Acute laryngotracheitis - Professional diseases of teachers, teachers and other «Speakers» of people. And it is treated with silence. Do not believe? Let's listen to the expert.
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Son woke up only in resuscitation. Put him a diagnosis «Stenzing laryngotracheitis». Son attacks repeated in January, February of this year. What kind of illness is like and how to get rid of it?»
More about this disease, at the same time child and adult, tells the otolaryngologist-surgeon, Doctor of Medical Sciences, Professor Yuri Lvovich Hamburg.
- Laringhotrachite - infectious disease. It simultaneously affects the throat, and the trachea. Inflammatory processes in them arise against the background of weakened immunity after any suffered disease, as a result of inhalation of harmful substances - on the street, in production. As well as - from supercooling. Another very common cause - voice overvoltage. In adult inflammatory processes in the throat and trachery may arise after long-stressed speeches. Often this is a professional disease of teachers, teachers and other «Speakers» of people. And the child pays, shouting selflessly, as it happens in childhood, in the cold air - and, please, got sick.
So, we can say that there are two main reasons for the occurrence of laryngotracy: voice overvoltage and infection on the background of supercooling.
- And what are the signs of this disease that allow a person to suspect or a child's laryngotrachite?
- There is a barking cough. Hoarseness. Inspiratory shortness of breath and noisy breathing, which do not change when changing body position. Lying, sitting, standing they are manifested the same. Remarkable feature: absent soreness.
- And from what binder, loss of consciousness?
- With inflammation, the mucous membrane of the larynx and the trachea thickens, swells. Mountain consists of three departments: Supplement, share and pinching. If inflammation is particularly strongly covered by a mucous membrane department, it can lead to a edema, the so-called stenosis that impede his breath. Swelling is dangerous in that it overlaps air access partially, and in difficult, more dangerous cases and completely.
If you do not take urgent measures, it may be bad to end. Stenosis, however, is a dangerous top of laryngotracy. Not all the sick they reach it, fortunately.
- With sharp laryngotrachites - a week - one and a half. But if a person is under constant influence of any irritant factors - inhalation of harmful substances, long conversations on high tones and so on, then the disease can go into a chronic state. With it, there are various thickening, seals of mucous membranes, voice folds that remain for a long time, if not forever, and require surgical intervention.
- That is, a person simply - however, the voice can?
- Just like this: maybe the abyss. But the damage can be subjected to the so-called return nerve, which moves voice folds. Then the stationary turns out one half of the larynx, and in some cases both halves, which leads to suffocation.
Their trachea is in some way easier. Her mucosa during inflammation allocates sputum, as a result - cough, the need for expectoration, which is often given with great difficulty. However, it must be remembered that the inflammation of the trachea can go to bronchi.
Naturally, it worsens the condition of the larynx, trachea and bronchi smoking. It is a permanent stimulus. Noticed that smokers and the voice is special, slightly hoarse. I do not smoke for 20 years, and my voice has completely recovered. I can sing again, as before, when in the young years in the army was sent.
Anyway, but if a person has long hoarseness, he should seek a doctor.
- With acute inflammatory processes of laryngotracheita you need to take sulfamis, antibiotics, expectorant. Effective mustard pieces. They can be put right on the neck. Useful for pinpoint laryngotrachites foot baths. It is not necessary to add anything to the water, just to hold the legs 10 - 15 minutes in hot water. Eliminate any irritant food - sour, salted, sharp, hot... There is often, but brought. And drink - drink plenty. Of course, do not smoke if someone smokes. And most importantly - silent. Arrange as we, doctors, speak, voice peace. Full silence. And some believe that if we say a whisper, then it is already peace. Against! Whisper strains voice folds more than speech in full voice. So it is better to express the gestures and with the help of notes.
- And you can, whether to resort to rinse?
- Rinse can be throat, but not larynx. Rinse best sage. And for larynx and trachea conduct inhalation. In my practice, always for these purposes recommended to use and I used it in the treatment of patients with warm Borzhomi. And - an important detail! - Inhaler when spraying Borzomi must be kept before open mouth. And deeply inhale sprayed jet. Procedure to repeat within 10 - 15 minutes. If it is mistaken to enjoy the inhaler deep into the mouth, then everything that you spray is mounted on a sip.
Well in front of the inhalation of Borjomi to ride over a hot soda solution (1 hour. Spoon on 1 l of water).
In chronic laryngotrachite to all already listed therapeutic measures, instillation in the larynx mental, and better even olive oil. However, in the acute course of the disease it does not hurt. True, you need to do such an instillation, and usually a doctor or a nurse is executed.
- Well, and if the disease manifested himself suddenly and proceeds, as a little boy's parent wrote about Tom, how not to be confused, what to do?
- Immediately make a hot foot bath and urgently cause «ambulance». Not a minute not a minute, because the case can reach tracheotomy - the throat will close, and with it and air access. In the meantime, the doctor arrives, mustard pieces need to put on the throat, take antihistamines - Supratine, Tueva. And - full silence.
- And if no such intense and dangerous development of the disease is observed, just a sharp laryngotrachite, which regime must adhere to the patient? Will it lie in bed, whether to walk? How to behave?
- If there is no high temperature, it is not necessary to lie. In the summer you can go outside. Not in winter, of course, and not slaky autumn. It is more important to observe all the conditions we have already spoken about - nothing annoying in food, full of voice peace, inhalation, foot baths, corping oil. Laryngotracheits in acute form - a fairly common disease, in the chronic stage it passes where how less often.
