I-tonsillitis: Izimbangela, Izimpawu, Ukuxilongwa Nokwelashwa

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I-tonsillitis yenzeka lapho kunokuvuvukala kwamathoni futhi ezimweni eziningi kubangelwa igciwane noma ukutheleleka kwebhaktheriya. Kungenzeka nganoma yisiphi isikhathi futhi kuyinkinga ejwayelekile yezempilo. Kulesi sihloko, sizochaza izimbangela, izimpawu nokuxilongwa kwe-tonsillitis.

Yini Ebangela Amathumba

Amathoni yizicucu ezimbili ezimise okweqanda okwezicubu ezisemuva komphimbo. Zisebenza njengendlela yokuzivikela kuma-bacterium kanye nama-virus, futhi ngaleyo ndlela zibenze babe sengozini yokuthola ukutheleleka ^[1] .

• Amagciwane - I-Streptococcus pyogenes uhlobo oluvame kakhulu lwama-bacteria ukudala ukutheleleka kwe-tonsil. Amanye amabhaktheriya afana neFusobacterium, Staphylococcus aureus, Neisseria gonorrhoeae, Chlamydia pneumonia, Mycoplasma pneumonia, neBordetella pertussis nawo abhekene ^[okubili] .

• Igciwane - Izinhlobo ezivame kakhulu zegciwane ukuthelela amalaka yi-rhinovirus, i-adenovirus, igciwane lokuphefumula le-syncytial virus, negciwane elibanga umkhuhlane noma umkhuhlane ^[3] .

Izinhlobo Zethumba

• I-tonsillitis enamandla - Lolu hlobo lwe-tonsillitis luvame kakhulu ezinganeni futhi izimpawu zihlala izinsuku eziyi-10 noma ngaphansi ^[4] .

• I-tonsillitis engapheli - Abantu bazozwa umphimbo obuhlungu obuqhubekayo, umoya onukayo kanye nezindlala zamathenda entanyeni ^[5] .

• I-tonsillitis ephindaphindiwe - Lolu hlobo lwe-tonsillitis luneziqephu eziphindaphindekayo zomphimbo obuhlungu okungenani izikhathi ezi-5 kuye kwezi-7 onyakeni owodwa.

Ucwaningo lukhombisa ukuthi womabili amalonda angalapheki naphindaphindwayo abangelwa ngenxa yama-biofilms emaphethweni amathoni ^[6] .

Izimpawu Zethumba ^[7]

• Ukuphefumula kabi
• Amakhaza
• Imfiva
• Umphimbo obuhlungu
• Umphimbo oklwebhekayo
• Kunzima ukugwinya
• Ubuhlungu besisu
• Ukuphathwa ikhanda
• Intamo eqinile
• Amathoni abomvu futhi avuvukile
• Izindlebe
• Ukukhwehlela
• Izindlala ze-lymph ezivuvukile
• Kunzima ukuvula umlomo

Izici Zengozi Yethoni ^[7]

• Iminyaka yobudala (izingane ezisencane ziya ngokuya zithinteka)
• Ukuvezwa njalo kwegciwane kanye namagciwane

Izinkinga Ze-Tonsillitis

• I-apnea yokulala evimbela
• Kunzima ekuphefumuleni
• Ithumba lePeritonsillar ^[7]
• I-tonsillar cellulitis

Isikhathi Sokubona Udokotela

Uma umuntu eba nomphimbo obuhlungu izinsuku ezingaphezu kwezingu-2, unemfiva ephezulu, intamo eqinile, ubunzima bokuphefumula, nobuthakathaka bemisipha, kufanele babonane nodokotela ngokushesha.

Ukuxilongwa Kwamathumba ^[8]

Udokotela uzoqala ahlole ukuvuvukala noma ukuqubuka azungeze amalaka bese ezoncoma ezinye izivivinyo, futhi lokhu kufaka:

• I-swab yomqala - Udokotela uhlikihla uswabi oyinyumba ngemuva emphinjeni ukuze aqoqe isampula yezimfihlo ezikhiqiziwe, bese kubhekelwa izinhlobo zamagciwane noma igciwane.

• Ukubalwa kwamaseli egazi - Udokotela uzothatha isampula legazi lakho ukubheka ukuthi kukhona yini ukutheleleka ngegciwane noma ngegciwane.

Ukwelashwa Kwe-Tonsillitis [8]

Imithi

Imithi yokudambisa izinhlungu i-Over-the-counter (OTC) isetshenziselwa ukunciphisa izimpawu ze-tonsillitis. Uma i-tonsillitis ibangelwa ukutheleleka ngamagciwane, udokotela uvame ukunikeza ama-antibiotic.

I-tonsillectomy

I-tonsillectomy ukuhlinzwa ukususa amalaka. Le nketho yokwelashwa ngokuvamile ayinconywa kuze kube futhi ngaphandle kokuthi i-tonsillitis engapheli futhi ephindaphindiwe. Kuphakanyiswa ngudokotela uma amalaka abanga ukuphefumula kokulala, ubunzima bokugwinya nokuphefumula, kanye nokwakheka kwe-pus kumatoni.

Izixazululo Zasekhaya Zamathumba

• Gargle ngamanzi anosawoti ukunciphisa ukungakhululeki komphimbo
• Phuza amanzi amaningi
• Thatha ukuphumula okuningi

Ukuvimbela I-Tonsillitis

• Qiniseka ukuthi wena nengane yakho ninemikhuba emihle yenhlanzeko
• Gwema ukwabelana ngokudla nokuphuza engilazini efanayo
• Geza izandla zakho ngaphambi kokudla nangemva kokusebenzisa indlu yangasese

1. [1]UPutto, A. (1987). I-Febrile exudative tonsillitis: i-virus noma i-streptococcal? .Pediatrics, 80 (1), 6-12.
2. [okubili]UBrook, I. (2005). Indima yamabhaktheriya anaerobic ku-tonsillitis.Iphephabhuku lamazwe omhlaba le-otorhinolaryngology yezingane, 69 (1), 9-19.
3. [3]UGoudsmit, J., Dillen, P. W. V., Van Strien, A., & Van der Noordaa, J. (1982). Indima yegciwane le-BK ezifweni zokuphefumula ezibukhali nokuba khona kwe-BKV DNA kumathoni.I-Journal ye-virology yezokwelapha, i-10 (2), i-91-99.
4. [4]UBurton, M.J, Towler, B., noGlasziou, P. (2000). Ukwelashwa kwe-Tonsillectomy kuqhathaniswa nokwelashwa okungahlinzekiwe kwe-tonsillitis engapheli / ephindaphindayo.I-database yeCochrane yokubuyekezwa okuhlelekile, (2), CD001802-CD001802.
5. [5]IBrook, I., neYocum, P. (1984). I-bacteriology ye-tonsillitis engapheli kubantu abadala abasebasha. Ama-Archives we-Otolaryngology, 110 (12), 803-805.
6. [6]U-Abu Bakar, M., McKimm, J., Haque, S. Z., Majumder, M., & Haque, M. (2018). I-tonsillitis engapheli kanye nama-biofilms: ukubuka konke okufushane ngezindlela zokwelashwa. I-Journal yocwaningo lokuvuvukala, i-11, i-329-337.
7. [7]UGeorgalas, C. C., Tolley, N. S., & Narula, A. (2009). Ubufakazi bomtholampilo beBMJ, 2009, 0503.
8. [8]UDi Muzio, F., uBarucco, M., noGuerriero, F. (2016). Ukuxilongwa nokwelashwa kwe-acute pharyngitis / tonsillitis: isifundo sokuqala sokubuka ku-General Medicine. UMfu Med. Isidakamizwa. ISci, 20, 4950-4954.

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