U-Angina ezinganeni - izimpawu nokuphathwa kwazo zonke izinhlobo zezifo

Ukuvuvukala kwamabhaktheriya we-tonsil noma i- tonsillitis ukuxilongwa kaningi ezinganeni kusukela eneminyaka engu-2. U-Angina uphethwe kakhulu, kodwa ngokubona okufika ngesikhathi kwezimpawu zalo. Uma kungenjalo, inqubo yokuvuvukala enzima ingadlulela efomeni elihlala njalo elihlala njalo.

Izimbangela ze-angina ezinganeni

Amathani ayizitho ezihlanganisa izicubu ze-lymphoid. Bahileleke ekwakhiweni kwamaseli omzimba futhi baklanyelwe ukuvikela umzimba ezifweni. Ukuba umphimbo, lapho umoya, ukudla kanye namanzi kudlula, ukuxhumana kwamalanga nsuku zonke nenani elikhulu lama-infectious agents, ngenxa yokuthi ukusebenza komsebenzi wabo ngezinye izikhathi kunciphisa. Ngenxa yalokho, izicubu ze-lymphoid zivutha, kodwa le nqubo yokugula ayikakabi yi-tonsillitis.

Izimbangela kuphela ze-angina yi-streptococcal kanye ne-staphylococcal bacteria. Ama-microbes okukhulunywa ngawo okokuqala abangela cishe amaphesenti angu-80 azo zonke izifo zesifo. Ama-20% asele ahlushwa yi-staphylococcal noma i-infection ehlanganisiwe. I-tonsillitis ibhekisela ku-pathologies ezithathelwanayo, "ngeke ithathwe" ngokuhlwaya i-ayisikhilimu, noma nge-hypothermia, umphimbo wesifo usuke udluliselwa kusuka othwalathini wama-bacterium. Amathuba wengane ekhulisa ukwelashwa ezimweni ezilandelayo:

• ukungondleki;
• ukutheleleka kwangaphambilini, ukwelashwa okunganele;
• fotic inflammatory eduze tonsils ( sinusitis , caries nabanye);
• ukusebenza ngokweqile;
• isisindo somzimba esibuthakathaka.

Angina ezinganeni - izinhlobo kanye nezimpawu

Ukuhlukaniswa kwe-tonsillitis kuncike ekutheni kunjani futhi kunjani ukunqotshwa kwezicubu ze-lymphoid. Kubalulekile ukucacisa ngokushesha ukuthuthukiswa kwe-angina ezinganeni - izimpawu nokwelashwa kokuvuvukala kuxhomeke efomini layo. Abanye odokotela bangezelela ukuhlukanisa i-tonsillitis eqenjini le-microbial kanye ne-viral, kodwa lena indlela engalungile yokuhlelwa. Umphimbo weqiniso weqiniso uvela empilweni kuphela yebhaktheriya. Amathani angaphazamisa igciwane lesandulela ngculazi, kodwa ezimweni ezinjalo, ukunqoba kuyisifo, hhayi isifo esizimele.

Izinhlobo zesisu somzimba emantwaneni:

• i-catarrhal;
• lacunar;
• i-follicular ;
• i-herpes noma i-virus (uhlobo lokuphikisana).

Catarrhal angina ezinganeni

Indlela elula yokukhubazeka, ibekezelela kalula futhi iphathwe kahle. Lokhu ku-angina kwengane kubhekwe nesilonda esingenasici samathoni. Inqubo yokuvuvukala ithinta kuphela izibilini zamangqamuzana ezingxenyeni ze-lymphoid, futhi izicubu zangaphakathi zihlala ziphilile. I-Catarrhal angina - izimpawu ezinganeni:

• ukuxhuma;
• ukulala;
• isicasuli;
• ubuhlungu obulinganiselayo uma ugwinya;
• izinga lokushisa kuya kuma-38-38.5 degrees;
• ukuvuselelwa kwe-pharynx;
• ukukhukhumeza kwamathoni;
• ubuhlungu obukhulu ema-lymph nodes aseduze (okungajwayelekile);
• ukungabi nesifiso sokudla.

I-Lacunar angina ezinganeni

Uhlobo oluchazwayo lwe-tonsillitis lubonakala ngokulimala okungahlanzekile kumathoni. I-Lacunar angina ihambisana nokubukeka kwe-foci enkulu evuvukalayo ehlangene nomunye futhi yakha uhlobo oluthile lwesigxobo esihlokweni se-lymphoid. I-plaque ivulekile futhi ayijulile, isuswa kalula kalula. Uma i-lacuna yonakalisiwe, lezi zibonakaliso ezilandelayo ze-angina emntwaneni ziyabonakala:

• ukushisa komzimba okuphakeme, ezinganeni ezincane kufinyelela ezingeni ezingama-40 ;
• ubuthakathaka nokulala;
• isiyaluyalu nosizi;
• ubuhlungu obunzima lapho ugwinya nokukhuluma, lunganika endlebeni;
• ama-aches emajoyini;
• ukunganaki emisipha;
• ikhanda;
• ukwenqaba ukudla nokuphuza.

Umkhuhlane wezintambo ezinyangeni ezinganeni

Uhlobo oluthiwa lokugula luhambisana nokubunjwa kwe-white-yellow coating on the tonsils. Odokotela abaningi abahlukanisi i-lacunar ne-follicular angina ezinganeni - izimpawu kanye nokwelashwa kwalezi zinhlobo ze-pathology zifana futhi zivame ukwenzeka kanyekanye. Ngezinye izikhathi izibonakaliso zohlobo oluthile oluthile lwe-tonsillitis zithinta amathoni ngamunye.

I-angina e-purulent ebonwa ezinganeni inezimpawu ezinjalo:

• ukushisa, izinga lokushisa kuya kuma-degree angu-41;
• ama-aches emzimbeni;
• ubuthakathaka emisipha;
• umkhuhlane, okubi kakhulu ngokugwinya;
• ukunxanxathela, ukungabi nesifiso;
• ukulala;
• ikhanda;
• ama-abscesses amhlophe aphuzi okwesibhakabhaka ubukhulu bekhanda le-pin elinama-tonsils.

I-Herpes igula umlomo emantwaneni

Lapha, inqubo yokuvuvukala igxeka ama-virus we-Coxsackie. Ngokuvamile, i-agent causative iyisifo sohlobo A (kusesekhona B). I-angina ye-viral evezwayo ezinganeni ayihlangene no-herpes, ngaphandle kwegama. Isatshalaliswa kakhulu, idluliselwa ikakhulukazi ngamaconsi amanzi, ngezinye izikhathi ngabendlu. I-agent causative yokuvuvukala yi-enteroviruses, ezithinta amathoni, amanye amathisimu e-lymphoid nama-muscle emzimbeni.

Lokhu kutholakala kwe-tonsillitis akulungile ukubiza "angina" ezinganeni - izimpawu zalo kanye nokwelashwa zihluke ngokuphelele ekulimaleni kwebhaktheriya. Isimo esichaziwe sibangelwa ukutheleleka ngegciwane lesandulela ngculaza futhi yingxenye yempawu zayo zomtholampilo. I-Herpes igula umlomo emantwaneni - izimpawu:

• ukwanda okungazelelwe kokushisa komzimba kuya eziphezulu (38.5-40 degrees);
• ukubomvu komphimbo;
• ukuchoboza esiswini;
• ukuhlanza;
• ukubonakala emphinjeni wezinqamuzana ezincane ezikhanyayo, kamuva eziba yi-bubbles ngokuqukethwe okunamafu;
• ama-aches emajoyini;
• ukudweba ubuhlungu emisipha;
• ukwandisa i-lymph nodes;
• isicasuli;
• salivation;
• itching futhi ubuhlungu emqaleni;
• ukuphuma emlonyeni ngomonakalo omncane kakhulu, ngisho nangenxa yokudla ukudla;
• ukuvula okungahleliwe kwama-bubbles ngemuva kwezinsuku ezingu-3-4 ngokubonakala kokukhukhula endaweni yabo;
• i-carditis (ngesinye isikhathi) - i-arrhythmia, ayizinhle enhliziyweni;
• ikhanda;
• I-serous meningitis (engavamile kakhulu) ngokufaka izimpawu ze-neurologic.

Ngabe izinga lokushisa lomntwana linamafutha angani?

Ukushisa nomkhuhlane yizimpawu zanoma iyiphi inqubo yokuvuvukala, zikhombisa ukulwa okunamandla nokulwa nokuzivikela kokutheleleka. Ukushisa kwama-angina ezinganeni kuhlala ezinsukwini ezingu-3-4 eziphezulu, emva kwalokho kancane kancane kuyasimemezela ngemuva kwemithi yokwelashwa. Odokotela bayelulekwa ukuba bangayiboni kuze kube yilapho inani le thermometer lifinyelela ku-38.5-39. Ngokuvamile ukuthatha i-antipyretics akudingeki neze ngenxa yokusebenzisa ama-antibiotic asebenzayo.

Kunokuphatha i-angina emntwaneni?

Ukwelashwa kuhilela isethi yamanyathelo okuvimbela ukutheleleka kwebhaktheriya nokuyeka izimpawu zokugula. Kubalulekile ukuqaphela ukuthi hlobo luni lwe-angina luvela ezinganeni - izimpawu kanye nokwelapha ifomu le-catarrhal lihluke ekutheni i-lacunar ne-follicular tonsillitis. Ukucindezeleka kwe-herpes (i-viral, i-enterovirus) ayidingi ukwelashwa okhethekile, ukuphumula kombhede, isiphuzo esinomsoco esiphundu nokunciphisa isithombe somtholampilo wesifo. Ukubuyisela kwenzeka emva kwezinsuku ezingu-7-10 ngokubunjwa kokuzivikela.

Ukwelashwa kwama-angina ezinganeni ezine-bacterial source of infection kuhlanganisa:

1. Amalungiselelo wendawo. Ukuze kususwe ubuhlungu, ukuhlunga nokubuyiselwa komphimbo, ukuhluma (Geksoral, Oracet), ama-candies (Tharyngept, Neo-Angin) nezinye izixazululo zinconywa. Izingane ezingaphansi kweminyaka engu-3 ziqokwa ngokuqapha.
2. Ama-antihistamine. Ukuvimbela ukuthuthukiswa kokuphendula okwenziwe okweqile kumathambo akhishwe amabhaktheriya, kusiza i-Cetrin, i-Peritol, i-Suprastin nemithi efana nayo.
3. Antipyretic. Kusetshenziswa kuphela ezimweni ezimbi kakhulu - uNurofen, Ibuprofen nabanye. Kuzinsana, kungcono ukhethe ama-suppository angama-rectal (Efferalgan, Cefekon nama-analogues).
4. Hlanza izixazululo. Uketshezi olunjalo kusiza ukuyeka kuphela izibonakaliso ze-tonsillitis nokunciphisa ubuhlungu be-syndrome, ukuze ukwazi ukusebenzisa amakhemikhali namakhambi omuntu.
5. Ama-antibiotics. Iqembu eliyinhloko lezidakamizwa ekwelapheni. Kungcono ukunikeza uchungechunge lwemithi ye-penicillin yengane ye-antimicrobial ngemiphumela eminingi ehlukahlukene. Udokotela kuphela ongabeka imithi elwa namagciwane, ikakhulukazi uma i-angular purulent ebantwaneni ifunyanwa - ukwelashwa izindlela ezikhethiwe kuyingozi.
6. Pro- ne-eubiotics. Ama-antimicrobial agents abathinta kakhulu i-microflora yamathumbu, ngakho-ke i-Bififir, i-Linex neminye imithi iyanconywa ukuze ibuyiselwe.

Kunokuba ugqoke umphimbo engena enganeni?

Inqubo echazwe ingenziwa ngezixazululo ezilula zamanzi afudumele ngosawoti, i-soda (1 ithisipuni ngayinye ingilazi) kanye nehlasi le-iodine. Uma ufisa, kulula ukuthola i-antiseptic ephumelelayo ye-angina yezingane ekhemisi:

• I-chlorophyllipt;
• I-Miramistin ;
• I-Eludral;
• Rivanol;
• Furacilin;
• Iodinol;
• I-Rotokan;
• Ingaphytol;
• Stomatode nabanye.

Ama-antibiotics we-angina ezinganeni

Ngaphandle kwama-antimicrobial, ngeke kwenzeke ukuthi ubhekane ne-tonsillitis ye-bacterial. Ngaphambi kokubeka imithi yokulwa namagciwane, kubalulekile ukusungula ukuthi yiziphi izimbangela ze-angina ezinganeni - izimpawu kanye nokwelashwa kuxhomeke kakhulu kwi-pathogen yokuvuvukala. Ngokuvamile ziyi-streptococcus, kodwa kwezinye izimo i-staphylococcus ihlwanyelwa kusukela ku-pharynx. Indlela kuphela yokuphulukisa ngokushesha umphimbo wesifo enganeni ukusebenzisa leyo mithi elwa namagciwane ukuthi yiziphi amabhaktheriya e-pathogenic azwelayo kakhulu:

• I-Flemoxin Solutab;
• Amoxiclav;
• I-Ecoclave;
• I-Augmentin namanye ama-agent eziningana ze-amoxicillins.

Uma ukungahambisani kwalezi zidakamizwa kunamaprodlidi anconywayo:

• Kuhlanganiswe;
• Hemomycin;
• I-Azitroxy;
• I-Macropean.

Ezimweni ezinzima, i-cephalosporins ikhethwe ukwelashwa:

• Aksetin;
• I-Cephalexin;
• Okuphezulu;
• Zinnat.

Amakhambi omphakathi womphimbo wesifo somzimba

Odokotela bayelulekwa ukuba basebenzise kuphela izixazululo zokugcoba umphimbo kusuka kwezinye izindlela zokupheka. Ukwelashwa kwama-angina ezinganeni ekhaya ngaphandle kokusetshenziswa kwama-antibiotic akusebenzi futhi kungaholela ezinkingeni eziyingozi noma ukuguqulwa kwama-tonsils zibe ifomu elingapheli nokuphindaphindiwe njalo. Okushoyo ubuhlungu kusho (ukuhlafuna ilamula, ukucubungula ama-glands ne-apula cider uviniga) kuvunyelwe, ikakhulukazi uma ingane isasencane.

Ukumnika kwamagciwane ama-rinses

Izithako:

• amaqabunga ama-sage - 4 tsp;
• chamomile izimbali - 50 g;
• amanzi - 300 ml.

Ukulungiselela, sebenzisa :

1. Gaya amakhambi bese uthele amanzi abilayo.
2. Ngemuva kwesigamu sehora, thinta ukumnika.
3. Gcina isixazululo esiphelele izikhathi ezine ngosuku.

Izinkinga zomphimbo omncane ezinganeni

Nge ukwelashwa okubambezelekile noma okungalungile, i-tonsillitis ingadala imiphumela embi. I-launar ne-purulent follicular angina ibangela izinkinga ezilandelayo ezinganeni:

• i-otitis media;
• i-laryngitis;
• i-sepsis;
• i-meningitis;
• i-pericarditis;
• i-lymphadenitis yesifunda;
• i-encephalitis;
• i-pyelonephritis;
• ukuphazamiseka okwesabekayo;
• i-appendicitis;
• i-pancarditis;
• i-phlegmon;
• i-vasculitis enegazi;
• ukunqotshwa kwe-mediastinum;
• i-glomerulonephritis;
• purpura ye-thrombocytopenic;
• i-rheumatic fever ephawulekayo ngokushintshwa komkhuhlane we-rheumatic;
• i-myocarditis nabanye.

I-prophylaxis ye-angina ezinganeni

Ukuvimbela ukutheleleka nge-tonsillitis kuyadingeka ukuqapha ukusebenza kwegciwane lesandulela ngculaza futhi kuqiniswe njalo. I-prophylaxis ye-angina ihlanganisa:

• ukudla okulinganiselayo nokunengqondo;
• ukuqina;
• ukwelashwa okufika ngesikhathi okutheleleka;
• iphupho eliphezulu;
• ukunamathela emithethweni yokuhlanzeka;
• ukugoma okuhleliwe kwezingane.