Tonsillitis: oonobangela, iimpawu, isifo kunye nonyango

Amagama Aphezulu Ebantwaneni

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Tonsils kwenzeka xa kukho ukudumba tonsils kwaye kwiimeko ezininzi kubangelwa mhlawumbi yintsholongwane okanye usulelo lwebhaktiriya. Inokwenzeka nakweyiphi na iminyaka kwaye yingxaki yempilo eqhelekileyo. Kule nqaku, siza kuchaza izizathu, iimpawu kunye nokuxilongwa kwe-tonsillitis.

Yintoni ebangela iTonsillitis

Iitoni ziipads ezimbini ezimilise okweqanda zomzimba ezihlala ngasemva emqaleni. Zisebenza njengesixhobo sokuzikhusela ngokuchasene neebhaktheriya ezinokubakho kunye neentsholongwane, ngaloo ndlela zibenza babesemngciphekweni wokufumana usulelo ^[1] .

• Iintsholongwane - I-Streptococcus pyogenes lolona hlobo luqhelekileyo lwebhaktiriya ukubangela usuleleko lweetoni. Ezinye iibacteria ezinje ngeFusobacterium, Staphylococcus aureus, Neisseria gonorrhoeae, Chlamydia pneumonia, Mycoplasma pneumonia, kunye neBordetella pertussis nazo zinoxanduva ^[Mbini] .

• Intsholongwane - Ezona ntlobo zixhaphakileyo zentsholongwane ukosulela iitoni yi-rhinovirus, i-adenovirus, intsholongwane yokuphefumla, kunye nentsholongwane ebangela umkhuhlane okanye umkhuhlane ^[3] .

Iindidi zeTonsillitis

• I-tonsillitis enamandla - Olu hlobo lweetonsillitis luxhaphake kakhulu ebantwaneni kwaye iimpawu zihlala kwiintsuku ezili-10 okanye ngaphantsi ^[4] .

• I-tonsillitis engapheliyo -Abantu baya kuba nomqala obuhlungu obuqhubekayo, umphefumlo onukayo kunye neethenda zamathambo entanyeni ^[5] .

• Ukuphindaphinda tonsillitis - Olu hlobo lweetonsillitis luneziqendu eziphindaphindayo zomqala obuhlungu ubuncinci amaxesha ama-5 ukuya kwasi-7 kunyaka omnye.

Uphononongo lophando lubonisa ukuba zombini i-tonsillitis engapheliyo kunye nephindaphindayo ibangelwa ngenxa ye-biofilms kwi-folds yeetoni ^[6] .

Iimpawu zeTonsillitis ^[7]

• Umphunga ombi
• Ukugodola
• Ifiva
• Umqala obuhkungu
• Umqala okrwemayo
• Kunzima ukugwinya
• Intlungu yesisu
• Intloko ebuhlungu
• Intamo elukhuni
• Iitoni ezibomvu nezidumbileyo
• Iindlebe
• Ukukhohlela
• Ukudumba kwamadlala
• Kunzima ukuvula umlomo

Izinto zomngcipheko weTonsillitis ^[7]

• Ubudala (abantwana abancinci bayachaphazeleka)
• Ukuvezwa rhoqo kwintsholongwane nakwintsholongwane

Iingxaki zeTonsillitis

• Ukuphefumla kokulala okuthintelayo
• Kunzima ukuphefumla
• Ithumba lePeritonsillar ^[7]
• Iseli cellulitis

Xa ufuna ukubona ugqirha

Ukuba umntu ufumana umqala obuhlungu ngaphezulu kweentsuku ezi-2, unefiva ephezulu, intamo elukhuni, kunzima ukuphefumla, kunye nobuthathaka bemisipha, kufuneka babonane nogqirha kwangoko.

Ukuchongwa kweTonsillitis ^[8]

Ugqirha uya kuqala ahlole ukudumba okanye irhashaze ejikeleze iitoni kwaye emva koko acebise ezinye iimvavanyo, kwaye ezi zibandakanya:

• Umqala swab -Ugqirha uhlikihla i-swab engenazintsholongwane emva komqala ukuze aqokelele isampulu yeemfihlo ezivelisiweyo, ezijongwa njengeentlobo zebacteria okanye intsholongwane.

• Inani leeseli zegazi -Ugqirha uzakuthatha isampulu yegazi lakho ukujonga ubukho bentsholongwane okanye intsholongwane.

Unyango lweTonsillitis [8]

Amayeza

Amayeza okususa iintlungu ngaphezulu kwe-counter (i-OTC) asetyenziselwa ukunciphisa iimpawu zeetonillitis. Ukuba i-tonsillitis ibangelwa lusulelo lwebhaktiriya, ugqirha uya kumisela amayeza okubulala iintsholongwane.

Iitoni

Tonsillectomy utyando ukususa tonsils. Olu khetho lonyango alukhuthazwa kude kube kwaye ngaphandle kokuba luyinto engapheliyo kunye neetonsitis. Kuyacetyiswa ngugqirha ukuba iitoni zibangela ukuphefumla kokulala, ubunzima ekuginyeni nasekuphefumleni, kunye nokwakha ubomvu kwiitoni.

Unyango lwaseKhaya lweTonsillitis

• Gargle ngamanzi anetyuwa ukunciphisa ukungakhululeki emqaleni
• Sela amanzi amaninzi
• Phumla ngokwaneleyo

Uthintelo lweTonsillitis

• Qinisekisa ukuba wena kunye nomntwana wakho ninemikhwa efanelekileyo yococeko
• Kuphephe ukutya kunye nokusela kwiglasi enye
• Hlamba izandla zakho kakuhle phambi kokuba utye nasemva kokusebenzisa indlu yangasese

1. [1]UPutto, A. (1987). I-tonsillitis exudative exudative: intsholongwane okanye i-streptococcal? .Pediatrics, 80 (1), 6-12.
2. [Mbini]I-Brook, I. (2005). Indima yeentsholongwane ze-anaerobic kwi-tonsillitis. Ijenali yamazwe ngamazwe ye-otorhinolaryngology yabantwana, 69 (1), 9-19.
3. [3]UGoudsmit, J., Dillen, P.W V., Van Strien, A., kunye noVan der Noordaa, J. (1982). Indima yentsholongwane ye-BK kwisifo sokuphefumla esiqatha kunye nobukho be-BKV DNA kwiitoni. Ijenali yonyango lwezonyango, 10 (2), 91-99.
4. [4]UBurton, M.J, Towler, B., kunye noGlasziou, P. (2000). Unyango lweTonsillectomy xa kuthelekiswa nonyango olungelolonyango lwe-tonsillitis engapheliyo / ephindaphindayo Isiseko sedatha yeCochrane yokuphononongwa ngokuchanekileyo, (2), CD001802-CD001802.
5. [5]I-Brook, I., kunye neYocum, P. (1984). I-Bacteriology ye-tonsillitis engapheliyo kubantu abadala abancinci. Ii-Archives ze-Otolaryngology, 110 (12), 803-805.
6. [6]U-Abu Bakar, M., McKimm, J., Haque, S. Z., Majumder, M., & Haque, M. (2018). I-tonsillitis engapheliyo kunye ne-biofilms: isishwankathelo esifutshane seendlela zonyango. Ijenali yophando lokuvuvukala, 11, 329-337.
7. [7]IGeorgalas, C., Tolley, N. S., kunye neNarula, A. (2009). Ubungqina beklinikhi beBMJ, 2009, 0503.
8. [8]UDi Muzio, F., uBarucco, M., kunye noGuerriero, F. (2016). Ukuchongwa kunye nonyango lwe-pharyngitis / tonsillitis ebukhali: isifundo sokuqala sokujonga kwiyeza ngokubanzi. UMfu. Ikhemesti. Inzululwazi, 20, 4950-4954.

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