I-Laryngitis - izimpawu kanye nokwelapha kubantu abadala bazo zonke izinhlobo zesifo

I-Laryngitis ivame kakhulu - izimpawu kanye nokwelapha kubantu abadala kungase kuhluke ngokuya ngokuya ngezinga layo kanye nokuba khona kwamanye amagciwane emzimbeni. Lesi sifo esifanayo inqubo yokwelashwa ehambisana nomonakalo embranini emangcwabeni ye-larynx. Ngokuvamile lesi sifo sithinta isizinda sezifo ze-catarrhal.

Iyini i-laryngitis futhi iyingozi kangakanani?

Ehunyushwe kusuka olimini lwesiLatini, igama elithi "Laryngitis" lisho "i-larynx", yona ngokwayo ibonisa indawo yezilonda. Ama-main agents causative of the sifo:

amagciwane ( parainfluenza , isishubhu njalonjalo);
amabhaktheriya (i-diphtheria, treponema, i-pertussis, i- mycobacteria nabanye).

Izici ezilandelayo zingabangela ukuthuthukiswa kwalesi sifo:

isifo esithathelwanayo samanje;
Umthwalo osebenza isikhathi eside futhi ojulile emidlalweni yezwi;
ukubhema;
ukuphathwa kabi kotshwala;
umkhuba wokudla ukudla okumnandi noma okushisayo;
uketshezi nge-metal enzima kakhulu;
ukukhwehlela okomile isikhathi eside njalo njalo.

Lesi sifo sidinga ukwelashwa ngokushesha. Udokotela uzokusiza isiguli ukuba siqonde ukuthi yi-laryngitis, ukhethe ukwelashwa okungcono nakakhulu kakhulu. Ngokuhamba kwesikhathi, ukwelashwa kuzosheshisa inqubo yokutakula futhi kusize ukugwema imiphumela emibi. Izinkinga zingase zenzeke kakhulu, ezinye zazo zigcwele umphumela obulalayo.

I-laryngitis enamandla

I-pathology yale fomu ingase ibe khona njengesifo esizimele noma ibe umngane we-HIV. Lesi sifo siqala ngomkhuhlane owomile, ubuhlungu bomphimbo nokuzwa okubuhlungu uma kugwinya. Ngokuhamba kwesikhathi, i-sputum iqala ukwakha, i-larynx ivuvukala. I-laryngitis enamandla kubantu abadala iyingozi. Kungabangela imiphumela enjalo:

ukugula kuphenduka isigaba esingapheli;
I-edary Laryngeal ingabangela ukuphelelwa amandla;
kuholela ekuthuthukiseni i -abscess abscess , i-mediastinitis kanye ne-sepsis.

I-laryngitis engapheli

Leli fomu lesi sifo livela kulezi zinhlobo ezilandelayo:

i-catarrhal - ecasulwa ukuphulwa kokusakazwa kwendawo;
hypertrophic - kukhona izinguquko kwisakhiwo se-mucosa;
i-atrophic - iziguli zikhononda ngokuzwa komzimba wangaphandle emphinjeni.

Ukuvuvukala okunjalo kwe-murysa laryngeal kungacasulwa yizici ezilandelayo:

ukuphuza kakhulu utshwala;
ukubhema isikhathi eside;
uma isimo esibi sesifo singelapheki kuze kube sekupheleni.

Izinkinga ze-laryngitis

Kubalulekile ukukhumbula ukuthi ingozi yemiphumela emibi ingcono. Eziningi zazo zilashwa, kodwa ezinye ziyingozi enkulu empilweni. Ngokuvamile ukuvuvukala kwe-larynx kubangela izinkinga ezinjalo:

ukwakheka kwesisu esibi noma esibi;
ukulahlekelwa kwezwi;
i-stenosis ye-larynx ;
ukuvela kokubunjwa kwe-tumor;
ukuhamba kwe-larynx kuphazamiseka;
kukhona i-croup yamanga;
i-tonsillitis noma i- bronchitis .

Izimpawu zikaLaryngitis kanye nokwelapha kubantu abadala zikhethekile. Ukunakekelwa ngokucophelela esimweni sesiguli kufanele kunikezwe uma izimpawu ezilandelayo zibonakala:

isikhala sesikhumba;
izinkinga ngokugwinya ukudla;
ukushisa komzimba okwandisiwe;
ukuluhlaza okwesibhakabhakeni kolonxantathu lwama-nasolabial.

I-Laryngitis - Izimpawu

Ifomu elibi lesi sifo libhekene nokubonakala okungazelelwe kwezimpawu. Lesi sifo sihambisana nesithombe somtholampilo:

ukuzwa ushushiso;
ukulahlekelwa kwezwi;
ukubukeka kwe-sputum;
ukuvuvukala kwe-mucosa yama-laryngeal;
ukushisa komzimba okwandisiwe;
ukuwohloka kwesimo jikelele;
umkhuhlane.

Ifomu elingapheli linemikhakha yokukhuphula nokukhululwa. Ngezinye izikhathi kungenzeka ngaphandle kwempawu ecacile. Izimpawu ze-laryngitis kubantu abadala zivame ukuboniswa:

ukoma emqaleni;
ukukhwehlela;
ukuzwakalisa;
Ukushushiswa;
ukuhlonipha okunye nokunye okunye.

Ukushisa nge-laryngitis

I-fever iyindlela yokuzivikela yomzimba, ebonisa ukuthi kukhona umzabalazo osebenzayo ne-agent causative yale nkinga. Nge-laryngitis, amabhaktheriya abangela izifo ahlala ku-mucosa laryngeal: aphindwe ngamandla, enza ukuvuvukala. Izinqubo ezinjalo ze-pathological zenza ukuhlanganiswa kwe-pyrogens futhi kuholele ekukhuleni komzimba.

Ukuvuvukala amabhaktheriya wezimpawu ze-larynx kubonakala. Kule nkinga, i-subfebrile fever ibonakala. Lokhu kwanda kwezinga lokushisa kuthuthukisa ingculazi yendawo. Umsebenzi we "provocateurs" wehla: lokhu kuholela ekubuyiseleni inqubo yokuvuvukala, ukubhujiswa komthamo we-pathogenic nokunciphisa izimpawu zesifo.

Izimpawu zelaryngitis ezinomdlavuza kanye nokwelapha kubantu abadala zifana nalokho okwenzeka kuleso sifo sebhaktheriya. Nokho, ngalolu hlobo lwe-pathology, kubonakala izinga lokushisa eliphezulu. Ingavuka ku-39 ° C. Kulo mbuso wokushisa, umsebenzi we-micro-organisms we-pathogenic wehla. Ngesikhathi esifanayo, i-interferon ikhiqizwa. Lezi zinto zivimbela ukungena kwamagciwane ukuze abe amangqamuzana e-mucosal.

Inhlanzi nge-laryngitis

Ukuvuvukala kwebhubhisi lamangqamuzana le-larynx kuhambisana nezibonakaliso ezinjalo:

isomiso;
isikhala emqaleni;
Ukushushiswa;
izinzwa ezibuhlungu.

Isikhumba nge-laryngitis

Izimpawu zokuvuvukala kwe-larynx ngezigaba ezahlukene zesifo zivela ngokushintshashintsha okukhulu. Isibonelo, ukukhwehlela: kwenzeka ngezinhlobo ezinjalo:

Emanzi - ihambisana nalesi sifo ekuqaleni kwesigaba sokuthuthukiswa kwayo. Ezinsukwini zokuqala zesilonda sezinsongo ngisho nokucabanga kuthiwe ukuthi ukwelashwa akunikezi umphumela obonakalayo.
Ukukhahlela - kuhambisana nokuphefumula komsindo nge-screech.
Okumanzi - kuthathwa njengokukhiqiza. Ikuvumela ukuba ususe ukuvuvukala kwe-mucosa futhi unciphise isimo.

I-Laryngospasm kubantu abadala

Lena inqubo yokwelapha lapho kuvele khona ukuqubuka kwemisipha ye-larynx ngokuzumayo. Lesi simo asikwazi. Ingahambisana ne-tracheospazmom. Ngaphezu kwalokho, i-laryngospasm inezibonakaliso ezengeziwe:

ukulahlekelwa kokuqonda;
isikhukhula emlonyeni;
ukuxubha;
ukukhishwa ngokungenakuphika kwesisu nesisu;
ukuboshwa komzimba.

Uma kukhona uhlobo olulula lwesifo, i-edema laryngeal ne-laryngitis ihambisana nokuhlaselwa okwesikhashana. Ahlala isikhathi esingaphezu kwemizuzu emibili. Esigabeni sokuqala sokuthuthukiswa kwesifo, izikhala ze-spasms zenzeka izikhathi ezingu-2-3 ngosuku, ikakhulukazi emini. Kodwa-ke, njengoba isimo siqhubeka, ukwanda kwawo nokuvama okukhulu. Ukuhlaselwa okunjalo, uma kungenakunyakaziswa, kungaholela ekufeni.

I-Laryngospasm yisimo esiphuthumayo kubantu abadala

Ngokuhamba kwesikhathi, izinyathelo ezithathwe kuzosiza ukusindisa impilo yabantu.

Uma i-laryngospasm isenzekile, usizo lokuqala lufana nalokhu:

Kudingekile ukubeka isiguli endaweni eqinile enezakhiwo eziphezulu.
Kubalulekile ukususa izembatho zangaphandle, ukwenza kube lula ukufinyelela emoyeni emaphashini.
Uma kukhona i-irritants eseduzane, idinga ukususwa.

Uma i-laryngitis eqinisekisiwe, izimpawu kanye nokwelapha kubantu abadala abane-spasm kuhloswe ukunciphisa isimo sesiguli. Usizo lokuqala lwezokwelapha luhunyushwa kanje:

Ukuhlaselwa okuncane - 2.5 mg weSalbutamol ifakwe nge-nebulazer. Ubude benkambiso yimizuzu engaba ngu-15.
Ukuhlaselwa okulinganisiwe kumiswa nguSalbutamol. Faka u-5 mg wesidakamizwa ngehora lesehora.
Ukuhlaselwa okumangalisayo - i-spasm isuswe yi-Berodual (2-3 ml) no-Budesonide (2000 μg). Lezi zidakamizwa zingena emzimbeni nge-nebulizer. Futhi, i-120 mg ye-prednisolone ilawulwa ngaphakathi.
Isimo se-asthmatic of the attack - spasm simiswa nguSalbutamol (5 mg), i-Budesonide (2000 μg) ne-Berodual (3 ml). Lezi zidakamizwa zihanjiswa emzimbeni nge-nebulizer. Ngaphezu kwalokho, kunconywa ukuba kuhlinzeke i-120 mg ye-prednisolone ngaphakathi.

I-Laryngitis - ukwelashwa kubantu abadala

Ngaphambi kokuqhubeka nokwelapha, udokotela uzobe ebeka isifundo sokuqala. Ngenkathi kutholakala ukuthi udokotela uzokutusa ukuphathwa okunjalo:

ukuhlolwa kwegazi jikelele;
I-Fluorography ;
ama-smears avela ku-larynx;
laryngoscopy.

Uhlelo olujwayelekile lokuphathwa kwalesi sifo kanje:

Ukunciphisa imithwalo kwi-larynx (ukuthula).
Ukukhishwa ekudleni kokudla kuphazamisa i-membrane emangcwabeni (acute, saline njalonjalo).
Ukwenqaba ukubhema nokuphuza utshwala.
Ukufudumala, ukuphuza okuningi.
Ukwamukelwa kwemithi nokusetshenziswa kwabantu "amalungiselelo".

Imithi ye-laryngitis kubantu abadala

Ngokwelashwa kwendawo nendawo jikelele, la maqembu ezidakamizwa asetshenziswa:

expectorants - Mukaltin, Gerbion, Prospan, Eucumbal;
antihistamines - iZodac, Loratadine noma Suprastin;
izindlela zokwelapha unqulo wesi arab - Fenspiride noma Fusafungin;
Amakhemikhali aqinisa amandla-ahlanganiswe lapho kune-Eleutherococcus noma i-Radiola;
amaphilisi angenayo (Isla, Neo-Angin) nama-aerosol (iTera-Flue, Camphoen).

Ama-antibiotic we-laryngitis anqunywe kuphela kulawo maxuku uma kuhlolwa kokuhlolwa kwesiguli kwaqinisekiswa ukuthi lesi sifo sinomsuka we-bacteria. Ukuze uphathe ukwelashwa okunjalo, izidakamizwa ezilandelayo zivame ukusetshenziswa:

Amosin;
I-Flemoxin;
I-Augmentin;
Amoxiclav.

Inhalation nge-laryngitis

Ekulweni nalesi sifo, ukwelashwa kwe-nebulizer kunqunywe. Uma i-laryngitis itholakele (izimpawu nezibonakaliso zifanelekile), ukwelashwa okunjalo kubantu abadala nasezingane kubhekwa njengendlela ephephile futhi ephumelelayo kakhulu. I-nebulizer isetshenziselwa ukungena. Le divayisi igumbi elikhethekile, lapho kutholakala khona izidakamizwa, okuyinto ngenkathi inqubo iphenduka i-aerosol. Kusetshenziswe ku-Pulcicort nge-laryngitis. Kodwa-ke, lokhu akuwona kuphela umuthi onqunyelwe ukulwa nalesi sifo. Imithi evame ukusetshenziswa kakhulu kulawo maqembu yilezi:

ama-antibiotics - i-Miramistin, i-Dioxydin;
ama-mucolytics - ATSTS, i-Chimotrypsin;
amanzi amaminerali e-alkaline (aqhubekela phambili ngenqubo yokukhishwa kwe-sputum);
izixazululo zokunciphisa (isib. Isixazululo samafutha e-Citral).

Ngaphambi kokwelapha i-laryngitis nge-inhalation, udinga ukutadisha ngokucophelela ukuphikisana nokuqaliswa kwalezi zinqubo. Lezi zihlanganisa izinto ezilandelayo:

ukusabela okweqile kumkhiqizo wokwelapha osetshenzisiwe;
ukushisa komzimba okwandisiwe;
umfutho wegazi ophezulu;
umphimbo we-purulent;
ukuphazamiseka kwenhliziyo yesigqi.

Ukwelashwa kokuvuvukala kwe-larynx ngamakhambi abantu

Ukwenza lula isimo esimweni esiyinkimbinkimbi, "imithi ehlukile" ingasetshenziswa futhi. Kodwa-ke, ukwelashwa kwe-laryngitis ekhaya kufanele kwenziwe ngaphansi kokuqondiswa kukadokotela, ngoba ukuziphilisa kungabangela umonakalo omkhulu emzimbeni. Ngaphezu kwalokho, zonke izidakamizwa "zinezimo ezincane", ngakho-ke uma kuhlaselwa, izidakamizwa kuphela zokwelashwa zisetshenziselwa ukuyeka.

Indlela yokuphatha i-laryngitis ekhaya - iresiphi yezidakamizwa eziyisimangaliso

Izithako:

amanzi 250 ml;
i-cognac - 2 tbsp. izinkezo;
Honey honey - 50 g;
izithelo ze-anise-isigamu sendebe;
ukuphuza utshwala we-propolis.

Ukulungiselela, uhlelo lokusebenza

I-pan yamanzi ifakwa esitofu.
Lapho amathumba oketshezi, uphonsa izithelo lapho bese upheka ekushiseni okuphansi ingxenye yesigamu sehora.
Umhluzi uhlungwa (izithelo kufanele zisuswe) futhi zihlotshiswe uju ne-cognac.
Imithi ihlihliwe. Thatha yonke ihora lesigamu se-1 tbsp. isipuni, kuhlanganiswa ne-1 drop of propolis.

Indlela yokuphatha ukuvuvukala kwe-larynx nge "ulungiselelo" ka-garlic?

Izithako

i-garlic - ingxenye engu-1;
uju - ingxenye engu-1;
amanzi 250 ml.