve. Warm rinsing with antiseptic roses (infusion of chamomile, chamomile, chlorophylliptu and in.), Pulverization of the pharynx with small aerosols with antibacterial and antiapaline dyu (bioparox, hexalispray, puddles) It is necessary to turn on the drastic (hot, cold, sour, gostro, salty) їzhu, chicken, alcohol, after the sparing voice regime.

2.5.2. Angina abo gostry tonsilitis (tonsillitis acuta)- the guest house of the hospital for infection-allergic disease, where you will see the hospitality of the young children. Douzhe wider zhvoryuvannya, characteristic in the main for a child that young vik; in 75% of cases of sickness are angins - as individuals in the case of up to 30 years. Angina (in Latin Ango - squeeze, strangle) has been around for a long time. In the Russian medical literature, it is possible to develop an understanding of angini, yak "Gorlova toad". It can be seen that the infectious agent has a virulent role in the development and interruption of anxiety, and moreover, it is possible for people to become infected with a splinter-dumping or contact-by-way path. yak ailment infection Angina is guilty of having a singing immunity for herself, which is why she is responsible for repeated illnesses of this kind. In vipadkah, if the angini continue to repeat themselves by stretching the rock of the development, it is possible to allow for allowances to be made to the body of the lowering. Qiu furnishings are necessary for vrahovuvati when receiving nutrition about the vibrating method of treatment.

Unfriendly factors of navkolishny middle, scho to the development of angina, hypothermia of the body, the area of ​​the feet, mucous membranes of the dysplasia.
Ethiology and pathogenesis. Zabudnik angina zazvychay є hemolytic streptococcus. In addition, the spirits of angina can be spirochetes of an empty company and a spindle-like stick, in a row of vipads there are staphylococks, viruses, and anaerobic children.

In the pathogenesis of angina, the role of reducing the adaptability of the body's abilities to the cold, the rapid seasonal colony of the minds of the outer middle, the alimentary factor, the deterioration of the nasal dysfunction, and in. Thus, for the diagnosis of angina, there is a lack of visibility of pathogenic microorganisms, and guilty, it is a simultaneous infusion of exogenous and endogenous factors into the decrease of resistance of the macroorganism. The development of angini is based on the type of allergic-hyperergic reactions. The allergic factor can be the reason for the diagnosis of such acceleration, such as rheumatism, nephritis, polyarthritis and other illnesses, which may be infectious and allergic in nature.

Most often it is against the backward migraine, meaning more - the pharynx, the laryngeal, the laryngeal migdalini. It is not easy to get sick of migdalines in direct fallowness towards the teeth, when the company is empty; angini can be unified with the lesions of the mucous membrane is clear, cheek, suprovodzhuvati a number of important zahvoryuvan.

False from the severity of illness, character morphological changes Migdalin is seen as a type of type:

catarrhal angina... itself easy form getting sick. Ignition process encirclement of urazhennya only mucous membrane of infantile migraines.

Symptoms. Throat in the throat when the sleeves are cut. Bil is not even strong, as a rule, the same on both sides; ailments skarzhitsya on weakness, headache, seeming lumps in kintzivka; the temperature rises up to 37.0-37.5 ° C. Sickness is repaired because of a sore throat, dryness in the new. Catarrhal angina zzvychay catch up with the catarrhal process of the mucous membrane of the emptying of the nose, pharynx.

Klinichna picture. The pharyngoscopic appearance of the hyperemia of the mucous membrane, which covers the dysplasia, the arch (Fig. 83). M'yake the sky and the mucous membrane of the back of the pharynx do not change, but allowing the differentiation of the form of angina from pharyngitis. Mova is dry, covered with nalot. Often there is little improvement in regional lymph nodes. The overload of such an angina is friendly and will end in 3-4 days.

Fig. 83. Catarrhal angina.

follicular angina... More important is the form of angina, which is not only mucous membrane before the process, but expands to follicles.

Symptoms. The ailment should be repaired by adjusting the temperature up to 38-39 o C. There is a bend in the throat, as it can when it is done, often in vukho. The zagalny reaction to the body is violated - intoxication, head bill, Zagalna weakness, fever, chills, sometimes pains in the cross and slopes. In blood, neutrophilic leukocytosis is indicated, SHOE can be accelerated up to 30 mm / year.

Klinichna picture. The pharyngoscopic, in addition to the swelling of the swelling and the formation of the inferior migraine and the swelling of the tissues on the smaller swelling, can be seen the swelling-white infusion of the point, 1-2 mm in size, The triviality of the disease will give you 6-8 days.

Fig. 84. Follicular angina.

lykuvannya... Also, yak with lacunar angina.

lacunarna angina... Vazhke zhvoryuvannya, the ignition process will burn out the glibs of the migdalin. After the infusion of streptococcus, the epithelial filling in the glybin lacunae of the migdalin, then the necrosis of the lacunae on the surface of the migdalin, and in the glybin lacunae. To see a malignant epithelium, there are early surfaces on the mucous membranes, to form fabulous nallots, to grow in the course of the lacunae and near the mouth. The name of the type of angini is lacunarna.

Symptoms. Strong throat pain in case of fading and shedding, headache, weakness, bruising, chills, sleep disturbance, increased temperature to 38-39 ° C.

Klinichna picture. When you look at the oral part of the pharynx, you can see the swelling on yourself, swelling of the dysplasia, the mucous membrane of the dysplasia is hyperemic, on the surface of the dysplasia, close to the throat lacunae, one can see siruvato-biloti (Fig. 85). feel regional lymphatic universities, Would be rostashovuyutsya behind the cut of the lower slit, the stench of soreness and soreness in size. In the world, the development of ailments reacts and universities, so that they grow more and more along the course of the lasting jugular veni. Frequently, at one and the same sick person, it is possible to immediately develop signs of follicular and lacunar angina. The triviality of the disease is 6-8 days.

Fig. 85. Lakunarna angina.

lykuvannya... It is carried out, as a rule, on an outpatient basis at home with the isolation of a sick person and a doctor from home. In important people, hospitalization is shown in the diagnosis of infection. It is necessary to take a very high post-regime in the first days of becoming ill, and later - at home, with intercourse physical options However, it is necessary both for the treatment of the disease itself, as well as for the prevention of acceleration. A person who is sick sees the surroundings of dishes and objects and looks forward. Children, as the most creepy to angina, are not allowed to be sick.

The basis of therapy for treatment of angina is stored in the formulation of the group penicilin, up to which the most sensitive streptococci. It is necessary to take antibiotics at least 10 dB. Most often antibiotics, stiyki to Beta-lactamases (AUGMENTIN, amoxiclav) are recognized. In case of intolerance to penicilin, the antibiotics, cephalosporin and macrolide sprouts are consumed. Dozіlno also the sign of antihistamіnnny drugsіv. It is recommended to keep the drink warm. Mistsevo can be used for antibiotics - bioparox. It is meant to rinse the throat with warm herbs (shavlya, chamomile, calendula and in.), Rozchin sodi, furacilin, cold compress on the food area. There can be signs of salicylates (aspirin), analgesics, mucolytics, immunostimulants, polyvitamins. It is recommended to stay in bed for 7-8 days. Terms of non-standard travel in the middle 10-12 days.

throat called a special organ, like performances at the viglyadі of a thin muffin tube. Vona creep in front of the quiet ridges, repaired from the base of the skull and up to the very level of the shyny ridge, the throat goes into the first organ - the stravohid.

Dovzhina's pharynx can become from twelve to fifteen centimeters. Vaughn is meant to be mouthwash usually pass in stravohid. Krym, on the coffin, there is a movement from the nose emptying to the headlong straight.

The upper, yak and bichni, pharyngeal glands are formed from a special syrupy pharyngeal muscle, which will prevent continually raising and lowering the pharynx and larynx, as well as from the transversely swollen large middle compression: upper throat, squeezer sound її enlighten. All at once the stench set up a specific meat shell.

Upper stinka of the pharynx- the price of a star internal organ... Vona z'udnana from the outer surface of the cranial cavity. Before the child's walls, this organ can be attached to the backbones, and the internal sleep arteries, as well as the decal of the internal jugular veins, nerves, and the great ridges of the subjugular cyst with the plates of the thyroid cartilage. In the anterior region of the myasal tube, there is an entrance into the larynx, and in the front there is a small epiglottis cartilage, which encloses the organ, from the sides of the rosette scooplary laryngeal folds.

At the empty throat I see a small part of the surroundings: Nasopharynx, mouth and larynx. The skin of them is z'єdnana with the empty mouth, larynx, nose. The cravings of the pharyngeal opening in the hearing pipes of the stench come from the empty waste of the middle vuh. At the entrance to the pharynx, lymphoid tissue is taken into the throat, the form of a pidnebinny, the pharynx from the movable, trumpy and adenoid mydalini.

Until then, the throat stinks become mucous and the so-called adventitia of the pharynx. The shell of the first type will serve the extended mucous surface of the nose and mouth, and the surface in the nasal part is covered with large-sized prismatic energy sources and the flat, soft energy sources. Vaughn is transformed into a mucous membrane not only by the larynx, but by the stravohode. Connecting fabrics are used for advanced fascias, so that they can pass into a completely fabricable sheath to the stravohode.

Chronically ill

The development of such chronic ailments given to the body:

1. Hypertrophy of migdalin. As a rule, when you get sick, the dale begins to grow without an ignition process. Even children often suffer for ailments, for many adenoids. The main reasons for drug users are not worth it, but rather to get involved in getting sick at once because of the cold. For professional purposes, rinsing is recommended.
2. Faringomycosis. Filling the mucous membrane of the pharynx with a fungus. Symptoms show, like a rule vvazhayut, biliy or zhovtuvatiy nalit, dryness and perspiration in some droplets of burning in the throat. Ailments can be a wiklican of immune or endocrine damage. It is meant to take medication.
3. Chronic tonsillitis. chronically fired childbearing migdalin... Children are often sick. If you don’t turn up to a lykar at all times, then you can win such an acceleration: fired up legends, aggravated allergies, reduced immunity and іn. The main symptoms є: throat and glands, inflammation of the nasopharynx, low temperature, Weakness, unpleasant odor from the mouth. signify complex lykuvannya.
4. Laryngeal papilomatosis. Pukhlyuvannya of the upper dichal nobles of the wiklican with the virus. Most of the time, people who become ill and children suffer from the first rocks of life. It is meant to be complex lykuvannya.
5. Laryngit. The larynx is fired up. Maybe it’s because it’s because of infection because it’s overcooling or because of a strong voice. Illness symptoms є: strong beat in the throat, in the throat, in some of the red blotches, wet cough, bile when kovtannya, low temperature. Lіkuvannya is recognized as medication, it is recommended to spoky a sick person.

I’m even more richly sick of the pharynx, which may be infectious ethiology. The stench is caused by folding, as well as symptomatology. It is necessary to take medication and the correct method of elimination.

To the skin in life, it was brought to the development of dear ones ENT organs bacterial infections in viglyad GRVI, flu or angina. There are a number of other pathologies, symptoms of which are needed by the nobility, for this purpose they can often diagnose ailments.

Budova pharynx and larynx

The minds are the essence of ailment, and the mother is less aware of the larynx and pharynx.

Just a gulp, you have to be stored in three types:

• upper, nasopharynx;
• oropharynx, middle viddil;
• laryngopharynx, lower viddil.

The larynx, an organ, like a vison of a function. The larynx is a guide to the herbal tube, also wondered for the good luck in the trachea and legacy. There are sounds in the larynx, the voices are rocked, and the sounds of a person can be heard.

The larynx is func tional like a device for ruch, like a cartilage, with links and slopes of muses. The epiglottis is located on the cob, the function of which is a hole in the valve cusp between the trachea and throat. At the moment of kovtannya їzhі, the epiglottis is blocked into the trachea, which is consumed in the stravohіd, and not in the organization.

Yaki have pathologies of ENT organs

During his interruption, he became classed as: chronic and state. U vipadku z we will host a reboot ailments, symptoms develop mittєvo, stench swells. Pathology is transferred more slowly, less when chronic interruption, Ale oduzhannya is nasti shvidshe, in the middle for 7-10 dib.

Chronic pathologies are found on the basis of a post-mortem, incomplete ignition process. In other words, the gostra form is transformed into a chronicle without a proper treatment. In general, the symptoms do not occur so dramatically, the process of hope, alopecia is not recognized. With the most effective provoking factors, for example, overcooling or getting into the organism of a virus, a relapse of chronic illness occurs. As a result of the persistent infection, the immune system of people weakening, through the virus penetrate through the virus, or the bacteria are not difficult.

Sickness of the pharynx, as well as the larynx:

• epiglottit;
• pharyngitis;
• tonsilitis;
• laryngitis;
• rhinopharyngitis;
• adenoids;
• laryngeal cancer.

epiglottit

Ailments in the larynx include in themselves and inflammation of the epiglottis (epiglotitis). The reason for the firing process is drinking a bacterium in the epiglottis with a droplet drift. Most often, the epiglottis is the enemy of hemophilus inflammation and becomes the cause of the ignition process. The bacterium may not only be the cause of the epiglottis, but the cause of meningitis, pneumonia, pyelonephritis and other pathologies. Krim hemophilus influenzae, the reason for the inflammation of the epiglottis can be:

• streptococci;
• pneumococci;
• candida fungus;
• opik abo hit outside body into the epiglottis.

Symptoms of illness develop rapidly, in the middle of the main ones:

• Slow down the action with a whistle. In the epiglottis, there is a vernacular embryo, which can be brought up to a partial cross of the larynx and trachea;
• bіl when kovtannі, difficult tо work іzhі іzhі wіdchuttyam, but in the larynx, wаѕ thаt fаѕtа;
• sore throat, more views in new;
• fever and increased temperature;
• impaired weakness, lack of feeling and anxiety.

Epiglottit is more often the winners of children from 2 to 12 years, especially boys. The head is not safe, as if the epiglottis is burnt up - the possibility of breath, that with the first symptoms of illness, it will inevitably turn to the lycar. Buvayut gostri i chronicle burning epiglottis. As soon as the form of pathology was developed, the child was safely delivered to the lykarnya, the transport was guilty of sitting in a sitting position.

Likuvannya polyagaє in antibacterial therapy and adolescence of upper dysfunctional paths. As soon as possible, the symptoms are not safe for life, and the tracheotomy should be performed.

rhinopharyngitis

Inflammation of the nasopharynx, like a vineyard, the infection of the throat and nose with a virus, is called rhinopharyngitis. Symptoms of inflammation of the nasopharynx:

• nasal congestion, yak inheritance, difficulty in dikhannya;
• gostry b_l in the throat, pechinnya;
• foldability when kovtannі;
• nasty voice;
• temperature adjustment.

Children carry the fiery process in the nasopharynx more and more slowly. Most often in the fire from the nasopharynx to widen in in the sink, to bring up to very painful in vusi. Also, when the infection is lowered in the lower dysfunctional path, the symptoms are supervised by coughing, hoarseness in the voice.

In the middle, the incidence of the nasopharynx is trivial up to seven days, with correct love, Chronic rhinopharyngitis is not accepted. Therapy is rooted for the weakening of sickly symptoms. Iakshcho infection of the viclikan bacteriyu recognize antibacterial drugs, In the case of viral urazhennya - protivopalny medication. It is also necessary to rinse the nose with special rods and heat-reducing components when consumed.

The larynx envenomation includes hospitality and chronic laryngitis. gostra uniform pathology, rarely develop isolated, often laryngitis becomes a severe respiratory distress. environs gostry laryngit You can develop in the results:

• hypothermia;
• with trivial znakhozhennі in the sawn-down attachment;
• as a result of allergic reactions to chemical agents;
• the result of smoking and implantation of alcoholic beverages;
• professional re-assignment of voice calls (readers, actors, spivaks).

Symptoms of such a laryngeal disease such as laryngitis are characterized by:

Gostry laryngitis in case of voice calm and it is necessary to take a laryngitis for 7-10 days. It’s a recommendation of a doctor, he doesn’t get sick, the symptoms of ailments don’t go away, and the laryngitis itself goes into a chronic form. When laryngitis is recommended:

• puddles of English;
• voice spok_y;
• warm pitvo;
• protikashlyov_ preparations;
• anti-layers and immunomodulators;
• antihistamines medication for swelling swelling;
• gargling of the throat;
• hot scabbard baths, for the flow of blood from the larynx and lowering of the swelling and in.

pharyngitis

Sickness of the pharynx most often turns at the viglyadi pharyngitis. The cost of infectious pathology often develops on the basis of a virus abnormal bacterial lesion of the upper secondary paths. Vinnik's pharyngitis is isolated as a result of direct infusion onto the mucus of the pharynx of the child. For example, with a trivial rose on a cold drink, when it is even colder, navpaki, hot drink, as well as chicken and alcohol implantation.

Symptoms of pharyngitis onset:

• perspiration at the throat;
• bіl when kovtannі slip;
• the vision is sad;
• b_l at vusi at kovtann_.

Visually, the mucus of the pharynx is hyperemoved, with some microscopes it is possible to prevent the purchase of a gross secret, a small part of the gland, and a small amount of nalot. Gostriy faringit is important to differentiate from catarrhal angina. Lіkuvannya is mainly of a muscular character:

• gargling of the throat;
• іngalyatsії;
• compresses on the area of ​​shi;
• the lozenges will dry out from the pain in the throat.

Chronic pharyngitis develops from the most severe, as well as on aphids of chronic tonsillitis, sinusitis, caries of teeth and in.

Ailments of the pharynx can twist around the angina's viglyad. Filling lymph tissue of migdalin is called angina abo tonsilitis. So as and in the beginning of the throat, tonsillitis can be hospitable or chronic. Especially often, there is a state of the art against pathology in children.

The reason for the development of tonsillitis is virus and bacteria, which are importantly: staphylococcus, streptococcus, pneumococcus, fungi of the genus Candida, anaerobic, adenovirus, influenza virus.

Secondary angina grows on the other state of the art infectious processes, for example, bark, diphtheria or tuberculosis. Symptoms of angina are repaired by the state, the stench is similar to pharyngitis, ale may be seen. Migdalini strongly grow in general, painful for dots, in fallowness in the form of tonsillitis, cover with nalot or lacunas stored in nasal vmist. Shiyni limfatic universities are healthy, they can be sore at the onslaught. The temperature rises to 38-39 degrees. In the throat, there is a bele when it is turned and persistent.

The classification of tonsilitis is extensive, we see the onset of the form:

• catarrhal - vidbuvatsya superficial urazhennya migdalin. the temperature does not move much, between 37-37.5 degrees. Mild intoxication;
• lacunar, mydalini pokriti zhovtuvato-bilim nalot, in the lacunas the wickedness of the secret is spontaneous. The ignition process does not expand beyond the lymph fabric;
• follicular, dysplasia of a red color, swollen, suppurating follicles are diagnosed in viglyadi biluvato-zhovtuvaty uvoren;
• phlegmonous form, often in accelerated forms of tonsillitis. It is not only mydalini that are affected, but ale and peri-medial cells. Against the pathology of the gastrointestinal tract, with severe pain, often with an abscess in one side. As a rule, it is necessary to use a rosette of a gnarly little bear and for an additional antibacterial therapy.

Likuvannya in the main medication, antibacterial and mussel infusion on the mucus membrane of the pharynx. In quiet cases, if the pathology of the swelling is chronic in nature, systematically recurrent tonsillitis or the appearance of an abscess - the price is indicated until the appearance of migdalin. Before surgical excision of lymphoid tissue, they protrude in extreme drops, if drug therapy not bring good results.

adenoid vegetation

Adenoid is a hypertrophy of the nasopharyngeal dysplasia, vina in the nasopharynx. Most often diagnosed in childish from 2 to 12 years. As a result of the growth of adenoid vegetation, there is a twinge of the nose and vileness in the voice, with trivial manifestation of adenoids, infusion of hearing. Hypertrophy of the nasopharyngeal dysplasia is in three stages, the other and the third is not to be found drug therapy i vimag surgical engagement- adenotomy.

Side door in the larynx or throat

The reason for drinking a third party in the throat is most often the lack of importance, or the speed of the hour. Children who are lost without looking at their fathers can try to get rid of different other objects, for example, spare parts from games.

Such situations can be useful in the edge, all lie in the form and size of a third-party object. Once the object has been consumed in the larynx and overcrowding the chastkovo її enlightens, the wine is not safe for breath. Symptoms of the fact that Lyudin choked, є:

Suitable for the situation of the term medical aid to the victim. Terminova help guilty butti nadana mittєvo, in іnshomu vipadku є risik nastannya scent.

Cancer of the pharynx or larynx

Ailments of the throat can be small, ale the most frightening and insanely insecure for life є cancer. Maliciousness in the throat, or the larynx, on early stages You may not even show yourself, but it is untimely to carry out a diagnosis and, as a matter of fact, to an indication of therapy. Symptoms of swelling in the larynx є:

• do not pass the sight of an alien body in the larynx;
• bazhannya to cough up, zavazhaє ob'єkt;
• hemoptysis;
• prolonged beating in the area of ​​the pharynx;
• difficult dichanies when reaching great razmіrіv chubby;
• dysphonia і navіt ahonya, with localization of illumination close to the voices;
• outward weakness і loss of pracezdatnostі;
• visibility of appetite;
• waste at vase.

Oncological illnesses are highly sensitive for life and may not be a good prognosis. Treatment for cancer of the larynx is recognized in the presence of the pathology stage. The main method є promptly involved and the sight of an evil affirmation. So it’s stagnant to trade in exchange for optimization and chemotherapy. The assignment of this chi to the method of treatment is individual.

Kozhne zhvoryuvannya, nevertheless due to the foldability of the perebigu, vimagaє to yourself respect. Do not go into self-abuse, and more establish self-diagnosis. Pathology can be found in a fold, but not in an allowance. Timely diagnostics and recording of all the attributions of the doctor, allowing the need for more wear and tear and acceleration during the day.