Chronic pharyngitis Buy Zithromax

Chronic sore throat (pharyngitis chronica) - chronic inflammation of the pharyngeal mucosa that develops as a consequence of acute inflammation in inadequate treatment and unrepaired etiologic factors. There are chronic catarrhal, hypertrophic (side and granulosa) and atrophic pharyngitis

Etiology. The occurrence of chronic pharyngitis, in most cases due to prolonged local irritation of the mucous membrane of the pharynx. Contribute to the emergence of chronic pharyngitis recurrent acute inflammation of the throat, inflammation of the tonsils, nasal and paranasal sinuses, prolonged violation of nasal breathing, adverse climatic and environmental factors, smoking, etc. In some cases, the cause of the disease may be diseases of the gastrointestinal tract, endocrine and hormonal disorders, tooth decay, alcohol, spicy irritating and overly hot or cold food. Finally, chronic pharyngitis may also occur in a number of chronic infectious diseases such as tuberculosis.

Pathology. Hypertrophic form of pharyngitis characterized by thickening of the mucous membrane layer, increasing the number of rows of the epithelium. The mucous membrane becomes thicker and thicker, blood and lymphatic vessels are dilated, the lymphocytes are defined in the perivascular space. Lymphoid formation, scattered mucous membrane normally in the form of subtle granules, greatly thickened and expanded, often by merging neighboring granules; marked hypersecretion of mucous membrane hyperemia. Hypertrophic process may primarily relate to the mucous membrane of the posterior pharyngeal wall - granulosa pharyngitis, or to the side of its departments - the lateral hypertrophic pharyngitis.

In atrophic chronic pharyngitis is characterized by a dramatic thinning and dryness of mucous membranes of the pharynx; in severe cases it is brilliant, "patent". The quantity of mucous glands and their number reduced. There desquamation of epithelium.

When catarrhal pharyngitis revealed persistent, diffuse venous congestion, pastoznost mucosa by expanding veins and stasis of small caliber, there is perivascular cell infiltration.

Clinic. Bluetongue and hypertrophic forms of inflammation characterized by a sense of rawness, tickle, tickling, embarrassment in the throat when swallowing, sensation of a foreign body, not to interfere with food intake, but it makes often make swallowing movements. In hypertrophic pharyngitis all these phenomena are more pronounced than in the catarrhal form of the disease. Sometimes there are complaints about laying the ears, which disappears after a few swallowing movements.

The main complaints in atrophic pharyngitis is a feeling of dryness in the throat, difficulty swallowing often, especially in the so-called empty throat, often bad breath. Patients often have a desire to drink a sip of water, especially during prolonged conversation.

It should be noted that not always correspond to the patient's complaints process severity: some with minor pathological changes, and even in the apparent absence of them, a number of unpleasant side sensations that cause the patient to be treated is long and hard; others, on the contrary, serious changes are almost imperceptible.

Faringoskopicheski catarrhal process is characterized by erythema, edema and a thickening of the pharyngeal mucosa, sometimes the back wall is covered with a transparent or muddy slime.

For granulosa pharyngitis characterized by the presence on the rear wall of the pharynx lymphoid granules - semicircular elevations the size of millet grain dark red color, located on a background of congested mucous membrane, surface of branching veins. Lateral pharyngitis represented as hyperemic, thickened side lymphoid rollers located behind the rear palatine arches.