Strep Throat

Ubuhlungu bomlomo yi-infection yebhaktheriya engabangela ukuba umlomo wakho uzwakale ubuhlungu futhi ukhwela. Ubuhlungu bomlomo buhlanganisa ingxenye encane kuphela yomlomo obuhlungu.

Uma ungaphathwa, ubuhlungu bomlomo bungabangela izinkinga, njengokuvuvukala kwesibindi noma isifo serhumatic. Isifo serhumatic singabangela ukuba amajoyinti azwe ubuhlungu futhi avuvuke, uhlobo oluthile lwesihlungu, noma ukonakala kwevalvu yentliziyo.

Ubuhlungu bomlomo buvamile kakhulu kubantwana, kodwa buthinta abantu bazo zonke izigaba zokuphila. Uma wena noma ingane yakho inezimpawu noma izimpawu zokuthi ubuhlungu bomlomo, vakashela udokotela wakho ukuze uthole ukuhlolwa nokwelashwa okusheshayo.

Izimpawu nezimpawu ze-strep throat zingafaka:

• Ubuhlungu ehlombe oluqala ngokushesha
• Ubuhlungu ekugeleni
• Amathoni abomvu futhi avuvukile, ngezinye izikhathi anezinqamulela ezimhlophe noma imigqa yeqanda
• Amachapha amaqabunga abomvu endaweni ngemuva kophahla lomlomo (ipalethi ebushelelezi noma eqinile)
• Ama-lymph nodes avuvukile, abuhlungu entanyeni yakho
• Ukuthuthumela
• Isifuba
• Ukukhishwa
• Ukuphefumula noma ukugabha, ikakhulukazi kubantwana abancane
• Ubuhlungu emzimbeni

Shaya udokotela wakho uma wena noma ingane yakho inesinye salezi zibonakaliso nezimpawu:

• Ubuhlungu ehlombe oluhambisana nezinso ezicindezelwe, eziqabukile
• Ubuhlungu ehlombe obuhlala isikhathi esingaphezu kwamahora angu-48
• Ukuthuthumela
• Ubuhlungu ehlombe oluhambisana nokuqhuma
• Izinkinga zokuphefumula noma ukugwinya
• Uma kukhona ukuxilongwa kwe-strep, ukungathuthuki ngemuva kokuthatha ama-antibiotics amahora angu-48

Ubuhlungu bomlomo obubangelwa yi-strep kubangelwa ukutheleleka ngebhaktheriya ebizwa ngokuthi yi-Streptococcus pyogenes, ebizwa nangokuthi yiqembu A streptococcus.

Iibhaktheriya ze-Streptococcal ziyanda. Zingasakazeka ngezicubu lapho umuntu onokutheleleka ekhwehlela noma ethikameza, noma ngokudla noma iziphuzo ezihlanganyelwe. Ungathola futhi iibhaktheriya kusuka kwisondo lesango noma olunye ubuso bese uzithuthela ekhaleni, emlonyeni noma emehlweni.

Izinto eziningana zingakhuphula amathuba akho okutheleleka ngengculaza yomphimbo:

• Ubuncane. Ingculaza yomphimbo ivame ukwenzeka ezinganeni.
• Isikhathi sonyaka. Nakuba ingculaza yomphimbo ingenzeka noma kunini, ivame ukusabalala ebusika nasekuqaleni kwehlobo. Amagciwane e-strep akhula lapho kunamaqembu abantu asondelene khona.

Ubuhlungu bomlomo obubangelwa yi-strep bungabangela ukuphazamiseka okukhulu. Ukwelashwa ngama-antibiotic kunciphisa ingozi.

Ukuvimbela ukutheleleka kwe-strep:

• Geza izandla zakho. Ukugeza izandla kahle yindlela engcono kakhulu yokuvimbela zonke izinhlobo zokutheleleka. Yingakho kubalulekile ukugeza izandla zakho njalo ngensipho namanzi okungenani imizuzwana engama-20. Fundisa abantwana bakho ukuthi bagese izandla zabo kahle ngensipho namanzi noma basebenzise i-hand sanitizer ephethwe yi-alchoholi uma kungekho insipho namanzi atholakalayo.
• Vala umlomo wakho. Fundisa abantwana bakho ukuthi bafake imilomo yabo ngehlombe noma ngethishu lapho bekhotha noma bethandaza.
• Ungabelani ngezinto zomuntu siqu. Ungabelani ngeziglasi zokuphapha noma izitsha zokudla. Geza izitsha emanzini ashisayo, ane-soap noma kwimashini lokugcoba izitsha.

Udokotela wakho uzokwenza uvivinyo lomzimba, afune izimpawu nezibonakaliso ze-strep throat, futhi mhlawumbe ayalele olunye noma ngaphezulu kwezivivinyo ezilandelayo:

• Uvivinyo oluxilisayo lwe-antigen. Udokotela wakho angase enze uvivinyo oluxilisayo lwe-antigen kwisampula yokuhlanza evela emgqeni wakho. Lovivinyo lungathola amabhaktheriya e-strep ngemizuzu ngokufuna izinto (izinto eziphikisanayo) emgqeni. Uma uvivinyo lungalungile kodwa udokotela wakho usalindele i-strep, angase enze ukulima komgqeni.
• Uvivinyo lwe-molecular (polymerase chain reaction, noma i-PCR). Lovivinyo futhi lenziwa usebenzisa isampula yokuhlanza evela emgqeni wakho.
• Ukulima komgqeni. I-swab ehlanzekile ifuthelwa emuva komgqeni nase-tonsils ukuthola isampula ye-secretions. Akubuhlungu, kodwa kungabangela ukugabha. Isampula bese ilimwa elabhoratri ukuze kubonwe ukuba khona kwamabhaktheriya, kepha imiphumela ingathatha isikhathi eside njengezinsuku ezimbili.

Imithi iyatholakala yokwelapha isifo se-strep throat, ukunciphisa izimpawu zaso, nokuvimba izinkinga zaso nokubhebhetheka kwalo.

Uma udokotela wakho ekuxilonga wena noma ingane yakho ngesifo se-strep throat, udokotela wakho cishe uzobhala i-antibiotic yomlomo. Uma ithathwa phakathi kwamahora angu-48 ngemuva kokutholakala kwalesi sifo, ama-antibiotic anciphisa isikhathi nobunzima bezimpawu, kanye nengozi yezinkinga kanye nethuba lokubhebhetheka kwalesi sifo kwabanye.

Ngokwelashwa, wena noma ingane yakho kufanele niqale ukuzizwa ncono ngosuku noma amabili. Shaya udokotela wakho uma kungekho ukuthuthuka ngemuva kokuthatha ama-antibiotic amahora angu-48.

Abantwana abathatha i-antibiotic abazizwa kahle futhi abanawo umkhuhlane bavame ukubuyela esikoleni noma ekunakekelweni kwengane uma bengasabi ukutheleleka - ngokuvamile amahora angu-24 ngemuva kokuqala ukwelashwa. Kodwa qiniseka ukuthi uqeda lonke iyeza. Ukumisa ngokushesha kungadala ukubuyela kwesifo nezinkinga ezinkulu, njengoba kubangelwa isifo se-rheumatic fever noma ukuvuvukala kwesibindi.

Ukuncipha ubuhlungu bomphimbo nokunciphisa umkhuhlane, zama imithi yokunciphisa ubuhlungu ethengiswa ngaphandle komthetho, njenge-ibuprofen (Advil, Motrin IB, nabanye) noma i-acetaminophen (Tylenol, nabanye).

Sebenzisa ukunakekela uma unika i-aspirin kubantwana noma ezintsheni. Nakuba i-aspirin ivunyelwe ukusetshenziswa kubantwana abadala kunomnyaka ongu-3, abantwana nabashadikazi abaphulile isifo se-chickenpox noma izimpawu ezifana ne-flu akufanele bathathe i-aspirin. Lokhu kungenxa yokuthi i-aspirin ihlanganiswe ne-Reye's syndrome, isimo esingavamile kodwa esingaba yingozi ekuphileni, kulabo bantwana.