Ukwelapha nokuvikelwa kwe-tonsillitis engapheli

I-tonsillitis (i-tonsillitis) - ukuvuvukala kwamathoni - ngokuvamile kuvela ngenxa yokutheleleka kwegciwane noma igciwane. Lesi sifo siphelela isilinganiso sezinsuku ezingu-5. Ukwelashwa nokuvikelwa kwe-tonsillitis engapheli - esihlokweni sethu.

Izici zomtholampilo

Ngezimpawu ze-baconial tonsillitis kungaba nzima kakhulu. Isiguli sikhathazekile ngomphimbo wesisu, kuhlangene nezimpawu ezifana nalezi:

• i-malaise ejwayelekile;

• umkhuhlane;

• i-lymphadenopathy yomlomo wesibeletho (ukwandiswa kwe-lymph nodes).

Ngezinye izikhathi ubuhlungu bubeka endlebeni, ngakho-ke ezinganeni ezincane, lesi sifo singaphutha nge-otitis media (ukuvuvukala kwezindlebe). Kune-reddening ne-edema ye-oropharynx (phakathi kwe-palate ethambile ne-epiglottis), mhlawumbe ukubonakala kwe-exudate (detachable) ebusweni bamathoni. Kubalulekile ukuhlukanisa ingculaza ye-bacterial pharyngitis (ukuvuvukala kwe-pharynx). Ukutheleleka kwebhaktheriya kuhambisana nokukhishwa kwe-tonsils ne-throat (ukuxhumana komlomo womlomo ne-pharynx), ukuqoqwa kwemfucumfucu ehlanjululwayo phezu kwamathoni nokuphefumula kwe-fetid.

Lymphadenopathy

Ngakolunye uhlangothi lwe-lesion, kuhlale kunyuke emitholampilo yomlomo womlomo wesibeletho, ekwazi ukuzwakala futhi ebuhlungu. I-Lymphadenopathy nokuvuvukala kwamatoni kuyatholakala nakwe-mononucleosis esithathelwanayo. Ezimweni ezingavamile, amathani amancane akhulisa angabangela ukuvinjelwa kwemimoya yomoya, okuyinto evame kakhulu nge-mononucleosis esithathelwanayo. Ngezinye izikhathi kunzima ukuhlukanisa phakathi kokutheleleka kwemvelaphi yegciwane lesandulela ngculazi, futhi i-smear evela ku-pharynx ingadukisa. Ukuxilongwa kwe-tonsillitis kusekelwe esithombeni somtholampilo, ikakhulukazi ngezibonakaliso ezifana ne-edema ye-lymph node yezibeletho nokuvuvukala kwamathoni. Uma kukhona ukusola kwe-mononucleosis esithathelwanayo, igazi lesiguli lihanjiswa ku-okuthiwa i-single-spot test ukuze kuqinisekiswe ukuthi kutholakala yini. I-tonsillitis yamabhaktheriya idinga ukwelashwa ngama-antibiotic, mhlawumbe i-penicillin noma, ngenxa yemithi ephikisayo, i-erythromycin. I-Amoxicillin ayinconywa ukuthi isetshenziswe, ngoba esimweni sosifo esithathelwanayo se-mononucleosis singabangela ukuqhuma.

Ukwelapha okuhlinzwa

I-tonsillectomy (i-tonsillectomy) okwamanje iyenzeka ngokungajwayelekile, kodwa ngokuhlinzwa okuvamile okuphindaphindiwe kwe-tonsillitis ayikwazi ukugwema. Ezinye izinkomba zokuhlinza zihlanganisa i-apnea syndrome (ukuboshwa kokuphefumula) ebuthongweni nasebhange lamathani. Kubantu abadala, ukukhulula ubuhlungu emphinjeni kuzosiza ukuhlanza isisombululo soda. Ukuze unciphise izinga lokushisa, i-acetaminophen isetshenziswa. I-tonsillitis ithinta kakhulu izingane kanye nabantu abasha, isakazwa ngamaconsi aphuma emoyeni. Ukuqala kwesifo ngokuvamile kufana nokutheleleka kwegciwane, kulandelwa ukunamathiswa kwesakhi sebhaktheriya - ngokuvamile i-streptococcus ye-beta-hemolytic, engagcina izicubu zama-tonsils isikhathi eside.

I-tonsillitis ene-Purulent

I-abscessillar abscess (ukuxubana kwe-pus) ivame ukukodwa futhi kubangelwa ukutheleleka kwe-streptococcal. Ngaphambi kwesizathu esibi sokwakheka kwefilimu emadayimeni nokuphulwa kokuphefumula kwakuyi-diphtheria. Kodwa-ke, ukugoma kwendawo yonke kunciphisa kakhulu izifo zalesi sifo. Kuvame ukuvunyelwa ngamatronti izinsuku ezinhlanu. Isimo njalo sidlulela ngokuzimela, kodwa ukuphindaphindiwe njalo kungase kube nzima kakhulu impilo yomguli. Ukwandiswa komuntu ngamakhemikhali womlomo wesibeletho kungabangela ukusola kwe-neoplasm futhi kufanele kususwe. I-tonsillitis ivame kakhulu ebuntwaneni ne-hypertrophy ye-tonsils nezifo eziphindaphindiwe. Ukuhlanzeka ngokucophelela komlomo namazinyo kunganciphisa izigameko. Izingane ezigulayo akufanele zifike esikoleni, ngoba ukutheleleka kusakazeka kalula eqenjini labantwana.