I-Strep Throat

Ukuvuka nomphimbo obuhlungu, obuhlungu obuhlungu ukugwinya kuwuphawu lwe-strep throat, ukutheleleka okuvamile kwamagciwane okuthinta izigidi minyaka yonke. I-strep throat ingabangela ukungakhululeki okukhulu futhi iholele ezinkingeni uma ingelashwa. Ukuqonda izimpawu nezimpawu ze-strep throat kubalulekile ekutholakaleni kusenesikhathi nokwelashwa okufanele.

Lo mhlahlandlela ophelele uzohlola ukuthi iyini i-strep throat, izimpawu zayo, nokuthi odokotela bayixilonga kanjani. 

Iyini i-Strep Throat?

I-Strep throat isifo esibangelwa amagciwane. Kungabangela ukuvuvukala & ubuhlungu emphinjeni futhi amalaka. Ukutheleleka kubangelwa i-Streptococcus pyogenes, uhlobo lwamabhaktheriya anezinhlobo ezingaphezu kuka-120 ezihlukene. I-strep throat ibangela ingxenye enkulu yezimo ezibuhlungu zomphimbo, okwenza u-5-15% wabantu abadala kanye no-20-30% wezingane. Kuvame kakhulu ebusika nasekuqaleni kwentwasahlobo.

Izimpawu ze-Strep Throat

I-strep throat ngokuvamile iveza umphimbo obuhlungu oqala ngokuzumayo. Lokhu kuphatheka kabi kuvame ukuhambisana nomkhuhlane noma amakhaza, ezingathuthuka ngokushesha. Izinga lokushisa eliphakeme kakhulu livame ukwenzeka ngosuku lwesibili lokutheleleka.

Ezinye izimpawu ezivamile kanye nezimpawu ze-strep throat zihlanganisa:

• Ukugwinya okubuhlungu
• Amathoni abomvu navuvukele, kwesinye isikhathi ahlotshaniswa namabala amhlophe noma imivimbo yobomvu.
• Amachashaza amancane abomvu (petechiae) olwangeni oluthambile noma oluqinile
• Ukuvuvukala, ama-lymph nodes athambile entanyeni
• bekhanda
• Ukulahlekelwa kwesifiso
• Ubuhlungu besisu
• Isicanucanu nokuhlanza, ikakhulukazi ezinganeni ezincane
• Ama-body aches

Kwezinye izimo, abantu abane-strep throat bangase bahlakulele ukuqubuka okubizwa ngokuthi i-scarlet fever. Lokhu kuqubuka kuvame ukuvela kuqala entanyeni nasesifubeni kodwa kungabonakala kwezinye izingxenye zomzimba. Ingase izwakale ilukhuni, ifane nephepha le-sandpaper.

Izimbangela Nezingozi Zezinto Zomqala We-Strep

Umphimbo ubangelwa ukutheleleka kweqembu A i-Streptococcus bacteria, ikakhulukazi i-Streptococcus pyogenes. Lawa magciwane athathelwana kakhulu futhi asakazwa ngamaconsi okuphefumula. Lapho umuntu onaleli gciwane ethimula noma ekhwehlela, ajikijela la maconsi emoyeni, abanye abangawahogela futhi bangenwe yilesi sifo.

Ukuthintana ngqo nomuntu otheleleke ngamabhaktheriya nakho kungaholela ku-strep throat. Lokhu kubandakanya ukwabelana ngokudla, iziphuzo, noma izitsha nomuntu onaleli gciwane. Amagciwane angaphila futhi endaweni isikhashana, ngakho ukuthinta izinto ezingcolile bese uthinta ikhala noma umlomo wakho kungaholela ekuthelelekeni.

Izici eziningana zingandisa amathuba okuthuthukisa i-strep throat. Lokhu kungaba: 

• Ubudala obunezingane eziphakathi kweminyaka engu-5 nengu-15 ubudala busengozini kakhulu. 
• Isikhathi sonyaka siphinde sibe neqhaza, izifo zivame kakhulu ebusika nasekuqaleni kwentwasahlobo.
• Ukuthintana eduze nomuntu one-strep throat
• Isivikelo somzimba sokuzivikela
• Ukuhlala noma ukusebenza ezindaweni eziminyene njengezikole noma izikhungo zokunakekela izingane

Izinkinga

Nakuba i-strep throat ngokuvamile iyisimo esithambile, ingabangela izinkinga ezinkulu uma ishiywe ingagadiwe. Lokhu kubandakanya: 

• I-pneumonia, okuyisifo esiphansi sokuphefumula esibangela ukuvuvukala ku-alveoli 
• I-meningitis, okuthinta ulwelwesi noketshezi ezungeze umgogodla nobuchopho
• Ukutheleleka kwezindlebe kungase kuthuthuke uma i-strep bacteria ingena emashubhu e-eustachian endlebe noma indlebe ephakathi.
• Ithumba lomphimbo eliphumela ephaketheni lobovu oluthelelekile esicutshini somphimbo. 
• I-Toxic shock syndrome, nakuba ingavamile, iwumphumela omubi ovela lapho ukutheleleka kusakazeka kuwo wonke umzimba, okungase kuholele ekuhlulekeni kwesitho.
• I-Rheumatic fever iyinkinga evamile futhi engathi sína ye-strep throat, ebangela ukuvuvukala kanye nezibazi ezakhiweni zenhliziyo. 
• Ezinye izinkinga ezingase zibe khona zihlanganisa i-scarlet fever, ukuvuvukala kwezinso, kanye ne-post-streptococcal reactive. sokuqaqamba kwamalunga.

Ukuxilongwa kwe-Strep Throat

Ukuhlolwa Komzimba Nokuhlolwa Okuqondile: Udokotela wakho uzohlola isimo sakho futhi abuze ngezimpawu zakho. Bazonquma ukuhlolwa kwe-strep ukuze baqinisekise ubukhona. Nazi izinhlobo ezimbili eziyinhloko zokuhlolwa kwe-strep: 

• Ukuhlolwa kwe-Rapid Antigen: Ukuhlolwa okusheshayo kuyashesha futhi kunganikeza imiphumela cishe emizuzwini eyi-15-20. Kuhilela ukuswayipha ngemuva komphimbo wakho namathoni ngeswabhu ende yokotini.
• I-Throat Culture: Uma ukuhlolwa kwe-antigen okusheshayo ku-positive, kuqinisekisa ukutheleleka kwe-strep throat, futhi udokotela wakho uzokunikeza ama-antibiotics. Kodwa-ke, uma ukuhlolwa kungenayo, udokotela wakho angase enze isiko lomphimbo ukuze ahlole kabili imiphumela. Isiko lomphimbo linembe kakhulu, kodwa ngokuvamile kuthatha izinsuku ezingu-1-2 ukuthola imiphumela.

Ukwelashwa kwe-Strep Throat

• Nemithi Elwa Namagciwane: Ukwelashwa kwe-strep throat ngokuvamile kuhilela ama-antibiotics ukubulala amagciwane abangela ukutheleleka. I-Penicillin ne-amoxicillin ngokuvamile inqunyelwe le njongo. Uma ungezwani ne-penicillin, udokotela wakho angancoma amanye ama-antibiotic. Le mishanguzo ye-strep throat ngokuvamile ithathwa izinsuku eziyishumi, futhi kubalulekile ukuqeda yonke inkambo, ngisho noma uqala ukuzizwa ungcono.
• Imithi Yobuhlungu: Ama-over-the-counter Relievers angasiza ekudambiseni izimpawu futhi ehlise imfiva. 
• Ukuphumula: Khumbula, i-strep throat iyathelelana kakhulu. Kubalulekile ukuthi uhlale ekhaya uze uphuze ama-antibiotic okungenani amahora angama-24 futhi ungasenawo umkhuhlane.

Uzoyibona Nini Udokotela

Uma usola ukuthi une-strep throat, khuluma nodokotela ngokushesha. Thola usizo lwezempilo uma:

• Uma uzwa ubuhlungu obukhulu bomphimbo, ubunzima bokugwinya, noma umkhuhlane ongaphezu kuka-38°C. 
• Uma ingane yakho ibonakala ingaphathekile kahle, inomkhuhlane ophakeme, idla noma iphuza kancane kakhulu kunokuvamile, noma ibonisa izimpawu zokuthi kwamanzi emzimbeni.
• Uma uba nobunzima bokuphefumula noma ukuphefumula okunomsindo
• Uma ubona isikhumba esiluhlaza okwesibhakabhaka noma esimpunga, ulimi, noma izindebe
• Uma uhlangabezana nokozela okwedlulele noma ukungaphenduli
• Uma izimpawu zingathuthuki noma zibe zimbi kakhulu ngemva kokuphuza ama-antibiotic amahora angu-48

Amakhambi Asekhaya E-Strep Throat

Nakuba ama-antibiotic abalulekile ekwelapheni i-strep throat, ukwelashwa okuhlukahlukene komphimbo ekhaya kungasiza ekudambiseni izimpawu zayo futhi kukhuthaze induduzo ngesikhathi sokululama. Lezi izi:

• Ukuphuza amanzi ngenani elifanele kungavimbela ukuphelelwa amanzi emzimbeni futhi kumanzise umphimbo, kwenze ukugwinya kube lula. 
• Ukudla ukudla okupholile njengomhluzi, amasobho, nezithelo ezithambile kunganikeza impumuzo. 
• Ukugawula ngamanzi anosawoti asivivi izikhathi eziningana ngosuku kungasiza ekudambiseni ubuhlungu bomphimbo futhi kunciphise ukuvuvukala.
• Ukuphumula kubalulekile ekulweni naleli gciwane, ngakho ukulala ngokwanele nokugwema imisebenzi ekhandlayo kubalulekile. 
• I-humidifier ekamelweni lakho ingengeza umswakama emoyeni, inciphise ukungakhululeki. 
• Uju, oludume ngezici zalo ezipholile, lungafakwa etiyeni elifudumele noma emanzini ukuze lusize ukwehlisa izinhlungu futhi lucindezele ukukhwehlela.
• Ukugwema izinto ezicasulayo njengentuthu kagwayi nokuhlanza intuthu yomkhiqizo kubalulekile, njengoba lokhu kungase kubhebhethekise ukucasuka komphimbo. 

Prevention

Ukuvimbela i-strep throat kuhilela ukwamukela imikhuba emihle yenhlanzeko nokuthatha izinyathelo ezisheshayo zokunciphisa ukusabalala kokutheleleka, okufana nalokhu:

• Enye yezindlela eziphumelela kakhulu zokuvimbela i-strep throat iwukugeza izandla zakho njalo ngensipho namanzi okungenani imizuzwana engu-20 noma usebenzise isibulali-magciwane esisekelwe etshwaleni. Lokhu kubaluleke kakhulu ngaphambi kokudla nangemuva kokukhwehlela noma ukuthimula. 
• Ukuvala ikhala nomlomo wakho ngenkathi ukhwehlela noma uthimula kubalulekile ekuvimbeleni ukusakazeka kwe-strep throat. Sebenzisa ithishu uma kungenzeka, futhi uyilahle ngokushesha ngemva kokuyisebenzisa. Uma ungenaso isicubu, thimula noma ukhwehlele endololwaneni noma kumkhono ongenhla kunezandla zakho.
• Ukugwema ukwabelana ngezinto zomuntu siqu kungenye indlela ebalulekile yokuvimbela. Ungabelani ngezingilazi zokuphuza, izitsha zokudlela, noma ezinye izinto zakho nomuntu ophethwe i-strep throat. 
• Ukuthatha ikhefu emisebenzini evamile lapho ugula kungavimbela ukusabalala kwe-strep throat kwabanye emphakathini wakini. Lokhu kubaluleke kakhulu ezimeni lapho izifo zingasakazeka ngokushesha, njengezikole, izikhungo zokunakekela izingane, nezindawo zokusebenza.

Isiphetho

I-Strep throat isifo esivamile sebhaktheriya esingabangela ukungakhululeki okukhulu kanye nezinkinga uma singelashwa ngokushesha. Ngokulandela imikhuba emihle yokuhlanzeka komuntu siqu kanye nokufuna ukwelashwa okufanele lapho kudingeka, ungakwazi ukuphatha i-strep throat ngokuphumelelayo futhi unciphise umthelela wayo empilweni yakho kanye nempilo yansuku zonke. Khumbula, nakuba amakhambi asekhaya anganikeza impumuzo, ama-antibiotic abalulekile ekwelapheni ukutheleleka nokuvimbela izinkinga. 

Imibuzo Evame Ukubuzwa

1. I-strep throat ithinta bani?

Istrep throat singathinta bonke abantu kungakhathaliseki ubudala babo, kodwa sivame kakhulu ezinganeni eziphakathi kweminyaka emi-5 nengu-15 ubudala. Abantu abadala abasondelene kakhulu nezingane, njengabazali, othisha, nabasebenzi basenkulisa, nabo basengozini enkulu. Abantu abasezindaweni eziminyene njengezikole, izinkulisa, nezindawo zamasosha kungenzeka ukuthi bathole inkontileka ye-strep throat.

2. Ijwayeleke kangakanani i-strep throat?

I-strep throat ivame kakhulu, ikakhulukazi ezinganeni. Emhlabeni jikelele, odokotela babona amacala amasha angaphezu kwezigidi ezingama-616 e-strep throat unyaka ngamunye.

3. Uyithola kanjani i-strep throat?

Isici esiyimbangela ye-strep throat yi-group A Streptococcus bacteria. Ungakuthola ngokuxhumana eduze nomuntu onaleli gciwane. Amagciwane asakazeka ngokuhogela amaconsi okuphefumula lapho umuntu onaleli gciwane ethimula, ekhwehlela, ekhuluma, noma ecula. Ungaphinde ukuthole ngokuthinta izinto ezingcolisiwe kanye nezindawo bese uthinta umlomo noma ikhala.

4. Ingabe i-strep throat iyathelelana?

Yebo, i-strep throat iyathelelana kakhulu. Ngisho nabantu abangenazo izimpawu bangasakaza amagciwane. Isifo sithathelwana kakhulu phakathi nezinsuku ezimbili kuya kweziyisihlanu ngemva kokuchayeka ngaphambi kokuba kuvele izimpawu. Ngokwelashwa ngama-antibiotic, umuntu ngokuvamile akatheleleki ngemva kwamahora angu-24 kuya kwangu-48.

5. I-strep ihlala isikhathi esingakanani?

Ngokuvamile, i-strep throat ihlala izinsuku ezintathu kuya kwezinhlanu uma ingelashwa. Abantu abaningi baqala ukuzizwa bengcono ngokwelashwa ngama-antibiotic phakathi nosuku olulodwa kuya kwezimbili. Nokho, kubalulekile ukuqeda yonke inkambo kwemithi elwa namagciwane, okuvame ukuthatha izinsuku ezingu-7 kuya kwezingu-10, ukuvimbela izinkinga nokuphindaphinda.

6. Ingabe i-strep throat iyahamba yodwa?

Nakuba i-strep throat ngezinye izikhathi ingaxazulula ngokwayo, akunconywa ukuyishiya ingalashwa. Ukwelashwa ngama-antibiotic kubalulekile ukunciphisa ingozi yezinkinga, ukunciphisa izimpawu, nokuvimbela ukusakazeka kokutheleleka kwabanye. 

UDkt. Pragyan Kumar Routray

MBBS, MD (Umuthi), IDCCM
CARE Hospitals, Bhubaneswar

Ukuze Ubhukhe Isikhathi, shayela:

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