Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ukuqabuka kwe-tonsils kuyisifo noma ukuvuvukala kwe-tonsils zakho, lezo ziqongo ezimbili ezinobukhulu be-oval ngemuva komlomo wakho. Cabanga nge-tonsils zakho njengomugqa wokuqala wokulwa nezifo zomzimba wakho ezingena ngomlomo wakho nasesifubeni.
Nakuba ukuqabuka kwe-tonsils kungase kuzwakale kungakhululekile futhi kukhathaze, empeleni kuyinto evamile, ikakhulukazi kubantwana nabantu abasebasha. Izimo eziningi ziyaphela ngaphakathi kweviki ngokunakekelwa okufanele, futhi izinkinga ezinzima azivamile uma uthola ukwelashwa okufanele.
I-Tonsillitis ivela lapho i-tonsils zakho ziba bukhulu futhi ziqabukekile, ngokuvamile ngama-virus noma amabhaktheriya. I-Tonsils zakho ingxenye yesistimu yakho yokulwa nezifo, isebenza njengabalindi abavimbela izifo eziyingozi ngaphambi kokuba ziye ezingxenyeni ezijulile zomzimba wakho.
Uma izifo ziqeda amandla okuzivikela kwe-tonsils zakho, ziyaba bomvu, zibukhulu, futhi zibuhlungu. Lokhu kuphendula kwemvelo kwesistimu yokulwa nezifo kuyindlela yomzimba wakho yokulwa nesifo, ngisho noma kukwenza uzizwe ungakhululekile isikhashana.
Lesi simo singaba yisikhashana, sihlale izinsuku ezimbalwa kuya kwisonto, noma sibe yisikhathi eside uma siqhubeka sibuyela. Abantu abaningi bahlangabezana ne-tonsillitis yesikhashana, esiphendula kahle ekuphumuleni nasekwelapheni okufanele.
Isici esibonakalayo kakhulu se-tonsillitis yilona lihlombe elibuhlungu elenza ukugwinya kube nzima noma kube buhlungu. Ungase uqaphele lesi simo ekuseni noma uma uzama ukudla noma ukuphuza.
Nazi izimpawu ezivamile ongazihlangabezana nazo:
Kwezinye izimo, ungase uhlangabezane nobuhlungu beindlebe ngoba izindlebe zakho nomlomo zihlangene. Ubuhlungu bungase bube bukhulu ngakwesinye uhlangothi uma i-tonsil eyodwa ithonya kakhulu.
Akukuvamile, izimo ezinzima zingase zibangele ubunzima bokuvula umlomo wakho ngokugcwele, ukukhishwa kwesali ngenxa yokugwinya okuhlungu, noma izwi elivaliweyo elizwakala sengathi ukhuluma ngembatho eshisayo emlonyeni wakho.
Odokotela ngokuvamile bahlukanisa i-tonsillitis zibe izinhlobo ezintathu eziyinhloko ngokusekelwe ekutheni izimpawu zihlala isikhathi esingakanani nokuthi zivele kangaki. Ukuqonda lezi zinhlobo kungakusiza wazi ukuthi yini okulindeleke ngesikhathi sokuphulukana.
I-Tonsillitis yesikhashana yiyona evamile, ihlala noma kuphi kusuka ezinsukwini ezimbalwa kuya kumaviki amabili. Izimpawu zakho zivela ngokushesha futhi ngokuvamile ziyaphela ngokuphelele ngokwelashwa okufanele nokuphumula.
I-Tonsillitis ephindaphindayo isho ukuthi uhlangabezana nezimo eziningi unyaka wonke, ngokuvamile kuchazwa njengezifo eziyisikhombisa noma ngaphezulu ngonyaka, ezinhlanu noma ngaphezulu ngonyaka ngamunye ngeminyaka emibili elandelanayo, noma ezintathu noma ngaphezulu ngonyaka ngamunye ngeminyaka emithathu elandelanayo.
I-Tonsillitis eqhubekayo ihilela izimpawu eziqhubekayo ezihlala amasonto noma izinyanga. Ungase ube nokuhlombe okuqhubekayo, umoya omubi, noma ama-lymph nodes amakhulu angapheli phakathi kokubhebhetheka.
I-Tonsillitis ithuthukiswa lapho ama-virus noma amabhaktheriya ephumelela ekutheleleni i-tonsils zakho, ehlula amandla okuzivikela kwemvelo. Iningi lezimo, ikakhulukazi kubantu abadala, libangelwa ama-virus avamile.
Ukuqabuka kwama-virus kubalwa ezimweni eziningi ze-tonsillitis futhi kufaka phakathi:
Ukuqabuka kwamabhaktheriya, nakuba kungavamile, kungaba nzima kakhulu futhi ngokuvamile kudinga ukwelashwa ngama-antibiotic. I-Group A Streptococcus (isigubhu se-strep) ibanga iningi lezimo ze-tonsillitis zamabhaktheriya.
Ezinye izimbangela zamabhaktheriya zifaka i-Staphylococcus aureus, i-Haemophilus influenzae, futhi kwezinye izimo ezingavamile, amabhaktheriya angavamile. Ngokungavamile kakhulu, ukuqabuka kwezifo ezingama-fungi kungabangela i-tonsillitis, ngokuvamile kubantu abanesistimu yokulwa nezifo ebuthakathaka.
Ungathola i-tonsillitis ngezicubu zomoya lapho othile onesifo ekhwehlela, ekhwehlela, noma ekhuluma eduze nawe. Ukubambisana izimpuphu, izitsha, noma ukufinyelela ezindaweni ezingcolile kungasakaza nesifo.
Kufanele uxhumane nodokotela wakho uma ukuhlombe kwakho kuhlala isikhathi esingaphezu kwamahora angu-24 kuya kwangu-48, ikakhulukazi uma kuhambisana nokuvuvukala. Ukunakekelwa kwasekuseni kwezokwelapha kungasiza ekuqondeni ukuthi udinga yini ama-antibiotic nokuvimbela izinkinga.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu ezikhathazayo:
Shaya ucingo ucele ukunakekelwa okusheshayo uma unezinkinga zokuphefumula, ubunzima obukhulu bokuginya, noma uma umlomo wakho uzizwa sengathi uvalekile. Lokhu kungase kubonise inkinga enzima edinga ukwelashwa okusheshayo.
Kubantwana, xhumana nodokotela wakho uma benqaba ukuphuza izinto eziphuzwayo, bane-fever ihlala izinsuku ezingaphezu kwezintathu, noma babonakala bekhungathekile noma bevila kakhulu.
Izinto ezithile zingakwenza kube lula ukuthuthukisa i-tonsillitis, nakuba noma ubani angathola lesi sifo esivamile. Ukuqonda lezi zinto ezifaka engozini kungakusiza uthathe izinyathelo ezifanele.
Ubudala buwumsebenzi obalulekile, ngabantwana nabantu abasebasha abathinteka kakhulu. Abantwana abaneminyaka ephakathi kwengu-5 nengu-15 bahlangabezana ne-tonsillitis ngokuvamile kakhulu ngoba izistimu zabo zokulwa nezifo zisathuthuka futhi ngokuvamile zithola izifo esikoleni.
Indawo yakho kanye nezinto ozikhethayo zokuphila zingandisa ingozi:
Abantu abadala abanezimpawu zempilo eziqhubekayo njengesihlalo, isifo senhliziyo, noma labo abasebenzisa imithi yokunciphisa amandla okuzivikela omzimba bangase bahlangabezane nengozi enkulu. Ukubhema noma ukubhekana nokubhema okusecondhand okuthile kungase kuqabuke umlomo wakho futhi kwenze izifo zibe lula.
Ukuba uke waba ne-tonsillitis ngaphambili akukwenzi uvikeleke. Eqinisweni, abanye abantu babonakala bekhona kakhulu ekutheleleni okuphindaphindayo, mhlawumbe ngenxa yesimo noma ubukhulu be-tonsils zabo noma izici zesimiso sabo sokulwa nezifo.
Iningi lezimo ze-tonsillitis liyaphela ngaphandle kwezinkinga, ikakhulukazi uma uthola ukwelashwa okufanele nokuphumula. Noma kunjalo, kuwusizo ukwazi ngezinkinga ezingase zivele ukuze ufunane usizo uma izimpawu zibe zimbi.
Izinkinga ezivamile ezingase zivele zifaka:
Izinkinga ezinzima kakhulu kodwa ezingavamile zingase zithuthuke uma i-strep throat ingalashwa. Lokhu kufaka i-rheumatic fever, engase ithonye inhliziyo yakho, izintambo, nobuchopho, noma i-post-streptococcal glomerulonephritis, isimo sesibindi.
Ngokungavamile kakhulu, i-tonsillitis enzima ingabangela izinkinga zokuphefumula uma ukuvuvukala kuqala kakhulu. I-Tonsillitis eqhubekayo ingase iholele emoyeni omubi oqhubekayo, ukuhlombe okuqhubekayo, noma ukungabikho okuvamile emsebenzini noma esikoleni.
Izindaba ezinhle ukuthi ngokunakekelwa kwezokwelapha okufanele, lezi zinkinga azivamile. Udokotela wakho angasiza ekuvimbeleni izinkinga ezinzima ngokubona izifo zamabhaktheriya ezidinga ukwelashwa ngama-antibiotic.
Nakuba ungakwazi ukuvimbela ngokuphelele i-tonsillitis, unganciphisa kakhulu ingozi yakho ngokulandela amasiko okuhlanzeka okuhle nokusekela isistimu yakho yokulwa nezifo. Lezi zinyathelo ezilula zingasiza ekuvikeleni wena nomndeni wakho.
Ukuhlanza izandla kuyindlela yakho engcono kakhulu yokulwa nesifo. Geza izandla zakho ngokugcwele ngesepha namanzi afudumele okungenani imizuzwana engu-20, ikakhulukazi ngaphambi kokudla, ngemuva kokusebenzisa igumbi lokugezela, nangemuva kokuba ezindaweni zomphakathi.
Sebenzisa lezi zinyathelo zokuvimbela nsuku zonke:
Uma usuvele ugulayo, vikele abanye ngokumboza umlomo wakho uma ukhwehlela noma ukhwehlela, uhlale ekhaya uze ungabi nasifo isikhathi esingamahora angu-24, futhi ugeze izandla zakho njalo.
Shintsha ibhrashi yakho yokuhlanza ngemuva kokutholakala kwe-tonsillitis ukuze ugweme ukuziqabuka kabusha ngezifo ezisele.
Udokotela wakho ngokuvamile angakwazi ukuhlonza i-tonsillitis ngokuhlola umlomo wakho nokubuza ngezimpawu zakho. Inqubo yokuhlola ilula futhi ikusiza ekutholeni indlela engcono kakhulu yokwelapha isimo sakho esithile.
Ngesikhathi sokuvakasha kwakho, umhlinzeki wakho wezokunakekelwa kwezempilo uzobheka umlomo wakho usebenzisa ukukhanya ne-tongue depressor. Bazohlola ukuvuvukala, ukuvuvukala, amabala amhlophe, noma i-pus kwi-tonsils zakho futhi bahlole intanyeni yakho ama-lymph nodes amakhulu.
Udokotela wakho angase enze le mivivinyo eyengeziwe:
Ukuhlola okusheshayo kwe-strep kunikeza imiphumela ngaphakathi kwemizuzu embalwa, kuyilapho ukulima komlomo kuthatha amahora angu-24 kuya kwangu-48 kodwa kunenkambo enkulu. Udokotela wakho angase aqale ukwelapha ngokusekelwe ezimpawu zakho nokuhlolwa komzimba ngenkathi elinda imiphumela yokuhlwanyela.
Kwezinye izimo ezingavamile lapho izinkinga zilindelwe khona, ukuhlolwa okwengeziwe njenge-CT scans kungase kudingeke. Noma kunjalo, iningi lezimo ze-tonsillitis lihlonishwa ngokuhlolwa komzimba okulula kanye nomlando wezokwelapha.
Ukwelashwa kwe-tonsillitis kuncike ekutheni ukuqabuka kuyi-viral noma yi-bacterial. Iningi lezimo liyi-viral futhi liyaphela ngokwalo ngokunakekelwa okusekela, kuyilapho izifo zamabhaktheriya zidinga ama-antibiotic ukuvimbela izinkinga.
Nge-tonsillitis ye-viral, udokotela wakho uzogxila ekusikwenzeni uzizwe ukhululekile ngenkathi isistimu yakho yokulwa nezifo ilwa nesifo. Le ndlela isebenza kahle ngoba ama-antibiotic awasizi ngokumelene nama-virus.
Ukwelashwa kwe-tonsillitis yamabhaktheriya ngokuvamile kufaka:
Kubalulekile ukuphelelisa lonke uhlelo lwe-antibiotic ngisho noma uzizwe ukhululekile ngemuva kwezinsuku ezimbalwa. Ukumisa ngokushesha kungase kuholele ekuhlulekeni kokwelashwa futhi kungenze izinkinga ezinzima.
Nge-tonsillitis ephindaphindayo, udokotela wakho angase axoxe nge-tonsillectomy, ukususa ngokusebenza i-tonsils. Le nqubo ngokuvamile icatshangelwa uma unezifo ezivamile ezithinta kakhulu ikhwalithi yakho yokuphila.
Ukulawulwa kobuhlungu kubalulekile kungakhathaliseki imbangela. Imithi yokunciphisa ubuhlungu engathengwa ngaphandle kungasiza ekuqedeni ubuhlungu nokushisa, kukwenze uzizwe ukhululekile ngesikhathi sokuphulukana.
Ukunakekelwa kwasekhaya kudlala indima ebalulekile ekuphulukeni kwakho kwe-tonsillitis, kusiza ekulawuleni izimpawu nokusekela inqubo yokwelapha yemvelo yomzimba wakho. Lezi zindlela zokwelapha ezimnene zingakunikeza impumuzo enkulu ngenkathi uphulukana.
Ukuphumula kubalulekile ekuphulukeni, ngakho thatha isikhathi emsebenzini noma esikoleni futhi uthole ukulala okwanele. Isistimu yakho yokulwa nezifo isebenza kahle kakhulu uma umzimba wakho ungacindezelekile imisebenzi yansuku zonke.
Zama lezi zindlela zokwelapha zasekhaya ezithambile:
Hlala unamanzi amaningi emzimbeni ngokuphuza izinto eziphuzwayo eziningi, ngisho noma ukugwinya kunzima. Ukuphefumula okuncane, okuvamile kusebenza kangcono kunokuzama ukuphuza izinto eziningi ngesikhathi esisodwa.
Gwema ukubhema nokubhema okusecondhand, njengoba lokhu kungase kwenze ukuqabuka komlomo kube kubi futhi kulibambe ukuphulukana. Uma ngokuvamile ubhema, lesi yisikhathi esihle sokuthatha ikhefu nokuvumela umlomo wakho uphulukane.
Ukulungiselela ukuvakasha kwakho kungasiza ekuqinisekiseni ukuthi uthola ukunakekelwa okuphumelelayo futhi ungakhohlwa imininingwane ebalulekile ngezimpawu zakho. Ukulungiselela okuncane kuhamba ibanga elide ekusizeni udokotela wakho ukwenza ukuxilongwa okuchaneka.
Bhala izimpawu zakho ngaphambi kokuvakasha, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zibe zimbi. Lolu lwazi lusiza udokotela wakho ukuqonda isimo sakho esithile.
Letha lolu lwazi olukhulu ekuvakasheni kwakho:
Cabanga ngokuba nomuntu ohambisana nawe uma uzizwa ungakhululekile kakhulu, ikakhulukazi uma unezinkinga zokukhuluma noma ukugwinya. Bangasiza ekuxhumaneni nodokotela wakho uma kudingeka.
Fika eminye imizuzu ngaphambi kokugcwalisa noma yimaphi amaphepha adingekayo ngaphandle kokuphikelela. Lokhu kusiza ekuqinisekiseni ukuthi ukuvakasha kwakho kuqala ngesikhathi futhi kuqhubeke kahle.
I-Tonsillitis yisifo esivamile, esivamile esilula esiphulukana nabo abantu abaningi ngokuphelele ngaphakathi kweviki noma amabili. Nakuba kungase kuzwakale kungakhululekile kakhulu, izinkinga ezinzima azivamile uma uthola ukunakekelwa okufanele futhi ulandele izikhuthazo zokwelapha.
Into ebaluleke kakhulu okumele uyikhumbule ukwazi nini okufanele ufunane ukunakekelwa kwezokwelapha. Xhumana nodokotela wakho ngokuhlombe okuqhubekayo ngokuvuvukala, ubunzima bokuginya, noma izimpawu zokulahlekelwa amanzi emzimbeni.
Ngokwelashwa okufanele, ukunakekelwa okuhle kwasekhaya, nokuphumula okwanele, ungalindela ukuzizwa ukhululekile maduze. Unganqikazi ukuxhumana nodokotela wakho uma unezinkinga ngezimpawu zakho noma intuthuko yokuphulukana.
I-Tonsillitis ye-viral ngokuvamile ihlala izinsuku eziyi-7 kuya kweziyi-10, kuyilapho i-tonsillitis yamabhaktheriya ngokuvamile iphulukana ngaphakathi kwezinsuku eziyi-2 kuya kwezi-3 zokuqala ama-antibiotic. Abantu abaningi bazizwa bekhululekile kakhulu ngaphakathi kweviki, nakuba ukuphulukana okugcwele kungathatha kuze kube amaviki amabili. Uma izimpawu ziqhubeka isikhathi esingaphezu kwalokhu, xhumana nodokotela wakho ukuze ukhulule izinkinga noma ezinye izimo.
Yebo, i-Tonsillitis iyadluliseka, ikakhulukazi ezinsukwini ezimbalwa zokuqala zesifo lapho izimpawu zinzima kakhulu. Ungasakaza lesi sifo ngezicubu zomoya uma ukhwehlela, ukhwehlela, noma ukhuluma. Nge-tonsillitis yamabhaktheriya, ngokuvamile uba ungadluliseki ngaphakathi kwamahora angu-24 okuqala ama-antibiotic. Ngezimo ze-viral, uhlala udluliseka uma unezimpawu.
Abantu abadala ngokuqinisekile bangathola i-tonsillitis, nakuba kuvame kakhulu kubantwana nabantu abasebasha. Izimo zabantu abadala zivame ukuba yi-viral futhi zingase zithathe isikhathi eside ukuze ziphulukane. Abantu abadala bangase bahlangabezane nezimpawu ezinzima kakhulu futhi kufanele baqaphele izimpawu ezidinga ukunakekelwa kwezokwelapha, njengokuvuvukala okuphezulu okuqhubekayo noma ubunzima bokuginya.
Gwema ukudla okuqinile, okuhlwithayo, noma okunomsoco okungase kuqabuke umlomo wakho osevele ubuhlungu. Gwema izithelo zesitrus, amatamatisi, ukudla okunamafutha, ama-chips, ama-crackers, nanoma yini enezinto ezinobukhulu. Esikhundleni salokho, khetha izinketho ezithambile, ezithambile njenge-yogurt, i-pudding, ama-smoothies, isobho, ne-ice cream. Izinto ezishisayo njenge-herbal tea noma i-broth zingakunikeza impumuzo futhi zisize ekuqinisweni kwamanzi emzimbeni.
I-Tonsillectomy ingase icelwe uma une-tonsillitis ephindaphindayo ethinta kakhulu impilo yakho, ngokuvamile kuchazwa njengezifo eziyisikhombisa noma ngaphezulu ngonyaka, ezinhlanu noma ngaphezulu ngeminyaka elandelanayo, noma ezintathu noma ngaphezulu ngonyaka ngeminyaka emithathu elandelanayo. Udokotela wakho uzobheka nezici njengokukhulu kwezimpawu, ukuphendula ekwelapheni, nezinkinga. Abantu abaningi abane-tonsillitis ngezikhathi ezithile abadingi ukusebenza.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.