Umphunga womlenze uphathwe nge-antibiotics, njengepenicillin, i-amoxicillin kunye ne-erythromycin, phakathi kwabanye. Abaninzi abanesifo banokubuyela kwiindlela ezingaphezulu kwe-counter-counter-counter, njenge-ibuprofen, okanye izilungiso zasekhaya zokunciphisa intlungu kunye nokunciphisa ezinye iimpawu ezingenakukhathazeka. Ukufumana ugqirha ukuba uqinisekise ukuba oko uhlangabezana nayo kubaluleke kakhulu, njengoko ukuxilongwa kuya kukunceda ukuba ufumane unyango olufunekayo ukujongana nosulelo kunye neengxaki ezinokuthi zivele xa ziqhubeka.
Imigaqo
Imithi ye-antibiotics yonyango olukhethiweyo lwe-strep throat ngezizathu ezininzi:
- Ukunyanga okufanelekileyo kuyanciphisa ubude beempawu .
- Unyango luvimbela ubunzima obunqabileyo, kodwa obunzulu bokungenwa kakubi kwe-streptococci , ezifana ne-rheumatic fever (i-immune system-eyabangela ukulimala ezintanjeni zentliziyo) okanye i-glomerulonephritis (iinjongo ezinobungozi).
- Utyando luyanciphisa ukusasazeka kosulelo.
Ukuba awunayo i-penicillin yokungena emzimbeni, mhlawumbi uya kuthi:
- Penicillin V
- Amoxicillin
Nangona kunjalo, ukuba unayo i- penicillin yokungasebenzi , kukho iindlela ezikhuselekileyo ezi ngasentla:
- Cephalexin
- Cefadroxil
- Clindamycin
- Azithromycin
- Erythromycin
- Clarithromycin
Qaphela: Nayiphi na i-antibiotic ephela kwi- cillin inxalenye yentsapho ye-penicillin kwaye ayiyi kusetyenziswa.
Impumelelo
Ingaba i-antibiotic isebenza kakuhle kangakanani kuncike kwizinto ezimbalwa, kuquka:
- Ingaba okanye Hayi ngokwenene unayo i-Strep: I- antibiotics ayisebenzanga ngokuchasene nezifo zentsholongwane, njengobanda obuqhelekileyo okanye umkhuhlane. Ngaphambi kokuba ugqirha wakho amisele i-antibiotics, kufuneka uqinisekiswe ukuba unemigudu ye-throp throat (mhlawumbi ngokusebenzisa uvavanyo olukhawulezayo lwe-strep okanye i- throat culture ).
- Ixesha: Kukho ubungqina bekliniki yokuba abantu abafumana imithi yabo yokuqala (ngaphakathi kweeyure ezingama-48 zokuqala) kwixesha lokugula kwabo basengozini enkulu yokuphindaphinda umgca. Nangona kunjalo, akukhuthazwa ukuba oogqirha bayalibazisa unyango lwe-strep throat ngaphandle kokuba baphatha umntu onomdlavuza ophindaphindiweyo.
- Ukuthatha ii-Antibiotics Njengoko Uqondiswe: Ukungagqiba ikhosi epheleleyo ye-antibiotics kunokukubeka phambili kwi-strep throat kunye nemingcipheko yokufumana ezinye izifo ezifana ne-rheumatic fever okanye isifo sesifo. Ibhaktheriya inokuthi ingakwazi ukumelana ne-antibiotiki ongayigqibayo, ukongezelela amathuba akho ekuphuhliseni i-antiptic anti-anti-resistant strep infection.
I zi lumkiso
Zininzi iintlobo ezahlukeneyo zeebhaktheriya ezihlala emva emqaleni ongenakukugula. Enyanisweni, ezi bhaktriya, ezibizwa ngokuthi "iiflethi eziqhelekileyo," ngokwenene zilwa neebhaktheriya zangaphandle ezilimaza umzimba wakho.
Nangona kunjalo, uninzi lwamagciwane alucaluli, ukutshabalalisa iiflethi eziqhelekileyo kunye neebhaktheriya ezinoxanduva lwe-strep throat. Oku kwenza kube lula ukuthengisa enye imeko ye-strep emqaleni kwinyanga yokuqala okanye emva koko unyango lwakho lokuqala, nangona i-antibiotics yokuqala yaphumelela.
Ukuchaswa kwama-antibiotiki kuye kwabikwa ngokusetyenziswa kwezi ziyobisi ukuphatha imiphunga ye-throp throat, nangona iintsholongwane ezinganyangekiyo zebhaktheriya ezinxulumene nazo aziqhelekanga. Ukuchasiswa kuye kwabikwa ngazo zonke iziza- antibiotics, kodwa i- Zithromax (azithromycin), enokuyiqonda njenge-Z-pak, inxulumene kakhulu nale.
Ukuba ikhosi yokuqala ye-antibiotics ayikusebenzeli, i-antibiotic entsha iya kubakho.
Sekunjalo, inokwenzeka yokuba negalelo ekutshintshisweni nasekugqithiseni kwezinto eziphezulu-iibhaktheriya ezinqabileyo kwiintlobo ezininzi ze-antibiotics-kutheni oogqirha banenkathalo xa besenza isigqibo sokuba bacebise, kwaye kutheni begxininisa imfuno yokuba ulandele imiyalelo yabo xa benza .
Ulwaphulo oluphezulu
Ukuba une-throp throat, ezinye iindlela zokwelapha ezingaphezulu kunokuba zikuncede ezinye zeempawu zakho njengoko uphila, kodwa azikwazi ukunyanga intsholongwane okanye ukukhusela iingxaki.
- I-Tylenol (i-acetaminophen) okanye i-Advil (ibuprofen): La mayeza anganciphisa umkhuhlane wakho kwaye uncede ngeentlungu; ibuprofen ngokukodwa inokukunceda ukunciphisa ukuvuvukala.
- Iintsholongwane zenyama: Izinto ezinjengeCloraseptic ziqulethe i-anesthetics yama-topical (benzocaine, phenol) enokukunceda ukunciphisa intlungu yomqala.
- I-Lozenges eninzi: Kuninzi lwezinto ezinokukhetha, kodwa unokuzuza ngokukhethekileyo xa ukhetha enye ene-anesthetic. Impembelelo yelozenges ezinjalo zingadlulela ixesha elide kunezo zentsimbi.
Zonyango
Ngokufanayo, izixhobo zasemakhaya zenza ukuba ukhululeke ngakumbi xa unemigudu ye-throp throat, kodwa ayikwazi ukuphilisa intsholongwane. Ezi zizisombululo zexesha elifutshane kwaye aziboneleli ngoncedo oluhlala njalo. Ezinye izilwanyana zasemakhaya ongayifumana luncedo ziquka:
- Iipakethi ze-Ice xa uziva ushushu okanye ukuba unomkhuhlane
- Iingubo zokufudumala, iziphuzo ezifudumeleyo kunye nokutya okufudumeleyo xa uzizwa ubanda okanye ukuba ufumana iintlungu
- Ukutya ukutya okunciphisa okungekho nto yokucasula umqala wakho
- Ukusela kwamanzi ukuze ungayi kutyhila amanzi
- Ukutya kunye neziphuzo ezinobungozi, ezifana ne-popsicles okanye i-ayisikrimu kunokunciphisa intlungu kunye nokuphazamiseka kwesifo somqala
- I-salt gargle ingasinceda ukuphucula induduzo
- Ukusebenzisa i-vaporizer epholile okanye i-humidifier yokuthuthuzela
Utyando
Ukuba uye waba ne-strep throat ezisixhenxe okanye amaxesha angaphezulu kunyaka owodwa, ugqirha wakho uya kuqwalasela ukwenza i- tonsillectomy . Le nkqubo iqheleke ngakumbi kubantwana kunabantu abadala, ngokuyinhloko kuba abantwana banomdla ophezulu wokufumana ukusuleleka kwe-strep ye-throat.
Izingozi zokuhlinzwa kufuneka ziqwalaselwe ngenyameko. Kwiimeko ezininzi, i-tonesillectomy iyakucombulula ingxaki ye-strep throat, kodwa kungekho rhoqo. Kungcono ukuthetha nodokotela wakho / ugqirha wengane malunga nezizathu ezinokwenzeka zokuphindaphinda umsila kunye neenzuzo kunye nemingcipheko yokuhlinzwa phambi kokuba le nkqubo.
Uninzi lwabantu luya ekhaya ngenye imini okanye emva kweeyure ezingama-24 emva kokuhlinzwa. Ukubuyiswa ngokuqhelekileyo kuthatha iintsuku ezintlanu ukuya kwi-10. Ngethuba lokuphucula, ukutya okubandayo kunye neziphuzo kunconywa ukuba zithuthuzele kwaye zinciphise ukuvuvukala.
Khangela ingqalelo yezobugqirha ukuba iimfiva zihamba ngaphezu kwama-degrees angama-100.4 okanye zibuhlungu obukhulu, ukukhwehlela igazi okanye ukuphefumula okufutshane emva kokuhlinzwa.
I-Medicine Complementary (CAM)
Akukho zonyango ezongezelelweyo ezinokuthi zonyango i-strep throat. Uphononongo lufumene ukuba igallic inokuvimbela umsebenzi othile we-bacteria strep kwindawo yokusebenzela i-laboratory, kodwa oku akuzange kuphindwe kwiintsholongwane zabantu. Ngokufanayo, olunye uhlolisiso lufumene ukuba i-echinacea ikhutshweIngenzeka ibe nomsebenzi onobungozi kwiibhakteria ze-strep kwisimo sebhu, kodwa okufanayo akunakucingelwa kubantu.
Inyosi inganciphisa iimpawu zomqala zomlomo, mhlawumbi ngenxa ye-strep okanye nokuba kubanda kakhulu, kwaye kuthathwa njengokhuselekile kubantwana abangaphezu kweminyaka yobudala kunye nabadala. Ungasebenzisa ubusi ukuze uthabise utywala obufudumele okanye udle i-spoonful.
I-lozenges eninzi, esoloko iqulethe izithako zemifuno efana ne- elm edibeneyo , ifumaneka ukuba isebenze ekunciphiseni ukuphazamiseka kwesifo somqala, ngakumbi emva kokuhlinzwa.
Ngokuqhelekileyo, ukuphumla, ukukhumbuza, nokunciphisa uxinzelelo kunokwenza umsebenzi wakho we-immune usebenze ukuze unciphise amathuba okugula kwindawo yokuqala, kodwa ezi zinto azikwazi ukukhusela ngokupheleleyo ekufumaneni izifo ezifana ne-strep throat.
> Imithombo:
> Arzanlou M, Bohlooli S. Ukuvinjelwa kwe-streptolysin O nge-allicin-icandelo elisebenzayo likagalikhi. J Med Microbiol. 2010 Sep; 59 (Pt 9): 1044-9. i-doi: 10.1099 / jmm.0.019539-0. Epub 2010 Juni 10.
> El Hennawi DED, uGeneid A, uZaher S, Ahmed MR. Ulawulo lwe-tonsillitis ephindaphindiweyo kubantwana. NguJ Otolaryngol. 2017 Julayi - Aug; 38 (4): 371-374. i-doi: 10.1016 / j.amjoto.2017.03.001. Epub 2017 ngoMatshi 3.
> UNeslihan Uztüre, uFerdi Menda, uSevgi Bilgen, u-Özgül Keskin, uSibel Temur, no-Özge Köner. Umphumo we-Flurbiprofen kwi-Postoperative Sore Throat and Hoarseness Emva kokufakwa kwe-LMA-ProSeal: I-Randomized, Clinical Trial. I-Turk J I-Anaesthesiol Reanim. 2014 Juni; 42 (3): 123-127.Ishicilelwe kwi-intanethi ngo-2014 ngoMar 11. i-10.: 105152 / TJAR.2014.35693
> Paul IM, Beiler J, McMonagle A, Shaffer ML, Duda L, Berlin CM Jr. Impembelelo yobusi, dextromethorphan, kwaye akukho nonyango ngokukhwehlela ebusuku kunye nobunzima bokulala babantwana bokukhwehlela nabazali babo. I-Arch Pediatr Adolesc Med. 2007 Dec; 161 (12): 1140-6.
> Sharma SM, Anderson M, uSchoop SR, i-Hudson JB. Izakhiwo ze-Bactericidal kunye ne-anti-inflammatory ze-Echinacea ezichanekileyo (Echinaforce): izenzo ezinxamnye neebhaktheriya zokuphefumula. Phytomedicine. 2010 Julayi; 17 (8-9): 563-8. i-doi: 10.1016 / j.phymed.2009.10.022. Epub 2009 NgoDisemba 29.
> Stead, MD, Wendy. Imfundo yesineke: Inwele emzimbeni kubantu abadala (Ngaphandle kweZiseko). Isemgangathweno. https://www.uptodate.com/contents/sore-throat-in-adults-beyond-the-basics#H16
> Vel Driel ML, De Sutter AI, Habraken H, Thorning S, Christiaens T. Ulwaphulo oluhlukeneyo lwe-antibiotic kwiqela le-streptococcal pharyngitis. I-Cochrane Database Syst Rev. 2016 Sep 11; 9: CD004406. [Epub ngaphambi kokuprinta]