The large flow of 9 billion people encountered the most complicated Spring Festival weather in 16 years, and the wanderers who were out tried their best to go home for reunion. Affected by various factors such as the large-scale movement of people, visiting relatives and friends, and the increase in dinner and gathering activities, the Spring Festival may further increase the risk of respiratory infection.
Recently, a symptom related to respiratory infections - "sore throat" (blade throat) has been on the hot search. Many patients on social platforms said that the flu was "hit" again not long after, but unlike the previous cold symptoms, this time it was mainly manifested as sore throat and swollen throat, like throat "swallowing a razor" ......
So far, laryngitis has swept the country overnight!
Eating and drinking during the Spring Festival, under the ** of tobacco and alcohol and various fried snacks and traditional pastries, once the foodies can't control it, the throat is likely to be affected and sinned together with the stomach, and another group of people join the team of "blade throat".
Escaped the new crown and flu, but not the laryngitis
Sore throat and pharyngitis are not the first time that they have aroused widespread concern and discussion, and in September last year, with the number of fever clinic visits skyrocketingIs laryngitis all over the country? topicrushed to the hot search list of many social ** platforms. At that time, experts reminded that what causes pharyngitis needs to be handed over to a professional doctor for a comprehensive judgment.
Multiple respiratory diseases are prevalent alternately or togetherIt will be a norm around this Spring Festival holiday. The National Health Commission held a press conference before the holiday, and Chen Cao, a researcher at the Institute of Viral Diseases of the Chinese Center for Disease Control and Prevention, introduced that at present, there are local cases in ChinaThe 1 variant has become the dominant epidemic strain, mainly mild, and it is expected that the new crown epidemic will gradually rise. Influenza is still the most important pathogen of respiratory infections.
A sore throat is a very common symptom, and anyone who has had a cold or a new crown has basically suffered from it. This time, laryngitis is on the hot search again because many patients feel unusual from the past. Many people said that they were dumbfounded after an examination in the hospitalInfluenza A, influenza B, mycoplasma, chlamydia, and the new crown are all negative
I had a sore throat and stayed up all night, thinking that I was infected with mycoplasma that was epidemic some time ago, so I went to the doctor for a test as soon as possible, and the results were all "negative", but the blood routine showed that there was an infection. (Source: Xiaohongshu @xxx).
Feminine? No flu and no coronavirus, is it accurate? Some people really went to other hospitals for a retest, and the final result was still the same.
However, the sore throat is not as severe as ...... common coldSo, a bold question came to the mind of the sore ore sufferer:A new virus that specifically attacks the throat is coming?
"It's more uncomfortable than yang", what virus attacked the throat this time?
It's terrible! Zuo Qing (not her real name), who works in Guangzhou, told 39 to take a deep breath that this time her throat was really sore and exaggerated, and that her onset was caused by a stay up late and tired. Like many people, she started taking anti-inflammatory drugs as soon as her throat was swollen and sore, and this timeI took a lot of anti-inflammatory drugs, but my throat still didn't improve
Zuo Qing felt that her tonsils were suppurated, her breath was very stinky, her swallowing pain was like "cutting her throat with a knife", and she was accompanied by a low-grade fever, muscle aches and weakness all over her body. She said that last year's Omicron infection was not so uncomfortable.
There are not a few netizens who are in a similar situation to Zuo Qing on social **. Source: Little Red Book.
What kind of powerful virus is this kind of virus that specifically attacks the throat?
Sore throat is common in acute inflammation of the throat and is usually caused by bacterial or viral infections, or it can be caused by a combination of bacterial and viral infections.
A number of respiratory and critical care medicine doctors and otolaryngologists said in interviewsRecently, the patients who were treated with "blade throat" were not infected with a new virus, but with a known pathogen that had been discovered in the past。The occurrence of sore throat and fever is not necessarily caused by the current epidemic of new crown or influenza, and the possibility of infection by other viruses cannot be ruled out. Ordinary viruses sometimes cannot be detected by testing.
From clinical observation, 70-80% of laryngitis is caused by viral infection, in addition to influenza virus, new coronavirus, and:Respiratory syncytial virus, adenovirus, Epstein-Barr virus infection, streptococcal infection, etcLaryngitis can also be infected by various bacteria, or irritation by dust, smoke and other substances.
There are many types of viruses that attack the throat. Figure: Panoramic vision.
Among them, the Epstein-Barr virus appears to be relatively unfamiliar, and many people may only think that it is a nasopharyngeal carcinoma virus. Actually,Epstein-Barr virus is ubiquitous in healthy people, peaceful coexistence with people under normal circumstances. When the resistance is weakened, the Epstein-Barr virus will multiply in large numbers and enter B lymphocytes for replication and latent, causing symptoms such as fever and sore throat.
Xiaole (pseudonym), a senior student, had a sore throat for many days, and he had a fever, thinking it was simple purulent tonsillitisBut after taking antibiotics for 4 days, it did not improve, but the high fever reached 403℃。Coming to the fever clinic of the Second People's Hospital of Guangdong Province, Dr. Wang Lizhen from the Department of Respiratory and Critical Care Medicine found Xiaole **, indeedDiagnosis is Epstein-Barr virus infectionIt leads to infectious mononucleosis, and at the same time, Xiaole etiology suggests that Staphylococcus aureus infection is positive. After vancomycin anti-infection**, Xiaole's condition was obtained**, and he had no fever and no sore throat.
The cause of Xiaole's sore throat is completely different, 27-year-old Ah Xing (pseudonym) was tortured by a sore throat for three days, and went to the hospital**, inquired, did examinations, and prescribed medicine, spending a total of 700 yuanI got the diagnosis of bacterial laryngitis。This kind of pharyngitis should not be underestimated, and Ah Xing had a high fever of 38 after returning home from the hospital9. I took antipyretic medicine decisively. In addition to the cold medicine, painkillers, heat-clearing, detoxification and pharyngeal Chinese patent medicines prescribed by the doctor, Ah Xing insisted on taking it for three days, and the symptoms of the blade throat were finally significantly relieved.
Bacterial sore throat causes a swollen and sore throat, and doctors prescribe a variety of medications. Source: Xiaohongshu @ Seven o'clock.
Recently, many netizens have encountered a similar situation. Source: Little Red Book.
In children there is a sore throat with feverRhinovirus (HRV) infection is also investigated。Rhinovirus is one of the most common viruses that cause the common cold, and scientific studies have shown that children with weak immunity have an average of 6-8 colds per year. Li Zengqing, chief physician of the Department of Pediatrics of Guangdong Provincial Maternal and Child Health Hospital, reminded that children should not be given cold medicines containing antipyretic ingredients or antibiotics by themselves, antibiotics kill bacteria, and if it is determined that it is a rhinovirus infection, it is useless to take antibiotics.
The fatal "sore throat", the 26-year-old girl only 10 minutes from the time of medical treatment to her death
If you have severe sore throat, or obvious foreign body sensation in the throat, difficulty swallowing after eating, or obvious symptoms such as fever, headache, and sore limbs, you must seek medical attention in time. Diseases that cause sore throats can be risky and can be life-threatening in severe cases.
In the past 2023, there has been an unfortunate incident of "sore throat killing".。A 26-year-old girl suffered from a sore throat after eating hot pot (spicy and stimulating food) after finishing overtime (tiredness), but because she did not see a doctor in time and missed the best ** time, she had progressed to dyspnea when she visited the doctor the next day, and finally the girl suffocated to death, and it was only 10 minutes from the visit to the death. Behind the girl's life, the culprit is"Acute epiglottitis".
Photo: The official Weibo of the Beijing Municipal Health Commission.
However, in the case of acute epiglottitis, every ENT doctor will cheer up. Li Yonghe, director of the Department of Laryngeology-Head and Neck Surgery of the Otolaryngology-Head and Neck Surgery Center of Zhujiang Hospital, told 39 Deep Breath that every year, there are many cases of loss of life due to acute epiglottitis** untimely. Therefore, it is important to pay attention to a sore throat, not all sore throats are on fire, once the pain in swallowing worsens or it is difficult to breathe, it is important to stay calm and seek medical attention in time. Doctors can tell if acute epiglottitis is acute by simple indirect laryngoscopy.
The picture on the left shows the normal epiglottis, and the picture on the right shows the swollen spherical epiglottis. Photo: Courtesy of the doctor.
Acute epiglottitis has a rapid onset and rarely has a history of more than 6 to 12 hoursMost patients fall asleep normally and wake up in the middle of the night with a sudden sore throat or obstruction of breathing, the disease progresses very rapidly. Li Yonghe said that patients usually need to be hospitalized**, and the principle is to keep the airway open and fight infection. For infusions**, symptoms do not improve, or severe dyspnea occurs, cricothyrocentesis or tracheostomy is urgently required to keep the airway open.
During the Spring Festival, if you don't have a good rest and eat spicy and greasy food, you will also have a sore throat. If you have poor immunity, you are more susceptible to viruses and bacteria. Thus, during the epidemic of respiratory diseases,In addition to preventing viral infections, it is also necessary to pay attention to preventing bacterial infectionsWhen going out to crowded places, it is recommended to wear a mask, wash your hands frequently, and do not touch your mouth and nose casually.
If you go to a crowded place during the Spring Festival, it is best to wear a mask. Picture: Ruijing Vision.
In addition to taking medicine, how can the appearance of "blade throat" be relieved? Lin Hanxiao, attending physician of the Department of Clinical Nutrition of Guangzhou First People's Hospital, advocatedDrink plenty of water, and the diet is recommended to be semi-liquid or liquid, as long as you can swallow it. Here are a few foods that can help relieve pain:
1. Ice cream, drink some cold drinks (frozen vegetable juice), yogurt, etc., which can numb the swollen and sore throat for a while through low temperature.
2. Sweet canned fruits, which can promote saliva secretion, swallowing without pressure, mucosal "sugar coating" protection and other characteristics are indeed very friendly to sore throat, and can also replenish energy, electrolytes and vitamins.
In addition to that,Rinse your mouth with salt water and moisten your throat with steam(Open your mouth and hold it at an appropriate distance from a glass of hot water).Humidify the room, which also has a certain relieving effect.