Laryngotracheitis

Kufotokozera kwathunthu kwa matendawa

Ichi ndi njira yotupa ya mabakiteriya kapena ma virus omwe amawonongeka ndi nembanemba yamtundu woyamba wa trachea ndi larynx. ^[3]... Nthawi zambiri kupuma matenda akufotokozera monga Vuto la sinusitis, bronchitis, zilonda zapakhosi, chibayo ndi zina chimfine.

Mitundu ya laryngotracheitis

Laryngotracheitis amagawidwa malinga ndi etiology, morphology ndi chikhalidwe cha kutupa.

Malingana ndi dera la kutupa, pali:

1. 1 zingwe ndi edema yosatupa ya laryngeal. Mtundu uwu wa laryngotracheitis ukhoza kuyambitsa banal ziwengo;
2. 2 zovuta limodzi ndi kutupa trachea ndi m`phuno ndipo zimachitika chifukwa cha matenda kupuma;
3. 3 kusokoneza - mtundu wowopsa kwambiri wa laryngotracheitis, chifukwa kuchepa kwa lumen kapena kutsekeka kwa trachea ndi larynx kungayambitse kukomoka.

Malinga ndi mawonekedwe a morphological, laryngotracheitis imagawidwa m'magulu awiri:

1. 1 atrophic, momwe epithelial wosanjikiza wa mucosa m'malo ndi squamous stratified epithelium. Pankhaniyi, zingwe za mawu, minofu mkati mwa m`phuno atrophy ndi zina zosasinthika kusintha wosanjikiza submucous. Zotsatira zake, zotupa za mucous zimasiya kupanga zotulutsa zachilengedwe komanso zowuma zowuma pamakoma a larynx, zomwe zimavutitsa wodwalayo;
2. 2 matenda a catarrha Kusiyanasiyana kwa laryngotracheitis kumabweretsa kulowa ndi kukhuthala kwa mucous membrane. Chotsatira chake, zingwe zapakamwa zimakula, kutsekemera kwa capillary kumawonjezeka m'madera otentha, omwe amadzaza ndi kutulutsa magazi kwa punctate;
3. 3 hypertrophic zimayambitsa kuchuluka kwa epithelial maselo, thickenings ndi tinatake tozungulira kuonekera pa connective minofu ya m`phuno. Oimba, okamba, aphunzitsi ndi kuchuluka mawu katundu sachedwa mtundu wa laryngotracheitis.

Kutengera mawonekedwe akuyenda:

1. 1 mawonekedwe osachiritsika - imatha miyezi ingapo kapena zaka, kukulitsa nthawi ndi nthawi;
2. 2 mawonekedwe ovuta kumatenga masiku 7 mpaka 20 ndipo, ndi chithandizo choyenera, chimatha popanda kufufuza.

Zifukwa za Laryngotracheitis

Ana amatha kudwala matenda a laryngotracheitis, ngakhale wamkulu akhoza kudwala. Nthawi zina, tracheitis ndi laryngitis zikhoza kuchitika ndikuthamanga mosiyana, koma, monga lamulo, zimayendera limodzi.

Zomwe zimayambitsa kutupa kwa trachea ndi larynx zingakhale:

• adenovirus, fuluwenza ndi zina kupuma tizilombo zinthu, zizindikiro zimene mu mawonekedwe a kutentha kutentha kwambiri mofulumira, ndi mavuto mu mawonekedwe a kuwakhadzula kapena kuuwa chifuwa akhoza kuvutitsa kwa milungu ingapo;
• nkhuku, chikuku, rubella ndi matenda ena aubwana;
• osachiritsika rhinitis, sinusitis, tonsillitis, pamene matendawa akufalikira mofulumira pansi;
• chigawo cha matupi;
• chifuwa chachikulu, chlamydial ndi staphylococcal zotupa;
• matenda a mycoplasma;
• kuwonongeka kwa laryngeal mucosa ndi nthunzi yotentha panthawi yopuma;
• kukhudzana ndi kachilombo ka herpes;
• matenda a m'mimba - laryngotracheitis angayambitse reflux ya m'mimba;
• kuwonongeka kwa mankhwala;
• kuwonjezereka kwa mawu pofuula, kukangana kosimidwa, pakati pa mafani pa masewera kapena pambuyo pa maola oimba mu karaoke;
• hypothermia yofunika kwambiri ya thupi lonse kapena miyendo yokha, komanso kuzizira komweko - mukamamwa zakumwa zoziziritsa kukhosi; Kukoka mpweya wozizira m'kamwa chifukwa cha matenda a nasopharynx;
• ntchito zovulaza kapena malo okhalamo - mpweya wouma wafumbi, utsi wamankhwala, utsi wa fodya.

Zizindikiro za laryngotracheitis

Tizilombo toyambitsa matenda amalowa m'thupi la munthu ndi kuyambitsa tracheal vasospasm. Zotsatira zake, kufalikira kwa magazi kumawonongeka, mucous nembanemba zimatupa, ndipo katulutsidwe kakang'ono kokhala ndi purulent mkati mwake kumayamba kupangidwa, komwe kumatsekereza trachea. Wodwalayo akudandaula za katundu, ntchito kupuma, ndiye pali lakuthwa kuuwa chifuwa khalidwe laryngotracheitis ndi kumaliseche viscous sputum. Kuwukira kwa chifuwa chachikulu kungayambitsidwe ndi kuzizira, kupuma kwambiri, kapena kuseka.

Ngati zingwe amakhudzidwe, ndiye mawu a wodwalayo amakhala phokoso, timbre kusintha, zina aphonia ndi zotheka. Kuwonongeka kwa mawu kungakhale kochepa kapena koopsa.

Zizindikiro zoonekeratu za laryngotracheitis zimachitika masiku 4-5 pambuyo pa matenda. M'masiku oyambirira, wodwalayo akhoza kumva kupweteka pakhosi ndi sternum. Nthawi zambiri, chifuwa chowawa chimachitika mwadzidzidzi usiku wodwala ali mtulo. Laryngotracheitis nthawi zambiri imatsagana ndi kutentha thupi pang'ono, kulefuka, kugona, komanso nthawi zina ma lymph nodes okulitsa.

Ndi infiltrative - purulent mawonekedwe a matendawa, kutentha kumatha kufika madigiri 39.

Zovuta za laryngotracheitis

Laryngotracheitis tsopano akuchiritsidwa bwino. Ngati wodwalayo alibe vuto ndi chitetezo chokwanira, ndiye kuti ndi chithandizo choyenera, zotsatira zabwino zingatheke mwamsanga. Ndi chithandizo cholakwika, laryngotracheitis imatha kuyambitsa zovuta zazikulu, monga:

1. 1 angioma, angiofibromas ndi zotupa zina za m'phuno;
2. 2 kulumala kwa anthu olankhula - ntchito zamalankhulidwe: aphunzitsi, ojambula, owonetsa;
3. 3 khansa ya laryngeal;
4. 4 cysts ndi polyps a zingwe mawu;
5. 5 kuchepa kwa lumen ya m'phuno mpaka kukanika;
6. 6 paresis wa zingwe mawu;
7. 7 tracheobronchitis;
8. 8 mtima kapena pulmonary kulephera.

Kupewa laryngotracheitis

Zolinga zodzitetezera, odwala sachedwa kutupa m`phuno ayenera kusiya kusuta ndi mowa. Laryngotracheitis imatha kupewedwa ndi njira yowumitsa pang'onopang'ono.

Kwa anthu omwe amadwala matenda a laryngotracheitis, amalangizidwa nthawi ndi nthawi kuti ayeretse mucosa ya nasopharyngeal kuchokera ku dothi ndi fumbi lomwe limakhala ndi inhaler.

Pofuna kupewa bwino kutupa kwa nasopharynx ndi trachea, zotsatirazi ziyenera kuchitidwa:

• mwadongosolo kupita masewera, zolimbitsa thupi adzakhala zokwanira;
• yesetsani kuchita masewera olimbitsa thupi;
• kuteteza ngakhale pang'ono hypothermia ya miyendo ndi thupi lonse;
• kuyambira ali aang'ono, yambani kuumitsa makanda;
• m'dzinja-kasupe, kutenga immunomodulatory wothandizira;
• dzitetezeni ku zojambula kunyumba ndi pamsewu;
• musakhale pansi pa mtsinje wa mpweya wozizira kuchokera ku mpweya wozizira;
• chithandizo chanthawi yake cha ARVI.

Chithandizo cha laryngotracheitis mu mankhwala ambiri

Mukadwala laryngotracheitis, ndizowopsa kudzipangira nokha chithandizo. Kuchiza kwa njira yotupayi kumafuna mankhwala ovuta kwambiri. Dokotala ayenera kudziwa ngati matenda a bakiteriya alowa nawo kachilombo ka HIV ndipo pokhapokha atapanga ndondomeko ya mankhwala. Kumayambiriro kwa matendawa, ma antiviral agents amagwira ntchito.

Expectorant ndi antispasmodic mankhwala woonda ndi kulimbikitsa excretion wa phlegm, potero kupuma mosavuta. Odwala akulangizidwa kuti atenge madzi ambiri ofunda. Monga lamulo, odwala laryngotracheitis safuna kuchipatala; m'chipinda chomwe wodwalayo amakhala, ndikofunikira kuti nthawi ndi nthawi muzinyowetsa mpweya.

Kuphatikiza pa antitussives ndi antipyretics, odwala amapatsidwa mucolytics ndi antihistamines. Zotsatira zabwino zimaperekedwa ndi njira za physiotherapeutic monga electrophoresis, inductotherapy, kutikita minofu, UHF ndi inhalations zamchere.

Kuchiza kwa laryngotracheitis kumaphatikizapo kutenga ma immunomodulators, mavitamini.

Kukachitika kuti chithandizo chamankhwala sichibweretsa zotsatira ndipo pali chiopsezo chotheka kuti chiwonekedwe choyipa, ndiye kuti amapita ku chithandizo cha opaleshoni, chomwe chimaphatikizapo kuchotsedwa kwa cysts ndi kuchotsa minofu yambiri ya m'phuno. Kuchita opaleshoni kumachitika ndi njira ya endoscopic.

Odwala ndi laryngotracheitis ayenera kutsatira mawu mode - wodwalayo akulangizidwa kukhala chete. Kukambitsirana m’manong’onong’o kumatsutsana, chifukwa ndi kunong’ona kwachete, kulemedwa kwa zingwe za mawu kumakhala kokwera kangapo kusiyana ndi kulankhula momveka bwino. Ndi chithandizo chanthawi yake, mawu a wodwalayo amabwezeretsedwa mkati mwa masiku 10. Odwala omwe ali ndi ntchito zamawu akulangizidwa kuti ayambe ntchito pokhapokha atabwezeretsanso ntchito ya mawu, mwinamwake matendawa amatha kukhala ndi mawonekedwe aakulu.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!