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--> 00:03.444\n好，\n\n00:03.444 --> 00:06.094\n我是全科医师李医师。\n\n00:07.309 --> 00:07.659\n嗯，\n\n00:07.710 --> 00:11.609\n今天我来讲一下就是扁桃体发炎的一个科普内容。\n\n00:12.109 --> 00:12.510\n嗯，\n\n00:12.510 --> 00:16.010\n首先我要从六个方面进行讲解，\n\n00:16.260 --> 00:20.159\n包括就是说我们怎么样去认识这个扁桃体，\n\n00:20.709 --> 00:21.110\n嗯，\n\n00:21.260 --> 00:23.784\n然后它的病因，\n\n00:23.784 --> 00:24.985\n扁桃体发炎的病因啊，\n\n00:24.985 --> 00:25.659\n诱因啊，\n\n00:25.659 --> 00:27.959\n然后扁桃体发炎的临床表现啊，\n\n00:28.159 --> 00:30.159\n然后我们去怎么去诊断它，\n\n00:30.260 --> 00:32.959\n还有通过一些什么检查。\n\n00:33.589 --> 00:36.138\n还有他扁桃体发炎的一个治疗，\n\n00:36.789 --> 00:37.188\n嗯，\n\n00:37.388 --> 00:40.464\n然后后面的一个预防和保健，\n\n00:40.464 --> 00:41.938\n六个内容进行讲解。\n\n00:43.201 --> 00:43.376\n嗯，\n\n00:43.376 --> 00:45.402\n首先我们来认识一下扁桃体。\n\n00:45.451 --> 00:45.876\n然后，\n\n00:45.876 --> 00:47.551\n包括扁桃体的一个发炎，\n\n00:48.301 --> 00:51.376\n就是扁桃体它的作用呢，\n\n00:51.376 --> 00:53.626\n就是人体的一个重要的免疫防线，\n\n00:53.626 --> 00:55.451\n位于那个咽喉的要道，\n\n00:55.801 --> 00:58.501\n能阻挡外界病菌的入侵，\n\n00:58.751 --> 01:01.152\n为身体构起一个免疫屏障。\n\n01:03.608 --> 01:04.233\n它呀，\n\n01:04.233 --> 01:06.358\n也起到一个过滤病菌的作用。\n\n01:06.358 --> 01:09.657\n它可过滤进入口腔和鼻腔的病菌，\n\n01:09.758 --> 01:12.008\n像一个精细的滤网，\n\n01:12.407 --> 01:13.858\n拦截有害的微生物。\n\n01:14.878 --> 01:18.528\n它也识别病菌并启动免疫反应，\n\n01:18.528 --> 01:21.478\n产生抗体和免疫细胞对抗感染。\n\n01:22.246 --> 01:23.396\n维持身体的平衡，\n\n01:23.945 --> 01:24.971\n免疫平衡，\n\n01:24.971 --> 01:26.846\n然后维护呼吸道的健康。\n\n01:26.846 --> 01:28.221\n就通过其免疫功能，\n\n01:28.221 --> 01:30.695\n扁桃体有助于保持呼吸道清洁和健康，\n\n01:31.195 --> 01:33.846\n降低呼吸道感染的几率。\n\n01:33.846 --> 01:35.846\n保障呼吸的顺畅。\n\n01:36.473 --> 01:36.774\n嗯。\n\n01:38.099 --> 01:39.625\n那发炎的定义就是说，\n\n01:39.625 --> 01:42.474\n扁桃体发炎就是炎症的概念，\n\n01:42.474 --> 01:45.900\n就是说身体对刺激的防御性的反应，\n\n01:45.900 --> 01:48.550\n表现为红肿热痛，\n\n01:49.000 --> 01:52.699\n是免疫系统对对抗有害因素的体现。\n\n01:54.597 --> 01:54.947\n那么，\n\n01:54.947 --> 01:56.023\n扁桃体发炎的界定，\n\n01:56.023 --> 01:58.597\n扁桃体是指扁桃体受细菌感染，\n\n01:59.097 --> 02:02.023\n就是病菌感染及其他因素的刺激，\n\n02:02.023 --> 02:03.197\n出现充血啊，\n\n02:03.197 --> 02:06.498\n肿大、疼痛等症状的病理状态。\n\n02:07.567 --> 02:09.492\n那与其他炎症的区别呢，\n\n02:09.492 --> 02:10.317\n就是，\n\n02:10.567 --> 02:13.117\n扁桃体发炎主要局限于扁桃体的部位，\n\n02:13.367 --> 02:16.567\n症状多集中集中在喉咽喉部，\n\n02:16.766 --> 02:18.067\n有其独特的表现。\n\n02:19.319 --> 02:19.669\n嗯，\n\n02:19.669 --> 02:20.694\n从医学角度呢，\n\n02:20.694 --> 02:23.468\n扁桃体发炎是扁桃体实质内淋巴。\n\n02:25.791 --> 02:30.740\n和组织反应的一个反应性的增生引发的这个局部炎症。\n\n02:32.703 --> 02:37.027\n它的类型有急性扁桃体炎、慢性扁桃体、化脓性扁桃体，\n\n02:37.027 --> 02:38.902\n还有隐匿性的一种扁桃体。\n\n02:39.552 --> 02:41.753\n那我们分别来来了解一下。\n\n02:41.753 --> 02:42.852\n急性扁桃体炎呢，\n\n02:42.902 --> 02:44.052\n就是起病比较急，\n\n02:44.052 --> 02:45.227\n常伴有高热啊，\n\n02:45.227 --> 02:45.927\n咽痛啊，\n\n02:45.927 --> 02:49.078\n剧烈多由细菌或者病毒引起的。\n\n02:49.078 --> 02:50.552\n慢性扁桃体炎呢，\n\n02:50.753 --> 02:55.052\n是因为急性扁桃体炎反复发作。\n\n02:55.860 --> 02:56.985\n所导致啊，\n\n02:56.985 --> 03:00.035\n症状相对较轻易，\n\n03:00.035 --> 03:01.011\n但易反复，\n\n03:01.160 --> 03:02.811\n可影响生活质量。\n\n03:03.061 --> 03:07.011\n化脓性扁桃体炎是指扁桃体表面有脓性的分泌物，\n\n03:07.261 --> 03:08.610\n有咽痛明显啊，\n\n03:08.610 --> 03:09.960\n发热啊，\n\n03:10.160 --> 03:12.936\n病情相对较重要去需要及时治疗。\n\n03:12.936 --> 03:15.511\n隐匿性扁桃体炎这症状不典型，\n\n03:16.061 --> 03:17.985\n可能仅有轻微的咽部不适，\n\n03:17.985 --> 03:18.910\n易被忽视，\n\n03:18.910 --> 03:20.610\n但也会影响身体的健康。\n\n03:22.906 --> 03:25.805\n那我们来了解它的病因和诱因。\n\n03:27.651 --> 03:28.001\n嗯，\n\n03:28.052 --> 03:28.901\n病因呢，\n\n03:28.901 --> 03:30.626\n有感染的因素，\n\n03:30.626 --> 03:34.852\n就是说有细菌、病毒、支原体还有其他的感染途径的方式。\n\n03:35.052 --> 03:35.802\n细菌呢，\n\n03:35.802 --> 03:42.052\n是指常见的有链球菌、葡萄球菌等可侵性扁桃体引起炎症症状多较明显，\n\n03:42.251 --> 03:44.701\n治疗常需要抗生素的治疗。\n\n03:45.001 --> 03:46.451\n病毒呢，\n\n03:46.602 --> 03:49.401\n有腺病毒啊、流感病毒，\n\n03:49.401 --> 03:50.751\n这种可致扁桃体发炎，\n\n03:51.001 --> 03:52.126\n起病比较急，\n\n03:52.126 --> 03:53.701\n症状也有咽痛发热，\n\n03:53.751 --> 03:56.901\n一般对症处理就可以缓解。\n\n03:57.610 --> 03:58.610\n还有支原体感染，\n\n03:58.610 --> 03:59.610\n支原体感染，\n\n03:59.759 --> 04:01.910\n病情发展相对较缓慢，\n\n04:02.110 --> 04:03.910\n可能伴有咳嗽等症状，\n\n04:03.910 --> 04:05.009\n治疗周期比较长。\n\n04:06.485 --> 04:07.884\n感染途径的方式呢，\n\n04:07.884 --> 04:11.134\n就是说感染途径主要有飞沫的传播、接触的传播等。\n\n04:11.335 --> 04:17.885\n因为感染与患者近期近距离的交谈、共用物品等都有可能被感染。\n\n04:18.544 --> 04:19.794\n这是一个感染因素，\n\n04:19.794 --> 04:20.868\n还有环境因素，\n\n04:20.868 --> 04:22.944\n环境因素就是说空气污染的危害，\n\n04:23.294 --> 04:27.944\n空气中的粉尘、有害气体等污染物会刺激扁桃体，\n\n04:28.044 --> 04:29.569\n降低其抵抗力，\n\n04:29.569 --> 04:30.993\n触发增加这个。\n\n04:31.687 --> 04:32.513\n发炎的几率，\n\n04:32.513 --> 04:33.988\n还有气候变化的因素，\n\n04:34.287 --> 04:35.537\n气温骤变啊，\n\n04:35.687 --> 04:37.988\n换季时人体难以适应，\n\n04:38.138 --> 04:39.738\n扁桃体易受影响，\n\n04:40.037 --> 04:42.088\n引发炎症。\n\n04:43.183 --> 04:45.007\n春季春秋季呢，\n\n04:45.007 --> 04:45.958\n有较为明显，\n\n04:45.958 --> 04:47.358\n还有生活环境的状况，\n\n04:47.358 --> 04:48.507\n就是生活环境比较潮湿，\n\n04:48.507 --> 04:49.058\n通风差，\n\n04:49.058 --> 04:50.507\n细菌容易滋生。\n\n04:50.507 --> 04:53.782\n长期处于这样的环境的扁桃体也会有发炎的风险。\n\n04:54.032 --> 04:55.032\n来公共场所，\n\n04:55.032 --> 04:57.733\n就是说商场影院人流量较大的地方，\n\n04:57.733 --> 04:58.882\n人员比较密集，\n\n04:59.233 --> 05:00.382\n病原体比较多。\n\n05:00.583 --> 05:01.808\n你通过空气啊，\n\n05:01.808 --> 05:02.683\n接触传播。\n\n05:04.680 --> 05:05.631\n自身的因素，\n\n05:05.631 --> 05:07.381\n自身因素就是免疫力低下。\n\n05:07.480 --> 05:10.781\n生活一些不良的生活习惯啊，\n\n05:10.781 --> 05:11.881\n还有过度劳累啊，\n\n05:12.131 --> 05:13.305\n就免疫力低下的话，\n\n05:13.305 --> 05:14.980\n就是有我们如果营养不良，\n\n05:14.980 --> 05:17.730\n缺乏锻炼就会整体产生免疫力的下降，\n\n05:17.980 --> 05:19.881\n扁桃体的防御能力就下降，\n\n05:19.881 --> 05:21.330\n就容易引发炎症。\n\n05:21.881 --> 05:23.605\n还有生活习惯就是说，\n\n05:23.605 --> 05:28.131\n长期的吸烟酗酒熬夜等不良习惯会损害扁桃体的健康，\n\n05:28.631 --> 05:29.105\n对吧，\n\n05:29.105 --> 05:30.730\n增加一个感染的可能性，\n\n05:30.930 --> 05:32.031\n还有过度劳累，\n\n05:32.031 --> 05:33.881\n过度劳累的身体机能下降，\n\n05:33.881 --> 05:35.080\n扁桃体免疫力也会。\n\n05:35.147 --> 05:37.296\n受影响会增加发炎的几率。\n\n05:37.846 --> 05:39.296\n其他疾病的话，\n\n05:39.296 --> 05:42.397\n比如说鼻炎、咽炎等邻近器官的疾病，\n\n05:42.596 --> 05:43.971\n如果没有及时治疗呢，\n\n05:43.971 --> 05:45.497\n炎症可能蔓延至。\n\n05:46.207 --> 05:46.506\n嗯。\n\n05:47.600 --> 05:48.700\n蔓延至扁桃体。\n\n05:50.440 --> 05:54.339\n那我们来了解一下它的一个症状表现。\n\n05:55.429 --> 05:57.505\n症状表现就是说局部的症状，\n\n05:57.505 --> 05:59.204\n局部症状主要是咽痛，\n\n05:59.204 --> 06:01.529\n咽痛特异程度不一，\n\n06:01.779 --> 06:03.829\n轻者是吞咽时稍微有点痛，\n\n06:03.929 --> 06:06.079\n重的话就持续性的剧痛，\n\n06:06.079 --> 06:09.079\n可放止放射到耳根部，\n\n06:09.230 --> 06:10.980\n严重也可以影响到生活。\n\n06:11.130 --> 06:12.380\n还有就吞咽困难，\n\n06:12.480 --> 06:16.230\n因为你有咽痛患者吞咽的时候疼痛更加剧烈，\n\n06:16.380 --> 06:19.029\n甚至是可能会出现一个。\n\n06:20.390 --> 06:20.740\n嗯，\n\n06:20.890 --> 06:25.240\n咽口水难以下咽的口可能导致进食也会受限。\n\n06:25.490 --> 06:26.691\n还有扁桃体的肿大，\n\n06:26.941 --> 06:28.066\n扁桃体发炎呢，\n\n06:28.066 --> 06:32.341\n也会存在扁桃体不一定不不同程度的肿大。\n\n06:32.490 --> 06:33.466\n一度肿大呢，\n\n06:33.466 --> 06:34.165\n可能不明显，\n\n06:34.165 --> 06:35.040\n二度肿大呢，\n\n06:35.191 --> 06:35.566\n嗯，\n\n06:35.566 --> 06:37.216\n可在口腔内部清晰看到，\n\n06:37.216 --> 06:39.441\n严重至可以堵塞呼吸道。\n\n06:40.158 --> 06:42.084\n扁桃体还有分泌物表面呢，\n\n06:42.084 --> 06:44.209\n可以分泌物就是多表现为白色啊，\n\n06:44.209 --> 06:44.783\n黄色啊，\n\n06:44.783 --> 06:45.558\n质地粘稠，\n\n06:45.808 --> 06:47.084\n有时呈颗粒状，\n\n06:47.084 --> 06:48.308\n伴有异味。\n\n06:49.914 --> 06:51.713\n这些都是炎症的一些表现，\n\n06:51.864 --> 06:52.889\n这是局部症状，\n\n06:52.889 --> 06:53.838\n全身症状呢，\n\n06:53.838 --> 06:55.264\n主要是表现发热啊，\n\n06:55.264 --> 06:55.914\n乏力啊，\n\n06:55.914 --> 06:57.664\n头痛等不适的症状。\n\n06:57.813 --> 06:58.664\n发热的话，\n\n06:58.664 --> 06:59.614\n温度高低不等，\n\n06:59.614 --> 07:02.063\n可以在37°5.39°之间。\n\n07:02.364 --> 07:05.438\n部分患者体温可超过39°，\n\n07:05.438 --> 07:06.713\n有寒颤的表现，\n\n07:06.864 --> 07:07.438\n乏力，\n\n07:07.438 --> 07:08.588\n因为可能就是说，\n\n07:08.588 --> 07:10.313\n炎症还有发热的原因，\n\n07:10.313 --> 07:11.813\n出现那个疲乏明显，\n\n07:11.813 --> 07:12.764\n精神萎靡，\n\n07:13.114 --> 07:14.614\n活动的耐力的下降，\n\n07:14.614 --> 07:15.963\n日常活动易受到劳累，\n\n07:16.313 --> 07:20.213\n也就是说也可能会引起头痛、头晕。\n\n07:20.394 --> 07:21.269\n头部有疼痛感，\n\n07:21.269 --> 07:22.669\n这是由于炎症刺激啊，\n\n07:22.669 --> 07:26.144\n发热导致脑血管扩张引起的不适。\n\n07:26.294 --> 07:27.368\n还有食欲不振，\n\n07:27.368 --> 07:32.368\n因为咽痛发热的影响所出现的一些食欲不振，\n\n07:32.368 --> 07:33.694\n对食物缺乏兴趣，\n\n07:33.694 --> 07:35.493\n进食量明显减少。\n\n07:36.799 --> 07:37.623\n长期的话，\n\n07:37.623 --> 07:39.648\n就可能会出现一个营养不良，\n\n07:39.998 --> 07:41.148\n营养摄入不足，\n\n07:41.148 --> 07:41.799\n营养不良。\n\n07:43.531 --> 07:45.781\n特殊的一些症状就是言语不清，\n\n07:45.781 --> 07:47.730\n就是因扁桃体肿大影响发音。\n\n07:48.031 --> 07:50.881\n患者就说话的时候言语可能含糊不清，\n\n07:51.131 --> 07:51.531\n嗯，\n\n07:51.580 --> 07:53.555\n可能像口中含有物，\n\n07:53.555 --> 07:55.631\n物含物就发音不准。\n\n07:55.830 --> 07:57.131\n还有就是呼吸困难，\n\n07:57.131 --> 07:59.906\n就是扁桃体如果严重的肿大可以堵塞呼吸道，\n\n07:59.906 --> 08:03.281\n导致出现一个呼吸困难、呼吸急促甚至窒息的危险。\n\n08:03.781 --> 08:05.381\n还有就是就是说，\n\n08:05.580 --> 08:09.506\n打呼就是睡眠时因气道受阻呢，\n\n08:09.506 --> 08:10.781\n出现一个打呼的现象，\n\n08:10.930 --> 08:11.330\n嗯，\n\n08:12.131 --> 08:13.281\n鼾声响亮。\n\n08:13.644 --> 08:14.093\n不规则，\n\n08:14.093 --> 08:15.944\n严重的话可能会影响睡眠。\n\n08:16.343 --> 08:18.944\n还有就是说耳部的不适症状，\n\n08:19.243 --> 08:23.019\n炎症可能通过一个咽鼓管蔓延至耳部，\n\n08:23.019 --> 08:26.294\n可引起耳部的疼痛、闷胀感、耳鸣等，\n\n08:26.294 --> 08:27.843\n甚至可能引起中耳炎。\n\n08:30.960 --> 08:33.986\n这是一个临床表现的一个症状，\n\n08:33.986 --> 08:35.861\n那我们怎么去诊断？\n\n08:36.611 --> 08:40.861\n那诊断的话要通过一些问诊。\n\n08:41.781 --> 08:42.130\n嗯，\n\n08:42.130 --> 08:45.656\n检查还有实验室检查来进行诊断。\n\n08:45.656 --> 08:47.681\n那我们首先就是医生的问诊，\n\n08:47.931 --> 08:53.955\n首先要问清患者疼痛时间什么程度，\n\n08:53.955 --> 08:55.330\n是不是有吞咽困难，\n\n08:55.330 --> 09:00.130\n有没有伴有发烧及其他一些特殊的不适的症状。\n\n09:01.200 --> 09:03.549\n来判断就是说扁桃体发炎的情况，\n\n09:03.549 --> 09:07.700\n还有了解患者是不是有没有既往有没有扁桃体发炎的病史，\n\n09:07.700 --> 09:09.049\n发作次数多不多，\n\n09:09.349 --> 09:15.750\n还有有没有其他的呼吸道疾病的病史来进行对来对诊断进行一个参考。\n\n09:16.250 --> 09:18.825\n还有询问患者日常作息有没有规律啊，\n\n09:18.825 --> 09:19.825\n最近有没有劳累呀，\n\n09:19.825 --> 09:24.450\n饮食习惯等来判断患者生活方式有没有对疾病的影响，\n\n09:24.700 --> 09:28.000\n有过敏史就是了解患者有没有药物食物的过敏，\n\n09:28.099 --> 09:30.125\n避免治疗中使用过敏药物，\n\n09:30.125 --> 09:31.599\n保持治疗的安全。\n\n09:31.671 --> 09:32.122\n有效，\n\n09:32.421 --> 09:33.471\n这是一个问诊。\n\n09:33.572 --> 09:34.697\n体格检查呢，\n\n09:34.697 --> 09:36.421\n主要我们要看一下扁桃体，\n\n09:36.622 --> 09:39.072\n就是说我们可以借助压舌板看一下，\n\n09:39.171 --> 09:41.421\n手电筒看一下扁桃体的大小、颜色，\n\n09:41.721 --> 09:43.721\n有无红肿、化脓分泌物，\n\n09:44.072 --> 09:45.521\n可以直接的可以观察，\n\n09:45.822 --> 09:46.671\n还可以看，\n\n09:46.671 --> 09:48.271\n顺便可以观察咽部。\n\n09:49.174 --> 09:51.474\n粘膜的一个充血情况有没有水肿，\n\n09:51.674 --> 09:52.625\n有没有溃疡，\n\n09:52.775 --> 09:55.325\n甚至那个波及的范围，\n\n09:55.575 --> 09:56.400\n它也可以，\n\n09:56.400 --> 09:57.724\n然后就可以摸一摸，\n\n09:57.724 --> 09:59.599\n然后颈部淋巴结有没有肿大，\n\n09:59.599 --> 10:00.375\n是否有肿大，\n\n10:00.375 --> 10:00.825\n疼痛，\n\n10:01.075 --> 10:02.900\n判断是否是炎症，\n\n10:02.900 --> 10:03.674\n有没有扩散。\n\n10:04.325 --> 10:04.674\n嗯，\n\n10:04.674 --> 10:07.750\n同时可以看看口腔黏膜的色泽啊，\n\n10:07.750 --> 10:08.674\n有没有破损啊，\n\n10:08.674 --> 10:09.950\n疱疹疱疹啊，\n\n10:09.950 --> 10:10.375\n这种，\n\n10:10.474 --> 10:13.174\n然后排除其他疾病的一些可能性。\n\n10:14.651 --> 10:16.927\n这是一个检查，\n\n10:16.927 --> 10:21.851\n然后我们也可以通过一个实验室的检查来进一步判断它的炎症情况。\n\n10:22.202 --> 10:22.802\n就是说，\n\n10:22.802 --> 10:25.802\n还有一些细菌感染的具体细菌，\n\n10:26.002 --> 10:27.202\n哪个细菌的感染，\n\n10:27.202 --> 10:29.726\n就是说一个我们可以通过血液血常规，\n\n10:29.726 --> 10:32.427\n就是可以看血细胞对吧，\n\n10:32.427 --> 10:34.802\n判断它是细菌性感染还是病毒性感染，\n\n10:34.802 --> 10:35.702\n初步看一下。\n\n10:36.166 --> 10:39.640\n还可以通过抗链球菌的一个抗O的检查，\n\n10:39.640 --> 10:44.065\nC反应蛋白的检查来初步评估一下它的炎症的情况，\n\n10:44.366 --> 10:45.216\n厉害的情况，\n\n10:45.216 --> 10:46.015\n或者一个。\n\n10:47.135 --> 10:49.585\n是不是存在是链球菌感染的可能，\n\n10:50.385 --> 10:52.310\n然后还可以做一个咽拭子，\n\n10:52.310 --> 10:55.385\n咽拭子一个作为一个细菌的培养，\n\n10:55.385 --> 10:58.185\n来明确这个病原体到底是什么，\n\n10:58.185 --> 11:00.861\n来进一步精准的使用一个抗生素，\n\n11:00.861 --> 11:01.685\n针对治疗。\n\n11:02.690 --> 11:03.039\n嗯，\n\n11:03.039 --> 11:06.289\n然后我们医生就是可以通过这种综合，\n\n11:06.289 --> 11:09.065\n就是说问诊检查还有实验室检查，\n\n11:09.065 --> 11:11.989\n综合判断他的疾病情况，\n\n11:11.989 --> 11:13.114\n扁桃体发炎情况，\n\n11:13.114 --> 11:14.140\n然后严重程度，\n\n11:14.190 --> 11:14.590\n对吧，\n\n11:14.590 --> 11:15.640\n感染的类型。\n\n11:15.840 --> 11:18.190\n然后我们制定一个个性化的方案，\n\n11:18.239 --> 11:20.690\n然后需要用什么治疗什么抗生素。\n\n11:25.471 --> 11:27.070\n好治疗的方法呢，\n\n11:27.370 --> 11:28.921\n就是一个药物治疗。\n\n11:29.171 --> 11:30.721\n如果针对细菌感染呢，\n\n11:30.721 --> 11:31.695\n引起扁桃体发炎呢，\n\n11:31.695 --> 11:37.520\n我们可以用青霉素、头孢类的抗生素足量足疗程的使用，\n\n11:37.520 --> 11:41.346\n避免而且也要避免细菌耐药性啊。\n\n11:41.346 --> 11:42.796\n抗病毒药物的治疗呢，\n\n11:42.796 --> 11:45.070\n就是说如果是病毒感染引起的，\n\n11:45.070 --> 11:48.570\n我们可以用利比利巴韦林啊、阿昔洛韦等抗病毒感染，\n\n11:48.620 --> 11:49.770\n抑制病毒的复制，\n\n11:49.770 --> 11:51.671\n减轻那个症状，\n\n11:51.671 --> 11:53.070\n然后缩短一个病程，\n\n11:53.520 --> 11:54.921\n然后同时。\n\n11:56.179 --> 11:57.479\n也可以对症治疗，\n\n11:57.479 --> 11:58.380\n就是解热镇痛。\n\n11:58.380 --> 12:00.255\n就是如果患者有发热啊，\n\n12:00.255 --> 12:00.929\n咽痛明显，\n\n12:00.929 --> 12:03.955\n可以用布洛芬对乙酰氨基酚有效的降温，\n\n12:03.955 --> 12:04.854\n也可以镇痛的，\n\n12:04.854 --> 12:06.330\n起到缓解疼痛的作用。\n\n12:06.729 --> 12:07.979\n局部用药就是说，\n\n12:07.979 --> 12:10.455\n我们可以用一个含漱漱口液啊，\n\n12:10.455 --> 12:13.679\n这种或者含片可以缓解咽部疼痛啊，\n\n12:13.780 --> 12:15.780\n包括也可以清洁口腔啊，\n\n12:15.830 --> 12:17.880\n起到一个杀菌灭菌的作用。\n\n12:18.504 --> 12:20.203\n这是一个药物治疗，\n\n12:20.403 --> 12:21.304\n除了药物治疗，\n\n12:21.304 --> 12:23.153\n我们还可以一个手术治疗。\n\n12:23.554 --> 12:26.004\n如果说我们就说扁桃体反复发作，\n\n12:26.004 --> 12:27.254\n然后过度肥大，\n\n12:27.254 --> 12:28.078\n影响吞咽，\n\n12:28.078 --> 12:28.854\n影响呼吸，\n\n12:28.903 --> 12:30.028\n可能存在窒息的话，\n\n12:30.028 --> 12:31.604\n我们可以考虑一个手术治疗。\n\n12:31.703 --> 12:32.778\n手术治疗的话，\n\n12:32.778 --> 12:34.679\n有扁桃体的一个剥离术，\n\n12:34.679 --> 12:36.703\n或者等离子的刀，\n\n12:37.054 --> 12:39.453\n等离子刀扁桃体的一个切除术，\n\n12:39.854 --> 12:40.229\n嗯，\n\n12:40.229 --> 12:41.754\n等离子刀扁桃体切除术呢，\n\n12:41.754 --> 12:42.304\n创伤小，\n\n12:42.304 --> 12:43.004\n出血少，\n\n12:43.004 --> 12:43.903\n恢复比较快。\n\n12:44.504 --> 12:45.729\n然后术前呢，\n\n12:45.729 --> 12:46.554\n我们要做好评估，\n\n12:46.554 --> 12:47.004\n就是说，\n\n12:47.004 --> 12:47.403\n嗯，\n\n12:47.653 --> 12:48.854\n术中可能出现的。\n\n12:48.906 --> 12:49.307\n出血啊，\n\n12:49.307 --> 12:49.831\n感染啊，\n\n12:49.831 --> 12:51.781\n损伤周围处置的风险啊，\n\n12:51.781 --> 12:52.906\n都要进行一个评估。\n\n12:53.257 --> 12:53.632\n嗯，\n\n12:53.632 --> 12:56.906\n做好一个术前的一个做好一个检查，\n\n12:57.307 --> 12:58.656\n对患者进行评估。\n\n12:58.757 --> 13:00.156\n术后恢复的话，\n\n13:00.956 --> 13:02.182\n就是说注意休息，\n\n13:02.182 --> 13:03.882\n避免那个剧烈运动。\n\n13:03.882 --> 13:04.781\n饮食的话，\n\n13:04.781 --> 13:07.206\n从冷流食过渡到软食，\n\n13:07.706 --> 13:09.932\n同时要关注伤口有没有出血啊，\n\n13:09.932 --> 13:10.807\n疼痛的情况。\n\n13:12.317 --> 13:13.567\n其他的治疗，\n\n13:14.117 --> 13:14.518\n嗯，\n\n13:14.567 --> 13:15.668\n其他治疗的话，\n\n13:15.668 --> 13:17.793\n我们可以通过一个中医手段的治疗，\n\n13:17.793 --> 13:18.942\n比如说超短波啊，\n\n13:18.942 --> 13:20.018\n红外线等治疗，\n\n13:20.067 --> 13:21.893\n可促进局部血液的循环，\n\n13:21.893 --> 13:23.067\n减轻炎症的反应，\n\n13:23.317 --> 13:24.817\n加速病情的恢复。\n\n13:25.168 --> 13:27.317\n然后也可以通过中医治疗。\n\n13:27.317 --> 13:27.918\n中医的话，\n\n13:27.918 --> 13:29.518\n也可以内服或者。\n\n13:30.385 --> 13:31.286\n外用的针灸，\n\n13:31.536 --> 13:32.210\n内服的话，\n\n13:32.210 --> 13:33.236\n比如说银翘啊，\n\n13:33.236 --> 13:35.135\n这种甘菊汤，\n\n13:35.486 --> 13:35.885\n嗯，\n\n13:36.635 --> 13:37.835\n银翘甘菊汤等，\n\n13:37.835 --> 13:39.385\n这种可以清热解毒的。\n\n13:39.635 --> 13:40.036\n嗯，\n\n13:40.085 --> 13:41.085\n利咽这种。\n\n13:41.989 --> 13:42.315\n然后，\n\n13:42.315 --> 13:43.565\n生活方式就是说，\n\n13:43.565 --> 13:43.940\n嗯，\n\n13:43.989 --> 13:45.489\n保持充足的睡眠，\n\n13:45.489 --> 13:46.364\n避免熬夜，\n\n13:46.364 --> 13:47.489\n注意口腔卫生，\n\n13:47.890 --> 13:50.414\n可用淡盐水漱口啊，\n\n13:50.414 --> 13:51.690\n减少细菌的滋生。\n\n13:51.840 --> 13:53.614\n还有饮食调理，\n\n13:53.614 --> 13:56.039\n就是说饮食宜清淡消化，\n\n13:56.289 --> 13:56.690\n嗯，\n\n13:56.739 --> 13:58.215\n多吃富含维生素的食物，\n\n13:58.215 --> 13:59.289\n如苹果菠菜，\n\n13:59.390 --> 14:01.090\n避免辛辣油腻的食物，\n\n14:01.090 --> 14:02.090\n有助于恢复。\n\n14:03.481 --> 14:05.931\n这是一个除了手术治疗，\n\n14:06.031 --> 14:07.431\n还有其他的治疗方式。\n\n14:08.338 --> 14:10.288\n那我们除了这些治疗好以后，\n\n14:10.288 --> 14:12.538\n要怎么预防与保健呢？\n\n14:12.987 --> 14:14.638\n就是日常性的预防，\n\n14:14.638 --> 14:17.213\n就是说保持一个口腔卫生，\n\n14:17.213 --> 14:17.937\n至少两次，\n\n14:17.937 --> 14:18.538\n要刷牙，\n\n14:18.737 --> 14:20.487\n饭后清水或漱口水。\n\n14:21.745 --> 14:22.296\n漱口，\n\n14:22.346 --> 14:24.846\n清洁口腔食物的残渣细菌啊，\n\n14:24.895 --> 14:27.495\n减少表达扁桃体发炎感染的几率。\n\n14:28.653 --> 14:29.828\n规律作息安排，\n\n14:29.828 --> 14:33.304\n保证每天7.8小时的睡眠时间，\n\n14:33.703 --> 14:35.929\n早睡早起啊，\n\n14:35.929 --> 14:36.729\n避免熬夜，\n\n14:36.729 --> 14:39.153\n让身体各器官充分休息。\n\n14:43.945 --> 14:44.294\n嗯，\n\n14:45.244 --> 14:47.195\n让器官充分休息，\n\n14:47.195 --> 14:48.145\n避免，\n\n14:48.445 --> 14:49.770\n免疫系统正常，\n\n14:49.770 --> 14:51.494\n维持免疫系统的正常功能，\n\n14:51.645 --> 14:53.244\n还就适度的体育锻炼啊，\n\n14:53.244 --> 14:55.645\n每周进行3.5次的有氧运动，\n\n14:55.645 --> 14:56.544\n如慢跑啊，\n\n14:56.895 --> 14:57.695\n游泳的，\n\n14:57.695 --> 14:59.445\n每次30分钟以上，\n\n14:59.494 --> 15:00.544\n增强体质。\n\n15:01.224 --> 15:02.924\n增高机体抵抗力啊，\n\n15:02.924 --> 15:03.674\n免疫力这种，\n\n15:03.674 --> 15:05.849\n还有就是避免接触感染源啊，\n\n15:05.849 --> 15:07.849\n在在流感高发期啊，\n\n15:07.849 --> 15:09.424\n少去人员密集的场所。\n\n15:10.174 --> 15:10.549\n嗯，\n\n15:10.549 --> 15:12.549\n必须如必须前往的话，\n\n15:12.549 --> 15:15.924\n就佩戴好口罩回家及时洗手啊，\n\n15:15.924 --> 15:17.575\n降低感染的风险。\n\n15:18.780 --> 15:19.929\n这是一个预防，\n\n15:19.929 --> 15:21.205\n还有一个饮食保健。\n\n15:21.205 --> 15:22.179\n就是说啊，\n\n15:22.229 --> 15:23.630\n我们要合理安排三餐，\n\n15:23.630 --> 15:28.205\n保证碳水化合物、蛋白质、脂肪、维生素啊、矿物质摄入，\n\n15:28.205 --> 15:29.330\n还要多吃水果，\n\n15:29.780 --> 15:32.554\n就是富含维生素、膳食纤维的苹果啊，\n\n15:32.554 --> 15:33.429\n橙子、菠菜等，\n\n15:33.429 --> 15:34.130\n增加免疫力，\n\n15:34.130 --> 15:35.905\n促进肠蠕动，\n\n15:35.905 --> 15:37.804\n避免刺激刺激性的食物，\n\n15:37.804 --> 15:40.580\n就是少吃辣花椒、芥末等辛辣食物。\n\n15:40.830 --> 15:42.505\n以及油炸烧烤食物，\n\n15:42.505 --> 15:43.880\n减少对扁桃体的刺激，\n\n15:44.429 --> 15:46.229\n然后饮水，\n\n15:46.229 --> 15:49.179\n就是我们也每天要保证一个饮水就是。\n\n15:49.229 --> 15:51.479\n说每天饮水1500.2000ml，\n\n15:51.479 --> 15:53.679\n可以保持喉咙的。\n\n15:55.122 --> 15:56.622\n湿润稀释痰液，\n\n15:56.622 --> 15:57.598\n促进新陈代谢，\n\n15:57.598 --> 15:59.372\n加速体内毒素的排出，\n\n15:59.922 --> 16:00.523\n对吧？\n\n16:01.911 --> 16:02.262\n还有，\n\n16:02.262 --> 16:05.211\n我们后期一个康复的一个注意事项就是说，\n\n16:05.361 --> 16:06.286\n恢复期的话，\n\n16:06.286 --> 16:07.637\n康复期要多休息，\n\n16:07.637 --> 16:09.187\n避免剧烈的运动，\n\n16:09.187 --> 16:10.361\n保持充足睡眠。\n\n16:10.911 --> 16:12.312\n然后定期要复查。\n\n16:12.312 --> 16:12.711\n比如说，\n\n16:12.711 --> 16:13.661\n我们血项比较高，\n\n16:13.661 --> 16:14.812\n咽拭子培养的话，\n\n16:14.812 --> 16:15.562\n可以复查。\n\n16:16.353 --> 16:20.353\n以确保治疗是否以为已经痊愈，\n\n16:20.853 --> 16:22.002\n那就预防措施，\n\n16:22.002 --> 16:23.603\n保持良好的生活啊，\n\n16:23.603 --> 16:24.453\n饮食习惯，\n\n16:24.453 --> 16:26.802\n注意天气变化，\n\n16:26.802 --> 16:27.552\n增减衣物，\n\n16:27.552 --> 16:28.802\n避免过度劳累。\n\n16:29.729 --> 16:30.078\n然后，\n\n16:30.078 --> 16:32.328\n保持积极的乐观的心态，\n\n16:32.379 --> 16:34.078\n避免焦虑紧张情绪，\n\n16:34.429 --> 16:36.554\n就是良好的心理状态，\n\n16:36.554 --> 16:39.828\n有助于身体恢复和免疫系统的稳定。\n\n16:40.429 --> 16:42.528\n这是一个，\n\n16:42.778 --> 16:43.179\n好，\n\n16:43.229 --> 16:48.528\n今天就是我给大家分享的关于扁桃体的一个科普知识，\n\n16:49.028 --> 16:49.979\n那谢谢大家。\n\n","v0d47cg10004d75lvt2ljhtdar7ld390",1019,716,"2026-02-26 00:01:17","扁桃体发炎的原因、诊断、治疗","2026-06-11 18:07:28",[32],{"menuId":33,"menuName":34,"parentId":17,"orderNum":35,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":21,"status":17,"createDept":6,"remark":15,"createTime":41,"children":42,"columnImage":43,"columnLogo":44,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":45,"seoKeywords":46,"seoDescription":47,"contentNum":6,"promotionalPoster":48,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":49,"routerPath":36,"componentInfo":37},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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