Monday, 16 April 2012
Pharyngitis. Acute or chronic inflammation of the mucous membrane of the pharynx. It may be caused by bacterial or viral
microorganisms. Localization can be superficial (mucosa only suffers throat - catarrhal form) and with a deep lesion of lymphoid tissue in the submucosal layer.
Pharyngitis Acute often associated with acute inflammation of the upper respiratory tract (influenza, respiratory catarrh, and various infectious diseases). An isolated lesion of the mucous membrane of the pharynx may be observed with the direct effects of irritants (smoking, alcohol, hot and cold food).
In the pharynx there is a rawness, a tickle, a little pain when swallowing (more pronounced if swallowed saliva, the so-called scratch the throat than the ingestion of food), and cough. If sore throat is different e cough - dry, throat, bronchial, prolonged, paroxysmal, night, coughing, choking, or in the form of coughing. The body temperature can be subfebrile. The general condition is usually suffers little. The mucosa of the pharynx, including the tonsils, red, swollen, with mucopurulent raids. Sometimes on the back of the throat appear as red grains separate follicles, swollen tongue. Young children (up to 2 years) disease is more severe and more often combined with inflammation of the mucous membrane of the nasopharynx and acute catarrhal rhinitis (runny nose). Disturbed nasal breathing.
Acute pharyngitis should be differentiated from catarrhal angina.
Treatment. Same as angina. In streptococcal infections prescribe antibiotics.
Chronic pharyngitis. There are atrophic, and hypertrophic forms of bluetongue. Develops after an acute sore throat as well, if not eliminate the long stimuli acting on the mucosa of the pharynx. Provoke disease common cold, tonsillitis, purulent inflammation of the paranasal sinuses, dental caries, metabolic disorders, diseases of the heart, lungs, kidneys, etc.
Chronic atrophic pharyngitis, usually combined with atrophy of the nasal mucosa (see atrophic coryza).
Characterized by dryness, tickling, scratching in the throat, dry cough, pain on swallowing, voice fatigue. The mucous membrane of the posterior pharyngeal wall is dry, thin, pale, shining as if covered with a thin layer of varnish, and often it is covered with mucus, dry up in the form of crusts. After treatment, the mucosa is not restored.
Pharyngitis chronic catarrhal and hypertrophic. feeling sore, soreness, a foreign body in the throat, moderate pain on swallowing, congestion in the throat of a large amount of viscous mucus secretions, especially in hypertrophic pharyngitis e, which is a constant need to cough and expectorant.Coughing is particularly strong in the morning, sometimes accompanied by nausea and vomiting. The mucosa of the pharynx thickened, red, viscous mucus in it, or mucopurulent secret act of individual follicles increased. Soft palate and uvula swollen and thickened. In hypertrophic form, these symptoms are more pronounced. The pharynx is often bright red in color, on the whole back of the scattered granules, which are increased in size limfadenoidnye elements. With infectious lesions observed response of the limfadenoidnyh elements in the submucosal layer of the posterior pharyngeal wall of palatine arches. Here you can see the bright red side bolsters with a festering blisters - follicles, the patient has sharp pains in the throat, especially when swallowing, fever.
Treatment. removal of all causes of disease. Remediation of the mouth and nose, nasopharynx and paranasal sinuses. When the temperature is prescribed antipyretic and analgesic. In atrophic pharyngitis e symptomatic treatment - anti-rinse solution, inhalation, lubrication solution Lugol, collargol, protargol, etc. iodinol, physiotherapy. In hypertrophic form is also recommended frequent rinses, inhalation, lubrication of the mucous membrane of the pharynx. The granules of lymphoid tissue sear a solution of silver nitrate, trichloroacetic acid, laser-irradiated or treated with liquid nitrogen (cryotherapy).