Ininzi yomqala yengqondo, aka pharyngitis , ibangelwa yiintsholongwane. Kwezifo eziseleyo, kunjalo, umgca we-throp umlomo uqhelekileyo. Kuxanduva lwe-15 ukuya kuma-30 ekhulwini lamatyala kubantwana kunye nama-5 kuya kwe-10 ekhulwini kubantu abadala.
Nangona ukusuleleka kwe-streptococcus yimbangela ecacileyo ye-strep throat, kukho izinto ezininzi ezinokubangela ukuba umntu angene kwisifo.
Ukukwazi ngabo kunokukunceda unciphise umngcipheko wokusuleleka.
Infreptococcal Infection
Kukho iintlobo ezine ezahlukeneyo ze-bacteria ye-streptococcal-A, B, C, kunye ne-G. Iqela le- Streptococcus (i-GAS), eyaziwa nangokuthi yi- Streptococcus pyogenes , ibhakteria ejongene ne-strep throat. Kukho iintlobo ezahlukileyo zebhaktheriya, eziqhelekileyo ezikhokelela ekukhuseleni ukuphefumula kunye nesikhumba.
Ngaphandle kwe-throp throat, ezinye izifo eziqhelekileyo ezibangelwa yi-S. pyogenes ziquka:
Ukungabikho komgca we-throp throat kungakhokelela kwiziqwenga eziphindaphindiweyo ze-strep throat okanye kwiimeko ezinzulu kodwa ezinqabileyo zesifo se- rheumatic fever . Nangona ukuphathwa, i-strep throat ngezinye iikhokelela kwi-post-streptococcal glomerulonephritis (PSG), isifo esibangela ukuvuvukala ezintso. Uninzi lwabantu luyabuya ngokupheleleyo kwi-PSG ngaphandle kweengxaki zexesha elide.
I-Streptococcal Bacteria Isasazeka njani
I-S. pyogenes ixhaphake kakhulu ukusuka kumntu ukuya kumntu. Iibhaktriya kumaconsi omnxeba okanye ukukhutshwa kwamanzi angasasazeka xa ukhwehlela okanye udibanisa. Unokubangela ukuba la mafutha aphefumle ngokuthe ngqo. Ezi zixube ziyakwazi ukuhlala kwiindawo. Ukuba uthinta umlomo wakho, impumlo, okanye amehlo emva kokuba uthinte into ethile ngala maconsi, unokusuleleka.
Ibhaktheriya ingaphantsi isasazeka ngokutya okanye ngamanzi. Ekubeni ungeke ukwazi ukufumana i-strep kwizilwanyana, akukho sidingo sokukhathazeka malunga neentsapho zezilwanyana.
Ixesha lokuxubusha, Ixesha elichaphazelekayo, kunye nexesha lokugula
Ixesha eliqhelekileyo lokuxubusha umzila we-throp throat yintsuku ezimbini ukuya ezintlanu. Oku kuthetha ukuba, ngokuqhelekileyo, kuthatha iintsuku ezintathu ukususela kwixesha ochazwe kwiibhaktheriya ukuya kwixesha ekuveliseni iimpawu. Ukuba uyazi ukuba udibene nomntu ofunyanwe ukuba une-strep throat, yibani na ukukhangela iimpawu ngeli xesha.
I-throre throat ngokuvamile ihlala iintsuku ezisixhenxe ukuya kwi sixhenxe kunye okanye ngaphandle kwonyango. Ukuba uphathwe ngamayeza, izibonakaliso zakho ziyakuthi ziphuculwe zingakapheli usuku okanye ezimbini kwaye ungaziqwalaselwa njengeyintsholongwane ezingama-24 emva kwe-dose yokuqala.
Nangona kunjalo, ekungakhange ulandelwe, unako ukusuleleka kwixesha ochazwe kwiibhaktheriya de ukugqitywa kweempawu zakho. Ezinye izibonelelo zithi ukunyanzelwa kwe-infectivity kunokuhlala ixesha elide emva kweveki kamva.
Ukhuhlane olukhuselekileyo kunye noMbuso weeNkonzo
Akubona zonke i- S. pyogenes bhakteria ezikhokelela ekusulelekeni kwintsholongwane. Abanye abantu bahlala neebhaktheriya kwiimpawu zabo ze-pharynx kunye neengcambu kwaye abazivelisi iimpawu. Ezi ntsholongwane zebhaktheriya zivame ukungabi ncinane.
Laba bantu kuthiwa baqhathaniswa neebhaktheriya kunye nabathwali besi sifo . Inani elinama-20 ekhulwini labantwana abaneminyaka esikolweni bawela kweli qela.
Abathwali abakwazi ukusabalalisa izifo. Kuhlala kungqubuzana nokuba kufuneka baphathwe ngamachiza okubulala ama-antibiotics ukuze banqande ibhaktheriya banike ithuba lokuba banokuchaphazela abanye. Oku kunokuba yinto enengqiqo ukuba umntu ophetheyo unxulumane rhoqo nomntu onomzimba omzimba obuthathaka, umzekelo, umntu onokhemotherapy okanye umntu onentsholongwane kaGawulayo. Kungakho kwakhona ukuba kuqwalaselwa ukuba kukho izifo ezithintekayo kwabanye abantu abasendlwini efanayo.
Izinto zokuPhila kweengozi
Ubuhlanga kunye nesini asiyikukufaka isifo kwiintsholongwane, kodwa kukho ezinye izinto ezandisa ukwanda kweengxaki zomgca.
Ubudala
Umphunga womlenze uqhelekileyo kubantwana abaneminyaka emihlanu ukuya kwe-15 ubudala. Abantwana abancinci banokusuleleka sulela kodwa bangaphantsi kancinci kwaye kaninzi bafumana iimpawu ze-atypical.
Uhlalutyo lweemeta kuma-29 amanqaku kwi- Pediatrics lubonise ukuba phakathi kwabantwana babo bonke ubudala ababenomdla wesifo, amaphesenti angama-37 afunyaniswe neS S. pyogenes kodwa ukuba ukukhula kwehla kuye kwaba ngama-24 kuphela epesenti kubantwana abangaphantsi kweminyaka emi-5 ubudala. Abantu abadala banesifo esiphantsi kwinqanaba eli-5 ukuya kwi-10.
Qhagamshelana naye
Ukuvalwa kweekota kwenza kube lula ukuba usulelo luya kusasazeka kumntu kumntu. Izikolo kunye namaziko okunakekelwa kwimihla aziwayo ngoku. Abantu abahlala nomntu onomgca we-throp throat nabo basengozini enkulu yokusuleleka.
Ucoceko
Ucoceko luyinto eqhelekileyo xa kufikeleleka ekusasazeni kwezifo ezifakwe kwi-strep. Abantwana banakho ukukhwehlela ezandleni zabo okanye bahlambe iiswini zabo ngaphandle kokusebenzisa izicubu. Uphando lubonisa ukuba i- S. pyogenes ingaphila ezandleni ukuya kwiiyure ezintathu.
Ukuhlamba izandla kuyintloko ekunciphiseni ukusasazeka kosulelo. Xa isepha kunye namanzi ayitholakali, qwalasela i-sanitizers ezisekelwe kwisiselo sotywala. Kwakhona ugweme ukwabelana ngokutya, iziphuzo, okanye izitsha kunye nezizathu ezicacileyo, ukumanga kungenaye ngexesha lokusuleleka.
Ucoceko okanye i-Exposure yoMsi
Ingakhathaliseki ukuba utshaya okanye ufumene umsi wesandla wesibini, umqala wakho kunye nomoya womoya ungashukunyiswa ngumcimbi we-particulate. Oku kushiya umhombo ongenakusuleleka kwintsholongwane kungekhona kuphela kwi-strep kodwa kwiintsholongwane. Ukungcoliseka komoya kungenza okufanayo.
Isikhathi sonyaka
Umphunga womlenze unokuthi uvele unyaka wonke, kodwa unamaxesha athile. Izifo zixhaphakile ngasekupheleni kwebusika nasekuseni kwentwasahlobo. Oku kuhambelana nomnyaka wesikolo.
> Imithombo:
> Efstariatiou A, iLamagni T. Epidemiology yeStreptococcus pyogenes. Kwi- Streptococcus pyogenes : I-Biological Basic ukuya kwiiNkcazo zeNtengiso (i-intanethi), uFerretti JJ, uStevens DL, uFischetti VA (eds), i-Oklahoma City (OK): IYunivesithi yase-Oklahoma yezeMpilo eSayensi. https://www.ncbi.nlm.nih.gov/books/NBK343616/. Ukuhlaziywa ngo-Apreli 3, 2017.
> Iqela I-Streptococcal (GAS) Izifo: I-Pharyngitis (Strep Throat). Amacandelo okuLawula nokuKhuselwa kwezifo. https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html. Ukuhlaziywa kweSeptemba 16, 2016.
> Iimpawu zeLR, i-Reddinger RM, i-Hakansson AP. Ukufundwa kwe-Biofilm kuphucula ukuqhubeka kwamafomite eStreptococcus pneumoniae kunye neStreptococcus pyogenes. Immun Immun. 2014 Mar; 82 (3): 1141-6. i-doi: 10.1128 / IAI.01310-13.
> Patterson MJ. Isahluko 13: iStraptococcus. Kwi-Microbiology yezoNyango, i-4th edition. IBaron S (ed), iGalveston (TX): IYunivesithi yaseTexas yeZonyango e-Galveston; 1996.
> UShaikh N, uLeonard E, uMartin JM. Ukunyameka kweStryngitis Streptococcal kunye neStriptococcal Carriage kubantwana: I-Meta-Analysis. Pediatrics. 2010 Sep; 126 (3): e557-64. i-doi: 10.1542 / iipedesi.2009-2648.