Tonsils Chronic - ntoni na? Iimpawu, kunye nonyango loko. Indlela ukunyanga ngonaphakade tonsils ezondeleyo?

Phantse zonke sanengxaki efana umqala obuhlungu ngexesha njengomkhuhlane. Tonsils ziyanda, ukuba ukudumba, red - oku Kuyinto eqhelekileyo kule meko, kodwa kukho amaxesha apho ukudumba yabo ikhula ngasemva impilo epheleleyo. Kulo mzekelo, oogqirha une "tonsils esinganyangekiyo". Yintoni na kwesi sifo ndinaso? Sizama ukufumana phandle kwinqaku lethu. Abanye uwajongele ubunzulu bale ngxaki, kodwa ndabulaleka.

Kakuhle eli sifo

Ngalinye umqala zizinto tonsils enokuthi kuchaphazeleka ngenxa yokukrala. Ukuba ukudumba phantse isigxina, ngoko esiya kuthi, ukuba kukho tonsils ezigulo ezondeleyo. ICD-10 kuquka ngayo, kwakunye uhlobo zale sifo ezizimeleyo iifom nosological, okuye ikhowudi yabo;

• J03 khowudi.
• J35.0.

Nokwabela izifo yabo lula ukugcinwa manani kunye nezigulane lemithi.

Uphuhliso ukudumba ezigulo ezondeleyo iphenjelelwa iintlobo ezininzi ezincinane, nto leyo umntu esempilweni, kukho phantse lonke. Kodwa eziliqela bandiqumbise ukwanda kwabo abaninzi, nto leyo ekhokelela ukuba exacerbation kwesi sifo.

Xa zomqala nabantu limfoglotochnogo umsesane kuquka 7 tonsils, kodwa kudla ngokuba iPalatine ebushushwini babo.

Ezi tonsils izikhungo lymphoid, leyo ngenkuthalo ibonelela ngokhuseleko immunobiological kumzimba. iinkqubo Phindaphinda ukudumba ukuba ukhokelele ekubeni kusekwe sifo, ingakumbi esebenzayo lo msebenzi lubonakaliswa ebantwaneni.

Lidla umkhuhlane nezesathelayithi angina, kulo mzekelo sithi ukuba kukho tonsils yayiyazi. tonsils Chronic lwenzeka athambe kancinci, loo nto ayinayo iimpawu ezinjalo zomlomo wakhe, kodwa kaninzi senzeka iwayini baphathwa embi umqala obuhlungu.

yokubonakalisa amandla kweempawu - akukho sizathu sokuba balibazise unyango. tonsils Chronic kunye pharyngitis (kule nkqubo yokukrala kwi isifo of pharynx) kunokubangela iingxaki ezinzulu, nto leyo eza kuxoxwa apha.

Ngesizathu esithile, esi sifo iphuhlisa?

otolaryngologists, oogqirha babanga ukuba phantse wonke umphakathi unesifo tonsils esinganyangekiyo. Ngandlel 'ithile, oku kuyabuleleka, kuba tonsils umntu ngamnye uhlale isixa esikhulu iintsholongwane, kodwa ukuba umzimba usempilweni ngokupheleleyo, oko akuthethi ukuba ezizalana magciwane, abangaphangeliyo ngokukhawuleza ukukhula kwabo, kodwa kukho inkqubo yokukrala okanye amajoni omzimba buthathaka ukwenza ayikasebenzi.

Esi sifo tonsils esingapheliyo senziwa kwangoko, konke iqala kwisigaba etsolo, kodwa ekuhambeni ezingapheliyo ngenxa yezi zizathu zilandelayo:

1. tonsils Ukungakwazi baphathwe ngomnye unobangela tonsils ezigulo ezondeleyo. Uninzi lwethu, kamsinya nje intlungu emqaleni wakhe idlulile, ubushushu esoyiswa, uyeke ukusela amayeza, imithi, yaye oku impazamo enkulu. tonsils Chronic kunye pharyngitis umva, kodwa hayi olahlekelwa ngokupheleleyo, ngokukhawuleza kangaka ukubuyela kwakhona.
2. pharyngitis engapheliyo, abantu abaninzi nje ukuhlawula ingqalelo kuyo yaye bakholelwa ukuba musa kufuna unyango olulodwa, ngokuyimfuneko kukhokelela kuphuhliso iintlobo ezingapheliyo kwesi sifo.
3. Ukungaphumeleli ukuthobela nococeko ngomlomo kunye nempilo lwamazinyo lizothe Qinisekisa ukuba imzisele tonsils ezigulo ezondeleyo. Ukubakho rhoqo eziphilayo yayintsholongwane eyosulela em- ngomlomo eziziphumo.
4. Ifom okondeleyo nokuthimliswa okanye ngokwanda nokuthimliswa komzimba rhoqo kunokubangela tonsils.
5. iphula elide ngeempumlo yokuphefumla kungakhokelela ekubeni oko kuya kuqalisa ukuphuhlisa tonsils ezigulo ezondeleyo. Ukuba oku kubangelwa, umzekelo, adenoids, yaye abaninzi abaqapheli. Gu bucala zekhala, polyp nako isizathu.

Njengoko kubonakala ngentla apha, zininzi izizathu engabangela uphuhliso sifo, ekufuneka ngokuyimfuneko ukuphathwa.

Iintlobo tonsils ezingapheliyo

Ukuze uphendule umbuzo ukunyanga njani tonsils ezingapheliyo kanye nabo bonke, kufuneka uqonde ukuba ubonakala ngeendlela ezahlukeneyo. Oogqirha bathi nemizekelo emibini:

1. Tonsils emva unyango luthoba phantsi kancinane kwaye kubonakala ukuba wakwazi ukuba bahlukane, kodwa kubalulekile iinyawo nje kancinci efudumeleyo okanye ezimanzi, ukhwankqe kunene apho.
2. Xa ngobuwena yesibini, inkqubo yokukrala akayeki, kunokuba fade encinane, nkqu isigulane uvakalelwa tolerably kakuhle, waya kusebenza, kodwa ugqirha wathi ukuba yonke into ime ngendlela.

Zombini iinketho ifuna ungenelelo lonyango, ukukhetha amanyathelo asebenzayo ukulwa esi sifo.

Xa abezonyango ziye zachongwa iintlobo ezimbini tonsils ezigulo ezondeleyo:

• Ingahlawulwa. Yayibonisa ukukrala okuncinane tonsils, umqala obuhlungu, imeko jikelele isigulana eziqhelekileyo. Oogqirha bathi kwiimeko ezinjalo urhulumente oluhlawula tonsils nangokurhala, ngokubanzi ukumelana umsebenzi wabo.
• uhlobo Decompensated tonsils ezingapheliyo ngokuqhelekileyo kuziveza nje kuphela intlungu umqala, umqala obuhlungu iphuhlise, ukubandakanyeka kwinkqubo, kunye namanye amaziko.

Naluphi na uhlobo tonsils kungakhokelela kusuleleko yonke ephilayo, ngoko musa ukulibala ukutyelela ugqirha ENT.

Symptomatology iintlobo ezingapheliyo tonsils

Ukuba unayo tonsils esingapheliyo, izigulane ezinjalo ngokusoloko akhalaze buhlungu nidloba emqaleni, nto leyo eyenzeka kuphela xa yokuginya, kodwa ngexesha yawning. Iintlungu kunokwenzeka emva kokuba kudliwe ice cream okanye usela isiselo esibandayo, leyo ehlotyeni akuqhelekanga, kuvela, njengoko lo mntu ngokwakhe Uxhokonxwa zisiba tonsils.

Ukuba kukho tonsils esinganyangekiyo, ngokuqhelekileyo ezi mpawu zilandelayo zenzeke:

• umqala rhoqo obuhlungu kunye neentlungu xa baginye.
• A ucinge ukuba umphimbo into amazwe.
• Khohlo.
• Ubushushu tonsils ezingapheliyo rhoqo liphuma ngokuhlwa.
• Isigulane uziva ukudinwa.
• Somnolence.
• nokuthandwa nochuku.
• Ukuphelelwa umoya, ukuze kuphazamise isingqi intliziyo.
• Kukho nebhodi emhlophe phezu tonsils kunye ubovu isivalo.

Xa kukho zonke ezi mpawu, izigulane zizama ukwenza ngokukhawuleza balahle kubo, kodwa ke kubaluleke ngakumbi ukuba ukufumana unobangela esamcaphukisayo inkqubo arhabaxa. Ingenza kuphela oyingcaphephe ofanelekayo, neqaphela tonsils ezigulo ezondeleyo. Njengesiqhelo nangaphandle iingxaki ukuphelisa esi sifo - umbuzo ihlola cela nje ugqirha wakho

uphethwe

Uxilongo elichanekileyo phambi tonsils ezingapheliyo akukho lula. Into yokuqala ugqirha wasikhangela isigulane kwaye uyazimamela izikhalazo zakhe. Kwakhona ukufunda imbali umguli. Okulandelayo, ugqirha palpate iindawo nkovu kunye tonsils uhlola.

Kwesi sicwangciso uxilongo ayipheli apho, njengoko iimpawu na onokufana ezinye izifo. Ngoko ke, ugqirha kufuneka athathe kukuhlalutya ulwabiwo lacunae. Ukuba ubomvu babe ivumba elibi kunye nesakhiwo inwebu yangaphakathi, mhlawumbi kwindawo tonsils nomonde ezingapheliyo. Ukuba esi sifo, kunokwenziwa isigqibo ngokusekelwe lonke uluhlu iimpawu nemiqondiso.

Ukucacisa uxilongo ugqirha uza kuhlawula ingqalelo imeko jikelele yomguli kunye ukutenxa ezikhoyo kwisiqhelo. Phambi iintlobo ezingapheliyo tonsils ngohlangothi isingatha palatal ukuba eqinileyo, le azikhuli kukuqulungana ibonakale phakathi tonsils neengqameko. Tonsils ngokwabo na ozithukululeyo ukuvela kwi nemisantsa ekhoyo kwizakhono ubovu ukhokho okanye ukhetho.

Ngamana kufuneka, kunye iimvavanyo zegazi ezongezelelweyo antibodies streptococci. Kuphela emva kokuba lokufunyaniswa "tonsils esinganyangekiyo" kuqinisekisiwe, ugqirha unakho ukumisela unyango kuyimfuneko.

Therapy tonsils ezingapheliyo

Ukuze bahlukane abe itrayi ezilungileyo, ezivela uhlobo esinganyangekiyo isifo. Oogqirha ngokuqhelekileyo sincoma ukwenza unyango ebanzi, ekuphela kwendlela yokuqinisekisa ukuba buthathaka yakhe tonsils iimpawu ezigulo ezondeleyo :

• Unyango (photo ibonisa oko) yabelwa lwendawo lokuqala. Ukuze wenze oku, enze izisombululo siwabeka nezithako amayeza esintu.

• Lavage of lacunas of tonsils. Ngexesha le nkqubo i ukuhluzeka kuloko kwemikrozo nokulimala. Kuba ngokusebenzisa izisombululo antibacterial kunye zintsholongwane, umz, "Furatsilinom", "Miramistin", "Chlorhexidine".
• unyango zintsholongwane, equka antibiotics, leyo zikhethwa ngokusekelwe ubuntununtunu of microflora.
• iinkqubo Physical therapy.
• Tonsillectomy.

Le nguqu inkulu kuphela unyango oluxandileyo, kabini ngonyaka, kungakuhle ukuba sifeze.

ukuyifundisa

Unyango umzimba sisebenzayo kuxolelwe esi sifo. Iziphumo ezingcono ziboniswa yi ezi ndlela zilandelayo:

1. Laser therapy. Ngenxa yeziphumo yayo antibacterial kwaye anti-ukudumba kwi-Amygdala, le ndlela unika iziphumo ezisemagqabini.
2. Ukusetyenziswa ultraviolet radiation shortwave ukuya emqaleni kunye kwisisu ngomlomo.
3. unyango cuke, esebenzisa apho kuchaphazela kuphela umthombo losulelo, batshabalalisa isakhiwo wabonakala curd, kodwa kwakhona ukuba unkcenkceshele izisombululo womamangile antibacterial.
4. Inhalation ubushushu efumileyo, kodwa kufuneka ukhumbule ukuba kwiqondo eliphezulu, le nkqubo iya contraindicated. Kuba inhalation inokusetyenziswa infusions wemifuno.
5. mzimba Phonophoresis likwanika nemiphumo emihle.

Ukudibana unyango physiotherapy kunye iziyobisi kunye nonyango ekuhlaleni kuba neziphumo ezihle. Xa ngenye indlela, ukulahla sifo singanyangekiyo ngeke isebenze.

ukungenelela kuhlinzwa

Ngamanye amaxesha umbuzo ukunyanga njani tonsils ezondeleyo ngonaphakade, abanye oogqirha ucebise tonsillectomy, okt ngokususwa tonsils. Kodwa ke kubalulekile ukukhumbula ukuba asifanele sukela ukuphelisa kubo, oko kunokubangela ukuba nemiphumela emibi kakhulu. Nangona kukho iimeko apho tonsillotomy kuyimfuneko, ngokuqhelekileyo inkomba i operation:

• Ukuba isifo kokuba ukuya ku amaxesha 4-5 ngonyaka.
• Ukuba ukudumba kwanwenwa kwizihlunu ezikufutshane.
• Kukho ingozi yityhefu kwegazi.
• Kukho iimpawu nomonakalo wezintso okanye umsipha.

Le tonsils msebenzi kususwe ngokupheleleyo okanye ngokuyinxenye, xa ugqirha yene inyama excised.

Kufuneka kukhunjulwe ukuba tonsillectomy uye Izimo yayo, zibandakanya:

• Wegazi.
• Zegazi.
• tuberculosis Vula.
• ukukhubazeka Heart.
• Jade kunye nezinye ngezifo.

Ukuba ahlinzwe kuyimfuneko, kodwa kukho Izimo kakhulu ngokomsebenzi wayo, isigulana kucetyiswa indlela cryogenic zonyango.

Iimpawu zonyango tonsils yezifo abantwana

Ukuba afumaneka ezingapheliyo tonsils ebantwaneni, unyango kufuneka uqale ngoko nangoko. Xa sijonga iimpawu omzimba womntwana, unyango kufuneka zikhethwe ngononophelo, arhente ingakumbi antibacterial.

unyango Conservative tonsils ebantwaneni kufuneka uqalise nge kwirejimeni imini echanekileyo yokutya. Eyona nto ibalulekileyo kukuba ukuqhuba iinkqubo tempering.

Abazali kufuneka kube lula ukuphelisa zonke izinto kungabangela ukuqhubela phambili kwesifo. Ukusetyenziswa kwezibonelelo zasekuhlaleni inika nemiphumo emihle, ukuba wenze oko qho ngexesha rhoqo.

Tonsils kungenziwa lubricated "Lugol" kwaye zisetyenziswe isilivere colloidal. Ngexesha unyango, oogqirha amisele arhente anti-kukwalisa, njengoko kusenokubakho ukusabela engalindelekanga. Oku kuyinyaniso ngokukodwa antibiotics ukuba abantwana kufuneka balumke ubeke.

Ukuyifundisa kubantwana kwakhona banikwa iziphumo emihle (laser therapy, electrophoresis, unyango magnetic).

Xa tonsils yezifo abantwana, oogqirha babantwana badla ukumisela unyango bacteriophage kunye ukusebenzisa kwabo kakuhle ngokwaneleyo. Kodwa ke kufuneka kukhunjulwe ukuba ngendlela nokoyika esi sifo kubhetele ukuba zincede zikhethe antibiotics.

Sisazi ukuba unyango tonsils - yinkqubo ethatha ixesha elide, kusenokwenzeka ukuba bacinge yonyango ngamachiza ngamayeza. Abazali abaninzi ukushiya iirivyu ezilungileyo "Vocara" lithetha. Kuyimfuneko ukuba 1 imenyu ngonyaka ubomi bomntwana ngamnye, pre-exutywe namanzi. Ubuninzi reception ukuya ku amaxesha-8 ngosuku ngexesha exacerbation, ngexesha kuxolelwe izihlandlo ezithathu kuphela.

Xa unyango tonsils esingapheliyo kubantwana kunye nabantu abadala, kubalulekile ukukhumbula ukuba indlela kuphela ebanzi kuthomalaliso anganika yifuna.

Tonsils amabhinqa akhulelweyo

Uyacetyiswa ukuba ukunyanga zonke izifo phambi lokukhulelwa, kodwa ukuba unaso isifo esinganyangekiyo, leyo azibonakalisa kwindawo enika umdla, akuyi kufuneka ukuba ihlehlise unyango. tonsils Chronic ngexesha lokukhulelwa kufuna unyango, kodwa kuphela phantsi kweliso zonyango olungqongqo.

Ngenxa isikhundla umdla kwabasetyhini, ugqirha ukubekwa unyango ezifana:

• tonsils Ukunenzela Ukuqamba kubola.
• umfazi ofisi yingcali-Aron emqaleni kunye idlala neziyobisi ezizodwa.
• Ekhaya, kucetyiswa gargling infusions wemifuno.
• Abaqeshwe mixube kunye iilozenji.

Umfazi okhulelweyo akuvumelekanga ulwamkelo iziyobisi ezininzi, ngoko ke kubaluleke kakhulu ukuba bagcine indlela imini, ukutya okusempilweni, ngaphezu iipilisi vitamin. Ukuba kwenzeka ukukhulelwa ngexesha exacerbation esi sifo, kucetyiswa:

1. Amaxesha amaninzi gargle ne kumxube wetyuwa, soda kunye amathontsi ambalwa ayodini.
2. Inhalations amakhambi zamachiza ezifana lobulumko.
3. Ezicetyiswayo isiselo obuhle ubusi yeelamuni.
4. Ukuze asule tonsils zingasetyenziswa "Hlorfillipt" okanye propolis tincture.
5. tablet "paracetamol" ingasiwa kwi lobushushu ephakamileyo.

Ngexa lokukhulelwa, okona kubaluleke kakhulu, ukwenza unyango tonsils ezingapheliyo ukuwonakalisa sana, ukuze zonke iindlela kufuneka zikhethwe kuphela ngugqirha khona.

Ukuba kuyakhathaza serious kakhulu malunga nesi sifo, oko kunokubangela tonsils nkqu kwasekuzalweni emntwaneni, yaye kwiimeko ezinzima, ebunayo ukukhulelwa kunye kwezisu.

amayeza Folk yonyango tonsils ezingapheliyo

Ukuba unayo tonsils ezingapheliyo, unyango ngeendlela intsomi ukunika iziphumo ezilungileyo xa zidityaniswe ne kunyango ngamachiza. Nceda qaphela ukuba unyango kufuneka wenziwe ixesha elide kwaye rhoqo. abaphilisi Folk bacetyiswa ukuba basebenzise ezi resipi zilandelayo ukususa:

1. Sokufaka 2 tbsp. l. yarrow ml owomileyo 200 amanzi abilayo. Nokubandakanywa ezisetyenziswa ngohlobo ubushushu izihlandlo eziliqela ngemini.
2. Inyibilike iglasi ikuphekwa iphekwe ngamanzi 3-4 amathontsi oyile nebheyizile kunye nokwakheka gargle.
3. Lungisa umxube 1 tbsp. Umbala icephe lime, 2 amacephe oki amaxolo, 3 neenkamba of chamomile, umgalele lonke selitha yamanzi abilayo. Emva okupholisa, makongeze itispuni yobusi. Ukususa kathathu ngemini emva kokutya.

Kuyenzeka ukuba anikele zokupheka for tonsils ukuthambisa ajikeleze:

• Xuba juice zekhala kunye nobusi kusenziwa ngokwemilinganiselo alinganayo ogalelwe ioli ube mnye yonke imihla iiveki ezimbini, le tonsils, kwiveki 3 neye-4 le nkqubo yenziwe ngosuku.
• Kuba tonsils yokwenza ioli fir ingasetyenziswa ukuya amaxesha 5 iintsuku ezi-3, kwaye 1 drop ibe wabethelela kwi empumlweni.
• Iintsana egqibeleleyo ukuthambisa ajikeleze tonsils umxube inxalenye 1 juice isithombo kunye nezahlulo 3 yobusi. Kwangaxeshanye, ungenza wangenisa decoction of chamomile, zetyeleba calendula kuba amandla iyonke sifo.

Kukho ezininzi zokupheka ezaziwayo ekunciphiseni imeko ngexesha exacerbation tonsils ezingapheliyo, kodwa kufuneka sikhumbule ukuba unyango idla ixesha elide.

Iingxaki tonsils ezingapheliyo

Ukuba tonsils isifo zingambi kakhulu, kodwa ngokubanzi ingeyongozi, xa kungekho unyango, ukuze anike ezinye neziphumo okungafunekiyo. Chronic iingxaki tonsils ebangela oku kulandelayo:

1. A ihlupha zomntu emphinjeni rhoqo buhlungu.
2. Esi sifo iba nefuthe elibi kwindlela sentliziyo.
3. Data esiswini inkqubo, ekubeni ukubandezeleka microflora isisu, i inwebu yangaphakathi sikwimo fevered.
4. Uphuhliso pyelonephritis kunye nezinye ukungaqheleki sezintso ivamile.
5. Bangahlaselwa sisifuba.
6. Kwamalungu tonsils ezinganyangekiyo baqalise, abuyi kuba kude kuphuhliso rheumatism, samathambo.
7. I nandzu esi sifo kukudakumba.

Ukusuka konke oku kubalulekile ukukhumbula ukuba isifo esinzulu ngokwaneleyo - "tonsils esinganyangekiyo". Ukuba esi sifo ngokuqinisekileyo abadinga unyango ngexesha elililo akufuneki enze nayiphi na amathandabuzo.

ukuvimbela

Unga iyaluthintela uphuhliso amanyathelo othintelo kwesi sifo. Phakathi kwezi zinto zilandelayo:

• yokuphila esempilweni.
• umsebenzi Physical ngokulinganisela.
• Tempering iinkqubo.

• Ukwamkela kuthetha, ngokwenjenjalo siqinisa amajoni omzimba, umz, iziyobisi "Immunal", "Imudon" kunye nabanye.

Ukuba abavumelekanga ukuba waba mandundu tonsils ezingapheliyo, akuyi kunkwantya iingxaki.

Iziphumo zako konke oku siya ukuzoba oku kulandelayo: nasiphi na isifo kufuna treatment ngexesha. Nakuba ebonakala isifo ingenangozi kunokukhokelela kwintlekele, nto leyo eza kufuna unyango elide ngakumbi. Thatha Ukunyamekela impilo yakho ukuluphatha ngemvo uxanduva.