Kudandaula kwakukulu pa kutenga otolaryngologist ndi mtanda mu pharynx kapena globus pharyngeus - "pharyngeal ball" mu Latin. Kumverera kwa thupi lachilendo kummero kumabweretsa nkhawa zambiri kwa odwala, monga anthu poyamba amakhala ndi maganizo okhudza chitukuko cha chilengedwe. Koma chithandizo chamankhwala chimasonyeza kuti zokayikira zoterozo nthawi zambiri zimakhala zopanda pake.
Zifukwa za nthawi yomwe imamva thupi lachilendo pammero pomeza
Chikhalidwe chovomerezeka kaŵirikaŵiri cha zinthu zonse zomwe zimapangitsa kuti vutoli lichitike:
1. Zifukwa za Somatic:
- reflux ya gastro-esophageal;
- kutupa kwa lilime la pakamwa chofewa;
- zida zowonjezera zowonjezera;
- kupweteka kwa minofu ya laryngeal ndi katundu wovuta wa mawu;
- zotsatira za mankhwala ena;
- kukhalapo kwa thupi lachilendo pamphuno, mwachitsanzo, chidutswa chodya chokwanira, piritsi;
- patatha nthawi yopitiliza kuyesa mimba;
- kunenepa kwambiri;
- Kuvulala kosakanikirana kwa mimba, pharynx kapena larynx;
- kupsa mtima kwa kapweya (fumbi, utsi wa ndudu, fsi);
- mitsempha ya varicose ya mimba;
- mimba;
- matenda a msana;
- zomera ;
- chomera chodetsa;
- Matenda a chithokomiro, pamodzi ndi kuwonjezeka kwake;
- matenda a epiglottis;
- matumbo a palatine otupa;
- zowononga kapena zosautsa.
2. Zimayambitsa matenda:
- zosokoneza;
- matenda osokonezeka maganizo;
- kusokonezeka maganizo;
- kufunika kokhala ndi chidziwitso cha maganizo;
- nkhawa.
Kulira kwa thupi lakunja ndi pakhosi
Maonekedwe a ululu kamodzi pokhapokha komanso kupezeka kwa pakhosi pammero kungasonyeze kuphwanya kolakwika:
- tonsillitis;
- pharyngitis;
- angina a matingiloni;
- aphthous stomatitis;
- phlegmon pansi pa kamwa;
- puloteni kapena abscessillar abscess;
- chithunzi;
- syphilis;
- sinusitis;
- adenoiditis ;
- zizindikiro za fungal;
- gonococcal pharyngitis;
- matenda a impso;
- myocardial infarction;
- mankhwala opangidwa ndi ma radiation kapena mankhwala;
- angina pectoris;
- Matenda a Itenko-Cushing;
- zosiyana;
- kusowa kwa mchere ndi mavitamini;
- nthawi;
- chifuwa chachikulu.
Chifukwa cha kuchuluka kwa zifukwa zomwe zimayambitsa kanthawi kochepa kapena kwamuyaya kwa thupi linalake pammero, munthu sayenera kupezetsa yekha matenda. Ndi bwino kudziwa momwe chiyambi cha chizindikirocho chikuyendera pa phwando la akatswiri - wothandizira, otolaryngologist, gastroenterologist ndi katswiri wa zamaganizo.