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หัวข้อกระทู้ : คออักเสบ (Strep throat) คืออะไร?  
โดย : Dr. Somchai
    toppic : คออักเสบ (Strep throat) คืออะไร?
โพสเมื่อวันที่ :
พฤหัสบดี ที่ 25 เดือน พฤษภาคม พ.ศ.2560 เวลา 16:30:19   
โพสโดยคุณ
: Dr. Somchai
ไอพี : 171.96.191.XXX จำนวนผู้เข้าชม : 197

 

คออักเสบ (Strep throat) คืออะไร?

คออักเสบ strep throat
สุขภาพ

คออักเสบ (Pharyngitis) เป็นภาวะที่เกิดการอักเสบ หรือเกิดแผลภายในลำคอ จนเกิดอาการเจ็บคอ คันคอและทำให้กลืนอาหารลำบาก ส่วนใหญ่เกิดจากการติดเชื้อไวรัสหรือแบคทีเรีย ในประเทศไทย พบการป่วยได้ทุกฤดูกาล โดยอัตราการป่วยคออักเสบจะเพิ่มสูงขึ้นในช่วงฤดูฝนและฤดูหนาว เพราะมีอากาศหนาวเย็น เหมาะแก่การแพร่กระจายของเชื้อไวรัส นอกจากนี้ คออักเสบยังรวมไปถึงการอักเสบในบริเวณใกล้เคียงที่เกี่ยวข้องด้วย ได้แก่ ลิ้นส่วนหลัง เพดานปาก และต่อมทอนซิล หากไม่ได้รับการรักษา การติดเชื้ออาจลุกลามสร้างความเสียหายแก่อวัยวะอื่น ๆ ต่อไปได้ เช่น โรคเกิดฝีที่ทอนซิลหรือเนื้อเยื่อบริเวณใกล้เคียง ไตอักเสบ ไข้รูมาติก เป็นต้น

 

คออักเสบ

 

อาการของคออักเสบ

 

อาการหลักของภาวะคออักเสบ คือ เจ็บคอและกลืนลำบาก และอาจมีอาการแสดงอื่น ๆ บางอาการเกิดขึ้นร่วมด้วย ขึ้นอยู่กับสาเหตุที่ทำให้เกิดคออักเสบ ดังนี้

 

คออักเสบที่เกิดจากเชื้อไวรัส

 

คอแดง คอแห้ง เสียงแหบ

ตาแดง คัดจมูก น้ำมูกไหล

มีไข้ต่ำ ๆ ในผู้ป่วยที่เป็นหวัด และมีไข้สูงในผู้ที่ป่วยด้วยไข้หวัดใหญ่

ไม่อยากอาหาร รู้สึกไม่สบาย

ไอ จาม ปวดหัว

มีผื่นตามตัว

อ่อนเพลีย ปวดเมื่อยตามกล้ามเนื้อ หนาวสั่น

ไวรัสบางชนิดอาจทำให้เกิดแผลร้อนในภายในปากและริมฝีปาก

ผู้ป่วยที่เป็นเด็กอาจมีอาการท้องร่วงด้วย

คออักเสบที่เกิดจากเชื้อแบคทีเรีย

มีไข้ หนาวสั่น

ปวดหัว

คลื่นไส้วิงเวียน

คอแดง มีจุดหรือแผ่นสีขาวหรือสีเทาบริเวณลำคอ

ปวดเมื่อยตามตัว รู้สึกไม่สบาย

ทอนซิลโตและมีจุดสีขาว

ต่อมน้ำเหลืองบริเวณลำคอบวม หรือกดแล้วรู้สึกเจ็บ

ผู้ป่วยที่เป็นเด็กอาจมีอาการคลื่นไส้ อาเจียน และปวดท้องด้วย

สาเหตุของคออักเสบ

คออักเสบส่วนใหญ่กว่า 90% เกิดจากการติดเชื้อไวรัสที่ทำให้เกิดไข้หวัด ไข้หวัดใหญ่ อีสุกอีใส คอตีบเทียมหรือกลุ่มอาการครุ้ป (Croup) โรคหัด ไวรัสค็อกซากี้ (Coxsackie Virus) ไวรัสเอ็บสไตน์บาร์ที่ทำให้เกิดโรคโมโนนิวคลิโอสิส (Mononucleosis) หรือไวรัสเอชไอวีเป็นต้น

 

อีกส่วนหนึ่ง คออักเสบอาจเกิดจากการติดเชื้อแบคทีเรีย เช่น โรคคออักเสบ (Strep Throat) จากแบคทีเรียสเตรปโทค็อคคัส (Streptococcus) แบคทีเรียที่ทำให้เกิดโรคหนองในแท้ หนองในเทียม ไอกรน และโรคคอตีบ เป็นต้น

 

โดยการติดเชื้อไวรัสและแบคทีเรียมักเกิดจากการที่ผู้ป่วยได้รับเชื้อซึ่งกระจายอยู่ในอากาศเข้าสู่ร่างกายผ่านการหายใจ หรือการสัมผัสกับเชื้อโดยตรง

 

ส่วนสาเหตุอื่น ๆ ที่อาจเป็นปัจจัยทำให้เกิดคออักเสบ ได้แก่

 

สภาพอากาศหนาวเย็น อยู่ในช่วงฤดูฝนหรือฤดูหนาว ซึ่งเอื้อต่อการระบาดของไข้หวัดและไข้หวัดใหญ่

มีสิ่งที่ทำให้เกิดการระคายเคืองภายในลำคอ

กล้ามเนื้อตึงในลำคอ

อาการแพ้ หรือเป็นโรคภูมิแพ้

กรดไหลย้อน

ป่วยด้วยการติดเชื้อบริเวณไซนัสบ่อย ๆ

มีเนื้องอกบริเวณลำคอ ลิ้น หรือกล่องเสียง

อยู่ใกล้ชิดกับผู้ป่วยที่เจ็บคอ คออักเสบ หรือเป็นไข้หวัด

อยู่ในสถานรับเลี้ยงเด็กที่มีการแพร่ระบาดของเชื้อ

สูบบุหรี่ หรืออยู่ใกล้ผู้ที่สูบบุหรี่แล้วได้รับควันบุหรี่เข้าสู่ร่างกาย

การวินิจฉัยคออักเสบ

เมื่อมีอาการคออักเสบ ควรไปพบแพทย์เพื่อทำการตรวจรักษา โดยแพทย์อาจตรวจวินิจฉัยอาการเพื่อหาสาเหตุของการป่วยและวางแผนรักษาให้ถูกต้องต่อไป ด้วยวิธีการดังต่อไปนี้

 

ตรวจร่างกาย ในเบื้องต้น แพทย์จะซักประวัติทางการแพทย์ของผู้ป่วย สอบถามว่าผู้ป่วยได้อยู่ใกล้ชิดกับผู้ที่มีอาการป่วย ติดเชื้อ เจ็บคอหรือคออักเสบหรือไม่ รวมทั้งผู้ป่วยมีอาการป่วยใดที่เป็นสัญญาณการติดเชื้อเกิดขึ้นร่วมด้วยหรือไม่ จากนั้น แพทย์จะตรวจดูบริเวณลำคอ ภายในลำคอ ปาก จมูก หู และต่อมน้ำเหลืองภายในคอ หากแพทย์สามารถวินิจฉัยอาการป่วยและหาสาเหตุได้อย่างชัดเจน แพทย์อาจทำการรักษาหรือจ่ายยาต่อไปโดยไม่ต้องมีการตรวจเพิ่มเติมใด ๆ อีก

 




ความคิดเห็นที่ 1 เสาร์ ที่ 19 เดือน สิงหาคม พ.ศ.2560 เวลา 07:18:43 ไอพี : 45.63.61.28XX
โดย : chenlixiang
 
 

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 [ ขึ้นบน ]    

ความคิดเห็นที่ 2 จันทร์ ที่ 21 เดือน สิงหาคม พ.ศ.2560 เวลา 12:36:22 ไอพี : 108.62.5.137XX
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ความคิดเห็นที่ 3 ศุกร์ ที่ 8 เดือน กันยายน พ.ศ.2560 เวลา 14:44:49 ไอพี : 112.111.184.25XX
โดย : 20170909caihuali
 
 

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ความคิดเห็นที่ 4 ศุกร์ ที่ 6 เดือน ตุลาคม พ.ศ.2560 เวลา 18:22:24 ไอพี : 112.111.184.96XX
โดย : lzm00


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ความคิดเห็นที่ 5 ศุกร์ ที่ 27 เดือน ตุลาคม พ.ศ.2560 เวลา 15:20:15 ไอพี : 141.101.161.73XX
โดย : liuchunkai
 
 

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ความคิดเห็นที่ 6 พุธ ที่ 15 เดือน พฤศจิกายน พ.ศ.2560 เวลา 09:07:52 ไอพี : 45.33.248.208XX
โดย : zzzzz
 
 

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