Iimpawu ithumba peritonsillar. Unyango amayeza intsomi

Xa sifumana umqala obuhlungu abagulayo, kodwa kusoloko kukho amathuba iingxaki. Nokuba kunjalo tonsils banal zikukhathazayo kuthi emva emzimbeni okanye ngokugqithiseleyo odla ice cream. Enye comorbidities iqhelekileyo a ithumba peritonsillar. Iimpawu ithumba peritonsillar - ukufukuka entanyeni, icesina, kunye imvakalelo umzimba amazwe. bonke abahlangana ukuba umkhuhlane rhoqo, ngoko nangoko qaphela isifo ezongezelelweyo nzima. Izigulane uzama ngabokugqibela baphathwe ekhaya, kodwa emva kokuba lobushushu kwavusa degrees 40 aqhubeke efuna uncedo evela kugqirha.

Undoqo leengxaki

Ithumba imithi ekuthiwa ukudumba ancedisana ezithambileyo, sikhatshwe ekumisweni ubofu. Enyanisweni oko sibe ubovu detritus phantsi kwesikhumba, inwebu yangaphakathi okanye ngaphakathi sheaths fascial. Ukuba le nkqubo isicelo ukuya kwiindawo ezinkulu, ukuba sele sibenokubizwa njengendawo phlegmon. Oku kuphakamisa inkangeleko yale ngezifo phindo lwe iintsholongwane okanye izinto.

Ngaphandle kokuba iimpawu ithumba peritonsillar kulula kakhulu ukuba bawuthwale mntu, loo nto sisifo lunokubulala. fluid elosulelekileyo linyibilike esikule leyo qha, kwaye angene ingqondo, entanyeni zatech nkqu kungena lweHo- esifubeni. Oku kuya kubangela ukosuleleka wonke umzimba, ukothuka, kunye nokufa ngokukhawuleza.

angumfanekiso zembali

Ukufezekisa ngokupheleleyo ubunzulu esi sifo, ungasebenzisa i imizekelo kwimbali. Kulungile ukuqala nge ngamaxesha amandulo. Xa BC kwinkulungwane yeshumi kwesi sifo wambulala Shah of Khorezm, Ala ad-Din Tekesh. Uyingcikivile ndoda ngokungazi kunye nokungahoywa iimpawu ezinzima, ngenxa yokuba ebudeni bolawulo lwakhe, urhulumente yafikelela eneentyatyambo yayo zenkcubeko nezopolitiko.

Kukho uguqulelo ukuba ivela ithumba peritonsillar wafa inkokeli adumileyo Seminole amaIndiya - Osceola. Ke kaloku kwathi ngo-1838, xa abantu baseSpeyin oyisa Umzantsi Melika. Kwakhona amayeza phakathi kwezi zizwe waba kwinqanaba eliphezulu, uninzi lwamayeza i baseYurophu Asizanga sive nokuva. Ngoko ukuthetha yokungakhathali ayikho imfuneko.

Umbhali sobulumko evela eFransi, Mishel Monten, uPope Adrian wesine njingalwazi Scottish ye zonqulo Yen Maklaren kunye nezinye abadumileyo abaye bafa evela elula, xa uqala kuqala, esi sifo.

iintlobo

Ekubeni iimpawu ithumba peritonsillar kusoloko boqobo, ngoko ihlelwa phakathi otolaryngologists kuphela indawo. Kukho iintlobo ezine sifo.

1. Upper. Yeyona lolona hlobo luqhelekileyo yenkqubo ubovu. Oku kungenxa iimpawu yokwakheka le tonsils. Engaphandle indawo umzimba lifumana umthwalo kakhulu yintsholongwane, ngokuba obethe yokuqala ibonisa xa ukungcoliseka arhente arhabaxa. Zaboelvaniya luqala yimbonakalo yelitye gentle bulubhelu kwi izibambo palatal.
2. ifomu diff xa umthombo ifumaneka phakathi idlala iPalatine kunye shackle. Le yeyona ndlela ilula ngenxa uxilongo, ekubeni ukudumba kakuhle kwindawo ebonakalayo. Isifo kuzisa ukungaphatheki omkhulu kwisigulana, kuthintela ukuthetha, nehlankomo uze uvule umlomo wakho. Kwiimeko kakhulu, kusenokubakho ukusilela sokuphefumla.
3. ifomu Lower. Ithumba idlulisela kuphela kumazantsi-Amygdala. Isizathu soku ingxaki idla ezi kwamazinyo kunye nesifo seentsini.
4. Ukuma engaphandle. Kuyinto buyinto ezinqabe kakhulu. Kwezinye iincwadi umntu ukufumana igama ithumba osecaleni peritonsillar. Kungenxa kule ndawo yindlela aphakamileyo osulelo kwimimandla ezikufuphi.

Izifo iqala wayibona, amatyala ziqatha casuistic kwaye ifumaneka kuphela abemi zisingelwe ngokwentlalo, ngubani musa ukufuna uncedo lwezonyango ngoko nangoko.

umyalezo weimeyile

Iimpawu peritonsillar ithumba kuvela xa izicwili ezimelene idlala iphuhlisa ubovu ukudumba okubangelwa yokuzala bacteria kunye nemisebenzi ebalulekileyo. Iarhente kakhulu eziqhelekileyo ezosulelayo benze staphylococci kunye streptococci, kodwa kusenokuba ngundo, iintsholongwane olungenelelayo, kwaye maxa wambi iintsholongwane.

ithumba Peritonsillar - oku sisifo elizimeleyo. Njengomgaqo, oku kubangelwa impatho engafanelekanga okanye abasakhasayo of angina. Izigulane bakholelwa ukuba umqala obuhlungu yi sifo kulula kakhulu kwaye elula ungenakuwuxhalabela anjalo zochuku ugqirha. Kodwa enyanisweni, akuyi kufuneka bangawutyesheli impilo yabo, kwaye kungcono ukucela uncedo ekuqaleni, kunokuba yokulungisa imiphumo yezenzo zabo nolungafanelekanga.

Unobangela amathumba yesibini yale eyendawo - tonsils ezigulo ezondeleyo. Nomzimba eguqukayo inkqubo ngababuthuntu esosulelayo, leyo iityhefu kwabantu inkqubo buthathaka omzimba. Konke oku kukhokelela iingxaki, nkqu ifiva kakhulu banal.

maxa wambi Paratonzillit kuvela emva kokuba ukususwa izihlunu lymphoid kunye nakwiingqameko zalo iPalatine. Oku kungabangelwa ukusebenza kakuhle, xa inxalenye tonsils kusekho kwaye babuyiselwa ubungakanani ngaphambili. Okanye xa izixhobo ugqirha umonakalo inwebu ebuthathaka kwiinwebu kwingqula.

Kwindawo yesine simo ezibangela ithumba, ukubola kwamazinyo na. Oku kwakhona ngumthombo rhoqo zosulelo, oko qiniseka ukuba ukuphilisa, ukuze buthathaka zokuzikhusela zomzimba kwaye hayi ukuba bawaphikise iintsholongwane "kwi ekhubekisayo."

iimpawu

Njani ukuphuhlisa ithumba peritonsillar? Iimpawu Awuveli iintsuku ngoko nangoko, kodwa ke kuphela emva ezintathu okanye ezine emva ayehlasela pathogen kwi tonsils. Kakhulu ngokucacileyo ekliniki kuvela ukususela ngomhla wesihlanu yokugula.

Uphawu yokuqala ubuhlungu. Okokuqala, yenza ukungakhululeki inobulali, kodwa inqubo yokukhula kunye ukuqokelelana ubomvu, ukudumba, kuyinyamezela kuya kusiba nzima. Intlungu lobulali ukuya kwicala elinye njengoko ithumba, kodwa ingafikelela indlebe, kwemihlathi yangasentla, intamo, sinus maxillary.

A uphawu obabuthandwa ithumba peritonsillar - iindumbisa kwingqula kunye nobukho equmbile isifo kwicala abachaphazelekayo. Amalaphu kule ndawo ebomvu, kakhulu kwenziwa, eshushu. Ngenxa yale "intlama iphela" aphazanyiswa igwinya, ukuphefumla, yaye ekugqibeleni iphuhlisa ukoyiswa ukuhlafuna izihlunu - lockjaw. Isigulane kuba nzima ukuvula umlomo.

Ngenxa Ukubolekisa usulelo emzimbeni lomntu kwandisa submandibular, Occipital neendawo nkovu wesibeleko. Maxa wambi nkqu alibonakali ngeliso lenyama. Isigulane Kwakunzima ajike intloko yakhe, egobile entanyeni, iye yokulala ishwangusha. iinkqubo ubovu ukuphehla ungqinisiso, yaneka phezu entanyeni ijwabu ukudumba kungadala hoarseness. Iimpawu eziqhelekileyo ngokukhethekileyo babelwa Ukunyuka kwamaqondo obushushu, ubuthathaka, ukuphazamiseka kokulala.

ithumba Peritonsillar kubantwana

Hayi abadala kuphela kwenzeka kwingxaki peritonsillar ithumba. Iimpawu e abantwana badla musa kunxibelelana ubungqongqo ukunxila, ekubeni ziinkqubo omzimba bagqibelele kwaye azisoloko ukuphendula ngokufanelekileyo kusuleleko.

umqala obuhlungu ayisuseki yi na ngamanzi kunye Oluma, umntwana nkqu ndiginye amathe, singafani ukuthatha amayeza okanye utye. Kwiintsana iindumbisa emqaleni ibangela iingxaki yokuphefumla kude ime. Enye uphawu luphumelela kubazali kufuneka ibe utshintsho ilizwi. Yena uba uyarhwexa, yayikukunkcenkceza, ngokungathi umntwana wabo usabambelele emlonyeni wakhe namazambane eshushu.

Kwezinye abantwana, kukho aqaqambayo kobuso kunye nentamo, trismus, zokukhanya ye intlungu endlebeni okanye intloko. Ukuhlolisisa Injongo bomvu elifana neli kuphela kwicala abachaphazelekayo, kwaye ngeenxa zevu.

ekuxilongweni

nga basibone njani "ithumba peritonsillar"? Iimpawu kulo eziqaqambileyo ngokwaneleyo ukuba oko kwenziwe ngokusekelwe umfanekiso lwezonyango. Ugqirha uqokelela imbali, ngoko ke ucela isigulane ukuvula umlomo wakhe banzi uhlola inwebu kwiinwebu le oropharynx kunye kwingqula. Spatula ngokuyimfuneko ichukumisa iindawo nokudumba, isusa tonsils film.

Emva koko uyalela isigulane uxilongo elebhu:

- ICBC;
- urinalysis;
- ukufunda esihlobene osenyameni evela emqaleni;
- inkcubeko yesikhohlela kwi inegciwane ukubola komqala.

Ukuba kuyimfuneko, isigulane kufuneka enze-X-reyi okanye krwaqula entanyeni, ukuba nomfanekiso ummandla inkqubo yezifo.

unyango

Ukuba ngaba une-"ithumba peritonsillar", unyango lwenkobe ngokupheleleyo contraindicated. Ukuba asifuni isigulane ukuba bahlale esibhedlele, yena linyanzelekile ukuba esibhedlele mini aba phantsi kweliso kwabasebenzi. unyango ithumba inokuba 'endala, utyando okanye ezintsonkothileyo.

Ngaba I balahle iipilisi peritonsillar ithumba. unyango zintsholongwane iphumelela kuphela ekuqaleni kwesi sifo xa aye kodwa ixesha ukufikelela isambuku esinobunzima kwaye wonke umzimba. Kodwa kwiimeko phambili, oogqirha amisele arhente ukuba antibacterial okuthintela nokudumba kunye nokunciphisa ukunxila.

Ekuhlaleni emiselweyo ngamanzi kubola ( "Chlorophyllipt", "Furatsilinom" izisombululo efudumeleyo hypertonic) kunye namafutha aqholiweyo, zikwenze iintlungu kunye nokudumba.

amayeza abantu

Nokuba nyango lungancedayo peritonsillar ithumba ngaphandle uqhaqho? amayeza emveli sihlangene ukwala categorical. Therapy ekhaya, kuphela iindlela abasakhasayo inokuba yingozi kubomi kunye nempilo. Kodwa kwelinye icala, iiresiphi uninakhulu wakhe uya kuba kanye ngexesha njengoncedo nxamnye ukufukuka kunye neentlungu emqaleni.

Yintoni kuthatha ukungxengxeza ithumba peritonsillar? amayeza esizwe Unyango ibandakanya ukusetyenziswa ubusi kunye bee iimveliso. Oku kuthetha ukuba propolis, apho iimpawu emanyeneyo i ivuselela kubola kunye nezifo. Ukususa tincture kakuhle zonke izixhobo nespruce kongezwe pine-oyile ezibalulekileyo.

ithumba kwesidumbu

Awukwazi nokuxilonga ithumba ifoto peritonsillar. Iimpawu, Kakade ke, inemibala kakhulu, kodwa oogqirha bufana "ukubukela izandla zakho", ngoko ke iimpawu zesi sifo Kucetyiswa ukuba usebenzise icebiso ngugqirha.

Ugqirha lihlola isigulane kwaye isigwebo ukuvulwa ithumba. yonke le nkqubo ithabatha indawo ekliniki, kwaye ithatha phezu amandla imizuzu engama-20. Ndindisholo indawo isibetho, ugqirha yenza ngokusika aqokelele kwi yetreyi wabonakala ubofu. Emva koko ifaka kutsalwe (ityhubhu okanye isiqwenga irabha) ukuphucula lokuphuma fluid. Ngamanye amaxesha nge ukuvula ithumba isusiwe kunye tonsils.

ukungaphili

Kukwanjalo ukuphelisa ithumba peritonsillar? Iimpawu kunye nonyango abemi balo musa ukuba imiba ezongezelelweyo kuba yonke into kusengqiqweni kwaye icacile. Kodwa ukuba uphephe uthomalaliso, inkqubo sifo ukwandisa kunye nemiphumela emibi kakhulu:

1. Yentamo ithumba. Ubomvu linyibilike kwaye lungena ngokukhululekileyo ezinamanqatha umcu phantsi eluswini entanyeni, ukunyuka nangokurhala, kusenokuba kuvela izilonda kunye necrosis.
2. Mediastinitis. Ukuba cellulitis entanyeni isigulane akuthethi ukuya esibhedlele kunye elindileyo, ubovu ihamba phambili kwaye engena Isifuba, ezibandakanya ukudumba amalungu mediastinum, pleura, imiphunga kunye nentliziyo.
3. Nokudumba. Usulelo umzimba uphela ngenxa ukwanda iintsholongwane ukususela kumsinga igazi.

Kubalulekile ukuba uzazi ezi iingozi kunye nexesha ukunyanga ukudumba yokubolisa, apho kuba njalo.

ukuvimbela

Kulungile ukuthintela kunokuba elapha. inyaniso Banal njalo. Ngoko ke, oogqirha bacebisa izigulane zabo ukuxhasa amajoni omzimba kwinqanaba eliphezulu, yaye wobulali ngexesha ukuba bafune uncedo.

Kwakhona ludlala sokususa indima ebalulekileyo nakujoliso olutsha losulelo ezinganyangekiyo, ezifana tonsils asha okanye adenoids namazinyo carious. Kufuneka uye rhoqo kugqirha wamazinyo nogqirha esweni le nkqubo.