Pharyngeal ndimbo. Hypertrophy of pharyngeal ndimbo

Tonsils - node idzodzo iri kunyanya pamuromo. Zvirokwazvo iwe Makanzwa pamusoro zvivako izvi, asi murege kuziva sei mabasa anokosha yavanobata. Zvinosuruvarisa kufanana zvose dzimwe nhengo, tonsils kubatwa zvirwere nezvimwe zvirwere.

Sezvingatarisirwa, zvinokosha kuziva chii zviratidzo zviri pamwe nezvimwe zvirwere. Sezvo chikuru pharyngeal amygdala (akataurawo somushonga nasopharyngeal), ndiko kutanga kufunga nokuyerera zvinoitwa pathologies siyana kunyatsoreva mu maumbirwo ichi.

Pharyngeal ndimbo: marongerwo uye Vhuṱanzi

Chokutanga, ngationei kuti pharyngeal rin'i ine almonds nhanhatu (ivo kunyange vane pachako vaverengwa yavo). Zvivako pachavo anomiririra nesumbu rimwe lymphoid tishu denderedzwa. Vanogona kuva aiwanzopiwa wokushanda uye unpaired.

• Palatine tonsils (I uye II) dziri mune dzinonzi tonsillar niches kumativi ose Tab yakarembera kubva kudenga. In chimiro akafanana omuarumondi nzungu. Kazhinji mukurapa, zvivako izvi kuonekwa pasi zita "mumasero". Inguva kuzvimba chinokonzera vose vanozivikanwa kwazvo huro uye tonsillitis.
• Pharyngeal ndimbo (mufananidzo cm. Above), anozivikanwawo sokuti nasopharyngeal ndimbo pfuti uye (III). Structure iri kunova pamusoro pedenga reimba pharynx, uye achitora hwepamusoro chikamu rwemberi parusvingo nasopharynx. It sokunge mashoma transversely marairirwo yakabudikira mucosal pazvirugu mudungwe pamwe ciliated epithelium.
• The lingual ndimbo (IV), riri pana pamudzi rurimi, sezvamakaropafadzwa paburi rwokuyera pakati chivako vakaita mapoka maviri maviri. The amygdala ane nematambudziko pamusoro, crypts uye kudzika nechepasi iyo kuzarura mate ducts. The mamiriro akafuka multilayer sandara epithelium.
• Tubular amygdala (V uye VI) zviduku zvivako dziri pedyo pharyngeal mawindo ari Eustachian chubhu.

Mukuwedzera, munyama pamusoro dokeriro uye pharynx, kune duku lymphoid idzodzo. All pamwe chete zvinoumba limfoepitelialnogo Unit, ane basa chikuru ndiko kuchengetedza muviri kubva matambudziko rwakashata zvinhu.

The chikuru kushanda tonsils

Amygdala - chikamu zvirwere, uyewo node nodes, chirwatata, uye dzimwe nhengo. Nokudaro, iyi nyaya inokosha mabasa vari hematopoiesis uye kudzivirirwa muviri.

masero eropa zvinopa humoral kutapata - semuenzaniso, lymphocytes achibudiswa lymphoid ndimbo tishu. Uyezve, rine vazhinji macrophages dzine kwaniso yekubata uye neutralize maantigen siyana, kusanganisira nemavhairasi inoramba kana masero kwemabhakitiriya.

Uye tonsils lymphocytes masero ari pedyo chaizvo pamusoro epithelium. Mune chinyama site zvitete zvokuti masero vauye nomumativi tonsils ukuwo, vanogona kushamwaridzana zvakasiyana mutorwa nevamiririri.

Kuzvimba tonsils: Zvinokonzera

Adenoids - kuzvimba pharyngeal ndimbo. Kazhinji, kusachengeteka kukuru chimiro hosha ikabuda pamberi zvimwe zvirwere kufema umo utachiona chinopinda iri lymphoid tishu. Mukuwedzera, chirwere kazhinji anovandudza kana kusashanda conditionally pathogenic nemiti nasopharynx. Sezvazvakanyorwa anozivikanwa, rine guru mari kwemabhakitiriya tusingaoneki. Asi apo nhamba yavo zvachose raitungamirwa zvirwere, utachiona havagoni kukuvadza. Zvisinei, pamwe kwakaderera kana atadze kushanda zvakanaka mune zvirwere tusingaoneki vanotanga vanoshingaira kuwanda, izvo naizvozvo inoenda kukura kushoma.

Zvinosuruvarisa kuzvimba tonsils kazhinji vanoramba pasina kutarisirwa uye zvakakodzera kurapwa. Kakawanda zvirwere kukonzera kuti lymphoid hurongwa vanova tsime chirwere kuti rapararira kusvika dzimwe nhengo, kuchikonzera sinusitis, otitis, tracheobronchitis, uye zvimwe zvirwere.

Zviya, yakafanana chirwere anowanzodanwa chirwere muvana. Kuzvimba pharyngeal ndimbo nedzevakuru - mamiriro nengozi, nokuti kunogona kukonzera wakaomarara muchimiro angina retronazalnoy.

The kunotoda mufananidzo ari kuzvimba

The chirwere pharyngeal tonsils mu kwokutanga matanho fananei vanhuwo chando. Chokutanga, tembiricha muviri anomuka uye pane zviratidzo kudhaka, kusanganisira fivha, kurukutika, muviri pari, nomusoro. Zviratidzo zvinosanganisira chikosoro uye ichifamba famba.

Sezvo chirwere mberi pane marwadzo mumhino udzamu kuti kunosvika kune seri nasal mhango. Kazhinji, varwere vakanyunyutira kurwadziwa kumashure romusoro wake. Kuzvimba mucous Kamudzira kazhinji kureva rozemyullerovye fovea, icho pamwe marwadzo munzeve, kusanzwa, kuvhiringidza nasal kufema. Mukuwedzera, varwere vanotsutsumwa unonzwa tickling uye kurwadziwa huro.

On ongororo, uchaona kuunganidza madzihwa mumhino uye pahuro. Uyewo, nokuwedzera pharyngeal ndimbo. Pamusoro pemvura, rinogona kuona fibrous Dombo uye sulcus chinowanzoonekwa yakazara purulent exudate. Nokuwedzera pamutsipa, musana uye submandibular node nodes. In vacheche, chirwere angaperekedzwa yokurwiswa breathlessness, sapamazuva laryngitis.

The chenjera chimiro chirwere kunotora anenge 5-7 mazuva. Zvinosuruvarisa mukana wokuti kuitazve, kunyange kakawanda, mukuru kwazvo, izvo zvinogona pakupedzisira kutungamirira chisingaperi siyana chirwere. Uyezve, muna pakanyorwa kuzvimba muvana kazhinji kuva nemamwe matambudziko akadai otitis, sinusitis, kukundwa lacrimal, retropharyngeal abscesses, bronchopneumonia, laringotraheobronhity nezvimwe zvirwere yemweya.

How kubata adenoids?

Marapirwo zvaiitwa nechirwere chakadaro kunoenderana ezvinhu murwere uye massiveness pakati kushoma. In pamberi nemaronda kungada kwetsinga, zvichiteverwa kudiridzwa akambozvishandisa kuuraya utachiona gadziriro.

Kana mhaka kushoma chinhu noutachiona (kazhinji ndiyo nyaya), ipapo murwere waakaudzwa inorwisa mabhakitiriya. Uyezve, imwe yaunodya zvinodhaka antihistamine ( "Tavegil", "Suprastin" uye t. D.), Iro kubatsira kudzivisa chitange neutachiona mishonga uye kuderedza edema pamusoro mucous Kamudzira, nokudaro kufambisa kufema, pakuparadza. Zvinonzi zvakare ashandise vasoconstrictor nasal madonhwe. Nasal ndima, nasal rusvingo diridza akambozvishandisa kuuraya utachiona zvinogadzirisa (semuenzaniso, sirivha mhinduro Protargolum, colloid sirivha). Kana kugamuchira zvinogoneka fivha antipyretic zvinodhaka, nonsteroidal Anti-anogumbura zvinodhaka (semuenzaniso, "Nurofen", "Ibufen" "paracetamol").

dzimwe nguva nachiremba varwere kugamuchira immunomodulators To mhanyisa apore. Dzimwe nguva zvakakodzera vhitamini. Nenzira, ari kudya mavhitamini uye mishonga kuti kusimbisa rokuzvidzivirira (semuenzaniso, "Aflubin"), Zvinokurudzirwa kaviri pagore kuti kudzivirira dzokororo.

Kana hosha pharyngeal tonsils kuva zvakakomba, achiperekedzwa nefivha, pute inotungamirwa, akasiyana-siyana yematambudziko kuti zvinoda muchipatara mwana. Zvipatara nechinangwa kuchaitwa kushoma uye pakuchengetedza tonsils. Zvisinei, mune zvimwe zviitiko zvinokosha ayo kuvhiya kubviswa.

Chii hypertrophy pamusoro pharyngeal ndimbo? Photos, zviratidzo uye padanho chirwere kukura

Kuwedzera kuzvimba, pane chimwe chirwere zvakajairika. Zvikurukuru mune zvokurapa ano kazhinji akanyorwa pharyngeal ndimbo hypertrophy, iro rinowanikwa pasi rokuti "adenoids".

The chirwere achabatsirwa kuwedzera (kuzvimba) tonsils. Maererano Statistical zveBhaibheri, chirwere kakawanda chirwere mune vana vane makore 3 kusvika 14 makore. At pakuyaruka amygdala vhoriyamu kunoderedza. In vakuru chirwere ichi haawanzopiwi chirwere.

Adenoids kuonekwa sezvo irregularly zvakaumbwa chimiro, inova zvishoma rakaita Cockscomb, sezvo dzakaparadzaniswa connective zvinyama septa kupinda lobes akawanda. Vane rakachenuruka vaaleanpunainen ruvara uye nyoro unaku. Kazhinji maperembudzi yapararira parutivi madziro pharynx uye pasi (ichi hypertrophy uye pharyngeal palatine tonsils), uye dzimwe nguva pamusoro pakuvhurwa auditory chubhu.

Kune madhigirii zvitatu hypertrophy:

• In yomuzana dhigirii adenoid chinofukidza anenge 1/3 of opener.
• Hyperplasia isiri yekenza pharyngeal tonsils 2 madhigirii pamusoro akaratidza - maumbirwo anovhara anenge 2/3 of opener.
• Chechitatu pavaipfuura chirwere kunoratidzwa kwakakwana kuvhara zviri posterior nares (pamhino pezviri), iyo, sezvingatarisirwa, rizere nezvinetso zvakawanda afemeruke.

The kukonzera hypertrophy

Kutaura zvazviri, mashandiro pakati zvinyama hyperplasia isiri yekenza of pharyngeal tonsils kunzwisisa kwete zvachose. The zvinokonzera zvirwere zvakadai, zvinosuwisa zvisingaiti kuwana neimwe nyaya. Kunyange zvakadaro, mushonga ano itsika kusiyanisa wandei chikuru precipitating zvinhu:

• Pane mhando yokugara nhaka, iyo chokuita nedzimwe nepfungwa marongerwo uye kushanda nhengo dzinobudisa uye kwemakemikari anobudiswa gadziriro.
• Kunowedzera mikana kukura adenoids matambudziko pamuviri, uye raiita basa. Somuenzaniso, zvinhu pangozi raibva unofadza fetus hypoxia, nemavhairasi chirwere, izvo akatambura mai iri trimester pamuviri, zvinodhaka chepfu uye nemishonga, izvo zvaifanira kutorwa kutanga. Uyezve, pfungwa kuumba adenoids asphyxia zvinogona kukonzerwa kunotevera uye mwana wandei pakusununguka kwacho.
• Sezvingatarisirwa, kukosha uye zvaidiwa makore okutanga oupenyu Somuenzaniso, kana mwana akarwara achiri mucheche, uye chii mushonga kutora, sokunge kudya, kana mwana wacho kudya preservatives, kana akanga zamu-zvokudya, uye zvichingodaro. D.
• Kakawanda chikosoro uye nemavhairasi nezvirwere kunowedzerawo mukana hyperplasia isiri yekenza.
• Pharyngeal ndimbo hypertrophy kazhinji vana vachitambura kubva Kurwara (zviya, katsika Kurwara pachako zvinopupurira kukundikana zvirwere).

Zvinokosha, uye zvimwe zvinhu, kusanganisira vanoshorwa zvipenyu nezvakazvipoteredza kwezvakatipoteredza, murombo zvokudya, ndakagara mararamiro, uye zvichingodaro. D. Kazhinji adenoids kukura dzinovhurika nokuda zvinoverengeka.

Ndezvipi zvirwere kuti adenoids? zviratidzo

Sezvingatarisirwa, zvokurwara ichi pamwe zvinoverengeka zvimwe zviratidzo. Kuziva mwana (kana pane) zvimwe zviratidzo, zviri nani kuti chiremba. In kwokutanga nzendo chirwere chinogona kurapwa zvikuru kuchinja saizvozvo. Saka sokuti zvekuchipatara mufananidzo?

• Wokutanga uye kupfuura mamirire chiratidzo - kupfupika nasal kufema. Mwana anofema kakawanda, uye muromo.
• Kazhinji, hope achabatsirwa wheezing uye ngonono, dzimwe nguva usiku murwere anopepuka kubva yokurwiswa breathlessness.
• Murwere anogara matambudzo runny mhuno, uye nasal secretions vari serous hunhu.
• Nokuti chokuti Kusarudzwa inongogara kumhanya pasi seri mhuno uye pahuro, mwana anotambura kakawanda chikosoro.
• Sezvo chirwere chinogona kuzivikanwa inzwi kuchinja, hoarseness, twang.
• A murefu hypertrophic tonsils ndiko tichikurumidza nezvirwere zvakasiyana-siyana pamusoro kufema ezvinhu, kusanganisira kwazvo huro, bronchitis, mabayo, sinusitis.
• Kazhinji pakati pavana ava uye matambudziko nokunzwa, kakawanda nzeve zvirwere, nzeve kuzara kunzwa.
• Nokuvhiringidzirwa kufema kunotungamirira pave chisingaperi hypoxia, umo uropi haagamuchiri okisijeni yakakwana. Zvinonzi vaidavira kuti adenoids pachikoro angava chikonzero richikwidibira unongotaura.
• Maererano kutyora nasal kufema zvokurwara akaona chiso pakukura (panyaya mwana anorwara). Kuvakwa malocclusion, muromo nguva dzose zvishoma wakashama, rezasi shaya iri miforo uye kujekesa.
• Pane zvinogona kuva munhu deformation pechipfuva (pamwe kwenguva refu nguva yose chirwere). Nokuda yakaderera kudzama inhalation thorax flattened kunyange vangadzidza mungarava yakaita.
• Mune zvimwe zviitiko, kupererwa neropa uye zvimwe zvirwere zviri zvomudumbu turakiti, zvakadai nezvinetso cheya, ungaderedza kudya.

Modern nzira mabatiro adenoids

Kana kuongororwa navanachiremba vakawana kuti pharyngeal ndimbo ndiye hypertrophied, kuti basa kurapa. Sezvingatarisirwa, unofanira kure sezvinobvira edza kuchengeta lymphoid marongerwo. Zvisinei, kuchinja mabatiro zvinogoneka chete Danho rokutanga kuva chirwere.

Kazhinji, varwere vari ushandiswe kugamuchira antihistamines, batsira kubvisa edema. Kunoda kushandiswa nasal madonhwe, uyewo kudiridzwa pamusoro nasal ndima uye rwemberi rusvingo nasopharynx akambozvishandisa kuuraya utachiona mhinduro. Kana pane zvishomanana kuzvimba tonsils vangada Anti-anogumbura uye antibacterial nevamiririri. Uyewo chokwadi tinzwe pamusoro murwere mamiriro uye chiso kukwizwa nokuda chipika wenharaunda (kubatsira kudzivisa zvemamiriro kuvandudzika marangwanda), kufema zviitwa, panyama kurapa. Migumisiro yakanaka vari vakawana climatotherapy, iyo ipfupi kuti nguva dzose zororo mumakomo kana pamahombekombe, uyewo kushanyira specialized utano nzvimbo.

Zvinokosha kucherechedza kuti kuvapo adenoids zvinoda kuramba achitarisirwa nachiremba - kugara uchiongororwa zvinokosha, sezvo vanopa mukana kuwedzera nguva yokuziva ukuru tonsils.

Zvisinei, ukuru wechipiri newechitatu kunoratidza kuti kuvhiya kupindira. Resection of adenoids - muitiro iri nyore kunzwisisa. Ukuwo, zvakakosha kunzwisisa kuti yomwana kubviswa chikamu zvirwere anogona kukanganisa muviri dzokuzvidzivirira. Uye saka pashure nzira kwechinguva vanofanira kunyatsotevera kuongorora utano mwana uye kuitisa kurapa sezvinodiwa.

Zvimwe zvirwere tonsils

Kuzvimba uye hyperplasia isiri yekenza of pharyngeal tonsils - rakajairika zvirwere, asi asingazomboregi zvinoreva chete. Kunewo chirwere ngozi zvikuru uye kunzwisisa.

Somuenzaniso, varwere repakati uye vakura (mu pauduku hariwanikwi akafanana) Dzimwe nguva chirwere imwe mota. Kuzvimba pharyngeal ndimbo nedzevakuru dzimwe nguva vaine chitarisiko imwe mota pamwe goko. chirwere kwakadaro kunoitika chaizvo nesimba. It kunoratidzwa isingawanzowanikwi nefivha (dzimwe nguva kusvika 40 madhigirii), kurukutika, muviri pari, dzungu, marwadzo ari huro, iyo kuri kusimba panguva pakuparadza kana kutaura.

Mukuwedzera, kuumbwa kwemamota, zvose zvinotyisa uye zvinotyisa, zvinogoneka. Somuenzaniso, mukurapa kwemazuva ano, mapillomas, lipomas, neurinomas, fibroids, fibroids, angiomas zvinowanikwa. Nechirwere chakafanana, zvikamu zvinowanikwa zvinowedzera zvinowedzera. Sezvo chirwere chacho chichikura, varwere vanocherechedza kuoma kwekumedza, kusagadzikana munguva yekukurukurirana, kugara kwekunzwa kwemuviri wekunze uri mumutsipa. Uturu hwemhondi hunowedzera kukura zvishoma. Nzira huru yekurapa ndiko kubviswa kushandiswa. Asi kukura kwezvinosuruvara zvinopisa zvinogona kunge zvinoshamisa nokukurumidza. Uyezve, masero emukenza anogona kupararira kune dzimwe nhengo (metastasis formation). Mumamiriro ezvinhu akadaro, kunze kwekuvhiya, chemotherapy, radiotherapy, kana chero imwe nzira, zvichienderana nechisarudzo chekurapa nyanzvi, inodikanwa.

Iyo cyst isina kusimba kwepakati, iyo inofambidzana nechitarisiko chekugadzirisa maitiro ane membrane mukati mairi mukati memvura zviri mukati. Tsanga dzinogona kunge dzikava huru, kana dzakawanda, dzakawanda. Neoplasms iripo pamusoro pepamusoro, kana zvakananga mumatumbu ematoni. Zvimwe zvinokonzera kukura kwechirwere zvinogona kunge zvakasiyana, kusanganisira kutadza kwehomoni, chisingagumi tonsillitis, utachiona hwemasukirini e-lymphoid, nezvimwewo. Chimiro chemakiriniki chinoenderana nehukuru hwe cyst. Kana kuumbwa kwacho kuduku, saka kunogona kukonzera kusagadzikana. Sezvo kstst inokura, matambudziko nekugwinya uye zvimwe zviratidzo zvinowanzooneka. Uye kuvapo kwekaplasm kunowanzofambidzana nekunhuhwirira kwakashata kubva mumuromo. A ruptured cyst inogona kukonzera kupisa kukuru, uye saka kurapwa munyaya ino kunongodiwa chete.

Kuvhiringidza kwemafuro emapapiro kunogona kuitika mushure mekuda kwechifuva. Kazhinji chirwere ichi chinowedzera pakavanzika uye chinozvivanza pachako sechisingagumi tonsillitis. Kuongororwa kunogona kuitwa chete mushure mekunyatsoongorora uye kuongorora mabhakitiriya.

Kukundwa kwematoni kunogona kusanganiswa neuchivi, uye kuvhiringidza kunogona kukura munenge chero imwe nzvimbo yechirwere ichi. Dzimwe nguva varwere vanokura zvinonzi syphilitic angina, iyo yakaoma zvikuru kupfuura mamwe maitiro ekuputika.

Chero zvazvingava, iyo pharyngeal amygdala inzvimbo yakakosha, iyo iyo inofanirwa kuregererwa. Nokudaro, kana kusuruvara kuchiitika, unofanirwa kutora nguva yekubatsira kune vanyori. Kuporesa chirwere panguva yekutanga kunonyanya kuoma kupfuura kubvisa, semuenzaniso, maitiro asingagumi ehumwe chirwere.