Chronic pharyngitis is a chronic inflammation of the pharyngeal mucosa, submucosa, and lymphoid tissue. Diffuse pharyngeal inflammation is often part of the chronic inflammation of the upper respiratory tract; limited pharyngeal inflammation is mostly inflammation of the pharyngeal lymphatic tissue. Then the treatment of chronic pharyngitis? Medication for chronic pharyngitis?
Treatment of chronic pharyngitis Remove the causes
Smoking and alcohol cessation, active treatment of the primary causes of chronic pharyngitis (acute pharyngitis, chronic inflammation of the nose and nasopharynx, reflux gastroesophageal disease, and improvement of the work and living environment).
Lifestyle Changes
Appropriate physical exercise, normal work and rest, a light diet, and a good psychological state in order to enhance the overall immune system to improve the pharyngeal mucosa local function.
Local treatment (1) chronic simple pharyngitis commonly used compound borax, furacilin solution, such as gargling, to maintain oral and pharyngeal cleanliness; or containing iodine throat tablets, peppermint throat tablets, such as the treatment of chronic inflammation of the pharynx throat tablets; Chinese medicinal preparations, such as chronic pharyngitis also has a certain degree of efficacy; the local can be used to compound iodized glycerin, 5% silver nitrate solution, or 10% of the weak protein silver solution coated with pharyngeal, with astringent and anti-inflammatory effect; ultrasound, the ultrasonic, and the pharyngeal. Astringent and anti-inflammatory effect; ultrasonic nebulization can alleviate the symptoms of chronic pharyngitis; generally do not need antibiotic treatment. (2) Chronic hypertrophic pharyngitis is more difficult to treat and can be referred to chronic simple pharyngitis. In addition to the above methods, the lymphoid follicles elevated in the posterior wall of the pharynx can also be treated with chemical drugs or electrocoagulation, cryotherapy or laser therapy. Chemically, 20% silver nitrate or chromic acid solution is used to cauterize the enlarged lymphoid follicles. Electrocoagulation is rarely used because of its side effects, and laser or radiofrequency therapy is used to treat lymphoid follicles in the posterior pharyngeal wall. The above methods of treating lymphoid follicles may increase mucosal scarring and have the potential to exacerbate symptoms. In addition, ultrasonic nebulization therapy, local ultraviolet irradiation and diathermy therapy are also complementary to hypertrophic pharyngitis.
(3) atrophic and dry pharyngitis general treatment with chronic simple pharyngitis, but can not be used to cauterize. Can take or pharyngeal local application of small doses of iodine to promote increased mucosal epithelial secretion; ultrasonic nebulization treatment can also reduce dry symptoms. Vitamins A, B2, C, and E can be taken to promote the growth of mucosal epithelial tissue in the pharynx. For patients with dry pharyngitis, caution should be exercised when considering tonsillectomy to avoid worsening of the condition after surgery. (4) Chronic allergic pharyngitis avoid contact with various possible allergens, apply antihistamines or mast cell stabilizers, local or short-term systemic application of glucocorticoids and immunomodulators. (5) Chronic reflux pharyngitis should avoid foods that promote gastric acid secretion, such as chocolate, spicy and stimulating foods to reduce pharyngeal reflux in order to reduce the irritation of the pharyngeal mucosa; and control the amount of food and water intake 3 to 4 hours before bedtime. On the basis of the general treatment of chronic pharyngitis, gastric acid inhibitors and gastric mucosal protective agents can be used in conjunction with the treatment, while actively treating gastric disorders.
Drug treatment of chronic pharyngitis
Chronic pharyngitis belongs to the category of "laryngeal paralysis" in Chinese medicine. According to the dialectic of Chinese medicine, the pharynx chronic congestion of deficiency fire inflammation, pharyngeal dryness and pain for the lack of fluid, pharyngeal foreign body sensation for the phlegm obstruction or phlegm qi junction. The treatment mostly adopts "benefiting yin, clearing heat and regulating qi, nourishing yin, reducing fire and removing heat". The principle of "nourishing yin to reduce fire and remove heat". Commonly used drugs such as slow Yan Shulime clear throat and pharyngeal particles, with fat sea water, Qinghao, clearing heat, nourishing the lungs, generating fluids, and facilitating the pharynx; with bamboo, orange red, and Citrus aurantium, regulating qi, resolving phlegm, and dispersing knots; and sinking incense to lower the qi and regulate the middle to remove phlegm and heat in the chest. The whole formula clears heat and induces diuresis, broadens the chest and moistens the throat. It is very effective for dry, itchy, painful pharynx, foreign body sensation and cough.