Akpịrị: akpata na pathogenesis

Akpịrị akpịrị, ma ọ bụ pharyngitis, amalite n'ihi na mmetụta nke nje streptococcal ọrịa. The mkpali usoro gụnyere mucosa nke pharynx, juu okpo ọnụ, tonsils, nakwa dị ka muscle na retropharyngeal Lymph. Limited mbufụt nke soft okpo ọnụ na tonsils pharyngeal lymphoid mgbanaka akpọ rịaworo.

Site na ọdịdị nke mmeri nke akpịrị na-nkewa: catarrhal, croupous, diphtheria, ọnyá afọ, phlegmonous. Site si - na isi na nke sekọndrị, na eruba - nnukwu na-adịghị ala ala. Primary nnukwu pharyngitis emee tumadi ruru ka subcooling ngụkọta ahụ ma ọ bụ obodo mmetụta nke oyi na ndị mucosa nke pharynx, na-emekarị mgbụsị akwụkwọ na mmiri, i.e. na oge a kara aka na nnukwu fluctuations ikuku okpomọkụ. Akpịrị nwere ike na-eme n'oge inhalation of, haruru, chemical irritants (asịd, alkalis, okenye amonia solution, formalin). The etiology nke pharyngitis na-ejikọta ya na-efe efe na malitere ịrịa ọrịa na. emepe emepe akpịrị na akpịrị na sikwuoro nke ọrịa ndị dị ka stomatitis, rhinitis, laryngitis, tracheitis.

Nkwurịta okwu n'etiti pharyngitis na mbufụt nke mucous membranes nke imi, ogwooro na oghere eji ekunye ume bụ nnọọ nso nke na, ọtụtụ mgbe, asị ibe Filiks nke Charter ike isi otụk ngwa. Ya mere, na ndị a na-ejedebeghị na a nchoputa nke "catarrh nke elu akụkụ okuku ume na tract." Pharyngitis ka a nosological ọrịa a chọpụtara na mgbe na-adakarị ịrịba ama na-egosipụta tumadi site akpịrị.

pathogenesis

The pharynx na-metụtara nanị akụkụ ụfọdụ ọtụtụ lymphoid formations. Tonsils (ìgwè lymphoid anụ ahụ na mucosa nke pharynx) akpọ ọrụ dị mkpa na-echebe ahụ megide pathogens. Tonsils pharyngeal mgbanaka "agwa" dịghịzi usoro na ọdịdị nke antigen na-ingested na nri, mmiri na ikuku. Ke adianade do, ndị a antigen-aga iche nke lymphocytes na ha effector mkpụrụ ndụ, nke ime ka dịghịzi usoro, otú ahụ pharyngeal lymphoid usoro nwere a isi ọrụ na pathogenesis nke na-efe efe. Nke a bụ n'ihi na eziokwu na mucosa nke tonsils na lymphoid pharyngeal mgbanaka nwere ọtụtụ indentations (crypts) na ogige, nke nwere saprophytic na pathogenic microflora: streptococci na staphylococci, sartsiny, actinomycetes, Pasteurella, dịkwa ka usoro ha, pseudomonas aeruginosa, Escherichia coli, na ọzọ bacteria. Ma microflora na ebe ndị a na-adịghị na-izu ruru ikpughe na cellular na humoral ihe nke dịghịzi usoro. Nke a na-echebe itule n'etiti macro- na Micro-ntule. Otú ọ dị, Mbelata na n'ozuzu na-eguzogide nke organism na-echebe usoro nke pharynx n'okpuru nduzi nke etiological ihe na-emepụta na ọnọdụ maka mmepe nke microflora ma welie ya pathogenic edinam. Microorganisms na ha metabolic metabolites iwe na mucous akpụkpọ ahụ, banye n'ime amygdala na ka mbufụt na ha. Products mbufụt na microbial nsí na-etinye obi gị dum n'ime ọbara na-akpata igbu egbu, adịru e a fever, akawanye njọ izugbe ọnọdụ, mụbara mpaghara Lymph. Ire ọkụ ka tonsils mere n'ụzọ zuru ezu na-eje ozi a na-echebe ọrụ na nwere ike gbara maka penetration nke microflora, nke na-akpata mmepe nke sepsis ke idem.

Strep akpịrị na ụmụaka na-esonyere a akpịrị akpịrị, hyperthermia, ọzịza nke tonsils, Lymph abawanye na ịdị nro. The kasị susceptible bụ ụmụ 4-11 afọ. Iji gosi nchoputa ọ dị mkpa iji na-eduzi a bacteriological ọmụmụ.

Ọrịa na a nchoputa nke "mbufụt nke akpịrị" ọgwụgwọ ndinọ iji antibacterial ọgwụ ọjọọ, kpuchiri n'aka, obi iwe akpịrị na ire ọkụ ka mucosa.