Winter is the season of high incidence of respiratory diseases.
Everyone's "coughing" rose and fell.
Many netizens said.
I was "tricked" again.
It is different from the symptoms of the previous cold.
This time, many people reported sore throat and swollen throat.
Like a throat "swallowing a blade" ......
Related topics also quickly appeared on the hot search.
Spark a lot of discussion.
Sudden onset of laryngitis
What exactly is a virus?
Many netizens posted.
Sore throat and swollen throat.
My throat was so swollen that I couldn't swallow water.
Swallowing saliva hurts like a "pinprick".
All of them were negative!
My throat was swollen overnight, and at first I thought it was tonsil inflammation, and then I began to have a low-grade fever, and I had no strength all over my body, and my throat was so swollen that I couldn't even swallow water. On January 28, Wang Yuan (pseudonym), who works in Beijing, said that at first she thought she had a new crown or flu, but all of them were "negative" when she checked out, and she began to take anti-inflammatory drugs as soon as her throat was swollen.
There are not a few netizens who have similar situations
Hu Yang, deputy chief physician of the Department of Respiratory and Critical Care Medicine of Shanghai Pulmonary Hospital, said that sore throat is common in acute inflammation of the throat, such as acute tonsillitis, acute pharyngitis, acute laryngitis, etc., which can cause sore throat. This pain is mostly caused by bacterial infection or viral infection, and can also be caused by bacterial and viral mixed infection, which is clinically manifested as sore throat, foreign body sensation in the throat, accompanied by painful swallowing, etc., and sometimes accompanied by systemic symptoms such as fever and fatigue.
Xie Jin, chief physician of the Department of Otolaryngology and Head and Neck Surgery of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, believes that some acute pharyngitis is caused by viral infection, and different influenza viruses such as influenza A and influenza B may cause the same symptoms. It may also be common viruses, adenoviruses, etc., and ordinary viruses are sometimes not detectable by testing. Therefore, there will be people with sore throats, and they will go to the hospital to find out that they are not the current epidemic viruses such as influenza A, influenza B and mycoplasma pneumonia.
Symptoms of acute laryngitis are often acute at first, with a dry, burning dry pain in the pharynx that is often more pronounced when swallowing saliva than when eating, and this pain sometimes radiates to the ear, producing reflex pain.
When can I self-medicate?
When should I go to the hospital?
The doctor reminded that not all fever and sore throat are caused by the new crown and flu, and there is no need to be too nervous. When the above symptoms appear, some spicy and cool drugs can generally be used, such as pharyngitis tablets, Lanqin oral liquid, etc. In addition, you should drink plenty of water, try to eat lightly, and develop good eating and living habits.
If you have a swollen throat and severe pain, you can't swallow eating, you can't speak like you are holding a rice ball, or your systemic symptoms are obvious, such as fever, headache, and sore limbs, you should go to the hospital for treatment. In addition, if the cough and phlegm are very severe, then not only the upper respiratory tract, but also the lower respiratory tract, bronchi, and lungs may also have problems.
Is it difficult to distinguish pathogens?
Experts list the symptomatic characteristics of different pathogens
Influenza A and B
Influenza A and B are seasonally endemic and highly contagious every year.
Main symptoms: fever, muscle aches and headaches, but also mild respiratory symptoms such as cough, runny nose, sore throat, etc.
Common cold
Nearly half of all acute respiratory infections are caused by rhinovirus infections, the common cold, which is more common in children.
Main symptoms: runny nose, sneezing, pharyngeal discomfort, nasal congestion, cough, sore throat, hoarseness, body temperature does not increase or slightly increases, which can easily cause complications of sinusitis and otitis media. It can be mixed with children's enterovirus, Mycophelium pneumoniae and other epidemic infections. To date, there is no effective vaccine to prevent infection.
Mycoplasma pneumoniae
Mycoplasma pneumoniae is a microorganism that is somewhere between bacteria and viruses.
Main symptoms: more intense irritating dry cough; The fever is mostly low-grade fever, and a small number of children have high fever, and persistent high fever often indicates a more serious illness. It can be accompanied by headache, runny nose, sore throat, earache, etc. In severe cases, complications such as pneumonia, hepatitis, nephritis, myocarditis, and meningitis may also occur. Antibiotics are completely ineffective against Mycoplasma pneumoniae, and patients should not use them blindly.
Respiratory syncytial virus
Respiratory syncytial virus (RSV) is an RNA virus that mutates annually and is prone to repeated infections.
Main symptoms: Mild symptoms and early symptoms of infection are similar to the common cold, with symptoms such as nasal congestion, cough, sneezing, runny nose, and low-grade fever. As the disease progresses, severe patients will experience dyspnea or shortness of breath, wheezing, irritability, loss of appetite, etc., and even complicated by respiratory failure and heart failure. People of all ages are susceptible, and there is no vaccine to prevent it.
Adenovirus
Adenovirus is a common virus that causes respiratory tract infections in children, mainly in winter and spring, and is easy to circulate in kindergartens and schools.
Main symptoms: cough, nasal congestion and pharyngitis, accompanied by fever, chills, headache and muscle aches, etc., and clinical manifestations such as pharyngitis, pharyngeal conjunctival fever and pneumonia may also occur. Other types of adenovirus can cause gastroenteritis in infants and preschoolers, causing abdominal pain, diarrhea, and even intussusception. Infection is more common in children under 5 years of age, with infants aged 6 months to 2 years being particularly susceptible.
Adenovirus infection is a self-limiting disease, and people with normal immunity can recover spontaneously in about 7 days, but without medication**, usually pay attention to rest, drink more water. Patients with weakened immunity, or severe symptoms of infection, should follow the doctor's advice to use antiviral drugs**.
Pay attention to these misunderstandings
Autumn and winter are the period of high incidence of respiratory infectious diseases.
There are still some misunderstandings among the public.
Blindly taking medicines, infusions, etc., the gains outweigh the losses.
"Take the drug of **
to prevent respiratory infections".
Many patients will habitually take oral antibiotics to prevent infection, relying on oral antibiotics to prevent respiratory tract infections is a huge misunderstanding, blind medication in the absence of infection or clear etiology, not only has no effect on preventing infection, but may also cause other problems such as drug resistance.
"If you have a cold and fever, you have to get an infusion as soon as possible".
Upper respiratory tract infections alone do not require infusion, infusion will not shorten the course of the disease, only some severe infections, pneumonia and other conditions need to seek medical attention in time, and the doctor will help you determine whether you need infusion.
"Kit test results speak for themselves".
There are also many people who take a self-test by purchasing a kit and do not show a positive result, blindly believing in the self-test result, resulting in a delay in the disease.
The test is only a clinical adjunct, and even if a virus is positive, it cannot rule out the possibility of other infections, and the final ** is based on epidemiology, symptoms, signs, tests and other conditions.
The latest research and judgment of the Guangzhou Health Commission
Spring Festival holiday. What is the situation of respiratory infectious diseases in Guangzhou?
What measures have been taken in response to Guangzhou?
Protecting the public's medical needs?
On February 1, the monitoring results of the disease control department were announced at the Spring Festival guarantee work conference of "the most flavorful of the year": the current respiratory diseases in Guangzhou are mainly influenza, influenza A and B coexist, and other respiratory pathogens, such as Mycoplasma pneumoniae, adenovirus, and pertussis bacillus, are alternately or co-epidemic; The new coronavirus continues to be sporadic at low levels, with jn1 Variant is dominant, and there is no obvious change in pathogenicity and transmissibility.
There was a slight fluctuation in respiratory diseases during the Spring Festival
But the overall situation is stable
Zhang Yi, deputy director and spokesman of the Guangzhou Municipal Health Commission, said that the Spring Festival holiday coincides with the turn of winter and spring, and the temperature fluctuates from cold to hot, which is the season for respiratory diseases. "It is predicted that before and after the Spring Festival holiday, with the large-scale flow of people and the increase in gathering activities, there will be small fluctuations in respiratory diseases in our city, but the overall situation is stable. ”
Emergency and fever clinics throughout the city
Consultation is available 24 hours a day and night
Zhang Yi said that in order to protect the medical needs of the public, during the Spring Festival holiday, Guangzhou medical institutions will continue to "do not close during the holidays", and the city's emergency and fever clinics will be available 24 hours a day, and personnel will be arranged on duty, emergency forces will be equipped, and drugs and equipment will be reserved; At the same time, we will strengthen the overall planning of 120 emergency resources and on-duty emergency response, improve the efficiency of emergency operations, and make every effort to do a good job in pre-hospital emergency services for critically ill patients to ensure that the masses respond to their calls.
Get vaccinated
It is effective in preventing respiratory diseases
During the Spring Festival holiday, the Guangzhou Municipal Health Commission called on the public to maintain good personal hygiene habits, regular work and rest, healthy diet, and ventilation in the living room. Citizens who travel and return to their hometowns during holidays should do a good job of personal protection, wear masks scientifically, and pay attention to the combination of work and rest. "If you have symptoms such as persistent high fever and worsening cough, you should see a doctor in time. Vaccination can effectively prevent respiratory diseases, and we encourage the public to take the initiative to get vaccinated against influenza, COVID-19 and pneumonia. ”