Ciwon makogwaro: haddasawa da kuma pathogenesis

Ciwon makogwaro, ko pharyngitis, tasowa saboda da tasiri na ƙwayoyin cuta streptococcal kamuwa da cuta. A kumburi tsari da hannu cikin mucosa daga cikin pharynx, da taushi palate, tonsils, kazalika da tsoka da kuma retropharyngeal Lymph nodes. Limited kumburi da taushi palate da tonsils pharyngeal lymphoid zobe kira angina.

By yanayin da shan kashi na ciwon makogwaro suna kasu: catarrhal, croupous, diphtheria, miki, phlegmonous. By asalin - a makarantun firamare da sakandare, kuma ya kwarara - m kuma na kullum. Primary m pharyngitis faruwa yafi saboda subcooling total jiki ko gida sakamakon sanyi a cikin mucosa daga cikin pharynx, yawanci kaka da kuma bazara, Ina nufin a yanayi tare da manyan hawa da sauka a cikin iska zazzabi. Ciwon makogwaro iya faruwa a lokacin inhalation na mai guba gas, da sinadaran irritants (acid, alkalis, mai ruwa-ruwa ammonia bayani, formalin). A etiology na pharyngitis ne ma dangantawa da cututtuka da kuma kwayar cututtuka. tasowa ciwon makogwaro da wahala daga cututtuka kamar stomatitis, rhinitis, laryngitis, tracheitis.

Sadarwa a tsakanin pharyngitis da kuma kumburi daga cikin mucous membranes na hanci, maƙogwaro da trachea ne na yi kusa da cewa, a mafi yawan lokuta, yaxuwa matakai na Yarjejeniya ba zai iya zama da farko ya shafa sashin jiki. Saboda haka, a cikin wadannan lokuta an iyakance ga ganewar asali na "catarrh daga cikin manya na numfashi fili." Pharyngitis matsayin nosological cutar da ake bincikar lafiya ne kawai a lokacin da na asibiti da ãyõyinMu suna bayyana yafi da makogwaro.

pathogenesis

A pharynx aka sarrafa don haka da yawa lymphoid tsarin. Tonsils (jari na lymphoid nama a cikin mucosa daga cikin pharynx) taka muhimmiyar rawa a kare jiki da pathogens. Tonsils pharyngeal zobe "lãbãri" tsarin na rigakafi a kan yanayin da antigen cewa an ingested da abinci, da ruwa da kuma iska. Bugu da kari, wadannan antigen-faruwa bambantawa na lymphocytes in su effector Kwayoyin, wanda sa na rigakafi da tsarin, don haka da pharyngeal lymphoid tsarin yana da muhimmiyar rawa a cikin pathogenesis cututtuka. Wannan shi ne saboda gaskiyar cewa mucosa na tonsils da kuma lymphoid pharyngeal zobe yana da yawa indentations (crypts) da kuma folds, wanda dauke da saprophytic kuma pathogenic microflora: streptococci da staphylococci, sartsiny, actinomycetes, Pasteurella, fungi, Pseudomonas aeruginosa, Escherichia coli, da kuma wasu kwayoyin. Amma microflora a cikin wadannan yankunan ba asali saboda daukan hotuna da salon salula da kuma humoral dalilai na rigakafi da tsarin. Wannan tserar da daidaituwa tsakanin macro- da micro-kwayoyin. Duk da haka, da raguwa a overall juriya da kwayoyin da m sunadaran da pharynx ƙarƙashin rinjayar etiological dalilai halitta da yanayi na ci gaba da microflora da kuma bunkasa ta pathogenic mataki. Kwayoyin da su na rayuwa metabolites hangula da mucous membrane, shiga cikin amygdala da kuma sa kumburi a gare su. Products kumburi da ake dasu gubobi da ake tunawa a cikin jini da kuma hanyar maye, inda akwai wani zazzabi, tabarbarewar janar yanayin, ta ƙara yankin Lymph nodes. Inflamed tonsils ba da cikakken bauta wa wani m aiki da za a iya gated domin shigar azzakari cikin farji na microflora, wanda ya haddasa ci gaban sepsis a cikin jiki.

Strep makogwaro a yara ne tare da wani ciwon makogwaro, hyperthermia, kumburi na tonsils, Lymph nodes karuwa da kuma taushi. A mafi saukin kamuwa ne yara 4-11 shekara. Don tabbatar da ganewar asali shi wajibi ne don gudanar da wani bacteriological binciken.

Marasa lafiya tare da ganewar asali "kumburi makogwaro" magani gudanar yin amfani da antibacterial kwayoyi, Yanã rufe wajen, soothing fusata makogwaro da kuma inflamed mucosa.