Angina inyaya inofadza uye isingazivikanwi.
Kune rumwe rutivi: angina inowanikwa mune mamwe mabhuku ekurapa mabhuku, vazhinji vakave nayo, vakawanda vanoziva kuti kana "zvipembenene zvakanyura uye zvikamedza zvinorwadza" - ichi ndicho chikuru. Kune rumwe rutivi, hapana angina mune zvinyorwa zvepasi rese zvezvirwere (ICD-10). Izvozvo zvinopesana? Kwete zvachose.
Ichokwadi ndechokuti angina dzakawanda. Kunyanya chaizvo, zvikuru. Mhando dzakasiyana-siyana dzakasiyana dzinogona kuverengerwa pasina kusiya nzvimbo. Chinhu chinowanzobatanidza chinobatanidza zvose ndezvekuona kwekugadzirwa kwezvinhu zvakasiyana-siyana zve lymphatic system inonzi tonsils.
Tichaita zvishoma kuderedza kuitira kuti tinyatsonzwisisa zvakadzama: chii chinonzi toni, uye nei tichichida.
Protection system
Kusingagunun'una, kureva, urongwa hwekudzivirirwa kwemuviri wedu, pfungwa yacho yakatambanudzwa. Iyo inomiririrwa nemasero, masukisi, uye kunyange dzimwe nhengo dzakasiyana. Chimwe chinhu chinoputirwa nekudzivirira uye masero anonzi lymphoid. Mumumuviri kune nzvimbo dzakawanda dzaro. A pharynx ndomumwe wavo.
Nhamba yakawanda yezvinhu zvekune dzimwe nyika inouya kumitumbi yedu kuburikidza nemhino nemuromo - pano nemhepo, nemvura, uye zvokudya, nezvimwe zvinhu zvakawanda zvisina kuchena. Vavengi vane utsinye vanonyanya kushandiswa kuti vasave vasina chakaipa kune nzira dziri kure, kwete kuvabvumira. Ichi ndicho chinangwa chenguva yakazara yehutano hwakanaka mumutsipa, unonzi tonsils.
Iyo tonsil inowanzove "yakazaruka" lymph node. Pamusoro pezvibvumirano zvinokonzerwa nehutachiona huri huno hutungamiri hwepamusoro hwevadziviriri vemuviri nenzira yeshoko rimwechete lymphoid. Iko kune matani akawanda: maviri emarata, chimiro (pamudzi wemurimi), pharyngeal (posterior masvingo emagetsi), maviri emataipi ematalini (pamasuo kusvika kune mabhii ekupedzisira pamushure pe pharynx). Zvose izvi zvinyorwa zvinonzi ring Pirogov-Valdeier.
Isu, panzvimbo yekutanga, inofarira mazamu emarati, dzimwe nguva inonzi "parlance" yakafanana se "glands". Mune dzimwe nyika, dzinongova nemakumbo emapanga - mapundu emucheche, iyo inobva pamidzi yerurimi kusvika kune maruva akanyanya (saka zita racho). Aya matoni ndiwo makuru, ari munharaunda yavo iyo mutambo unonzi "angina" unotarisa.
Nenzira, amygdala muchiLatin inonzwika se tonsila, saka kuputika kwayo kunonzi "tonsillitis". Pano pasi pezita rematonillitis acute uye angina yedu inogara muI ICD-10.
Vashanyi vasina kugamuchirwa
Icho chinonzi acuteillitis chakanyanya chiri nyore: kukura kwekuvhiringidza kunopindurwa mukupindura pakuwana pa tonsils ye pathogenic microorganisms. Inogona kuva mabhakitiriya, mavairasi, fungi, zvichienderana, angina achava bhakitiriya, chirwere chetachiona kana fungal.
Kunewo marudzi akasiyana eangina mune zvirwere zvinouraya zveropa, asi mumasango akadaro hatikwanisi kushandisa, tichamira pamagadzirirwo ehutachiona.
Saka, pakati pebhakitiriya iyo yakawanda "yakakurumbira" zvirwere zve strep throat is streptococci. Inenge 80-90% yematonillitis acute iri streptococcal. Kazhinji, chikonzero chechirwere chinogona kuva staphylococci kana pneumococci. Kunyanya kakawanda mubasa repathogen rinogona kuita spirochaetes, uye rinokura zvakanyanya angina Simanovsky-Plaut-Vincent.
Chinhu chinonyanya kufadza ndechokuti angina inogona kuparadzirwa kwete chete nemadonhwe emagariro evanhu, asiwo kuburikidza nekudya, nokuti mukaka mumwe chete kana mbatata yakasvibiswa ndiyo miviri yakakodzera yekuberekwa kwe staphylococci kana streptococci.
Mune ramangwana, patinotaura nezve angina, tichava nepfungwa dze streptococcal acon titisillitis, nokuti ndiyo yakawanda kwazvo.
Kurwisana kwekufarira
Basa re streptococcus ndopinda mukati memuviri wemunhu uye kunobatsira ipapo nechinhu chinofadza. Basa rekudzivirirwa nemasikirwo ehurumende harifaniri kukanganisa kusanzwisisika munzvimbo tsvene uye kutsvaga nemari yakakura. Pane kuputika - kureva, kuitika kwemukati kune kuiswa kwepathogen.
Kuvhiringidza kwema toni kunoratidzwa zvikuru mukuruka kwavo (kubuda kweropa) uye kuwedzera (edema). Iyi ndiyo mifananidzo iyo iwe unogona kuona nekuzarura muromo wako pamberi pegirazi uye uchizviudza iwe "A-ah-ah-ah-ah-ah." Chiyero chekuwedzera kwemasoni chinogona kunge chakasiyana - pavanenge vachiri kutarisa kunyange kutarisa panamine arch, uye pamusana pekusarudzwa kwavanenge vasarudzwa mumuromo wepamuromo uye zvinobatana. Nemhaka yekuputika mumatoni, tine chiratidzo chikuru chengina - chironda chepamusoro kana ichimedza, uye dzimwe nguva kunyange kusakwanisa kumedza chero chinhu, kunyange saliva.
Nenzira, nokuda kwehuro refu rhinitis, kufukidzwa kana "kugara pasi" inzwi harisi unhu. Zviratidzo izvi zvingangodaro zvichitaura nezveAARVI kana kuti zvinokonzera chirwere chacho.
Mutsara unotevera wezvidziviriro ndeyemunharaunda. Ne angina, inoratidzika sekuwedzera uye kusuruvara kwe-angular-maxillary lymph nodes. Inogona kuve yakakomberedzwa nechepamusoro pejaya rezasi - mazamu akakomberedzwa hukuru hwepaa kana nheyo yehazelnuts.
Muganhu wekupedzisira ndiyo mhuka. Mhinduro kumubatanidzwa we streptococcus - high fever (kusvika 39 ° C), chills, musumbu aches, malaise, kushaya simba, kushungurudza, uye zvimwe zviratidzo zvekudhakwa zvakakwana zvinopedzisa chipatara chinyorwa chengina.
Matanho matatu
Angina inzira yepadanho. Uye kana asingagoni kupindira, anowanzopfuura nepakati pemhando yake yese-marudzi.
Zvose zvinotanga ne catarrha nehuro. Zviduku zvishoma uye zvakatsvuka, zvishoma zvinokwira mukushisa, hurombo hushoma kana humedza. Mutsipa usingaoneki unononoka panguva ino, zvakare, varwere ivo pachavo havasi kupa zviratidzo izvi zvakakosha.
Follicular tonsillitis ndiyo inonyanya kufanana nayo. Zita racho rinosanganiswa nechitarisiko chiri pamusoro penzvimbo dzemashoko emakona ekuunganidza pus, izvo zvinonzi follicles. Pano isu tatova nemifananidzo yakazara yeangina, kusanganisira high fever nezvimwe zviratidzo zvinooneka.
Kana iwe usingapindi, chirongwa chacho chichaenderera mberi, uye pus ichatanga kuzadza mapanga ematoni - mazamu. Angina achapfuura nepakati pemutambo we lacunar.
Phlegmonous tonsillitis haina kunyanya kushandiswa, uye zvinoreva chaizvo purulent kusunguka kwemasimbi, kuchinja kwekuvhukira kumatumbu akaipoteredza, kutonhora kusvika 41 ° C, iyo inowanzosawirirana noupenyu.
Kurapa
Chiremba anofanira kutora angina. Kuzvipa mishonga munyaya iyi hakusi kungogamuchirwa chete, asiwo kune ngozi, pamusoro peiyo zvishoma gare gare. Chirwere ichi chinofanirwa kusimbiswa nehutachiona hwekuongorora (swab kubva mumhino uye pharynx). Ichokwadi ndechokuti zvirwere zvinotyisa zvikuru, semuenzaniso, diphtheria, zvinogona kupa mifananidzo yakafanana.
Mishonga yemazuva ano ine zvinhu zvose zvinodiwa kuti zvibudirire kununura munhu kubva pamutsipa. Mushonga mukuru ndiwo antibiotics, ayo anosarudzwawo achifunga nezvekunzwisisika kwe microflora (imwe sarudzo yegciwane).
Zvakakosha kunyatsoteerera zvinyorwa zvose zvechiremba uye pasina mhaka zvakasununguka kuti kuderedza maitiro emishonga inorwisa mabhakitiriya. Kana zvisina kudaro, unogona kukura mhuka ine utsinye uye isina zvinodhaka.
Migumisiro inogoneka
Iye zvino pamusoro pechinhu chakakosha - pamusoro peiyo ingina inonyanya kuipa, uye nei vanachiremba vachifanira kuchengetedza mwedzi wose vanorwara angina, kurwisa urini, kutora electrocardiogram uye kuita zvimwe zvidzidzo.
Ichokwadi ndechokuti streptococci inofadza vashanyi. Zvinonyanya kushanda, zvirwere zvekudzivirira muviri, uye zvinogona kukonzera kuputika kwekuita kwepfungwa mumuviri wedu. Zvinetso zvakakomba zvikuru ndeye rheumatism (nemwoyo pamwe nekukuvadzwa kwekubatana) uye glomerulonephritis (kukundwa kwe-glomerular apparatus yeitsvo). Zvirwere zviviri izvi zviri nyore kudzivirira pane kupora gare gare.
Ndicho chikonzero nei pasina chikonzero iwe unofanira kumira kurapwa, kudzokera kumitoro yekare, kunyange kana hutano hwakavandudzwa pazuva rechitatu-4 rekurwara. Angina - chirwere chekunyengera uye chekufungidzira pachako hachikanganwiri.
Kunyoresa kuisa mukati mevanhu kunenge 10-15 muzana. Uye vechidiki (kusvika kune makore makumi matatu) ndivo vari pangozi yezvirwere. Izvi zvinokonzerwa nezviitiko zvine chokuita nemakore zvekushanda kwemasimba ezvirwere.