Ciwon makogwaro: da causative wakili na da cuta a cikin manya da yara. Alamun da iri angina

Abu ne mai wuya a can za su kasance mutane da yawa suka taba yana da ciwon makogwaro. Don kauce wa wannan, wasu suna jin tsoro ya ci ice cream, kada ka sha giya mike daga firiji, kuma suka shakka mai tsanani. Amma idan sanyi ciwon makogwaro mai aukuwa? A causative wakili na cuta, yadda za daidai bincike samu da yawa sosai fuskoki. Kuma da "kai hare-hare" a kan mu makogwaro ga mahara dalilai. Angina iya fara a matsayin mai wahala na sauran tsanani cututtuka, kamar mura, shi ne zai tserar da mu daga waje hatsari microbes. Amma a mafi yawan lokuta da causative wakili na tonsillitis ne HALITTAR na kankanin kwayoyin da cewa rayuwa a cikin bakinka kullum da kuma ba dõmin cũta. Abin da ya kamata faru da wadannan kwayoyin cuta ba zato ba tsammani zama m? Abin da sauran pathogens sa kumburi a makogwaro? Ta yaya suka shafi yanayin da cuta? Yadda za a kare kanka da kuma masõyansa daga gare su?

Ciwon makogwaro, tonsillitis ko pharyngitis?

Yadda muke tunanin wani ciwon makogwaro? Wannan ja makogwaro, tickling, zafi a lokacin da hadiya, zazzabi, lethargy, sha'awar kwanta. Wasu kira wannan jiha na tonsillitis, sauran angina. Amma, yana da abu guda. The kalmar "tonsillitis" da aka samu daga Latin tonsillae, wajen 'almond', ko kuma, a cikin wata kasa, tonsils. Wadannan su ne samuwar lymphoid nama, abin da na tsare mu daga hatsari microbes da taimako wajen samar da kariyar. The kalmar "angina" da aka samu daga Latin Ango, wanda ke nufin "to matsi, matsi."

Kumburi da tonsils, a cikin abin da makogwaro kamar yadda aka matsa, kuma yana da tonsillitis ko ciwon makogwaro. Pathogen disrupts al'ada yanayin mu tonsils iya zama:

• ƙwayoyin cuta.
• kwayoyin cuta.
• pathogenic fungi.

Sai dai itace, a ciwon makogwaro ne ba ice cream ko wani sanyi da abin shã. Tsawo daukan hotuna da sanyi a nan, kuma m.

Pharyngitis aka kira kumburi da pharynx (da tube haɗa da bakinka da esophagus), kamar yadda a Latin Makogwaro sauti kamar pharynx. Amma a cikin sama ɓangare, wannan jiki ne makogwaro da tonsils. Saboda haka, makogwaro a cikin makogwaro da kuma maƙogwaro kuma za a iya dauke angina. Bambanci ne cewa ciwon makogwaro ne kawai cutar, da kuma ciwon makogwaro iya zama maras dauke da kwayar cutar, cewa ne ya sa ta daukan hotuna zuwa mai guba tururi makogwaro, zafi iska, wannan ice cream da hypothermia. Alamun shi ne kama da mura da kuma sun hada da:

• ciwon makogwaro.
• zafi a lokacin da hadiya.
• wani lokacin zazzabi da tari.

Kamuwa pharyngitis, ma, shi ne, a Bugu da kari, zai iya zama mai wahala na mura, da mulufi zazzabi da sauran magunguna. A irin haka ne, shi ne sau da yawa misdiagnosed kamar yadda angina. A causative wakili na da wadannan biyu cututtuka ne guda, bayyanar cututtuka su ne kusan m. Ba kamar da cewa ko da gogaggen likitoci ba ko da yaushe lura, cewa a angina kumburi sarrafa a cikin tonsils. A ciwon makogwaro lokacin da shi ba shi da sarari iyaka, redness a makogwaro kamar yadda idan ya zube, tonsils cunkoso a kan janar bango ba tsaya a waje.

iri angina

Tare da lakabi ailments gane. Yanzu la'akari da abin da siffofin iya dauka tonsillitis ko ciwon makogwaro. A causative wakili a nan taka muhimmiyar rawa, amma ba daya kawai. Bugu da kari ga irin microbe, gabatar a cikin makogwaro, da kuma rarrabe mataki na lalacewa, wanda yana da muhimmanci sosai a nada far. Bisa ta gabatar ba, a ciwon makogwaro ne:

• bluetongue.
• lacunar.
• follicular.
• ƙurji.
• fibrinous.
• herpes.
• kabba da ciwon sanyi.
• ulcerative fim.

pathogenic ƙwayoyin cuta

Wadannan rayuwa Tsarin ninka kawai a cikin sel masu rai, saboda haka kullum ku yi jihãdi a shiga. A lõkacin da suka buga mana a bakin kariya tsarin nan da nan za a fara samar da antibodies domin su kau da sojojin intruders. Idan kiwon lafiya shi ne duk dama, da kuma karfi na rigakafi tsarin, ƙwayoyin cuta da ikon rike da baya ko gaba daya hallaka.

Idan jiki rarrauna ne, da parasites aka gabatar a cikin sel da tonsils - mu shãmaki - da kuma fara rayayye haifa. Sel mutu, da tonsils zama inflamed, lokacin da na fara kwayar ciwon makogwaro. A causative wakili da cutar zai iya zama mura cutar, Epstein-Bar, herpes, Coxsackie, adenovirus, picornavirus, enterovirus. A yi, da irin pathogen da kuma sanin da wuya ba su duk wani sunan - SARS. Mafi sau da yawa fama da kwayar ciwon makogwaro:

• yara.
• tsofaffi.
• halartar wani cuta, tiyata.
• mata masu juna biyu.
• Marasa lafiya daga duk wani kullum rashin lafiya.

Wannan shi ne, a cikin hadarin kungiyar mutane da rauni na rigakafi da tsarin. Jikinsu yana ba su iya ci gaba da yawa antibodies, don haka invading ƙwayoyin cuta sauƙi isa su dacewa Kwayoyin.

Ganiya kwayar ciwon maƙõsai dama a cikin hunturu da kuma kashe-kakar, musamman farkon spring, a lokacin da muka ci kasa sabo ne 'ya'yan itace da kayan lambu.

Ka tuna: sosai m kwayar tonsillitis. A causative wakili ne sosai virulent, wancan mai sauki ne ga harba sabon wadanda ta hanyar sneezing, tari, wani tunanin tattaunawar, sumba. Har ila yau, ƙwayoyin cuta iya shirya a kan batutuwa dabam-dabam da kuma samun a cikin bakinka (musamman ma yara) da in babu kiwon lafiya.

Alamun mai kwayar ciwon makogwaro:

• ciwon makogwaro.
• tonsil redness (wani lokacin whitish shafi ne ba).
• da yawan zafin jiki.
• kumbura Lymph nodes a cikin wuyansa, submandibular yankin.

Sau da yawa akwai da yawa da na kowa bayyanar cututtuka na kwayar cututtuka:

• take hakkin a kujera.
• tashin zuciya.
• tari.
• conjunctivitis.
• runny hanci.

Magani ne da za'ayi tare da antivirals kamar "Ergoferonom". Maganin rigakafi suna contraindicated. A high yanayin zafi wajabta antipyretic "asfirin", "Paracetamol". A haƙuri ya taimakawa yalwatacce dumi sha, kurkura maƙogwaro da magani "chlorhexidine" bayani furatsilina ko decoction na chamomile, calendula, wani bayani na yin burodi soda. To taimako compresses. Yayansu iya yi tare da bayyana dumi ruwa ga manya ne kyawawa don ƙara zuwa ga ruwa wani barasa (1: 1). Bed sauran - a bukata kafun na m dawo.

Pathogenic kwayoyin cuta, da causative wakili na strep ciwon makogwaro

Kowane mutum na zaune na game da 4 kg na kwayoyin. Abin farin, kawai 1% na su ne pathogenic. Daga cikin sauran 99% ne da ake kira opportunistic wanda ya zama pathogenic a karkashin yanayi, misali a lokacin da loosening rigakafi. By namu bad microbes za a iya kara daga yanayi "kasashen waje" kwayoyin. Pathogens angina daga cikinsu akwai:

• streptococci.
• staphylococci.
• spirochetes.
• diplococci.
• Bacillus Loffnera.
• gonococcus.

Mafi yawan waɗannan parasites suna da nasu m rarrabuwa. Wakilai daga kowane iri bambanta da juna ba wai kawai a cikin bayyanar amma kuma hali. Bã su da wani propensity zuwa mamaye da-tsare Kwayoyin asirce daban-daban endo- da exotoxins, bi da bi, sa daban-daban iri kumburi da kuma ailments. Saboda haka, ya bi da su duk wannan maganin rigakafi iya ba. Domin sanin abin da ake bukata da kuma yadda za a yaki da kwayoyi, likitoci suna shan smears na ruɓaɓɓen jini da kuma gamsai daga cikin makogwaro da kuma tonsils.

A causative wakili na strep ciwon makogwaro - shi ne anaerobic, ba bukatar oxygen, ba motsi, bibbiyu ko a cikin marũruwa. Nau'in Streptococci ban sha'awa. Duk da su, dangane da yadda za ku hallaka ja jini Kwayoyin (hemolysis hali), ya kasu kashi uku kungiyoyin - alpha, beta da gamma. Alpha-kira viridans streptococci saboda su ne bai cika hemolysis, kuma a cikin da gazawar zone bayyana greenish launi.

Gamma streptococci ba hallaka ja jini Kwayoyin. Yanzu suna ware a raba rukuni na enterococci.

Beta streptococci hallakar da ja jini Kwayoyin. Sun kasu kashi kungiyoyin A to U. Members na kungiyar A, ko pyogenic kwayoyin suna dauke opportunistic. Za su iya samun cikin bakin yanayi da kuma nan da nan fararwa da cutar, da kuma iya isar da dogon lokacin da hassles. Amma da zarar mutum zai yi rauni, tsarin na rigakafi, da streptococci fara hallakaswa ayyuka, haddasa ciwon makogwaro, pharyngitis, mashako, da mulufi zazzabi, abscesses kuma ko da mai guba buga.

A kwayan tonsillitis, pathogen staphylococcus aureus

Wannan na biyu da irin microbe iya opportunistic zama mai hadarin gaske. Sunan zo daga kalmar Helenanci "STAF", wanda yake nufin "innabi" saboda staphylococci suna ko da yaushe shirya a kungiyoyin kama hõre nunannun 'ya'yan inabi. Su ma, ana gyarawa da kuma ba ya bukatar oxygen. A bakin dauke up to 40% na sauran kwayoyin. Muddin wani mutum yana da babban rigakafi, su ne m, amma a debilitated mutane, wadannan microbes ne musamman aiki. Su taimake su ba, kuma pathogenic streptococci, staphylococci, wanda sau da yawa aiki tare. Wannan biyu da aka samu a wani shafa daga makogwaro da tonsillitis da kuma sauran cututtuka. Staphylococcus aureus ne:

• zinariya.
• epidermal.
• saprophytic.
• haemolytic.

Su duk sa surkin jini kumburi da kuma samar da mahara gubobi da za su iya ko da kai ga mutuwa. Domin ya kāre staphylococci nuna takamaiman sunadarai, penicillinase, inda suka kashe antibodies da kuma yin da yawa maganin rigakafi mara amfani.

Live staphylococci, ba kawai a cikin bakinka amma kuma a cikin yanayi. Suna da dama da kwanciyar hankali. Alal misali, bushe substrates sauran daga ruɓaɓɓen jini da kuma sputum, suka zauna aiki na watanni shida, watanni 3 a cikin turbaya, ba su mutu ba, a cikin rana, a cikin injin daskarewa, a ruwan zafi, disinfectant bayani ne kiyaye aiki. Kawai tafasasshen iya kashe su samunsa.

Sauran iri kwayoyin cuta, ko da yake ba kasa pathogenic, amma suna da yawa ƙasa da na kowa.

catarrhal angina

Kalmar "catarrhal" an kafa daga catarrhus, Ina nufin gudu-kashe na taya. Yanzu irin wannan mucosal kumburi sau da yawa kira SARS. tonsillitis causative jamiái a manya da yara da kuma na iya zama kwayar ko kwayan. A Sanadin farko da cutar:

• kunnawa da pathogenic microbes ba a bakin.
• mamayewa daga waje (a lamba tare da marasa lafiya da kuma wadanda ba yarda da kiwon lafiya).

bayyanar cututtuka:

• mai kaifi tabarbarewar a kiwon lafiya, mãsu rauni a dukan jiki.
• ciwon kai.
• zafin jiki (a zaba marasa lafiya, kuma zai iya ci gaba a cikin 37,2-37,5 ° C, amma mafi yawa yakan sama 38 ° C).
• kara a submandibular Lymph kumburi zone.
• jin cewa makogwaro "yayyage up".
• m hadiya.
• redness da kuma kumburi daga cikin tonsils da kuma mucosa arches makogwaro.
• bayyanar wani whitish plaque a kan tonsils, amma ba tare da ulcers.
• kara gina jiki a cikin fitsari (a high zazzabi).
• a cikin jini na iya kara ESR da fari da maikacin jini, amma wannan siffa ba halayyar.

Catarrhal ciwon makogwaro ba tare da zazzabi sau da yawa bincikar lafiya a matsayin m na numfashi cutar.

Pathogens na ciwon makogwaro a yara shekaru grudnichkovogo canjawa wuri daga da waxannan cututtukan uwa ko wasu 'yan uwa. Tun da na rigakafi da tsarin a jarirai ba a kafa, cutar na iya fara daga hypothermia da kuma bayan sauran kwayar cututtuka. Mafi sau da yawa, yara suna fama da staphylococcus, streptococcus da ƙwayoyin cuta.

A bayyanar cututtuka iri daya ne kamar yadda a cikin manya, amma yana iya zama:

• moodiness.
• rashin so ga ci;
• drowsiness ko, conversely, tashin hankali;
• ya karu salivation.
• a high zazzabi cramps, zawo da kuma regurgitation.

Hanyar magani:

• gado sauran.
• kurkura maƙogwaro da magani, compresses.
• shan yalwa da ruwaye.
• shan magungunan sulfa ( "Biseptolum", "Streptocide" "Bactrim");
• antihistamines.
• antipyretics (nuni).
• bitamin.

Maganin rigakafi kawai sanya wani likita a kan tushen da wadannan ƙididdiga.

lura da angina a jarirai algorithm kayyade likita. Kafin ta zuwa iyaye za su iya kawai buga high zafin jiki (idan sama 38 ° C) tabbatar da m Hanyar kunshi a shafa maraƙi yaro ko kawai rauni goshi vinegar bayani. Da kansa ko antipyretics ko maganin rigakafi ba za a iya ba. Kids girmi shekara guda kafin zuwa na likita zai iya ba da jariri zazzabi "Paracetamol" ko "Nurofen", kuma sau da yawa yaro sha dumi shayi.

tonsillitis

Follicles a cikin makogwaro - wannan jari na lymphatic Kwayoyin a cikin tonsils. Karkashin al'ada yanayi suna kama da dabara bumps. A lõkacin da suka zama inflamed, zai fara tonsillitis. A Sanadin cutar ne guda a matsayin cewa na catarrhal tonsillitis, wanda sau da yawa tasowa ba tare da magani a follicular. A manya da yara ta gana da wani daidai mataki. A causative wakili na tonsillitis - streptococcus, staphylococcus, wasu ƙwayoyin cuta.

bayyanar cututtuka:

• kaifi kwatsam halarta a karon, bayyana a cikin bugu yanayin zafi sama da 39 ° C, zazzabi, janar rauni.
• zafi a cikin makogwaro, har ya zuwa kunnuwa.
• splenomegaly.
• zafi a kai, a baya;
• Wani lokaci ãyõyin maye, da yara ne mafi pronounced.
• hyperemic tonsils, tare da kama hankali fari ko dan kadan yellowish kananan ulcers.

• wani lokacin bayyanar cututtuka na zuciya rashin cin nasara (tachycardia, zafi a cikin zuciya).
• worsening zafi a lokacin juya shugaban.
• a cikin jini ya karu eosinophils, erythrocyte sedimentation kudi, farin jini Kwayoyin.

Kamar yadda jamiái na angina ne sau da yawa streptococci da staphylococci, watau kwayoyin cuta, magani ne m yi tare da maganin rigakafi. Su kewayon girma - "Ampicillin", "Erythromycin", "Tsefamezin" da sauransu.

Yara da manya kuma iya amfani da sprays to taimaka zafi a cikin makogwaro "Orasept", "Faringosprey". Sauran algorithm ne kama da abin da ake amfani a cikin bluetongue angina.

ya kamata a cire daga menu m, yaji, gishiri, peppery abinci. Yara ya kamata a ba mashed dankali da haske porridge, da kuma karfi-ciyar da aka contraindicated.

lacunar tonsillitis

Lacuna - wani samuwar kan tonsils a cikin nau'i na Aljihuna da GROOVES. Su ne manufa domin adanar su a surkin jini exudate gamsai. Pathogens lacunar angina - ne kawai kwayoyin cuta, sau da yawa cocci, amma ƙwayoyin cuta iya muhimmanci worsen riga dire jihar na haƙuri. Alamun a follicular lacunar angina ne irin wannan, amma shi nuna a cikin wannan yanayin ne yafi pronounced. Saboda haka, marasa lafiya ne sau da yawa zazzabi tsalle har zuwa 40 ° C, ciwon kai zai iya zuwa har amai, ãyõyin maye ne ba a cikin yara da manya a, gajiya, kuma rauni a ko'ina cikin jiki haka da cewa mutum ba ya so su motsa. A haƙuri da tonsils ko da wani layman gani fari ko yellow pustules. Suna da yawa ya fi girma fiye a follicular tonsillitis, amma ba kamar yadda m kamar yadda a cikin makogwaro na fungal raunuka. Wannan shi ne babban manufa na gani bambance daga cikin wadannan uku cututtuka.

Jiyya na follicular lacunar angina m. Ulcers a makogwaro ba zai iya share wani abu, kuma a raunuka - lubricated magunguna iri iri. Plaque iya kawai za a iya cire rinses.

Wani lokaci follicular da lacunar angina ci gaba zuwa mataki fibrinous, surkin jini a lokacin da plaque shimfidawa da tonsils a makwabtaka da yankunan da makogwaro.

herpangina

A wannan cuta akwai da dama m sunayen - gerpangina, aphthous ko Enterovirus vesicular pharyngitis. A causative wakili na herpes cutar ciwon makogwaro, ko kuma wajen da dama serovars coxsackie cutar, ba kwayoyin cuta, haka kwayoyin magani a cikin wannan yanayin ne da bai dace ba. A cuta mafi sau da yawa rinjayar yara, ciki har da jarirai, da kuma manya da wuya kamu. Gerpanginu karba mai sauki, kamar yadda Coxsackie ƙwayoyin cuta ne virulent dama da kuma sauri canjawa wuri daga da kafofin watsa labarai-mutane da droplets, kasa fecal-baka hanya (datti hannuwa - toys, pacifier - bakinka). Ko da more wuya, cutar za a iya samu daga lamba tare da wasu dabbobi, kamar aladu. Da zarar a cikin jiki da aka azabtar, ƙwayoyin cuta harba Lymph nodes, sa'an nan zuwa ga jini da kuma daga can cikin makogwaro Lymph tsarin.

bayyanar cututtuka:

• kaifi halarta a karon (zafin jiki Jump na 40 ° C, wani rauni, har nestoyaniya a kan ƙafãfu a yara akai-akai lura seizures).
• ya karu soreness na makogwaro.
• runny hanci.
• wani lokacin tari.
• rash a cikin makogwaro a cikin nau'i na m vesicles, cike da hujjõji exudate (da suka yi kama da wadanda suke tare da herpes aka zuba a kan lebe). kamar wata kwana da kumfa fashe da yashewa bayyana a inda suke.

Domin jarirai mafi hatsari herpes angina. Pathogen a cikin rauni jiki ne iya tsokana meningitis, pyelonephritis, encephalitis, kuma vesicles iya bayyana ba kawai a cikin bakinka, amma kuma a jiki.

Kayayyakin ganewar asali da aka yi bayan jarrabawa na mucous membranes, da kuma karshe a kan tushen da serological da virological gwaje-gwaje.

Jiyya sun hada da antiviral kwayoyi hadaddun, alamomi na antipyretics, antihistamines, immunomodulatory. A makogwaro yana bi da musamman sprays, da kuma adult yara suna nada ta rinsing. Compresses da inhalation Herpangina haramta. Maganin rigakafi an wajabta, a cikin hadaddun kawai idan ɓullo da rikitarwa alaka antibacterial kamuwa da cuta.

surkin jini tonsillitis

Wannan lokaci ne, wani lokacin ake magana a kai a matsayin sauran cututtuka a cikin abin da kumburi tafiyar matakai lura makogwaro ta samar da wata surkin jini exudate. Wannan lacunar da follicular tonsillitis, wani muhimmin alama na wanda shi ne cewa ulcers suna ko da yaushe located a kan tonsils da kuma ba su yada ga m yankunan. A causative wakili na surkin jini tonsillitis kawai kwayoyin cuta, da kuma a 80% shi ne strep, 10% - aureus da wani 10% - a jummai daga wadannan biyu pathogens. Wani lokaci surkin jini tonsillitis kira fungal ko kabba da ciwon sanyi tsari, amma akwai wani gani bambanci. Saboda haka, a fungal angina ne ya sa ta fungal cututtuka, fi Candida. Its main alama - wani farin cheesy plaque a ko'ina cikin yankin makogwaro, ko da harshe. Wannan shi ne dalilin da ya sa wani fungal angina rikita batun tare da thrush. Fungal plaque aka sauƙi cire, m da m miyakunsa. Sanadin - da weakening na rigakafi, dogon ko uncontrolled amfani da maganin rigakafi. Idan causative wakili na tonsillitis ne gonococcus, shi ne ake kira kabba da ciwon sanyi, ko fiye daidai kabba da ciwon sanyi da makogwaro. Yana da da sosai 'yan ban kawai a manya. A dalilin - tarawa a baki tare da wani m. Bayyanar cututtuka na kabba da ciwon sanyi da kuma surkin jini tonsillitis ne musamman irin wannan, don haka m bambantawa ne kawai zai yiwu ta hanyar daukar wani shafa daga baka rami. Gani ulcers tare da makogwaro kabba da ciwon sanyi denser fiye da angina, da, za su iya yada wa palate da harshe.

Yana da muhimmanci a fahimci cewa surkin jini tonsillitis - m rashin lafiya kawai yana ba fiye da kwanaki 10 da kuma ba sake aukuwa. Idan kwanaki 10 ba zai yiwu ba ga rabu da cutar, sa'an nan asali ganewar asali ba daidai ba ne. Ba tare da ta dace magani daga angina ba rikitarwa:

• abscesses a makogwaro.
• otitis talakawan nauyi da zai yiwu ji hanawa.
• sepsis.
• rheumatic zazzabi.
• zafi a cikin zuciya;
• koda gazawar.
• kullum tonsillitis.

A karshe, ciwon makogwaro - cuta mai yaduwa. Saboda haka, domin ba don harba iyalansu, marasa lafiya dole ne tsananin kiyaye tsabta.