The caseum pa tonsils chifukwa pamaso pa mipira ang'onoang'ono yochitidwa kuonekera pa tonsils lapansi. Chodabwitsachi sichimakhala chodwala, chimakhala pafupipafupi ndi ukalamba. Komabe, ndibwino kuchotsa matani amtunduwu kuti mupewe zovuta zilizonse.

The caseum on the tonsils or cryptic tonsil is a "normal" phenomenon (not pathological): imabweretsa kuchuluka kwa maselo akufa, zinyalala za chakudya, mabakiteriya kapena ngakhale fibrin (mapuloteni a filamentous) omwe amakhala m'miphako. tonsils wotchedwa "crypts". Izi crypts ndi mizere pamwamba pa tonsils ndi; ambiri omalizirawa amakula kwambiri ndikukula: amygdala obisika amapezeka pafupipafupi zaka 40-50.

Caseum imatenga mawonekedwe a mipira yaying'ono yoyera, yachikaso kapena imvi yamitundu yosasinthasintha komanso kusasinthasintha kwa pasty. Zikuwoneka ndi maso pamene mukuyang'ana fundus. Caseum nthawi zambiri imalumikizidwa ndi mpweya woyipa. Tawonani kuti mawu akuti caseum amachokera ku liwu lachi Latin "caseus" lotanthauza tchizi potanthauza mawonekedwe ophatikizika ndi fungo lonyozetsa la caseum lomwe raitanani tchizi.

Zowopsa zazikuluzikulu ndizopanga ma cyst (mwa kutsekedwa kwa ma tonsil crypts) kapena kukhazikitsa calcium calcium (tonsilloliths) m'matenda am'matumbo. Nthawi zina kupezeka kwa caseum pamatoni kumakhalanso chizindikiro cha matenda a zilonda zapakhosi: ngati kutupaku kuli ndi vuto, kumatha kubweretsa zovuta ndipo kuyenera kuthandizidwa.

Matenda aakulu

Kupezeka kwa caseum pamatoni kumatha kuwonetsa zilonda zapakhosi. Matenda owopsawa amakhalabe ovuta ndipo alibe chiopsezo cha zovuta zakomweko (intra-tonsillar abscess, per-tonsillar phlegmon, etc.) kapena zambiri (kupweteka kwa mutu, kusokonezeka kwa m'mimba, matenda a valavu yamtima, ndi zina zambiri) ndi zina).

Nthawi zambiri, zizindikirazo ndizobisika koma ndizopitilira, zomwe zimapangitsa odwala kufunsa:

• fungo loipa;
• kusapeza poyimeza;
• kumva kulira;
• kutengeka kwa thupi lachilendo pakhosi;
• dysphagia (kumverera kwa kutsekeka komwe kumamveka pakudya);
• chifuwa chowuma;
• kutopa;
• etc.

Chiyambi chachikondi ichi chomwe chimakhudza achinyamata sichidziwika bwino, ngakhale zina mwazomwe zawunikiridwa zanenedwa kuti:

• ziwengo;
• ukhondo wochepa pakamwa;
• kusuta;
• kudandaula mobwerezabwereza kwammphuno kapena sinus.

Zilonda zapakhosi

Kukhalapo kwa caseum kumatha kuyambitsa vuto lotchedwa tonsilloliths kapena tonsillitis kapena miyala yamatoni.

Zowonadi, ma caseum amatha kuwerengetsa kuti apange zinthu zolimba (zotchedwa miyala, miyala kapena ma tonsilloliths). Nthawi zambiri, matayala a calcium amapezeka m'matumbo a palatal2. Zizindikiro zina zimapangitsa wodwalayo kufunsa:

• Matenda oyipa (halitosis);
• chifuwa chopweteka,
• dysphagia (kumva kutsekeka pakudya);
• khutu (kupweteka kwa khutu);
• zomverera za thupi lachilendo pakhosi;
• kununkhira koyipa pakamwa (dysgeusia);
• kapena zochitika zobwereza za kutupa ndi zilonda zamatenda.

Mankhwalawa nthawi zambiri amachitika kuchokera kuzinthu zazing'ono zomwe wodwala angathe kuchita:

• gargles ndi madzi amchere kapena soda;
• kutsuka mkamwa;
• kukonza tonsils ntchito Mtundu wa Q choviikidwa mu yankho la kutsuka mkamwa, ndi zina zambiri.

Katswiri atha kuchitapo kanthu kudzera munjira zosiyanasiyana zakomweko:

• Kupopera madzi mwa magetsi;
• Zachinyengo za CO2 laser kupopera mbewu zomwe zimachitika pansi pa oesthesia wamba komanso zomwe zimachepetsa kukula kwamatoni komanso kuya kwa ma crypts. Nthawi zambiri magawo awiri mpaka atatu amafunikira;
• Kugwiritsa ntchito ma radiofrequency omwe amalola kuchotsedwa kwa matani omwe amathandizidwa. Njira yopanda ululu imeneyi imafuna kuchedwa kwa miyezi ingapo musanayang'ane zotsatira zake. Chithandizochi chimakhala ndichizindikiro chachikulu mu amygdala pogwiritsa ntchito maelekitirodi awiri omwe amapitilira pafupipafupi wailesi kuti azindikire kulowererapo koyenera, kokhazikitsidwa komanso kopanda kufalikira.

Matenda aakulu

Matenda Kupenda tonsils a (makamaka palpation wa tonsils ndi) amatsimikizira matenda.

Zilonda zapakhosi

Si zachilendo kuti miyala iyi ikhale yopanda tanthauzo komanso kuti ipezeke mwadzidzidzi pa orthopantomogram (OPT). Matendawa amatha kutsimikiziridwa ndi CT scan kapena MRI2.