Kuzindikira kwa mzere wa mmphepete sizingatheke pokhapokha pa zizindikiro za matenda, ndipo mayesero ena amafunika kuti adziwe bwino mabakiteriya a Streptococcus pyogenes omwe amachititsa vutoli. Kuyeza kofulumira kwapadera kungapereke zotsatira zofanana-tsiku, koma zingatenge masiku angapo kuti zipeze zotsatira za chikhalidwe cha mmero, ngakhale kuti mayeserowa ndi olondola.
Matenda oyenera ndi ofunika chifukwa chithandizo chingathandize kupewa mavuto omwe angakhalepo kwa nthawi yayitali, monga matenda a mtima ndi impso.
Odzifufuza okha
Zizindikiro zoyambirira za mitsempha yam'mimba zimakhala ndi zomwe zimapangitsa kuti thupi liziyenda bwino. Ngakhale kuti simungadziwe kuti muli ndi strep, mukhoza kuyang'ana zotsatirazi, zomwe zingagwiritse ntchito kuti mzere wa mmphepete mwako ukhoza kukukhudzani inu kapena mwana wanu:
- Kutupa kumbuyo kwa mmero
- Mawanga oyera kapena zofiira zoyera kumbuyo kwa mmero
- Tsamba zofiira kapena zofiirira mkati mwamwa mwako
Matenda ena owopsa ndi matenda amatha kuyamba ndi zizindikiro zomwe zimakhala zofanana ndi za mzere. Ngakhale kuti ndizosazolowereka, mzere wa mmphepete mwawo umatha kupangitsa mavuto aakulu. Pali zinthu zingapo zofunika zomwe muyenera kuzikhala kuti mukhale osamala kuti musachedwe kuzindikiritsa zomwe mukudwala:
- Kutentha kwakukulu (pamwamba pa madigiri 101)
- Kulimbana ndi malungo (osatha maola 24)
- Msuzi pamtima, mikono, kapena khosi
- Kufiira pamaso
- Kuvutika kupuma
- Kuchuluka kwa mkodzo; kusintha mu mtundu wa mkodzo
Mapulogalamu ndi Mayesero
Chifukwa mzere wam'mimba umayambitsa zizindikiro ndi zofanana ndi za matenda opatsirana ndi tizilombo tina tizilombo toyambitsa matenda, njira yabwino kwambiri yotsimikizirira kuti imapezeka ndi ma laboratory omwe angathe kuzindikira kuti Streptococcus pyogenes palokha kapena kuti azindikire zizindikiro zosonyeza kuti zamoyo zilipo kumbuyo kwa mmero.
Chikhalidwe Choipa
Kuyambira kale, chikhalidwe cha mmero chimayesedwa ngati matenda a golidi omwe amatha kugwiritsira ntchito golide, ndipo vuto lalikulu ndilo kuchepetsa maola 24 mpaka 48 mu zotsatira za chikhalidwe. Mkhalidwe wa kummero umapangidwa ndi kusonkhanitsa mabakiteriya kumbuyo kwa mmero pogwiritsa ntchito swabu yaitali. Chitsanzocho chimayikidwa pazipangizo zapadera zomwe zimapangidwa ndi magazi a nkhosa zomwe zimakhudzana ndi mabakiteriya kukula.
Streptococcus pyogenes ili ndipadera yomwe imawathandiza kuti aswe maselo ofiira otseguka. Pamene mabakiteriya akukula pa mbaleyi, padzakhala kuyeretsa kwa maselo ofiira ofuira pa mbale ya petri ngati Streptococcus pyogenes mabakiteriya alipo mu chitsanzo.
Mayesero Odziwika Odziwika Otsutsa Antigen
Mayeso ofulumira a antigen amachitikira ku ofesi ya dokotala ndipo amachitiranso mwa kugwedeza kumbuyo kwa mmero. Tizilombo toyambitsa matenda timatha kukhala ndi mavitamini kapena asidi kuti tipeze mbali za mabakiteriya a Strep , omwe amatchedwa antigen. Zabwino kapena zoipa, muyenera kupeza zotsatira mu maminiti 10 mpaka 20.
Mayesero ofulumira a antigen amakhala ndi mphamvu zochepa kwambiri kuposa zikhalidwe zam'mero, zomwe zikutanthauza kuti iwo amatha kulakwitsa molakwika matenda opatsirana kusiyana ndi chikhalidwe cha mitsempha.
Zikuoneka kuti mayesero ofulumira a antigen amakhala pafupifupi 14 peresenti mpaka 20 peresenti yachinyengo. Pachifukwa ichi, ngati pali mwayi waukulu wa matenda a khosi, zimalimbikitsa kuti zotsatira zolakwika kuchokera kumayesero ofulumira a antigen azitsatiridwa ndi chikhalidwe cha mmero (pofuna kutsimikiziridwa).
Mayendedwe ofulumira a antigen omwe sagwiritsidwa ntchito mofulumira sagwirizana ndi chinyengo chabwino, zomwe zikutanthauza kuti ngati abwereranso zabwino, pamakhala otsimikizika kuti muli ndi matenda a strep throat.
Kujambula
Mayesero ojambula sizoloŵezi pakudziŵika kwa matenda osokonekera. Komabe, mayesero monga X-ray, CT, MRI, kapena ultrasound angafunike kuyesa mavuto aakulu a strep throat matenda, monga impso kapena kukhudza mtima.
Apanso, mavutowa ndi osowa ndipo amawoneka mwa odwala osatetezedwa.
Kusanthula Kusiyanasiyana
Matenda ambiri opuma opuma akhoza kuyamba ndi zizindikiro zomwezo monga mzere wa mmphepete. Pano pali matenda omwe amawoneka ngati mukuyesedwa kuti muwone mkamwa, komanso zizindikiro zina zowonjezereka:
- Tizilombo toyambitsa matenda a Epstein-Barr (mononucleosis): imakhudzanso minofu ndi kumverera kuthamanga
- Chifuwa (chimfine)
- Chibayo: Matenda a mapapo omwe amachititsa kuti akhudze, atenge mpweya, ndi kupuma pang'ono
- Bronchitis: Matenda a bronchi omwe amachititsa chifuwa chopindulitsa ndipo amachititsa kupuma pang'ono
- Matenda a Mycobacteria: Matenda a m'mapapo omwe amachititsa chifuwa ndi kuwomba
- Fusobacterium necrophorum: matenda a mapapo omwe nthawi zambiri amachititsa zizindikiro zoopsa kwambiri kuposa mzere wa mmimba
- Matenda owopsa: akhoza kuthandizira lirilonse lirilonse la thupi ndipo akhoza kuyamba ndi zizindikiro zofanana ndi za matenda oyambirira a strep throat
- Appendicitis: ikhoza kuyamba ndi malungo ndi aches, koma nthawi zambiri imayambitsa ululu m'mimba
- Matenda a nyamakazi: zizindikiro zofanana ndi zovuta za matenda a strep
> Zotsatira:
> Atkinson TP, Centor RM, Xiao L, et al. Kufufuza kwa tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda kumatulutsa chiwerengero chachikulu cha Fusobacterium necrophorum. PLoS One. 2018 Jan 19; 13 (1): e0189423. lembani: 10.1371 / magazini.pone.0189423. eCollection 2018.
> Cohen JF, Bertille N, Cohen R, Chalumeau M. Rapid antigen kuyesa mayeso a gulu A streptococcus kwa ana okhala ndi pharyngitis. Cochrane Database Rev Rev 2016 Jul 4; 7: CD010502. onetsani: 10.1002 / 14651858.CD010502.pub2.