Ngaba nawe unazo ezi ngxaki zomqala obuhlungu kunye nolusu? Masifunde malunga nosulelo lweGroup A Streptococcus (GAS)!

Ngaba wena okanye umntu ohlala nawe ekhaya unesifo somqala esibuhlungu? Okanye ngaba uneziqhushumbisi ezincinci okanye amaqhuqhuva eluswini lwakho? Ngamanye amaxesha ezi zinto zinokubangelwa yintsholongwane ebizwa ngokuba yiGroup A Streptococcus (GAS) . Musa ukoyika kakhulu xa usiva eli gama. Namhlanje, siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda. Njengokuthetha nomhlobo.

Yintoni iStreptococcus yeQela A (i-GAS)?

Ngamafutshane, eli qela leStreptococcus leQela A luhlobo lwebhaktheriya . Lifana nesilwanyana esincinci. Xa le bhaktheriya ingena emizimbeni yethu, sifumana izifo ezahlukeneyo. Ichaphazela kakhulu umqala nolusu lwethu. Kuthiwa kukho iintlobo ezingaphezu kwe-120 zale bhaktheriya ye-GAS. Khawuthelekelele indlela eyahluke ngayo!

Ixesha elininzi, izifo ezibangelwa yile ntsholongwane azibi zimbi kakhulu, zizinto nje ezixhaphakileyo . Nangona kunjalo, ngamanye amaxesha, ukuba asifumani unyango olufanelekileyo, kunokukhokelela kwiimeko ezinzulu ezinokuba yingozi ebomini . Yiyo loo nto kubaluleke kakhulu ukuqaphela oku.

Ngaba kukho iintlobo zezi zifo?

Ewe, kukho iintlobo ezahlukeneyo zosulelo lweGroup A Streptococcus (GAS). Ezinye ziqhelekile kwaye zikhawuleza ziphile. Kodwa ezinye zinzima kakhulu kwaye zifuna unyango olukhethekileyo.

Usulelo oluqhelekileyo, olungeyongozi kangako

Ezi zezona zifo zixhaphakileyo nezingenamandla kangako:

• I-Cellulitis: Olu luhlobo losulelo lwezicubu ezinzulu ezingaphantsi kolusu lwethu. Lunokuvakala ngathi ulusu luyadumba ngaphakathi.
• I-Erysipelas: Le yintsholongwane yolusu, kodwa ngeli xesha ichaphazela amaleko aphezulu olusu.
• Impetigo: Usenokuba ubabonile abanye abantwana abancinci bekhula amadyungudyungu amancinci anamanzi ajikeleze imilomo yabo, impumlo, okanye iingalo zabo nemilenze, aze emva koko agqunywe luqweqwe. Yiyo loo nto.
• Umphimbo obuhlungu: Izinto ezifana nomphimbo obuhlungu ngokubanzi kunye notshintsho kwilizwi.
• Umphimbo obuhlungu: Olu luhlobo losulelo lomphimbo kunye neetoni. Lunokubangela ubunzima bokuginya kunye nomkhuhlane.

Usulelo olunzima ekufuneka ululumkele

Ezi ziimeko ezinobungozi obuncinci ezifuna unyango olukhawulezileyo:

• Iibhaktheriya ezingena egazini (iBacteremia): Kwimeko enjalo, iibhaktheriya zinokungena egazini zize zihambe emzimbeni wonke.
• Umkhuhlane omhlophe: Oku kubangela ukurhawuzelela, umphimbo obuhlungu, kunye nomkhuhlane ophezulu.
• I-Toxic shock syndrome: Imeko enokuba yingozi ebomini echaphazela amalungu amaninzi ngaxeshanye.
• Umkhuhlane werheumatic: Oku kubangela ukudumba kwamalungu kwaye kunokuchaphazela nentliziyo.
• I-Necrotizing fasciitis: Le yimeko embi kakhulu. Izicwili zolusu ziyafa ngokukhawuleza. Abanye abantu bayibiza ngokuba "yintsholongwane etya inyama."

Ngubani ofumana ezi zinto rhoqo? Zidluliselwa njani?

Enyanisweni, nabani na anokufumana usulelo lweGroup A Streptococcus (GAS) kuba le ntsholongwane idluliselwa lula ukusuka komnye umntu ukuya komnye.

Ungacinga nje, kuthiwa malunga nezigidi ezili-10 zabantu ngonyaka bafumana usulelo oluncinci lomphimbo nolusu oluvela kule ntsholongwane. Oko kuthetha ukuba ixhaphake kakhulu.

Umntu onesifo angasisasaza kwabanye ngexesha lokugula kwakhe.

• Ukusuka kumathontsi amancinci angena emoyeni xa ukhohlela okanye uthimla.
• Ukuba uchukumisa inxeba okanye i-blister eluswini lomntu osulelekileyo.

Yiyo loo nto sisoloko sithi hlala kude nabanye abantu xa ugula kwaye uvale umlomo wakho xa ukhohlela.

Zithini iimpawu zosulelo lwe-GAS?

Iimpawu zingahluka, kwaye zixhomekeke kubukhulu bosulelo.

Iimpawu eziqhelekileyo

• Ubunzima bokuginya, intlungu xa uginya.
• Intloko ebuhlungu.
• Ukuvela kwamachaphaza amancinci abomvu (i-petechiae) eluphahleni lomlomo.
• Umqala obuhkungu.
• Usenokuba nesisu esibuhlungu.
• Iitoni ezivuvukileyo, ii-lymph nodes ezivuvukileyo entanyeni.

Iimpawu zolusu

• Amaqhakuva entanyeni, emakhwapheni, nasemqolo.
• Amadyungudyungu amancinci, abomvu ukuya komfusa kunye nezilonda zivela empumlweni, emlonyeni, ezingalweni nasemilenzeni.
• Ukukrwela ulusu.
• Ulwelo olucacileyo okanye ubovu obuphuma emanxebeni.
• Kuvela uqweqwe olumthubi enxebeni.

Iimpawu eziqatha (ukuba unazo ezi, kufuneka ubone ugqirha ngoko nangoko!)

• Urhudo (intlungu yesisu).
• Isiyezi.
• Umkhuhlane ophezulu.
• Ukuvela kwamanxeba amakhulu, amadyungudyungu azele ngamanzi, okanye amabala amnyama eluswini.
• Isicaphucaphu, ukuhlanza.
• Intlungu ebuhlungu esasazeka ngaphaya kwendawo yenxeba.
• Umbala wolusu uyatshintsha (ukusuka kubomvu ukuya kumfusa).
• Ulusu luyadumba kwaye luvakala lushushu xa luchukunyiswa.

Kubalulekile: Ukuba unezinye zezi mpawu zibalulekileyo, musa ukuchitha ixesha kwaye ubone ugqirha ngoko nangoko. Kubaluleke kakhulu kwimpilo yakho.

Kutheni sifumana ezi zifo?

Unobangela oyintloko wezi zifo yintsholongwane iGroup A Streptococcus, esiyixubushileyo ngaphambili.

Umzimba wethu unenkqubo yomzimba yokuzikhusela . Ifana namandla okuzikhusela emzimbeni wethu. Umsebenzi wawo kukusikhusela kwiintshaba zangaphandle ezifana neebhaktheriya kunye neentsholongwane.

Ngoko ke, xa le bhaktiriya ye-GAS ingena emzimbeni wethu, siqala ukufumana iimpawu. Kwangaxeshanye, amasosha omzimba ethu nawo aqala ukusebenza ukutshabalalisa le bhaktiriya. Kodwa ngamanye amaxesha kunzima "kumkhosi" wethu ukuphumelela eli dabi lodwa. Kulapho ugqirha esinika amayeza afana nee-antibiotics , ukunceda ukulawula le bhaktiriya ngokukhawuleza nokunciphisa iimpawu.

Ingaba esi sisifo esisulelayo? Sidluliselwa njani?

Ewe, le ntsholongwane yeStreptococcus yeQela A ngokuqinisekileyo iyosulela. Inokwenzeka kakhulu ukuba idluliselwe ngokusondeleyo nomntu onesifo.

• Ngokuphefumla amathontsi amathe aqokelelana emoyeni xa ukhohlela okanye uthimla.
• Ukuba udibana ne-mucus okanye i-sputum ephuma empumlweni okanye emlonyeni womntu osulelekileyo (umzekelo, ukuba uchukumisa itshefu esetyenziswa ngumntu ogulayo).
• Ngokusela kwiglasi efanayo naleyo umntu ogulayo wayesela kuyo, nangokusebenzisa izixhobo kunye neefolokhwe ezifanayo awayezisebenzisa.
• Ukuba uchukumisa inxeba okanye i-blister eluswini lwesigulana.

Le ntsholongwane isasazeka kakhulu xa uneempawu . Yiyo loo nto sikuxelela ukuba uhlale ekhaya ukuba uziva ugula, uziphephe iindawo zikawonke-wonke, unxibe imaski, kwaye ugcine nawaphi na amanxeba ecocekile kwaye egqunyiwe.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho , ezinje ngokuba unexesha elingakanani unazo kwaye zinzima kangakanani. Emva koko uza kwenza uvavanyo lomzimba .

Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa ukuba ingaba olu luhlobo lwe-GAS:

• Uvavanyo lwegazi: Ukujonga ukuba akukho gciwane emzimbeni.
• I-throat swab (uvavanyo olukhawulezileyo okanye uvavanyo lokukhuliswa kwesikhumba): I-throat encinci ithathwa ngasemva komqala ize ihlolwe nge-microscope ukuze kubonwe ukuba kukho iintsholongwane na kuyo.
• I-biopsy: Ngamanye amaxesha iqhekeza elincinci lesicubu lithathwa kwisilonda sesikhumba lize livavanywe.
• Uvavanyo lwemifanekiso: Olufana ne -MRI, i-CT scan, okanye i-ultrasound . Olu vavanyo lujonga ubungakanani bomonakalo obangelwe lusulelo oluphantsi kolusu.

Iphathwa njani?

Usulelo lweStreptococcus lweQela A ludla ngokuphathwa ngee -antibiotics . Ugqirha wakho uya kugqiba ukuba loluphi uhlobo lwe -antibiotic aza kukunika lona, ​​kuxhomekeke kuhlobo lwesifo onaso. Inganikwa njengekhrimu esetyenziswa eluswini (ngaphandle kwesikhumba) okanye njengepilisi ethathwa ngomlomo (ngomlomo).

Ii-antibiotics zikunika iingenelo ezininzi, kuquka:

• Ixesha lokugula liyancitshiswa.
• Iimpawu ziyancipha ngokukhawuleza.
• Iintsholongwane ziyayeka ukusasazeka ziye kwabanye.
• Iyathintela ukuba isifo singabi sibi kakhulu kwaye nezinye iingxaki zingabikho.

Kubaluleke kakhulu ukusela inani elichanekileyo lee -antibiotics ezichazwe ngugqirha wakho ixesha elichanekileyo. Abanye abantu bayayeka ukuthatha amayeza xa iimpawu zabo ziphucuka. Musa ukwenza loo nto. Iintsholongwane zisenokungapheli ngokupheleleyo, kwaye isifo sinokubuya, okanye iintsholongwane zinokutshintsha zibe ziingxaki zokunganyangeki ngamayeza.

Ngawaphi amayeza akhoyo oku?

Ezi ntlobo zilandelayo zamayeza zisetyenziswa kakhulu:

• Iiantibiotics : Njenge `(Penicillin)`, `(Amoxicillin)`, `(Benzathine)`.
• Amanye amayeza okubulala iintsholongwane anikwa abantu abane-aleji kwi-penicillin aquka: `(Cephalexin)`, `(Cefadroxil)`, `(Clindamycin)`, `(Azithromycin)`, `(Clarithromycin)`.
• Izithambiso zokuthambisa: ezifana ne-`(Mupirocin)`, `(Retapamulin)`.

Ndiza kuba bhetele nini emva kokuqalisa amayeza?

Uza kuqala ukuziva ungcono kwiintsuku ezintathu ukuya kwezintlanu emva kokuqala amayeza okubulala iintsholongwane . Usulelo oluncinci luza kuphela kwiintsuku ezimbalwa. Nangona kunjalo, usulelo olunzima lungathatha iiveki ezimbini ukuphola.

Kuza kwenzeka ntoni ukuba ndifumana esi sifo? Ingaba singenzeka kwakhona?

Ukuba ufumana usulelo lweStreptococcus kwiQela A, uya kuziva ugula kangangeentsuku ezimbalwa ngelixa amayeza okubulala iintsholongwane kunye nenkqubo yakho yomzimba yokuzikhusela isebenza kunye ukubulala iintsholongwane. Ngeli xesha, kungcono ukuphumla ngokwaneleyo kwaye uhlale ekhaya. Oku kuya kunceda ukuthintela ukuba iintsholongwane zingasasazeki kwabanye.

Ngelishwa, ukuba sele ukhe wanayo le ntsholongwane kanye akuthethi ukuba awusayi kuphinda uyifumane. Ukuba uchaphazeleke yintsholongwane, ungayifumana kwakhona le ntsholongwane.

Ngaba oku kungabangela iingxaki ezinkulu?

Nangona oku kungenzeki rhoqo, ngamanye amaxesha le ntsholongwane yeStreptococcus yeQela A inokusasazeka kwezinye iindawo zomzimba kwaye ibangele iingxaki . Nazi ezinye izinto ekufuneka uziqaphele:

• Usulelo lweSinus.
• Usulelo lwendlebe.
• Isifo sentliziyo (umkhuhlane wamathambo).
• Isifo sezintso `(I-post-streptococcal glomerulonephritis)`.
• Amathumba ayenzeka kufutshane neetoni.

Ezi zifo ze-GAS zinokuba yingozi kakhulu kubafazi abakhulelweyo nakubantwana abancinci . Ukuba ukhulelwe okanye ukuba umntwana wakho omncinci ubonakalisa ezi mpawu, bona ugqirha ngokukhawuleza.

Ungazikhusela njani kwezi zifo?

Eyona ndlela ilungileyo yokuzikhusela kwezi zifo kukugcina ucoceko lomntu. Oko kuthetha ukuba:

• Hlamba izandla zakho ngesepha rhoqo.Ingakumbi ngaphambi kokutya, emva kokusebenzisa indlu yangasese, nasemva kokuchukumisa umntu ogulayo.
• Gquma umlomo wakho nempumlo xa ukhohlela okanye uthimla. Sebenzisa ithishu okanye ubuncinane ingqiniba yakho.
• Kulungile ukulahla izicubu ezisetyenzisiweyo kwinkunkuma.
• Ukuhlamba nokuphinda usebenzise iipleyiti, iikomityi, kunye nezitya ezisetyenziswa ngumntu ogulayo.
• Ukuba uziva ugula, hlala ekhaya. Yeka ukuyisasaza kwabanye.
• Ukuba kukho inxeba, licoce kakuhle uze uligcine ligqunyiwe lide liphole.

Ngaba ikho i-vaccine yoku?

Ngelishwa, okwangoku akukho gonyo lokuthintela usulelo lweStreptococcus kwiQela A. Nangona kunjalo, izazinzulu ziphanda oku, kwaye sinethemba lokuba gonyo luya kufumaneka kwixesha elizayo.

Ndifanele ndimbone nini ugqirha?

Ngokuqinisekileyo kufuneka ubone ugqirha ukuba unayo nayiphi na kwezi meko:

• Ukuba uneempawu eziqatha (izinto ezifana nomkhuhlane esithethe ngawo ngaphambili, izilonda ezinkulu zesikhumba, kunye nobunzima bokuphefumla).
• Ukuba usulelo lwakho luya lusiba mandundu imihla ngemihla.
• Ukuba iimpawu aziphucuki emva kweeveki ezimbini zonyango.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungathandabuzi ukubuza imibuzo efana nale:

• "Gqirha, ndifanele ndizithathe ixesha elingakanani ezi antibiotics kwaye kangaphi ngemini?"
• "Luhlobo luni losulelo endinalo?"
• "Ndinganyamezelani ne-penicillin, ngoko ke zeziphi ezinye ii-antibiotics endinokuzithatha?" (Ukuba une-allergy enjalo)
• "Ndingayinyamekela njani inxeba lam lolusu lide liphole?"

Okokugqibela, izinto ekufuneka uzikhumbule

Usulelo lweStreptococcus (GAS) lweQela A ludla ngokuba buthathaka kwaye lunganyangeka ngee -antibiotics . Nangona kunjalo, ukuba uneempawu, kububulumko ukubona ugqirha ngokukhawuleza ukuze ufumane unyango. Ngamanye amaxesha olu sulelo lunokuba nzima kwaye luchaphazele amanye amalungu omzimba. Ngoko ke, endaweni yokulinda nokulinda, thatha inyathelo lokukhusela impilo yakho.

Ukunyamekela ucoceko lomntu kunokunceda kakhulu ekuzikhuseleni kolu hlobo losulelo. Ngoko ke, hlamba izandla zakho rhoqo, kwaye uhlale kude nabanye abantu ukuba uyagula. Ukuhlala usempilweni kubalulekile kuwe nakwabo bakungqongileyo!

Usulelo lwe - GAS, i-streptococcus, umphimbo obuhlungu, izifo zolusu, usulelo lweebhaktheriya, amayeza okubulala iintsholongwane , izifo ezosulelayo