Ukuqala Kwe-Strep Throat: Izimpawu, Izimbangela, Nokwelapha

I-Strep throat iyisifo esibangelwa yibhaktheriya esenza umlomo wakho uzizwe ubuhlungu, ukhwela, futhi ubuhlungu uma uginya. Ibangelwa yibhaktheriya ye-group A Streptococcus futhi ivame kakhulu, ikakhulukazi kubantwana nentsha.

Ngokungafani nobuhlungu oluvamile lomlomo oluvela ekubandayo, i-strep throat iqala ngokushesha futhi ngokuvamile ihambisana nokuqhuma kanye nobuhlungu obukhulu. Izindaba ezinhle ukuthi ngokwelashwa okufanele kwe-antibiotic, abantu abaningi bazizwa bephilile ngosuku noma amabili.

Ziyini izimpawu ze-strep throat?

Izimpawu ze-strep throat zivame ukuvela ngokuzumayo futhi zingakwenza uzizwe ungaphilile. Uphawu olukhulu yilobunhlungu obukhulu bomlomo obuhlungu ikakhulukazi uma uginya.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ubuhlungu bomlomo obukhulu obuzumayo
• Ubuhlungu uma uginya
• Ukuqhuma, ngokuvamile i-101°F (38.3°C) noma ngaphezulu
• Amatonsil abomvu, avuvukile, ngezinye izikhathi aneziqephu ezimhlophe noma imigqa yokuqhekeka
• Amachapha amaqabunga abomvu ophahleni lomlomo wakho
• Ama-lymph nodes avuvukile entanyeni yakho
• I-Headache
• Ubuhlungu bomzimba
• Ukwehluleka kokudla
• Ukuphefumula noma ukugabha, ikakhulukazi kubantwana

Okumangalisa ukuthi i-strep throat ngokuvamile ayibangeli izimpawu ezivamile zokubanda. Uma unekhala, ukukhokha, noma ukungcola kanye nobuhlungu bomlomo, kungenzeka kakhulu ukuthi kuyisifo esibangelwa yi-viral kunokuba yi-strep.

Abanye abantu, ikakhulukazi abantwana, bangathuthukisa isikhumba esifana nesihlabathi emzimbeni wabo. Lesi simo sibizwa ngokuthi i-scarlet fever, okuyisifo se-strep throat esine-rash.

Yini ebangela i-strep throat?

I-Strep throat ibangelwa yibhaktheriya ye-group A Streptococcus, ehlukumeza kakhulu. Lezi bhaktheriya zisakazeka ngamaconsi amancane lapho umuntu one-strep throat ekhokha, ethi, noma ekhuluma.

Ungathola isifo sohlangothi lwe-strep ngezindlela eziningi. Eyona ndlela evamile ukuphumula amaconsi aleyo nto uma usondele komunye umuntu onalesi sifo. Ungathola futhi ngokuthinta izinto ezinale bacteria, bese uthinta umlomo wakho, khona, noma amehlo.

Ukwabelana ngezinto zomuntu siqu kungasakaza lesi sifo. Izinto ezifana neziglasi zokupha, izitsha, amabhrashi amazinyo, noma ngisho nokudla zingathwala le bacteria kumuntu komunye.

Le bacteria iyadluliseka kakhulu lapho izimpawu zibi kakhulu. Noma kunjalo, abantu bangasakaza isifo sohlangothi lwe-strep ngisho nangaphambi kokuba bazizwe begula, kungakho sisakazeka kalula ezikoleni, emahhovisi, nasemakhaya.

Nini kufanele ubheke udokotela ngesifo sohlangothi lwe-strep?

Kufanele ubheke udokotela uma unehlombe ebuhlungu kakhulu eliqala ngokuzumayo, ikakhulukazi uma lihambisana nokuqabuka. Njengoba isifo sohlangothi lwe-strep sidinga ukwelashwa ngama-antibiotic, kubalulekile ukuthola ukuxilongwa kahle.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu:

• Ubuhlungu obukhulu bohlangothi oluyenza kube nzima kakhulu ukugwinya
• Ukuqabuka okungu-101°F (38.3°C) noma ngaphezulu
• Ama-lymph nodes avuvukile, abuthakathaka entanyeni yakho
• Amatonsils abomvu, avuvukile aneziqeshana ezimhlophe
• Izimpawu ezibi kakhulu kunokuba zibe ngcono ngemva kwezinsuku ezingama-2-3

Kubantwana, izimpawu zesixwayiso ezengeziwe zihlanganisa ubunzima bokuqeda, ukukhipha umalanga ngokweqile, noma ukungakwazi ukugwinya izinto eziphuzwayo. Uma ingane yakho ibonakala igulisiwe kakhulu noma ukhathazekile, themba izinzwa zakho futhi uxhumane nodokotela wakho.

Ungalindi uma unezifo ezivamile ze-strep. Abanye abantu bayathanda ukuba nezimo eziphindaphindayo, futhi udokotela wakho angakuncoma izindlela zokuvimbela ezikhethekile.

Ziyini izici eziyingozi zesifo sohlangothi lwe-strep?

Noma ubani angathola isifo sohlangothi lwe-strep, kodwa izici ezithile zikwenza kube lula ukubamba lesi sifo. Ukuqonda lezi zici eziyingozi kungakusiza ukuthi uthathe izinyathelo ezengeziwe uma kudingeka.

Ubudala budlala indima ebalulekile engozini yokuthola i-strep throat. Abantwana abaneminyaka ephakathi kwengu-5 ne-15 bathola i-strep throat kakhulu, nakuba ingase ibonakale kunoma iyiphi iminyaka. Abantu abadala abahlala nabantwana, njengabazali nabafundisi, nabo banengozi enkulu.

Indawo ohlala kuyo ibalulekile. I-strep throat yasakazeka kalula ezindaweni eziqongelelene lapho abantu besondelene khona. Ezikoleni, emakhaya okuhlanza abantwana, ezindaweni zokuqeqeshwa kwezempi, nasezindaweni zokusebenza ezimatasa kubonakala ukuqhuma okuningi.

Izici zesizini zithinta ingozi yakho futhi. I-strep throat ivame kakhulu ekuwa, ebusika, nasekuqaleni kwentwasahlobo lapho abantu bechitha isikhathi esiningi ndawonye ngaphakathi.

Ukuba nesistimu yokukhulula umzimba ebuthakathaka kungakwenza ube sengozini enkulu. Lokhu kuhlanganisa abantu abanesifo esingapheli, labo abasebenzisa imithi ethile, noma noma ubani ohlupheke kakhulu noma angalali ngokwanele.

Ziyini izinkinga ezingase zenzeke ngenxa ye-strep throat?

Imikhakha eminingi ye-strep throat iphela ngokuphelele ngokwelashwa okuqondile kwe-antibiotic. Noma kunjalo, i-strep throat engaphathwe ingase ihole ezinzwaneni ezinzima kakhulu, kungakho kubalulekile ukuthola ukunakekelwa kwezokwelapha.

Izinkinga ezivamile ezingase zenzeke zihlanganisa:

• Ukutheleleka kwezindlebe lapho amabhaktheriya esakazeka ezindaweni eziseduze
• Ukutheleleka kwe-sinus kusuka ekusakazeni kwamabhaktheriya
• Ama-abscesses (izikhwama ze-pus) ezungeze ama-tonsils
• Ama-lymph nodes avuvukile athatha ukutheleleka
• Ukutheleleka kwesikhumba uma amabhaktheriya e-strep engena ngokuqothula noma ukukhahlela

Nakuba kunqabile, ezinye izinkinga ezinzima zingase zenzeke uma i-strep throat ingaphathwe isikhathi eside. Lokhu kuhlanganisa i-rheumatic fever, engase ithonye inhliziyo, izintambo, nobuchopho, ne-post-streptococcal glomerulonephritis, isimo sokugula kwesikhumba.

I-Scarlet fever, nakuba izwakala iyesabekayo, empeleni iyisifo se-strep throat esinezimpawu ezithile. Iphendula kahle ekwelapheni okufanayo kwe-antibiotic futhi ayinagula kakhulu kune-strep throat ejwayelekile.

Isigijimi esibalulekile lapha siqinisekisa: ngokwelashwa ngama-antibiotic ngokushesha, lezi zinkinga azivamile kakhulu. Abantu abaningi bayaphila ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Utholakala kanjani isifo se-strep throat?

Udokotela wakho angakwazi ukunquma ngokushesha uma une-strep throat ngokuhlolwa okulula. Ukuxilongwa kuvame ukuqala ngokuhlola umlomo wakho nokubuza ngezimpawu zakho.

Phakathi kokuhlolwa komzimba, udokotela wakho uzobheka izimpawu ezibonakalayo njenge-tonsils ebomvu, eziqandayo ngamabala amhlophe, ama-lymph nodes aqandayo entanyeni yakho, namabala amancane abomvu phezu komlomo wakho. Bazohlola futhi ubushushu bakho futhi babuze ukuthi izimpawu zaqala nini.

I-rapid strep test iyithuluzi eliqhelekile kakhulu lokutholakala. Udokotela wakho ugeza ngobumnene emuva komlomo wakho ne-tonsils, bese uvivinya i-sample ngokushesha. Imiphumela ibuyela emaminithini ambalwa, futhi lo mviwo unembile kakhulu.

Ngezinye izikhathi udokotela wakho angenza futhi isiko lomlomo. Lokhu kuhilela i-swab efanayo yomlomo, kodwa i-sample iya elabhorethri lapho ama-bacteria akhuliswa khona izinsuku eziyi-1-2. Lo mviwo uthola ezinye izifo i-rapid test engase izingene.

Uma i-rapid test yakho ingalungile kodwa udokotela wakho usalindele i-strep ngokuya ngezimpawu zakho, angase aqale ukwelashwa noma alinde imiphumela yesiko. Ukwahlulela okungokwelapha kudlala indima ebalulekile ekuxilongweni.

Iyini impilo ye-strep throat?

Ama-antibiotic yilona lwela elikhulu lokwelapha i-strep throat, futhi asebenza kahle kakhulu. Abantu abaningi baqala ukuzizwa bephilile phakathi kwamahora angu-24-48 ngemuva kokuqala ukwelashwa ngama-antibiotic.

I-Penicillin ngokuvamile iyisinqumo sokuqala, noma njengezithasiselo ozithatha ngomlomo noma njengokuhlungwa. Uma unayo i-allergy ku-penicillin, udokotela wakho uzokunika ezinye izinto ezinjenge-erythromycin, i-clindamycin, noma i-azithromycin.

Kubalulekile ukuthatha inkambo ephelele yama-antibiotic, ngisho noma uzizwa ukhulu ngaphambi kokuba uwaphele. Ukuyeka ngokushesha kungavumela ukutheleleka ukuba kubuyele futhi kungase kuhlanganyele ekulweni nama-antibiotic.

Udokotela wakho angase futhi akukhuthaze ukusebenzisa imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwelayisensi njenge-ibuprofen noma i-acetaminophen ukusiza ngebuhlungu lomphimbo kanye ne-fever. Lezi zingakwenza uzizwe ukhululekile kakhulu ngesikhathi ama-antibiotics esebenza.

Ngokuvamile uzoyeka ukuba nomthelela ngemva kwamahora angu-24 uqale ukusebenzisa ama-antibiotics. Noma kunjalo, kufanele uhlale ekhaya uze ube usuphelile i-fever okungenani amahora angu-24 ukuze ugweme ukusabalalisa ukutheleleka kwabanye.

Indlela yokwelapha ekhaya ngesikhathi une-strep throat?

Ngesikhathi ama-antibiotics elapha ukutheleleka, izindlela zokwelapha zasekhaya eziningi zingakusiza uzizwe ukhululekile njengoba uya ephilile. Lezi zindlela zokusekela zinganciphisa kakhulu izimpawu zakho.

Ukugcina umzimba uqinisile kubalulekile ikakhulukazi uma une-strep throat. Phuza amanzi amaningi njengamanzi, i-broth efudumele, noma itiye lezimila. Izinto ezibandayo njengamanzi e-ayisi noma ama-popsicles zinganciphisa isikhashana ubuhlungu lomphimbo.

Ukugquma ngamanzi afudumele ane-salt izikhathi eziningi ngosuku kunganciphisa ukuvuvukala komphimbo nobuhlungu. Hlanganisa isipuni esingxenye se-salt ekapini lamanzi afudumele, gquma imizuzwana engu-30, bese ulikhipha.

Ukuphumula kubalulekile ekuphileni. Umzimba wakho udinga amandla ukulwa nokutheleleka, ngakho-ke thatha isikhathi emsebenzini noma esikoleni futhi uthole ubuthongo obuningi. Lokhu kusiza futhi ukuvimbela ukusabalalisa ukutheleleka kwabanye.

Ukusebenzisa i-humidifier noma ukuphefumula i-steam evela eshawa elifudumele kungakhulisa umphimbo wakho. Umoya owomile ungenza ubuhlungu bomphimbo bube sibi kakhulu, ngakho-ke ukwengeza umswakama emoyeni kusiza.

Ukudla okuthambile, okubandayo njenge-yogurt, ama-smoothies, noma i-ice cream kungaba lula ukugwinya futhi kunikeze ukudla lapho umphimbo wakho ubuhlungu. Gwema ukudla okunoshukela, okunomsoco, noma okukhulu okungakucasula umphimbo wakho nakakhulu.

I-strep throat ingavimbeka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele i-strep throat, ukuhlanzeka okuhle kunganciphisa kakhulu ingozi yakho yokubamba noma ukusabalalisa lokhu kutheleleka.

Ukugeza izandla kuyindlela yakho engcono kakhulu yokuzivimbela. Geza izandla zakho njalo ngesepha namanzi okungenani imizuzwana engama-20, ikakhulukazi ngaphambi kokudla nangemva kokuba ukhona ezindaweni zomphakathi. Sebenzisa i-hand sanitizer ene-alcohol uma isepha lingatholakali.

Gwema ukwabelana ngezinto zakho siqu ezithinta umlomo. Ungabelani ngeziphuzo, izinto zokudla, izibulali zamahlombe, noma i-lip balm nabanye, ngisho nabalandeli bakho.

Vala ukukhokha nokusopha kwakho kahle. Sebenzisa ihlombe lakho noma i-tissue, hhayi izandla zakho, ukuvimbela ukusabalalisa amabhaktheriya emoyeni. Lahla ama-tissue ngokushesha bese ugeza izandla zakho ngemva kwalokho.

Gwema abantu abagulayo uma kungenzeka. Uma othile endlini yakho enesifo se-strep throat, zama ukulinganisela ukuxhumana okuqonde ngqo kwaze kwaba yilapho esethole ama-antibiotics okungenani amahora angama-24.

Gcina isimo sakho sokuvikela simi ngezindlela ezempilo. Thola ukulala okwanele, udle ukudla okunomsoco, wenze umsebenzi njalo, futhi ulawule ukucindezeleka. Isimo sokuvikela esiqinile sisiza umzimba wakho ukulwa nokutheleleka ngokuphumelelayo.

Kufanele uzilungiselele kanjani ukubona udokotela wakho?

Ukuba ulungile ngokuvakashela udokotela wakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nokuphathwa okuqondile. Ukuzilungiselela kancane kuya kakhulu.

Bhala phansi izimpawu zakho nokuthi zaqala nini. Qaphela ubukhulu bobuhlungu bomlomo wakho, ubushushu bakho obuphezulu, nanoma yiziphi ezinye izimpawu ozibonile. Lokhu kusiza udokotela wakho ukuqonda isikhathi nobukhulu besifo sakho.

Yenza uhlu lanoma yimiphi imithi oyithathayo njengamanje, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinye izinto ezengeziwe. Khumbula futhi noma yiziphi izinto ozithola ukuthi une-allergy kuzo, ikakhulukazi kuma-antibiotics.

Cabanga ngokuboshwa kwakho kwesikhathi esisanda kwenzeka. Ube seduze nabantu abanesifo se-strep throat noma ezinye izifo? Lolu lwazi lungasiza ekuxilongweni.

Lungiselela imibuzo ofuna ukuyibuza udokotela wakho. Ungafuna ukwazi ngezindlela zokwelapha, isikhathi esizokuthatha ukuba ube nomthelela, isikhathi ozokwazi ukubuyela emsebenzini noma esikoleni, nokuthi yini okufanele uyilinde njengoba uya kuphila.

Uma uletha ingane ekuhlengeni, letha izinto eziyiduduzayo futhi ulungele ukusiza ukuyibamba ihlale ithe xaxa ngesikhathi sokuxilongwa komlomo kanye nokuhlolwa.

Iyini into ebaluleke kakhulu ngokubili kwelahlelo lomlomo?

Ukuvuvukala komlomo yi-infections yebhaktheriya evamile ephendula kahle kakhulu ekwelapheni ngama-antibiotics. Nakuba kungakwenza uzizwe ungaphili kahle, abantu abaningi bayaphila ngokuphelele ezinsukwini ezimbalwa nje uma beqale ukusebenzisa ama-antibiotics.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuvuvukala komlomo kudinga ukunakekelwa kwezokwelapha. Ngokungafani nokuvuvukala komlomo okuyimithi okuziphilisa ngokwalo, ukuvuvukala komlomo kudinga ama-antibiotics ukuvimbela izinkinga nokunciphisa isikhathi esiyisifo.

Ungazami ukukuthwala uma unezimpawu zokuvuvukala komlomo. Ukwelashwa kwasekuqaleni akusisiqedi nje kuphela ukuthi uzizwe ukhulu ngokushesha kodwa futhi kuvikela umndeni wakho, osebenza nawe, nomphakathi kusuka ekusabalaleni kwesifo.

Ngokwelashwa okufanele nokunakekela kwakho, ungalindela ukubuyela emisebenzini yakho evamile ezinsukwini ezimbalwa. Thatha ikhosi yakho ephelele yama-antibiotics, phumula, futhi uhlale uthambile ukuze uthole impilo enhle.

Imibuzo evame ukubuzwa ngokuvuvukala komlomo

Ukuvuvukala komlomo kuhlala isikhathi esingakanani kuyasakazeka?

Uyasakazeka kakhulu lapho izimpawu zibi kakhulu, kodwa ngokuvamile uya yeka ukusakazeka ngemva kwamahora angu-24 uma uqale ukusebenzisa ama-antibiotics. Ngaphandle kokwelashwa, ungasakaza ukuvuvukala komlomo amasonto angu-2-3. Kungakho ukwelashwa ngama-antibiotics kubaluleke kakhulu ekuyekiseni ukusabalala.

Ungathola yini ukuvuvukala komlomo ngaphezu kwesikhathi esisodwa?

Yebo, ungathola ukuvuvukala komlomo izikhathi eziningi. Ukuba nakho kanye akuwenzi ube nokuvikelwa ekusabalaleni kwesifo esikhathini esizayo. Abanye abantu banesihlobo esikhethekile sokuphindaphinda kokuvuvukala komlomo. Uma uthola ukuvuvukala komlomo njalo, udokotela wakho angakuncoma izindlela ezengeziwe zokuvimbela.

Ingabe ukuvuvukala komlomo kubi kakhulu kunokuvuvukala komlomo okuvamile?

Isifo se-strep throat sivame ukubangela izimpawu ezinzima kunezinhlungu zomlomo ezingabangelwa yi-viral. Ubuhlungu buvamise ukuba bukhulu, buqale ngokuzumayo, futhi buhambisane nokuqanduka okukhulu. Izifo zomlomo ezingabangelwa yi-viral zivame ukuqala kancane kancane futhi zifake izimpawu zokubanda njengokuqhekeka kwesifuba nokuhlanza.

Ingabe abantu abadala bangathola isifo se-strep throat kubantwana?

Yebo. Isifo se-strep throat siyasakazeka kalula phakathi kwabantu bazo zonke izigaba. Abantu abadala abahlala noma basebenza eduze nezingane banengozi enkulu ngoba izingane zithola isifo se-strep throat njalo. I-bacteria ayikhethi ngokweminyaka uma kuziwa ekusakazeni.

Kwenzekani uma isifo se-strep throat singaphathwa?

Iningi lezinsuku ze-strep throat ezingaphathwanga zigcina zizilungisa zodwa, kodwa lokhu kungathatha amasonto futhi kukhulise ingozi yezinhlungu. Ezinye zezinhlungu ezingaba khona zihlanganisa ukutheleleka kwezindlebe, ama-abscesses, futhi ezimweni ezingavamile, izimo ezinzima njenge-rheumatic fever. Ukwelashwa ngama-antibiotics kuvimbela lezi zinhlungu futhi kusheshisa ukuphulukisa kakhulu.