Wednesday, March 12, 2008

Chronic pharyngitis

Outlined chronic pharyngitis (chronic pharyngitis) is the pharyngeal mucosa chronic inflammation. Often chronic inflammation of the respiratory part. The disease was mostly, long, intractable symptoms, treatment difficulties. Pathology Disease causes (1) local factors : (a) more acute pharyngitis recurrent or delay treatment to chronic; (2) suffering from nasal, nasal obstruction and prolonged open-mouth breathing and nasal secretions, obscene, and to stimulate long-term growth pharynx, or chronic tonsillitis, caries, and other effects. (2) to stimulate the physical and chemical factors : If dust, neck radiotherapy, long-term exposure to chemicals, excessive tobacco and alcohol can cause the disease. (3) systemic factors : various chronic diseases, such as anemia, constipation, chronic lower respiratory tract inflammation, cardiovascular diseases, metabolic disturbances, liver and kidney disease can be secondary to the disease. Pathology can be divided into three categories (a) simple chronic pharyngitis (chronic simple pharyngiti s) : To pharyngeal mucosa chronic congestive, submucosal connective tissue and lymph tissue, mucous gland hypertrophy, hypersecretion. (2) chronic pharyngitis hypertrophy (hypertrophic chronic pharyngiti s) congestive hypertrophic mucosal and submucosal extensive connective tissue and lymph tissue around the posterior pharyngeal lymph glands in the mucous tissue create granular uplift, such as mucus gland infection. white dots were forming particles attached to the top bands of lymphoid tissue were cords hyperplasia. (3) dry or atrophic pharyngitis (atrophic pharyngitis or pharyn gitis sicca) : Multi-by atrophic rhinitis caused by the spread, mainly gland degeneration and mucosal atrophy. Clinical manifestations of various throat discomfort can feel like a foreign body sensation, itching, burning, drying, a small pain, dry cough and cough up phlegm net is not easy. speech easy fatigue, or brush our teeth, long speech easily sicken nausea. Inspection : ① chronic pharyngitis simple : congestive mucosa diffuse small vessel dilation, color dishes, with a small amount of mucopus. ② hypertrophy chronic pharyngitis : mucosal thickening, diffuse congestion, color dishes. Follicular posterior pharyngeal lymphoid hyperplasia congestive swelling, was punctate distribution or integration into pieces. Both bands have congestive hypertrophy. ③ dry or atrophic pharyngitis : mucosa drying shrinkage thinning, pale colors and shiny as waxed paper sheets and a septic callus attached. Pharyngeal feeling and reflection receded, nasopharyngeal secretions also paste or pus callus attachment, sometimes be seen in the posterior pharyngeal cervical vertebral body contour. Early shrink if there was no obvious change only is dry, said drying pharyngitis. Diagnosis detail about history, carefully examined the nasopharynx and hypopharynx, and the necessary body check. Special attention to exclude the nose, pharynx, larynx esophagus, the hidden neck lesions, such as early cancer, Implicit in eliminating the disease before the need for follow-up observation of patients, in order to avoid misdiagnosis. Treatment eliminate pathogenic factors, such as the treatment of systemic disease, treatment of sinusitis. Attention to nutrition, increase physical sharpen. Avoid irritating food, alcohol and tobacco, to be correct pronunciation of misconduct. In dusty or irritating gases environment workers should wear masks. Local compound can be used borax solution, Nitrofurazone, 2% boric acid solution, such as 3% saline gargle, 3% glycerol iodine Tu pharynx, or of iodine containing Tablet, Tablet and menthol, such as Liushen Pill. Oral hygiene-Ziyin, Qingre lungsWarning medicine, as per the Senate and Ophiopogon japonicus, habitat, double flowers, Shegan, licorice Decocting. Hypertrophic pharyngitis available to 10 ~ 30% silver nitrate Tu pharyngeal or electricity solidification. UV irradiation, cryotherapy, laser treatment may achieve some results. To be shrinking pharyngitis service vitamin A, B2, C, E to promote epithelial hyperplasia.

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