Khwekhwe kukhosi

Strep throat ndimatenda omwe amayambitsa zilonda zapakhosi (pharyngitis). Ndi kachilombo kamene kamatchedwa gulu la A streptococcus bacteria.

Kakhosi kosalala kumakhala kofala kwambiri kwa ana azaka zapakati pa 5 ndi 15, ngakhale aliyense atha kuipeza.

Khosi limafala ndikulumikizana ndi munthu ndi madzi apamphuno kapena malovu. Amakonda kufalikira pakati pa mabanja kapena abale.

Zizindikiro zimawoneka patatha masiku awiri kapena asanu mutakumana ndi kachilomboka. Atha kukhala ofatsa kapena okhwima.

Zizindikiro zodziwika ndizo:

• Malungo omwe atha kuyamba mwadzidzidzi ndipo nthawi zambiri amakhala okwera kwambiri patsiku lachiwiri
• Kuzizira
• Ofiira, opweteka pakhosi omwe angakhale ndi zigamba zoyera
• Ululu mukameza
• Kutupa, tiziwalo timene timatulutsa khosi

Zizindikiro zina zitha kuphatikiza:

• Kumva kudandaula
• Kutaya njala ndi malingaliro achilendo a kukoma
• Mutu
• Nseru

Mitundu ina ya khosi pakhosi imatha kubweretsa kufufuma ngati chimfine. Ziphuphu zimayamba kuwonekera pakhosi ndi pachifuwa. Itha kufalikira pathupi lonse. Ziphuphu zingamve zovuta ngati sandpaper.

Majeremusi omwewo omwe amachititsa strep throat angayambitsenso zizindikiro za matenda a sinus kapena matenda a khutu.

Zambiri zomwe zimayambitsa zilonda zapakhosi zitha kukhala ndi zizindikilo zomwezo. Wothandizira zaumoyo wanu ayenera kuyesa kuti azindikire kukhazikika kwa khosi ndikusankha ngati angakupatseni maantibayotiki.

Kuyesa mwachangu kumatha kuchitika m'maofesi ambiri opereka. Komabe, mayesowo atha kukhala olakwika, ngakhale strep ilipo.

Ngati kuyesayesa kwakanthawi koyipa kuli koyipa ndipo wothandizirayo akukayikirabe kuti mabakiteriya a strep akuyambitsa zilonda zapakhosi, khosi la khosi limatha kuyesedwa (kutukuka) kuti liwone ngati strep ikukula kuchokera pamenepo. Zotsatira zimatenga masiku 1 mpaka 2.

Zilonda zambiri zapakhosi zimayamba chifukwa cha mavairasi, osati mabakiteriya.

Pakhosi pamafunika kuthandizidwa ndi maantibayotiki pokhapokha ngati kuyesa kwa strep kuli koyenera. Maantibayotiki amatengedwa kuti ateteze mavuto osowa koma oopsa kwambiri, monga rheumatic fever.

Penicillin kapena amoxicillin nthawi zambiri amakhala mankhwala oyamba kuyesa.

• Maantibayotiki ena amathanso kulimbana ndi ma strep bacteria.
• Maantibayotiki ayenera kumwa kwa masiku 10, ngakhale zizindikiro zimatha masiku ochepa.

Malangizo otsatirawa atha kuthandiza kummero kwanu kumva bwino:

• Imwani zakumwa zotentha, monga tiyi wa mandimu kapena tiyi wokhala ndi uchi.
• Sungani kangapo patsiku ndi madzi ofunda amchere (1/2 tsp kapena 3 magalamu amchere mu chikho chimodzi kapena madzi mamililita 240).
• Imwani zakumwa zoziziritsa kukhosi kapena muyamwe mazira oundana opatsa zipatso.
• Suck on hard pandi kapena pakhosi lozenges. Ana aang'ono sayenera kupatsidwa mankhwalawa chifukwa amatha kuwatsamwitsa.
• Mpweya wotentha kapena chopangira chinyezi chimatha kunyowa ndikukhazika pakhosi lowuma komanso lopweteka.
• Yesani mankhwala owawa owawa, monga acetaminophen.

Zizindikiro za strep mmero nthawi zambiri zimakhala bwino pafupifupi sabata imodzi. Kusachiritsidwa, kupopera kumatha kubweretsa zovuta zazikulu.

Zovuta zingaphatikizepo:

• Matenda a impso omwe amayamba chifukwa cha strep
• Matenda akhungu pomwe pamapezeka mawanga ofiira ofiira, ofiira ndi mikwingwirima pamikono, miyendo, ndi pakati pa thupi, otchedwa guttate psoriasis
• Abscess m'dera lozungulira ma tonsils
• Rheumatic malungo
• Malungo ofiira kwambiri

Itanani omwe akukuthandizani ngati inu kapena mwana wanu mumayamba kukhala ndi matenda am'mero. Komanso, itanani ngati zizindikiro sizikukhala bwino mkati mwa maola 24 mpaka 48 kuyambira pomwe mukuyamba chithandizo.

Anthu ambiri omwe ali ndi strep amatha kufalitsa matendawa kwa ena mpaka atakhala ndi maantibayotiki kwa maola 24 mpaka 48. Ayenera kukhala kunyumba kuchokera kusukulu, kusamalira ana, kapena kugwira ntchito mpaka atakhala ndi maantibayotiki kwa tsiku limodzi.

Pezani mswachi watsopano pakatha masiku awiri kapena atatu, koma musanamalize maantibayotiki. Kupanda kutero, mabakiteriya amatha kukhala pamswachi ndikumakupatsaninso mankhwala akatha. Ndiponso, sungani mabotolo a mswinyo ndi ziwiya za banja lanu zikhale zosiyana, pokhapokha zitasambitsidwa.

Ngati milandu ingapo imabwerabe m'mabanja, mungayang'ane ngati wina ali ndi chonyamulira cha strep. Onyamula ali ndi khosi m'makhosi awo, koma mabakiteriya sawadwalitsa. Nthawi zina, kuwathandiza kumatha kulepheretsa ena kuti asamveke khosi.

Pharyngitis - streptococcal; Streptococcal pharyngitis; Zilonda zapakhosi - strep; Zilonda zapakhosi

• Kutupa kwa pakhosi
• Khwekhwe kukhosi

Ebell MH. Kuzindikira kwa streptococcal pharyngitis. Ndi Sing'anga wa Fam. 2014; 89 (12): 976-977. PMID: 25162166 www.ncbi.nlm.nih.gov/pubmed/25162166. (Adasankhidwa)

Flores AR, Caserta MT. Pharyngitis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 59.

Harris AM, Hicks LA, Qaseem A; Ntchito Yogwira Ntchito Yapamwamba Kwambiri ku American College of Physicians ndi ku Centers for Disease Control and Prevention. Kugwiritsa ntchito maantibayotiki moyenera mwa matenda opatsirana mwa akulu: upangiri wopeza chisamaliro chamtengo wapatali kuchokera ku American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med. 2016; 164 (6): 425-434. PMID: 26785402 www.ncbi.nlm.nih.gov/pubmed/26785402.

Shulman ST, Bisno AL, Clegg HW, ndi al. Chitsogozo chazachipatala pakuwunika ndikuwunika kwa gulu A streptococcal pharyngitis: kusintha kwa 2012 ndi Infectious Diseases Society of America. Clin Infect Dis. 2012; 55 (10): e86-e102. (Adasankhidwa) PMID: 22965026 www.ncbi.nlm.nih.gov/pubmed/22965026. (Adasankhidwa)

Tanz RR. Pachimake pharyngitis. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 409.

van Driel ML, De Sutter AI, Habraken H, Thorning S, Christiaens T. Mankhwala osiyanasiyana opha tizilombo a gulu A streptococcal pharyngitis. Dongosolo La Cochrane Syst Rev. 2016; 9: CD004406. PMID: 27614728 www.ncbi.nlm.nih.gov/pubmed/27614728. (Adasankhidwa)