It is known that antibiotic therapy in many cases of sore throat of viral and even bacterial etiology is of little or ineffective.

In most patients, symptoms of the disease disappear after 7-10 days, regardless of whether they were prescribed antibiotics or not..

Since sore throat most often does not lead to the development of serious complications and resolves spontaneously, antibiotics should be prescribed individually in each case and, if possible, avoided.

Sore throat treatment is mainly local and consists of eliminating irritating food, prescribing inhalation and spraying warm alkaline and antibacterial solutions. For example, warm-humid inhalation of a solution of 1: 5000 furacilin for 10 minutes 3-4 times a day, etc..

Today there are a huge number of drugs for the local treatment of inflammatory diseases of the pharynx (Table. thirty). Prescription of a number of drugs is limited by their high allergenicity and irritant effect.. These include preparations containing iodine derivatives, propolis, sulfonamides. Preparations containing herbal antiseptics, as a rule, are highly effective and harmless, but their appointment is not indicated in patients suffering from hay fever, and the number of people with this disease in some geographic areas is up to 20% of the total population.

Table 30. Essential drugs for topical treatment of nose, pharynx and larynx Name.

Structure.

Dngi Sept Doctor Theiss.

Menthol, anethole, dichlorobenzyl alcohol, peppermint oil.

Bicarmint.

Sodium tetraborate, sodium bicarbonate, menthol, peppermint oil.

Bioparox.

Fusafungin.

Hexalysis.

Biclotymol, lysozyme, enoxolone.

Hexasprey.

Biclotymol.

Hexoral.

Hexetidine.

Dr. Mom.

Extracts of licorice naked, ginger, medicinal emblica; menthol.

Drill sore throat.

Chlorhexidine, tetracaine.

Isofra.

Framycetin, methyl parahydroxybenzoate, sodium chloride, citric acid.

Ingalipt.

Streptocid, sodium norsulfazole, thymol, eucalyptus oil, mint oil.

Jocks.

Polyvidone iodine, allantoin, propylene glycol.

Cameton.

Chlorobutanol, camphor, menthol, eucalyptus oil.

Kontrangik Rapid.

Cetylperidinium, lidocaine, menthol.

Laripront.

Dequalinium chloride, lysozyme.

Neo-angin.

Menthol, 2,4-dichlorobenzyl alcohol, p-pentyl-M-cresol.

Octenisept.

Octenisept.

Proposol.

Propolis, glycerin, ethyl alcohol.

Romazulan.

Chamomile extract and oil.

Rotokan.

Extracts of chamomile, calendula, yarrow.

Sebidine.

Chlorhexidine, ascorbic acid.

Septolet.

Benzalkonium chloride, menthol, peppermint and eucalyptus essential oils, thymol.

Stopangin.

Hexidine, essential oils, methyl salicylate.

Strepsils.

2,4-dichlorobenzylethanol, amylmetacresol, oils, ascorbic acid, honey, menthol.

Strepsils Plus.

Amylmetacresol, dichlorobenzyl alcohol.

Strepsils plus spray.

Lidocaine hydrochloride.

Tantum verde.

Benzydamine.

Falimint.

Acetyl nonitropropoxybenzene.

Faringosept.

Ambazon.

Furacilin.

Nitrofurazone.

Eucalimin.

Eucalyptus leaf or shoot extracts.

Eludril.

Chlorhexidine, chlorobutanol, docusate, chloroform.

Of particular interest are combined preparations, for example, 2,4-dichlorobenzyl alcohol and amylmetacresol in combination with various dietary supplements (eucalyptus oil, tartaric acid, anise oil, peppermint oil, etc..

They are able not only to relieve discomfort in the throat, but also have a pronounced antibacterial, and also, very importantly, antifungal effect, because a fungal infection (in particular, candidiasis) often aggravates the course of the disease with prolonged, even local, antibacterial therapy.

With severe pain syndrome accompanying acute pharyngitis, systemic analgesics (NSAIDs) are often ineffective and are used only as antipyretics. In these cases, combined preparations containing local anesthetics are used again..

In particular, more than satisfactory results were obtained in the treatment of acute pharyngitis when using a new drug containing in its composition the above-mentioned amylmetacresol and 2,4-dichlorobenzylethanol, as well as 10 mg of lidocaine hydrochloride.

I would like to note that in view of the tendency of all the diseases described above to pass into chronic forms, the treatment of an acute process must be carried out extremely carefully and under the supervision of a specialist..

Another common cause of sore throat is increased dryness of the throat (" " These sensations often intensify during conversation, voice load, and in the morning they intensify to painful sensations during the first swallowing movements.. Such sore throat can be localized anywhere (right, left, middle).

The appearance of a sore throat in these cases is due to the fact that the dry mucous membrane of the pharynx becomes sticky from the thickened mucus covering it, which leads to sticking of the walls of the pharynx when swallowing and painful sensations when it comes off. Such mucous membrane of the pharynx looks subatrophic (thinned) and dry, slightly irritated (reddened), but without visible manifestations of inflammation.

These sore throats disappear or decrease when the throat is moistened, for example, with repeated swallowing of saliva or after breakfast, and reappears the next morning. Periodically, dryness of the pharyngeal mucosa leads to its injury and subsequent inflammation in the form of acute pharyngitis, especially in the autumn-winter period. It is clear that all kinds of ways to moisturize the mucous throat and protect it from drying out will temporarily relieve or alleviate such pain, preventing the development of acute pharyngitis.

First of all, this is frequent drinking of water in the middle of the day and hot drinks before bedtime, instillation into the nose before going to bed with a pipette of physiological solution (0.9%) or saline solution (1 teaspoon of table salt per glass of boiled water), which moisturize the mucous membrane in the best way. It is also possible to instill vegetable oil into the nose with a pipette, which protects the mucous membrane of the throat from drying out for three hours.

Select vegetable oil (sunflower, olive, corn, peanut, apricot) due to the absence of a burning sensation in the nose or nasal congestion. From folk remedies, various spicy food seasonings and pickles (except for garlic, lemon and sea buckthorn oil), as well as onions, hot peppers, propolis and honey, well moisturize and protect the mucous membrane of the throat from drying out.

Of the drugs, fluifort (selectively relieves dryness of the mucous membrane of the upper respiratory tract) and aquarellant - colloidal silver 20 mg / l with a thickener. Aquarelle for hours (all night) retains a protective film with silver on the mucous membrane of the nose and throat, which additionally protects the surface of the mucous membrane from drying out. Humidifying the air in the bedroom in different ways is also of great help, especially in the autumn-winter period..

For a more effective, permanent elimination of dry throat, it is necessary to remove the underlying cause.. Most often, drying out of the mucous membrane in the throat appears when breathing through the mouth, especially at night when a person is sleeping, which is accompanied by a decrease in the activity of the body's protective properties to moisturize the mucous membrane of the throat. Oral breathing, in turn, often leads to snoring, which increases the trauma of the pharyngeal mucosa and further provokes the appearance of inflammation of the pharyngeal mucosa with pain when swallowing.

Most often, oral breathing is caused by difficulty in breathing through the nose, and in these cases, all effective methods for restoring nasal breathing are permissible, except for vasoconstrictors, which are dangerous to use for more than 2-3 days.

In more difficult cases (nose disease or deformity), the help of an otorhinolaryngologist becomes necessary. However, even in the absence of nasal breathing difficulties, the development of dry throat with drying out of its mucous membrane is quite possible.. This is typical for the southern type of aerodynamics of the nose, when there is an increased patency of the lower nasal passage, and mouth breathing, at the same time, further enhances the effect of drying out the throat and provokes snoring at night (Fig.. 17).

Therefore, all methods of medicinal protection of the nasal mucosa, with the southern type of nasal aerodynamics, are quite acceptable and useful..

With pronounced violations of the aerodynamics of the nose, drug protection becomes insufficient and then the help of an otorhinolaryngologist is required, who owns the reconstruction of the southern type of nose aerodynamics to the northern one, which perfectly protects the mucous membrane of the throat from drying out and cooling, and also guarantees the elimination of snoring at night.

This is due to the fact that the northern type of nasal aerodynamics creates maximum comfort for the mucous membrane of the respiratory tract, since when it is minus 15-20 degrees outside, air warmed up to + 25 degrees enters the throat and 500 ml of liquid secretes the northern type of nose to humidify the inhaled air. As already noted, a fairly frequent consequence of a neglected "

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