Boemo bo tla ba boemong bo bongata pele motho e moholo
Re atisa ho nahana ka tonsillitis e le e 'ngoe ea litloaelo tsa litemana tseo bana ba tsamaeang ka tsona le likhohopo le li-braces. Le hoja boemo boo bo atisa ho etsahala nakong ea lilemong tsa bocha ba lilemo tsa bocha, e ka etsahala neng kapa neng bophelong.
Litsela tsa tonsillitis li fumanoa 'me li phekoloe li fetohile haholo lilemong tse 30 tse fetileng. Hona joale ho na le liteko tse potlakileng tse ka re thusang ho fumana mafu a mang ka potlako le lithethefatsi tse ncha tse khonang ho hlōla libaktheria tse sa hlōloeng.
Ha ho buuoa joalo, tekanyo ea tonsillectomy (ho tlosoa ha lisebelisoa tsa lisebelisoa) e hlile e phahame ho tloha lilemong tsa bo-1970, ho ea ka phuputso e tsoang ho Mayo Medical School College ea Meriana.
Ho utloisisa Tonsillitis
Lithane tsa hau ke karolo ea lymphatic system, e nang le boikarabello ba ho felisa chefo le likokoana-hloko tse kotsi (ho akarelletsa likokoana-hloko le libaktheria) tse tsoang 'meleng oa hau. Litlhoko tsa hau li sebetsa ka ho pata likaroloana tse nyenyane ebe li li isa tsamaisong ea lymphatic hore e se ke ea qojoa.
Ho na le lihlopha tse tharo tsa lithane tse 'meleng oa hau:
- Mefuta e meng ea pharyngeal , e tsejoang hape e le adenoids, e marulelong a molomo oa hau haufi le moo nko ea hao e ikopanya molaleng oa hau
- Litlone tsa lingoloa tse teng ka mor'a leleme
- Litente tsa palate li fumaneha ka morao molaleng
Tonsillitis e hlaha ha kokoana-hloko kapa libaktheria li kena molomong kapa nko 'me li qabeletsoe ke lithane. Ha se etsahala, sesole sa 'mele se tla hlasela le ho hlasela bahlaseli' me se hlahise karabo ea ho ruruha , e baka feberu le ho ruruha.
Tonsillitis e tloaelehile, 'me batho ba bangata ba na le bonyane sekheo se le seng pele motho e moholo,' me se tšoaetsanoa haholo. E atisa ho bonoa ho bana ba lilemo li hlano ho isa ho tse 15 empa hape e ka ba teng pakeng tsa lilemo tse 15 le 25 25. Kotsi e atisa ho theoha ha motho a ntse a hōla.
Lisosa
Matšoao a mangata a tonsillitis a bakoa ke kokoana-hloko, ha ho nahanoa hore karolo leha e le efe ea liphesente tse hlano ho ea ho karolo ea 40 lekholong e bakoa ke libaktheria.
Tse ling tsa lisosa tse tloaelehileng haholo tsa kokoana-hloko li akarelletsa:
- Likokoana-hloko tse chesang (tse akarelletsang li-rhinoviruses le li-adenovirus)
- Infectious mononucleosis
- Cytomegalovirus (CMV)
- Lefu la Epstein-Barr (EBV)
- Virusi ea Herpes simplex (HSV)
- Measles
Libaktheria tse tloaelehileng haholo li baka:
- Staphylococcus aureus (ho akarelletsa le MRSA )
- Ho khohlela ho khohlela (pertussis)
- Pneumonia ea baktheria
- Streptococcal pyogenes (strep throat)
Lisosa tse sa tšoaetsanoang tsa lithane tse ruruhileng li na le mefuta e mengata empa li kenyeletsa kankere ea lithane le lithane tse nyenyane .
Matšoao
Matšoao a tonsillitis a atisa ho hlaha hang-hang 'me a rarolle matsatsing a mararo ho isa ho a 14, hangata a se na phekolo. Lipontšo le matšoao a ka kenyeletsa:
- Ho metsoa ka bohloko (odynophagia)
- Bothata ba ho metsa (dysphagia)
- Ho ruruha le ho atolosoa ha lithane
- Likoti kapa liphahlo tse tšoeu tse matleng a li-tonsil
- Ho ruruha lymph nodes, haholo-holo ho pota molala ( lymphadenopathy )
- Feberu
- Hlooho ea hlooho
- Mokhathala
- Libala tse nyane tse khubelu kapa tse pherese marulelong a molomo oa hau (petechiae)
Matšoao a ka fapana ka mofuta oa kokoana-hloko kapa libaktheria tse amehang, hammoho le lilemo le bophelo bo botle ba motho ka mong. Le hoja maemo a mangata a tonsillitis a le boima-a bolela hore a hlaha 'me a rarolla ka potlako-a ka boela a pheta-pheta (a boela a khutla hangata ka selemo) kapa a sa foleng (a tšoarellang likhoeli tse tharo).
Tsejoa
Tlhahlobo ea tonsillitis e thehiloe pele ho tlhahlobo ea 'mele le tlhahlobo ea histori ea bongaka. Maemong ao ho nang le matšoao a strep throat (feberu, lonsillar exudate, ho ruruha lymph nodes molaleng, 'me ha ho khohlela), ngaka e tla nka sesepa sa molaleng oa hau' me e se e hlahisitsoe ka laborateng ho tiisa boteng ba strep libaktheria. Liphetho tsa Lab li atisa ho nka lihora tse pakeng tsa 24 le 48.
Liteko tse ncha, tse potlakileng tsa liphatsa tsa lefutso li ka sebelisoa 'me, ha li ntse li le tlase ho feta mokhoa oa' metso, li khona ho khutlisetsa liphello ka metsotso e 10 feela.
Litlhare
Matšoao a tonsillitis a atisa ho ba a sithabetsang ho feta a tebileng 'me hangata a hloka thuso e fokolang ea bongaka.
- Haeba u na le li -tonsillitis tsa kokoana-hloko , phekolo e tla tsepamisoa ke ho fokotsa bohloko le feberu ka ho fokotsa bohloko bo kang ba Tylenol (acetaminophen) kapa Advil (ibuprofen). Meriana ea mangolo a ngaka, ho akarelletsa le lithibela-mafu, hangata ha e behetsoe.
- Ka lehlakoreng le leng, tonsillitis ea baktheria e atisa ho phekoloa ka lithibela-mafu. Penicillin le amoxicillin ke maemo a tloaelehileng, khetho ea pele, le hoja erythromycin le lithibela-mafu tse ncha tse kang linezolid li ka sebelisoa maemong a ho hanyetsa lithethefatsi. Matšoao a li-tonsillitis a atisa ho fela ka mor'a ho qala kalafo ea lihora tse 24.
Haeba lithane li le khōlō hoo li kenellang ho phefumoloha, ngaka e ka 'na ea fana ka lithethefatsi tsa molomo oa corticosteroid (steroid) ho thusa ho fokotsa boholo ba tsona. Leha ho le joalo, li-steroid tsa mofuta leha e le ofe li lokela ho sebelisoa ka hloko ka lebaka la litla-morao tsa tsona tse kholo.
Tonsillectomy
Haeba o na le tonsillitis e sa foleng kapa e pheta-phetang e amang tsela eo u phelang ka eona, ngaka ea hao e ka 'na ea khothaletsa tonsillectomy . Ho na le mekhoa e 'maloa ea ho etsa opereishene ena, har'a bona li-ultrasonic scalpels, li-scalpels tsa majoe a maholo a maqhubu a maholo, motlakase oa motlakase le "opereishene" ea setso.
Le hoja mekhoa e metle e tloaelehile ebile e bolokehile, ke habohlokoa ho buisana ka likotsi le melemo ea ho buuoa le ngaka ea hau.
Litlhahiso tsa Lehae ho Leka
Ebang o laetsoe kalafo kapa che, ho na le litlhare tsa malapeng tse ka fokotsang haholo matšoao a tonsillitis. Ntle le ho sebelisa bohloko bo fetisisang ho feta, leka:
- Ho kenya metsi a futhumetseng joaloka likhae kapa moro
- Ho noa metsi a batang kapa ho anyesa popsicles
- Ho atleha ho hlakola moriri oa methapo ea moriana kapa ho sebelisa molaetsa oa 'metso o nang le benzocaine
- Ho roala ka tharollo ea 1/2 teaspoon ea letsoai hammoho le li-ounces tse robeli tsa metsi a futhumetseng
- Ho beha compress e pholileng kapa leqhoa ka molala
- Sebelisa mofokisi oa ho fofa o pholileng
Ke habohlokoa ho hlokomela hore aspirin e lokela ho qojoa ho bana ba nang le tšoaetso ea kokoana-hloko ka lebaka la kotsi e eketsehileng ea Reye's syndrome , e leng tšenyo e ka 'nang ea bolaea bophelo ba boko le sebete.
Mathata a amanang
Ke habohlokoa ho hopola hore maemong a mangata a tonsillitis a iketsetsa liqeto ka bobona ntle le ho baka mathata. Leha ho le joalo, linyeoe tse tebileng kapa tse tloaelehileng li ka baka mathata a kang otitis media (tšoaetso ea tsebe e bohareng) kapa abscessillar abscess (ho thehoa ha mokotla o tletseng pus haufi le lithane tsa matlo).
Ka linako tse ling lithane tse ling li ka ruruha hoo li kenellang ho phefumoloha le ho metsa. Sena se ka baka boemo bo tebileng bo tsejoang e le ho thibela ho robala ha boroko .
Ho phomola ha motho a robetse ke boemo boo motho a khaotsang ho phefumoloha nakoana ha a robetse. Sena se ka lebisa mokhatheng oa mantsiboea, ho tepella maikutlong, ho fetoha maikutlo, le tse ling, mathata a tebileng a bophelo bo botle a kang khatello e phahameng ea mali le lefu la pelo. Ho thibela ho robala ha boroko ho boetse ho bontša hore batho ba na le tonsillitis e sa feleng kapa e tloaelehileng.
Lentsoe le Tsoang ho
Haeba motho e mong lelapeng la hau a na le tonsillitis, ho molemo ho arola motho eo le ho boloka ba bang, haholo-holo bana, ho fihlela matšoao a rarolloa. Haeba u tšoara setho sa lelapa, hlatsoa matsoho ka mor'a hore u ba tšoare 'me u nahane ka ho apara sefahleho sa mask haeba ho e-na le ho khohlela leha e le ho snee. U se ke ua lumella ngoana hore a ee sekolong ho fihlela a hlaphoheloa ka ho feletseng 'me a se a sa tšoaetsanoe.
> Mehloli:
> Erickson, B .; Larsen, D .; St. Sauver, J. le al. "Liphetoho liketsahalong le matšoao a tonsillectomy le adenotonsillectomy, 1970-2005." GMS Curr Top Neck Surg. 2009; 140 (6): 894-901; DOI: 10.1016 / j.otohns.2009.01.044.
> Stelter, K. "Tonsillitis le 'metso molemong oa bana." GMS Curr Top Neck Surg. 2013; 13: doc07; SEO: 10,3205 / cto000110