I-tonsillitis yinkinga equkethe izimpawu ezithile, kufaka phakathi ukuvuvukala okujwayelekile nokuvuvukala kwamathoni angaphezulu kanye nomhlane. Ukuvuvukala kungadlulisa ngaphezu kwamathani ukuze kufakwe i-adenoids kanye namathoni angama-lingual.
Sibutsetelo
I-tonsillitis ingabangelwa yizifo ezifana namagciwane (isib. I- CMV , i-herpes simplex, i-Epstein-Barr) noma amabhaktheriya afana ne- strep throat .
I-tonsillitis ivela kaningi ezinganeni kunabantu abadala kodwa ayithinti kakhulu izingane ezingaphansi kweminyaka engu-2.
I-tonsillitis ihlukaniswe yaba izinhlobo ezintathu, ezixhomeke ekuvameni kwezikhathi ze-tonsillitis ezenzekayo nokuthi zihlala isikhathi esingakanani:
- I-tonsillitis enamandla ihlanganisa amacala lapho izimpawu zigcina khona kusukela kwezinsuku ezintathu kuya cishe amasonto amabili.
- I-tonsillitis ejwayelekile ivela lapho umuntu ehlushwa iziqephu eziningi ze-tonsillitis ngonyaka.
- Amacala angama- tonsillitis angapheli anezibonakaliso ezingapheli amasonto amabili.
Esinye isimo, i-abscessillar abscess, kwenzeka lapho ukutheleleka kusuka kwamathoni kufakazela kwezinye izicubu ekhanda nentamo. Ngenkathi imithombo ethile ibandakanya lesi simo njengohlobo lwe-tonsillitis, cishe kuchazwa ngokunembile njengenkinga ye-tonsillitis engaphatheki kahle. I-absitillar abscess ivela ngokwengeziwe kubantu abasha kanye nabantu abadala kunabantwana.
I-Tonsillitis ejwayelekile
I-tonsillitis ejwayelekile ingatholakala uma umuntu enesibindi esiningi se-tonsillitis ngonyaka.
Izifo zingaphendula ngama-antibiotics ekuqaleni kodwa zibuye njalo. Okungenani ukutadisha okukodwa kuye kwabonisa isici sezakhi zofuzo ekuthuthukiseni i-tonsillitis ephindaphindiwe. Olunye ucwaningo lubonisa ukuthi ngenkathi i-tonsillitis ephindaphindiwe ivame kakhulu ezinganeni, i-tonsillitis engapheli ivame kakhulu kubantu abadala.
Ezinganeni, i-tonsillitis ephindaphindiwe ivame ukubangelwa ukutheleleka kweqembu le-beta-hemolytic Streptococcus pyogenes (GABHS), eyaziwa nangokuthi strep throat, kuyilapho amanye amagciwane angase abangele imbangela yokukhulelwa komuntu omdala. Izizathu zokuphindaphinda umgogodla wezintambo zibandakanya izinkinga ezingamelana amabhaktheriya, amasosha omzimba abuthakathaka, noma kungenzeka ukuthi wena noma othile emndenini wakho ungumthwali we-strep.
I-Tonsillitis engapheli
I-tonsillitis engapheli ivame kakhulu kubantu abasha kanye nabantu abadala. Abantu ababhekene nesifo sofuba esingapheli bavame ukuba nesiguli:
- Umphimbo obuhlungu
- Amathoni awandisiwe
- Umoya omubi , ongase uhlotshaniswe namathoni we-cryptic
- Izandiso ze- lymph nodes ezinwetshiwe nezethenda
Kokubili ukutheleleka nge-bacterium okuphikisana nemithi elwa namagciwane futhi kuguqule ukusebenza kwe-immunologic kungenzeka kube nomthelela ekuthuthukiseni i-tonsillitis engapheli. Ungase ube nengozi eyengeziwe yokwakha amathani amancane uma usuke uthola imisebe.
Njenge-tonsillitis ephindaphindiwe, i-apnea yokulala yinkimbinkimbi enkulu ye-tonsillitis engapheli futhi uma ihlale ibonisa ukukhishwa kwamathani. Ekugcineni, isinqumo sokususa ama-tonsils sincike ezintweni eziningi ezibandakanya ikhono lakho lokuya emsebenzini noma esikoleni, izimpawu zakho, nanoma yikuphi ukucindezeleka kokungena kwe-tonsillitis okungenzeka ube nakho.
Ukwelapha
Ukwelashwa kokuqala kwe-tonsillitis ephindaphindiwe noma engapheli kuhlanganisa nokuqinisekisa ukulawulwa okwanele kwe-hydration nokulawula ubuhlungu. Ukuphatha ubuhlungu bomphimbo obuhlungu kuyokuvumela ukuba uzigcine uzifakele amanzi. Uma unezibonakaliso zokuphelelwa amandla kwamanzi , kufanele ufune usizo lwezokwelapha. Ukuze ulawule ubuhlungu, ungasebenzisa imishanguzo engaphezu kwele-counter njenge-Tylenol, i-Ibuprofen, noma i-throat lozenges noma i-sprays.
Kungakhathaliseki ukuthi yini ebangela ukuphindaphinda kwakho noma okungahleliwe, udokotela wakho angase futhi ancoma ukuthi amathoni akho asuswe . Lokhu kuzoba njalo, uma uneziqephu eziyisihlanu kuya kweziyisikhombisa ze-tonsillitis ngonyaka noma une-tonsillitis engahleliwe engaxazululwa.
Ukukhetha ukuba ne-tonsillectomy kunganciphisa kakhulu inani lezinkathi unomphimbo obuhlungu futhi udinga ama-antibiotic ngonyaka. Ukuthuthukiswa kwekhwalithi yokuphila kukhonjisiwe futhi, ikakhulukazi uma u-tonsillitis yakho ithinta ukuhamba emsebenzini noma esikoleni.
> Imithombo:
> I-American Academy ye-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-Fact Sheet: Izinqubo zeTonsillectomy. http://www.entnet.org/content/tonsillectomy-and-adenoids-postop
> I-American Academy ye-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-otolaryngology ye-Primary Primary Care. http://www.entnet.org/sites/default/files/Oto-Primary-Care-WEB.pdf
> I-OAMA Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. Ukuhlanzeka kwe-Tonsillitis ejwayelekile. http://jamanetwork.com/journals/jamaotolaryngology/fullarticle/649025
> Medline Plus. I-Peritonsillar abscess. http://www.nlm.nih.gov/medlineplus/article/000986.htm
> NCBI. I-Tonsillitis ejwayelekile kubantu abadala. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947847/