Ifebrile

I-sinyoka elibomvu yisifo esibangelwa yibhaktheriya esikhula kwabanye abantu abane-strep throat. Ekwaziwa nangokuthi yi-scarlatina, i-sinyoka elibomvu iqukethe isihlungu esibomvu esikhanya esihlanganisa iningi lomzimba. I-sinyoka elibomvu cishe ihlale iqukethe ukuhlunguluka komlomo kanye nomkhuhlane ophezulu.

Izimpawu nezimpawu ezinikeza isifo sikashukela igama lawo zihlanganisa:

• Ukukhishwa okubomvu. Ukukhishwa kubukeka njengokushisa kwelanga futhi kuzwakala njengengubo yengubo. Ngokuvamile kuqala ebusweni noma entanyeni bese kusakazeka emzimbeni, ezingalweni nasemiileni. Ukucindezela olusu olukhanyayo kwenza lube mhlophe.
• Imigqa ebomvu. Ukugoba kwesikhumba ezingalweni, ezinhlangothini, ezigqomeni, emahlombe nasezinhlangothini kuvame ukuba bomvu kakhulu kunamanye ama-eza ane-rash.
• Ubuso obukhanyayo. Ubuso bungabonakala bukhanyayo ngesondo elimhlophe emlonyeni.
• Ulimi olufana ne-strawberry. Ulimi ngokuvamile lubukeka lubomvu futhi lubonakala, futhi ngokuvamile luhlanganiswe ngokugqoka okumhlophe ekuqaleni kwesifo.

Izimpawu nezimpawu zesifo sikashukela zihlanganisa:

• Ukuqhuma kwe-100.4 F (38.0 C) noma ngaphezulu, ngokuvamile ngokuthanda
• Intamo ebuhlungu kakhulu nebubuhlungu, ngezinye izikhathi ngamaqatha amhlophe noma aphuzi
• Ubunzima bokuginya
• Ama-glands amakhulu entanyeni (ama-lymph nodes) athambile ukuthinta
• Ukuphefumula noma ukugabha
• Ubuhlungu besisu (esibilinini)
• Ubuhlungu ekhanda nasemzimbeni

Ukukhishwa nobomvu ebusweni naselimi ngokuvamile kuhlala cishe isonto. Ngemva kokuba lezi zimpawu nezimpawu zihamba, isikhumba esithintekile yi-rash sivame ukukhipha.

Xhumana nodokotela wakho uma ingane yakho inesilonda emlonyeni esina:

• Ukuvuvukala okungaphezu kuka-100.4 F (38.0 C)
• Ama-glands avuvukile noma abhlungu entanyeni
• Isibazi esibomvu

I-sinyoka elimhlophe libangelwa uhlobo olufanayo lwebhaktheriya elibangela ukuhlunguluka komphimbo — i-group A streptococcus (strep-toe-KOK-us), ebizwa nangokuthi i-group A strep. Ekushubeni okubomvu, ibhaktheriya ikhipha i-toxin evelisa isihlungu nesilimi esibomvu.

Ukutheleleka kuthathelwana umuntu nomuntu ngezicubu ezishaywa umuntu othelelekile uma ekhwehlela noma ethikiza. Isikhathi sokuqala — isikhathi esiphakathi kokubekwa engcupheni nesifo — ngokuvamile singama-2 kuya kwanga-4 izinsuku.

Abantwana abaneminyaka eyi-5 kuya kweyi-15 banesihlahla sokufuna isifo sikasilika kunabanye abantu. Ama-germs esifo sikasilika asakazeka kalula kubantu abasondelene, njengamalungu omndeni, amaqembu okuhlonzwa kwabantwana noma abafundi.

Isifo sikasilika sivame kakhulu ukwenzeka ngemuva kokutheleleka komphimbo. Ngezinye izikhathi isifo sikasilika singase senzeke ngemuva kokutheleleka kwesikhumba, njenge-impetigo. Abantu bangathola isifo sikasilika ngaphezu kwesikhathi esisodwa.

Uma isifo sikashukela singaphathwa, ibhaktheriya ingase isakazeke kuya ku:

• Amatonsil
• Isikhumba
• Igazi
• Indlebe ephakathi
• Ama-sinuses
• Amaphaphu
• Inhliziyo
• Izinso
• Izinhlangothi
• Imisipha

Ngokungavamile, isifo sikashukela singabangela isifo serhumatic, isifo esibuhlungu sokuvuvukala esingathinta inhliziyo, izinhlangothi, isimo sengqondo nesikhumba.

Ubuhlobo obungaba khona buye bathiwa phakathi kokutheleleka kwe-strep nesimo esingavamile esibizwa ngokuthi yi-pediatric autoimmune neuropsychiatric disorder ehlotshaniswa neqembu A streptococci (PANDAS). Abantwana abanesimo esinjalo bahlangabezana nezimpawu ezimbi zezimo zengqondo, njengokuphazamiseka kokuphazamiseka okuphazamisayo noma ukuphazamiseka kwe-tic, nge-strep. Lobu buhlobo njengamanje abufakazelwe futhi buphikiswana.

Awekho umuthi wokuvimbela isifo sikashukela. Izindlela ezinhle kakhulu zokuvimbela isifo sikashukela zifana nezinyathelo eziqondene nokuvimbela ukutheleleka okuvamile:

• Hlambalaza izandla zakho. Bonisa ingane yakho ukuthi ihlambalaza kanjani izandla ngokuphelele ngamanzi afudumele neensipho okungenani imizuzwana engama-20. I-hand sanitizer esekelwe e-alchoholi ingasetshenziswa uma kungenzeki amanzi neensipho.
• Ungabelani ngezitsha zokudla noma ukudla. Ngokuvamile, ingane yakho akufanele ibe ngeziglasi zokuphapha noma izitsha zokudla nabangane noma abafundi bakayo. Lo mthetho usebenza nasekubeni ukudla.
• Vala umlomo wakho nekhala lakho. Tshela ingane yakho ukuthi ivalele umlomo nekhala uma ikhwehlela futhi incipha ukuvimbela ukusabalala okungenzeka kwamagciwane. Uma ingane yakho inesifo sikashukela, geza iziglasi zokuphapha nezitsha ngamanzi afudumele neensipho noma kwimashini lokugcoba izitsha ngemuva kokusetshenziswa yingane yakho.

Ngesikhathi sokuxilongwa komzimba, umhlinzeki wakho wezempilo uzo:

Uma umhlinzeki wakho wezempilo engabaza ukuthi i-strep iyimbangela yokugula kwendodana yakho, umhlinzeki wakho uzohlanza amathoni kanye ngemuva komlomo wendodana yakho ukuze aqoqe izinto ezingaba ne-strep bacteria.

Uvivinyo olukhulu lwe-strep lungabona ibhaktheriya ngokushesha, ngokuvamile ngesikhathi sokudokotela kwendodana yakho. Uma ukuhlolwa okusheshayo kubi, kodwa umhlinzeki wakho wezempilo usacabanga ukuthi i-strep bacteria iyimbangela yokugula kwendodana yakho, ukukhula kwe-strep throat kungenziwa. Kungathatha isikhathi eside ukuthola imiphumela yalesi sivivinyo.

Izivivinyo ze-strep bacteria kubalulekile ngoba izimo eziningi zingabangela izimpawu ze-scarlet fever, futhi lezi zifo zingadinga ukwelashwa okuhlukile. Uma kungekho strep bacteria, khona-ke ezinye izinto zibangela ukugula.

• Bheka isimo somlomo, amathoni nolimi lwendodana yakho
• Zwa intamo yendodana yakho ukuze ubone ukuthi ama-lymph nodes akhulu
• Hlola ukubonakala nokuqina kokukhishwa

Ngokubheka isifo sikashukela, umhlinzeki wakho wezempilo uzokunika i-antibiotic. Qiniseka ukuthi ingane yakho ithatha yonke imithi njengoba iyalwe. Uma ingane yakho ingalandeli imiyalo yokwelashwa, ukwelashwa kungenzeka kungayiqedi ngokuphelele ukutheleleka, okungandisa ingozi yokuthi ingane yakho ithuthukise izinkinga. Sebenzisa i-ibuprofen (Advil, i-Children's Motrin, ezinye) noma i-acetaminophen (i-Tylenol, ezinye) ukulawula ubushushu bomzimba nokunciphisa ubuhlungu bomphimbo. Xhumana nomhlinzeki wezempilo wengane yakho mayelana neqondo elifanele. Ingane yakho ingabuyela esikoleni ngemuva kokuthatha ama-antibiotic okungenani amahora angu-12 futhi ingasabi ubushushu bomzimba.

Phakathi nesifo sikashukela, ungathatha izinyathelo eziningana zokunciphisa ubuhlungu nobuhlungu bomntanakho.

• Hlela ukuphumula okuningi. Ukulala kusiza umzimba ukulwa nokutheleleka. Yenza umntanakho aphumule aze azizwe kangcono. Futhi, gcina umntanakho ekhaya kuze kube yilapho kungekho simo somkhuhlane futhi ama-antibiotic athathwe okungenani amahora angu-12.
• Khuthaza amanzi amaningi. Ukugcina umlomo obuhlungu uluhlaza futhi unyelele kuqeda ukugwinya futhi kusiza ukuvimbela ukuphelelwa amanzi.
• Lungisa ukugcoba kwamanzi oluhlaza okomile. Kubantwana abadala nabantu abadala, ukugcoba izikhathi eziningana ngosuku kungasiza ekuqedeni ubuhlungu bomlomo. Hlanganisa i-1/4 yethisipuni (amagremu angu-1.5) usawoti etafuleni e-ounces ezingu-8 (amamilliliters angu-237) amanzi afudumele. Qiniseka ukuthi utshela umntanakho ukuba aphise leliwonga ngemuva kokugcoba.
• Khulisa umoya. Ukuthuthukisa umoya kungasiza ekuqedeni ubuhlungu. Khetha i-humidifier yomoya opholile futhi uyihlanze nsuku zonke ngoba amabhaktheriya namashubhu angakhula kwabanye abaphumuli. Ama-sprays e-saline nasal futhi asisiza ukugcina i-mucous membranes inhle.
• Nikeza uju. Uju lungasetshenziswa ekuqedeni ubuhlungu bomlomo. Unganiki uju kubantwana abaneminyaka engaphansi kwengu-12.
• Nikeza ukudla okuthambile. Ukudla okulula ukugwinya kufaka phakathi usoso, i-applesauce, ukudla okuphekwe, amaphethini, izithelo ezithambile, iyogathi namaqanda aphekwe kancane. Ungaqinisa ukudla kwesixuku ukuwenza kube lula ukugwinya. Ukudla okubandayo, njenge-sherbet, i-yogurt efriziwe noma ama-pops ezithelo efriziwe, namafutha afudumele, njenge-broth, kungaba okuthambile. Gwema ukudla okunoshukela noma ukudla okunomsoco njengamanzi eorenji.
• Gwema izinto ezikhuthazayo. Ukubhema kubhema kungakhuthaza umlomo obuhlungu. Gwema futhi imifutho yezinto ezingakhuthaza umlomo nemiphunga. Lezi zinto zingafaka ubuciko, imikhiqizo yokuhlanza, imifutho nezinhlanzi eziqakathekile.