Leprosy pharynx

Leprosy pharynx - one of the manifestations of a common chronic infectious infection, known from ancient times, refers to the so-called exotic diseases.

Leprosy is caused by Hansen's wand, which, by its ability to affect various organs and systems, is almost the first of all exotic diseases.

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Symptoms of pharynx lepra

Leprosy affects the skin, peripheral nervous system, lymphatic nervous system, internal organs, bones and joints of the extremities, etc. In the Northern Hemisphere, the entrance gates for infection are the mucous membrane of the nose, in which a primary affect occurs, followed by the development of a specific inflammatory process. In the future, the infection spreads to the nasopharynx and pharynx, manifested as nodules (leprom), similar in appearance to those that occur with syphilis and tuberculosis. Lepromy infiltrate the pharynx, especially a lot of them appear on the soft and hard palate, the palatine arch. Unequal in size, they often merge into larger infiltrates, while acquiring a gray color.

After resorption, they leave disfiguring scars, sometimes similar to those when scarring syphilitic gum or lupus granulomas. Further development of the process occurs in the direction of the laryngopharynx and epiglottis. The latter, because of the appearance of lepromatous infiltrates in it, increases dramatically and already at this stage considerably complicates the respiratory function of the larynx. The pharynx disorders upset the act of swallowing to such an extent that the natural intake of food becomes practically impossible. Further spread of infection into the larynx leads to its destruction and stenosis, which often necessitates a tracheotomy. With leprosy, the regional lymph nodes are involved in a specific process very early, but do not undergo disintegration.

Immunity to leprosy is relative. With frequent massive superinfection - an additional (repeated) infection of the patient in the unfinished infectious process - the disease can occur against the background of existing natural or acquired immunity.

Treatment of pharynx lepra

Treatment of lepra pharynx does not differ from that in the treatment of any other form of leprosy, taking into account those local features that arise when this organ is affected. These features include primarily functional disorders, such as dysphagia and impaired respiratory function in the defeat of the laryngopharynx. In this case, they establish temporary parenteral and probe nutrition, and if they are not able to produce gastrostomy. To prevent asphyxia caused by massive lepromatous infiltration of the entrance to the larynx and secondary edema of this area, as well as destruction of the larynx itself, tracheostomy is produced taking into account the possible necessity of transferring the patient to permanent cannulation.

Prevention of laryngeal pharynx

Observe the measures of personal and public hygiene (see also "Leprosy of the nose"). The peculiarity of personal prophylaxis in dealing with a patient with leprosy of the upper respiratory tract is the prevention of prolonged and close contact with it, the allocation of a separate room and household items to the patient, the timely placement of the sick person in special medical institutions.

Prognosis for leprosy of pharynx

The disease itself develops slowly over the course of dozens of years. In the absence of treatment, death occurs either from cachexia, or from complications from internal organs, or from an intercurrent infection. With early diagnosis and regular effective treatment, patients may not have any disabling effects of the disease. With late-onset treatment, there may be impaired sensitivities, contractures of the fingers, paresis, etc .; the disease can lead to blindness and severe disability.