Ukuxilongwa kwe- strep throat ayikwazi ukusekelwa kuphela ezimpawu zokwelashwa, kanti nokuhlolwa okungeziwe kuyadingeka ukuze kubonakale ukuthi kukhona ama-bacteria aseStraptococcus pyogenes abangela isimo. Ukuhlola okusheshayo kwe-strep kungabangela imiphumela efanayo-yosuku, kodwa kungathatha izinsuku ezimbalwa ukuthola imiphumela yemikhuba ye-throat, nakuba lokho kuhlolwa kunembile kakhulu.
Ukuxilongwa okulungile kubalulekile ngoba ukwelashwa kungasiza ekuvimbeleni izinkinga ezingenzeka isikhathi eside, ezifana nesifo senhliziyo nesifo sezinso.
I-Self-Checks
Izibonakaliso zokuqala ze-strep throat zihambisana nalabo abanezinkinga eziningi zokuphefumula. Ngenkathi ungenakuzihlolisisa nge-strep, ungabheka okulandelayo, okungase kubonise ukuthi lo strep throat ungathinta wena noma ingane yakho:
- Ukuvuvukala ngemuva komphimbo
- Amabala amhlophe noma ama-white patches ngemuva komphimbo
- Izindawo ezincane ezibomvu noma ezibomvu ngaphakathi komlomo wakho
Ezinye izifo ezinobungozi nezimo zezokwelapha nazo zingaqala ngezimpawu ezifana nezomugqa we-strep. Ngenkathi kungavamile, ukugoqa komlomo ngokwayo kungathuthuka ukuze kubangele izinkinga ezinkulu. Kukhona izinto ezimbalwa ezibalulekile okufanele uziqaphele ekuqapheleni ukuze uqiniseke ukuthi akukho ukubambezeleka ekuxilongweni okunembile kwesimo sakho:
- Umkhuhlane omkhulu (ngaphezu kwama-degree angu-101)
- Umkhuhlane oqhubekayo (ohlala isikhathi eside kunamahora angu-24)
- Rash esifubeni, izingalo, noma intamo
- Ubomvu ebusweni
- Ukuphefumula okunenkinga
- Ukunciphisa inani lomchamo; shintsha umbala womchamo
Ama-Labs nezivivinyo
Ngenxa yokuthi imifudlana ye-strep ibangela izibonakaliso nezimpawu ezifana kakhulu nezifo ezithathelwanayo kanye nezinye izifo ezithathelwana ngamagciwane, indlela engcono kakhulu yokuqinisekisa ukuthi ukuxilongwa kunemiphumela yokuhlola i-laboratory engakwazi ukubona ukuthi i- Streptococcus pyogenes ngokwayo noma ukuthi ibone ukuthi izimpawu zibonisa yini ukuthi umzimba ukhona ngemuva komphimbo wakho.
Amasiko amabi
Sekuyisikhathi eside isiko lomphimbo libhekwa njengezinga eliphezulu legolide lokuxilongwa kwe-strep throat ukutheleleka, okuyizinto eziyinhloko ukungabi nesikhathi sokubambezeleka kwamahora angu-24 kuya kwangu-48 emiphumeleni yamasiko. Isiko lomphimbo senziwa ngokuqoqa amabhaktheriya kusukela ngemuva komphimbo usebenzisa i-swab ende. Isampula bese isethelwe emafetheni akhethekile ayenziwe ngegazi lemvu elixubene nama-bacteria ukukhula kwezindaba (okuthiwa yizimvu zegazi ze-agar plate) futhi avunyelwe ukukhula ebhodini.
I-Streptococcus pyogenes inesici esiyingqayizivele esivumela ukuthi iphule amaseli obomvu avulekile. Uma ama-bacteria ekhulile kulezi zingqimba, kuzoba nokuhlanzwa kwamaseli abomvu ebomvu ku-petri dish uma i- Streptococcus pyogenes ibhaktheriya ikhona esampheni.
Ukuhlolwa Okusheshayo Kwe-Antigen Ukuhlolwa
Ukuhlolwa okusheshayo kwe-antigen kwenziwa ngokujwayelekile ehhovisi likadokotela futhi kuyenziwa nangokugubha ngemuva komphimbo. I-swab yebhaktheriya isuke isetshenziselwa ama-enzyme noma i-asidi ukukhipha izingxenye ze- Strep bacteria, okuthiwa ama-antigen. Okuhle noma okungalungile, kufanele uthole imiphumela emaminithini angaba ngu-10 ukuya kwangu-20.
Ukuhlolwa okusheshayo kwe-antigen kunomzwelo ophansi kakhulu kunemikhuba ye-throat, okusho ukuthi kungenzeka ukuthi bangaphuthelwa ukutheleleka komthamo ngokweqile kunezinkolelo zemikhosi.
Kulinganiselwa ukuthi ukuhlolwa okusheshayo kwe-antigen kunamaphesenti angu-14 kuya kwezingamaphesenti angama-20 izinga elingamanga. Ngenxa yalesi sizathu, uma kunethuba elinamandla lokusakaza imfucuza yomkhuhlane, kunconywa ukuthi umphumela omubi wokuhlolwa okusheshayo kwe-antigen kufanele ulandelwe ngesimiso somphimbo (ukuqinisekiswa).
Ukuhlolwa okusheshayo kwe-antigen okungahlosiwe akuhlotshaniswa nesilinganiso esihle samanga, okusho ukuthi uma bebuya behle, kukhona ukuqiniseka okuphezulu ukuthi une-strep throat infection.
Ukucabanga
Ukuhlola ukuhlola akuyona isimiso ekuxilongweni kokungenwa okunzima kwe-throp kocansi. Kodwa-ke, ukuhlolwa okufana ne-X-ray, CT, MRI, noma i-ultrasound kungadingeka ukuba uhlole izinkinga ezinkulu ze-strep throat infections, njengezinso ze-kidney noma inhliziyo.
Kodwa futhi, lezi zinkinga azivamile futhi zibonwa ezigulini ezingelashwa.
Ukuhlonza okuhlukile
Izifo eziningi zokuphefumulela ezingenhla zingaqala ngezibonakaliso nezimpawu ezifanayo njenge-strep throat. Nazi izifo ezivame kakhulu ezicatshangelwayo uma uhlolisiswa ukuze uthole umthamo we-strep throat, kanye nanoma yiziphi izimpawu ezengeziwe, eziphawulekayo:
- Igciwane le-Epstein-Barr (i-mononucleosis): lifaka phakathi ama-muscle aches nomzwelo wokuzwa
- Umkhuhlane (umkhuhlane)
- I-pneumonia: ukutheleleka kwamapayipi okubangela ukukhwehlela, ukuqhuma nokuphefumula
- I-brronchitis: ukutheleleka kwe-bronchi ebangela ukukhwehlela okukhiqizayo futhi kungabangela ukuphefumula
- Ukutheleleka kwe-Mycobacteria: ukutheleleka kwamapayipi okudala ukukhwehlela nokushaya
- I-Fusobacterium necrophorum: ukutheleleka kwamapayipi ngokuvamile okubangela izimpawu ezinzima kune-strep throat
- Ukugula okuyisimiso: kungathinta noma yiluphi uhlobo lomzimba futhi lungase luqale ngezimpawu ezifana ne-strep throat infection ekuqaleni
- I-Appendicitis: ingase iqale nge-fever and aches, kepha ngokuvamile ibangela ubuhlungu besisu
- I-arthritis: izimpawu ezifana nalezizinkinga zokutheleleka kwe-strep
> Imithombo:
> Atkinson TP, Centor RM, Xiao L, et al. Ukuhlaziywa kwe-microbiome ye-tonsillar kubantu asebekhulile abanezinwele ezibuhlungu kubonisa ukuthi inqwaba ephakeme yeFusobacterium necrophorum enokuhlukahluka okuncane. PLoS One. 2018 Jan 19; 13 (1): e0189423. i-doi: 10.1371 / iphephandaba.pone.0189423. eCollection 2018.
> Cohen JF, Bertille N, Cohen R, ukuhlolwa kwe-Chalumeau M. Rapid antigen yeqembu A streptococcus ezinganeni ezine-pharyngitis. I-Cochrane Database Syst Rev. 2016 Jul 4; 7: CD010502. i-doi: 10.1002 / 14651858.CD010502.pub2.