Nui kaniai: mea, lalau mai a me ka pathogenesis

Nui puʻu, a me pharyngitis, e hoʻomōhala ana i aie ai i ka hopena o nā mea hoʻomaʻi streptococcal maʻiʻaʻai. O hoʻoʻino kaʻina hana 'ole i ka mucosa o ka pharynx, ka palupalu kīleo, tonsils, like hoʻi me Muscle a retropharyngeal lymph aka wahi. Limited li nui o kaʻaeʻae kīleo a me tonsils pharyngeal lymphoid apo kapa angina.

Ma ke ano o ka pio ana o nui puʻu, e hoʻolaha i loko o: catarrhal, croupous, diphtheria, ulcer, phlegmonous. By me Kinohi - ma ka iniiaiie, a kiʻekiʻe, a me ke kahe - huʻi a me ka maʻi. N huʻi pharyngitis ia lŘlŘʻano nui ma muli o ka subcooling huina kino 'ole i nā hopena o anu ma ka mucosa o ka pharynx, IeAUPIIe, IAa IO Akuma ka a me ka pūnāwai, a laila ma na kau me ka nui fluctuations ma ka lewa ana wela. Nui kaniai i kekahi hana ana i inhalation oʻawahia kinoea, Nine Inch irritants (nāʻakika, alkalis, koʻana koko ammonia pāʻoihana, formalin). Ke etiology o pharyngitis ua no hoi me ka infectious a me ka mea hoʻomaʻi maʻi pili. ulu nui puu a me complication o ka maʻi e like me stomatitis, rhinitis, laryngitis, tracheitis.

Palapala ma waena o pharyngitis a me ka li nui o ka mucous membranes o ka ihu, a me ka larynx trachea mea ai kokoke i, ma ka loa hoopii, eiei keʻano o ka hanaʻana o ka Palapala hiki ole e kuhikuhi hoʻohuli ai i nā hui. No laila, i loko o kēia manawa i kaupalena 'ia kaʻike, a "catarrh o ke keena naehana'āpana." Pharyngitis like me ka nosological maʻi ua diagnosed wale ka wā lapaʻau hoailona i hoikeʻano nui ma ka puu.

pathogenesis

Ke pharynx ua IIeEeAIEUIeXAIIUE no laila, he nui lymphoid me ka ho okumu. hula Tonsils (hoʻomāhuahua o lymphoid'aʻaʻa i loko o ka mucosa o ka pharynx) nui i kūlana i loko o ka pale 'ana i ke kino e ku e pathogens. Tonsils pharyngeal ke komo lima o "hai aku" i ka'ōnaehana paleʻea'ōnaehana ma ke ano o ka antigen i i ke kino i ka ai, ka wai a me ka makani. Eia hou, he mau antigen-e hele differentiation o lymphocytes i loko o kā lākou effector keena, a i ka'ōnaehana paleʻea'ōnaehana, no laila, ke pharyngeal lymphoid'ōnaehana he nui kūlana i loko o ka pathogenesis o infectious ka maʻi. O ke kumu ho i ka mea i ka mucosa o na tonsils a me lymphoid pharyngeal ke komo lima he nui kona indentations (lua pao) a me nā pā, i pihaʻi me saprophytic a me ka pathogenic microflora: streptococci a me ka staphylococci, sartsiny, actinomycetes, Pasteurella, fungi, Pseudomonas aeruginosa, Escherichia coli, a nā koʻohune. Akā, microflora i loko o kēia mau mea, aole e ole no i ka waiū i ka ke kelepona hele, a humoral aʻe o ka'ōnaehana paleʻea nenoaiu. Kēia e mālama ana i ke kaulike ma waena o macro- a me ka anakahi iki-meaola. Naʻe, i ka ka ho'ēmiʻana i loko o ka nohona ma ia'ku o ka meaola, a me ka aiiay maomeka o ka pharynx ma lalo o ka aoao o etiological aʻe hana rula no ka hooulu ana i ka microflora a me ka hōʻoi 'kona pathogenic hana. Microorganisms a me kā lākou metabolic metabolites nāuki mai ka mucousʻili lahilahi, komo iloko o ka amygdala, a i li nui i loko o ia mau mea. Products aat a microbial toxins e paka i loko o ke koko a me ka pono intoxication, hiki ia he mea he mai kuni, deteriorating mau ana, a mahuahua nui o nā 'āina lymph aka wahi. Wela ai tonsils i aole i hiki maopopo malama i ka aiiay papa, a hiki ke hoʻi akula no ka anal o microflora, i kumu no ka hooulu ana o ka sepsis i loko o ke kino.

Ka puʻu strep i keiki ua pu ma ka nui puʻu, hyperthermia, haanou ana o na tonsils, lymph aka wahi māhuahua, a no ka palupalu. Ka loa susceptible mau keiki 4-11 makahiki o ka makahiki. E hoʻokūpaʻa i kaʻike, ia mea e pono e hoʻomaka i ka bacteriological mahele.

Hoʻomanawanui iki mai i kaʻike, o ka "li nui o ka puʻu," lapaʻau lawelawe iho la no ka hoʻohana antibacterial ai ', o Hoamakeikekula mea, hoʻomālielie i ukiuki o puʻu, a me ka wela ai mucosa.