Angina nyob rau hauv ib tug me nyuam

Tus kab mob no feem ntau tshwm sim thaum menyuam yaus thiab yog tus cwj pwm kub taub hau txog 39 ° C thiab siab dua, cov qog nqaij hlav o, mob caj pas thiab cov tsos mob ntawm intoxication (mob taub hau, tsis muaj zog).

Angina feem ntau tshwm sim thaum lub caij txias hauv cov menyuam yaus mus kawm ntawv, kindergarten, vim hais tias nyob rau hauv cov chaw no muaj kev pheej hmoo kis tus kab mob ntau dua. Angina feem ntau raug rau cov menyuam yaus uas muaj lub cev tsis muaj zog, feem ntau raug mob khaub thuas.

Hom angina hauv menyuam yaus

Angina tuaj yeem tshwm sim raws li tus kab mob ywj pheej, lossis ua rau muaj teeb meem ntawm lwm yam kab mob sib kis (flu, diphtheria, scarlet fever, qhua pias, thiab lwm yam).

Raws li qhov hnyav ntawm kev swb ntawm palatine tonsils, angina tuaj yeem yog:

• Catarrhal - daim ntawv yooj yim tshaj plaws ntawm angina nrog kev rov qab sai hauv 5 - 7 hnub;
• Follicular - tonsillitis nrog kev koom tes ntawm tonsil follicles. Thaum pom ntawm qhov chaw ntawm cov tonsils, daj, cov pob txha puv (follicles) pom;
• Lacunar - ib hom mob angina, uas yog tus cwj pwm los ntawm cov kab mob mucopurulent diffuse ntawm cov ntaub so ntswg ntawm tonsils, feem ntau nrog kev nce hauv cov qog ntshav hauv cheeb tsam;
• Ulcerative necrotic - qhov hnyav tshaj plaws ntawm kev puas tsuaj rau palatine tonsils nrog cov ntaub so ntswg necrosis.

herpes mob caj pas

Tus neeg sawv cev ntawm tus kab mob herpetic lossis herpes mob caj pas yog tus kab mob Coxsackie, uas belongs rau tsev neeg ntawm enteroviruses. Hom kab mob no yog qhov txaus ntshai vim tias nws tuaj yeem cuam tshuam tsis tau tsuas yog cov ntaub so ntswg ntawm tonsils, cov leeg nqaij, tab sis kuj cov paj hlwb. Yog li ntawd, herpes mob caj pas yog qhov txaus ntshai vim nws feem ntau tshwm sim nrog kev koom tes ntawm lwm yam kabmob.

Kev kis tus kab mob enterovirus tshwm sim los ntawm huab cua los yog fecal-qhov ncauj txoj kev. Koj tuaj yeem mob herpes mob caj pas ib zaug hauv lub neej, tom qab ntawd muaj kev tiv thaiv zoo rau hom kab mob no hauv lub cev. Feem ntau, cov me nyuam raug kev txom nyem los ntawm herpes mob caj pas, tab sis qhov no tsis suav nrog tus kab mob no rau cov neeg laus.

Cov tsos mob ntawm tus mob herpes caj pas yog:

• Cov tsos ntawm cov pob tshab me me npog lub qhov ncauj kab noj hniav, palate, tonsils. Tom qab ob peb teev, cov npuas no tawg. Nyob rau hauv lawv qhov chaw, mob yog tsim, npog nrog plaque. Cov rwj mob zoo tsis pub dhau ib lub lis piam tom qab;
• Qhov kub nce mus txog 39 ° C, nrog rau txias txias;
• Loj lymph nodes, ncauj tsev menyuam thiab axillary;
• mob caj pas, nqos nyuaj;
• Hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos, xeev siab thiab ntuav tuaj yeem tshwm sim.

Purulent mob caj pas

Purulent mob caj pas nyob rau hauv cov lus hais yog hu ua mob caj pas, uas yog nrog los ntawm ib tug tsub zuj zuj ntawm cov kua paug nyob rau hauv lub tonsils. Cov no suav nrog follicular, lacunar tonsillitis. Cov kab mob ntawm cov caj pas no yog ib txwm mob hnyav thiab nrog ua npaws nrog kub taub hau txog 40 ° C, cov tsos mob hnyav heev, mob taub hau, qaug zog heev, xeev siab thiab ntuav. Tus menyuam feem ntau muaj cov qog ntshav loj. Hauv cov ntshav, qhov ntsuas ntawm leukocytes thiab ESR nce. Cov tshuaj tua kab mob yog muab rau kev kho mob ntawm purulent tonsillitis.

Ua rau angina hauv menyuam yaus

Anginas txawv hauv keeb kwm, nyob ntawm seb cov kab mob uas lawv tshwm sim los ntawm, thiab muab faib ua kab mob thiab kab mob. Feem ntau (kwv yees li 90%), angina yog tshwm sim los ntawm kab mob, thiab nws cov kab mob feem ntau yog beta-hemolytic streptococcus. Hauv 20% ntawm cov neeg mob, qhov ua rau mob tonsillitis tuaj yeem yog kev sib xyaw ua ke ntawm streptococcus thiab staphylococcus aureus. Hauv cov menyuam yaus, angina ntawm kab mob kis feem ntau tshwm sim. Cov kab mob ua rau mob caj pas tuaj yeem yog cov kab mob hauv qab no:

• Adenoviruses;
• Herpesviruses;
• Cytomegalovirus;
• Cov kab mob Epstein-Barr;
• Tus kab mob vais lav ua mob rau txoj hlab ua pa.

Tus kab mob kis tau los ntawm ib tug me nyuam mus rau lwm tus los ntawm cov tee hauv huab cua, tab sis kuj kis tau los ntawm cov khoom siv sib koom, cov khoom siv tu cev, khoom ua si, lossis zaub mov.

Kev loj hlob ntawm mob tonsillitis tuaj yeem ua rau:

• kev mob siab qis;
• Txo kev tiv thaiv;
• Lub xub ntiag ntawm lub ntsej muag ntawm cov mob ntev (caries, sinusitis).

Angina tuaj yeem tshwm sim tsis tau tsuas yog ua tus kab mob ywj pheej xwb, tab sis kuj yog ib qho teeb meem ntawm lwm tus kab mob (flu, diphtheria, scarlet fever, qhua pias, thiab lwm yam).

Kev kho mob angina hauv menyuam yaus

Kev kho mob ntawm angina yog txhawm rau tshem tawm cov kab mob purulent ntawm cov ntaub so ntswg. Rau lub hom phiaj no, nrog rau cov kab mob angina, cov tshuaj tua kab mob tau muab tshuaj rau ntau zaus. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab seb koj tus menyuam yuav tsum noj tshuaj tua kab mob twg. Kev kho tus kheej ntawm angina hauv cov menyuam yaus yog qhov tsis tsim nyog.

Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem tsim kho qhov tseeb ntawm angina nrog kev kuaj xyuas tus menyuam kom meej. Ntau lwm yam kab mob tuaj yeem ua rau cov tsos mob zoo ib yam li tonsillitis, tab sis lawv txoj kev kho yuav txawv. Kev kho mob tsis raug ntawm angina tuaj yeem ua rau muaj teeb meem loj, xws li mob caj dab rheumatoid, pyelonephritis, glomerulonephritis, thiab lwm yam.

Hauv kev kho mob ntawm angina, kev pw tsaug zog yog sau tseg. Tus menyuam yuav tsum tau muab kev thaj yeeb nyab xeeb, tsis muaj kev ntxhov siab, muaj kua ntau, cov khoom noj mos uas tsis ua rau lub caj pas.

Rau kev kho mob ntawm cov kab mob streptococcal angina, tshuaj tua kab mob ntawm pab pawg penicillin (amoxicillin nrog clavulanic acid), macrolides (azithromycin, clarithromycin), raws li zoo raws li cephalosporins thiab carbopenems. Nrog herpes mob caj pas, cov tshuaj tiv thaiv kab mob tau sau tseg.

Kev kho mob ntawm angina yog txhawm rau txo cov tsos mob ntawm angina xws li kub taub hau, tshuaj tiv thaiv kab mob hauv zos. Rau qhov no, cov tshuaj tiv thaiv kab mob, paracetamol, nurofen thiab lwm yam tshuaj uas tsis yog-steroidal anti-inflammatory siv tau.

Txhawm rau txo cov txheej txheem mob hauv zos, yaug lossis yaug lub caj pas nrog cov tshuaj tua kab mob, piv txwv li, hexoral, miramistin, yog qhia.

Tiv thaiv angina hauv cov menyuam yaus hauv tsev

Kev tiv thaiv ntawm angina thiab nws cov teeb meem yog ntxiv dag zog rau lub cev tiv thaiv kab mob, hardening. Kev ua si lub cev, kev kawm lub cev, taug kev hauv huab cua, kev noj zaub mov zoo uas tsim nyog muaj cov vitamins thiab microelements tsim nyog. Nws yog ib qho tseem ceeb kom muaj kev tu lub qhov ncauj, tshem tawm cov foci ntawm tus kab mob raws sij hawm. Thaum muaj kev sib kis, nws yog ib qho tsim nyog yuav tsum tau ua kev ntsuas los tiv thaiv kev kis tus kab mob los ntawm cov tee dej.