Uma uxubha amazinyo akho noma ugeza umlomo wakho, wake waphawula esibukweni ukuthi kunezindawo ezincane ezimhlophe noma izindawo eziphuzi ngaphakathi komphimbo wakho, kuzo zombili izinhlangothi? Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Kodwa ungakhathazeki, isikhathi esiningi lezi zindawo ezimhlophe zibangelwa uhlobo oluthile lokutheleleka okubangelwa amagciwane , amagciwane noma isikhunta . Kanye nalezi zindawo, ungase ube nezinye izimpawu ezifana nomphimbo obuhlungu , ubunzima bokugwinya, umkhuhlane, kanye nokukhathala. Ngakho ake sibone ukuthi yiziphi izimbangela zalezi zindawo ezimhlophe emphinjeni.
I-tonsillitis
I-tonsillitis yigama lezokwelapha le-tonsil evuvukele. Ama-tonsil ayizigaxa ezimbili ezithambile ezinhlangothini zombili zomphimbo wakho. Ayingxenye yesimiso sethu somzimba sokuzivikela. Kalula nje, afana nabalindi ababili abasiza ekubambeni amagciwane angena emizimbeni yethu.
Imbangela eyinhloko yama-tonsil avuvukele ukutheleleka ngegciwane. Kodwa-ke, kungabangelwa namagciwane. Ngokuvamile, amagciwane abangela umkhuhlane ovamile kanye nomkhuhlane yiwo abangela lokhu. Uma kubangelwa amagciwane, imbangela eyinhloko yisimo esibizwa ngokuthi i-strep throat.
Lokhu kungasakazeka ngokuxhumana eduze nomuntu onesifo . Isibonelo:
- Ngokuqabula umuntu, noma ngokudla esitsheni esifanayo, noma ngokuphuza endebeni efanayo.
- Ngokuthinta indawo engcolile bese uthinta impumulo noma umlomo wakho ngesandla esifanayo.
- Ngokuphefumula amagciwane akhishwa emoyeni lapho umuntu onegciwane ekhwehlela noma ethimula.
Lesi simo sivame ukuthinta izingane ezineminyaka ephakathi kwemi-5 neyi-15 ezifunda esikoleni. Ngakho-ke uma unengane efunda esikoleni, noma uma usebenza esikoleni noma esikhungweni sokunakekelwa kwabantwana, kungenzeka ukuthi ube naso.
Udokotela wakho uzobuza ngezimpawu zakho futhi ahlole umphimbo wakho, izindlebe, kanye nekhala ukuze abone ukuthi unaso yini. Bangase futhi bathathe ukuhlolwa kwe-throat culture/rapid strep ukuze bathole ukuthi kubangelwa amagciwane noma igciwane.
| Izimpawu ze-Tonsillitis | |
|---|---|
| Uma kwenzeka ukutheleleka ngegciwane (i-Viral Tonsillitis) | Izimpawu zivame ukuba zincane futhi ziphela cishe ngesonto ngaphandle kokwelashwa. |
| Uma kwenzeka ukutheleleka ngamagciwane (i-Bacterial Tonsillitis) | Ama-antibiotic avame ukudingeka. Kungathatha cishe izinsuku eziyi-10 ukululama ngokuphelele. |
| Izici ezivamile |
|
Umphimbo Wokugoba
Umphimbo we-strep ukutheleleka komphimbo nama-tonsils okubangelwa yibhaktheriya i-Group A Streptococcus. Futhi kuyimbangela eyinhloko ye-tonsillitis. Ngakho-ke, ukudluliselwa kanye nezici eziyingozi kufana kakhulu ne-tonsillitis.
Okubalulekile: Uma une-strep throat, kubalulekile ukuthi uphuze ama-antibiotic udokotela wakho akunike wona isikhathi esiphelele. Ungayeki ukuthatha umuthi ngoba nje kubonakala sengathi uyaphola ngosuku olulodwa noma ezimbili. Kumelwe uqede inkambo ephelele.
Izimpawu zomphimbo obuhlungu zivame ukuqala zingakapheli izinsuku ezingu-2-5 ngemva kokuba igciwane lingene emzimbeni.
- Ukubonakala kwamabala amhlophe noma imicu egcwele ubomvu emathonsilini.
- Amathonsili aba bomvu futhi avuvuke.
- Ukuvela kwamabala amancane abomvu (i-petechiae) ophahleni lomlomo.
- Ama-lymph node avuvukele entanyeni.
- Ukuqala ngokuzumayo kobuhlungu obukhulu emphinjeni.
- Umkhuhlane, ikhanda elibuhlungu, kanye nokubanda.
- Izingane zingase zilahlekelwe yisifiso sokudla, ubuhlungu besisu, isicanucanu nokuhlanza. Zingase futhi zibe nomkhuhlane (umkhuhlane obomvu) oqala entanyeni nasesifubeni bese usakazeka emzimbeni wonke.
I-Oral Thrush - Ukutheleleka kwesikhunta emlonyeni
Lokhu ukutheleleka kwemvubelo okwenzeka emlonyeni. Uma sikhuluma iqiniso, kubangelwa uhlobo lwesikhunta esibizwa ngokuthi i-Candida albicans. Lesi khunta sivame ukuba khona ngokwemvelo emzimbeni wawo wonke umuntu. Kodwa ngezinye izikhathi, uma sikhula singalawuleki, izimpawu ziqala ukuvela.
Ubani osengozini enkulu?
- Izingane ezingaphansi kwenyanga ubudala.
- Izingane ezincane.
- Abantu abadala abangaphezu kweminyaka engama-65 ubudala.
- Abantu abanezivikeli mzimba ezibuthakathaka (isib. i-HIV, iziguli ezinomdlavuza).
- Abantu abathatha ama-steroid noma ama-antibiotic isikhathi eside.
Kulesi simo, amabala amhlophe, aphakanyisiwe afana nokhula lwebele angabonakala olimini, ngaphakathi kwezihlathi, ophahleni lomlomo, ezinsinini, emathonyeni, noma ngemuva komphimbo. Lokhu kungase kuphume igazi uma uklwebha noma uma uxubha amazinyo akho. Kungase kube nokubomvu emakhoneni omlomo, ukulahlekelwa ukunambitheka okwesikhashana, kanye nomuzwa woboya bekotini ngaphakathi emlonyeni.
Lokhu kwelashwa ngemithi yokukhunta. Ukululama kuqala phakathi nesonto noma amabili kusukela ekuqaleni kokwelashwa.
I-Mononucleosis
Lesi yisifo esithelelanayo. Sivame ukubangelwa yigciwane le-Epstein-Barr (EBV). Sibizwa nangokuthi "iSifo sokuqabulana" ngoba singadluliselwa kusuka kumuntu kuya komunye ngoketshezi lomzimba olufana namathe negazi.
Njengoba kubangelwa igciwane, ngeke kwelapheke ngama-antibiotic. Okudingeka ukwenze nje ukuphumula ngokwanele, uphuze uketshezi, bese uthatha umuthi ofana ne-paracetamol womkhuhlane nobuhlungu.
Izimpawu zivame ukuhlala amasonto ama-2-4. Kodwa-ke, abanye abantu bangase babe nokukhathala amasonto noma ngisho nezinyanga. Ngaphezu kwamabala amhlophe kuma-tonsils, izimpawu zingase zihlanganise ukukhathala , umkhuhlane, ama-lymph node avuvukele entanyeni nasemakhwapheni, kanye nekhanda elibuhlungu kanye nobuhlungu bomzimba.
Yiziphi ezinye izizathu?
Ngaphezu kwezifo ezishiwo ngenhla, amabala amhlophe emphinjeni angavela ngenxa yezinye izizathu eziningana.
| Isizathu | Incazelo |
|---|---|
| Amatshe e-Tonsil / ama-Tonsillolith | Izimbobo ezincane emathonsilini zivaleka ngezinhlayiya zokudla namabhaktheriya, ahlangana ne-calcium ukuze akhe amatshe. Lawa abukeka njengamatshe amhlophe/aphuzi. Izimpawu zifaka phakathi umoya omubi, umphimbo obuhlungu, kanye nobunzima bokugwinya. Esikhathini esiningi, lokhu kuyaphela ngokwako. |
| I-Leukoplakia | Amabala amhlophe abangelwa ukulimala kolwelwesi lomlomo. Angabangelwa izinto ezifana namazinyo okufakelwa angalingani kahle, ukudla kakhulu, noma ukuphuza utshwala obuningi. Ezinye zalezi zingaphenduka umdlavuza, ngakho-ke kubalulekile ukubona udokotela bese kwenziwa i-biopsy. |
| I-Lichen Planus | Lesi yisimo sokuvuvukala esenzeka esikhumbeni. Kodwa kwabanye abantu sivela nangaphakathi emlonyeni. Lokhu kungabonakala njengamabala amhlophe abukeka njengeleyisi. |
| Izifo ezithathelwana ngocansi (ama-STI) | Ezinye izifo ezithathelwana ngocansi, njenge-HPV ne-Chlamydia, zingathinta umlomo nomphimbo futhi zibangele amabala amhlophe. Lokhu kudinga ukwelashwa okufanele. |
Ingabe amabala amhlophe emphinjeni angaba uphawu lomdlavuza?
Esikhathini esiningi, amabala amhlophe emphinjeni awabangelwa umdlavuza. Abangelwa ukutheleleka esikhulume ngakho. Kodwa-ke, ezinye izimo, njenge-leukoplakia, zingaphenduka umdlavuza ngokuhamba kwesikhathi, ngakho-ke uma ubona amabala amhlophe emphinjeni, ungakushayi indiva. Qiniseka ukuthi ubona udokotela wakho ukuze akuhlole. Ngemuva kwalokho, ungathola imbangela eqondile bese uqala ukwelashwa okudingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba kungase kwesabe kancane ukubona amabala amhlophe noma aphuzi emphinjeni wakho, ngokuvamile kubangelwa ukutheleleka okungelapheka, njengomphimbo obuhlungu noma i-thrush yomlomo.
- Uma ubona indawo efana nale, ungesabi noma ungayinaki. Bona udokotela wakho ngokushesha.
- Kuphela ngemva kokuba imbangela eqondile seyaziwe lapho ukwelashwa okufanele kungaqalwa khona. Ikakhulukazi izifo ezibangelwa amagciwane njenge-strep throat zingaholela kwezinye izinkinga uma zingalashwa.
- Kubaluleke kakhulu ukuthatha ama-antibiotic anikezwe udokotela wakho ngesikhathi futhi isikhathi sonke.
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