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DIAGNOSIS AND OPTIMIZATION OF TREATMENT OF PATIENTS WITH
CHRONIC LARYNGITIS
Sabirova Shakhlo Bakhtiyorovna
Samieva Gulnoza Utkurovna
Bakiyev Shavkatbek Sherzodovich
Samarkand State Medical University
https://doi.org/10.5281/zenodo.13927524
Abstract:
The disease usually begins acutely, against the background of general
satisfactory condition and, as a rule, normal or subfebrile div temperature. At the beginning
of the disease, patients complain of a feeling of dryness, persistence, and soreness in the throat.
The voice becomes rough, gradually develops hoarseness, sometimes - up to aphonia. Changes
in the voice are due to inflammatory edema of the mucous membrane of the vocal folds and
larynx, increased formation of sputum. On the 2-3rd day of the disease may appear dry cough.
It is accompanied by scanty discharge of viscous mucous sputum, the amount of which may
further increase, and its character may change up to purulent sputum, especially in case of
tracheitis.
Key words:
acute laryngitis laryngitis, larynx, acute inflammation of the mucous
membrane.
Introduction.
Acute laryngitis, which develops as a result of hypothermia, overstrain of
the voice or injury to the larynx, usually proceeds without worsening the general condition of
the patient. The disease that occurs against the background of an infectious disease (ARVI,
influenza, etc.) is accompanied by an increase in div temperature to febrile numbers and a
violation of the general condition. Also, an increase in temperature to febrile figures indicates
the addition of inflammation of the lower respiratory tract or the transition of catarrhal
inflammation of the larynx to phlegmonous. Infiltrative and abscessing forms of acute laryngitis
are characterized by severe sore throat, impaired swallowing (including fluid), severe
intoxication, and increasing symptoms of laryngeal stenosis. The severity of clinical
manifestations is directly correlated with the severity of inflammatory changes.
The duration of acute catarrhal laryngitis usually ranges from 5 to 10 days. Under
unfavorable conditions, for example, violation of the vocal regime, inadequate therapy, etc.,
acute catarrhal laryngitis can turn into infiltrative or phlegmonous or into a chronic form.
Conclusions:
Thus, it is necessary to differentiate acute catarrhal laryngitis, which arose
on the background of hypothermia or ARVI, with acute catarrhal laryngitis in persons using
voice for professional purposes, which developed against the background of overload of the
vocal apparatus, since the treatment tactics will be different. The latter is always characterized
by excessive vocal load preceding the onset of the disease and isolated changes in the larynx,
manifested, as a rule, by marginal hyperemia of the free edge of the vocal folds and their
hypotension, as well as hyperemia of the interdigital space against the background of
unchanged mucous membrane of other parts of the larynx.
References:
1.
Romanenko S.G. Acute and chronic laryngitis. Otorhinolaryngology. National leadership.
A short edition edited by V.T. Palchun. M.:GEOTAR-Media, 2012, pp. 541-547.
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2.
Samieva G. U. Modern methods of treatment of acute stenosing laryngotracheitis in
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3.
Samieva G. U. Dysbiotic disorders of the upper respiratory tract in children with acute
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4.
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