Amigdalita Cronica 3-7

8/11/2019 Amigdalita Cronica 3-7

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FUNDA IA ECOLOGIC GREEN COALA POSTLICEAL F.E.G. BUCURE TI

DOMENIUL: SNTATE I ASISTEN PEDAGOGIC SPECIALIZARE: ASISTENT MEDICAL GENERALIST

PROIECT DE DIPLOM

Indrumtor:Pro. Nur!"n# $o%&nt"ru Ion&%'(T&odor'

A)!o%*&nt: Burt&' A%"n'(E%&n'

SESIUNEA AUGUST 2014 FUNDA IA ECOLOGIC GREEN


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COALA POSTLICEAL F.E.G. BUCURE TI

DOMENIUL: SNTATE I ASISTEN PEDAGOGIC SPECIALIZARE: ASISTENT MEDICAL GENERALIST

INGRIJIREA PACIENTULUI CU AMIGDALIT

Indrumtor:Pro. Nur!"n# $o%&nt"ru Ion&%'(T&odor'

A)!o%*&nt: Burt&' A%"n'(E%&n'

SESIUNEA AUGUST 2014

+


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ARGUMENT

D&t&rm"n't& d& !tr&,to-o-" ,'to#&n" -u m'n"&!tr" -%"n"-& ,o%"mor& "n&- ""%&!tr&,to-o-"-& -on!t"tu"& un *'!t -',"to% d& ,'to%o#"& "n&- "o'! %/ndu(!& 0nm'r& ,'rt& &1"!t&n ' ' num&ro'!& !,&-"" " t",ur" d& !tr&,to-o-" ,'to#&n" ,&ntru om. E" ,trund 0n or#'n"!mu% um'n ,r"n mu%t",%& ,or " d& "ntr'r&.A-&!t& *"ru!ur" -u tro,"!m m'2or ,&ntru &!utu% %"m't"- "3o%'t& 0n 4567 d"n"n&- "" %'t&nt& '%& *&t' ""%or 'd&no"d& ','r 0n 4568 d"n )o%" r&!,"r'tor"" '-ut& 'u o!t d&num"t& 'd&no*"ru!ur" 0n 4569. S& -uno!- 84 !&rot",ur" d"!t"n-t& d&'d&no*"ru!ur" d"ntr& -'r& num'" un&%& !unt m'" r&-*&nt "m,%"-'t& 0n ,'to%o#"'um'n -'r& ,rodu- '&- "un" r&-*&nt& '%& &!utu%u" 'd&no"d"'n %' -o,"% -u orm& u o'r& " -u ,&r!"!t&n ' 0nd&%un#'t ' *"ru!u%u" 0n &!u%u% 'm"#d'%"'n " 'd&no"d"'n.Ptrund&r&' 'd&no*"ru!ur"%or 0n or#'n"!m !& '-& -&% m'" r&-*&nt ,& -'%&

r&!,"r'tor"& r&3u%t/nd *'r"'t& ,ro-&!& "n%'m'tor"" '%& ','r'tu%u" r&!,"r'tor. D&'-&&' Snt't&' &!t& '-&' !t'r& d& -om,%&t )"n& "3"- m"nt'% " !o-"'% " nu -on!t num'" 0n ')!&n ' )o%"" !'u ' "n"rm"t "".; M&d"-u% tr&-& '!"!t&nt' rm/n&. M&d"-u% ,r&!-r"& '!"!t&nt' &1&-ut. ; d& '-&&' '!"!t&nt' m&d"-'%tr&)u"& ! '") o )'3 ' ,rt"r"" t&or&t"-& " ,r'-t"-& -'r& !& do)/nd& t& 0n -o'% " -um 0n 3"%&%& no'!tr& t""n &%& m&d"-'%& ,ro#r&!&'3 0ntr(un r"tm r',"d

&!t& n&*o"& d& o ,&rm'n&nt "n!tru"r& " -uno' t&r& ' m&tod&%or no" d& mun-. T&


4/84

CUPRINS

CAPITOLUL I No="un" "ntrodu-t"*& ...........................................................6

4.4. D&"n"="&4.+. C%'!""-'r&4.7. Et"o%o#"& >" &t"o,'to#&n"&4.8. S"m,tom'to%o#"&4.6. E*o%u="& >" ,ro#no!t"-4.9. Com,%"-'=""4.?. D"'#no!t"-

CAPITOLUL II @n#r"2"r&' )o%n'*u%u" -u 'm"#d'%"t -ron"-.................47

+.+. Tr't'm&nt -


5/84

CAZURI PRACTICE.....................................................................................7

C'3u% IC'3u% IIC'3u% III

BIBLIOGRAFIE.............................................................................................7

6


6/84


7/84

R&t&nt"' -'3&umu%u" "n -r",t& r&'%"3&'3' -


8/84

( r&!,"r't"' )u-'%' "n urm' o)!tru-t"&" n'3'%& 'r& o '-t"un& *'t'm'to'r& '!u,r''m"#d'%&%or ,r"n '&ru% "n!,"r't -'r& 'ntr&'n&'3' o !&r"& d& '-tor" no-"*"t&rm"-" -


9/84

S&mn& o)"&-t"*&

E1'm&nu% 'r"n#&%u" tr&)u"& '-ut m&tod"- ,r"n "n!,&-t"& ,'%,'r& -u d&tu%&1,%or'r& -u !t"%&tu% !'u !,'tu%' r&-o%t'r&' -ont"nutu%u" -r",t&%or ,&ntru&1'm&nu% )'-t&r"o%o#"-.

L' "n!,&-t"&:( n& "nt&r&!&'3' *o%umu% 'm"#d'%&%or -'r& ,o't& " *"3u'%"3't nu num'" ,r"n!"m,%' "n!,&-t"& ' 'r"n#&%u" -" tr&)u"& &1&-ut't' !" o ','!'r& -u *'ru% un&"!,'tu%& ,r"*"nd ,'rt&' %'t&r'%' ' !t'%,u%u" 'nt&r"or ,&ntru ' "n-&r-' !' !-o't&m'm"#d'%' d"n %o2' &"( 'm"#d'%&%& mu%t


10/84

In 'm"#d'%"t' -ron"-' -'3&o'!' -ontr'r d& -& !& "nt'm,%' "n 'm"#d'%"t'-ron"-' "n&-t'nt' &1,r&!"' 'm"#d'%&%or "n ''r' d& do,ur" -r&mo'!& nu&%"m"n' n"-" o !&-r&t"& tu%)ur& !'u ,ur"orm'P&ntru '-&!t mot"* nu !& o)!&r*' mod""-'r" %o-'%& !'u %' d"!t'nt' '-&'!t'orm' d& 'm"#d'%"t' ""nd )&n"#n'.S"n#ur' "nd"-'t"& o,&r'tor"& o d'


11/84

In%'m't"' ',&nd"-&%u" !& ,o't& ,rodu-& -on-om"t&nt -u -&' ' 'm"#d'%&%or,'%'t"n&. In&-t""%& t&!utu%u" %"mo"d 'r"n#"'n nu r'm'n "!o%'t& %' '-&!t n"*&% -" ,ot

,rodu-& o !&r"& d& -om,%"-'t"" "n tot or#'n"!mu%:( !&,t"-&m"' 'n#"no'!' &!t& o -om,%"-'t"& ,rodu!' m'" r&-*&nt d&

!tr&,to-o--" -u *"ru%&nt' m'r&. D"u3'r&' "n&-t"&" !& ,rodu-& ,& -'%& *&no'!',%&1u% *&no! 'r"n#"'n !" ,&r"'r"n#"'n.

Am"#d'%"t' -ron"-' "n&-t't' d' -om,%"-'t"" %' d"!t'nt' -um 'r ":( ','r'tu% r&n'%: n&r"t' '-ut' #%om&ru%on&r"t' '-ut'( ','r'tu% %o-omotor: r&um't"!mu% 'rt"-u%'r '-ut ,o%"'rtr"t' "n&-t"o'!'( ','r'tu% -'rd"o*'!-u%'r: &ndo-'rd"t' trom)o%&)"t' r&-"d"*'nt' 'rtr"t&( !"!t&mu% n&r*o!: m"#r&n& n&*r'%#"' d& t", )r'-


12/84

In -&%& m'" mu%t& -'3ur" )o%n'*"" 'u o


13/84


14/84

CAPITOLUL II

INGRIIREA BOLNA$ULUI CU AMIGDALITA CRONICA

(.1. TRATAMENT MEDICAL

Tr't'm&ntu% 'm"#d'%"t&" -ron"-& ,r"n #'r#'r"!m& *'r"'t& !" )'d"2on'r"d"&r"t& &!t& 'r' &&-t.

Do,ur"%& d& -'u3&um m'" '%&! %' 'du%t" !& ,ot &%"m"n' ,r"n-om,r&!"un&' 'm"#d'%&%or. Un"" )o%n'*" "!" ,rodu- !"n#ur" '-&'!t' &*'-u'r&'m"#d'%"'n' ,r"n ','!'r&' -u "nd&1u% d'r '-&'!t' d' r&3u%t't& tr&-'to'r&. D&'-&&' !('u ,r&-on"3't !,'%'tur" '%& -r",t&%or -u r"*'no% ',o" -u ,&n"-"%"n' ,r"n"nt&rm&d"u% un&" !&r"n#" -u -'nu%' -'r& d' r&3u%t't& m'" )un&.

4. Du!-"3m 'd"-' r&un"r&' tuturor -r",t&%or ,r"n r&un"r&' t&!utu%u"'m"#d'%"'n -'r& %& !&,'r' !'u -'ut&r"3'r&' -r",t&%or -u o !u)!t'nt' -'u!t"-''-"d -rom"- n"tr't d& 'r#"nt du,' o 'n&!t&3"& %o-'%' ,r&'%')"%' -u -o-'"n&.A-&'!'t' m&tod' d& tr't'r& nu num'" -' &!t& "n&"-'-& d'r t&!utu%-"-'tr"-"'%-'r& "' n'!t&r& ,r"n '-&!t mod "n-


15/84

P&ntru !t')"%"r&' "nd"-'t""%or o,&r'tor"" "n 'm"#d'%"t' -ron"-' r&-ur#&m %'urm'to'r&%& &1'm"n'r":

( 'n'mn&3' ,r"n -'r& n& "nt&r&!'m d& tr&-utu% 'm"#d'%"'n '% )o%n'*u%u"'*'nd "n *&d&r& to't& !u&r"nt&%& 'm"#d'%"&n&. D& '!&m&n&' -&r-&t'm "ntr&-utu% )o%n'*u%u" to't& !t'r"%& d& !urm&n'2 !omno%&nt' !'u "n!omn"&!u)&)r"%"t't" "nt&rm"t&nt& !'u ,&r!"!t&nt&

( &1'm&nu% o)"&-t"* '% 'r"n#&%u" -u &1,%o't'r&' m"nut"o'!' ' r"un""'m"#d'%"&n& ,r"n to't& m&tod&%& -uno!-ut&. S& '-& &1'm&nu% r"un"%or )u-o(d&nt'r& n'3o(!"nu3'%' &,"'r"n#"'n' '%& -'ror '&-t"un" ,ot d' n'!t&r& %''n#"n& r&,&t't&

( &1'm&nu% #&n&r'% -'r& ,r"*&!t& ','r'tu% -'rd"o*'!-u%'r ,u%mon'rd"#&!t"* r&n'% %o-omotor !" "ntr !"!t&mu% #'n#%"on'r %' -'r& !& 'd'u#'d"&r"t& 'n'%"3& d& %')or'tor.

Cu ,r"*"r& %' "nd"-'t""%& 'm"#d'%&-tom"&" )o%n'*"" ,ot "" !-


16/84

Cu ,r"*"r& %'


17/84

(.4. PREGATIREA PREOPERATORIE

Pr't"r&' ,r&o,&r'tor"& ' )o%n'*"%or *'r"'3' d& %' -'3 %' -'3. In #&n&r'% tr&)u"&!' d'm 't&nt"& urm'to'r&%or d't&:( t&rm'nu% d& %' ,r"m' 'n#"n'( -o'#u%')"%"t't&' !'n#&%u"( !t'r&' -'*"t't"" )u-'%&.L' tot" )o%n'*"" tr&)u"& !' !& '-' urm'to'r&%& 'n'%"3&:

( t"m,u% d& !'n#&r'r& !" -o'#u%'r&(


18/84

D&3"n&-t"' )u-'%' !" r"no'r"n#"'n' -u #'r#'r"!m& !" "n!t"%'t"" d& u%&"ur"d&3"n&-t't& "n o!&%& n'3'%& &!t& "nd"-'t& -u tr&" 3"%& "n'"nt&' "nt&r*&nt"&".

Fum'tor"" tr&)u"& !' ')'ndon&3& tutunu% tr&" 3"%& "n'"nt& o,&r't"&" -&%orn&r*o!" %" !& *' 'dm"n"!tr' -u o or' "n'"nt& un -'%m'nt o)"!nu"t !" "n !&'r'

,r't"to'r& o,&r't"&" %um"n'% !" r'r mor"n'.S& *' '-& !" o ,r't"r& ,!"


19/84

C


20/84

(.,. COMPLICATII POSTOPERATORII

C&%& m'" d&!& -om,%"-'t"" ,o!to,&r'tor"" '%& 'm"#d'%&-tom"&" !unt


21/84

( -om,%"-'t"" ,u%mon'r& -'nd t'm,on'm&ntu% ,r&%un#"t '% %o2&" "m,"&d"-'&1,&-tor't"' !u"-"&nt'.-generale !&,t"-&m"' ,o!t'm"#d'%&-tom"-' &1-&,t"on'%'.

7. Com,%"-'t"" d"*&r!&:( !"ndromu%


22/84

( &*"t'r&' m&d"u%u" 'm)"'nt ,r&' u!-'t !" ' ,r'u%u" d&o'r&-& ,rodu- -'t'rur"-ron"-&.

++


23/84

CAPITOLUL III

PROCESUL DE INGRIIRE

4.1. PREENTARE GENERALA

Pro-&!u% d& "n#r"2"r& &!t& o m&tod' or#'n"3't' !" !"!t&m't"-' or"&nt't "n'-ord'r&' d& "n#r"2"r" "nd"*"du'%"3't& "n un-t"& d& n&*o"%& !" ,ro)%&m&%&

,'-"&ntu%u".A,%"-'r&' -'dru%u" -on-&,tu'% '% $"r#"n"&" &nd&r!on "n ,ro-&!u% d&

"n#r"2"r& u!ur&'3' "d&nt""-'r&' ,& ,%'n )"o(,!"


24/84

' &1'm&nu% d't&%or -u%&!& !" "nt&r,r&t'r&' %or -'r& -on!t' "n !t')"%"r&' un&"%'tur" "ntr& ',t&%& o)"&-t"*& !" "n-&r-'r&' d& ' %& &1,%"-'

) &nuntu% un&" 2ud&-'t" -%"n"-& ,r"*"nd !&mn""-'t"' !"tu't"&" 'n'%"3't&.A-&'!t' -ondu-& %' "d&nt""-'r&' -' ,'-"&ntu% &!t& -',')"% !' ut"%"3&3& ,ro,r""%&r&!u!& "& -' ,un& o ,ro)%&m' d& "n#r"2"r& '-tu'%' !'u ,ot&nt"'%'.+. Pro)%&m' d& "n#r"2"r&:' ,ro)%&m& -%"n"-& -& ,ro*"n d"n n'tur' ,ro)%&m&%or m&d"-'%& "n -'r& '!"!t&nt'!" m&d"-u% '-t"on&'3' "m,r&un'

) d"'#no!t"-u% '!"!t&nt&" &!t& modu% d& ' "nd&,%"n" ,ro)%&m& d& !'n't't&'-tu'%& !'u ,ot&nt"'%& '%& ,&r!o'n&" "n#r"2"t&.Pro)%&m' '-tu'%' &!t& !"m,tomu% ,& -'r& )o%n'*u% %(' !"mt"t "'r ,ro)%&m'

,ot&nt"'%' &!t& o ,ro)%&m' -'r& !&mn'%&'3' '%t&r'r&' !t'r"" d& !'n't't& !" -'r&,o't& ','r&' "n ')!&nt' "n#r"2"r"%or ,r&*&nt"*&.7. Com,on&nt&%& d"'#no!t"-u%u" '!"!t&nt&":

( &nunt'r&' m'n"&!t'r"%or d& d&,&nd&nt' #ru,'t& !'u nu ' ,'-"&ntu%u"( &nunt'r&' -'u3&%or !'u !ur!&%or d& d""-u%t't&( -&%& dou' ,'rt" !unt un"t& ,r"n -u*"nt&%& "n %'tur' -u;.Tr&)u"& -uno!-ut ',tu% -' ,ro)%&m' d& d&,&nd&nt' !" !ur!' d& d""-u%t't&-ontr")u"& %' &nunt'r&' d"'#no!t"-u%u" '!"!t&nt&". Ind"&r&nt -' &!t& o

,ro)%&m' -%"n"-' &nuntu% tr&)u"& '-ut d& o m'n"&r' ,r&-"!':( -'r& &!t& d""-u%t't&' !" m'n"&!t'r"%& !'%&( -'r& &!t& &t"o%o#"' !" '-tor"" '*or"3'nt".Pro)%&m' tr&)u"& !' "& )"n& d&%"m"t't& !" &!t& "m,ort'nt !' ormu%'m -'u3' !"

',o" !' '%&m "nt&r*&nt"' "n -on!&-"nt'.In -'3u% "n -'r& &t"o%o#"' nu &!t& -uno!-ut' &nuntu% ,ro)%&m&" tr&)u"& !' "&urm't d& m&nt"on'r&' "n %'tur' -u -'u3' n&-uno!-ut'.In -on-%u3"& d"'#no!t"-u% '!"!t&nt&" &!t& &nunt't -u ,ro)%&m&%& d& r&3o%*'t.E!t& )'3't ,& ,&r!o'n' "n#r"2"t' !" ,& d't&%& o)"&-t"*& !" !u)"&-t"*& &!t&-on-%u3"' r&3u%t't' d"n 'n'%"3' d't&%or &!t& un &nunt d"n dou' ,'rt": ,ro)%&m'!" -'u3'.C%'!""-'r&' d"'#no!t"-u%u" '!"!t&nt&" !& )'3&'3' ,& mod&%u% -on-&,tu'% '%$"r#"n"&" &nd&r!on orm'nd %"!t' d& 9H d"'#no!t"-& "'r ,&ntru "&-'r& 'u o!t!,&-""-'t& !ur!& d& d""-u%t't&.

C. P%'n""-'r&' "nr"2"r"%or4. Form'r&' o)"&-t"*&%or.+. Int&r*&nt""%& '!"!t&nt&".

4.Formarea obiectivelor: ,&rm"t nu num'" !' or"&nt&3& "nt&r*&nt""%& '!"!t&nt&"-" !" !' -ontro%&3& d'-' r&3u%t't&%& !-ont't& !unt o)t"nut&.

+8


25/84

O)"&-t"*&%& ,ot " !u)d"*"3't& "n:' O)"&-t"*&%& ,r"*"nd !t'r&' "3"-' !'u "3"o%o#"-' -'r& d&!-r"u !t'r&' 'u,r'-'ru"' ,'-"&ntu% 'r& -ontro% *o%unt'r. Pr&*&n"r&' !'u 'm&%"or'r&' unor d"!un-t""-': &)r' *&rt"2.

) O)"&-t"*&%& ,r"*"nd -om,ort'm&ntu% -& ,ot " d& t",:( motor: -','-"t't" -& !unt !u) -ontro%u% *o%unt'r '% ,'-"&ntu%u"( -o#n"t"*: -& d&!-r"u d'-' ,'-"&ntu% *' " -',')"% !' r&-uno'!-' -uno'!-''m"nt&'!-'( '&-t"*: -'r& ,r"*&!- &mot""%& !&nt"m&nt&%& ,'-"&ntu%u" ,r"*"tor %' !t'r&' d&!'n't't&( !o-"'%("nt&r'-t"*: -& ,r&!u,un& o)"&-t"*&%& %'t& d& '-t"*"t't"%& !o-"'%& !"r&%'t""%& "nt&r,&r!on'%& '%& ,'-"&ntu%u".P&ntru -' o)"&-t"*&%& !' -or&!,und' -r"t&r""%or d& &*'%u'r& &nuntu% tr&)u"& !'r&!,&-t& urm'to'r&%& ru%": !' "& un &nunt -&ntr't ,& ,'-"&nt d&!-r""nd !t'r&'

!'u -om,ort'm&ntu% '!t&,t't d& %' ,'-"&nt !" nu '-t"*"t't&' '!"!t&nt&".O)"&-t"*u% !' "&:( r&'%"!t: t"n'nd -ont d& !t'r&' !" d& ,o!")"%"t't"%& ,'-"&ntu%u"( o)!&r*')"%: -'r& d&t&rm"n' &*'%u'r&' !" m'!ur'r&'( m'!ur')"%: 'd"-' !' ,ut&m !' &*'%u'm #r'du% d& &"-'-"t't& &nuntu% tr&)u"& !'-u,r"nd' %"m"t& m'!ur')"%& &1,r"m't& d& &1&m,%u "n t&rm&n" -& ,r"*&!-d"!t'nt' !'u *'%o'r&'.

+. Int&r*&nt"' '!"!t&nt&":

Du,' -& *om ,r&-"3' ,ro)%&m&%& d& "n#r"2"r& !" o)"&-t"*&%& '!"!t&nt' '%&"nt&r*&nt""%& "n -&&' -& ,r"*&!t& "n#r"2"r"%& 'd&-*'t& ,&ntru ' ,r&*&n" r&du-& !'u&%"m"n' mod""-'r"%&.A%&r&' "nt&r*&nt"&" &!t& "n un-t"& d& !"tu't"' ,'-"&ntu%u" !" d& -on!&-"nt&%&m'" mu%t !'u m'" ,ut"n dor"t&.A%&r&' "nt&r*&nt"&" &!t& "n un-t"& d& #r'du% d& d&,&nd&nt' !" ,o!")"%"t't"%&

,'-"&ntu%u" '!t&% "n-'t "nt&r*&nt"' nu tr&)u"& !' !& %"m"t&3& "n '-t"un" ,'rt"'%&!'u -om,%&1&.

D. A,%"-'r&' ,%'nu%u" d& "n#r"2"r&

P%'nu% d& "n#r"2"r& r&,r&3"nt' &%')or'r&' d&t'%"'t' ' unu" ,ro#r'm d& "n#r"2"r& '%'!"!t&nt&" or#'n"3't -or&!,un3'tor n&-&!"t't"%or !,&-""-& )o%n'*u%u" -'r&

,&rm"t "nd&,%"n"r&' o)"&-t"*&%or ,ro,u!&.P%'nu% d& "n#r"2"r& ,&rm"t& '!"!t&nt&" !' d&!'!o'r& o mun-' or#'n"3't' !'"nd"*"du'%"3&3& "n un-t"& d& )o%n'* 'n!'m)%u% t&


26/84

P%'nu% d& "n#r"2"r& &!t& un "n!trum&nt d& mun-' !" un "d&'% d& -omun"-'r& "ntr&tot" m&m)r"" &-


27/84

+?


28/84

CAPITOLUL I$

NO IUNI DE ANATOMIA I FIZIOLOGIA APARATULUI RESPIRATOR

A,'r'tu% r&!,"r'tor &!t& '%-tu"t d"n tot'%"t't&' or#'n&%or -'r& '!"#urm&-'n"!mu% r&!,"r' "&" : '% *&nt"%' "&" ,u%mon'r&-' " '% !-


29/84

Cile respiratorii extrapulmonare!unt r&,r&3&nt't& d& o!&%& n'3'%& 'r"n#&%'r"n#& tr'


30/84

"#. + F'r"n#&%&

F'r"n#&%& 'r& orm' un&" ,/%n"" -u )'3' 0n !u! " */ru% 0n 2o!. P&r&t&%&'nt&r"or 0" %",!& t& " ,r&3"nt + ,&r& " %'t&r'%" " unu% ,o!t&r"or. S& d&!-r"& o !u,r'' &1t&r"o'r: &1o'r"n#&%& " o !u,r'' "nt&r"o'r: &ndo'r"n#&%&. Ar& orm' unu" tu) mu!-u%'r -u d"m&n!"un&' d& 4+(47 -m %' 'du% " !& 0n#u!t&'3

,ro#r&!"* d"n!,r& !u,&r"or !,r& "n&r"or. F'r"n#&%& 'r& o tun"- mu!-u%'r-om,u! d"n dou !tr'tur" "'r d"n "nt&r"or &!t& t',&t't d& mu-o'!.

Endofaringele!& 0m,'rt& 0n 7 ,or "un". A-&!t& ,or "un" ,orn&!- d& !u! 0n 2o! "

!unt urm'to'r&%&: n'3o'rn#&%& oro'r"n#&%&-or&!,und& -'*"t "" )u-'%& " %'r"n#o'r"n#&%&. To't& -&%& tr&" &t'2& 'u -omun"-'r& 'nt&r"o'r -u !tru-tur"0n*&-"n't&. Tr'n!*&r!'% 'r"n#&%& m!o'r %' ,r"mu% &t'2 8 -m %' oro'r"n#& 6-m "'r 0n ,or "un&' "n&r"o'r 7 -m. @n !&n! !'#"t'% 'r& + -m -u o %r#"r& %'n"*&%u% oro'r"n#&%u" d& 8 -m.

Nazofaringelenum"t " &,"'r"n#&%& -'*um " r"no'r"n#& !& 0nt"nd& d& %' )'3' -r'n"u%u" !u,&r"or ,/n %' n"*&%u% unu" ,%'n "m'#"n'r -'r& tr&-& ,r"n

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,'%'tu% mo'%&. E%&m&nt& 'n'tom"-& "m,ort'nt& d& %' n"*&%u% '-&!tu"-om,'rt"m&nt !unt: anterior or""-""%& -o'n'%& ,& und& -omun"- -u o!&%&n'3'%&superior,%'n &u% !"nu!u%u" !&n"od'%. L' n"*&%u% ,&r&t&%u" %'t&r'% !&d&!-


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,'!'2u%u" '&ru%u" "n!,"r't !'u &1,"r't ,r"n r"no( >" oro'r"n#& d%ut"="' &!t&"n" ,r"n r&-&,tor" d& %' n"*&%u% oro'r"n#&%u".

Func#ia imunologic&!t& '!"#ur't d& =&!utu% %"mo&,"t&%"'% #ru,'t 0n '>'(

num"tu% "n&% '% %u" K'%d&&r >" -'r& -u,r"nd&: ton!"%' 'r"n#"'n ton!"%&%&,'%'t"n& ton!"%' tu)'r ton!"%' %"n#u'% d& %' )'3' %"m)"". Fun-=""%& d&!u,r'*" T %' 'nt"#&n""u3u'%" >" 0n '-&!t mod !& '!"#ur ,rodu-="' d& %"mo-"t& m&!'#&r >" %"mo-"t& -um&mor"&(,%'!mo-"t&%& d& %' n"*&% ton!"%'r !&-r&t to't& t",ur"%& d& "muno#%o)u%"n&(%"mo-"t&%& "muno'-t"*& d& %' n"*&% ton!"%'r ,trund 0n tor&ntu% !'n#u"n >"

%"m't"-.Func#ia fonatorie. C'*"t't&' )u-'% 'r"n#&%& >" %"m)' !unt "m,ort'nt& 0n*o-&' 'rt"-u%'t >" 0n r&'%"3'r&' t"m)ru%u" !,&-""- '% *o-"" ,r"n modu%'r&'!un&tu%u" und'm&nt'% &m"! %' n"*&%u% -or3"%or *o-'%&.8.+. F"3"o%o#"' !" moro%o#"' ','r'tu%u" r&!,"r'tor

4.2.a.M&a#ia !&/%i!a i&i . R&!,"r' "' r&,r&3"nt !-


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'- "on&'3 " mu -


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-um !unt: *or)"tu% -/nt'tu% *o-'% " -u "n!trum&nt& mu3"-'%& d& !u%'t 0n'-&!t& -ond" "" r&!,"r' "' nu m'" &!t& -ontro%'t d& -&ntr"" )u%)o(,ont"n" -" d& !-o'r ' -&r&)r'%.R&gla!&a 5m"!al6. D"o1"du% d& -'r)on r&,r&3"nt unu% d"n '-tor"" -&" m'""m,ort'n " -'r& r%&'3 '-t"*"t't&' -&ntr"%or r&!,"r'tor". Or"-& *'r"' "& 0n ,%u! !'u 0n m"nu! ' -on-&ntr' "&" d& d"o1"d d& -'r)on d"n !/n#& d&t&rm"nmod""-r" '%& '-t"*"t "" -&ntr"%or r&!,"r'tor".4.2..S$im95!il& ga="a/& !&/%i!at"!ii. S-


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Prot&- "' ' d& '#&n "" ,'to#&n" &!t& '!"#ur't d& ,"&%& " d& !"!t&mu% "mun. P"&%&' ,r&*"n& ,'r "'% -ont'-tu% d"r&-t d"ntr& m"-roor#'n"!m&%& d"n m&d"u%0n-on2urtor " "nt&r"oru% or#'n"!mu%u". Od't' -u '%"m&nt&%& " '&ru% r&!,"r't num&ro'!& " *'r"'t& m"-roor#'n"!m& tr&- d"n-o%o d& )'r"&r' ,"&%"". D'- ,&m"-" %&3"un" n&tr't't& '%& ,"&%"" #&rm&n"" !unt -',')"%" ! ,rodu- "n&- ""d&o!&)"t d& '#r&!"*& !unt &*"d&nt& -on!&-"n &%& -'t'!tro'%& '%& "n*'3"&"

,'to#&n& r -ontro%u% !"!t&mu%u" "mun. $"3")"% do'r %' m"-ro!-o, '-t"*"t't&'!"!t&mu%u" "mun &!t& ,&rm'n&nt " -on!um mu%t &n&r#"& d"m&n!"un&'!"!t&mu%u" %"m't"- ',ro,"'t d& -&' ' !"!t&mu%u" -"r-u%'tor o&r o -om,'r' "&&%o-*&nt '!u,r' 'm,%"tud"n"" '-t"*"t "" !"!t&mu%u" "mun. Am"#d'%&%& "d&nt""-r',"d '#r&!or"" " ,rot&2&'3 or#'n&%& "nt&rn& d& "n&- "". Am"#d'%&%& !unt !"tu't& 0n ',ro,"&r&' r&-&,tor"%or t&rm"-" d& %' n"*&%u% #/tu%u" " %' d"!t'n d& or#'n&%& "nt&rn&. Po3" "on'r&' !tr't"- ,&rm"t& !"!t&mu%u" "mun d&-%'n 'r&'

,r"m&%or r&'- "" d& ',r'r& 0n 'm"#d'%&. C/nd ,r"m&%& r&'- "" d& ','r'r& nu !unt

!u"-"&nt& ,&ntru -ontr'-'r'r&' '#r&!"un"%or !"!t&mu% "mun d&-%'n &'3 "n&- "' !'u "n%'m' "' %' n"*&%u% 'm"#d'%&%or d&,'rt& d& or#'n&%& "nt&rn&.

Ro%u% 'm"#d'%&%or$olul informational- *"t&3' d& r!,un! ' !"!t&mu%u" "munAm"#d'%&%& !unt ,r"m&%& or#'n& %"m't"-& -'r& "d&nt""- '#r&!or"" " ,rodu-'nt"-or,"" -or&!,un3tor". @n ')!&n ' 'm"#d'%&%or *"t&3' d& r!,un! ' !"!t&mu%u""mun !-'d& d&o'r&-& m"-roor#'n"!m&%& !unt "d&nt""-'t& ')"' du, -& ,trund'd/n- 0n or#'n"!m 0n d"*&r!& !&- "un" '%& !"!t&mu%u" %"m't"- "'r '#& ""

,'to#&n" 'u %' d"!,o3" "& t"m, !u,%"m&nt'r 0n -'r& !& 0nmu% &!- n&-ontro%'t " 0 "

!,or&!- r&3"!t&n '. R&'- ""%& !'u "n&- ""%& %' n"*&%u% 'm"#d'%&%or -on!t"tu"& ,r'-t"- ,r"mu% " -&% m'" "m,ort'nt %')or'tor 0n -'r& !"!t&mu% "mun ,rodu-&'nt"-or,".Ro%u% d& ,rot&-t"&@n 'num"t& -ond" "" '#r&!or"" m"-ro!-o,"-" ,ot !u,r'!o%"-"t' !"!t&mu% "mun-on!&-"n ' "nd ,rodu-&r&' "n&*"t')"% d& ,ro-&!& "n%'m'tor"" !'u "n&- "o'!&. S"!t&mu% "mun nu %'! %' *o"' 0nt'm,%'r"" '-&!t& ,ro-&!& "n&*"t')"%& " %&d&-%'n &'3 %' n"*&%u% 'm"#d'%&%or d&,'rt& d& or#'n&%& "nt&rn& ,& -'r& %&

,rot&2&'3 '!t&% F"#.7.

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"#. 7

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C'3u% I

4. CULEGEREA DATELOR

Id&nt""-'r&' ,'-"&ntu%u":Num&: PPr&num&: RD't' n'!t&r"": 7? 'n"D't& "nt&rn'r"": 6. H6. +HH or' 4HHH

D"'#no!t"- d& "nt&rn'r&: 'm"#d'%"t' -ron"-'

Mot"*&%& "nt&rn'r"":( 'm"#d'%&


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E1'm&n O.R.L.- 'm"#d'%&


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o,t"m"!t47. A !& r&-r&&' (((((((((((((((((((((((( Ind"!,o3"t"&48. A "n*'t' P'-"&ntu% &!t&

-oo,&r'nt(((((((((((((((((((((((((

8+


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D't' Pro)%&m' Int&r*&nt"" ,ro,r"" Int&r*&nt"" d&%'t& E*'%u'r&6.H6.+HH ( dur&r"

'm"#d'%"&n&( dur&r"'rt"-u%'r&( d"!'#"&

( d"!,n&&

( "n!t'%'r&' )o%n'*u%u" "n !'%on !"'*or"3'r&' 'd',t'r"" %u" "n nou% m&d"u( '!"#ur'r&' unu" m"-ro-%"m't-or&!,un3'tor: '&r"!"r& t&m,&r'tur' !"um"d"t't&

( %"n"!t"r&' ,'-"&ntu%u" !" '!&3'r&' %u"-omod "n ,'t( '!"#ur'r&' r&,'u!u%u" 't't "3"- -'t !"

,!"


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D"ur&3' 46HH m%J+8

Amigdalita Cronica 3-7

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Transcript of Amigdalita Cronica 3-7