Ingabe nawe unalezi zinkinga zomphimbo obuhlungu kanye nesikhumba? Ake sifunde ngokutheleleka kwe-Group A Streptococcus (GAS)!

Ingabe wena noma othile emndenini wakho unesilonda somphimbo? Noma unezimbotshana ezincane noma amaqhubu esikhumbeni sakho? Ngezinye izikhathi lokhu kungabangelwa yibhaktheriya ebizwa ngokuthi i-Group A Streptococcus (GAS) . Ungesabi kakhulu uma uzwa leli gama. Namuhla, sizokhuluma ngakho kalula, ngendlela ongayiqonda. Njengokukhuluma nomngane.

Iyini i-Group A Streptococcus (GAS)?

Kalula nje, leli qembu le-Streptococcus liwuhlobo lwebhaktheriya . Lifana nesidalwa esincane. Uma leli bhaktheriya lingena emizimbeni yethu, siba nezifo ezahlukahlukene. Lithinta kakhulu umphimbo nesikhumba sethu. Kuthiwa kunezinhlobo ezingaphezu kuka-120 zaleli bhaktheriya le-GAS. Cabanga ukuthi lihlukahlukene kangakanani!

Esikhathini esiningi, izifo ezibangelwa yileli gciwane azizona ezimbi kakhulu, ziwukutheleleka okuvamile . Kodwa-ke, ngezinye izikhathi, uma singatholi ukwelashwa okufanele, kungaholela ezimweni ezimbi kakhulu ezingaba yingozi empilweni . Yingakho kubaluleke kakhulu ukuqaphela lokhu.

Ingabe zikhona izinhlobo zalezi zifo?

Yebo, kunezinhlobo ezahlukene zokutheleleka kwe-Group A Streptococcus (GAS). Ezinye zivamile futhi ziyashesha ukuba ngcono. Kodwa ezinye zimbi kakhulu futhi zidinga ukunakekelwa okukhethekile.

Ukutheleleka okuvamile, okungaba yingozi kangako

Lezi yizifo ezivame kakhulu, ezincane uma kuqhathaniswa:

• I-cellulitis: Lokhu ukutheleleka kwezicubu ezijulile ngaphansi kwesikhumba sethu. Kungazwakala sengathi isikhumba siyavuvukala ngaphakathi.
• I-Erysipelas: Lokhu futhi kuyisifo sesikhumba, kodwa kulokhu kuthinta izingqimba eziphezulu zesikhumba.
• Impetigo: Kungenzeka ukuthi uke wabona ezinye izingane ezincane zikhula ngamabhamuza amancane anamanzi azungeze imilomo yazo, impumulo, noma ezingalweni nasemilenzeni, bese kuba uqweqwe. Yilokho okuyikho.
• Umphimbo obuhlungu: Izinto ezifana nomphimbo obuhlungu ojwayelekile kanye nokushintsha kwezwi.
• Umphimbo obuhlungu: Lokhu ukutheleleka komphimbo namathonsi. Kungabangela ubunzima bokugwinya kanye nomkhuhlane.

Ukutheleleka okukhulu okufanele ukuqaphele

Lezi yizimo eziyingozi kancane ezidinga usizo lwezokwelapha ngokushesha:

• Amabhaktheriya angena egazini (i-Bacteremia): Kulesi simo, amabhaktheriya angangena egazini futhi ahambe kuwo wonke umzimba.
• Umkhuhlane obomvana: Lokhu kubangela ukuqubuka, umphimbo obuhlungu, kanye nomkhuhlane omkhulu.
• I-Toxic shock syndrome: Isimo esingaba yingozi empilweni esithinta izitho eziningi zomzimba ngesikhathi esisodwa.
• Umkhuhlane we-rheumatic: Lokhu kubangela ukuvuvukala kwamalunga futhi kungathinta nenhliziyo.
• I-Necrotizing fasciitis: Lesi yisimo esibi kakhulu. Izicubu zesikhumba ziyafa ngokushesha. Abanye abantu basibiza ngokuthi "amagciwane adla inyama."

Ubani othola lezi zinto kaningi? Zidluliselwa kanjani?

Eqinisweni, noma ubani angathola ukutheleleka kwe-Group A Streptococcus (GAS) ngoba leli gciwane lidluliselwa kalula lisuka komunye umuntu liye komunye.

Ungacabanga nje, kuthiwa abantu ababalelwa ezigidini eziyi-10 ngonyaka bathola izifo ezincane zomphimbo nezesikhumba ezivela kuleli gciwane. Lokho kusho ukuthi livame kakhulu.

Umuntu onesifo angasidlulisela kwabanye ngesikhathi sokugula.

• Kusukela kumaconsi amancane angena emoyeni uma ukhwehlela noma uthimula.
• Uma uthinta inxeba noma i-blister esikhumbeni somuntu onegciwane.

Yingakho sihlala sithi hlala kude nabanye abantu uma ugula futhi uvale umlomo wakho uma ukhwehlela.

Ziyini izimpawu zokutheleleka kwe-GAS?

Izimpawu zingahluka, futhi zincike ebunzimeni bokutheleleka.

Izimpawu ezivamile

• Ubunzima bokugwinya, ubuhlungu lapho ugwinya.
• Ikhanda elibuhlungu.
• Ukuvela kwamachashazi amancane abomvu (i-petechiae) ophahleni lomlomo.
• Umphimbo obuhlungu.
• Ungase ube nobuhlungu besisu.
• Amathonsili avuvukile, ama-lymph node avuvukile entanyeni.

Izimpawu zesikhumba

• Ukuqubuka entanyeni, emakhwapheni nasezinsinini.
• Amabhamuza amancane, abomvu kuya konsomi kanye nezilonda zivela ekhaleni, emlonyeni, ezingalweni nasemilenzeni.
• Ukuklwebha isikhumba.
• Uketshezi olucacile noma ubomvu obuphuma emanxebeni.
• Kuvela uqweqwe oluphuzi esilondeni.

Izimpawu ezibucayi (uma unalezi, kufanele ubonane nodokotela ngokushesha!)

• Uhudo (ubuhlungu besisu).
• Isiyezi.
• Umkhuhlane ophezulu.
• Ukuvela kwamanxeba amakhulu, amabhamuza agcwele amanzi, noma amabala amnyama esikhumbeni.
• Isicanucanu, ukuhlanza.
• Ubuhlungu obukhulu obusakazekela ngale kwendawo yenxeba.
• Umbala wesikhumba uyashintsha (kusuka kobomvu kuya konsomi).
• Isikhumba siyavuvukala futhi sizwa sishisa uma usithinta.

Okubalulekile: Uma unezinye zalezi zimpawu ezinkulu, ungachithi isikhathi bese ubona udokotela ngokushesha. Kubaluleke kakhulu empilweni yakho.

Kungani sithola lezi zifo?

Imbangela eyinhloko yalezi zifo yi -bacterial Group A Streptococcus, esixoxe ngayo ekuqaleni.

Umzimba wethu unesimiso somzimba sokuzivikela . Kufana namandla okuzivikela angaphakathi emzimbeni wethu. Umsebenzi wawo ukusivikela ezitheni zangaphandle ezifana namagciwane namagciwane.

Ngakho-ke, lapho leli gciwane le-GAS lingena emizimbeni yethu, siqala ukuthola izimpawu. Ngesikhathi esifanayo, amasosha ethu omzimba nawo aqala ukusebenza ukubhubhisa leli gciwane. Kodwa ngezinye izikhathi kunzima "ngebutho" lethu ukunqoba le mpi lilodwa. Yilapho udokotela esinika khona imithi efana nama-antibiotic , ukusiza ukulawula leli gciwane ngokushesha nokunciphisa izimpawu.

Ingabe lesi yisifo esithathelwanayo? Sidluliselwa kanjani?

Yebo, leli gciwane le-Streptococcus leQembu A liyathelelana impela. Kungenzeka kakhulu ukuthi lidluliselwe ngokuxhumana eduze nomuntu onesifo.

• Ngokuphefumula amaconsi amathe aqoqana emoyeni lapho ukhwehlela noma uthimula.
• Uma uthintana ne-mucus noma i-sputum evela ekhaleni noma emlonyeni womuntu onegciwane (isibonelo, uma uthinta indwangu esetshenziswa ngumuntu ogulayo).
• Ngokuphuza engilazini efanayo naleyo umuntu ogulayo aphuza kuyo, nangokusebenzisa izitsha namafoloko afanayo nalawo ayewasebenzisa.
• Uma uthinta isilonda esithelelekile noma i-blister esikhumbeni sesiguli.

Leli gciwane cishe lisakazeka kakhulu uma unezimpawu . Yingakho sikutshela ukuthi uhlale ekhaya uma uzizwa ugula, ugweme izindawo zomphakathi, ugqoke imaski, futhi ugcine noma yimaphi amanxeba ehlanzekile futhi emboziwe.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho , njengokuthi usunesikhathi esingakanani unazo nokuthi zimbi kangakanani. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba .

Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa ukuqinisekisa ukuthi lokhu kuyigciwane le-GAS:

• Ukuhlolwa kwegazi: Ukuhlola ukutheleleka emzimbeni.
• I-swab yomphimbo (ukuhlolwa okusheshayo noma ukuhlolwa kokukhula): I-swab encane ithathwa ngemuva komphimbo bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini amagciwane kuyo.
• I-biopsy: Ngezinye izikhathi kuthathwa ingxenye encane yezicubu esilondeni sesikhumba bese ihlolwa.
• Ukuhlolwa kwezithombe: Njenge -MRI, i-CT scan, noma i-ultrasound . Lokhu kubheka izinga lomonakalo odalwe ukutheleleka ngaphansi kwesikhumba.

Iphathwa kanjani?

Ukutheleleka kwe-Streptococcus kweqembu A kuvame ukwelashwa ngama -antibiotic . Udokotela wakho uzonquma ukuthi yiluphi uhlobo lwe -antibiotic okufanele akunike lona, ​​​​kuye ngohlobo lokutheleleka onalo. Lunganikezwa njengokhilimu ogcotshwe esikhumbeni (ngaphandle kwesikhumba) noma njengephilisi elithathwa ngomlomo (ngomlomo).

Ama-antibiotic akunikeza izinzuzo eziningana, okuhlanganisa:

• Isikhathi sokugula siyancishiswa.
• Izimpawu ziyancipha ngokushesha.
• Amabhaktheriya ayayeka ukusabalala kwabanye.
• Kuvimbela lesi sifo ukuba singabi sibi kakhulu futhi kungenzeki nezinye izinkinga.

Kubaluleke kakhulu ukuphuza inani eliqondile lama -antibiotic anikezwe udokotela wakho isikhathi esiqondile. Abanye abantu bayayeka ukuthatha imithi uma izimpawu zabo ziba ngcono. Ungakwenzi lokho. Amabhaktheriya angase angakapheli ngokuphelele, futhi ukugula kungabuya, noma amabhaktheriya angase ashintshe abe ukumelana nemithi.

Yimiphi imithi ekhona kulokhu?

Izinhlobo ezilandelayo zemithi zisetshenziswa kakhulu:

• Ama-antibiotic : Njenge-`(Penicillin)`, `(Amoxicillin)`, `(Benzathine)`.
• Amanye ama-antibiotic anikezwa abantu abane-allergy ku-penicillin afaka: `(Cephalexin)`, `(Cefadroxil)`, `(Clindamycin)`, `(Azithromycin)`, `(Clarithromycin)`.
• Amafutha okugcoba asetshenziswa endaweni: njenge-`(Mupirocin)`, `(Retapamulin)`.

Ngizolulama ngokushesha kangakanani ngemva kokuqala umuthi?

Ngokuvamile uzoqala ukuzizwa ungcono zingakapheli izinsuku ezintathu kuya kwezinhlanu kusukela uqale ukusebenzisa ama-antibiotic . Ukutheleleka okuncane kuvame ukuphela ezinsukwini ezimbalwa. Kodwa-ke, ukutheleleka okukhulu kungathatha amasonto amabili ukuphulukiswa.

Kwenzekani uma ngithola lesi sifo? Ingabe singaphinde siphinde sivele?

Uma uthola ukutheleleka kwe-Group A Streptococcus, uzozizwa ugula izinsuku ezimbalwa ngenkathi ama-antibiotic kanye nesistimu yakho yomzimba isebenza ndawonye ukubulala amagciwane. Phakathi nalesi sikhathi, kungcono ukuphumula ngokwanele nokuhlala ekhaya. Lokhu kuzosiza futhi ukuvimbela amagciwane ukuthi angasabalali kwabanye.

Ngeshwa, ukuthi wake waba nalesi sifo kanye akusho ukuthi ngeke uphinde usithole. Uma ubhekene namagciwane, ungasithola lesi sifo futhi.

Ingabe lokhu kungabanga izinkinga ezinkulu?

Nakuba lokhu kungenzeki njalo, ngezinye izikhathi leli gciwane le-Group A Streptococcus lingasakazeka kwezinye izingxenye zomzimba futhi libangele izinkinga . Nazi ezinye izinto okufanele uziqaphele:

• Ukutheleleka kwe-Sinus.
• Ukutheleleka kwendlebe.
• Isifo senhliziyo (umkhuhlane wamathambo).
• Isifo sezinso `(I-post-streptococcal glomerulonephritis)`.
• Amathumba ayenzeka eduze kwama-tonsils.

Lokhu kutheleleka kwe-GAS kungaba yingozi kakhulu kwabesifazane abakhulelwe kanye nezingane ezincane . Uma ukhulelwe noma uma ingane yakho encane ikhombisa lezi zimpawu, bheka udokotela ngokushesha.

Ungazivikela kanjani kulezi zifo?

Indlela engcono kakhulu yokuzivikela kulezi zifo ukugcina inhlanzeko yomuntu siqu enhle. Lokho kusho ukuthi:

• Geza izandla zakho kahle ngensipho njalo.Ikakhulukazi ngaphambi kokudla, ngemva kokusebenzisa indlu yangasese, nangemva kokuthinta umuntu ogulayo.
• Mboza umlomo nekhala lakho uma ukhwehlela noma uthimula. Sebenzisa izicubu noma okungenani indololwane yakho.
• Kulungile ukulahla izicubu ezisetshenzisiwe emgqonyeni kadoti.
• Ukuhlanza nokuphinda usebenzise amapuleti, izinkomishi, kanye nezitsha ezisetshenziswa umuntu ogulayo.
• Uma uzizwa ugula, hlala ekhaya. Yeka ukusabalala kwabanye.
• Uma kukhona inxeba, lihlanze kahle bese uligcina limboziwe lize liphole.

Ingabe ukhona umuthi wokugomela lokhu?

Ngeshwa, okwamanje awukho umuthi wokugomela ukuvimbela ukutheleleka kwe-Streptococcus yeQembu A. Kodwa-ke, ososayensi bayacwaninga ngalokhu, futhi sinethemba lokuthi umuthi wokugomela uzotholakala esikhathini esizayo.

Kufanele ngimbone nini udokotela?

Kufanele nakanjani ubone udokotela uma unezinye zalezi zimo:

• Uma unezimpawu ezinzima (izinto ezifana nomkhuhlane esikhulume ngawo ngaphambilini, izilonda zesikhumba ezinkulu, kanye nobunzima bokuphefumula).
• Uma ukutheleleka kwakho kuba kubi kakhulu usuku nosuku.
• Uma izimpawu zingathuthuki ngemva kwamasonto amabili okwelashwa.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungangabazi ukubuza imibuzo efana nale:

• "Dokotela, kufanele ngithathe lawa ma-antibiotic isikhathi esingakanani futhi kangaki ngosuku?"
• "Luhlobo luni lokutheleleka enginalo?"
• "Nginomzimba ongezwani ne-penicillin, ngakho-ke yimaphi amanye ama-antibiotic engingawasebenzisa?" (Uma une-allergy enjalo)
• "Ngingayinakekela kanjani inxeba lesikhumba sami lize liphole?"

Okokugcina, izinto okufanele uzikhumbule

Ukutheleleka kwe-Streptococcus (GAS) yeqembu A kuvame ukuba kuncane futhi kwelapheka ngama -antibiotic . Kodwa-ke, uma unezimpawu, kuwukuhlakanipha ukubona udokotela ngokushesha ukuze uthole ukwelashwa. Ngezinye izikhathi lokhu kutheleleka kungaba kubi kakhulu futhi kuthinte ezinye izingxenye zomzimba. Ngakho-ke, esikhundleni sokulinda nokulinda, thatha isinyathelo sokuvikela impilo yakho.

Ukunakekela inhlanzeko yomuntu siqu kungasiza kakhulu ekuzivikeleni kulezi zinhlobo zezifo. Ngakho-ke, geza izandla zakho njalo, futhi uhlale kude nabanye uma ugula. Ukuhlala uphilile kubalulekile kuwe nakulabo abakuzungezile!

Ukutheleleka kwe - GAS, i-streptococcus, umphimbo obuhlungu, izifo zesikhumba, ukutheleleka kwamagciwane, ama-antibiotic , izifo ezithathelwanayo