Angina: yini leyo?

Angina: yini leyo?

Incazelo ye-angina

Theangina ihambisana nokutheleleka emphinjeni, futhi ngokunembile ku- amalaka. Inganweba ifinyelele ku- umphimbo. I-Angina ibangelwa igciwane - lesi yisimo esivame kakhulu - noma amagciwane futhi ibonakala ngomphimbo obuhlungu kakhulu.

Uma kwenzeka i-angina, ukulunywa nobuhlungu kungazwakala lapho ugwinya. Kungenza futhi ukuthi amalaka abomvu futhi avuvuke futhi kubangele umkhuhlane, ikhanda, ubunzima bokukhuluma, njll.

Lapho amalaka eba bomvu, sikhuluma ngakhoumphimbo obuhlungu obomvu. Kukhona futhi i-tonsillitis emhlophe lapho amalaka embozwe idiphozi emhlophe.

I-Angina ivame kakhulu ezinganeni futhi kumacala angaba ngu-80% kunjalo viral. Uma isuka kubhaktheriya, ibangelwa a streptococcus (imvamisa i-streptococcus A noma i-SGA, iqembu A hem-hemolytic streptococcus) futhi ingaletha izinkinga ezinkulu ezifana nesibonelo, isifo samathambo noma ukuvuvukala kwezinso. Lolu hlobo lwestrep emphinjeni kufanele iphathwe ngu kwemithi elwa namagciwane, ikakhulukazi ukunciphisa ubungozi bokuhlushwa inkinga. I- i-tonsillitis yegciwane ziyanyamalala phakathi nezinsuku ezimbalwa futhi ngokuvamile azinangozi futhi azisho lutho.

Ukuvama

I-Angina yisifo esivame kakhulu. Ngakho, kukhona ukuxilongwa kwe-angina eyizigidi ezingu-9 eFrance unyaka ngamunye. Nakuba ingathinta yonke iminyaka, i-angina ithinta kakhulu izingane kanye, futhi ikakhulukazi iminyaka engu-5 - 15 ubudala.

Izimpawu ze-angina

  • Umphimbo obuhlungu
  • Kunzima ukugwinya
  • Amathoni avuvukele futhi abomvu
  • Imali emhlophe noma ephuzi kumathoni
  • Izindlala emphinjeni noma emhlathini
  • Ukuphathwa yikhanda
  • Amakhaza
  • Ukulahlekelwa kwesifiso
  • Fever
  • Izwi eliphuthumayo
  • Umoya omubi
  • Ama-Aches
  • Ubuhlungu besisu
  • Amahloni okuphefumula

Izinkinga ze-angina

I-angina yegciwane ngokuvamile iphulukisa phakathi kwezinsuku ezimbalwa ngaphandle kwezinkinga. Kodwa uma imvelaphi yebhaktheriya, i-angina ingaba nemiphumela ebalulekile efana nale:

  • ithumba lepharyngeal, eliyi-pus ngemuva kwamathoni
  • isifo sezindlebe
  • i-sinusitis  
  • i-rheumatic fever, okuwukuphazamiseka kokuvuvukala okuthinta inhliziyo, amalunga nezinye izicubu
  • i-glomerulonephritis, okuwukuphazamiseka kokuvuvukala okuthinta izinso

Lezi zinkinga ngezinye izikhathi zingadinga ukulaliswa esibhedlela. Ngakho-ke ukubaluleka kokuyelapha.

Ukuxilongwa kwe-angina

Ukuxilongwa kwe-angina kwenziwa ngokushesha ngokulula ukuhlolwa ngokomzimba. Udokotela ubheka ngokucophelela amathoni kanye ne-pharynx.

Ukuhlukanisa i-angina yegciwane kusuka ku-angina yebhaktheriya, ngakolunye uhlangothi, kuyinkimbinkimbi kakhulu. Izimpawu ziyefana, kodwa hhayi imbangela. Ezinye izimpawu likeakukho fever noma ukuqala kancane kancane yesifo sinciphisa izikali ngokuthanda imvelaphi yegciwane. Ngokuphambene, a ukuqala okungazelelwe noma ubuhlungu obukhulu emphinjeni nokungabikho kokukhwehlela kusikisela imvelaphi yebhaktheriya.

I-bacterial tonsillitis kanye ne-virus tonsillitis, yize kukhombisa izimpawu ezifanayo, akudingi ukwelashwa okufanayo. Isibonelo, ama-antibiotics azobekwa kuphela nge-angina yebhaktheriya. Udokotela kumele ahlukanise ngokuqiniseka i-angina embuzweni ngakho-ke azi umsuka wesifo. Ngakho-ke ukusetshenziswa, uma kungabaza ngemuva kokuhlolwa komtholampilo, kokuhlolwa okusheshayo kokuhlola (i-RDT) kwe-strep throat.

Ukwenza lolu vivinyo, udokotela uhlikihla uhlobo lukaswabi kotoni emathanjeni esiguli abese elufaka kusixazululo. Ngemva kwemizuzu embalwa, ukuhlolwa kuzoveza ukuthi akhona yini amagciwane emphinjeni. Isampula lingathunyelwa elabhorethri ukuze liphinde lihlaziywe.

Ezinganeni ezingaphansi kweminyaka emithathu ubudala, i-RDT ayisetshenziswanga ngoba i-angina ene-GAS ayivamile kakhulu futhi izinkinga ezifana ne-rheumatic fever (AAR) azibonwa ezinganeni ezikule minyaka yobudala.

Umbono kadokotela wethu

“U-Angina yisimo esivamile impela, ikakhulukazi ezinganeni nasebusheni. Ama-tonsillitis amaningi anamagciwane futhi aba ngcono ngaphandle kokwelashwa okukhethekile. I-bacterial tonsillitis, noma kunjalo, inzima kakhulu futhi kufanele ilashwe ngama-antibiotic. Njengoba kunzima ukuhlukanisa, kungcono ukubonisana nodokotela wakho.

Uma ingane yakho inemfiva nomphimbo obuhlungu obuqhubekayo, bheka udokotela wakho, futhi ukwenze ngokushesha lokhu uma kunzima ukuphefumula noma ukugwinya, noma uma uvuza amathe ngokungavamile, ngoba lokhu kungakhombisa ukuthi 'unenkinga yokugwinya. ”

UDkt Jacques Allard MD FCMFC

 

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