Laryngitis, or inflammation of the throat, may beacute and chronic. He is catarrhal, infiltrative, abscess, podskladochnym (in the form of false croup). Symptoms depend on the form of laryngitis, disease duration, merger related diseases.
Symptoms of acute laryngitis: catarrhal form
Symptoms of acute laryngitis are divided into general and local. Common signs of the disease include fever (usually small) and not expressed weakness.
Local symptoms are called pathognomonic - ie only appear when the disease. These include:
- sore throat;
- the feeling of having a foreign body in the throat;
- occasional dry cough, eventually rolling in the wet.
An important symptom of acute catarrhal laryngitisare changes in the voice - the so-called dysphonia. Wheezing, hissing and even loss of voice suggests that the inflammation has affected the vocal cords. The appearance of this feature allows you to diagnose the disease with almost absolute certainty.
Symptoms of acute laryngitis: infiltrative form
Infiltrative forms of acute laryngitis occursthe propagation of inflammation in depth. If catarrhal embodiment struck only laryngeal mucosa shell, there amazed and submucosa, muscle, cartilage and joints.
The clinical picture of this form is much brighter. The above symptoms are much stronger. The patient has a fever, he complains of feeling unwell. When infiltrative process having a sore throat. The hallmark here is to strengthen their swallowing. The voice may disappear altogether. There is a strong cough, during which there is a thick discharge of muco-purulent sputum.
At this stage, the disease can appear violation of the respiratory function - shortness of breath, feeling short of breath.
With inadequate treatment or particularly aggressivemicrobe causing acute laryngitis, infiltrative form passes into the abscess. Common symptoms then becomes particularly bright. The body temperature rises to very high numbers - 39-40 degrees Celsius, there are chills, weakness becomes very pronounced. breathing difficulties observed in almost every patient, sometimes leading to bouts of breathlessness.
A natural result of this is a form of abscess of the larynx - the emergence of cavity with purulent contents.
Symptoms podskladochnogo laryngitis or false croup
This disease is considered extremely dangerous. It occurs in children, usually before the age of 5-8 years. Because of the high friability of submucosal tissue of the larynx, it is very sharply reacts to infection.
The disease usually begins with the usualrespiratory infection with congestion and runny nose. The temperature often low-grade - up to 38 degrees, there is a cough. Suddenly, the child starts choking at night, coughing becomes a "barking" skin turn blue. The patient is making a serious effort to breathe. During inhalation the skin is pulled in the jugular and supraclavicular fossae, upper abdomen.
At the height of an attack may occur so-called stenosis of the larynx - the complete closure of the lumen of the upper respiratory tract. Without extra measures adopted child inevitably dies.
If the stenosis has not happened, the attack fades, comes to naught for a few minutes (up to half an hour).
Treatment of acute laryngitis
In uncomplicated forms of treatment of acutelaryngitis is not complicated and is performed on an outpatient basis. First introduced gentle voice mode, recommending the patient to remain silent. Whisper straining the vocal cords is not less than ordinary speech, so as not welcome. Excludes alcoholic beverages, smoking, spicy food.
Drug therapy is produced mainly locally. Apply inhalation and irrigation of the mucous membrane of the larynx solutions antiseptics, antibiotics, corticosteroids, and antihistamines.
When complicated forms than those described abovemethods using antibiotics and antihistamines injection. In the case of an abscess made small operation on opening an abscess.
When asphyxia caused by false croup,the only way to save the child's life is a tracheotomy. At the same time the doctor makes the incision of the trachea below the locations of the vocal cords. Thus, the air begins to flow into the respiratory system. Given the circumstances, holding the tracheotomy allowed any apprentice with a sharp object, even non-sterile.