Angina: Ukwelashwa abadala ngemithi elwa namagciwane. Ukubonisana ENT udokotela

Angina yisifo esithathelanayo. Imbangela yalesi sifo amabhaktheriya esifo, okungenani - amagciwane. Nezilwanyana ezincane ngokuvamile eziyimbangela nomphimbo obuhlungu, ke staphylococci futhi streptococci. Lesi sifo wadluliselwa amaconsi sisemoyeni noma ngokusebenzisa isidlo ezivamile. Phakathi ukugula kungaba ngempela abukhali, kodwa ngemiphumela eyingozi kakhulu, uzwakalise ngokuya ukuxakeka. amandla udokotela kuphela ukuhlonza imbangela, umphumela okwakuwuphawu umphimbo obuhlungu. ukwelashwa ngemithi elwa namagciwane ezinganeni nakubantu abadala kwenzeka uma kuphela kwegciwane.

izimpawu

Angina kulula kakhulu ukubona izimpawu ze-isici isifo:

• kuqala okukhulu isifo, ephelezelwa imfiva;
• ubuhlungu ngesikhathi nokugwinya;
• Ukuwohloka isimo jikelele, ehambisana ne-ukudakwa;
• ukwandisa ngobukhulu idlala;
• ukubukeka ebusweni zokwakheka pharynx ubovu bese qwembe;
• predsheynye avuvukele lymph node, ukwandisa ngobukhulu futhi zibangele ubuhlungu.

Uma isiguli likhombe lezi zimpawu, naye kwatholakala ukuthi unesifo "angina". ukwelashwa ngemithi elwa namagciwane abantu abadala nezingane kulesi simo ngempela Kunconywa.

izinhlobo izifo

Odokotela shayela angina kanye namathansela acute kukhona lezi zinhlobo ezilandelayo ke:

• Lacunar. Lolu hlobo libhekene khona-plaque nombala omhlophe-yellow ngesimo ifilimu, ehlanganisa bonke ubuso emphinjeni noma isebenze izikhala.
• Follicular. Kulesi hlobo angina siyenzeka ukubukeka Izigaxana elimhlophe-ephuzi ngokuvamisile abukwa ngokusebenzisa le mucosa.
• isilonda ulwelwesi. Kulesi isifo, kukhona uqwembe, kanye amanxeba amancane ku amalaka nomphimbo.

Lapho ejenti causative igciwane?

Isenzakalo evame kakhulu - umphimbo obuhlungu ngenxa yokuhlaselwa nomkhuhlane nemfiva. igciwane lohlobo ezicindezelayo nomthelela amasosha omzimba womuntu, futhi ihlanganyela flora virus. Umphumela zalesi simo ukhuluma angina. ukwelashwa ngemithi elwa namagciwane abantu abadala nezingane kulesi simo, udokotela.

Kodwa ngezinye izikhathi, i-ejenti causative of namathansela kukhona amagciwane ngokwabo. Ngakho, ngokwesibonelo, kwenzeka ngesikhathi i-herpes, adenovirus futhi enterovirus izifo, ebomvu imfiva, ugcunsula, agranulocytosis, tularemia futhi mononucleosis. Kungenzeka kube nezimo ezenza ukuthi angina kwenzeka e-leukemia.

Uma imbangela - kwegciwane

Amagcikwane umphimbo obuhlungu kubangelwa amagciwane ezilandelayo:

• streptococcus - 10% kuzo zonke izimo;
• nge Streptococcus aureus - 10%;
• streptococcus hemolytic - 80% amacala;
• gonococcus noma Isifo se-chlamydia - izimo ekhishwe inyumbazane.

Yiziphi izimpawu umphimbo obuhlungu ezinganeni?

Izingane ezivame kakhulu ubovu namathansela. Imithi elwa namagciwane ebekwe udokotela Kuphoqelekile ngokushesha nje baqinisekisa kwegciwane.

Ngaphambi kwaleso sifo, udokotela-Otolaryngologist kuqhakambisa zimpawu ezilandelayo:

• ukungabikho ukukhwehlela futhi amakhala yisisu;
• imfiva (phezu 38.5 C?);
• lymph node entanyeni kukhona lakhulisiwe futhi kubuhlungu;
• Umzimba kungekho ukuqubuka (ngaphandle scarlet fever);
• nezindlala anda ubukhulu, ube umbala okukhulu obomvu kanye ifilimu emhlophe.

Uma la maqiniso olwenziwa, udokotela kwenza ukuxilongwa "umphimbo obuhlungu." ukwelashwa ngemithi elwa namagciwane e abadala nezingane ibhekwa saziso.

Uma i-ejenti causative - ukhunta

Kukhona amacala lapho Amagciwane angina kwenzeka isikhunta. Phakathi isikhathi eside yokwelapha ngemithi elwa namagciwane ngenxa ukwehla sendawo amasosha omzimba. Le ndoda emphinjeni aqale ukuphindaphindeka ngokushesha imvubelo nezilwanyana ezincane. Symptomatology angina fungal simiswe ngalendlela lelandzelako:

• ukudakwa ibuthakathaka;
• ukukhuphuka okuncane nje kwamazinga okushisa umzimba;
• nokunjengoshizi enamathela friable phezu ulwelwesi lwamafinyila we umphimbo, ifilimu sisuswa kalula, butholakala ngaphansi ebusweni obomvu umphimbo obuhlungu.

Uma isiguli kutholakala izimpawu ezifanayo, ukuxilongwa udokotela-Udokotela wezindlebe "angina fungal." Imithi elwa namagciwane (amaphilisi kanye ukumiswa) kuleli cala bani ngeke kulethe umphumela. isimo esinjalo eqondiswa nezidakamizwa antifungal.

ukwelashwa ngemithi elwa namagciwane

Imithi elwa namagciwane - umuthi sebenzisa be kuphela kadokotela. Engalawuliwe ukuthatha lezi imithi kungabangela umonakalo ohlala njalo umzimba womuntu. ukwelashwa ngemithi elwa namagciwane kunikezwa kuphela uma isiguli sekutholakele ukuthi sine- ngokuthi "webhaktheriya umphimbo obuhlungu."

Khona-ke onjani izidakamizwa ukhombe umthamo yayo kanye nesikhathi ukusetshenziswa inquma udokotela. Yena ihlola kobukhulu isifo, yobudala kanye nesisindo esiguli, khona ukuthambekela kwakhe komzimba noma ukuzwela ukuba uhlobo oluthile izidakamizwa. Kuye uhlobo ukwelashwa muthi ungase kusukela ezinsukwini 5 kuya ku-10.

Hlobo luni imithi engcono?

Iziguli eziningi sikhathazeke ngokuthi yini le antibiotic kangcono umphimbo obuhlungu? Odokotela babe esicacile kule ndaba. Yiqiniso, uma kungekho contraindications, le prescribers, okuyinto bakha uchungechunge nge-penicillin akuzange antibiotic. Kukholakala ukuthi babangela umonakalo okungenani emzimbeni futhi ngesikhathi esifanayo ngempumelelo ukulwa namagciwane.

Kukhona okulandelayo ngezigaba kwamaphilisi :

• Uchungechunge lokuqala - "Amoxicillin", "penicillin", "Amosin", "Flemoksin Soljutab", "Hikontsil", "Ekobol". Ngokuvamile, i-ejenti causative ubukisa ukumelana naleli qembu izidakamizwa. Khona-ke udokotela ekunika imithi elwa namagciwane, penicillins okuhlangana ngayo clavulanic acid. Lezi zihlanganisa "Flemoklav", "Amoxiclav", "Medoklav", "Augumentin" noma "Ekoklav".
• irowu Okwesibili equkethe azithromycin. "Azitsid" "Sumamed", "Azitroks", "Z-Factor", "Zitrolid".

Uma okhethiwe penicillin akuzange kusize uchungechunge imithi elwa namagciwane ayisasebenzi, futhi izinga lokushisa akusho wehlise emahoreni angama-72, lo dokotela sinquma imithi emgceni wesibili. In the ukungabikho ukusabela komzimba isiguli, lezi amathuluzi asiza kakhulu ngempumelelo.

Eyingozi kakhulu angina?

I namathansela webhaktheriya kufanele ziphathwe elwa namagciwane. Lesi sifo kungabangela engathi sína, kuhlanganise:

• sinusitis;
• glomerulonephritis;
• encephalitis;
• abezindaba otitis;
• imfiva rheumatism;
• oluhambisana vasculitis;
• pancarditis;
• pyelonephritis acute;
• myocarditis.

Ukuze ugweme nezifo ezimbi ezifana kufanele ngokushesha afune usizo lwezokwelapha. Otolaryngologist Udokotela ukufunda ngokucophelela izimbangela zesifo futhi zibeka ukwelashwa okufanele.

Ngokuvamile, uma antibiotic abakhethiwe kahle, by izinsuku 2-3 yokwelashwa lokushisa lesiguli uwela, isimo sisonke yathuthuka kakhulu. Kwesinye isikhathi Udokotela angase anikeze isiguli co-ukuphatha izidakamizwa elwa namagciwane kanye antipyretic esekelwe "paracetamol" noma "ibuprofen". Nokho, kubalulekile ukukhumbula okulandelayo: ezingeni lokushisa ngezansi imithi imfiva 38.5 uswidi is hhayi Kunconywa. Ngalesi sikhathi, amasosha omzimba nawo ngenkuthalo elwa namagciwane sinciphise izinga lokushisa - kungakho ukuphuca ngokwakho yokuvikela zemvelo.

Indlela ukuthatha elwa namagciwane?

Kukhona imithetho eziningana echazwe ethola izindlela. Nge ukunamathela kwabo ukwelashwa ukusebenza kuyofezwa ngokugcwele.
Zonke lezi zimiso ziyabophelela:

1. Ukwelashwa ngemithi elwa namagciwane ukhethe udokotela sekuhloliwe neluhlolo okubonakalayo isiguli.
2. Zonke ulwazi ukungena kwemithi kuwufanele ukuqopha. Igama imithi umphimbo obuhlungu, kanye indlela yokwamukela kwabo - ukwaziswa okuwusizo kakhulu.
3. Musa ukufuna imithi elwa namagciwane uma udokotela ecabanga ngenye indlela. Uma ungakwazi ukubhekana nalesi sifo ngaphandle kwalezi izidakamizwa, onguchwepheshe ukuncoma nakanjani le ndlela kuwe. Ngako-ke akukafaneli antibiotic ukubuza "namandla." Uma ekhemisi uphiwa i Analogue ucacise igama izidakamizwa main asebenzayo umthamo yayo. Ngaphambi kokuba uthenge qiniseka bonana nodokotela wakho.
4. Ukuze ukwazi ukubona lo muthi kangcono umphimbo obuhlungu ngenxa isiguli esithile kufanele uhlolelwe i-ukuzwela. Kuze kube yimanje, i-swab emphinjeni esithathwayo futhi wenza imbewu laboratory. Ngaphezu kwalokho kwenziwe uvivinye ukuzwela nemithi ehlukahlukene. Ngokusekelwe imiphumela isiguli ezinqunyiwe lesifanele umenzeli ngempumelelo imithi elwa nawo.
5. Izincomo yokwamukela kwamaphilisi kufanele senze lokho. Kubalulekile ukugcina umthamo, ngezikhathi isikhathi ngokuthatha izidakamizwa kanye nesikhathi sokwelashwa. I reception efanele lo muthi kuzoqinisekisa ke lokuhlushwa ezithile, okuyinto kufanele kugcinwe. Uma imithi inikezwa ukuphuza izikhathi 3 ngosuku, nalesikhathi kufanele kube amahora angu-8, uma kabili, amahora angu-12. Inkambo kufanele agcwalise ukuze aqede ngokuphelele amagciwane ayingozi futhi kuvimbele Ukuphinda noma izinkinga.
6. Musa ulungise umthamo-antibiotic kuphela.

Ukunciphisa kuzoholela ukwehluleka ukwelashwa, ukwanda ekwazi ukulimaza umzimba.

1. Ngaphandle kokuba kuboniswe ngenye indlela, imithi elwa namagciwane kufanele kuthathwe ngamanzi non-carbonated. Indlela ukuhlanganisa imithi nge ukudla, ngokuvamile elicacisiwe imiyalelo.
2. Ukuze kulesetayelekile microflora emathunjini, kanye imithi elwa namagciwane kufanele uthathe probiotics. Lezi zihlanganisa "Hilak Forte", "Linex", "Normoflorin", "Narine" futhi amalungiselelo efanayo. Badinga ukuthatha kude antibiotic, esikhaleni phakathi kwalezi ndlela ezimbili. isiphuzo ngempumelelo Ikakhulukazi probiotic ebusuku.
3. Ngesikhathi yokwelapha ngemithi elwa namagciwane kufanele ahlale edla ukudla engashiyi bese ulandela izimiso yokudla ukudla okunempilo. Kuyaziwa ukuthi le mithi abaningi babe nomthelela ongemuhle kwesibindi, ngakho ukudla kufanele kube njengoba ukukhanya ngangokunokwenzeka futhi awaqukethe esiningi amafutha. Phakathi nale nkathi yokuba ekudleni kufanele ayifakiwe ethosiwe, ngibhema, okubabayo, okunamafutha (ikakhulukazi amafutha ezilwane) kanye utshwala izithelo ene-asidi. Kuyadingeka ukukufaka ekudleni ukudla amaprotheni-ocebile (inyama engenamafutha, ushizi, amaqanda), okusanhlamvu ephalishini. Udinga ukuba inqwaba imifino nezithelo amnandi.

Uma ulandela yonke le mithetho, ukuphathwa ngokushesha impela ukuletha umphumela oyifunayo. Ungakhohlwa ngokuqinisa amasosha omzimba, indlela yokuphila enempilo, ukudla ngokugcwele futhi zihlukahlukene, ukuthobela ubuthongo futhi sihlale siphapheme, bahlanganyele ukuvivinya umzimba, bese zonke izifo uzothola nawe ephathini.