Ingabe uvame ukuba nomphimbo obuhlungu? Ngezinye izikhathi kubuhlungu kakhulu kangangokuthi awukwazi ngisho nokukhuluma, futhi kunzima ukugwinya ukudla. Uma uya kudokotela, bangase bakucele ukuthi wenze ukuhlolwa okuncane emphinjeni wakho. Yilokho esikubiza ngokuthi i-throat culture, noma i-throat swab. Ngakho ake sixoxe ngakho konke, kalula, namuhla.
Iyini le Nkohlakalo Yomphimbo?
Kalula nje, lokhu ukuhlolwa okubheka uhlobo lwamagciwane ngemuva komphimbo wakho. Lokhu kuhlolwa kusiza udokotela wakho ukuthi anqume ukuthi yini ngempela ebangela ubuhlungu bomphimbo wakho.
Kulokhu, udokotela usebenzisa i-cotton swab encane ukuthatha isampula encane ngemuva komphimbo wakho. Isampula bese ithunyelwa elabhorethri ukuze ihlolwe.
Elabhorethri, uchwepheshe uthatha lesi sampula bese ebheka amabhaktheriya noma isikhunta esikhula kuso. Ngokuvamile kuthatha izinsuku ezimbili kuya kweziyisikhombisa ukuthi imiphumela ibuye. Uma imiphumela isifikile, uma unesifo, udokotela wakho uzokunikeza imithi efanele.
Kufanele kwenziwe nini lokhu kuhlolwa?
Esikhathini esiningi, uma udokotela wakho esola ukuthi unesifo somphimbo obuhlungu, noma isifo somphimbo (`(Pharyngitis)`), angase akucele ukuthi wenze lesi sivivinyo. Ngoba kunezimbangela eziningana zomphimbo obuhlungu.
Khumbula, akuwona wonke umphimbo obuhlungu obangelwa amagciwane. Ngokuvamile, ubangelwa amagciwane. Kodwa-ke, ngezinye izikhathi ukutheleleka ngamagciwane kanye nesikhunta nakho kungabangela umphimbo obuhlungu.
Isibonelo, isimo esibizwa ngokuthi 'i-Strep Throat', esibangelwa yibhaktheriya i-Group A Streptococcus (`(Iqembu A Streptococcus)`), sivame kakhulu. Ngokusekelwe ezimpawini zakho, udokotela wakho angaqagela ukuthi ngabe ukutheleleka ngamagciwane noma yigciwane.
| Isibonakaliso | Incazelo |
|---|---|
| Izimpawu ezibonisa ingozi ephezulu yokutheleleka ngamagciwane | |
| Imfiva | Ngithola umkhuhlane ophakeme kakhulu. |
| Ubunzima bokugwinya | Akukhona nje kuphela ukuthi kunzima ukudla nokuphuza, kodwa futhi kubuhlungu ukugwinya amathe. |
| Ukuvuvukala kwamathoni | Amathonsi abomvu, avuvuke, futhi ngezinye izikhathi abe namabala amhlophe kuwo. |
| Ukuvuvukala kweqakala | Ama-lymph node (izindlala) kuzo zombili izinhlangothi zentamo avuvukele futhi abuhlungu uma uwathinta. |
| Amabala abomvu ophahleni lomlomo | Amabala amancane abomvu (i-petechiae) angavela ophahleni lomlomo. |
| Ezinye izici | Ubuhlungu bekhanda, izinhlungu zesisu, kanye nokulahlekelwa yisifiso sokudla nakho kungase kwenzeke. |
| Izimpawu ezandisa amathuba okutheleleka ngegciwane | |
| Ukukhwehlela | Uma ukhwehlela kanye nomphimbo obuhlungu. |
| Ukuvuza koketshezi | Impumulo egobhozayo noma impumulo evalekile. |
| Ukushintsha izwi | Izwi lizwakala lishisa futhi lizwakala linzima. |
| Ukubomvu kwamehlo | Amehlo abomvu futhi avuvukele (conjunctivitis) . |
Ezinye izifo ezingatholakala ngokukhuliswa komphimbo
Ngaphezu komphimbo obuhlungu, lokhu kuhlolwa kungabona ezinye izimo eziningana zezokwelapha.
- I-Diphtheria: Lokhu ukutheleleka okubangelwa amagciwane okukhulu.
- Ukukhwehlela/i-Pertussis: Ukutheleleka okubangela ukukhwehlela okukhulu.
- I-Thrush: Isimo emlonyeni nasemphinjeni esibangelwa ukutheleleka kwesikhunta.
- I-Gonorrhea: Isifo esithathelwana ngocansi esingathinta nomphimbo.
- Umkhuhlane we-rheumatic: Inkinga engenzeka uma ukutheleleka komphimbo we-strep kungelashwa kahle.
Kwenzekani ngaphambi nangesikhathi sokuhlolwa?
Akukho okufanele ukwesabe ngalokhu kuhlolwa. Akubuhlungu nhlobo. Kodwa-ke, ungase uzizwe uthukuthele kancane noma uzwa sengathi uvalekile lapho i-swab ibekwa ngemuva komphimbo wakho. Kodwa lokhu kuhlala imizuzwana embalwa kuphela.
Khumbula lezi zinto ngaphambi kokuhlolwa:
- Qiniseka ukuthi utshela udokotela wakho uma usanda kuthatha ama-antibiotic noma usebenzise i-mouthwash, njengoba lokhu kungathinta imiphumela yokuhlolwa.
- Uma uhlola ingane encane, siza ingane ukuthi ihlale ithule ngenkathi udokotela eyitshela ukuthi ihlale. Ukubamba ingane yakho emathangeni akho nokubamba isandla sayo kuzosiza ingane ukuthi izizwe ikhululekile.
Yilokhu okwenzekayo ngesikhathi sokuhlolwa:
1. Udokotela uzokutshela ukuthi ugobe ikhanda lakho emuva kancane.
2. Bese bezokutshela ukuthi uvule umlomo wakho kabanzi. Ngezinye izikhathi ungase ubacele nokuthi benze umsindo othi 'ah...'.
3. Ulimi lucindezelwa kancane, mhlawumbe ngokhuni oluncane (into yokucindezela ulimi), ukuze lubuke kangcono ingemuva lomphimbo.
4. Ngemuva kwalokho, i-cotton swab ihlikihlwa kancane ngemuva komphimbo nasemathonyeni ukuze kutholakale isampula.
5. Ekugcineni, ama-swabs afakwa epayipini elihlanziwe futhi alungiselelwe ukuthunyelwa elabhorethri.
Lonke lolu hlelo luthatha imizuzwana embalwa kuphela.
Kwenzekani ngemva kokuhlolwa? Usho ukuthini umbiko?
Ngemva kokuba isampula isithunyelwe elabhorethri, ibekwa epuletini elikhethekile lapho amagciwane angakhula khona. Ngemva kwezinsuku ezimbalwa, babheka ukuthi amabhaktheriya noma isikhunta sesikhulile yini.
- Umphumela omubi: Lokhu kusho ukuthi akukho magciwane noma isikhunta esakhula kusampula yakho. Lokhu kusho ukuthi imbangela yomphimbo wakho obuhlungu cishe igciwane.
- Umphumela omuhle: Lokhu kusho ukuthi amabhaktheriya noma isikhunta kukhule kusampula yakho. Uma kunjalo, ilebhu izobheka nohlobo lwegciwane.
Uma umphumela wakho ubonisa ukuthi uphilile, udokotela wakho uzokunikeza ukwelashwa okufanele kakhulu kwalowo mkhuhlane, njengama-antibiotic. Bangase bakunike nemithi yokubulala izinhlungu (ama-NSAID) ukusiza ukulawula umphimbo wakho obuhlungu nezinye izimpawu.
Ake sifunde futhi nge-Rapid Strep Test.
Ngezinye izikhathi, uma udokotela wakho esola kakhulu ukuthi une-strep throat, angenza i- Rapid Strep Test ngaphambi noma esikhundleni se-culture yomphimbo. Lokhu ukuhlolwa okunikeza imiphumela cishe ngemizuzu engama-20. Kuhilela nokuthatha isampula emphinjeni wakho.
Uma lokhu kuhlolwa kutholakala ukuthi kunesifo, udokotela wakho angase akuqalise ngama-antibiotic ngokushesha. Kodwa-ke, uma lokhu kuhlolwa kungenayo imiphumela emihle, udokotela wakho angase futhi enze ukuhlolwa komphimbo ukuze aqiniseke ngokuphelele.
Yiziphi izinzuzo nezingozi zalolu vivinyo?
Lokhu kuhlolwa kuphephile kakhulu. Izinzuzo eziyinhloko yilezi:
- Ukukwazi ukwazi kahle ukuthi ukutheleleka komphimbo kubangelwa amagciwane noma isikhunta.
- Ukuhlolwa kungenziwa ngokushesha okukhulu .
- Ukungabikho kobuhlungu .
Azikho izingozi noma izinkinga ezikhethekile ezaziwayo ezihlobene nalokhu kuhlolwa.
Kodwa-ke, kukhona icala elilodwa elikhethekile. Leso yisimo esibizwa ngokuthi i-acute epiglottitis . Kulesi simo, i-flap encane phezulu kwendlela yethu yokuphefumula (i-epiglottis) ivele ivuvuke. Lesi yisimo esiphuthumayo kakhulu. Ukwenza isiko lomphimbo kumuntu onjengalona kungenza kube nzima kakhulu ukuphefumula kwakhe, ngakho-ke lokhu kuhlolwa akwenziwa ngezikhathi ezinjalo.
Ufuna ukuphinde ubonane nodokotela nini?
Ungakhuluma, udle, futhi uqhubeke nemisebenzi yakho yansuku zonke njengokujwayelekile ngokushesha ngemva kokuhlolwa. Asikho isidingo sesikhathi esihlukile sokululama.
Kodwa-ke, uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu ngemva kokuba udokotela wakho eqale ukwelashwa, qiniseka ukuthi ufuna iseluleko sezokwelapha futhi. Bona udokotela wakho ngokushesha, ikakhulukazi uma unezimpawu ezilandelayo:
- Uma unenkinga enkulu yokugwinya ukudla nokuphuza.
- Uma unomkhuhlane omusha noma uma umkhuhlane wakho okhona uba mubi kakhulu.
- Uma unekhanda elibuhlungu noma ubuhlungu bentamo kanye nomkhuhlane wakho.
- Uma ubuhlungu bungapheli ngisho nangemva kokuthatha umuthi.
- Uma ubuhlungu ohlangothini olulodwa lomphimbo bukhula ngokuphawulekayo.
Nakuba umphimbo obuhlungu uvamile, ngezinye izikhathi kungaba uphawu lokuthile okungathi sína. Ngakho-ke, ukukhuliswa komphimbo kuyindlela elula nengenabuhlungu yokusiza wena nodokotela wakho nithole ukuthi kwenzekani ngempela.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa komphimbo kuyindlela elula, engenabuhlungu esetshenziselwa ukuthola imbangela yomphimbo obuhlungu.
- Lokhu kuzokusiza ukuthi unqume ukuthi ukutheleleka kwakho kubangelwa amagciwane noma isikhunta.
- Ngaphambi kokuhlolwa, kufanele utshele udokotela wakho uma usanda kuthatha ama-antibiotic noma usebenzise i-mouthwash.
- Uma umphumela 'ubonakala', kusho ukuthi unesifo. Udokotela uzokunikeza umuthi ofanele.
- Uma izimpawu zakho zingathuthuki noma zingabi zimbi naphezu kokuthatha imithi, bona udokotela futhi ngaphandle kokulibala.
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