I-ABC yeZiqhamo ezinzima
Xa abantwana begula, oogqirha bezingane bahlala befuna ukuyixilonga ngento enye, ngoko bahlala bengenakukufumanisa i-strep kunye ne-mono ngexesha elinye.
Zomibini i-strep umlomo kunye ne-mono zinempawu ezifanayo, kubandakanywa nesifo somqala, umkhuhlane kunye nezigulane ezivuvuzayo.
Kwiimeko ezininzi, ke, i-mono ikhunjulwa kumntwana ovavanya umonakalo kwi-strep kodwa eneempawu eziqhubekayo.
I-Strep ne-Mono Test
Kwaye kwenziwa iimvavanyo ukuvavanya umntwana kwisifo ngasinye, kuquka:
- Uvavanyo lwe-strep olukhawulezileyo kunye nenkcubeko yomlomo weqela le-A Streptococcus bactteria
- uvavanyo lwe-heterophil yesifo sengqondo (i-monospot) kunye ne-Epstein-Barr virus (EBV) amanqanaba okubamba i- mononucleosis
Akunakwenzeka rhoqo ngexesha elifanayo, nangona kunjalo, ngokukodwa kwindawo yokuqala yokubonisa ukuba umntwana unomqala kunye nomkhuhlane.
Kunoko, umntwana osuke wafumana uvavanyo olubi lwe-strep ubuyela kwizingane zabo ezine okanye ezintlanu iintsuku kamva ngenxa yokuba akaphuculanga, kwaye uvavanywa kwi-mono.
Okanye umntwana ovivinyayo othe tyelela ulayini ubeka kwi-antibiotic, njenge-amoxicillin, kwaye uhlakulela ngokugqithisileyo iintsuku ezimbalwa emva koko, okuphawulekayo kwe-mono. Kodwa nangona umntwana ophethe i-strep akafumani ukukhawuleza, akanako ukuphucula, kwaye ke, uvavanyelwe i-mono.
Ngoko kunokwenzeka ukuba ube ne-strep kunye ne-mono ngexesha elifanayo, nangona enye ingabangela enye.
Isimo esiqhelekileyo kukuba umntwana unesifo sengculaza kunye nantoni. Ixesha lokuxubusha iiveki ezine ukuya kweyesithandathu ukuya kweemono kunye neentsuku ezintathu ukuya ezintlanu ze-strep, ngoko ke umntwana wakho wayeza kuba kunye nomntu onomona kunye ne-strep ngexesha elifanelekileyo, unesifo, kwaye wabonisa iimpawu zentsholongwane enye ixesha.
Okanye kunokwenzeka ukuba enye okanye zombini iimvavanyo zazingenanga. Uphando lwe-CDC olusentla kunomlinganiselo wesigxina se-throp kwimeko yekliniki yase-Wyoming kutshanje kufumane ukuba le nkqubo engafanelekanga yabangela ukuba iimvavanyo ezininzi ze-throp throat zithembeke (zilinde ixesha elide ukuba zifunde iimvavanyo).
Sekunjalo, ezinye iingcali zikholelwa ukuba unako ukufumana i-strep kunye ne-mono ngexesha elifanayo kuba le ntsholongwane inomphumela 'wesifo sengqondo' emqaleni wengane kunye neetoni, umzekelo, okwenza kube lula ukuba unokusulelwa yi-mono ngelixa ne strep. Kodwa nangona uphando oludala lufumene ukuba iipesenti ezingama-30 zezigulane ezine-mono nazo zine-strep, ezinye izifundo ezitsha zifumene amazinga aphantsi kakhulu, ngamaphesenti amathathu okanye amane kuphela.
Nangona ngamanye amaxesha kunzima ukuxelela ukuba umntwana unemono kunye ne-strep xa iimvavanyo zombini zithembekileyo, okanye ukuba unayo i-mono kwaye iyinkampani ye-strep, ukuba uya kuhlola i-strep, uya kufuna iimithi ezinqanda i-antibiotic ukukhusela ukufumana i- rheumatic fever . Kwaye ekubeni ephethe i-mono, le ngenye yeemeko ezimbalwa apho kubalulekile ukuba unobantwana bonyango ngokunyanisekileyo ukhetha i-antibiotics ukuba imisele umntwana wakho. Oku kungenxa yokuba i-amoxicillin okanye i-Amoxil, i-antibiotic esetyenziswa rhoqo ekuphatheni abantwana abane-strep, inokubangela ukugqithisa kakubi xa uyithatha xa unemono.
Iintambo zenkampani
Isimo esenzeka ngakumbi kukuba umntwana ophethe i-mono kunye ne-strep nje ngumthutha we-strep. Lawa a bantwana banesifo se-strep yomhlaza kwaye nangona bebhetele kwaye bangenazo iimpawu ze-strep, i-strep bactteria iyaqhubeka ihlala emhlane wabo.
Abaphathi be-Strep abacatshangelwa ukuba bayasasazeka kwaye banokuvavanya ukuba bafumane ithuba lokwenza i-strep iinyanga okanye iminyaka, nangona banomqala obuhlungu obangelwa yintsholongwane.
Imithombo:
CDC. Amanqaku avela kwiNgqungquthela: Iqela le-Streptococcal Pharyngitis lingaxhamli kwiKliniki yokuLondolozwa kweMpilo yaseMaphandleni-i-Wyoming, ngoMashi 2015. i-MMWR. NgoJanuwari 1, 2016/64 (50); 1383-5
Hersh AL, Jackson MA, Hicks LA, et al. Imigaqo ye-antibiotiki enobulungisa echaza imiqathango yokuphefumula ephezulu kwizonyango. Pediatrics. 2013; 132 (6): 1146-54.
I-IDSA Isikhokelo seZikliniki zoLwazi kunye noLawulo lweQela leStryngitis Streptococcal: Uhlaziyo lwe- 2012 yi-Infectious Diseases Society of America
Rush MC. Ukuvela kwe-Epstein-Barr igciwane kwisifo kubantwana abaxilongwa ngeqela A streptococcal pharyngitis. I-Clinic Pediatr (Phila) 01-JUN-2003; 42 (5): 417-20.