[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$ffIAeMkpUfxjTyLBcCA4H-AQLUJGD58cRWBRypv9I30U":8,"$fL8NDnHCCABq1LV11ZzHYRhWMMg55ldSy2VrJLRirxOk":60,"$fEttDKAQ8gpiMr3mECKuIZNBVoFloE34B7hQiLwy2W8I":61,"$feT1ett4Ph4EGNSvPAI4XZlQkVFK83BV9Ctxh-zoNY4g":65},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":56,"commentCount":17,"isComment":26,"deviceType":57,"url":58},9875,871806,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","唐文娟",0,"儿科消化类疾病治疗","复旦大学附属儿科医院","儿科","副主任医师",5,"扁桃体发炎症状、原因及治疗方法 - 专业指南","","https://cdn.yishi-tong.com/console/3/GZKrfap8RXspgpGPgBLUaC6zbhgrY2-I.png",1,"WEBVTT\n\n00:03.344 --> 00:03.469\n嗯，\n\n00:03.469 --> 00:04.544\n大家下午好。\n\n00:05.545 --> 00:06.119\n今天呢，\n\n00:06.119 --> 00:12.744\n我想跟大家分享分享一下关于扁桃体炎的一些知识，\n\n00:12.795 --> 00:14.795\n从基础到临床方面，\n\n00:14.994 --> 00:18.344\n希望大家给能全面认识一下。\n\n00:20.857 --> 00:20.957\n嗯，\n\n00:20.957 --> 00:23.256\n我将从以下三个方面，\n\n00:23.656 --> 00:29.806\n扁桃体发炎的炎的基础知识和发和扁桃体发炎的误区解析，\n\n00:29.806 --> 00:34.907\n以及扁桃体发炎的诊疗策略三方面进行讲解。\n\n00:39.301 --> 00:39.551\n是。\n\n00:40.546 --> 00:41.020\n首先，\n\n00:41.020 --> 00:42.695\n什么是扁桃体炎呢？\n\n00:45.464 --> 00:48.363\n我们首先要了解扁桃体是什么？\n\n00:49.735 --> 00:50.584\n扁桃体呢，\n\n00:50.584 --> 00:52.834\n是人体的免疫器官之一。\n\n00:53.842 --> 00:54.743\n那扁桃体呢，\n\n00:54.743 --> 00:57.143\n位于位于咽喉后方，\n\n00:57.443 --> 01:00.643\n是抵御外部病原体的第一道防线。\n\n01:00.993 --> 01:01.542\n它呢，\n\n01:01.542 --> 01:03.092\n是由淋巴组织构成，\n\n01:03.092 --> 01:04.542\n能够产生抗体，\n\n01:04.742 --> 01:05.767\n帮助身体，\n\n01:05.767 --> 01:07.792\n帮助身体对付感染。\n\n01:08.142 --> 01:10.167\n作为免疫系统的一部分，\n\n01:10.167 --> 01:13.892\n负责过滤进入口腔和鼻腔的病原体。\n\n01:14.242 --> 01:15.167\n扁桃体呢，\n\n01:15.167 --> 01:17.943\n分为腭扁桃体和咽咽扁桃体，\n\n01:18.042 --> 01:20.542\n共同协作保护上呼吸道。\n\n01:20.693 --> 01:22.068\n在儿童时期呢，\n\n01:22.068 --> 01:24.042\n扁桃体的发育比较活跃。\n\n01:24.346 --> 01:25.896\n随着年龄的增长呢，\n\n01:25.896 --> 01:27.945\n成人就会变得逐渐萎缩。\n\n01:28.596 --> 01:28.896\n嗯，\n\n01:28.896 --> 01:32.795\n扁桃体的主要功能是通过产生淋巴细胞，\n\n01:32.996 --> 01:35.945\n增强身体对感染的抵抗力，\n\n01:36.096 --> 01:39.195\n从而防止病原体进入下呼吸道，\n\n01:39.246 --> 01:42.496\n减少病病肺部感染的风险。\n\n01:42.646 --> 01:43.445\n也就是说，\n\n01:43.445 --> 01:48.146\n扁扁桃体是对我们呼吸道来说是起到第一道防御的功能。\n\n01:49.271 --> 01:52.945\n主要是防止病原体进一步的进一步的感染，\n\n01:52.945 --> 01:54.721\n而减少肺炎的发生。\n\n01:55.420 --> 01:58.420\n那扁桃体发炎的原因有哪些呢？\n\n01:58.471 --> 02:01.621\n通常是由细菌或者病毒感染引起，\n\n02:01.920 --> 02:04.646\n常见的诱因有免疫力的下降，\n\n02:04.646 --> 02:05.820\n过度的疲劳，\n\n02:05.920 --> 02:07.021\n季节的变化，\n\n02:07.021 --> 02:08.020\n空气的污染，\n\n02:08.020 --> 02:09.421\n不良的饮食习惯，\n\n02:09.570 --> 02:10.770\n接触感染源，\n\n02:10.770 --> 02:12.770\n长期吸烟或饮酒，\n\n02:13.070 --> 02:15.371\n缺乏维生素和矿物质等，\n\n02:15.371 --> 02:16.820\n这是常见的诱因。\n\n02:16.970 --> 02:17.496\n当然，\n\n02:17.496 --> 02:19.421\n寒冷干燥的气候或。\n\n02:19.524 --> 02:23.024\n空气污染也可诱发扁桃体发炎，\n\n02:23.324 --> 02:30.348\n常见的病原包括有病毒、病毒包括流感病毒、腺病、腺病毒等，\n\n02:30.348 --> 02:33.723\n常见的呼吸道感染还有呼吸道病毒。\n\n02:33.923 --> 02:35.423\n病毒感染引起的呢，\n\n02:35.423 --> 02:37.824\n可能相对来说症状较轻一点。\n\n02:38.024 --> 02:38.399\n嗯，\n\n02:38.399 --> 02:39.623\n除了病毒以外，\n\n02:39.623 --> 02:40.423\n还有细菌。\n\n02:40.423 --> 02:43.998\n最常的病最常见的病原体为链球菌，\n\n02:43.998 --> 02:46.473\n常常引发急性的扁桃体炎。\n\n02:46.524 --> 02:47.324\n相对来说，\n\n02:47.324 --> 02:48.123\n急性的症，\n\n02:48.123 --> 02:49.423\n急性的时候症状。\n\n02:49.539 --> 02:50.240\n比较明显，\n\n02:50.389 --> 02:53.889\n而且如果链球菌感染治疗不彻底的话，\n\n02:53.990 --> 02:56.990\n可能引发心脏和肾脏的并发症。\n\n02:57.139 --> 02:57.539\n所以，\n\n02:57.539 --> 02:58.315\n相对来说，\n\n02:58.315 --> 03:01.115\n细链球菌感染的引起扁桃体炎，\n\n03:01.115 --> 03:02.990\n我们要引起重重视。\n\n03:03.389 --> 03:03.789\n嗯，\n\n03:04.539 --> 03:05.115\n另外，\n\n03:05.115 --> 03:08.039\n引扁桃体发炎的发病机制呢，\n\n03:08.039 --> 03:10.315\n主要是病原体侵入扁桃，\n\n03:10.315 --> 03:12.639\n扁桃体以后引发免疫反应，\n\n03:12.690 --> 03:16.190\n导致炎症和细胞损损伤。\n\n03:16.389 --> 03:16.889\n另外，\n\n03:16.889 --> 03:19.490\n如果家族中有扁桃体发炎史的。\n\n03:19.559 --> 03:19.960\n人群，\n\n03:20.160 --> 03:23.509\n那是更相对来说更容易患患病，\n\n03:23.509 --> 03:26.309\n因此也有一定的遗传因素的作用。\n\n03:28.020 --> 03:29.869\n扁桃体发炎分类的话，\n\n03:29.869 --> 03:32.619\n分为急性和慢慢性扁桃体炎。\n\n03:32.770 --> 03:34.320\n急性的扁桃体炎呢，\n\n03:34.320 --> 03:37.294\n通常由细菌感染引起症状，\n\n03:37.294 --> 03:39.220\n症状迅速且明显。\n\n03:39.470 --> 03:43.320\n临床症状包括咽喉疼痛、发热和吞咽困难。\n\n03:43.520 --> 03:43.845\n嗯，\n\n03:43.845 --> 03:45.220\n慢性扁桃体炎呢，\n\n03:45.220 --> 03:48.195\n长期常常常有反复的急性炎症，\n\n03:48.195 --> 03:49.494\n反复，\n\n03:49.494 --> 03:53.119\n反复发作或扁桃体隐窝引流不畅引起，\n\n03:53.270 --> 03:58.070\n导致细菌在隐窝内滋滋生症状会持续存在。\n\n03:58.464 --> 03:58.889\n像，\n\n03:58.889 --> 04:00.839\n两者的症状的差异呢，\n\n04:00.839 --> 04:04.113\n急性扁桃体炎症状相对来说比较剧烈，\n\n04:04.214 --> 04:07.863\n慢性慢性扁桃体炎症状症状相对轻微，\n\n04:07.964 --> 04:10.764\n但可能长期影响生活质量。\n\n04:10.863 --> 04:12.889\n急性扁桃体炎的病程呢，\n\n04:12.889 --> 04:14.014\n相对来说较短，\n\n04:14.113 --> 04:18.264\n通常在数天到数周之内应该都可以恢复的，\n\n04:18.364 --> 04:20.313\n但是慢慢性扁桃体炎呢，\n\n04:20.313 --> 04:23.864\n可能持续持续数月甚至更长的时间。\n\n04:25.721 --> 04:25.821\n嗯，\n\n04:25.821 --> 04:29.346\n关于扁桃体炎的常见的症状有以下几点，\n\n04:29.346 --> 04:31.621\n首先第一点就是咽喉疼痛，\n\n04:31.920 --> 04:32.295\n嗯，\n\n04:32.295 --> 04:34.846\n疼痛往往剧烈吞咽时加重，\n\n04:34.846 --> 04:36.221\n常常影响食欲，\n\n04:36.471 --> 04:40.920\n食欲声音甚至有可能会引起会，\n\n04:41.371 --> 04:43.221\n甚至可能会引起说话。\n\n04:43.520 --> 04:44.121\n第二，\n\n04:44.121 --> 04:44.496\n嗯，\n\n04:44.496 --> 04:45.321\n第二点呢，\n\n04:45.321 --> 04:46.721\n第二就是发烧，\n\n04:46.920 --> 04:48.246\n发烧体温升高，\n\n04:48.246 --> 04:49.871\n通常超过38°，\n\n04:49.920 --> 04:52.170\n伴有胃寒胃寒的症状。\n\n04:52.321 --> 04:52.645\n嗯，\n\n04:52.645 --> 04:55.770\n第三就是颈部淋巴结明显的肿肿大。\n\n04:55.947 --> 04:56.697\n有压痛感，\n\n04:56.798 --> 04:59.347\n那有时候如果影响到。\n\n05:00.660 --> 05:02.385\n炎症影响到声带的话，\n\n05:02.385 --> 05:05.709\n可能导致声音的嘶哑沙哑或变调。\n\n05:05.859 --> 05:06.410\n然后，\n\n05:06.410 --> 05:07.959\n因为咽部的疼痛，\n\n05:08.059 --> 05:08.459\n嗯，\n\n05:08.510 --> 05:11.010\n往往会引起吞咽困难。\n\n05:11.309 --> 05:12.660\n困难，\n\n05:12.809 --> 05:16.359\n因为可炎症可以导致口腔内的细菌增多，\n\n05:16.359 --> 05:17.260\n产生异味。\n\n05:17.410 --> 05:19.484\n扁桃体如果非常肿大的话，\n\n05:19.484 --> 05:20.859\n可能影响到呼吸，\n\n05:21.059 --> 05:22.234\n尤其在夜间，\n\n05:22.234 --> 05:24.309\n可能这段时间可能，\n\n05:24.410 --> 05:25.559\n可能会打鼾，\n\n05:25.559 --> 05:26.660\n就比较明显。\n\n05:26.760 --> 05:30.309\n慢性扁桃体炎尤其会影响到呼吸道的呼。\n\n05:30.980 --> 05:31.779\n尤其在夜间，\n\n05:31.779 --> 05:33.529\n可能会引起呼吸的不畅。\n\n05:33.829 --> 05:35.355\n但全身的症状呢，\n\n05:35.355 --> 05:36.204\n就是感，\n\n05:36.204 --> 05:37.730\n包括全身感染的症状，\n\n05:37.730 --> 05:39.505\n包括身体不不适，\n\n05:39.505 --> 05:40.130\n乏力，\n\n05:40.279 --> 05:41.380\n活力减退，\n\n05:41.380 --> 05:44.230\n心想日常日常日常的活动。\n\n05:45.824 --> 05:48.324\n关于扁桃体发炎的并发症呢，\n\n05:48.373 --> 05:49.424\n我们，\n\n05:49.773 --> 05:54.523\n如果我们扁桃体炎症扁桃体炎不治疗彻底的话，\n\n05:54.523 --> 05:57.074\n可能会导致一些并发症的发生。\n\n05:57.174 --> 06:00.023\n比如中耳炎炎症可能扩散至中耳，\n\n06:00.023 --> 06:00.973\n引发疼痛，\n\n06:01.123 --> 06:02.123\n听力下降。\n\n06:03.381 --> 06:03.807\n鼻窦炎，\n\n06:03.807 --> 06:08.106\n鼻腔和鼻窦黏膜如果受累可以导致鼻鼻窦炎。\n\n06:08.106 --> 06:10.881\n炎临床的表现就是鼻塞和头痛。\n\n06:11.182 --> 06:11.881\n头痛。\n\n06:12.131 --> 06:12.481\n嗯，\n\n06:12.481 --> 06:13.907\n另另外呢，\n\n06:13.907 --> 06:15.832\n要警惕的就是链球菌感染，\n\n06:15.832 --> 06:17.532\n除能引起扁桃体炎的话，\n\n06:17.582 --> 06:19.532\n可能引发引发风湿热。\n\n06:19.532 --> 06:21.332\n如果治疗的不彻彻底，\n\n06:21.381 --> 06:23.981\n就可能会影响心心脏的健康。\n\n06:23.981 --> 06:27.932\n心脏的并发症比如比如细菌，\n\n06:27.981 --> 06:29.856\n比如会感染到心内膜，\n\n06:29.856 --> 06:31.157\n引起心，\n\n06:31.157 --> 06:33.432\n导致心脏瓣膜瓣膜的病变。\n\n06:33.635 --> 06:33.860\n那么，\n\n06:33.860 --> 06:37.235\n以前常见的风湿病就是相关这是相关的。\n\n06:37.235 --> 06:37.585\n嗯，\n\n06:37.585 --> 06:37.985\n另外，\n\n06:37.985 --> 06:41.286\n如果这个链球菌感染治疗不彻底的话，\n\n06:41.385 --> 06:43.110\n也可能会引起，\n\n06:43.110 --> 06:45.536\n会有会影响后面肾脏的功能，\n\n06:45.585 --> 06:47.186\n导致肾小球肾炎啊，\n\n06:47.186 --> 06:48.135\n这些，\n\n06:48.135 --> 06:49.686\n肾脏疾病的发生。\n\n06:49.835 --> 06:53.085\n所以要引所以相对来说要引起重视。\n\n06:53.186 --> 06:55.436\n但如果炎症扩散至肺部呢，\n\n06:55.436 --> 06:56.686\n可能会引起肺炎，\n\n06:56.786 --> 06:58.585\n引发咳嗽发热呼吸。\n\n06:59.584 --> 06:59.910\n嗯，\n\n06:59.910 --> 07:02.385\n呼吸困难甚至肺炎的相关并发症，\n\n07:02.385 --> 07:03.984\n比如胸腔积液等等，\n\n07:04.135 --> 07:06.234\n细菌也可能通过血液传播，\n\n07:06.234 --> 07:09.084\n导致皮肤的红肿和痛和疼痛，\n\n07:09.084 --> 07:10.434\n引起皮肤的感染。\n\n07:10.635 --> 07:13.535\n这是扁桃体炎的常见的并发症。\n\n07:14.947 --> 07:18.697\n关于扁桃体发炎的治疗误区，\n\n07:18.697 --> 07:19.722\n我们，\n\n07:19.722 --> 07:23.497\n我们希希望通过这次讲解能纠正常见的误区。\n\n07:23.597 --> 07:26.347\n误区科学对待扁桃体发炎。\n\n07:26.548 --> 07:26.872\n嗯，\n\n07:26.872 --> 07:31.048\n误区一是认为所有的包体扁桃体发炎都需要抗生素，\n\n07:31.197 --> 07:36.197\n但是实际上并非所有的扁桃体发炎都需要抗生素治疗，\n\n07:36.298 --> 07:41.447\n因为我们前面也讲过扁桃体发炎可能分为细菌性的病毒性的，\n\n07:41.497 --> 07:42.798\n如果是细菌感染，\n\n07:42.798 --> 07:44.798\n那是要尽早的使用抗生素。\n\n07:45.059 --> 07:45.459\n嗯，\n\n07:45.859 --> 07:48.260\n而且建议疗程要，\n\n07:48.309 --> 07:49.697\n疗程要足，\n\n07:49.697 --> 07:53.410\n疗程要足以避免炎后续的并发症，\n\n07:53.410 --> 07:56.684\n比如肾脏的炎症、肺部的炎症以及心脏的炎，\n\n07:56.684 --> 07:58.260\n心脏的疾病的发生。\n\n07:58.410 --> 08:01.260\n但是对病毒感染引起的扁桃体炎，\n\n08:01.510 --> 08:03.709\n抗生素是治疗没有效果的，\n\n08:03.760 --> 08:07.010\n所以病毒是不需要抗生素的治疗，\n\n08:07.010 --> 08:09.359\n主要以对症和休息为主。\n\n08:09.709 --> 08:10.059\n嗯，\n\n08:10.059 --> 08:10.760\n所以呢，\n\n08:10.760 --> 08:14.760\n这个我们这所以对这个疾病的诊断病因。\n\n08:15.082 --> 08:17.407\n病原的诊断就是非常重要的了，\n\n08:17.407 --> 08:18.282\n到底是病毒呢，\n\n08:18.282 --> 08:19.756\n还是细菌感染？\n\n08:19.756 --> 08:24.006\n这时候我们可以通过咽拭子的检测以及一些其他的，\n\n08:24.006 --> 08:25.332\n比如血常规啊，\n\n08:25.332 --> 08:29.131\n这些检查检查来去初步确定是细菌还是病毒，\n\n08:29.231 --> 08:30.731\n需不需要用抗生素，\n\n08:30.832 --> 08:33.257\n这样就可以避免抗生素的滥用。\n\n08:33.257 --> 08:33.682\n所以，\n\n08:33.682 --> 08:35.257\n出现扁桃体炎的时候，\n\n08:35.257 --> 08:38.581\n还是建议去医院看一下来评估是怎么用药。\n\n08:38.882 --> 08:39.281\n嗯，\n\n08:39.432 --> 08:41.757\n因为如果抗生素我们滥用的话，\n\n08:41.757 --> 08:44.831\n可能导致细菌的耐药性的增加降低。\n\n08:45.072 --> 08:45.822\n治疗的效果，\n\n08:45.971 --> 08:49.572\n所以不建议根据个人的经验随意使用抗生素。\n\n08:49.721 --> 08:52.221\n应该听从专业医生的经验，\n\n08:52.421 --> 08:56.072\n这样这样可以导致可以避免抗生素的滥用，\n\n08:56.072 --> 08:58.721\n以及减少一些抗生素的副作用。\n\n08:58.721 --> 09:01.322\n因为抗生素如果经常用的话，\n\n09:01.322 --> 09:04.771\n可能导致胃肠不适过敏这些副作用，\n\n09:04.822 --> 09:06.521\n所以应该谨慎使用。\n\n09:06.721 --> 09:07.921\n对病毒感染，\n\n09:07.921 --> 09:14.921\n我们主要使用一些解热镇痛药和局部环素的含素的含素剂。\n\n09:15.091 --> 09:16.791\n来对症缓解症状，\n\n09:16.791 --> 09:17.591\n同时呢，\n\n09:17.692 --> 09:19.591\n注意充分的休，\n\n09:19.591 --> 09:21.291\n注意充分的休息，\n\n09:21.291 --> 09:23.392\n补充补充足够的水分。\n\n09:25.283 --> 09:26.434\n来缓解症状。\n\n09:28.663 --> 09:32.362\n误区二是认为扁桃体切除是唯一解决的方案，\n\n09:32.362 --> 09:34.138\n这个也是不不对的。\n\n09:34.138 --> 09:36.862\n扁桃体切除并非唯一的解决方案，\n\n09:36.862 --> 09:37.588\n治疗呢，\n\n09:37.588 --> 09:40.862\n我们需要结合患者的症状、意愿和生活方式，\n\n09:40.963 --> 09:44.213\n确保最佳的治疗结效果。\n\n09:44.663 --> 09:47.812\n扁桃体切除主要适用于频繁发作，\n\n09:47.913 --> 09:51.612\n影响生活质量或引发病症并发症的情况。\n\n09:51.763 --> 09:53.088\n对于轻度的炎症，\n\n09:53.088 --> 09:57.513\n通过药物治疗和生活方式调整是可以有效控制症状的。\n\n09:57.562 --> 09:58.013\n所以，\n\n09:58.013 --> 09:58.713\n扁桃体。\n\n09:58.840 --> 09:59.565\n切除前，\n\n09:59.565 --> 10:04.440\n我们要评估这个这个患者是不是需要需要需要切除。\n\n10:04.539 --> 10:05.090\n而且，\n\n10:05.090 --> 10:07.914\n如果如果考虑可能需要切除的话，\n\n10:07.914 --> 10:09.289\n也要考虑免疫。\n\n10:09.289 --> 10:09.590\n嗯，\n\n10:09.640 --> 10:13.440\n可以考虑是不是可以先免疫疗法或局部治疗，\n\n10:13.440 --> 10:16.789\n治治疗替代方案看看能不能缓解症状。\n\n10:16.940 --> 10:17.364\n而且，\n\n10:17.364 --> 10:21.114\n我们同时要评估手术的手术的一个风险，\n\n10:21.114 --> 10:24.640\n因为手术可能会伴有出血感染等风险，\n\n10:24.640 --> 10:27.140\n那需要进行全面的评评估，\n\n10:27.140 --> 10:28.690\n如果相对来说风险大。\n\n10:28.807 --> 10:30.357\n那就还是不要做手术了，\n\n10:30.357 --> 10:35.307\n而且手术后可能出现咽部干燥、声音改变等成长期的影响，\n\n10:35.408 --> 10:37.357\n这是需要谨慎考虑的。\n\n10:38.648 --> 10:41.648\n过去虽然认为扁桃体发炎只是小病，\n\n10:41.799 --> 10:44.148\n但是但这个呢，\n\n10:44.148 --> 10:47.249\n我也前面我们也说过，\n\n10:47.249 --> 10:49.598\n如果关于链球菌感染的扁桃体炎，\n\n10:49.598 --> 10:51.448\n如果不治疗彻底的话，\n\n10:51.448 --> 10:55.848\n可能会引发一些肾脏肾肾脏心脏的并发症，\n\n10:55.898 --> 10:56.698\n所以呢。\n\n10:57.552 --> 10:59.026\n建议你还是积极的治疗，\n\n10:59.026 --> 11:02.651\n因为避免避免引起这种并发症的风险。\n\n11:02.752 --> 11:03.452\n比，\n\n11:03.651 --> 11:04.052\n是。\n\n11:05.767 --> 11:09.517\n因为如果对心脏和肾脏健康有影响的话，\n\n11:09.517 --> 11:11.466\n这个影响可能是长期的，\n\n11:11.567 --> 11:14.317\n所以所以不能忽视这个治疗。\n\n11:14.466 --> 11:14.992\n而且，\n\n11:14.992 --> 11:22.367\n如如果的如果平如果扁桃体发发急性扁桃体炎不停的反复发作的话，\n\n11:22.367 --> 11:24.416\n会引起慢性的扁桃体炎。\n\n11:24.567 --> 11:25.817\n如果频繁的发作，\n\n11:25.817 --> 11:28.942\n会影响食饮食睡眠和日常活动，\n\n11:28.942 --> 11:30.267\n降低生活质量。\n\n11:30.367 --> 11:34.466\n长期治疗可和可能的并发症也会增加医疗费用。\n\n11:34.466 --> 11:35.567\n给家庭经济。\n\n11:35.669 --> 11:36.520\n带来压力，\n\n11:36.619 --> 11:38.344\n那反复发作的疾病呢，\n\n11:38.344 --> 11:40.869\n也可能影响影响患者的生活，\n\n11:41.020 --> 11:42.570\n导致焦虑和抑郁，\n\n11:42.570 --> 11:43.820\n影响心理健康。\n\n11:43.969 --> 11:45.494\n由于疼痛和不适，\n\n11:45.494 --> 11:47.469\n患者可能减少社交活动，\n\n11:47.520 --> 11:49.369\n也会影响人际关系，\n\n11:49.369 --> 11:50.270\n影响工作。\n\n11:50.369 --> 11:51.794\n长期慢性炎症，\n\n11:51.794 --> 11:55.919\n而而且可能会对免疫系统产生负面影响，\n\n11:55.919 --> 11:58.020\n增加未来感染的风险，\n\n11:58.020 --> 12:01.770\n会长期影响到健康人患者的整体健康。\n\n12:03.934 --> 12:04.333\n误区四，\n\n12:04.333 --> 12:06.883\n认为扁桃体发炎会自愈自愈。\n\n12:07.083 --> 12:07.484\n嗯，\n\n12:08.383 --> 12:09.083\n但是呢，\n\n12:09.083 --> 12:15.234\n不是不是所有的扁桃体炎都能治愈的部分病例还是需要及时治疗的。\n\n12:15.383 --> 12:20.934\n治愈的条件是一般轻度感染可能通过休息或自身免疫力自愈，\n\n12:21.033 --> 12:26.184\n但是细菌感染或和有严重并发症的患者建议及时就医，\n\n12:26.184 --> 12:27.833\n避免并发症的发生，\n\n12:27.984 --> 12:28.583\n而且。\n\n12:29.241 --> 12:29.491\n嗯，\n\n12:29.890 --> 12:33.741\n而且即使治可以自愈的一些扁桃体体炎，\n\n12:33.991 --> 12:34.390\n嗯，\n\n12:34.940 --> 12:39.841\n在治愈之前需要监测病病情变化，\n\n12:39.940 --> 12:42.315\n密切观察症状的变化，\n\n12:42.315 --> 12:43.291\n及时就医，\n\n12:43.341 --> 12:45.190\n以以防病，\n\n12:45.190 --> 12:46.690\n以防病情恶化。\n\n12:49.012 --> 12:50.086\n然后这的所以呢，\n\n12:50.086 --> 12:50.812\n对这当。\n\n12:54.145 --> 12:54.296\n所以，\n\n12:54.296 --> 12:54.921\n这当中呢，\n\n12:54.921 --> 12:57.745\n就提示我们免疫力的重要性。\n\n12:57.846 --> 13:02.895\n保持良好的免疫力有助于加速恢复或孕妇预防复发。\n\n13:02.945 --> 13:03.346\n还有，\n\n13:03.346 --> 13:05.846\n不停不同的个体恢复能力不同，\n\n13:05.945 --> 13:07.945\n需根据实际情况判断。\n\n13:07.945 --> 13:12.245\n比如有一些慢性慢性合并其他慢性疾病的病人，\n\n13:12.245 --> 13:15.745\n他本身免疫力个体恢复能力就比比较差。\n\n13:15.945 --> 13:19.445\n如果同时同时发生了扁桃体炎，\n\n13:19.445 --> 13:20.320\n建时建，\n\n13:20.320 --> 13:22.846\n建议还是及时的去医院就医，\n\n13:23.046 --> 13:23.445\n嗯。\n\n13:24.140 --> 13:25.215\n忽因为忽视，\n\n13:25.215 --> 13:27.289\n前面我们一直也强强调过，\n\n13:27.340 --> 13:28.390\n如果忽视治疗，\n\n13:28.390 --> 13:30.489\n可能导致严重的发并发症，\n\n13:30.489 --> 13:32.739\n如风湿热和和肾炎。\n\n13:32.840 --> 13:34.664\n及时治疗可缩短病程，\n\n13:34.664 --> 13:35.640\n减少不适，\n\n13:35.739 --> 13:37.840\n预防长期的健康问题。\n\n13:38.190 --> 13:41.489\n误区五认为扁桃体发炎是儿童的专利，\n\n13:41.489 --> 13:42.489\n这也不对的，\n\n13:42.489 --> 13:48.114\n因为成年人同样是可以患扁桃体炎的儿童之所以发发病高，\n\n13:48.114 --> 13:50.965\n是儿童免疫系统尚未发育完全，\n\n13:50.965 --> 13:52.190\n容易受到感染。\n\n13:52.190 --> 13:54.039\n但是成人免疫力下降时，\n\n13:54.039 --> 13:54.340\n同。\n\n13:54.504 --> 13:56.004\n同样可以患扁桃体炎，\n\n13:56.054 --> 13:59.153\n而且成人如果有不良的饮食和作息习惯，\n\n13:59.203 --> 14:01.054\n可能增加患病的风险，\n\n14:01.153 --> 14:05.453\n长期暴露在污染环境中也是容易并发扁桃体炎的。\n\n14:05.554 --> 14:08.429\n寒冷季节更容易导致免疫力下降，\n\n14:08.429 --> 14:09.754\n诱发扁桃体炎，\n\n14:09.854 --> 14:11.504\n同时如果压力过大，\n\n14:11.504 --> 14:12.929\n可能影响免疫系统，\n\n14:12.929 --> 14:14.804\n也容易增加患病的几率。\n\n14:14.903 --> 14:19.328\n家族中有扁桃体发炎史的人群可有更容易患病。\n\n14:19.328 --> 14:22.153\n因为扁桃体炎也有一定的遗传因素。\n\n14:23.450 --> 14:25.724\n关于扁桃体发炎的诊疗策略，\n\n14:25.724 --> 14:27.450\n我们下面再进一步的讲解。\n\n14:27.700 --> 14:28.200\n首先，\n\n14:28.200 --> 14:31.650\n诊断诊断是治疗有有效治疗的前提。\n\n14:31.900 --> 14:32.224\n嗯，\n\n14:32.224 --> 14:35.650\n我们可医生可以通过临床临床症状的观察，\n\n14:35.849 --> 14:36.174\n嗯，\n\n14:36.174 --> 14:38.174\n通过详细的询问病史，\n\n14:38.174 --> 14:40.049\n通过体检看看，\n\n14:40.049 --> 14:41.724\n检查患者的咽喉疼，\n\n14:41.724 --> 14:43.299\n咽咽喉的情况，\n\n14:43.500 --> 14:44.849\n了解体温的情况，\n\n14:44.849 --> 14:46.349\n淋巴结肿大的情况，\n\n14:46.450 --> 14:48.650\n可以给进行一个初步的判断。\n\n14:48.700 --> 14:50.125\n初步的判断以后呢，\n\n14:50.125 --> 14:53.599\n我们通过可以血常规来白细胞和C反应蛋白的水。\n\n14:53.668 --> 14:58.343\n水平来帮帮帮助判断感染的性质和严重程度，\n\n14:58.343 --> 14:59.043\n必要时呢，\n\n14:59.043 --> 15:03.918\n我们可以做因拭子的检查来确定感染具体是病毒还是细菌。\n\n15:04.117 --> 15:04.518\n嗯，\n\n15:04.518 --> 15:06.117\n在特殊的情况下呢，\n\n15:06.117 --> 15:07.593\n我们也可以通过影像学，\n\n15:07.593 --> 15:12.718\n比如X光或CT扫描观察扁桃体及其周围组织的病变情况，\n\n15:12.817 --> 15:14.168\n排除其他疾病。\n\n15:14.317 --> 15:15.018\n同时呢，\n\n15:15.018 --> 15:18.018\n对于一些特殊的病人我们可以进行免疫的评估，\n\n15:18.168 --> 15:23.617\n使如果特别是对于反复的反复的扁桃体炎或反复的呼吸道感染。\n\n15:23.671 --> 15:28.521\n的病人可以通过免疫检测来判判断是不是有可能有免疫缺陷。\n\n15:28.622 --> 15:31.921\n指导治疗指从而指导治疗方案的选择。\n\n15:32.521 --> 15:33.997\n针对不同的病因呢，\n\n15:33.997 --> 15:35.546\n采取对于扁桃体啊，\n\n15:35.546 --> 15:38.721\n我们是采取采取相应的治疗措施的。\n\n15:40.158 --> 15:41.057\n针对细菌感染，\n\n15:41.057 --> 15:43.607\n选择合适的抗生素进行规范治疗，\n\n15:43.658 --> 15:46.658\n控制防控制感染的发展。\n\n15:46.807 --> 15:47.882\n对病毒感染，\n\n15:47.882 --> 15:49.232\n前面我说们也说到，\n\n15:49.232 --> 15:54.232\n就是对主要主要就是用一些药物缓解症状和对症治疗，\n\n15:54.232 --> 15:59.357\n以及保证充分的充分的休息和足够的水分来缩短病程。\n\n15:59.607 --> 16:00.132\n同时，\n\n16:00.132 --> 16:01.158\n我们可以通过。\n\n16:02.263 --> 16:03.312\n一些含素剂啊，\n\n16:03.312 --> 16:05.487\n喉片等缓解咽喉不适，\n\n16:05.487 --> 16:07.312\n减少炎症带来的痛苦，\n\n16:07.413 --> 16:08.862\n缓解局部的症状。\n\n16:08.963 --> 16:12.562\n对于反复发作或严重影响生活质量的病例，\n\n16:12.612 --> 16:15.413\n可以考虑扁桃体切除通过免。\n\n16:15.413 --> 16:18.013\n对于反复发生扁桃体炎的患者，\n\n16:18.112 --> 16:21.138\n可以通过免疫增强剂或调节剂增强，\n\n16:21.138 --> 16:22.862\n提高极低的抵抗力，\n\n16:22.862 --> 16:24.312\n减少复发的发生。\n\n16:25.625 --> 16:26.325\n药物的选择，\n\n16:26.325 --> 16:27.799\n选择合适的药物呢，\n\n16:27.799 --> 16:28.424\n是关键，\n\n16:28.575 --> 16:28.974\n嗯。\n\n16:30.653 --> 16:30.752\n嗯，\n\n16:30.752 --> 16:31.728\n前面我们说过，\n\n16:31.728 --> 16:36.203\n抗生对细菌性的细菌性细菌性的扁桃体炎，\n\n16:36.203 --> 16:38.453\n根据细菌培养和药敏实验结果，\n\n16:38.453 --> 16:43.203\n选选择合适的抗生素可以提高治疗的效果并减少耐药性。\n\n16:43.353 --> 16:45.103\n对病毒性的扁桃体炎，\n\n16:45.103 --> 16:47.127\n并没有，\n\n16:47.127 --> 16:48.627\n只有某些特定的病毒，\n\n16:48.627 --> 16:51.353\n比如流感的病毒有合适的抗病毒药，\n\n16:51.403 --> 16:53.603\n但其他的病毒并没有特效药，\n\n16:53.653 --> 16:56.603\n那我们只能通过其他的药物缓解症状，\n\n16:56.703 --> 16:58.653\n来缩短来缓解症状。\n\n16:59.607 --> 16:59.807\n嗯，\n\n17:00.257 --> 17:02.408\n用解热镇痛，\n\n17:02.708 --> 17:08.032\n比如解热镇痛药使用非甾体类的抗炎药可以缓解疼痛，\n\n17:08.032 --> 17:09.258\n减降低体温，\n\n17:09.258 --> 17:10.458\n减轻并发症，\n\n17:10.608 --> 17:12.608\n同时可以使用一些含素片，\n\n17:12.608 --> 17:13.407\n喉片等，\n\n17:13.758 --> 17:14.157\n嗯，\n\n17:14.157 --> 17:16.983\n等等局部药物直接作用于患处，\n\n17:16.983 --> 17:18.258\n缓解喉部不适。\n\n17:18.458 --> 17:19.608\n对于，\n\n17:19.858 --> 17:20.782\n个体化的，\n\n17:20.782 --> 17:22.432\n根据患者的具体病情，\n\n17:22.432 --> 17:23.807\n过敏史和药物，\n\n17:23.858 --> 17:26.858\n那首先我们需要制定个体化的用药方案，\n\n17:26.858 --> 17:29.758\n在治疗过程中要密切监监测患者。\n\n17:29.843 --> 17:31.343\n可能出现的药物副作用，\n\n17:31.343 --> 17:34.619\n及时调整药物生活方式的调整呢，\n\n17:34.619 --> 17:37.994\n也是对良好也有助于预防复发。\n\n17:38.343 --> 17:40.369\n也主要通过饮食调理，\n\n17:40.369 --> 17:43.244\n多摄入富含维生素C的水果和蔬菜，\n\n17:43.343 --> 17:45.119\n如橙子、柠檬和菠菜，\n\n17:45.119 --> 17:46.343\n以增强免疫力。\n\n17:46.343 --> 17:47.818\n保持充足的睡眠，\n\n17:47.818 --> 17:51.894\n适度的运动可以提高提高肺功能和免疫力。\n\n17:53.907 --> 17:54.008\n嗯，\n\n17:54.008 --> 17:55.758\n避免过度的疲疲劳，\n\n17:55.758 --> 17:58.258\n合合理安排工作和休息时间，\n\n17:58.407 --> 18:00.008\n避免长期过度疲劳，\n\n18:00.008 --> 18:01.807\n保护身体的最佳状态，\n\n18:01.958 --> 18:04.557\n状态然后提高自身的免疫力。\n\n18:04.608 --> 18:05.008\n嗯，\n\n18:05.307 --> 18:07.608\n改变一些不良的生生活习惯，\n\n18:07.608 --> 18:08.758\n如戒烟戒酒，\n\n18:08.858 --> 18:11.432\n因为吸烟和饮酒会降低免疫力，\n\n18:11.432 --> 18:14.583\n应尽量避免保持室内的空气湿润，\n\n18:14.583 --> 18:16.307\n使用可以使用加湿器。\n\n18:16.708 --> 18:17.008\n嗯，\n\n18:17.008 --> 18:18.307\n避免咽喉干燥，\n\n18:18.307 --> 18:21.108\n减少扁桃体炎的风风险。\n\n18:22.599 --> 18:25.550\n预防关于对于扁桃体炎来说，\n\n18:25.550 --> 18:26.750\n预防胜于治疗，\n\n18:26.900 --> 18:28.949\n可以降低患患病的风险。\n\n18:28.949 --> 18:29.525\n预防呢，\n\n18:29.525 --> 18:30.400\n主要通过以下，\n\n18:30.400 --> 18:32.050\n保持良好的个人卫生，\n\n18:32.199 --> 18:32.974\n勤洗手，\n\n18:32.974 --> 18:34.625\n使用肥皂和流动的水，\n\n18:34.625 --> 18:35.900\n彻底清洁双手，\n\n18:36.000 --> 18:38.900\n尤其是在接触公共物品或外出后，\n\n18:39.000 --> 18:40.474\n避免接触感染源。\n\n18:40.474 --> 18:41.449\n在流感季节，\n\n18:41.449 --> 18:44.300\n尽量避避免前往人群密集的地方，\n\n18:44.400 --> 18:47.000\n减少与感染者密切接触的机会，\n\n18:47.199 --> 18:48.275\n增强免疫力，\n\n18:48.275 --> 18:52.800\n通过均衡饮食、适度运动和充足睡眠来增强身体的。\n\n18:52.832 --> 18:54.131\n抵抗力预防感染，\n\n18:54.232 --> 18:54.582\n嗯，\n\n18:54.582 --> 18:56.607\n同时定期进行健康检查，\n\n18:56.607 --> 19:00.832\n及时处理发现发现和处理潜在的健康问题，\n\n19:00.881 --> 19:02.307\n保持身体健康，\n\n19:02.307 --> 19:05.357\n可以按时接种流种流感疫苗，\n\n19:05.357 --> 19:08.256\n有效减减低感染流感的风险，\n\n19:08.256 --> 19:10.631\n减少扁体桃体发炎的几率。\n\n19:11.082 --> 19:11.432\n好，\n\n19:11.432 --> 19:13.756\n以上就是我今天讲解的内容，\n\n19:13.756 --> 19:14.582\n谢谢观看。\n\n","v0247cg10004d60qifaljht9nfrmmim0",1158,520,"2026-01-24 20:52:04","扁桃体发炎症状、原因及治疗方法 - 专业指南  \n","扁桃体发炎症状,扁桃体发炎原因,扁桃体发炎治疗,扁桃体炎预防,喉咙痛怎么办  \n","本文详细介绍了扁桃体发炎的常见症状、主要原因及专业治疗方法，包括药物治疗和家庭护理建议，帮助您快速缓解不适并预防复发。","2026-02-24 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