Umqalaizitrephi zomqala

Umqala womqala sisifo esibangela umqala obuhlungu (pharyngitis). Sisifo esosulelwe yintsholongwane ebizwa ngokuba liqela A streptococcus bacteria.

Umqala womqala uxhaphakile ebantwaneni abaphakathi kweminyaka emi-5 ukuya kweli-15, nangona nabani na enokuwufumana.

Umqala womqala usasazeka ngokudibana komntu nomntu ngamanzi aphuma empumlweni okanye ematheni. Ihlala isasazeka phakathi kosapho okanye amalungu osapho.

Iimpawu zivela malunga neentsuku ezi-2 ukuya kwezi-5 emva kokudibana ne-gerp germ. Banokuba nobulali okanye babukhali.

Iimpawu eziqhelekileyo zibandakanya:

• Umkhuhlane onokuqala ngokukhawuleza kwaye uhlala uphezulu ngosuku lwesibini
• Ukugodola
• Olubomvu, umqala obuhlungu onokuba namabala amhlophe
• Intlungu xa uginya
• Ukudumba, amadlala asentanyeni athambileyo

Ezinye iimpawu zingabandakanya:

• Imvakalelo yokugula ngokubanzi
• Ukuphulukana nomdla wokutya kunye nokungaqhelekanga kokungcamla
• Intloko ebuhlungu
• Isicaphucaphu

Ezinye iintlobo zomqala womqala zinokukhokelela kububomvu obufana nokubola komkhuhlane. Ukukhawuleza kuqala ukuvela entanyeni nasesifubeni. Ingasasazeka emzimbeni. Irhashalala linokuziva ngathi li-sandpaper.

Intsholongwane efanayo ebangela umqala womqala inokubangela neempawu zesifo sesono okanye usulelo lwendlebe.

Zininzi ezinye izizathu zobuhlungu bomqala zinokuba neempawu ezifanayo. Umboneleli wakho wokhathalelo lwempilo kufuneka enze uvavanyo ukuze afumanise umqala womqala kwaye uthathe isigqibo sokuba angamisela amayeza okubulala iintsholongwane.

Uvavanyo lwe-strep olukhawulezayo lunokwenziwa kwiiofisi ezininzi zababoneleli. Nangona kunjalo, uvavanyo lunokuba lubi, nokuba i-strep ikhona.

Ukuba uvavanyo lwe-strep olukhawulezileyo alunampilo kwaye umboneleli wakho usarhanela ukuba ibacteria ye-strep ibangela umqala obuhlungu, umqala womqala unokuvavanywa (ukhuliswe) ukubona ukuba i-strep ikhula kuwo. Iziphumo ziya kuthatha iintsuku ezi-1 ukuya kwezi-2.

Uninzi lomqala obuhlungu lubangelwa ziintsholongwane, hayi iintsholongwane.

Umqala obuhlungu kufuneka uphathwe ngamayeza okubulala iintsholongwane kuphela ukuba uvavanyo lwe-strep luhle. Amayeza okubulala iintsholongwane athathwa ukuthintela iingxaki ezinqabileyo kodwa ezinobuzaza, ezinje ngerheumatic fever.

I-penicillin okanye i-amoxicillin zihlala zingamachiza okuqala ukuzama.

• Amanye amayeza okubulala iintsholongwane anokusebenza ngokuchasene ne-strep bacteria.
• Amayeza okubulala iintsholongwane kufuneka athathwe kangangeentsuku ezili-10, nangona iimpawu zihlala zihamba kwiintsuku nje ezimbalwa.

Ezi ngcebiso zilandelayo zinokukunceda umqala obuhlungu uzive ungcono:

• Sela ulwelo olufudumeleyo, njengeti yelamuni okanye iti enobusi.
• Gargle amatyeli aliqela ngemini ngamanzi afudumeleyo anetyuwa (i-1/2 tsp okanye i-3 gram yetyuwa kwi-1 indebe okanye i-240 milliliters yamanzi).
• Sela iziselo ezibandayo okanye uncancise iziqhamo ezinencasa yomkhenkce.
• Suck kwiilekese ezilukhuni okanye i-lozenges yomqala. Abantwana abancinci akufuneki banikwe ezi mveliso kuba banokuziminxa.
• I-vaporizer epholileyo okanye i-humidifier inokunyibilikisa kwaye ithobe umqala owomileyo nabuhlungu.
• Zama amayeza eentlungu athengiswayo, njenge-acetaminophen.

Iimpawu zomqala womqala zihlala zingcono kwiveki e-1. Ukunganyangwa, i-strep ingakhokelela kwiingxaki ezinzulu.

Iingxaki zinokubandakanya:

• Isifo sezintso esibangelwa yi-strep
• Imeko yolusu apho amachaphaza amancinci, abomvu, anamaxolo e-teardrop abonakala ezingalweni, emilenzeni, nasembindini womzimba, obizwa ngokuba yi-guttate psoriasis.
• Ithumba kwindawo ejikeleze iitoni
• Umkhuhlane wamathambo
• umkhuhlane ombi

Biza umnikezeli wakho ukuba wena okanye umntwana wakho uvelisa iimpawu zomqala womqala. Kwakhona, tsalela umnxeba ukuba ngaba iimpawu azibi bhetele kwisithuba seeyure ezingama-24 ukuya kuma-48 zokuqalisa unyango.

Uninzi lwabantu abane-strep banokusasaza usulelo kwabanye kude kube kwii-antibiotics iiyure ezingama-24 ukuya kuma-48. Kuya kufuneka bahlale ekhaya besiya esikolweni, ukukhathalela abantwana, okanye basebenze de babe banamayeza okubulala iintsholongwane ubuncinci usuku.

Fumana ibhrashi yamazinyo emitsha emva kweentsuku ezi-2 okanye ezi-3, kodwa ngaphambi kokugqiba i-antibiotics. Ngaphandle koko, ibhaktiriya inokuhlala kwibhrashi yamazinyo kwaye ikwenze kwakhona xa i-antibiotics yenziwe. Kwakhona, gcina iibrashi zamazinyo zosapho kunye nempahla zihlukene, ngaphandle kokuba zihlambile.

Ukuba iimeko eziphindaphindwayo zokuhamba zisenzeka kusapho, unokujonga ukuze ubone ukuba umntu ngumphathi we-strep. Abaphetheyo banemiphunga emqaleni wabo, kodwa iintsholongwane azizigulisi. Ngamanye amaxesha, ukubaphatha kunokuthintela abanye ekubeni bafumane umqala womqala.

Pharyngitis - istreptococcal; I-Streptococcal pharyngitis; I-tonsillitis - i-strep; Umqala obuhlungu womqala

• Umqala womzimba
• Umqalaizitrephi zomqala

U-Ebell MH. Ukuchongwa kwe-streptococcal pharyngitis. NdinguGqirha weNdawo. Ngo-2014; 89 (12): 976-977. IINKCUKACHA: 25162166 www.ncbi.nlm.nih.gov/pubmed/25162166.

I-Flores AR, iCaserta MT. Pharyngitis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 59.

IHarris AM, iHicks LA, iQaseem A; Umsebenzi oKhulu wokuNakekelwa kweXabiso leKholeji yaseMelika yoGqirha kunye namaZiko oLawulo lweZifo noThintelo. Ukusetyenziswa kwe-antibiotiki ngokufanelekileyo kwintsholongwane yokuphefumula kubantu abadala: iingcebiso malunga nokunakekelwa kwexabiso eliphezulu kwi-American College of Physicians kunye namaZiko okuLawula nokuLawula izifo. UAnn Intern Med. Ngo-2016; 164 (6): 425-434. IINKCUKACHA: 26785402 www.ncbi.nlm.nih.gov/pubmed/26785402.

UShulman ST, uBisno AL, uClegg HW, okqhubekayo. Isikhokelo sokuziqhelanisa neklinikhi sokufumanisa isifo kunye nolawulo lweqela le-streptococcal pharyngitis: Uhlaziyo luka-2012 nguMbutho wezifo ezosulelayo eMelika. KwiKlinikhi yosulelo lweDis. Ngo-2012; 55 (10): e86-e102. IINKCUKACHA: 22965026 www.ncbi.nlm.nih.gov/pubmed/22965026.

I-Tanz RR. Pharyngitis Acute. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 409.

van Driel ML, De Sutter AI, Habraken H, Thorning S, Christiaens T. Unyango olwahlukileyo lwe-antibiotic kwiqela A streptococcal pharyngitis. Isiseko sedatha yeCochrane Rev. Ngo-2016; 9: CD004406. IINKCUKACHA: 27614728 www.ncbi.nlm.nih.gov/pubmed/27614728.