Zilonda zapakhosi: Zoyambitsa, Zizindikiro, Kuzindikira Ndi Chithandizo

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Zilonda zapakhosi kumachitika pamene pali kutupa kwa tonsils ndi nthawi zambiri amayamba ndi kachilombo kapena matenda bakiteriya. Zitha kuchitika nthawi iliyonse ndipo ndizovuta zathanzi. M'nkhaniyi tifotokoza zomwe zimayambitsa, zizindikiritso ndi matenda a zilonda zapakhosi.

Zomwe zimayambitsa zilonda zapakhosi

Mataloni ndi matupi awiri ooneka ngati oval omwe amakhala kumbuyo kwa mmero. Amakhala ngati njira yodzitetezera ku mabakiteriya ndi mavairasi, zomwe zimawapangitsa kukhala pachiwopsezo chotenga matenda ^[1] .

• Mabakiteriya - Streptococcus pyogenes ndiye mtundu wofala kwambiri wa mabakiteriya omwe amayambitsa matenda a zilonda zapakhosi. Mabakiteriya ena monga Fusobacterium, Staphylococcus aureus, Neisseria gonorrhoeae, Chlamydia chibayo, Mycoplasma chibayo, ndi Bordetella pertussis nawonso ali ndi vuto. ^[ziwiri] .

• Kachilombo - Mitundu yodziwika kwambiri ya kachilombo koyambitsa matendawa ndi rhinovirus, adenovirus, virus ya syncytial virus, ndi kachilombo kamene kamayambitsa fuluwenza kapena chimfine ^[3] .

Mitundu ya zilonda zapakhosi

• Pachimake zilonda zapakhosi - Mtundu wa zilonda zapakhosi ndi wofala kwambiri kwa ana ndipo zizindikilo zimatha masiku 10 kapena kucheperapo ^[4] .

• Matenda aakulu - Anthu azimva kupweteka kwapakhosi kosalekeza, kununkha koipa komanso ma lymph lymph node m'khosi ^[5] .

• Matenda a pafupipafupi - Mtundu uwu wa zilonda zapakhosi umakhala ndimabwalo obwereza obwereza osachepera kasanu kapena kasanu ndi kamodzi mchaka chimodzi.

Kafukufuku akuwonetsa kuti zilonda zonse zomwe zimachitika nthawi yayitali zimayambitsidwa chifukwa cha ma biofilms m'makola a ma tonsils ^[6] .

Zizindikiro Za Tonsillitis ^[7]

• Mpweya woipa
• Kuzizira
• Malungo
• Chikhure
• Khosi lokanda
• Zovuta kumeza
• Kupweteka m'mimba
• Kupweteka mutu
• Khosi lolimba
• Matani ofiira ndi otupa
• Makutu
• Kutsokomola
• Kutupa kwamatenda am'mimba
• Zovuta pakatsegula pakamwa

Zowopsa Zotupa Matenda ^[7]

• Zaka (ana aang'ono amakhudzidwa kwambiri)
• Kutulutsa pafupipafupi ku virus ndi mabakiteriya

Zovuta Za zilonda zapakhosi

• Kulepheretsa kugona tulo
• Kuvuta kupuma
• Peritonsillar abscess ^[7]
• Cellulitis yamatoni

Nthawi Yoyenera Kuonana ndi Dokotala

Ngati munthu akukumana ndi zilonda zapakhosi kwa masiku opitilira 2, ali ndi malungo akulu, khosi lolimba, kupuma movutikira, komanso kufooka kwa minofu, ayenera kukaonana ndi dokotala mwachangu.

Matenda a zilonda zapakhosi ^[8]

Dokotala amayamba wawona ngati pali zotupa kapena zotupa mozungulira matani kenako amalangiza mayeso, ndipo awa ndi awa:

• Khosi lakhosi - Dotolo amapaka kachilombo kosabereka kumbuyo kwa mmero kuti atengeko zotulutsa zomwe zatulutsidwa, zomwe zimayang'aniridwa ngati mabakiteriya kapena ma virus.

• Kuwerengera kwa magazi - Dokotala atenga zitsanzo zamagazi anu kuti aone ngati pali bakiteriya kapena matenda aliwonse a kachilombo.

Chithandizo cha zilonda zapakhosi [8]

Mankhwala

Mankhwala ochepetsa ululu (OTC) amagwiritsidwa ntchito kuti achepetse zizindikiro za zilonda zapakhosi. Ngati tonsillitis imayambitsidwa ndi matenda a bakiteriya, dokotala nthawi zambiri amapereka mankhwala opha tizilombo.

Tosillectomy

Tonsillectomy ndi opaleshoni kuchotsa tonsils. Njira yothandizirayi samalimbikitsidwa mpaka pokhapokha ngati ali ndi zilonda zapakhosi zomwe zimachitika mobwerezabwereza. Amanenedwa ndi dokotala ngati ma tonsils akuyambitsa matenda obanika kutulo, kuvutika kumeza ndi kupuma, komanso mafinya kumangika m'matoni.

Zithandizo Zanyumba Zilonda zapakhosi

• Gargle ndi madzi amchere kuti muchepetse kusowa pakhosi
• Imwani madzi ambiri
• Muzipuma mokwanira

Kupewa Matenda a Chiberekero

• Onetsetsani kuti inu ndi mwana wanu muli ndi ukhondo
• Pewani kugawana chakudya ndikumwa kuchokera mugalasi lomwelo
• Sambani m'manja musanadye komanso mutatha kugwiritsa ntchito chimbudzi

1. [1]Putto, A. (1987). Febrile exudative tonsillitis: ma virus kapena streptococcal? .Pediatrics, 80 (1), 6-12.
2. [ziwiri]Brook, I. (2005). Udindo wa mabakiteriya a anaerobic mu tonsillitis. Magazini yapadziko lonse lapansi ya otorhinolaryngology ya ana, 69 (1), 9-19.
3. [3]Goudsmit, J., Dillen, P.W V., Van Strien, A., & Van der Noordaa, J. (1982). Udindo wa kachilombo ka BK mu matenda opatsirana opatsirana komanso kupezeka kwa BKV DNA m'matoni. Journal of medical virology, 10 (2), 91-99.
4. [4]Burton, M. J., Towler, B., & Glasziou, P. (2000). Matenda a tonsillectomy motsutsana ndi osachita opaleshoni a zilonda zapakhosi / zowopsa za Cochrane database ya kuwunika mwatsatanetsatane, (2), CD001802-CD001802.
5. [5]Brook, I., & Yocum, P. (1984). Bacteriology yamatenda am'mimba mwa achinyamata. Zakale za Otolaryngology, 110 (12), 803-805.
6. [6]Abu Bakar, M., McKimm, J., Haque, S. Z., Majumder, M., & Haque, M. (2018). Matenda a chifuwa chachikulu ndi ma biofilms: kuwunikira mwachidule njira zamankhwala. Journal of kafukufuku wamatenda, 11, 329-337.
7. [7]Georgalas, C. C., Tolley, S. S., & Narula, A. (2009). Matenda a zilonda zapakhosi. Umboni wazachipatala wa BMJ, 2009, 0503.
8. [8]Di Muzio, F., Barucco, M., & Guerriero, F. (2016). Kuzindikira ndikuchiza pachimake pharyngitis / tonsillitis: kafukufuku woyambirira wowonera mu General Medicine. Rev. Med. Mankhwala. Sci, 20, 4950-4954 (Adasankhidwa)

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