Ngaba ukhe waphathwa ngumphimbo obuhlungu ngequbuliso waza waziva ugula kancinci? Mhlawumbi umntwana wakho omncinci unawo. Ukuba asikokuqaqamba komphimbo nje kuphela, isenokuba yimeko ebizwa ngokuba yiStrep Throat . Namhlanje, masithethe ngokuba yintoni i-strep throat, indlela ekhula ngayo, zithini iimpawu, kunye nendlela yokuyinyamekela.
Yintoni iStrep Throat? Ngamafutshane...
Ngamafutshane, i-strep throat sisifo se -tonsils yakho (ii-lymph nodes ezingasemva komlomo wakho) emqaleni wakho. Xa une-strep throat, ii-tonsils zakho ziyadumba kakhulu kwaye zivuvuke. Oku kudumba kudla ngokusasazeka kwindawo ejikeleze umqala wakho, yiyo loo nto umqala wakho ubuhlungu. Sibiza oku ngokuba sisifo somqala, kwaye oogqirha ngamanye amaxesha bayibiza ngokuba yi-pharyngitis.
Ibizwa ngokuba yi "strep throat" ngenxa yohlobo lweebhaktheriya ezibangela oku. Leyo yibhaktheriya yeqela A Streptococcus . Kukho iintlobo ezahlukeneyo ezingaphezu kwe-120 zebhaktheriya yeqela A Streptococcus kuphela. Ngoko ke, i-strep throat luhlobo lweli qela A streptococcal okanye i-GAS infection.
Eyona nto ibalulekileyo ekufuneka uyazi kukuba ukuba i-strep throat ayinyangwa kakuhle, ngamanye amaxesha inokukhokelela kwiimeko ezinzima ezifana ne -rheumatic fever . I-rheumatic fever sisifo esinokubangela umonakalo osisigxina kwiivalvu zentliziyo yakho kunye nentliziyo. Ke ngoko, ukuba unezi mpawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane ukuxilongwa kunye nonyango olufanelekileyo . Ngonyango olufanelekileyo, i-strep throat yakho kufuneka iphele kwiintsuku ezisi-7 ukuya kwezili-10.
Ngubani onokuthi abe nesifo somqala esibizwa ngokuba yi-strep throat?
Ngaba uyazi ukuba ngubani ofumana kakhulu i-strep throat? Abantwana abaneminyaka ephakathi kwemi-5 ne-15 ubudala, ngabona basengozini enkulu. Nangona kunjalo, abantakwabo noodadewabo, abazali, ootitshala, okanye nabani na odibana nomntwana onje naye unokufumana le ngxaki. Khawucinge nje, ukuba umntwana wakho uya esikolweni aze ayizise ekhaya, kulula kakhulu kwabanye abantu endlwini ukuba bayifumane.
Ngokufanayo, abantu abahlala kwiindawo ezixineneyo, njengamaziko okugcina abantwana, izikolo (kwaneekholeji), kunye neenkampu zomkhosi, nabo banokuba nayo kuba isasazeka ngokukhawuleza ukusuka komnye umntu ukuya komnye.
Ixhaphake kangakanani i-strep throat?
Enyanisweni, ixhaphake kakhulu kunokuba unokucinga. Oogqirha kwihlabathi liphela baxela amatyala amatsha angaphezu kwezigidi ezingama-616 zomqala obuhlungu minyaka le. Umqala obuhlungu ngowona unobangela uphambili womqala obuhlungu kubantu abadala nakubantwana. Kwanakwilizwe elifana ne-United States, umqala obuhlungu ubangela i-5% ukuya kwi-15% yomphimbo obuhlungu kubantu abadala kunye ne-15% ukuya kwi-35% yomphimbo obuhlungu kubantwana. Imeko iyafana naseSri Lanka.
Zithini iimpawu zomqala obuhlungu?
Iimpawu zokuqala zomqala obuhlungu ngequbuliso . Kunye noko, unokuba nomkhuhlane ngokukhawuleza. Ubushushu bomzimba wakho buya kufikelela kwinqanaba eliphezulu ngosuku lwesibini emva kokuba usulelekile.
Ezinye iimpawu ezinokubonwa ziquka:
- Ukugodola
- Intloko ebuhlungu
- Umnqweno wokutya
- Isisu esibuhlungu
- Isicaphucaphu nokuhlanza
Into ebalulekileyo ekufuneka uyikhumbule: Umphimbo obuhlungu awusoloko ubangela ukukhwehlela. Ukuba ukhwehlela nezinye iimpawu zomkhuhlane (njengempumlo egobhozayo ), kusenokwenzeka ukuba lusulelo lwentsholongwane, hayi umphimbo obuhlungu.
Kwakhona, abanye abantu basenokungabi nazo naziphi na iimpawu nasemva kokuba benesifo somqala obuhlungu. Oku kubalulekile nokuhlala ukhumbula.
Injani i-strep throat? Injani imvakalelo yayo?
Ukuba une-strep throat, umphimbo wakho kunye neetonsils zinokubonakala zibomvu, zidumbile, kwaye zibuhlungu . Ngamanye amaxesha ungabona amabala amhlophe, amachaphaza, okanye imicu yobovu emqaleni wakho nakwiitonsils. Ukongeza, unokufumana amabala abomvu, arhawuzelelayo eluphahleni lomlomo wakho. La abizwa ngokuba yi -petechiae .
Ngokuxhomekeke kuhlobo lwebhaktheriya ebangela oku, usenokuba nerhashalala yesikhumba ebizwa ngokuba yi-scarlet fever . Oku kudla ngokuqala entanyeni nasesifubeni, kodwa kamva kunokusasazeka kwezinye iindawo zomzimba.
Le ntsholongwane `(Iqela A Streptococcus)` ngamanye amaxesha inokubangela usulelo eluswini lwakho kwaye ibangele izilonda. Xa oku kusenzeka, usulelo lubizwa ngokuba yi -`impetigo` .
Nangona i-strep throat idla ngokuba yimeko engephi, usulelo lunokuba buhlungu kakhulu . Umphimbo obuhlungu unokuba buhlungu kakhulu kwaye ungakhululeki. Ama-lymph nodes entanyeni asenokudumba kwaye athambile xa uwachukumisa. Kusenokuba buhlungu nokuginya . Ukuba ufumana irhashalala efana neli likhankanyiweyo ngaphambili, lisenokuvakala lirhabaxa, njengephepha lokusila.
Ikhula njani i-strep throat?
Umphimbo obuhlungu ubangelwa luhlobo lwebhaktheriya ebizwa ngokuba yiGroup A Streptococcus . Yiyo le nto eyenza umphimbo obuhlungu wahluke kweminye imiphimbo ebuhlungu, njengoko uninzi lweminye imiphimbo ebuhlungu ibangelwa ziintsholongwane.
Ingaba umphimbo ophuma emithanjeni uyosulela?
Ewe, ngokuqinisekileyo! Umphimbo obangela isifo esosulelayo kakhulu. Abanye abantu baneso sifo kodwa ababonisi zimpawu okanye bayagula. Nangona kunjalo, nokuba awunazo iimpawu, ungasidlulisela ngokulula komnye umntu eso sifo. Nangona kunjalo, abantu abagulayo nababonisa iimpawu banamathuba amaninzi okusisasaza kunabantu abangaguliyo.
Isasazeka njani i-strep throat?
Umphimbo obangela i-strep throat usasazeka lula kakhulu ukusuka komnye umntu ukuya komnye, ingakumbi phakathi kwabantu abahlala endlwini enye. Kukho iindlela ezimbini eziphambili zokusasaza iintsholongwane ezibangela i-strep throat kwabanye: amathontsi okuphefumla kunye nokudibana ngqo .
Amaconsi okuphefumla
Iibhaktheriya ezibangela i-strep throat zihlala empumlweni nasemqaleni wakho. Xa uthimla, ukhohlela, okanye uthetha, ungasasaza usulelo ngamathontsi okuphefumla. Nantsi indlela abanye abanokufumana ngayo usulelo:
- Ngokuphefumla loo mathontsi.
- Ngokuchukumisa indawo engcoliswe ngala mathontsi uze uchukumise impumlo okanye umlomo wakho.
- Ukwabelana ngezinto zakho (umzekelo, ukusela amanzi kwiglasi enye). Umzekelo, ukuba umntu oseofisini une-strep throat kwaye usela iti kwikomityi ayisebenzisileyo, unokufumana esi sifo.
Unxibelelwano oluthe ngqo
Iibhaktheriya ezibangela i-strep throat zingaphila kwizilonda ezisulelekileyo eluswini lwakho. Abanye banokuyifumana le ntsholongwane ngokuchukumisa izilonda zakho okanye ngokudibana nolwelo oluvela kwezo zilonda.
Ihlala ixesha elingakanani i-strep throat isasazeka?
Ixesha lokufunxa i-strep throat, ixesha eliqala xa usulelwe yintsholongwane ukuya kuthi ga xa ubonakalisa iimpawu, limalunga neentsuku ezimbini ukuya kwezintlanu. Usenokusasaza usulelo kwabanye ngeli xesha. Ukuba uthatha amayeza okubulala iintsholongwane , awusayi kuba sasulelana emva kweeyure zokuqala ezingama-24 ukuya kuma-48 zonyango.
Uyixilonga njani i-strep throat?
Ukuba ucinga ukuba une-strep throat, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha uza kukubuza ngeempawu zakho aze enze uvavanyo lomzimba. Banokukunika novavanyo lwe-strep . Oku kungenxa yokuba usulelo lwentsholongwane lunokuba neempawu ezifanayo neze-strep throat. Yiyo loo nto kubalulekile ukuba ufumane uvavanyo lwe-strep ukuqinisekisa ukuba unebhaktheriya (iGroup A Streptococcus) emqaleni wakho.
Yintoni uvavanyo lweStrep?
Uvavanyo lwe-strep throat lujonga intsholongwane yeGroup A Streptococcus emqaleni wakho. Olu vavanyo alunantlungu – kodwa lunokuba lungathandeki kwabanye abantu – kwaye luthatha ixesha elincinci kakhulu. Ugqirha usebenzisa i-cotton swab ekhethekileyo ukufutha umva womqala wakho. Emva koko, ugqirha usebenzisa i-swab ukwenza uvavanyo lwe-strep olukhawulezayo , okanye i-swab ithunyelwa kwilebhu ukuze ivavanywe. Oku kubizwa ngokuba yi-throat culture .
Uvavanyo lwe-strep olukhawulezileyo luthatha malunga nemizuzu engama-20. Ukuba uvavanyo luchanekile (oko kukuthi, ukuba i-swab ine-strep bacteria), une-strep throat. Ukuba uvavanyo aluchanekanga (oko kukuthi, ukuba akukho mpawu ye-strep bacteria kwi-swab), mhlawumbi awunayo i-strep throat. Nangona kunjalo, ugqirha wakho angathumela i-throat swab kwilabhoratri ukuze ahlolwe "i-throat culture" ukuze ajonge iziphumo kabini.
Kwi-"throat culture", ingcali yelabhoratri ifaka i-swab yomqala wakho kwindawo ekhethekileyo yokukhulisa. Kuthatha usuku okanye ezimbini ukubona ukuba iintsholongwane ze-streptococcus ziyakhula na. "Troat culture" ngamanye amaxesha inokufumana iintsholongwane ezingaphumeleliyo "kuvavanyo lwe-strep olukhawulezileyo".
Uyinyanga njani i-strep throat?
Unyango lwe-strep throat luquka amayeza okubulala iintsholongwane, angamayeza abulala iintsholongwane ezibangela usulelo.
I-Penicillin kunye ne-amoxicillin zezona antibiotics zixhaphakileyo ezisetyenziswa ngoogqirha ukunyanga i-strep throat. Ukuba une-allergy kwi-penicillin, ugqirha wakho unokukunika enye i-antibiotic.
Ugqirha wakho angakunika inaliti yokubulala iintsholongwane, okanye akunike ipilisi okanye ulwelo oza kulusela. Kuya kufuneka uthathe ipilisi okanye ulwelo kangangeentsuku ezili-10. Kufuneka uthathe amayeza kanye njengoko ugqirha wakho ekuxelela. Nokuba uzive ungcono, kufuneka uwathathe amayeza ude ugqibe yonke ikhosi. Nokuba uzive ungcono, iintsholongwane zisenokuba zisesemzimbeni wakho.
Ngaba umphimbo obuhlungu unganyangwa ngobusuku obunye?
Ngelishwa, i-strep throat ayinakunyangwa ngobusuku obunye. I-strep throat ibangelwa yintsholongwane. Ke ngoko, ifuna ii-antibiotics ukuze inyangwe. Wakuba uqale ukuthatha ii-antibiotics, kufuneka uqale uzive ungcono kungekapheli usuku okanye ezimbini. Kude kube ngoko, ungazilawula iimpawu zakho ngokusela ulwelo olufudumeleyo kunye nokuthatha amayeza okudambisa iintlungu.
Ihlala ixesha elingakanani i-strep throat?
Ufanele uqale ukuziva ungcono kungekapheli usuku okanye ezimbini emva kokuba uqalise amayeza okubulala iintsholongwane. Uninzi lweempawu ze-strep throat kufuneka ziphele kungekapheli iintsuku ezisi-7 ukuya kwezili-10.
Ndingabuyela nini emsebenzini/esikolweni?
Ukuba awunayo ifiva, ungabuyela kwimisebenzi yakho yesiqhelo emva kweeyure ezingama-24 emva kokusela idosi yokuqala yamayeza okubulala iintsholongwane.
Ingaba umphimbo obizwa ngokuba yi-strep throat uphola ngokwawo?
Hayi, i-strep throat ayizi kuphela yodwa. I-strep throat ibangelwa yintsholongwane, kwaye ii-antibiotics ziyafuneka ukunyanga ezo zifo. I-strep throat ingakhokelela kwisifo esibi ukuba ayinyangwa, ngoko ke kubaluleke kakhulu ukuqala ii-antibiotics ngoko nangoko.
Ziziphi iingxaki ezinokubakho ngenxa ye-strep throat?
Ukuba ayinyangwa, iintsholongwane ezibangela i-strep throat zinokusasazeka ziye kwezinye iindawo zomzimba wakho. Oku kunokukhokelela kwiingxaki ezinkulu, ezifana nezi:
- Usulelo lwendlebe okanye i-sinus: Olu sulelo lunokwenzeka xa iibhaktheriya zibangela ukudumba kunye nokuvuvukala ezindlebeni zakho okanye kwiimbobo ze-sinus.
- Amathumba: Amaqhuma azaliswe bubomvu (amathumba) anokuvela ejikeleze iitoni zakho.
- I-Guttate psoriasis: Le yimeko yesikhumba ebangela ukuba kuvele amabala anjengezikhwebu , abomvu, anjengezikhwebu, amile okweempumlo ezingalweni zakho, emilenzeni nasesifubeni.
- Umkhuhlane omhlophe: Olu luhlobo losulelo olubangela ukurhawuzelela okubomvu okufana namadyungudyungu emzimbeni wonke.
- Umkhuhlane weRheumatic: Esi sisifo esichaphazela kakhulu iivalvu zentliziyo yakho.
- I-post-streptococcal glomerulonephritis: Esi sisifo sezintso esinokuvela emva kosulelo lwe-strep.
- Usulelo lwe-streptococcal olungena emzimbeni: Olu sulelo oluvela xa iintsholongwane zingena kwizicubu zakho. Oku kunokuba yingozi ebomini. Kungabangela usulelo olunzima olufana ne -streptococcal toxic shock syndrome kunye ne-necrotizing fasciitis . Oku kunokuba mandundu ngokukhawuleza kuze kukhokelela ekufeni.
Kubalulekile ukuzazi ezi ngxaki, kuba kulapho uqonda khona ukubaluleka kokufumana unyango olufanelekileyo lwe-strep throat.
Ungayithintela njani i-strep throat?
Eyona ndlela ilungileyo yokuthintela i-strep throat kukuzigcina ucocekile . Kufuneka uhlambe izandla zakho rhoqo ngesepha namanzi ubuncinane imizuzwana engama-20. Kubaluleke kakhulu ukuhlamba izandla zakho ngaphambi kokutya (ukuzikhusela) nasemva kokuthimla okanye ukukhohlela (ukukhusela abanye). Kukho ezinye izinto onokuzenza ukuthintela i-strep throat:
- Ukuba isepha namanzi azifumaneki, sebenzisa isicoci sezandla esisekelwe kutywala.
- Ukuba kunokwenzeka, thimla okanye ukhohlele kwithishu. Lahla ithishu esetyenzisiweyo enkunkuma.
- Ukuba awunayo ilaphu, ukhohlela okanye uthimla engqinibeni yakho, hayi ezandleni zakho.
- Musa ukwabelana ngeekomityi, izixhobo zokutya, njl.njl. nomntu ogulayo. Musa ukwabelana ngezinto zakho nabanye xa ugula.
Ziziphi ezinye iindlela zonyango zasekhaya zomqala obuhlungu?
Kukho amayeza amaninzi asekhaya okunyanga umphimbo obuhlungu anokunceda ekunciphiseni iimpawu zakho. Nazi ezinye iindlela zasekhaya onokuzama ngazo umphimbo obuhlungu:
- Yitya ukutya okungemnandi njenge-applesauce.
- Sela izinto ezithomalalisayo emqaleni, ezifana neti eshushu.
- Hlamba ngamanzi afudumeleyo anetyuwa.
- Ncinca iilozenji zomqala ezilungele ubudala okanye ii-ice pops.
- Lala kamnandi.
- Sela amanzi amaninzi kwaye uhlale unamanzi emzimbeni.
- Sebenzisa i-cool-mist vaporizer okanye i-humidifier.
- Sela amayeza okunciphisa iintlungu afana neparacetamol (umz. iTylenol®) okanye iibuprofen (umz. iAdvil®) .
Kubalulekile: Musa ukunika umntwana wakho i-aspirin. Ukunika umntwana wakho i-aspirin kubantwana abancinci abanomkhuhlane kunokubangela isifo esisongela ubomi esibizwa ngokuba yi-Reye's syndrome .
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Ukuba awuziva kakuhle, xelela ugqirha wakho ngoko nangoko. Musa ukuyeka ukuthatha amayeza akho okubulala iintsholongwane de ugqirha wakho akuxelele ukuba wenze njalo.
Fowunela ugqirha wakho ukuba awuziva bhetele emva kosuku okanye ezimbini usebenzisa amayeza okubulala iintsholongwane. Kwakhona, fowunela ugqirha wakho ukuba unezinye zezi mpawu:
- Ukuba uzive ungcono kodwa uphinde ube nomkhuhlane emva kosuku okanye ezimbini.
- Isicaphucaphu okanye ukuhlanza.
- Intlungu yendlebe.
- Intloko ebuhlungu.
- Irhashalala lolusu.
- Ukukhwehlela.
- Iindlala ezidumbileyo.
- Intlungu yamalungu.
- Intlungu yemisipha.
- Ubunzima bokuphefumla.
- Umchamo omnyama, ukurhawuzelela kolusu, okanye iintlungu zesifuba (ezi zinokwenzeka emva kweeveki ezintathu ukuya kwezine).
Ndingayibuza yiphi imibuzo ugqirha wam?
Xa usiya kugqirha, ungabuza imibuzo efana nale:
- Ndiza kuzazi nini iziphumo zenkcubeko yomphimbo wam?
- Ngaba ndifanele ndithathe amayeza okubulala iintsholongwane? Ukuba kunjalo, loluphi uhlobo?
- Ndingenza ntoni ekhaya ukuze ndinciphise iimpawu zam?
- Ndiza kosulela esi sifo ixesha elingakanani?
- Ngaba kukho into engalunganga ngeetoni zam?
Ngaba unokufumana i-strep throat ngaphandle kweetoni?
Umphimbo obangela isifo somqala udla ngokuchaphazela umqala wakho kunye neetoni. Nangona kunjalo, ungayifumana le ntsholongwane nokuba awunazo iitoni – oko akukukhuseli kwisifo. Nangona kunjalo, ukuba ususiwe iitoni zakho, umngcipheko wakho wokufumana isifo somqala uyancipha. Usenokungafumani zifo rhoqo. Kwakhona, iimpawu zakho zisenokungabi nzima kangako.
Kutheni kukho i-strep throat kuphela, ngelixa ezinye iingxaki zomqala zingadingi nyango lukhethekileyo?
Uninzi lwemiqala ebuhlungu ibangelwa ziintsholongwane. Akukho mayeza (afana nee-antibiotics) okunyanga iintsholongwane. Ungayithomalalisa kuphela intlungu kunye nokungonwabi. Iintsholongwane zihlala ziphela zodwa ngokuhamba kwexesha ngaphandle kwee-antibiotics. Umphimbo we-Strep lusulelo lwebhaktiriya, ngoko ke kufuneka ii-antibiotics ukuze zinyangwe.
Ndingayisebenzisa na imithi yokubulala iintsholongwane endala endinayo ekhaya ngenxa ye-strep throat?
Hayi. Ungaze usebenzise okanye wabelane ngee-antibiotics eziseleyo kwisifo sangaphambili. Ii-antibiotics eziseleyo zingenza kube nzima ukunyanga i-strep throat kwaye zinokubangela iziphumo ebezingalindelekanga ezibi. Soloko uthatha amayeza achazwe ngugqirha wakho kuphela, kanye njengoko uyalelwe.
Yintoni umahluko phakathi kwe-strep throat kunye ne-tonsillitis?
I-tonsillitis kukudumba okanye usulelo lweetoni zakho. Le meko inokubangelwa yintsholongwane okanye iintsholongwane. Uninzi lweemeko ze-tonsillitis zibangelwa ziintsholongwane. Ezinye iimeko zibangelwa ziintsholongwane ezifana ne-`(Group A Streptococcus)`.
Umphimbo we-strep unokubangelwa kuphela yibhaktheriya ethi `Group A Streptococcus` . Ayikaze ibangelwe yintsholongwane.
Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Umphimbo obuhlungu ungabangela umkhuhlane, ukudumba, kunye nomphimbo obuhlungu kakhulu. Nangona olu sulelo lubuhlungu, lunokunyangeka lula ukuba lunyangwa ngokufanelekileyo . Nangona kunjalo, ungazami ukunyanga umphimbo obuhlungu ekhaya wedwa. Ekubeni ubangelwa ziintsholongwane, ii-antibiotics ziyimfuneko ukuze unyangwe. Kubaluleke kakhulu ukuba ufumane ukuxilongwa ngokufanelekileyo kunye nonyango. Ke ngoko, thetha nogqirha kwaye uqale ii-antibiotics. Ukuba unyangwa ngokufanelekileyo, umphimbo wakho obuhlungu uya kunyangwa kwiintsuku ezili-10. Ndikunqwenelela impilo entle wena nosapho lwakho!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba iStrep Throat ngumqala obuhlungu ohambisana nomkhuhlane oqhelekileyo?
Hayi! Umphimbo obuhlungu oza nomkhuhlane ubangelwa yintsholongwane (ziba ngcono zodwa ngaphandle kwamayeza). Kodwa lo 'mqala we-strep' ubangelwa 'yintsholongwane' eyingozi kakhulu ebizwa ngokuba yiGroup A Streptococcus (GAS). Kule nto, uphawu oluyingozi kakhulu kukuba umqala awusakwazi ukunyamezela (nokuba awukwazi nokuginya) ngaphandle komkhuhlane okanye ukukhwehlela.
💬 Wazi njani ukuba yintsholongwane xa kukho utshintsho emqaleni wakho?
Ukuba ujonga ngaphakathi emqaleni wakho (iitonsils) ngesipili, uya kubona ngokucacileyo ukuba xa kukho usulelo lwebhaktheriya, iitonsils ziba bomvu obumnyama, zande, zize zizaliswe 'zii-white/yellow patches'. Kunye noku, kukho umkhuhlane ophezulu kwaye ii-lymph nodes entanyeni (phantsi komhlathi) ziyadumba, zithambile, kwaye zibe buhlungu.
💬 Ingaba kulungile ukugabha ngamanzi anetyuwa ngenxa yoku, njengokuba unesifo somqala esiqhelekileyo?
Nangona amanzi anetyuwa enokubangela isiqabu, akanakuyibulala intsholongwane 'ye-strep'! Kufuneka uthathe amayeza okubulala iintsholongwane (i-Amoxicillin) iintsuku ezili-10 phantsi kweliso likagqirha! Ukuba awuwasebenzisi, le ntsholongwane iya kuhamba egazini ize itshabalalise ngokupheleleyo iivalvu zentliziyo (i-Rheumatic fever).
Umphimbo obuhlungu , usulelo lomphimbo, usulelo lweebhaktheriya, i-tonsillitis, umkhuhlane obomvu, umkhuhlane wamathambo, amayeza okubulala iintsholongwane











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