sore throat
Introduction
Introduction to pharyngitis Throatitis, a disease caused by bacteria, can be divided into acute pharyngitis and chronic pharyngitis. Prevent pharyngitis, eat less spicy food, and must quit smoking and alcohol. Acute pharyngitis (acutepharyngitis) is the pharyngeal mucosa and affects acute inflammation of the submucosal and lymphoid tissues, often secondary to acute rhinitis or acute tonsils or as part of an upper respiratory tract infection. It is also often a local manifestation of a systemic disease or a pre-existing symptom of an acute infectious disease. basic knowledge Sickness ratio: 0.0001% Susceptible people: no specific population Mode of infection: non-infectious Complications: otitis media laryngitis sinusitis upper respiratory tract infection
Cause
Cause of pharyngitis
Modern medicine believes that the throat is an important immune organ of the human body, and many infectious diseases and immune diseases are closely related to the throat. Pharyngitis is a common and frequently-occurring disease in the clinic. It has acute and chronic points and is part of the upper respiratory tract infection. In acute exacerbations, patients often feel conscious of sore throat, accompanied by ill-conceived ill, pharyngeal discomfort, poor pronunciation, swallowing and drinking more than words, or pharyngeal foreign body sensation, etc., belonging to the category of Chinese medicine "throat" .
Prevention
Throat prevention
1) Enhance your body and prevent colds.
(2) Timely and reasonable treatment of acute rhinitis and respiratory diseases.
(3) Non-smoking wine, do not eat spicy food, keep the mouth clean.
Complication
Throat complication Complications, otitis media, sinusitis, upper respiratory tract infection
Common acute upper and lower respiratory tract inflammation, otitis media, sinusitis, laryngitis, posterior pharyngeal abscess and kidney disease in infants and young children.
Symptom
Symptoms of sore throat common symptoms sore throat swallowing sore throat dry itching vocal cord inflammation throat dry congestion tonsil inflammation throat lump dry cough throat ulcer persistent fever
The onset is urgent. The pharynx is dry and hot at the beginning, followed by pain, aggravated when swallowed, and can be radiated to the ear, sometimes malaise, joint acidity, headache, loss of appetite, and varying degrees of fever.
Acute pharyngitis, often caused by a virus, followed by bacteria. Most common in winter and spring, acute sinusitis, acute tonsillitis, and often complications of measles, flu, scarlet and other infectious diseases. Chronic sore throat, mainly due to incomplete treatment of acute pharyngitis, recurrent, chronic, or due to various nasal diseases, nasal congestion, long-term mouth breathing, and physical, chemical factors, neck Radiation therapy, etc. often stimulates the pharynx, and the systemic symptoms are significant. There are fever, cold, headache, loss of appetite, and sore limbs.
Chronic pharyngitis
Mainly due to the incomplete treatment of acute pharyngitis, recurrent, chronic, or due to various nasal diseases, nasal congestion, long-term mouth breathing, as well as physical, chemical factors, neck radiation therapy, etc. often cause pharynx . Various chronic diseases such as anemia, constipation, chronic inflammation of the lower respiratory tract, and cardiovascular diseases can also be secondary to this disease. Conscious pharyngeal discomfort, dry, itchy, bloated, secretions and burning, easy to dry, have a sense of foreign body, can not be seen, can not swallow, the above symptoms are a little more talk, after eating irritating food, fatigue or The weather changes when it changes. Breathing and swallowing are unimpeded.
Due to the degree of disease, it can be divided into chronic simple laryngitis, hypertrophic laryngitis and atrophic laryngitis.
Chronic simple laryngitis
(chronicsimple laryngitis)
The laryngeal mucosa is diffusely congested, red and swollen, and the vocal cords lose their original white, pink, dull edges, thick mucus on the mucosal surface, often connected to mucus between the glottis.
Hypertrophic laryngitis
( hypertrophic laryngitis )
The laryngeal mucosa is thick, and the intercondylar area is more obvious. The vocal cords are also thick and can not be closed to the midline. The ventricular zone is usually thick and covers part of the vocal cords.
Atrophic laryngitis
( atrophic laryngitis )
The laryngeal mucosa is dry, thin and bright, and there are often yellow-green or dark brown dry sputum under the sacral area. If the sputum is coughed, a small amount of oozing on the surface of the mucous membrane can be seen, and the vocal cords become thinner and the tension is weakened.
Chronic pharyngitis
Mainly due to the incomplete treatment of acute pharyngitis, recurrent, chronic, or due to various nasal diseases, nasal congestion, long-term mouth breathing, as well as physical, chemical factors, neck radiation therapy, etc. often cause pharynx . Various chronic diseases such as anemia, constipation, chronic inflammation of the lower respiratory tract, and cardiovascular diseases can also be secondary to this disease. Conscious pharyngeal discomfort, dry, itchy, bloated, secretions and burning, easy to dry, have a sense of foreign body, can not be seen, can not swallow, the above symptoms are a little more talk, after eating irritating food, fatigue or The weather changes when it changes. Breathing and swallowing are unimpeded.
Due to the degree of disease, it can be divided into chronic simple laryngitis, hypertrophic laryngitis and atrophic laryngitis.
Chronic simple laryngitis
(chronicsimple laryngitis)
The laryngeal mucosa is diffusely congested, red and swollen, and the vocal cords lose their original white, pink, dull edges, thick mucus on the mucosal surface, often connected to mucus between the glottis.
Hypertrophic laryngitis
( hypertrophic laryngitis )
The laryngeal mucosa is thick, and the intercondylar area is more obvious. The vocal cords are also thick and can not be closed to the midline. The ventricular zone is usually thick and covers part of the vocal cords.
Atrophic laryngitis
( atrophic laryngitis )
The laryngeal mucosa is dry, thin and bright, and there are often yellow-green or dark brown dry sputum under the sacral area. If the sputum is coughed, a small amount of oozing on the surface of the mucous membrane can be seen, and the vocal cords become thinner and the tension is weakened.
Examine
Examination of pharyngitis
Examination of oropharyngeal and nasopharyngeal mucosa diffuse hyperemia, swelling, sacral arch and uvula edema, lymphatic follicles and pharyngeal sinus in the posterior pharyngeal wall; yellow-white spotted exudate on the surface, mandibular lymph nodes and tenderness The body temperature can be raised to 38 ° C, depending on the pathogen, white blood cells can be increased, normal or reduced.
Diagnosis
Diagnosis and diagnosis of pharyngitis
(1) Identification with tonsillitis; sore throat and systemic symptoms of acute tonsillitis are more serious than acute pharyngitis. The tonsils are red and swollen, and the pharyngeal mucosa is affected, but the lymphoid follicles have no suppuration.
(2) Identification with pharyngeal diphtheria: The symptoms of pharyngeal diphtheria systemic poisoning are obvious, the spirit is wilting, the gray and white pseudomembrane can be seen in the pharynx, and the diphtheria bacillus can be found by taking the secretion examination.
