chronic laryngitis is an inflammation of the mucosal surfaces of the larynx for several weeks, which is characterized by phases of exacerbation of symptoms and their calm. As a rule, the chronicity of the disease is said if the inflammatory process lasts more than 3 weeks. During this time there are noticeable changes on the mucosa: the growth of the epithelium, there is plaque, permanent hyperemia, swelling of the tissues.
symptomatic picture and causes
- 1 symptomatic picture and causes
- 2 forms laryngitis
- 3 Treatment of laryngitis in adults
- 4 Prevention for Chronic
characterized in that the existence of any kind of laryngitis appear at the least strain on the patient ligamentous apparatus. In addition, the entire mucous membrane is affected.
Laryngitis is a frequent complication of whooping cough, measles, diphtheria, tonsillitis, influenza. These ailments lead to the defeat of the upper layer of the laryngeal epithelium, because of which a strong inflammatory process is activated. As "local protection" becomes less reliable, the disease becomes chronic.
Bacterial agents can penetrate from other infectious foci, for example, with chronic sinusitis or rhinitis.
However, predispositions to the disease are of great importance for the process chronicisation. Chronic catarrhal laryngitis can develop as a consequence:
- of frequent ARI and hypothermia;
- inflammatory diseases, covering the upper respiratory tract;
- anatomical features of the structure of the larynx;
- of congenital or acquired pathologies of the pharynx and nasopharynx( curvature of the nasal septum).
An important place in pathogenesis is given to bad habits. If there is a suspicion of developing laryngitis during treatment, it is recommended to stop smoking. This habit has a negative effect on local immunity and negatively affects the ligamentous apparatus.
Forms of laryngitis
Symptoms of chronic laryngitis are determined by the type of disease. There are catarrhal, atrophic and hyperplastic.
With catarrhal laryngitis , an otolaryngologist during laryngoscopy notes flushing of the mucosa. In the absence of adequate treatment, grayish scarlet spots appear on the walls, which gradually merge. As a result of the spread of the inflammatory process, the vessels expand, a small puffiness appears. However, there are no major changes in the tissues.
This form does not differ in the severity of the symptomatic pattern. Sometimes there is a small dry cough, a feeling of mild discomfort in the throat, a little voice changes( only with significant loads).However, even with mild hypothermia, there is an exacerbation of the ailment, which is accompanied by an obtrusive dry cough, sore throat, loss of voice.
Symptoms of chronic laryngitis in adults with atrophic form are caused by atrophy of the mucosa. This is manifested by a fits-like dry cough, irritation and dryness of the laryngeal mucosa. On the walls of the pharynx, mucus deposits appear, which makes normal expectoration impossible because of the high viscosity. As a result, bleeding erosions appear on the walls when the crusts leave the wall.
during laryngoscopy doctor notes of red and gray coloring of the walls, swelling of the ligaments, the presence of green-yellow crusts on the walls, mucous noticeably thinner.
Chronic hyperplastic laryngitis characterized by the growth of epithelial and connective tissue in some parts of the walls, but the ligaments thicken completely. On examination, the otolaryngologist discovers knotty formation of dense consistency, the patient complains of hoarseness, sore and scratchy throat.
Important! Chronic hypertrophic laryngitis is a precancerous condition, and therefore requires constant monitoring.
Treatment of laryngitis in adults
Therapy includes non-drug and drug treatment regimens.
Patient recommended :
- decreases contact with allergens;
- to quit smoking for the period of
- treatment to ensure peace of the ligament apparatus;
- timely treatment of infectious pathologies, preventing the chronization of the process;
- regular administration of inhalations with alkaline waters of the type "Borjomi".
Medical therapy includes treatment of chronic laryngitis with antibiotics, among which penicillins combined( Augmentin, Amoxiclav, Ampicillin) or macrolides( Sumamed, Azithromycin) are most often prescribed. In addition, inhalations with drugs based on ambroxol( Lazolvan) are recommended, which facilitates the escape of mucus.
With a dry non-productive cough, the doctor can advise Stoptussin, Bronholitin, Erespal. For the treatment of wet cough, drugs such as Herbion with Ivy extract, Prospan, Gedelix are more suitable. The pain and perspiration in the throat are well stopped by aerosols, candies( Strepsils, Decatilen, Hexaliz).
Exacerbation of in atrophic form requires the addition of a standard inhalation therapy regimen with proteolytic enzymes( trypsin).This stimulates the healing of damaged tissues. Often recommended course of laser therapy and electrophoresis, parenteral administration of vitreous body, vitamins C and group B, aloe is prescribed.
Following simple recommendations will allow "not to rack your brains" in the future, thinking how to treat laryngitis. Preventative measures to prevent the transition of acute laryngitis to a chronic form include the timely treatment of all infectious ailments, the elimination of possible foci of bacterial infection in the nasopharynx and larynx, and should take care not to strain the vocal cords without special need, do not overcool and regularly strengthen immunity.