Mkhalidwe umene anthu ambiri adzakumana nawo usanakhale wamkulu
Nthawi zambiri timaganiza za matonillitis ngati imodzi mwa miyambo yomwe ana amapita motsatira nkhuku ndi tizilombo. Ngakhale kuti chikhalidwechi chimakhala chikuchitika kawirikawiri pakapita zaka zapakati pazaka zapakati, zimatha kuchitika nthawi iliyonse m'moyo.
Njira zamatronti zimapezeka ndi zothandizidwa zasintha kwambiri zaka 30 zapitazo. Tsopano pali mayesero ofulumira omwe angatithandize kuthana ndi matenda mwamsanga komanso mankhwala atsopano omwe angathe kuthana ndi mabakiteriya osagonjetsedwa.
Ndiko kunena kuti, kuchuluka kwa tonsillectomy (kuchotsa opaleshoni ya matayoni) kwatulukadi kuyambira zaka za m'ma 1970, malinga ndi kafukufuku wochokera ku Mayo Medical School College of Medicine.
Kumvetsa Tonsillitis
Matayala anu ndi mbali ya mavitamini, omwe amachititsa kuthetsa poizoni ndi tizilombo toyambitsa matenda (kuphatikizapo mavairasi ndi mabakiteriya) kuchokera mthupi lanu. Zida zanu zimagwira ntchito pogwiritsa ntchito timadzi ta tizilombo toyambitsa matenda ndipo timapereka mankhwalawa kuti asatengedwe.
Pali awiri awiri matani m'thupi lanu:
- Mitambo ya Pharyngeal , yomwe imatchedwanso adenoids, yomwe ili pa denga la pakamwa panu pafupi ndi momwe mphuno yanu imagwirizanitsa ndi khosi lanu
- Zida zamtundu uliwonse zili pambali pa lilime
- Matani a Palatine ali kumbuyo kwa mmero
Matendawa amapezeka pamene kachilombo kapena mabakiteriya alowa m'kamwa kapena mphuno ndipo amamangidwa ndi matayoni. Izi zikachitika, chitetezo cha mthupi chidzalowera ndikuukira omenyana ndikuyambitsa kupweteka , kuyambitsa malungo ndi kutupa.
Matenda a tizilombo ndi osowa, ndipo anthu ambiri amakhala ndi chidziwitso chimodzi choyamba asanakhale wamkulu, ndipo amakhala otheka kwambiri. Kawirikawiri zimawoneka kuti ana a zaka zapakati pa zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu (15) koma amatha kupezeka pakati pa zaka 15 ndi 25. Zowopsya zimayamba kuchepa ngati munthu akukula.
Zimayambitsa
Matenda ambiri amtayirasi amayamba ndi kachilombo, pamene paliponse paliponse pa asanu peresenti mpaka 40 peresenti amakhulupirira kuti amayamba chifukwa cha mabakiteriya.
Zina mwazimene zimayambitsa matendawa ndi awa:
- Mavairasi opatsirana (kuphatikizapo ma rhinoviruses ndi adenoviruses)
- Matenda a mononucleosis
- Cytomegalovirus (CMV)
- Vuto la Epstein-Barr (EBV)
- Vuto la Herpes simplex (HSV)
- Zakudya
Mabakiteriya owopsa amachititsa kuti:
- Staphylococcus aureus (kuphatikizapo MRSA )
- Chifuwa (pertussis)
- Bakiteriya chibayo
- Streptococcal pyogenes (strep throat)
Zopanda matenda zomwe zimayambitsa matayira otupa ndizochepa koma zingaphatikizepo khansara ya matayoni ndi taniyoni .
Zizindikiro
Zizindikiro za matronillitis zimawoneka mofulumira ndikukhazikitsa masiku atatu mpaka 14, nthawi zambiri popanda chithandizo. Zizindikiro zikhoza kukhala:
- Kumeza koopsa (odynophagia)
- Kuvuta kumeza (dysphagia)
- Kutupa ndi kukulitsa kwa matani
- Miphika kapena mapepala oyera pa tonsils (tonsillar exudates)
- Kutupa ma lymph nodes, makamaka kuzungulira khosi ( lymphadenopathy )
- Fever
- Mutu
- Kutopa
- Dothi laling'ono kapena lofiirira padenga la pakamwa panu (petechiae)
Zizindikiro zimatha kusiyana ndi mtundu wa tizilombo kapena tizilombo toyambitsa matenda, kuphatikizapo msinkhu komanso thanzi la munthu aliyense. Ngakhale kuti mavitamini ambiri amakhala ovuta-kutanthauza kuti amawoneka ndikuthamanga mofulumira-angathenso kubwereza (kubwereza kangapo pachaka) kapena matenda (osatha kwa miyezi itatu).
Kudziwa
Matendawa amayamba kutsogolera thupi ndikuwerenganso mbiri yanu yachipatala. Zikakhala kuti pali zizindikiro za strep throat (malungo, kutentha thupi, kutupa kwa mitsempha yotupa pamutu, osakokera), dokotala adzatenga chisomo cha mmero mwako ndikuchikulitsa mu labata kuti atsimikize kupezeka kwa mzere mabakiteriya. Zotsatira za Lab zimatenga maola pakati pa 24 ndi 48.
Zatsopano, zofulumira zowonongeka zowonjezera zingagwiritsidwe ntchito ndipo, ngakhale pang'onopang'ono movutikira kuposa chikhalidwe cha mmero, amatha kubwezera zotsatira maminiti khumi.
Kuchiza
Zizindikiro za matronillitis zimakhala zokhumudwitsa kwambiri kuposa zoyipa ndipo nthawi zambiri zimafuna thandizo laling'ono.
- Ngati muli ndi tizilombo ta tizilombo , chithandizochi chidzagwiritsidwa ntchito pochepetsa kupweteka ndi malungo ndi kupweteka kwamtundu wambiri monga Tylenol (acetaminophen) kapena Advil (ibuprofen). Mankhwala osokoneza bongo, kuphatikizapo mankhwala oletsa tizilombo toyambitsa matenda, satero.
- Mosiyana ndi zimenezi, mavitamini a tizilombo amakhala ochiritsidwa ndi maantibayotiki. Penicillin ndi amoxicillin ndizoyendera, kusankha mzere woyamba, ngakhale erythromycin ndi mankhwala atsopano monga antizololid angagwiritsidwe ntchito pakakhala mankhwala osokoneza bongo. Zizindikiro za matayilitis nthawi zambiri zimachoka mkati mwa mankhwala oyamba ola limodzi ndi maola 24.
Ngati mataniwa ndi aakulu kwambiri moti amalepheretsa kupuma, dokotala angapereke mankhwala ochotsera mankhwala a corticosteroid (steroid) kuti athe kuchepetsa kukula kwake. Komabe, steroids ya mtundu uliwonse ayenera kugwiritsidwa ntchito mosamala chifukwa cha zotsatira zake zazikulu .
Tonsillectomy
Ngati muli ndi matonillitis osatha kapena omwe amakhudza moyo wanu, dokotala wanu angapangire tonsillectomy . Pali njira zingapo zothandizira opaleshoniyi, mwa iwo opangidwa ndi akupanga ma scalpels, mapuloteni apamwamba a pulasitiki, opaleshoni yamagetsi, ndi opaleshoni ya chikhalidwe cha "chimfine."
Ngakhale kuti mauthenga amtunduwu ndi ofanana ndi otetezeka, ndikofunika kukambirana zoopsa ndi zopindulitsa za opaleshoniyi ndi dokotala wanu.
Zothetsera Pakhomo Poyesa
Kaya mwauzidwa mankhwala kapena ayi, pali mankhwala omwe angathandize kuchepetsa zizindikiro zambiri za matayillitis. Kuwonjezera pa kugwiritsa ntchito kupweteka kwamtundu wambiri, yesani:
- Kutentha madzi ofunda ngati tiyi kapena msuzi
- Kumwa madzi ozizira kapena kuyamwa pa popsicles
- Kupweteka pa kupweteka kwa khosi kumutu kapena kugwiritsa ntchito khosi lokhala ndi benzocaine
- Kuthamanga ndi yankho la 1/2 supuni ya supuni ya mchere pamodzi ndi ma ouniti asanu ndi atatu a madzi otentha
- Kuyika puloteni yozizira kapena phukusi pa khosi lako
- Gwiritsani ntchito chikumbumtima chozizira
Nkofunika kudziwa kuti aspirin iyenera kupezedwa kwa ana omwe ali ndi kachilombo ka HIV chifukwa cha chiopsezo chachikulu cha matenda a Reye , omwe angathe kuwononga moyo ndi chiwindi.
Mavuto Ofanana
Ndikofunika kukumbukira kuti nthawi zambiri matronillitis amakonza okha popanda kuchititsa mavuto. Komabe, vuto lalikulu kapena lobwerezabwereza lingayambitse mavuto monga otitis media (matenda a khutu la pakati) kapena abscesslar abscess (kupanga mapepala odzaza madzi pafupi ndi matani).
Nthawi zina matayoni amakhala otupa kwambiri moti amalepheretsa kupuma ndi kumeza. Izi zingayambitse vuto lalikulu lomwe limatchedwa obstructive sleep apnea .
Kugonana ndi mphuno yagona ndi momwe munthu amasiya kupuma kwa kanthaŵi kochepa pamene akugona. Izi zingachititse kuti munthu asatope, kusokonezeka maganizo, kusinthasintha maganizo, ndi zina, matenda oopsa kwambiri monga kuthamanga kwa magazi ndi matenda a mtima. Kupewa kugona tulo kumayambanso kutsogolo kwa zizindikiro za anthu omwe ali ndi matronill osatha kapena achizolowezi.
Mawu Ochokera
Ngati wina m'banja mwanu ali ndi matonillitis, ndi bwino kumupatula ndi kusunga ena, makamaka ana, kutali mpaka zizindikirozo zithetsedwa. Ngati mukuchiza munthu wina m'banja lanu, yambani m'manja mukatha kuwakhudza ndi kuganizira kuvala nkhope mask ngati mukukokera kapena kupopera. Musalole kuti mwana apite kusukulu mpaka atachiritsidwa ndipo salinso wodwalayo.
> Zotsatira:
> Erickson, B ;; Larsen, D .; St. Sauver, J. et al. "Kusintha kwa zochitika ndi zizindikiro za tonsillectomy ndi adenotonsillectomy, 1970-2005." GMS Curr Top Ortorhinolaryngol Mutu Wopambana. 2009; 140 (6): 894-901; DOI: 10.1016 / j.otohns.2009.01.044.
> Stelter, K. "Matayiritsi ndi pakhosi pamoto." GMS Curr Top Ortorhinolaryngol Mutu Wopambana. 2013; 13: doc07; DOI: 10.3205 / cto000110