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Acute catarrhal laryngitis

Acute inflammation of the larynx mucosa (laryngitis satarrhalis acuta) is often observed as an independent disease. Often it is a continuation of catarrhal inflammation of the mucous membrane of the nose, throat with a cold or acute catarrh of the upper respiratory tract, acute respiratory viral infection, flu; it may also occur after voice overloads, inhalation of irritating gases, hot or cold air, injury, foreign body entering the larynx, etc. As an independent disease, acute catarrhal laryngitis most often occurs as a result of activation of the saprophytic flora in the larynx, under the influence of such factors as local or general hypothermia (cold fluid intake or rapid cooling at the time of overheating of the body), vocal fold overpotential or long voice load or at the moment of screaming, exposure to certain occupational hazards (dust, fumes, gases, etc.).

Histological examination determines damage to the mucous membrane of the larynx. The ciliated epithelium loses cilia in areas or is rejected, the deeper layers of cells are preserved (regeneration occurs). In some places, the metaplasia of the cylindrical ciliated epithelium may occur in a flat. Infiltration of the mucous membrane is unevenly expressed, the blood vessels are crimped, dilated, filled with blood, their subepithelial ruptures often occur in the vocal folds.

K l and N and c e to and I to and r t and N and. The disease is characterized by the sudden onset of hoarseness, tickling, rawness and dry throat. Body temperature is usually normal, but sometimes rises to subfebrile numbers. At the same time with these subjective sensations at the beginning of the disease a dry cough occurs, and then with sputum. Violation of the vocative function is expressed in the form of varying degrees of dysphonia up to aphonia. Hoarseness can be low and high pitched (in the latter case, such dysphonia is sometimes called hoarseness). In some cases, there is difficulty breathing, due to the accumulation of mucous-peel crusts and swelling of the mucous membrane.

D and gnostk is based on data from a survey and clinical examination. When laryngoscopy is determined by hyperemia, swelling and swelling of the mucous membrane of the larynx. In most cases, hyperemia is diffuse, but more pronounced in the vocal folds (Fig. 8.1).

Figure 8.1.

Acute inflammation of the larynx

.

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

epiglottis abscess

.

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

In childhood, the diagnosis is also based on the study of the above signs, but for the examination of the larynx it is often necessary 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-anatomical changes in this case will be characterized by the development of fibrinous inflammation with the formation of dirty-gray films that are intimately connected with the underlying tissues. In adults, catarrhal laryngitis should be distinguished from the initial form of tuberculosis, when laryngoscopy is determined by unilateral damage to the larynx; in addition, laryngeal tuberculosis is usually accompanied by specific lung lesions. 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 differs from the catarrhal process by the clear delineation of boundaries and the simultaneous disease of the skin of the face and neck, etc.

First of all, the organ should be provided with schazhenie. The patient must observe the voice mode (silence mode) until the acute inflammation subsides, stop taking spicy, cold food, alcoholic drinks and smoking. Apply a warming compress on the neck. Drug therapy is aimed at eliminating the inflammatory process in the larynx and preventing complications. Assign inhalation of bioparox, which has a pronounced local antimicrobial and simultaneously 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 the swelling of the mucous membrane and hypersecretion of sputum, as well as for better discharge of sputum, the anti-inflammatory drug Erespal is used. Adults appoint 1 tablet 2 or 3 times a day, depending on the severity of the disease; children give the drug in the form of syrup (taking into account age). Prescribe the 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. It is possible to use for inhalation and other antibiotics, but in all cases it is necessary to determine their tolerability. Infusion into the larynx is made daily for 7-10 days. Children during an attack of suffocation are recommended three-minute distracting hot foot baths with a repetition in 10-15 minutes, mustard plasters on the calves, inhaling humidified oxygen. In the room where the patient is located, it is necessary to maintain high humidity. A good anti-inflammatory effect is exerted by phonoelectrophoresis (using the Kryukov-Podmazov device) on the larynx area with augmentine or prednisone. If the phenomena of suffocation are threatening, prednisone is administered intramuscularly, aminophylline intravenously. When the body temperature rises, it is advisable to prescribe antibacterial and antipyretic drugs. After the disappearance of acute catarrhal laryngitis, a thorough examination of the upper respiratory tract is shown; in the presence of infectious lesions in the teeth, tonsils, etc. their reorganization is necessary.

If the patient is treated in a timely manner by the patient and the treatment started quickly, the treatment is favorable; in some cases, the disease becomes a more severe acute or chronic form.
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Acute catarrhal laryngitis

  1. Chronic catarrhal laryngitis
    In most cases, the disease is a result of often recurring acute inflammation of the mucous membrane of the larynx after hypothermia. For persons whose profession is connected with the load on the vocal apparatus (singers, readers, lecturers, etc.), the main etiological role may be played by its prolonged overstrain. Professional factors such as dust,
  2. Acute laryngitis
    Acute laryngitis is inflammation of the mucous membrane of the larynx, which, as a rule, is affected for the second time in acute respiratory infections, less often is an independent disease, while there is always inflammation of the tracheal mucosa and it is more correct to call this disease laryngotracheitis, especially since from our point of view this disease begins it is from the inflammation of the trachea, and then the larynx. At the first place
  3. Acute laryngitis. W04.0
    {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 over-exertion of the voice or the wrong manner of voice. Patients complain of discomfort in the larynx and voice fatigue after exercise. When viewed (indirect laryngoscopy) revealed reddening of the vocal folds, they look dull, dry, the edges of the folds are sluggish. During phonation, the vocal folds are not fully closed. It is necessary to pay attention
  5. Acute laryngitis and tracheitis. Y04
    {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). W05.0
    {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, difficulty breathing, difficulty
  8. Laryngitis
    The clinical picture of acute laryngitis Laryngitis is acute (inflammation of the larynx) occurs more often in acute catarrh of the upper respiratory tract, influenza and other infectious diseases, as well as as a result of voice overstrain. Depending on the degree of inflammation - change in voice from mild hoarseness to losing it, coughing, dryness, soreness in the throat. Sometimes a slight fever, headache
  9. Acute rhinitis (acute rhinitis)
    Acute rhinitis (rhinitis acuta) is an acute nonspecific inflammation of the nasal mucosa. This disease is among the most common in children and adults. The clinic distinguishes between: • acute catarrhal rhinitis (rhinitis cataralis acuta); • acute catarrhal rhinopharyngitis, usually in childhood (rhinitis cataralis neonatorum acuta); • sharp
  10. Laryngitis
    Physical blocking Laryngitis is an inflammation of the larynx, the organ with which we make sounds. Laryngitis is characterized by hoarseness, coughing and sometimes difficulty breathing. (If we are talking about the defeat of 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, because 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 develop as a complication of some infectious diseases: pediatric measles, scarlet fever. Bad conditions contribute to the 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 develop as a complication of some infectious diseases: pediatric measles, scarlet fever. Bad conditions contribute to the disease
  13. Exudative-catarrhal diathesis
    Exudative-catarrhal diathesis is the ability of the hereditary congenital and acquired properties of the body to respond with an increased response 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 characteristics of the enzyme system of the digestive tract and
  14. Exudative-catarrhal diathesis
    -sm skin lesions: gneiss, seborrhea, milk crust, diaper rash, eczema dry and weeping, neurodermatitis, pruritus -sm mucosal lesions: "geographic tongue", conjunctivitis, blepharitis, rhinitis, pharyngitis, laryngitis, bronchitis, vulvovaginitis , intestinal dysfunction —s-m functional changes in the nervous system — hyperplastic sm: an increase in peripheral lymph nodes — criteria
  15. Chronic hyperplastic laryngitis
    Chronic hyperplastic laryngitis is characterized by various types of hyperplasia of the mucous membrane of the larynx; prevalence distinguish limited and diffuse forms of the disease. This and about l about g and I. It usually occurs after frequent acute processes, the disease is facilitated by hypothermia and overheating of the body, voice overload, smoking, alcohol, etc. K l and n and c e to and I
  16. Інфекційна катаральна garyachka sheep
    Infektsiina cataralah (febris catarrhalis), a bazaar, a bazaar The link with characteristic urazhennyam of the language of the branch was called “blue tongue” or “black mouth”.
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