Ukuxilongwa kwe- strep throat ayikwazi ukusekelwe kuphela kwiimpawu kunye neempawu zeklinikhi, kwaye iimvavanyo ezongezelelweyo zifunekayo ukuze kuchongwe ngokuqinisekileyo ama- Streptococcus pyogenes bhakteria ezenza imeko. Uvavanyo lwe-strep olukhawulezayo lunokuvelisa iziphumo zemihla ngemihla, kodwa kungathatha iintsuku ezimbalwa ukufumana iziphumo zentsimbi yomlomo, nangona uvavanyo luchanekile.
Ukuxilongwa ngokuchanekileyo kubalulekile kuba unyango lunokukunceda ukukhusela iingxaki ezinokuthi zinde ixesha elide, ezifana nesifo nesifo seengtso.
I-Self-Checks
Iimpawu zokuqala kunye neempawu ze-strep throat zihamba kunye nezo zininzi zentsholongwane zokuphefumula. Nangona ungeke ukwazi ukuzibonela nge-strep, unokwazi ukujonga oku kulandelayo, oko kungasenza loo nto imele ichaphazele wena okanye umntwana wakho:
- Ukuvuvukala emhlane emqaleni
- Amabala amhlophe okanye amabala amhlophe emva emqaleni
- Ubomvu obomvu okanye obomvu ngaphakathi emlonyeni wakho
Ezinye izifo ezinobungozi kunye neemeko zonyango nazo zingaqala ngeempawu ezifana nezo zomgca we-throp. Ngelixa lingaqhelekanga, umgca we-throp ngokwayo unokunyuka ukudala iingxaki ezinzulu. Kukho imiba embalwa ebalulekileyo omele uyenze ekuqaphelweni ukuze uqinisekise ukuba akukho ukulibaziseka ekuxilongeni ngokuchanekileyo kwimeko yakho:
- Umkhuhlane ophezulu (ngaphezu kwama-101 degrees)
- Umkhuhlane oqhubekayo (ixesha elide elingaphezu kwama-24 iiyure)
- Rash esifubeni, iingalo, okanye intamo
- Ubomvu ebusweni
- Ukuphefumla
- Ukunciphisa inani lomchamo; utshintshe kumbala womchamo
IiLabs kunye novavanyo
Ngenxa yokuba umgca we-strep udala izibonakaliso kunye neempawu ezifana nezo zintsholongwane zentsholongwane kunye nezinye iintsholongwane zebhaktheriya, indlela efanelekileyo yokuqinisekisa ukuxilongwa kwimivavanyo yebhoratri engakwazi ukubona i- Streptococcus pyogenes ngokwayo okanye ukufumanisa amanqaku abonisa ukuba imo ikhona kumqolo wakho emqaleni.
I nkcubeko
Inkcubeko yomlomo sele ithathelwa ingqalelo kwi-standard standard yegolide ye-strep ye-throp isifo, kunye neyona nto inokubangela ukuba kubekho ukukhawuleza kweeyure ezingama-24 ukuya kuma-48 kwiziphumo zenkcubeko. Inkcubeko yomlomo iqhutyelwa ngokuqokelela ibhaktheriya ukusuka emqaleni komqala usebenzisa i-swab ende. Isampuli ke ibekwe kwiiplani ezikhethekileyo ezenziwe ngegazi lezimvu ezixutywe ne-bacteria ukukhula kweendaba (ezibizwa ngokuba zizigulane zegazi zeegar) kwaye zivunyelwe ukuba zikhule kwibhobhu.
I-Streptococcus pyogenes inesici esiyingqayizivele esivumela ukuba siphule amaseli obomvu avulekileyo. Xa ibhaktheriya ikhulile kule macwecwe, kuya kubakho ukuhlanjululwa kweeseli ezibomvu zegazi kwisitya se-petri ukuba iStreptococcus pyogenes ibhaktheriya ikhona kwisampuli.
Uvavanyo lwe-Antigen olukhawulezayo
Uvavanyo lwe-antigen olukhawulezileyo luqhutyelwa kwiofisi yegqirha kwaye lwenziwa ngokugubha umva emqaleni. I-swab ye-bacteria ixhomekeke kwii-enzymes okanye i-asidi ukuze ikhuphe iindawo ze- Strep bactyriya , ezibizwa ngokuba ngama-antigen. Efanelekileyo okanye engalunganga, kufuneka ufumane iziphumo malunga nemizuzu engama-10 ukuya kwe-20.
Uvavanyo lwe-antigen olukhawulezileyo lunomqondo ophantsi kakhulu kunemikhosi ye-throat, oku kuthetha ukuba banako ukuphosakela ngokugqithiseleyo ukusuleleka kwe-strep kunezikhokelo zentamo.
Kuqikelelwa ukuba iimvavanyo ze-antigen ezikhawulezayo zinama-14 ekhulwini ukuya kuma-20 eepesenti. Ngenxa yeso sizathu, ukuba kukho ithuba elinamandla lokwenza utyholongwane lwe-throp, kukhuthazwa ukuba umphumo ongeyiphumo wokuvavanya ngokukhawuleza kwe-antigen kulandelwe inkcubeko yomlomo (ukuqinisekiswa).
Iimvavanyo zokuvavanya ngokukhawuleza zokulwa ne-antigen azihambelananga nomlinganiselo ongeyiphutha, oku kuthetha ukuba ukuba babuya behle, kukho ukuqinisekiswa okuphezulu ukuba unesifo sengqondo somhlaza.
Ukucinga
Ukujonga iimvavanyo akuyiyo yonke into ekuxilongeni kwe-infection inclinci ye-strep throat. Nangona kunjalo, iimvavanyo ezinjenge-X-ray, CT, MRI, okanye i-ultrasound ziyimfuneko ukuvavanya iingxaki ezinzulu ze-strep emngciphekweni wesifo, njengentliziyo okanye ukuthatha intliziyo.
Kanti, kwakhona, ezi nkcenkceshe ziyabonakala kwaye zibonwa kwizigulane ezingaphatanga.
Ukuxilongwa okuhlukeneyo
Uninzi lwezifo zokuphefumula zingaqala ngeempawu kunye neempawu ezifanayo njenge-strep throat. Nazi izifo eziqhelekileyo ezicatshangelwayo xa uvavanywa malunga nomzila we-throp throat, kunye naluphi na olongezelelweyo, iimpawu eziphawulekayo:
- I-Epstein-Barr virus (i-mononucleosis): ikwabandakanya ama-muscle aches kunye nomvakalelo wokuvaleka
- Umkhuhlane (umkhuhlane)
- I-pneumonia: usulelo lweemiphunga ezibangela ukukhwehlela, ukuvutha nokuphefumula
- I-brronchitis: intsholongwane ye-bronchi ebangela ukukhwehlela okuvelisayo kwaye ingabangela ukuphefumula okufutshane
- I-Mycobacteria isifo: intsholongwane yamaphaphu eyenza ukukhwehlela nokuhamba
- I-Fusobacterium necrophorum: intsholongwane yemiphunga edla ngokubangela izibonakaliso ezinzima kune-strep throat
- Ukugula okuqhelekileyo: kunokuchaphazela naliphina iqumrhu lomzimba kwaye lingaqala ngeempawu ezifana nezosulelo lwe-strep ye-throat
- I-Appendicitis: ingaqala ngentsholongwane kunye neentsimbi, kodwa ngokuqhelekileyo kubangela iintlungu zesisu
- I-Arthritis: iimpawu ezifana neengxaki ze-strep isifo
> Imithombo:
> Atkinson TP, Centor RM, Xiao L, et al. Uhlalutyo lwe-microbiome ye-tonsillar kubantu abaselula abaneemvakalelo ezinomlomo lubonisa ubuninzi bexabiso lobukhulu beFusobacterium necrophorum kunye neentlobo eziphantsi. PLoS One. 2018 Jan 19; 13 (1): e0189423. i-doi: 10.1371 / iphephandaba.pone.0189423. eCollection 2018.
> Cohen JF, i-Bertille N, Cohen R, i-Chalumeau M. Rapid i-test test test yeqela I-streptococcus kubantwana abane-pharyngitis. I-Cochrane Database Syst Rev. 2016 Julayi 4; 7: CD010502. i-doi: 10.1002 / 14651858.CD010502.pub2.