Mphuno yam'mimba imatengedwa ndi mankhwala oletsa antibiotics, monga penicillin, amoxicillin, ndi erythromycin, pakati pa ena. Ambiri omwe ali ndi kachilomboka amakhalanso ndi njira zowonjezerapo, monga ibuprofen, kapena mankhwala ochizira kunyumba kuti achepetse ululu ndi kuchepetsa zizindikiro zina zosasangalatsa. Kupeza dokotala kuti atsimikizire kuti zomwe mukukumana nazo ndizofunikira, monga momwe matendawa angakuthandizireni kuti mupeze chithandizo chofunikira kuti muthane ndi matendawa ndikulepheretsa mavuto omwe angabwere pamene akupitirira.
Malemba
Maantibayotiki a mankhwalawa ndi chithandizo cha kusankha pafupipafupi pazifukwa zingapo:
- Kuchiza moyenera kumachepetsa nthawi ya zizindikiro .
- Chithandizo chimateteza zovuta, koma mavuto aakulu a matenda a streptococci , monga rheumatic fever (chitetezo cha chitetezo cha chitetezo cha m'thupi) chomwe chimayambitsa mavuto a mtima) kapena glomerulonephritis (impso zowonongeka).
- Kuchiza kumachepetsa kufala kwa matenda.
Ngati mulibe zovuta zowonjezera penicillin, mwinamwake mudzauzidwa kuti:
- Penicillin V
- Amoxicillin
Komabe, ngati muli ndi penisilini , pali njira zina zabwino zomwe zili pamwambazi:
- Cephalexin
- Cefadroxil
- Clindamycin
- Azithromycin
- Erythromycin
- Clarithromycin
Zindikirani: Mankhwala amtundu uliwonse omwe amathera mu- cillin ndi gawo la banja la penicillin ndipo sangagwiritsidwe ntchito.
Mphamvu
Mankhwala olimbana ndi ma antibayotiki amakupindulitsani bwino ndi zinthu zingapo, kuphatikizapo:
- Kaya mulidi kapena ayi: Matenda a antibiotic sagwira ntchito polimbana ndi matenda a tizilombo, monga chimfine kapena chimfine. Dokotala wanu asananene mankhwala oletsa antibiotic, muyenera kutsimikizira kuti muli ndi strep throat (mwina kudzera muyeso yofulumira kapena chikhalidwe cha mmero ).
- Nthawi: Pali umboni wosonyeza kuti anthu omwe amalandila mankhwalawa mofulumira (mkati mwa maola 48 oyambirira) pakadwala matenda awo ali pangozi yaikulu yowonjezera mzere. Komabe, sikovomerezeka kuti madokotala amachedwetsa chithandizo cha strep throat pokhapokha ngati akuchiritsa munthu ndifupipafupi strep throat.
- Kutenga Antibiotics Monga Otsogolera: Kusamaliza mankhwala oletsa antibiotic kumatha kukupangitsani kuti mukhale ndi mitsempha yosalekeza komanso kuti mupeze matenda ena monga matenda a rheumatic fever kapena matenda a impso. Mabakiteriya angakhalenso osagonjetsedwa ndi maantibayotiki omwe simunamalize, kuwonjezera mwayi wanu wopanga matenda opatsirana pogwiritsa ntchito antibiotic.
Chenjerani
Pali mitundu yambiri ya mabakiteriya omwe amakhala kumbuyo kwa mmero osati kukudwalitsani. Ndipotu, mabakiteriyawa, otchedwa "zomera zowonongeka," kwenikweni amamenya mabakiteriya achilendo omwe ali ovulaza thupi lanu.
Komabe, maantibayotiki ambiri samawasankha, kuwononga zomera zomwe zimakhala bwino pamodzi ndi mabakiteriya omwe amayendetsedwa ndi strep throat. Izi zimapangitsa kuti zikhale zosavuta kuti mutengere vuto linalake lakumapeto kwa mwezi woyamba kapena mutatha kuchipatala, ngakhale mankhwala oyambirira atapambana.
Mankhwala osokoneza bongo akhala akugwiritsidwa ntchito pogwiritsa ntchito mankhwalawa kuti athetse mkodzo, ngakhale kuti mabakiteriya omwe sagwirizana nawo sagwirizana. Kukaniza kwatchulidwa ndi ma antibayotiki onse, koma Zithromax (azithromycin), yomwe mungazindikire monga Z-pak, yakhala yogwirizana kwambiri ndi izi.
Ngati njira yoyamba ya antibiotic siigwira ntchito kwa inu, mankhwala atsopano amatha.
Komabe, kuthekera koti zithandize kuti chisinthiko ndi kufalikira kwa ziphuphu zazikulu-mabakiteriya omwe sagwirizana ndi mitundu yambiri ya maantibayotiki-ndichifukwa chake madokotala amasamala pakupanga chisankho chowalimbikitsa iwo, ndipo chifukwa chake akutsindika kufunikira koti utsatire malangizo awo pamene akuchita .
Njira Zochiritsira Zambiri
Ngati muli ndi strep throat, ena ochiritsira mankhwala angakuthandizeni zizindikiro zina pamene mukuchira, koma sangathe kuchiza matenda kapena kupeŵa mavuto.
- Tylenol (acetaminophen) kapena Advil (ibuprofen): Mankhwalawa akhoza kuchepetsa malungo ndi chithandizo ndi ululu; ibuprofen mwachindunji ingathandizenso kuchepetsa kutupa.
- Ziphuphu Zopweteka: Zamtundu monga Chloraseptic zili ndi mitsempha yambiri yapamwamba (benzocaine, phenol) yomwe ingathandize kuchepetsa ululu wa khosi.
- Lozenges Woopsa: Pali zambiri zomwe mungasankhe, koma mukhoza kupindula makamaka posankha chimodzi chokhala ndi mankhwala osokoneza bongo. Zotsatira za lozenges zotero zingakhale zotalika kuposa zowonjezera pamutu.
Zothetsera Pakhomo
Mofananamo, mankhwala am'mudzi angakupangitseni kukhala omasuka ngati muli ndi strep throat, koma sangathe kuchiza matenda. Izi ndizothetsera mavuto a nthawi yayitali ndipo sakupatsani mpumulo wosatha. Zina zothandizira kunyumba zomwe mungapeze zothandiza zikuphatikizapo:
- Dothi lamapulaneti ngati mumatentha kapena muli ndi malungo
- Mabulangete otentha, zakumwa zotentha, ndi zakudya zotentha ngati mumamva kuti muli ozizira kapena ngati mukukumana ndi mavuto
- Kudya zakudya zofewa zomwe sizikukwiyitsa pakhosi
- Kumwa madzi kuti musatayike madzi
- Zakudya zowawa ndi zakumwa, monga popsicles kapena ayisikilimu zingathe kuchepetsa kupweteka ndi kupweteka kwa pakhosi
- Mchere wa madzi amchere ungathandize kuthetsa chitonthozo
- Pogwiritsa ntchito mpweya wotentha wa vaporizer kapena humidifier kuti mutonthozedwe
Opaleshoni
Ngati mwakhala ndi strep throat kasanu kapena kawiri chaka chimodzi, dokotala wanu nthawi zambiri amaganizira kupanga tonsillectomy . Njirayi imakhala yowonjezereka kwa ana kusiyana ndi akulu, makamaka chifukwa chakuti ana ali ndi chizoloŵezi chokwanira chokhala ndi kachilombo koyambitsa matenda.
Zoopsa za opaleshoni ziyenera kuganiziridwa mosamala. Nthaŵi zambiri, tonsillectomy idzathetsa vuto la kubwereza mzere, koma osati nthawi zonse. Ndi bwino kulankhula ndi dokotala wanu / mwana wanu za zifukwa zomveka zobwereza mzere wa pakhosi ndi ubwino ndi zoopsa za opaleshoni musanachite izi.
Anthu ambiri amatha kupita kunyumba tsiku lomwelo kapena mkati mwa maola 24 atatha opaleshoni. Kubwezeretsa kumatengera masiku asanu kapena khumi. Pochira, zakudya zozizira ndi zakumwa zimalimbikitsidwa kuti zikhale zotonthoza komanso kuchepetsa kutupa.
Funsani kuchipatala ngati nthendayi imapitirira madigiri 100.4 kapena kupwetekedwa kwambiri, chifuwa chamagazi, kapenanso kupuma pang'ono pambuyo pa opaleshoni.
Mankhwala Ophatikiza (CAM)
Palibe mankhwala othandiza omwe angachiritse mzere. Kafukufuku wina adapeza kuti adyo akhoza kulepheretsa ntchito zina za mabakiteriya mumtunda, koma izi sizinafotokozedwe ndi matenda a anthu. Mofananamo, kafukufuku wina anapeza kuti echinacea extractIon ikhoza kukhala ndi ntchito yomwe imayambitsa mabakiteriya mumtundu womwewo, koma zomwezo sizingaganizidwe mwa anthu.
Uchi ukhoza kuchepetsa zizindikiro za pakhosi, mwina chifukwa cha strep kapena chimfine, ndipo zimatetezedwa kwa ana opitirira zaka 1 ndi akulu. Mutha kugwiritsa ntchito uchi kuti muzitha kumwa zakumwa zozizira kapena muzingodya supuni.
Zozizira zamtambo, zomwe nthawi zambiri zimakhala ndi zitsamba monga zotupa zowonongeka , zimapezedwanso kukhala zothandiza kuchepetsa kupweteka kwa pakhosi, makamaka atatha opaleshoni.
Kawirikawiri, kusangalala, kulingalira, ndi kuchepetsa nkhawa kungathandize kuti chitetezo chanu cha thupi chitetezedwe kuchepetsa mwayi wanu wodwala poyamba, koma njirazi sizingakutetezeni kuti mupeze matenda monga strep throat.
> Zotsatira:
> Arzanlou M, Bohlooli S. Kuletsa kwa streptolysin O ndi allicin - chigawo chogwira ntchito cha adyo. J Med Microbiol. 2010 Sep; 59 (Pt 9): 1044-9. lembani: 10.1099 / jmm.0.019539-0. Epub 2010 Jun 10.
> El Hennawi DED, Geneid A, Zaher S, Ahmed MR. Kusamalira matenda osowa m'mimba mwa ana. Am J Otolaryngol. 2017 - Aug; 38 (4): 371-374. lembani: 10.1016 / j.amjoto.2017.03.001. Epub 2017 Mar 3.
> Neslihan Uztüre, Ferdi Menda, Sevgi Bilgen, Özgül Keskin, Sibel Temur, ndi Özge Köner. Zotsatira za Flurbiprofen pa Zoopsa Zopweteka ndi Zoopsa Pambuyo LMA-ProSeal Kuika: A Randomized, Clinical Trial. Turk J Anaesthesiol Reanim. 2014 Jun; 42 (3): 123-127.Kubisika pa intaneti pa Mar 11 11. do: 10.5152 / TJAR.2014.35693
> Paul IM, Beiler J, McMonagle A, Shaffer ML, Duda L, Berlin CM Jr. Zotsatira za uchi, dextromethorphan, ndipo palibe chithandizo pa chifuwa cha usiku ndi ubwino wokhala ndi ubongo chifukwa cha kukhwima ana ndi makolo awo. Arch Matenda Adolesc Med. 2007 Dec; 161 (12): 1140-6.
> Sharma SM, Anderson M, Schoop SR, Hudson JB. Mabakiteriya ndi anti-inflammatory malo a Echinacea omwe amadziwika bwino (Echinaforce): Zochita ziwiri motsutsana ndi mabakiteriya opuma. Phytomedicine. 2010 Jul; 17 (8-9): 563-8. lembani: 10.1016 / j.phymed.2009.10.022. Epub 2009 Dec 29.
> Stead, MD, Wendy. Maphunziro a odwala: Pakhosi pamtima anthu akuluakulu (Pambuyo pa Zowona). Zaposachedwa. https://www.uptodate.com/contents/sore-throat-in-adults-beyond-the-basics#H16
> Van Driel ML, De Sutter AI, Habraken H, Thorning S, Christiaens T. Mankhwala osiyanasiyana a antibiotic a streptococcal pharyngitis. Cochrane Database Rev Rev 2016 Sep 11; 9: CD004406. [Epub patsogolo pa kusindikiza]