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Acute catarrhal laryngitis

Acute inflammation of the mucous membrane of the larynx (laryngitis castarhalis acuta) is often observed as an independent disease. It is often a continuation of catarrh of the nasal mucosa, pharynx with a cold or acute catarrh of the upper respiratory tract, acute respiratory viral infection, flu; it can also occur after voice overload, inhalation of irritating gases, hot or cold air, trauma, a foreign body entering the larynx, etc. As an independent disease, acute catarrhal laryngitis most often occurs as a result of activation of the flora, saprophytic in the larynx, under the influence of factors such as local or general hypothermia (intake of cold fluid or sudden cooling at the time of overheating of the body), overstrain of vocal folds with a large and prolonged voice load or at the time of the cry, exposure to certain occupational hazards (dust, fumes, gases, etc.).

Histological examination determines damage to the mucous membrane of the larynx. The ciliated epithelium in areas loses the cilia or is rejected, the deeper layers of the cells remain (of which regeneration begins). In some places, metaplasia of the Cylindrical ciliary epithelium into the flat can occur. Infiltration of the mucous membrane is uneven, the blood vessels are convoluted, dilated, overflowing with blood, their subepithelial ruptures more often occur in the vocal folds.

K l and n and with to and to kartin and. The disease is characterized by a sudden onset of hoarseness, soreness, soreness, and dryness in the throat. Body temperature is often normal, but sometimes rises to subfebrile numbers. Simultaneously with these subjective sensations, a dry cough occurs at the onset of the disease, and then with sputum. Violation of the voice-forming function is expressed as a varying degree of dysphonia, up to aphonia. Hoarseness can be low and high tonality (in the latter case, such dysphonia is sometimes called hoarseness). In some cases, difficulty breathing appears due to the accumulation of mucous membranes and swelling of the mucous membrane.

D and a g n about with t and to and is based on data from a survey and clinical examination. When laryngoscopy is determined hyperemia, swelling and swelling of the mucous membrane of the larynx. In most cases, hyperemia is diffuse, but more pronounced in the area of ​​the vocal folds (Fig. 8.1).

Fig 8.1.

Acute inflammation of the larynx

.

a - acute catarrhal laryngitis; b - acute infiltrative-purulent laryngitis; at -

epiglottis abscess

.

Here, sometimes there are point hemorrhages in the thickness of the mucous membrane. As the inflammatory process develops, mucus appears in the larynx, which dries up, quickly becomes viscous, and then turns into crusts. With the separation of such a crust from the mucous membrane at the time of a cough, a transient hemoptysis can occur.

In childhood, the diagnosis is also based on the study of the above symptoms, however, to examine the larynx often have to resort to direct laryngoscopy. The clinical manifestations of acute catarrhal laryngitis are in many ways similar to a number of specific and infectious diseases, therefore, when prescribing therapy, differential diagnosis is of particular importance.


In children, laryngitis must be differentiated from the common form of diphtheria. Pathological and anatomical changes in this case will be characterized by the development of fibrinous inflammation with the formation of dirty gray films intimately associated with the underlying tissues. In adults, catarrhal laryngitis should be distinguished from the initial form of tuberculosis, when laryngoscopy determines a unilateral lesion of the larynx; in addition, laryngeal tuberculosis, as a rule, is accompanied by a specific lung lesion. The syphilitic process (erythema stage) always extends to the mucous membrane of not only the larynx, but also the oropharynx. The erysipelatous inflammation of the larynx is distinguished from the catarrhal process by a clear delineation of borders and a simultaneous disease of the skin of the face and neck, etc.

First of all, treatment should include sparing of the organ. The patient must observe the voice mode (silence mode) until the acute inflammation subsides, stop taking spicy, cold food, alcohol and smoking. Apply a warm compress to the neck. Drug therapy is aimed at eliminating the inflammatory process in the larynx and preventing complications. Inhalations of bioparox are prescribed, which have a pronounced local antimicrobial and at the same time anti-inflammatory effect. It is important to adhere to the dosage of the drug — 4 inhalations through the mouth every 4 hours. The course of treatment lasts 5-7 days. In order to reduce swelling of the mucous membrane and hypersecretion of sputum, as well as to better discharge sputum, the anti-inflammatory drug Erespal is used. Adults are prescribed 1 tablet 2 or 3 times a day, depending on the severity of the disease; children are given the drug in the form of a syrup (taking into account age). Prescribe inhalation of antibiotic solutions: 200 LLC ED penicillin + 250 LLC ED streptomycin + 5 ml of isotonic sodium chloride solution. In some cases, it is advisable to supplement the specified composition with 2 ml of a suspension of hydrocortisone. Perhaps the use for inhalation and other antibiotics, but in all cases it is necessary to find out their tolerance. Infusion into the larynx is performed daily for 7-10 days. For children during an asthma attack, distracting three-minute hot foot baths with repetition in 10-15 minutes, mustard plasters on calves, inhalation of moistened oxygen are recommended. In the room where the patient is located, it is necessary to maintain high humidity. Phonoelectrophoresis (using the Kryukov-Podmazov device) has a good anti-inflammatory effect on the area of ​​the larynx with augmentin or prednisolone. If the effects of suffocation are threatening, prescribe prednisone intramuscularly, aminophylline intravenously. With an increase in body temperature, it is advisable to prescribe antibacterial and antipyretic drugs. With the disappearance of acute catarrhal laryngitis, a thorough examination of the upper respiratory tract is indicated; in the presence of infectious foci in the teeth, tonsils, etc. their reorganization is necessary.

P r about n about z with the timely appeal of the patient to the doctor and quickly started treatment is favorable; in some cases, the disease becomes more severe acute or chronic.
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Acute catarrhal laryngitis

  1. Chronic catarrhal laryngitis
    The disease in most cases is a consequence of the often repeated acute inflammation of the mucous membrane of the larynx after hypothermia. In persons whose profession is associated with the load on the vocal apparatus (singers, readers, lecturers, etc.), their long overstrain can play the main etiological role. Occupational factors such as dustiness,
  2. Acute laryngitis
    Acute laryngitis is an inflammation of the mucous membrane of the larynx, which in this case, as a rule, is secondarily affected by acute respiratory infections, is less often an independent disease, while there is always inflammation of the mucous membrane of the trachea and it is more correct to call this disease laryngotracheitis, especially since from our point of view this disease begins it is with inflammation of the trachea, and then the larynx. At the first place
  3. Acute laryngitis. U04.0
    {foto163} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, difficulty
  4. Acute professional laryngitis
    The disease occurs due to overexertion of the voice or improper manner of voice control. Patients complain of discomfort in the larynx and fatigue of the voice after exercise. On examination (indirect laryngoscopy), redness of the vocal folds is detected, they look dull, dry, the edges of the folds are sluggish. With phonation, the vocal folds do not close completely. It is necessary to pay attention
  5. Acute laryngitis and tracheitis. U04
    {foto162} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, difficulty
  6. Acute obstructive laryngitis (croup). U05.0
    {foto167} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, difficulty
  7. Acute obstructive laryngitis (croup) and epiglottitis. U05
    {foto166} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, cough, shortness of breath, difficulty
  8. Laryngitis
    The clinical picture of acute laryngitis Acute laryngitis (inflammation of the larynx) occurs more often with acute catarrh of the upper respiratory tract, flu and other infectious diseases, as well as as a result of overexertion of the voice. Depending on the degree of inflammation - a change in voice from mild hoarseness to loss of it, coughing, dryness, soreness in the throat. Sometimes a slight fever, headache
  9. Acute runny nose (acute rhinitis)
    Acute rhinitis (rhinitis acuta) is an acute nonspecific inflammation of the nasal mucosa. This disease is among the most common in both children and adults. The clinic distinguishes: • acute catarrhal rhinitis (rhinitis cataralis acuta); • acute catarrhal rhinopharyngitis, usually in childhood (rhinitis cataralis neonatorum acuta); • sharp
  10. Laryngitis
    Physical blockage Laryngitis is an inflammation of the larynx, the organ by which we make sounds. Laryngitis is characterized by hoarseness, coughing and sometimes shortness of breath. (If we are talking about damage to the larynx with diphtheria, see the article CROUP). Emotional blocking Partial or complete loss of voice indicates that a person does not allow himself to speak, as he is afraid of something. He wants
  11. respiratory diseases: laryngitis, bronchitis.
    Acute laryngitis in children is also called false croup. It is an inflammation of the larynx. The frequency of the disease increases in winter and spring. In most cases, the causative agents of acute laryngitis are respiratory viruses. Acute laryngitis can also develop as a complication of some infectious diseases: childhood measles, scarlet fever. Poor contribute to disease
  12. respiratory diseases: laryngitis, bronchitis.
    Acute laryngitis in children is also called false croup. It is an inflammation of the larynx. The frequency of the disease increases in winter and spring. In most cases, the causative agents of acute laryngitis are respiratory viruses. Acute laryngitis can also develop as a complication of some infectious diseases: childhood measles, scarlet fever. Poor contribute to disease
  13. Exudative-catarrhal diathesis
    Exudative-catarrhal diathesis is the ability of hereditarily determined congenital and acquired properties of the body to respond with an increased reaction of the skin and mucous membranes to individual external stimuli. Exudative-catarrhal diathesis is caused by genetic factors (genetic burden in 70-80% of children), age-related features of the digestive tract enzyme system and
  14. Exudative-catarrhal diathesis
    -sm skin lesions: gneiss, seborrhea, milk crust, diaper rash, eczema dry and weeping, neurodermatitis, pruritus -sm lesions of the mucous membranes: "geographical language", conjunctivitis, blepharitis, rhinitis, pharyngitis, laryngitis, bronchitis, vulvovaginitis , bowel dysfunction - cm functional changes in the nervous system - hyperplastic cm: enlargement of peripheral lymph nodes - criteria
  15. Chronic hyperplastic laryngitis
    Chronic hyperplastic laryngitis is characterized by various kinds of laryngeal mucosa hyperplasia; prevalence distinguish between limited and diffuse forms of the disease. Et and about l about d and I. It occurs usually after frequent acute processes, the disease is contributed by hypothermia and overheating of the body, voice overload, smoking, alcohol, etc. K l and n and with with to I
  16. Інфекційна катарана Гарычка's a sheep
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