Umphimbo obuhlungu oqhubekayo? (I-Pharyngitis Engapheli) Ake sixoxe ngalokhu!

Kuyacasula kakhulu uma unesihlungu somphimbo, akunjalo? Ubuhlungu obuzwayo ngisho noma uzama ukugwinya ukudla okuncane noma amathe amancane! Ngokuvamile, lesi sihlungu somphimbo siyaphela ezinsukwini ezimbalwa. Kodwa-ke, ngezinye izikhathi lesi sihlungu somphimbo, okungukuthi, umuzwa wokulimala, obomvu, nokuvuvukala emphinjeni, uyaqhubeka, noma uphele ngemva kwezinsuku ezimbalwa bese uphinda uvele. Yilokho esikubiza ngokwezokwelapha ngokuthi `(Chronic Pharyngitis)` noma 'ukuvuvukala komphimbo isikhathi eside'. Lokhu kungaba yinto ecasulayo impela, ngakho ake sixoxe ngalokhu ngemininingwane ethe xaxa.

Ngakho-ke kuyini lokhu buhlungu obungapheli bomphimbo? (I-Chronic Pharyngitis)

Kalula nje, i-'Chronic Pharyngitis' iwumphimbo obuhlungu ongapholi, noma ophola bese ubuyela emuva ngokushesha. Lesi simo senzeka lapho umphimbo wakho uba bomvu futhi uvuvukele (thina odokotela sikubiza ngokuthi 'ukuvuvukala'). Udokotela wakho angase akubize nangokuthi 'umphimbo obuhlungu ongapheli'.

Ungase ukhumbule ukuthi umuzwa wokuklwebheka, wokuklwebheka, wokuklwebheka owutholayo uma unesihlungu somphimbo. Ubuhlungu buba bubi nakakhulu uma ugwinya. Esikhathini esiningi, isihlungu somphimbo ('pharyngitis') sizophela ezinsukwini ezingaba yi-10. Kodwa-ke, lesi simo, esibizwa ngokuthi 'i-Chronic Pharyngitis', singahlala isikhathi eside kakhulu - ngezinye izikhathi amasonto.

Kungaba nezizathu eziningi zokuthi kungani umphimbo wakho ubuhlungu uqhubeka isikhathi eside kangaka. Kungaba yinto esendaweni okuyo, njengomusi noma amakhemikhali anamandla. Noma kungaba uphawu lwesinye isimo sempilo, mhlawumbe esibi kakhulu. Ngakho-ke, uma umphimbo wakho ubuhlungu obungapholi, kufanele nakanjani ukhulume nodokotela ngakho.

Yiziphi izimpawu zalomphimbo obuhlungu oqhubekayo?

Uma kwenzeka i-`(i-Chronic Pharyngitis)`, izimpawu ezilandelayo zingabonakala:

• Ukuzizwa sengathi kunzima ukugwinya: Njengokungathi ukudla noma isiphuzo akukutholi.
• Ukuzizwa sengathi kukhona okubhajwe emphinjeni wakho: Kungase kuzwakale sengathi kukhona okuthile, njengebhola, emphinjeni wakho.
• Ukuhosha: Izwi liyashintsha, lihosha. Ngezinye izikhathi, izwi liba buthaka kangangokuthi kuba nzima ukukhuluma noma ngisho nokulahleka ngokuphelele.
• Ubuhlungu, ukuklwebheka, noma umuzwa wokucasuka emphinjeni: njengokungathi kunezinhlayiya zesihlabathi emphinjeni.
• Ama-lymph node avuvukele entanyeni: Lokhu kubizwa ngokuthi ama-lymph node avuvukele. Lawa ayingxenye yesimiso sokuzivikela somzimba wethu. Angavuvukala uma kukhona ukutheleleka.
• Umuzwa wokukitaza emphinjeni, njengentuthwane edlulayo: Umphimbo uhlala ukitaza, njengokungathi kuza ukukhwehlela.
• Izwi elibuthakathaka, ukuzizwa ukhathele lapho ukhuluma: Ngisho nangemva kokukhuluma isikhashana, izwi liba buthaka bese uzizwa ukhathele.

Kungani lokhu kuqaqamba komphimbo kuqhubeka? Ziyini izimbangela?

Kungaba nezizathu eziningana zomphimbo obuhlungu ongapheli. Ake sibheke ukuthi ziyini:

• Ukungezwani komzimba: Abanye abantu bane-allergy ezintweni eziningi. Cabanga ngempova, isikhunta, izibungu zothuli, noma ngisho ne-dander yezilwane ezifuywayo. Siphinde sikubize ngokuthi "umkhuhlane we-hay." Lokhu kungezwani komzimba kungabangela ubuhlungu obungapheli bomphimbo kanye nokuvuvukala.
• I-tonsillitis engapheli: Sine-tonsil ezimbili ohlangothini ngalunye lomphimbo wethu. Uma lezi zihlala zithelelekile futhi zivuvukele, lokho kungaba yimbangela enkulu yalokhu buhlungu okuqhubekayo komphimbo.
• Ukuchayeka ezintweni ezinobuthi: Ukuchayeka njalo entuthwini (ikakhulukazi intuthu kagwayi, ukukhishwa kwemoto), noma amakhemikhali anamandla avela ezimbonini nakho kungalimaza umphimbo futhi kubangele izinkinga eziqhubekayo.
• I-GERD (i-reflux ye-acid engapheli): Abanye abantu bane-asidi esiswini sabo ekhuphukela emhubheni (ipayipi lokudla) nasesifubeni sabo. Lokhu sikubiza ngokuthi i-GERD. Le-asidi ingafinyelela nasemphinjeni futhi yonakalise izicubu ezithambile zomphimbo, okubangela izilonda. Cabanga nje, lokhu kungaba umuntu ozwa umuzwa oshisayo esifubeni sakhe ngemva kokudla, noma ukunambitheka okumuncu emphinjeni wakhe.
• I-LPR (i-Laryngopharyngeal reflux): Lokhu kufana ne-GERD. Kodwa-ke, i-asidi yesisu ibuyela emphinjeni, ngezinye izikhathi iye e-larynx (ibhokisi lezwi). Lokhu kulimaza izicubu ezithambile zomphimbo kanye ne-larynx, okubangela ubuhlungu obuqhubekayo kanye nokuhosha.

Akuvamile kakhulu, isimo esibi njengomdlavuza womphimbo singadala lezi zimpawu. Kodwa lokhu akuvamile kakhulu, ngakho ungakhathazeki. Uma kunjalo, ngaphezu komphimbo obuhlungu, ungase ube nobunzima bokuphefumula, amaqhubu angavamile entanyeni, ukuphuma kwegazi ekhaleni noma emlonyeni, kanye nokwehla kwesisindo. Yingakho sihlala sithi uma umphimbo obuhlungu ungapholi, kubalulekile ukubona udokotela ukuze uthole imbangela.

Ingabe lokhu kuqaqamba komphimbo okuqhubekayo kuyathelelana?

Lokhu kuncike embangeni yomphimbo wakho obuhlungu.

• Cabanga nje, uma unalokhu ngenxa yegciwane elithile, yebo, lingadluliselwa komunye umuntu. La magciwane angadluliselwa kwabanye ngezinto esizisebenzisayo, njengethawula, amabhulashi amazinyo, izingubo, izitsha zokudla, kanye nezinto zokusila. Ngoba amanye amagciwane angaphila kulezi zindawo isikhashana.
• Uma umphimbo wakho obuhlungu ubangelwa igciwane , usengawusabalalisa kwabanye uma nje ugula, okungukuthi, uma nje unezimpawu.
• Kodwa uma kubangelwa amagciwane , ama-antibiotic anqunywe udokotela, athathwe ngesikhathi esifanele futhi ngesikhathi esifanele, angaqeda ngokushesha ukutheleleka.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Cabanga ukuthi lomphimbo obuhlungu ubangelwa ukutheleleka. Uma singatholi ukwelashwa okufanele ngaleso sikhathi, ukutheleleka kungasakazekela kwezinye izingxenye zomzimba. Uma lokho kwenzeka, kungase kube nezinkinga ezinjengalezi:

• Ukutheleleka kungasakazekela emigodini yakho yama-sinus futhi kubangele i-sinusitis , engabangela izimpawu ezifana nekhanda elibuhlungu kanye nokuminyana kwamakhala.
• Ngezinye izikhathi, ikakhulukazi uma umphimbo utheleleke ngebhaktheriya ebizwa ngokuthi i-Streptococcus, kungaholela esimweni esibizwa ngokuthi i-rheumatic fever . Lokhu kungathinta inhliziyo, amalunga, ngisho nobuchopho.
• Nakuba kungavamile, ezinye izifo ezibangelwa amagciwane zingabangela isimo esiyingozi esibizwa ngokuthi i-toxic shock syndrome, lapho ubuthi buqongelela khona egazini.

Yingakho kungewona umqondo omuhle ukuthatha umphimbo obuhlungu kalula uma uqhubeka. Kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.

Udokotela uthola kanjani ukuthi lokhu kuyini ngempela?

Uma uya kudokotela, into yokuqala ayenzayo ukukuhlola umzimba ngokuphelele.

• Bazokhanyisa ithoshi emphinjeni wakho ukuze babheke ukuthi kukhona yini ubomvu, ukuvuvukala, noma ubomvu.
• Bathinta intamo bese behlola ukuthi ama-lymph node avuvukele yini.
• Bese bezokubuza ngezimpawu zakho. Usunesikhathi esingakanani unazo, yiziphi ezinye izinkinga osube nazo, izifo zakho zangaphambilini, kanye nemithi oyiphuzayo.

Ngaphezu kwalokho, izivivinyo ezilandelayo zingenziwa ukuze kutholakale imbangela eqondile yomphimbo wakho obuhlungu:

• Ukuhlolwa kokutholwa kwe-antigen okusheshayo: Lokhu kuvame ukwenziwa ukuhlola ngokushesha ukuthi une-strep throat (ukutheleleka komphimbo okubangelwa yibhaktheriya i-Streptococcus). Lokhu kwenziwa kusetshenziswa isampula encane ethathwe emphinjeni wakho.
• Ukukhuliswa komphimbo: Lokhu kuhilela ukuthatha isampula ye-mucus emphinjeni wakho bese uyikhulisa elabhorethri ukuze ubone ukuthi ibangelwa yigciwane, amagciwane, noma mhlawumbe isikhunta.

Ngokusekelwe olwazini olutholwe kulezi zivivinyo, udokotela unquma ukuthi yikuphi ukwelashwa okungcono kakhulu angakunikeza kona.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwe-`(Chronic Pharyngitis)` kuncike embangela eyinhloko. Uma udokotela eseyitholile imbangela, uzonikeza ukwelashwa okufanele kwaleyo nkinga. Ukwelashwa okuvamile kufaka phakathi:

• Ama-Corticosteroids: Lawa anganikezwa njengesifutho noma njengamaphilisi. Asebenza ngokunciphisa ukuvuvukala nokuvuvukala emphinjeni.
• Imithi yokulwa nezifo:
• Uma imbangela kuyigciwane , kunikezwa ama-antibiotic .
• Uma kwenzeka ukutheleleka ngegciwane, isikhathi esiningi awudingi umuthi okhethekile, njengoba umzimba ungalwa nawo wodwa. Kodwa-ke, kwamanye amagciwane anamandla, imithi yokulwa namagciwane (`(Antivirals)`) inganikezwa.
• Uma kuyisifo sefungus , kuzonikezwa imithi yokukhunta (`(Antifungals)`) .
• Izibulali-zinhlungu: Udokotela angase anikeze imithi efana ne-acetaminophen (Tylenol®) noma i-ibuprofen (Motrin®) ukunciphisa izinto ezifana nomphimbo obuhlungu, izinhlungu zomzimba kanye nomkhuhlane.
• Ukususwa kwamathonsi: Ngezinye izikhathi, i-tonsillitis ibangelwa i-tonsillitis ephindaphindayo (i-tonsillitis engapheli) izikhathi eziningana ngonyaka. Kubantu abanjalo, odokotela bangase batuse ukususwa kwamathonsi ngokuhlinzwa.

Into ebaluleke kakhulu ukuvumela udokotela ukuthi athole imbangela. Uma eseyitholile imbangela, uzokutshela indlela engcono kakhulu yokululama ngokushesha. Ungamane nje uye uyozithengela imithi.

Asikwazi yini ukuvimbela lokhu kuqaqamba komphimbo okuqhubekayo ukuthi kwenzeke?

Nakuba kungenakwenzeka ukuyivimbela ngokuphelele, kunezinto esingazenza ukuze sinciphise ingozi yokuthuthukisa i-`(i-Chronic Pharyngitis):

• Gwema ukuxhumana nabantu abagulayo: Gwema ukusondelana nabantu abagulayo, ikakhulukazi labo abanomkhuhlane, umkhuhlane, kanye nokukhwehlela, futhi ugweme ukuthinta izinto abazisebenzisile.
• Ungabelani ngokudla, ukuphuza izibuko, noma izitsha nabanye abantu: Lokhu kungasakaza kalula amagciwane.
• Uma ubhema, kungcono ukuyeka: Ukubhema akukubi nje kuphela emphinjeni wakho, kodwa futhi nasemaphashini akho kanye nomzimba wakho wonke. Ukuchayeka entuthwini yabanye abantu (ukubhema ugwayi ongasebenzi) nakho akukuhle.
• Geza izandla zakho njalo futhi kahle ngensipho: Hlanza izandla zakho kahle ngensipho okungenani imizuzwana engama-20, uqiniseke ukuthi uhlanza phakathi kweminwe yakho nangaphansi kwezinzipho zakho. Cabanga ngokuthi zingaki izinto esizithintayo ngosuku. Amagciwane angaba yonke indawo.
• Uma insipho namanzi kungatholakali, okungenani sebenzisa isihlanzi sezandla esisekelwe kotshwala (`(isihlanzi sezandla esilwa namagciwane)`).
• Uma une-allergies, yilawule: Gwema izinto ezifana nothuli kanye nempova. Xhumana nodokotela bese uthatha imithi yokungezwani komzimba uma kudingeka.
• Uma une-GERD noma i-LPR, yelashwe: Lezi zimo zingaphathwa ngokushintsha ukudla, ukushintsha indlela yokuphila, kanye, uma kudingeka, imithi.

Kungenzeka yini ukululama kulesi simo? Siyini isimo sengqondo?

Uma belashwa kahle, lesi simo sivame ukuba ngcono. Okusho ukuthi, singalashwa. Kodwa-ke, uma singalashwa, lesi sifo somphimbo singaqhubeka. Uma imbangela eyinhloko ingelashwa, isifo somphimbo singase siqhubeke amasonto, noma singase siphele bese sibuya.

Njengoba kushiwo ngaphambili, akuvamile ukuthi lokhu kube uphawu lwesimo esibucayi njengomdlavuza. Kodwa-ke, uma umphimbo wakho uhlala ubuhlungu, kuwukuhlakanipha ukutshela udokotela wakho ngakho. Bangakwazi ukwenza izivivinyo ezidingekayo, bathole imbangela, bese beyelapha ngendlela efanele.

Yini ongayenza ngomphimbo obuhlungu ekhaya?

Ukuhlala ekhaya unesifo somphimbo akujabulisi, akunjalo? Kubalulekile ukuzinakekela nokuzibeka phambili phakathi nalesi sikhathi. Into engcono kakhulu ongayenza ukubona udokotela bese uthola iseluleko. Okwamanje, ungazama lawa makhambi asekhaya ukusiza ekunciphiseni izimpawu zakho:

• Hlanza ngamanzi anosawoti afudumele: Ncibilikisa ithisipuni elilodwa likasawoti engilazini yamanzi bese uhlanza ngamanzi kaningana ngosuku. Lokhu kuzosiza ekunciphiseni ukuvuvukala nobuhlungu emphinjeni.
• Phuza uketshezi oluningi: amanzi afudumele, amasobho (njengesobho lenkukhu), kanye netiye lezitshalo (njengejinja noma i-coriander) kuhle. Lokhu kuzosiza ukuvimbela umphimbo wakho ukuthi wome futhi kusize ekukhululeni amafinyila.
• Sebenzisa ezinye izinto ezifana noju olulungele umphimbo: Ukuphuza ithisipuni elilodwa loju emanzini ashisayo, noma ukudla uju olunolamula kungaletha impumuzo emphinjeni. (Unganiki uju ezinganeni ezingaphansi konyaka owodwa).
• Phumula ngokwanele: Ukuphumula kubalulekile ukuze umzimba ululame. Futhi, khuluma kancane, njengoba ukukhuluma kungalimaza umphimbo wakho.
• Ukuphefumula ngomusi: Ukuphefumula umusi osuka esitsheni samanzi ashisayo kungasiza ekumanziseni umphimbo wakho futhi kunciphise ukuminyana. Mboza ikhanda lakho ngethawula bese uphefumula umusi.
• Uma umoya endlini yakho womile, ukusebenzisa i-humidifier kungasiza ekunciphiseni ukoma komphimbo.

Kufanele uye nini kudokotela?

Uma unezinye zalezi zimpawu eziyisixwayiso (`amafulegi abomvu`) , ungachithi isikhathi futhi nakanjani ubone udokotela:

• Uma umphimbo obuhlungu ungapheli ezinsukwini ezimbalwa, noma uma uba mubi kakhulu.
• Uma kukhona igazi ematheni noma emathunjini.
• Uma uzizwa sengathi unenkinga yokuphefumula , noma uma wenza umsindo lapho uphefumula.
• Uma umkhuhlane uphakeme kune-103 Fahrenheit (39.4 Celsius), noma uma umkhuhlane ungehli izinsuku eziningana.
• Uma unezinhlungu zomzimba, ukuvuvukala kwamalunga, njll.
• Uma unezimpawu zokuphelelwa ngamanzi emzimbeni, njengomlomo owomile, ubuhlungu obukhulu emzimbeni, ikhanda elibuhlungu, kanye nokwehla kokukhishwa komchamo.
• Uma kuvela ukuqubuka kwesikhumba .
• Uma kunzima kangaka ukugwinya, uma ungakwazi ngisho nokugwinya amathe.
• Uma kukhona ukuvuvukala okubangela ubuhlungu obukhulu ohlangothini olulodwa lwentamo .

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela wakho, kuwumqondo omuhle ukubuza imibuzo efana nale ukuze uthole ukuqonda okungcono ngesimo sakho:

• "Dokotela, ucabanga ukuthi kungani ngibe nomphimbo obuhlungu isikhathi eside kangaka? Yini engabangela lokhu?"
• "Ingabe kukhona izinto noma amakhemikhali ayingozi emphinjeni okufanele ngiwasuse endaweni engihlala kuyo, ezintweni engizidlayo nengiziphuzayo?"
• "Ngiziphi izindlela zokwelapha enginazo? Kuzokwenzekani ngale mithi?"
• "Kufanele ngenzenjani uma ngiba nezimpawu ezintsha, noma uma izimpawu zami zamanje ziba zimbi kakhulu?"
• "Kuphephile yini kimi ukuzivocavoca nokwenza imisebenzi yami evamile enalesi simo?"
• "Ingabe kukhona izinto ezikhethekile engingayenza ukuvimbela lokhu ukuthi kungenzeki futhi?"

Ngakho-ke, yini okudingeka siyikhumbule kukho konke lokhu?

Umphimbo obuhlungu uyinto ecasulayo futhi ecasulayo ngempela. Ngisho nento elula njengokugwinya, esivame ukuyenza singaqapheli, ingaba buhlungu uma kukhulunywa ngomphimbo obuhlungu. Kuvamile ukuthola umphimbo obuhlungu ngegciwane ngezikhathi ezithile, futhi ngokuvamile uyaphela ezinsukwini ezimbalwa.

Kodwa-ke, uma umphimbo wakho obuhlungu ungabe usaba ngcono, noma uma uba ngcono bese ubuya ngokushesha, ungawushayi indiva. Qiniseka ukuthi ukhuluma nodokotela ukuze uthole imbangela futhi uthole ukwelashwa okudingekayo.

Uma ushesha ukufuna usizo, kulapho ungalulama khona ngokushesha bese uqala ukujabulela izinto ozithandayo futhi. Hlala uphilile!

Umphimbo obuhlungu , i-pharyngitis engapheli, ukuvuvukala komphimbo, umphimbo obuhlungu, ama-tonsils, ukutheleleka, ukwelashwa