I-ABCs yezidakamizwa ezimbi
Lapho izingane zigula, odokotela bezingane ngokuvamile bathanda ukuzitholela ngento eyodwa, ngakho ngokuvamile ngeke bahlolisise i-strep ne-mono ngesikhathi esifanayo.
Bobabili i-strep throat kanye ne-mono banezimpawu ezifanayo, kufaka phakathi umkhuhlane , umkhuhlane , nezigulane ezivuvukala.
Nokho, ezimweni eziningi, i-mono isolwa emntwaneni ohlola okungenayo isiteleka kodwa anezimpawu eziqhubekayo.
I-Strep vs. Mono Ivivinyo
Futhi ukuhlolwa kungenziwa ukuhlola ingane ngokutheleleka ngalunye, kubandakanya:
- ukuhlolwa okusheshayo kwe-strep kanye nomjovo womphimbo weqembu A bacreptococcus bacteria
- i-heterophil antibody test (monospot) kanye ne-Epstein-Barr virus (EBV) amazinga e-titer for mononucleosis
Ngokuvamile akwenziwanga ngesikhathi esifanayo, noma kunjalo, ikakhulukazi esibonakalweni sokuqala sokuthi ingane inomkhuhlane nomkhuhlane.
Esikhundleni salokho, ingane evele isesimweni sokuhlolwa esingahle ibuyele enyanganeni yabo ezinsukwini ezine noma ezinhlanu kamuva ngoba ingabe ingcono, futhi ihlolwe i-mono.
Noma ingane evivinyelwe i-strep ifakwa kwi-antibiotic, njenge-amoxicillin, futhi iqala ukuqhuma okubi ngemva kwezinsuku ezimbalwa, okuyisici se-mono. Kodwa ngisho noma ingane ene-strep ingatholi ukushona, ingase ingabi ngcono, futhi ingakapheli, ihlolwe i-mono.
Ngakho-ke kungenzeka ukuthi ube ne-strep kanye ne-mono ngesikhathi esifanayo, nakuba umuntu engabangeli enye.
Isimo esivame kakhulu ukuthi ingane isuleleke kokubili ngengozi. Isikhathi sokugxilwa ngamasonto amaviki amane kuya kwanguyisithupha ngezinsuku ze-mono nezinsuku ezintathu kuya kwezingu-5, ngakho-ke ingane yakho yayizobe ihamba nomuntu onomono ne-strep ngesikhathi esifanele, igciwane, bese ubonisa izimpawu zombili izifo ngesikhathi esifanayo isikhathi.
Noma kungenzeka ukuthi ukuhlolwa okukodwa noma kokubili kwakungalungile. Uphenyo lwe-CDC lwamazinga aphezulu kunawo wonke we-strep throat amacala emtholampilo e-Wyoming maduzane wathola ukuthi inqubo engalungile cishe ibangele ukuhlolwa okuningi kwe-strep throat ukuze kube yiqiniso (babelinde isikhathi eside ukuze bafunde ukuhlolwa).
Noma kunjalo, ochwepheshe abathile bakholelwa ukuthi ungaba nemisipha yomabili kanye ne-mono ngesikhathi esifanayo ngoba lezi zifo zinomthelela 'we-synergistic' emgodini ovuthayo wengane kanye namathoni, isibonelo, okwenza kube lula ukuthi ungenwa yi-mono ngenkathi ine-strep. Kodwa ngenkathi izifundo ezindala zithole ukuthi iziguli ezingu-30 eziphethe i-mono nazo zine-strep, ezinye izifundo ezintsha zithole amazinga aphansi kakhulu, ngamaphesenti amathathu noma amane kuphela.
Nakuba ngezinye izikhathi kunzima ukutshela ukuthi ngabe ingane ine-mono kanye ne-strep uma izivivinyo zombili zilungile, noma uma ikhona i-mono futhi iyisiphathi soguquko, uma ihlola kahle ukuthi i-strep, izodinga ama-antibiotic ukuvimbela ukuthola i- rheumatic fever . Futhi njengoba ene-mono, lokhu kungenye yezimo ezimbalwa lapho kubalulekile ukuthi udokotela wezingane zakho ukhetha ngokucophelela ukuthi imiphi imithi elwa namagciwane okumele uyibeke kumntanakho. Lokhu kungenxa yokuthi i-amoxicillin noma i-Amoxil, i-antibiotic evame ukusetshenziselwa ukuphatha izingane ezine-strep, ingabangela ukuqhuma okubi uma uyithatha uma une-mono.
Iziphazamisi ezihambayo
Isimo esiningi kakhulu ukuthi ingane ene-mono kanye ne-strep ingumqhubi we-strep kuphela. Laba yizingane eziphethe ukutheleleka kwe-strep throat futhi nakuba zingcono futhi zingenayo izimpawu ze-strep, amabhaktheriya we-strep aqhubeka ehlala ngemuva komphimbo wabo.
Abathwali bezintambo abacatshangwa ukuthi basakazeka futhi bangahlola ukuthi bahlelwe izintambo izinyanga noma iminyaka, ngisho noma benomphimbo obuhlungu obangelwa igciwane.
Imithombo:
I-CDC. Amanothi avela ensimini: I-Group A Streptococcal Pharyngitis Ihluleka Ukuthola Imitholampilo Emaphandleni Okuphuthumayo - Wyoming, Mashi 2015. I-MMWR. NgoJanuwari 1, 2016/64 (50); 1383-5
Hersh AL, Jackson MA, Hicks LA, et al. Izimiso ze-antibiotic enengqondo ezichaza izifo ezithinta ukuphefumula ezinganeni. Izingane zokwelapha. 2013; 132 (6): 1146-54.
Umhlahlandlela we-IDSA wokuzijwayeza oMtholampilo wokuHlola nokuPhathwa kweGigaba A Streptococcal Pharyngitis: 2012 Ukuvuselelwa yi-Infectious Diseases Society of America
Rush MC. Ukwenzeka kwegciwane lesifo se-Epstein-Barr ezinganeni ezixilongwa ngeqembu A streptococcal pharyngitis. I-Clin Pediatr (Phila) 01-JUN-2003; 42 (5): 417-20.