Folding hospitality fired at the throat. Entrapment of the pharynx and larynx: how to develop and chim likuvati

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. signify drug treatment.
3. Chronic tonsillitis. chronically fired children with 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. Pukhlinne zhvoryuvannya verkhnykh dikhalnyh nobles wiklicane 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. Symptoms of ailment є: severe throat ache, redness in the throat with red blotches, wet cough, high heat, 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.

VISKOVO-MEDICHNA ACADEMIA

Department of Otolaryngology Approx. No. _____

"CONFIRM"

Head of the Department of Otorhinolaryngology

Colonel of the Medical Service

M. GOVORUN

"____" ______________ 2003r.

vicladach of the Department of Otolaryngology

PhD in Medicine

Major of the medical service D. Pishny

Lecture number 18

on otolaryngology

on the topic: "Ingestion of the pharynx. Abscesses of the pharynx "

For hearing at the Faculty of Medical Warehouse

Negotiated and grabbed at the sitting department

protocol No. ______

"___" __________ 2003 p

Clarified (updated):

«___» ______________ _____________

Fired up a sore throat.

Abscesses of the pharynx.

literature

Otolaryngology / Ed. І. B. Soldatov і V.R. Hoffman.- SPb., 2000.- 472 p.: Il.

B.V. Ulantsi Operative otorhinolaryngology. -Alma-Ata, 1959, 520 p.

Soldatov І.B. Lectures on otorhinolaryngology. - M., 1990, 287 p.

Tarasov D.I., Min'kovskiy A.Kh., Nazarova G.F. Shvidka is an unavailable help in otorhinolaryngology. - M., 1977, 248s.

Shuster M.A. Invalid assistance in otorhinolaryngology. - M. 1989, 304 p.

SEALED SIP

Fired up the throat

angini

angina- hospitality of the lymphadenoid tissue of the pharynx (migdalin), how to look at the back of the infection. Angina can be very important and give us a quicker development. Most often, the angina of infantile migdalin is detected. Okh klinichna picture of the home. Differentiation of angina from diphtheria, scarlet fever, specific angins and changes in migdalin in case of external infectious, systemic and oncological illnesses, which is even more important for the recognition of adequate non-descriptive therapy.

Angina of the pharyngeal mydalini(Gostriy adenoïdit). Tse zhvoryuvannya is typical for childish vik... It’s more often than not at once with hospitable respiratory distressing (GRVI), for the angina of infantile migdalin, and in these vipadkas, you’ll become uninterested. Adenoiditis supravodzhutsya such zmіny zagalnogo stun, like і angina. The main signs of this are the rapid destruction of the vital nasal dichannya or of the destruction, if it was not completely normal, the undead, seeing that it was laid out. You can have a cough and a sore throat. When looking around, there is a hypertension of the back of the pharynx, and the mucous membrane appears to go down. The pharyngeal migraine becomes swollen, swollen, there is a hyperemia of the surface, one of the nalloti. Until the moment of the maximum development of the disease, which is 3-b days, the changes of the regional lymph universities will appear.

Adenoiditis slid differentiation in the first place as a retropharyngeal abscess and diphtheria. It is necessary to remember, if symptoms of gross adenoiditis appear, you can fix the disease, rubella, scarlet fever and whooping cough, and if you have a headache, then meningitis or poliomyulitis.

Angina tongue-and-groove... The whole kind of angin is designed to be more significant than the other forms. It hurts to skip on pain in the area of ​​the root of the tongue, or in the throat, as well as when it comes to pressure, it’s big. Moving mygdalena chervonіє and nabryakє, on the її surface there can be nalots. At the moment of carrying out the phalingoscopy, it appears when the spatula is pressed against the back of the movable device. Zagalnі ruin also, as in the case of іnshih angіns.

As soon as the firing of the movable migraine takes on a phlegmonous character, then the incapacitation is more important because of the high temperature of the til and the widening of the nabryak-firing snakes on the call of the larynx, to the top of the black on the epiglottis. Get sick and get sick lymphatic universities shi. In most cases, it is necessary to differentiate between the burning of the brush and the tissue of the thyroid gland in the area of ​​the root of the tongue.

Likuvannya. When developing, be it an angina, we will be hospitable to infectious diseases, as it may be the cause of serious delays, it is necessary to safely take care of the disease. Assume oral antibiotics of the penicilin series (in case of intolerance - macrolidi), she is guilty of sparing, it is necessary to drink a lot, vitamins. In case of severe interruption of angina, a strict post-treatment regimen and intensive parenteral antibiotic therapy should be prescribed, in the first place, penicilin in combination with desensitizing drugs. If necessary, take antibiotics of a wide range of diy (cephalosporin, aminoglycosidi, fluorochinoloni, metrogil).

Well, if you are a bit of a lyceum, then you will be stuck in a localization. In case of adenoiditis, it is obov'yazkovo priznachayut vessel-sounding drops in nis (naphthyzin, galazolin,), protorgol. In case of angina podnebinnoy and lazykoy mindalin - warm dressings, either compress on shyu, rinse with 2% solution of noisy acid or sodium hydrocarbonate, solution furacilin (1: 4000), etc.

Angina virazkovo-filmy (Simanovsky). The spindles of the filamentous angina є the spindle-like stick and the spirochete of the empty company in symbiosis. Writing a short-hour phase of catarrhal angina on the migdaleas is set on the surface, it is easy to know biluvato-zhovtuvati nalloti. Before such nalloti are also found in the empty company and in the throat. At the moment, there is a lot of water, there are curves, surface, ale, and a lot of glibs. Regional lymphatic universities on the side of the battle to grow. Most people are not strong. Thyl temperature is normal or subfebrile. Maybe the smell of a mouth, bandages with necrotic snakes of the bottom of the bends. When assessing the clinical picture of mother on uvaz, the appearance of a lacunar form of engulfment is similar to an acute angina, as well as a twofold deterioration of migdalin.

Diagnosis is established on the basis of the appearance of fusospirillary symbiosis in smears from the surface of the migdalin (the sign of the puff, the bead from the bottom of the folds). Virazkovo-filmy angina followed by differentiation from diphtheria, the breakdown of migdalin in case of blood-forming organs, malignant fluffs.

For drinking, rinse with water peroxide (1-2 tablespoons per bottle of water), with rivanol (1: 1000), furacilin (1: 3000), calium permanganate (1: 2000) and smeared with 5% alcoholic solution with iodine, 50% with zucru, 10% salicylic acid solution, diluted in common parts with glucerin and alcohol, 5% formalin solution. If there are key signs of secondary infections, antibiotics are indicated.

Angina with infectious mononucleosis. tse zaharyuvannya viral ethology, how to fix the food at high temperatures (up to 40 ° C) and cause a sore throat. In most ailments, the reduction of migdalin is meant, which significantly increases in size. It is not uncommon for the third and fourth mirage to grow too, which can lead to complications. On the surface of the dale, there is a puddle of a razor-sharp character and a barn-like appearance, it is easy to know. There is a putrid smell from the mouth. Pain syndrome of bends is not sharp. There are growing shiiny lymphatic universities of all groups, as well as spleen and some lymphatic universities in some areas of the country, which become sickly.

Diagnosis is established on the basis of the results of pre-lingering blood, protein in the first 3-5 days in the blood may not be characteristic changes. On top of that, as a rule, there is a small amount of leukocytosis, sometimes up to 20-30 l0 9 / l, neutropenia with the manifestation of a nuclear dermatitis in the presence of mononucleosis. At the same time, it is a matter of increasing the number of lymphocytes and monocytes, the appearance of plasma cells, which are distinguished by their size and structure, with the appearance of their own mononuclear cells. High high (up to 90%) і absolute mononucleosis with typical mononuclear cells in the ailments and the beginning of the diagnosis of this disease. Yogo differentiation from banal angins, diphtheria, and severe leukemia.

Lykuvannya is mainly symptomatic, it is recognized that the throat is rinsed with a rash of furacilin (1: 4000) 4-6 times a day. When signs of secondary infection appear, antibiotics are indicated.

Angina with agranulocytosis. In the current hour, agranulocytosis develops most often as a result of the intake of cytostatics, salicylates and other drugs.

Feel the sickness to get ready to fix it, and the temperature quickly rises to 40 ° C, it means chills and a sore throat. On small-sized dysplasia and desiccant dylyankas, there are bruised-siri nallots of necrotic-gangrenous growths, as they do not easily widen to the back wall of the oropharynx, the inner surface of the throats, and in some parts Inodі buvaє pungent smell from the mouth. The eyes of mydalene are necrotic on the spot. With advanced blood, leukopenia appears up to 1 '10 9 / L and lower, the decrease in the number of neutrophils, eosinophils and basophils up to and including the percentage of one-hour changes

Differentiation from diphtheria, Angina Simanovsky, striking migdalin in case of blood loss.

Likuvannya polyagaє in the conducted intensive antibiotic therapy (like synthetic penicillin), the use of corticosteroid drugs, pentoxil, vitamin group B, nicotinic acid... In important cases, carry out leukocyte transfusion.

diphtheria

Ailments for diphtheria require extra help in connection with the possibility of development of important backbones and stenosis in case of laryngeal localization. It is necessary to safely navigate to the hospital in infectious diseases when a person is diagnosed with diphtheria. Lately, the rock has grown up to be sick for diphtheria is not less and more important than children.

Most often, diphtheria of the pharynx is observed. A slid of memory, as a light form of diphtheria of the pharynx, can go against the lacunar eye or catarrhal angina at low or normal (in older adults) body temperature. Pour on the surface of the hyperemic mydalene with a few drops, plural parts, biluvates, it is easy to know, and the stench is not too barbaric to swell the characteristic wiggle:

to go beyond the distance of the distance, become welcoming, friendly, siruvate or zhovtuvaty. Pour forcibly to know, for whom to overlook the surface.

With extended diphtheria, the destruction of the backward camp of the sick person is more pronounced, the plural parts of the overlay also appear in the throat, nasopharynx, and sometimes in the nose; However, it is more often to expand the process downwards with the development of the true groats. There is also the pastiness of the pediatric fatty cells of the shia.

A toxic form of diphtheria can be repaired as a form of infection, in case of severe temperature changes, headache, and some blues. A characteristic feature is the early formation of embryo in the area of ​​green and soft fabrics. Shiiny lymphatic universities also improve and sore. Exposing the bleed, pasty, it is evident that there is a sanguine vision from the nose, the smell of the mouth, trickle on the lips, googling. Paresis develops in the lower stages of the disease. The hemorrhagic form is developed in a small and even more important way.

Diagnosis in typical types of cases can be based on key pictures, in which, in order to become more, it is necessary to have bacteriological confirmation. We will paint swabs from the surface of the migdalin and from the nose (or from the larynx with laryngeal localization) when they are out of sight. Material from the throat should be taken on the heart, and not to gargle the throat. One diphtheria stick is shown immediately on the presentation of the smear bacterioscopy.

Differentiation of the region from the back and the pharynx followed by differentiation from common angins, phlegmonous angina, thrush, Simanovsky's angina, necrotic angins, including scarlet fever; the hemorrhagic form is required to be taken from the region to the region, related to the diseased blood-forming organs.

Diphtheria of the larynx (sportive croup) winyk as isolation is generally used in nursery school children and grow up rather quickly. Most often, the larynx is urazhaetsya with widening forms of diphtheria (decayed croup). Catarrhal laryngitis develops with a broken voice and a barking cough. The temperature became subfebrile. Nadal the ill-fated camp of the ailing one will go down, the aphony develops, the cough becomes soundless and there are signs of difficulty in dichania - the stridor strut from the sucking in of the "receptive" mice of the breast. When stenosis is feasible, the ailments are restless, the skin is covered with cold sweat, the pulse is abnormally cyanotic, the pulse of acceleration is abnormal. Then the step-by-step infusion of the stage of asphyxia.

Nalioti is located in the interiors of the anterior larynx, then in the zone of the vocal slit, which is the main cause of stenosis. The stench may not appear in milder forms of diphtheria of the larynx.

Diagnosis is guilty but confirmations are bacteriological, but it is not expected. Differentiation of the larynx followed by differentiation from pomegranate groats, laryngitis and laryngo-tracheitis of the virus etiology, side til, pukhlin, which is localized on the same vocal folds and lower, retropharyngeal abscess.

Differentiation of the nose is an independent form, it is very easy to grow up, especially in children of a young age. For some ailments, there is only a classic picture of catarrhal rhinitis. Characteristics of the game, when it is being sold, or if you see those who get overwhelmed, it is far from being expected. Most of the ailments have a one-sided nasal lesion, which lays down a diagnosis, which is guilty of being confirmed by the results of microbiological prescription. Differentiation of the nose with differentiation from third-party objects, nasal rinosinuitis, pukhlin, syphilis, tuberculosis.

Peculiarities of diphtheria of dichny nobles among grown-ups. Infections often contradict important toxic forms with the development of croup, decaying into the trachea and bronchi. At the same hour in the cob period, it can be erased in character and masked by the manifestations of diphtheria, and by the accelerated pathological processes in the internal organs, so that the diagnosis can be quickly established. With croup in ailments with a toxic form of diphtheria, especially with low croup with trachea (and bronchial), even in the early term, tracheostomy is shown, and intubation is underestimated.

Likuvannya. In the event of any form of diphtheria and in case of suspicion of the appearance of a diphtheria, it is necessary to inadvertently seek treatment - the introduction of an antidifteritis. In case of important forms, the bagatorazovі іn'єktsії to regress until the nalotіv regrets. Syrovatka should be injected using the Bezredki method: inject 0.1 ml of syrovat into a small dose, after 30 minutes - 0.2 ml, and after 1-1.5 years - the entire dose. With a localized light form, a single dose of 10,000-30,000 IU is sufficient, with an expanded form - 40,000 IU, with a toxic form - up to 80,000 IU, with a diphteric low-grade cereal in children - 20,000-30,000 IU of food. For children up to 2 years, the dose should be reduced by 1.5-2 times.

Ailments with cereals require acid therapy and a correction of the acid-base stun. Precision parenteral administration of corticosteroid hormones (with urinary tract infections) and the indication of sedative drugs, and in conjunction with frequent delayed pneumonia - and antibiotics. If stenosis of the larynx and stretching of the nearest years gives an ear of antidifferential mild positive effect, then intubation or tracheostomy is necessary.

Tuberculosis (pharynx, tongue root)

We will broaden the ailments, which is also extremely toxic, with tuberculosis of the upper dysfunctional nobles. sharp pains in the throat, dysphagia, and sometimes with stenosis of the larynx. Determination of the upper dykhalnyh nobles, depending on the appearance of the tuberculous process in the legends, the protestors do not need to be quickly diagnosed.

Fresh, not very long ago, tuberculosis of mucous membranes is characterized by hyperaemia, infiltration, and often by a swelling increase in appearance, as a result of which the appearance of juvenile babies. Fitted curved surfaces, with jagged edges; Put the bottom of the bottom with a thin ball of vivid visions of the blue-gray barn. Vyrazki with a few small, ale nezbarom area їх grow; get angry, the stench will burst into great dilyanka. In іnshikh vipads, there is a ruinous exercise of the disease for the establishment of defects in the migdalin, the tongue or the epiglottis. When the larynx is severe, the voice goes down to aphony. Ailments of medium severity or severe, temporomandibular temperature, SHOE is adjusted, є leukocytosis due to the decrease in the number of neutrophilic neutrophils; ailments will respect skudnennya.

Diagnosis is established on the basis of clinical picture and manifestation of the tuberculous process in the lesions (X-ray). In case of twisting forms, we will do it in a non-traumatic way with a quick diagnostics є cytological diagnosis, or a check from the surface of the bend. In case of rejection of a negative result and an unclear clinical picture, a biopsy is violated.

Tuberculosis (overwhelmingly eksudative virazkovy) of the region from the beginning and the pharynx followed by differentiation from the gostrich banal angina and angina Simanovsky, peaks, agranulocytic angina. To be in the same form of tuberculosis of the larynx, it is necessary to be diagnosed with flu-like pidmysal septic laryngitis and abscesses of the larynx, herpes, injuries, peaks, hospitable pemphigus, lesions in case of congestion.

The meta of non-adolescent help is the weakening of the pain syndrome. For the whole to carry out internal blockade of 0.25% in accordance with the new method. Mischievous sickly come in for anesthesia of the mucous membrane for additional atomization, for example, 2% solution of the drug (10% of the solution to cocaine) with adrenaline. For the whole surface, cover the zobin (0.1 g menthol, 3 g of anesthesin, 10 g of tann and ethyl alcohol rectified) or Voznesenskiy (0.5 g of menthol, 1 g of formalin, 30 ml of anesthesin) ... Before taking it, you can rinse your throat with a 5% solution.

Immediately repair the anti-tuberculous drug: streptomycin (1 g / dob), viomycin (1 g / dob), rifampicin (0.5 g / dob) internally; In the middle they give izoniazide (0.3 g 2 times for dobu) or protion-mid (0.5 g 2 times for dobu) and in. It is necessary to identify at least two drugs in different groups.

Abscesses of the pharynx.

Paratonsillitis, paratonsillar abscess

Paratonsillitis of infantile migdalin. Paratonsillitis is an inflamed cellulite, which is in large cases due to the penetration of infections for the capsule and in case of accelerated angina. Often the price will end with abscesses. Occurrence of paratonsillitis can be traumatic, odontogenic (posterior teeth), or otogenic pacing in case of intact migdaleas, or even hematogenous introduction of diseases in case of infectious diseases.

In its own development, the process goes through the stages of exudative-infiltrative, abscess formation and evolution. This is due to the fact that there is a zone of the most intense burning, the development of the anterior-upper, anterior lower, posterior (retrotonzillyarny) and zovnіshnіy (bichny) paratonsylitis (abscesses). Anterosuperior (supratonsillar) abscesses are often observed. Inodі stench can be developed on offensive sides. Tonsillary phlegmonous process in the near-medial cells can develop for an hour or so for her.

Paratonzilitis (abscess) is prone to superficial fever, chills, intoxication, severe pain in the throat; Deyakі ailments through the bіl do not take in іzhu і do not tinker with a sludge, as they viplivaє in their company, do not sleep. In addition, they may have dysphagia due to the throwing up of the nose or the nasopharynx and the empty nose. A characteristic symptom is trismus, which is even slower to look around the empty company and the pharynx; It is not uncommon for it to mean the smell of the company, when the head is not laid down with the head nahil forward and to the ailing side. Pediatric lymph nodes become more and more painful on palpation. Zvvychay to develop SHOE and leukocytosis.

With pharyngoscopy, in a sick paratonzillitis, you start to appear, so that the most fiery changes are localized close to the distance. The rest of the increase and the substitution, the result of ignitions, one of the swollen tongue. In the process of being drawn in and in the light of the day, the crumbleness of which will eventually collapse. In the case of anteroposterior paratonsillitis, it is shifted to the bottom and to the back, the mydaline can be closed by the anterior arch.

The posterior paratonsillar abscess develops into the posterior infantile arch, or even in it. Vaughn get excited, get excited, innocent nabryak, flock mayzhe sclopodibnoi. The change in this world is extended to the adjacent part of the soft child and tongue. Swelling and painful regional lymph nodes, often swollen scooped cartilage, dysphagia, trismus may be less rotational.

Lower paratonsillitis grows rather rare. The abscess of the process of localization of supra-vomiting is accompanied by severe pains in case of contamination and visualization of the movi, radiating to the ear. The maximum rotations of the firing changes are indicated by the base of the palatine-lingual arch and in the furrow, as the palatine focal length is seen from the root of the tongue and the movable focal length. The dilenka lay down on the floor with a sharp ailment when pressed with a spatula and hyperemic. The fiery swelling of the bulge, or without such, expands to the anterior surface of the epiglottis.

Most not safe permanent peritoneal abscess, when suppuration occurs lateral to the diaphragm, when the abscess is empty, it is more importantly accessible, more often than not, with other forms, the insistence of decompensation of dichotomy. However, vin, yak and lower paratonsillitis, grows rather rare. Migdalina and navkolishni її m'yak_ fabric There is apparently little change, the protemdalin is injected to the middle. Disease is evident in palpation of the head from the side, in the absence of head position and trismus, regional lymphadenitis develops.

Paratonsillitis is a further differentiation from phlegmonous processes, which occurs with blood clotting, diphtheria, scarlet fever, peaks of the pharynx, abscess of mossy throat, phlegmon of the tongue and the bottom of the mouth, puffins. With a ripe and agreeable interruption, the paratonsillar abscess on the 3-5th day can develop spontaneously, I want to delay the delay.

For the tribute of V.D.Dragomiretsky (1982), the acceleration of paratonzillitis is promoted in 2% of ailments. Cessory lymphadenitis, perepharyngitis, mediastinitis, sepsis, parotitis, phlegmon of the bottom of the empty mouth, thrombophlebitis, nephritis, pyelitis, heart disease and in. With all paratonzillitis, antibiotic therapy is indicated. Adequate recognition of synthetic peninsulas, as well as antibiotic combinations of antibiotics in a wide range of children, Metrogyl ..

Singing peculiarities are characterized by paratonzilitis in children, who are ill on them, wanting and rіdko, fixing it from the breast. Chim mensha child, it is more important than anything against getting sick: because of the high temperature of the body, leukocytosis and malnutrition - SOE, supervising toxicosis, carrying and complications of energy. Foldable and flexible development is easy and friendly.

In case of proper paratonzillitis in the hospital, immediately follow the right tactics. In case of primary blight, paratonsillitis without signs of abscess, and also when developing a disease in children of early age, medication is indicated. Antibiotics for such ailments priznachayut in maximum doses.

Conservatively lіkuvannya dotsіlki only in the early stages of becoming ill. Krym antibiotics, recognize analgin, vitamins C and group B, calcium chloride, antihistamines (diphenhydramine, tavegil, suprastin) ..

The main method of lykuvannya paratonsillitis and oboviscovym - paratonsillar abscesses, їх rostin. With the most frequent anteroposterior form of paratonzillitis, the abscess is opened through the upper part of the infantile-lingual (anterior) arch.

Rozriz is guilty but to reach the height (wide), not more than 5 mm. It is permissible to penetrate on a great depth only with a blunt path behind the help of the forceps in the direction of the capsule of the migdalini. With posterior abscesses, the slid should be carried out vertically along the palatopharyngeal arch, and with antero-inferior abscesses, through bottom part The palatine-lingual arch, for what it is necessary to penetrate the name and to the bottom by 1 cm with a dull path, or go through the lower pole of the migdalene.

Typically, the anterior-upper abscess is taken up by the swelling, either at the point of showing pus, or in the middle of it, between the edges of the tongue and the posterior tooth upper slit on the sides there are strikes, for there is a crossover of the chain of lines from the vertical, carried out behind the palatine arch. To prevent injured judges, it is recommended to use a scalpel to wrap around the decilcom with balls of sticky plaster, or furacilina leaked with gauze (to be implanted for tamponadi, emptying the nose). Slide rozrіzati deprive the slime of the shell, and the slightest slug out with a blunt way. If you get into an abscess when you get rid of it, start using the rapt's support of the tissue with the suction of the forceps.

When the posterior abscesses are rosted, it is necessary to control the vertical growth behind the dysplasia in the midst of the most vivid, but in front of the need to perekatisya at the forefront of the arterial pulsation on the date of delay. The blow of the scalpel is innocently directed to the posterolateral side.

Incisions start to vibrate before surface anesthesia, with a 3% solution to the risk of wildness, yak, although it is not very effective, so in advance it is necessary to carry out premedication with a pro-medol. change more views in case of abscess growth, submucosal introduction of novokainu or lidokainu rozchin. Writing to the abscess in a new way, it is necessary to expand the branches of the inserted forceps to the sides. In the same order, expand the seedlings of openings in quiet drops, if as a result of the growth of pus, you do not feel anything.

Radical way lіkuvannya paratonzіllіta i paratonzіllyarnih abstsesіv Je abstsesstonzіllektomіya, yak viroblyayut at frequent angіnah in anamnezі abo re rozvitku paratonzіllіta, trash drenuvannі rozkritogo abscess, if Yogo protyagom zatyaguєtsya, Yakscho vinikla krovotech vnaslіdok incision abo spontaneously rezultatі arrosion sudini and takozh at іnshih tonzіllogennoy uskladnennyah [Nazarova GF, 1977, etc.]. Tonsilectomy is indicated for all types of abscesses. Tonsilectomy is also necessary for viral incisions, as long as it’s not meant to be positive. clear vision pus, for there is no fistula from an abscess. Prototype indications to abscess ulceration є terminal or even an even more important condition of the ailing with the sharp changes of parenchymal organs, thrombosis of the brain, rassed meningitis.

Ailments in the throat are often seen in children and adults, the larynx fragments are the first filter of the nasopharynx, through which all pathogenic microorganisms pass through. Most of the pathologies may look like a classic picture, a little less ethiology. Likuvannya includes priyom drugs, vikorystannya people's effortsі korektsіyu kharchuvannya.

The throat of humans is often affected by pathogenic microorganisms

List of ailments of the throat

The cause of a sore throat can be caused by microorganisms, new solutions, mechanical problems. Often inappropriate to see if chills, flu, GDVI.

The main causes of sore throat:

• viral infections - rotavirus, adenovirus, enterovirus provoke development of pharyngitis, hospitable laryngitis;
• bacterial pathologies - develop on the smallest active reproduction, staphylococcus, angina and tonsillitis infest children with illnesses, most often ailments are diagnosed in 5-15 rockies;
• fungal ailments;
• a new kind of new solution - malignant puffiness, papiloma, polyp, metastasis in the throat;
• mechanical engineering.

all Infectious diseases throat, except for an obvious pain syndrome in case of kovtanny, superficial symptoms - hyperthermia, weakness, pain in the muscles, headache, rhinitis, dysfunctional symptoms.

angina

Angina often develops in a child because of a slower chill and flu, because of a healthier throat and mucus when different forms pathology, you can see it in the photo. The code for MKH-10 is J03, for chronic form - J35.

People's throats are healthier

See angini:

1. Catarrhal angina is the easiest form of sickness, characterized by a small amount of pigmentation, harshness and granularity of the mucous membrane of shedding, we are sick with kovtann, on the move there is a little bit of water. In older people, the temperature is slightly increased, in children, the thermometer can reach 40 degrees. The triviality of ailments is not more than 5 days.

   Catarrhal angina

2. Lakunarna angina - debility grows rapidly, the temperature rises even more quickly, weakness appears, head bill... In the middle of the glands, there is accumulation of glands, corks appear, as it is easy to drift over the surface of the wiggles at the viglyadi of the humps.

   With lacunar angina, the temperature rises rapidly

3. Follicular angina - to recover from a sharp and rapid temperature adjustment up to 39 and more degrees, an intense throat sensation, aches and pains. Migdalini nagryakayut і chervonyut, on їkh surfaces can be poured pus on the richly spirited beaches.

   In case of follicular angina, the redness of the dysplasia

4. Phlegmonous angina - gnіynі processes occur in lymphoid tissue, abscesses develop. Poisoning against a high temperature, chills, throat throat often have a one-sided character, take advantage of the heat, rose, there is an unpleasant smell from the mouth.

With phlegmonous angina, there is a purchase of pus

Firing of infantile migdalin is a legacy of frequent angins, which can be contradicted in hospitality and chronic forms. Provokuvati the development of ailments may be kir, scarlet fever, diphtheria. The code for the MKX-10 is J03.

When tonsillitis ignites flashlights

Tonsilitis most often protects without temperature adjustment, supervises atrophic lymphoid tissue of migdalin, on the other hand, there are problems with dysfunctions.

Raptova hoarseness, hoarseness often occurs with hormonal damage- pathology thyroid gland, Deficiency of estrogen in women for an hour klimaks.

laryngitis

The ignition process is localized in the mucous membrane of the larynx, contrary to the state and chronic form. Ailments develop with hypothermia, inhalation of cold or obstructed fever, Tyutyunovy dimu... The code for the MKX-10 is J04.

Gostry laryngitis - most often one of the symptoms of GDVI, influenza, whooping cough, scarlet fever, develops in case of hypothermia, tricky perebuvanny in obscenities, for filthy babies, on aphids. For a sickness, a characteristic barking cough, ale after a dozen hour, the message will be repaired, the person will jump on, the voice grows hoarse, maybe it’s possible to know, the temperature will move slightly, it will start.

Forms and symptoms of chronic laryngitis:

1. Catarrhal - supravodzhutsya diffuse lesions of mucous larynx. The main signs are hoarseness, weakness, the appearance of a sore throat, periodically there is a cough.
2. Hypertrophic - on the smallest trivial firing, the sprouting of the epithelium grows in the first ball of the epidermis. Feeling sick with aphonia, burning in the throat, coughing.
3. Atrophic - the inner shell of the larynx atrophy, become thin. Symptoms - a decrease in the timbre of the voice, a perspiration in the throat, a dry cough, with a strong attack, there may come in coughs with streaks of blood.

In case of hypertrophic laryngitis, it is possible to see the baby with hyperplasia in a surgical way.

Gostriy abo chronic ignition process in the mucous membrane of the pharynx. The code for the MKX-10 is J02.

The gostra form of pathology develops on a few infectious diseases of the upper dichally nobles. Faryngitis can be vicious with a trivial inhalation of frosty fever with a mouth, on a few chickens and malignant alcoholic drinks, when living in an even hot or cold weather. Bile in the throat to accommodate with a slug, ailment is superfluous low-grade fever, In the throat of the wine, it’s always okay for everyone to see it.

Throat with pharyngitis

Chronic pharyngitis develops on aphid sinusitis, tonsillitis, caries, destruction of communication processes, heart disease, legends. Pathology to atrophy of the mucous membrane of the nose, supravodzhuet strong scratching in the throat, dry barking cough, swelling, gnarly visions, low-grade fever.

Gostra form laryngitis - not uncomfortably ill for children up to two years old, they often suffer from severe catarrhal rhinitis, swelling and inflammation of the mucous nasopharynx, which becomes the cause of a significant loss of nasal dysfunction.

The inflammation of the pharyngeal migraine is often of an irregular nature, manifested in a severe headache, dry choking cough, attacks of soreness and poison, diagnoses in children in the age of 3-15 years. The code for the MKH-10 is J35.

Ailments develop on aphids of a weakened immune system, with a deficiency of vitamin D, with hypothermia, a history of chronic rhinitis, or an anamnesis of upper dysfunctional nobles.

Adenoiditis - inflammation of the pharyngeal mydalini

Evil and good new

Laryngeal cancer can be easily diagnosed early stages Oskіlki sickness can go through a trivial hour without severely swelling symptoms, that chickens are often diagnosed if the stench reaches a great size. The code for MKH-10 is C32.

Possible signs of oncology:

• seeing a side sound in the throat, perspiration, discomfort when blowing;
• no difficulty in dikhannya;
• the appearance of blood interspersed into the mucus from the throat and nose;
• p_advishene sleepiness;
• frequent pawning of vuh without obvious signs of an ignition process;
• toothbrush, at the same time the dentist cannot find out the reason for the appearance of uncommon symptoms;
• hoarseness.

Blood clots in the sludge may indicate the development of new products in the throat

The good news is that the men are not safe, but they can also avoid the innocent abuse, and sometimes it can be very important if they are often injured. Polyps and voices of higher education institutions are detected in the larynx during persistent pressure of sounds, chronically, chronic ignition processes. The reason for the coverage of papil is the activation of IDPs, the growths are on the trachea, voice rings. All non-cancer chicks have the code for MKX-10 - D10.

Most often, laryngeal cancer is diagnosed in choloviks in those 55-65 years old, invented chicks.

mycozy larynx

Fungal infections develop on the basis of weakened immunity, may be acute or chronic form... It manifests itself in the vigilance of the throat and throat pain, pain in the throat, swelling and erosion in the mouth, a sore in the mouth of the mouth, dry cough, cake, swelling and ailments of the small and tender lymph nodes. The code for MKH-10 is B37.

Throat fungus

The main types of fungal pathologies of the oral emptying:

• pseudomembranous candidiasis - most often diagnosed in children and people with kidney disease;
• mycosis - to develop on aphids of sugar-coated diabetes;
• erythematous chronic itching.

Bіl і stove in case of kovtannі can buti wicklycan with reflux ailment - sour instead of the slunk penetrates into the upper part of the drain, the throat, teasing the mucous membrane.

Іnshі sore throats

Beat at the throat can be familiar with other ailments, as it does not lie before ENT pathologies.

With any ailments, you can see the blister at the throat:

1. Laryngospasm is the most frequent in children with rickets, hydrocephalus, and when they are sick. Symptoms - a change in the diameter of the zinitsa, a stronger sound of voices, judgment, obscurity, guchnee dikhannya. The grown-up skir is old red or bluish, and there is an overwhelming cough. The code for MKH-10 is 5.
2. Laryngeal abnormalities - develop on aphids, laryngeal injuries, pathologies of the heart and sudin. Lyudina sees it when she is kovtann, it’s important for me to dichati. The code for MKH-10 is J4.
3. Stenosis of the larynx - enlightens the spirits of the larynx more often to curl up through the larynx crease, bite coma, trauma, the cause may be syphilis, diphtheria, new good time... Signs - bright cold pit, problems with the mood, bad-headedness, a hoarse voice, slimy and shkirnі twist to swell the blue vidtіnka, mozhliva vtrata svіdomosti, zupinka dikhannya. The code for MKH-10 is 6.

Stenosis of the larynx

Mechanics of the larynx are often diagnosed in young children, the odor of the stench can penetrate a foreign object. In older people, pathologies can be diagnosed with a ribbed brush, sick children, lecturers because of the long-term changes to calls.

Until what lykary will you turn around?

If a sore throat appears, it is necessary to take a look around and give a direction to the forefront diagnostics.

Consultation of an infectious disease specialist can be provided beforehand.

If the ailment is of a psychosomatic nature, the patient will be astonished. Accurately put the diagnosis of one test directly on the basis of the results of the analyzes.

Diagnostics of a sore throat

Inspection of the patient should be carried out with the help of special instruments - laryngoscopy and pharyngoscopy, which allows to detect, in the yak part of the throat the mucus is most hyperemovated and enlarged, to evaluate the voice of the throat of the back

Basic diagnostic methods:

• clinical analysis of blood and slaughter;
• smear from the start, sowing phlegm;
• MRI, histological dosage of pukhlini - it is possible to increase the number of new solutions;

Oskіlki often get sick of the throat may be bacteriological, before the signs of therapy, they convert sputum for sensitivity to antibacterial drugs.

Ultrasound examination of the larynx will show the cause of illness

Methods for treating a sore throat

For usunenny inappropriate symptoms, Zapobіgannya development of accelerated treatment in the therapy of ailments of the throat vikoristovyu likarski zasobi, Dietotherapy, speed up the process and help with the recipes of non-traditional medicine.

liks

For the treatment of throat ailments, vicious liquor in tablet form, koshty miscellaneous injection, Vibir of the preparation lies in the type of pathology.

Main groups of likes:

• antibiotics - Amoxicilin, Augmentin;
• anti-virus drugs- Remantadin, Tamiflu;
• anti-fungal infections - Fluconazole, Levorin;
• antihistamіnnі zasobi - Ebastin, Cetirizin;
• - Paracetamol, Nurofen;
• mucolytics - ACC, Prospan, Ambroxol;
• antiseptics of mіscevoї dії - Tantum Verde, Ingalipt, Lizobakt, Mіramistin;
• streptococcus and staphylococcus bacteriophages.

It will remain an hour long before the operation is carried out with the sight of mydials in the throat, fragments of tonsils are brought to the organs immune system, Preobigayut penetrated infections in the bronchi, trachea, leg.

Amoxicilin - antibiotic drug

People zasobi

In case of a sore throat, it is necessary to take care of the post-regime, drink more warm drinks, cope with pain, perspiration, milk, tea with raspberries or black currants, from the fruit of the thorns, puddles of water.

What you can do to catch a sore throat in your home minds:

• honey - one z scrubbing for lіkuvannya fiery throat, їm it is possible to feel the dalini, live in a clean viglyadі, gotuvati roschini for rinsing;
• іngalyatsії z efirnoyu olієya eucalyptus, yalitsi, pine, tea tree;
• extraordinary thermal and alcoholic compress for shiy, hot scabbard baths with hot water;
• rinsing - effective method fight against the ailments of the throat. For procedures, you can vikoristovuvati vіdvar chamomile, shavlya, lipa, oak measles, zombie;
• in the middle, you can take an infusion of propolis, an hour, calendula in a diluted viglyad;
• It is possible to crumble the fired mydalini with aloe juice, Kalanchoe and tincture propolis, kindly pummel the throat and use the oil of the oblipikha.

Dobre dopomagaє fit in with a sore throat gargle with chamomile

Honey cannot be added in hot drinks - for high temperatures, the product is inflated with carcinogenic power. In limoni, raspberry, black currant okrіp ruinu vitamin C.

Whether thermal procedures can be carried out only at normal temperature indicators.

specialties of food

Schob change is fired, b_l, fatty mucous, do not injure the sore throat, it is necessary to take a special child.

Harchuvannya principles:

• from ratsion it is necessary to include gostr, sour, spicy, salty їzhі, see important fatty and liquorice herbs, shkіdlivaya їzhі;
• all poisoned mothers have a comfortable temperature, a soft consistency;
• the menu is guilty of a lot of vegetables and fruits, especially with a lot of vitamins C and iodine - greens, bell pepper, Carrots, seaweed cabbage;
• every day you need to live 10-15 ml of olive or corn olia;
• speed up food, help develop dysbacteriosis when taking antibiotics to help fermented milk products;
• categorically zaboronyaєatsya fire, live alcohol drinks.

Effectively fight against viruses chasnik, tsibulya, іmbir, cinnamon, star anise.

With a sore throat, you can live with a gostr.

may you expedite

Without proper and quick treatment, the heating processes in the throat turn into chronic illnesses, which are clogged with persistent relapses with the least hypothermic and weakened immunity.

Chim not without a sore throat:

• angina often gives an acceleration on the heart, loams, nirki - rheumatism, infectious polyarthritis, paratonsillitis, nephritis develop;
• with chronic tonsillitis, vasculitis, skin dermatoses often develop;
• hypotonic dysphonia - the robotic voice chimes, laryngeal muzzles;
• spasm slit;
• pharyngeal abscess;
• chronic bronchitis, sinusitis, sinusitis, otitis media;
• important pathology of the eyes;
• hepatitis A, B.

If streptococci from the tissue of the throat penetrate into the roof, then sepsis develops rapidly.

If you don't lick your throat, then chronic sinusitis may develop

prophylaxis

You need to start developing a sore throat, you need to do it simple rules prophylaxis, zmitsnyuvati immunity system.

Yak uniknuti show a sore throat:

• every day there are walks on a fresh day;
• seen from the city;
• to adjust the optimal temperature and health in the environment;
• to live comfortably in temperature;
• there are plenty of vitamins and microelements in the races;
• unicati overcooling.

See if you can see a sickness in your throat

In order not to become infected, it is necessary to follow the rules of hygiene, not to bother with your bare hands until you are exposed, before an hour of GDV infection and the flu take anti-foreign drugs, take care of it when you are going to get sick.

The list of symptoms of a sore throat is a great one, so when discomfort appears in case of a hoarseness, a hoarse voice, it is necessary to turn to a lick. Correct diagnosis and adequate therapy will help to unify the development of important, deadly, faster.

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. It is becoming a self-conscious affliction, but more often than a super-catarrhal heat of the upper dickheads.

Ethiology - virusna i bacterial infections... Virusna etiology of hospitable pharyngitis is developed in 70% of cases, bacterial in 30%. Factors є retinal and muscle hypothermia, pathology of the emptying of the nose, nasopharynx sinuses and nasopharynx, backward infections, malignancy and malignancy with alcohol, entrapment of gastrointestinal tract infections

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. The fiery process of obmezheniya to urazhennyam only mucous membrane of infantile migraine.

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.

key 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 reaction to the body is violated - intoxication, headache, backward weakness, fever, chills, some pains across and loops. 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 beel in the throat with clumping and shedding, headache, weakness, chills, chills, disturbed sleep, 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). You can feel the regional lymph universities, the lower cracks in the back of the cut, the stench of the sick and the increase 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.

10419 0

side room

Often, the side of the pharynx is spared in children, as they put other objects in their mouths. At the edge of the country with a hot climate in the throat, it is possible to see a living alien spirit (p'yavki), as a result of the implantation of water from difficult water places. The hostile side is most often stuck in the area of ​​the grub breasts: infants, tongue roots, pharyngeal stems, valeculi, pear-shaped colonies.

Great sides (coins, igrashki, a circle out of the nipple) go into the larynx part of the pharynx, in front of the entrance to the stravohid.

The presence of a side effect in the throat is manifested inappropriate and thorny we are sick in the singing mісці before the hour of commotion. With the manifestation of great outsiders, such as being in the entrance to the stravohid, in the midst of the sight of an alien mind, the difficulty of dealing is prevented, and for those who are suffering, it is crazy. With the presence of alien spirit in the throat, it is spared to make the salivation stronger.

Defending ailments with foreign bodies of the pharynx should be repaired with pharyngoscopes. As soon as the pharyngoscopy is not detected, it is necessary to carry out an indirect hypopharyngoscopy, before the hour of which a third-party object is inserted in the area of ​​the movable mydalene, valecule, and arytenoid cartilage of the abdominal wall.

Great tila good is visible in the larynx part of the pharynx. One sign of the presence of a side fire in the area of ​​a pear-like colony can be seen in a new slee (sleeple lake). Pinista slyna, thickening of the mucous membrane and making it more difficult for the patient to perceive a foreign laryngeal in the throat. Ailments often crumble stale hlibnі picks, whichever sees a third-party object, at the same time it penetrates into the depth of tissue and does not break. In such a way, it is necessary to hold the finger until the oral and laryngeal part of the pharynx, in case of which it is possible to miss a bit foreign to it. If there is evidence of suspicion on the metal side, the radiography should be displayed.

It is possible to see the alien tilo, having buried it with a pincer or a forceps. It is foreign to be in the laryngeal part of the pharynx, to carry out anesthetic anesthesia for the additional growth of the mucous membrane of the pharynx 2% in the range of wild or 10% in the range of lidocaine. The visualization of the alien body from the laryngeal part of the pharynx is visible for an hour of indirect abo (little) direct hypoopharyngoscopy.

Now you can see the side of the house to develop faster. If it’s alien only to get lost, then the inflammation of the throat flakes develops, the infection can expand to the adjacent cell. In such a condition, a nasopharyngeal abscess develops and is accelerated.

Aliens may be detected in the throat. Such ailments go on to death until they grow old with scargo on those who stench were suppressed by the alien taint of a few months ago. Until now, the smell of the smell is noticeable, as well as the appearance of a side body, as it seems to be changing. Before the hour of the active conditioning, be it a change in the throat, it does not mean anything.

The zagalny camp of the ailments is not destroyed. Patients are ill with mental neuroses (neurasthenia, psyche, etc.). Їх it is even more important to change in the fact that they have no outside body.
Gostre fired mucous membrane of the pharynx Ridko buva izolovanim. Wono often dreamed about host rinit, Angina, laryngitis. Gostry pharyngitis is often a symptom of GDVD, scarlet fever, bark, etc.

Ethiology

key picture

The pharyngoscopic picture is characterized by the appearance of mucous-nasal vision on the posterior stage of the pharynx, hyperemia and the thickening of the mucous membrane, which pass from the throat to the posterior infantile arch. Lymphadenoid follicles of the back of the pharynx are swollen, swollen, swollen, clearly appear from the mucous membrane (Fig. 117). There can be more regional lymph universities.

Small. 117. Gostriy faringit

lykuvannya

chronic pharyngitis

Ethiology

Chronic inflammation of the mucous membrane of the pharynx is susceptible to chronic incapacitation of the herbal canal ( chronic gastritis, Enteritis, colitis), liver, pidshlunkovaya zalozi, uterus and appendages, endocrine system (diabetes, hyperthyroidism). Even more often, chronic pharyngitis of winy in ailments with developmental neuroses, and the symptomatology of chronic pharyngitis has gone beyond neurosis.

key picture

Chronic catarrhal pharyngitis

Chronic hypertrophic pharyngitis

With the presence of a bicular hypertrophic pharyngitis, hypertrophy of the lymphadenoid tissue on the lymph nodes of the pharynx in viglyadi suctional pharyngitis is more likely to occur. Often it’s a dvi form for one sick person to get along. Growth of hypertrophy of granules, bichy rollers and movable dysplasia is sometimes promoted in individuals, in some thymus dysplasia. In case of an aggravated process on hypertrophic lymphadenoids, it is possible to bruise jovtuvati and biluvate points (suppurative follicles) or biliy fibrinous plaque.

Chronic atrophic pharyngitis

Buvagh, ailments present a mass of skarg, including a beaker in the throat, and with pharyngoscopy, there is a vologue, an unmistakable mucus shell. Such a vipadku mova idde about paresthesias of the pharynx.

lykuvannya

Mistsevo zastosovyuyut puddles razchini at viglyadі іngalyatsіy, zroshen, rinsing. On the mucous membrane of the pharynx, in the stage of zagostrennya, inject anti-fire preparations. In the end, for the treatment of chronic atrophic pharyngitis, the diagnosis of the back of the pharynx with a helium-neon laser is used. Effective є cryotherapy on the mucous membrane of the pharynx in all forms of chronic pharyngitis, especially hypertrophic.

D.I. Zabolotny, Yu.V. Mitin, S.B. Bezhapochny, Yu.V. Dєєva