Yanayin da mafi yawan zasu fuskanta kafin girma
Sau da yawa zamu yi la'akari da tonsillitis a matsayin daya daga cikin waɗannan wurare na yara waɗanda yara ke tafiya tare da kaza da kuma takalma. Duk da yake yanayin yana faruwa sau ɗaya a lokacin makarantar sakandare zuwa shekaru masu shekaru matasa, yana iya faruwa a kowane lokaci a rayuwa.
Hanyoyin tonsillitis da aka gano da kuma bi sun canza sau da yawa a cikin shekaru 30 da suka gabata. Yanzu akwai gwaje-gwaje masu sauri wanda zasu iya taimakawa mu gano cututtuka da sauri kuma sababbin magunguna zasu iya rinjayar kwayoyin cutar.
Da wannan aka ce, ragowar tonsillectomy (ƙwaƙwalwar cirewa) ya tashi ne tun daga shekarun 1970s, a cewar wani binciken daga Cibiyar Kwalejin Kimiyya na Mayo.
Sanin Tonsillitis
Kayanku yana cikin ɓangaren ƙwayoyin lymphatic, wanda ke da alhakin kawar da toxins da microorganisms masu cutarwa (ciki har da ƙwayoyin cuta da kwayoyin cuta) daga jiki. Tonsils yin aiki ta hanyar trapping inhaled barbashi kuma aika su zuwa ga lymphatic tsarin da za a neutralized.
Akwai nau'i-nau'i uku na tonsils a jikinka:
- Pharyngeal tonsils , kuma da aka sani da adenoids, located a rufin bakinka kusa da inda hanci haɗu da ka makogwaro
- Lingual tonsils dake bayan harshen
- Palatine tonsils located a baya na makogwaro
Tonsillitis yana faruwa a yayin da kwayar cuta ko kwayoyin shiga cikin bakinsu ko hanci kuma su kama su ta hanyar tonsils. Lokacin da ya faru, tsarin na rigakafi zai ci gaba da kai hare-haren mahaukaci da kuma haifar da amsa mai zafi , haifar da zazzabi da kumburi.
Tonsillitis ne na kowa, tare da mafi yawan mutane da ke fuskantar akalla daya labarin kafin girma, kuma shi ne sosai m. An fi gani sau da yawa a yara masu shekaru biyar zuwa 15 amma kuma yana iya faruwa tsakanin shekaru 15 zuwa 25. Rashin haɗari yana hana karuwa yayin da mutum ya tsufa.
Dalilin
Mafi yawan lokuta na tonsillitis ne ke haifar da kwayar cuta, yayin da ko'ina daga kashi biyar zuwa kashi 40 cikin dari sunyi zaton cutar ta haifar.
Wasu daga cikin abubuwa masu kama da kwayar cutar bidiyo sun hada da:
- Cire ƙwayoyin cuta (ciki har da rhinoviruses da adenoviruses)
- Mutuwar mononucleosis
- Cytomegalovirus (CMV)
- Epstein-Barr cutar (EBV)
- Herpes simplex cutar (HSV)
- Matakan
Mafi yawan kwayoyin cutar sun hada da:
- Staphylococcus aureus (ciki har da MRSA )
- Tashin yatsun (pertussis)
- Kwayoyin cuta ba tare da cutar ba
- Streptococcal pyogenes (strep makogwaro)
Hanyoyin da ba su da magungunan tonsils sun fi sauki amma suna iya hada ciwon daji na tonsils da cryptic tonsils .
Cutar cututtuka
Kwayoyin cutar tonsillitis suna nuna sauri da kuma warware cikin kwana uku zuwa 14, sau da yawa ba tare da magani ba. Alamun da alamun bayyanar sun hada da:
- Rashin ciwo (odynophagia)
- Difficulty swallowing (dysphagia)
- Kumburi da kuma fadada tonsils
- Pockets ko faci na farin a kan tonsils (tonsillar exudates)
- Harshen ƙwayar ƙwayar wuta, mafi yawa a kusa da wuyansa ( lymphadenopathy )
- Fever
- Ciwon kai
- Wulo
- Ƙananan launi ko launin miki a kan rufin bakinka (petechiae)
Kwayoyin cututtuka na iya bambanta da irin kwayar cutar ko kwayoyin da ke ciki, da kuma shekarun da lafiyar mutum. Duk da yake mafi yawan lokuta na tonsillitis suna da ma'anar ma'anar da suke bayyana da kuma warwarewa da sauri-kuma suna iya sake komawa (komawa sau da yawa a kowace shekara) ko na yau da kullum (na tsawon watanni uku).
Sanin asali
Sanarwar asali na tonsillitis na farko ne a farkon gwajin jiki da kuma nazarin tarihin likita. A cikin lokuta inda akwai alamun cututtuka na strep (zazzabi, ƙwararraya mai tsauri, ƙwayoyin lymph na wucin gadi a wuyansa, kuma ba tare da tari), likita za ta dauki sashin kagwagwaginsu ka kuma sa shi a cikin layi don tabbatar da kasancewar strep kwayoyin. Labbobi na Lab suna ɗauka tsakanin 24 da 48 hours.
Za'a iya amfani da gwaje gwaje-gwaje da sauri, kuma yayin da dan kadan ya fi tsami fiye da al'ada, za su iya mayar da sakamakon a matsayin minti 10.
Jiyya
Harshen cututtuka na tonsillitis yana zama mafi muni fiye da tsanani kuma yawanci ana buƙatar sa hannun likita.
- Idan kana da ciwon kwayar cutar hoto , za a mayar da hankali ga maganin ciwon daji da zazzaɓi tare da maganin ciwo irin na Tylenol (acetaminophen) ko Advil (ibuprofen). Dokar magunguna, ciki har da antivirals, ba a ba da izini ba.
- Ya bambanta, ana amfani da kwayoyin tonsillitis da maganin rigakafi. Penicillin da amoxicillin su ne daidaitattun, zabi na farko, kodayake erythromycin da sababbin maganin rigakafi kamar linezolid za'a iya amfani da su a cikin maganin magunguna. Kwayoyin maganin tonsillitis yawanci sukan tafi cikin cikin sa'o'i 24 na farawa magani.
Idan tonsils suna da girma don sun tsoma baki tare da numfashi, likita na iya bada izinin maganin ƙwayoyin maganin corticosteroid (steroid) don taimakawa wajen rage girman su. Duk da haka, dole ne a yi amfani da steroids na kowane nau'i tare da taka tsantsan saboda muhimman abubuwan da suka faru .
Tonsillectomy
Idan kana da ciwon da ke ci gaba da koyaswa ko kuma wanda yake da tasirin rayuwarka, likitanka na iya bayar da shawara ga tayi aiki . Akwai hanyoyi da yawa don yin wannan tiyata, daga cikinsu akwai rubutun kwayoyi, ƙwaƙwalwar plasma mai tsawo, cauterization na lantarki, da kuma likita "wuka mai sanyi".
Duk da yake tonsillecties ba su da ɗabi'a da lafiya, yana da muhimmanci a tattauna duka hadarin da kuma amfani da tiyata da likitan ku.
Ayyukan gida don gwadawa
Yayinda aka ba ku magani, ko akwai kogunan gida wanda zai iya rage yawancin alamun bayyanar tonsillitis. Bugu da ƙari, ta yin amfani da sauƙaƙen jinƙai mai ƙari-kan-counter, gwada:
- Sipping dumi ruwa kamar teas ko broth
- Shan shan ruwan sanyi ko tsotsa a kan popsicles
- Yunkurin kan ciwon gwano yana amfani dashi ko yin amfani da maƙarar kututture wanda ke dauke da benzocaine
- Gargling tare da bayani na 1/2 teaspoon na gishiri hade tare da takwas oci na ruwa mai dumi
- Fitar da damun sanyi ko kankara a kan wuyanka
- Yi amfani da ruwan sanyi mai sanyi
Yana da muhimmanci a lura cewa asirin ya kamata a kauce masa a cikin yara tare da kamuwa da kwayar cutar ta hanyar ciwon haɗari na Reye's syndrome , wani mummunar barazana ga kwakwalwa da hanta.
Matsarorin da suka shafi
Yana da muhimmanci a tuna da cewa mafi yawan lokuta da za su warware matsalolin kansu ba tare da haifar da matsalolin tarurruka ba. Duk da haka, lokuta mai tsanani ko lokuta na iya haifar da rikitarwa irin su maganin otitis (ƙwaƙwalwar kunne ta tsakiyar) ko ƙwayar ƙwayar ƙwayar ƙwayar cuta (samfurin aljihun da aka kunna kusa da tonsils).
Tonsils na iya zama wani lokacin kumbura da suke tsoma baki tare da numfashi da haɗiyewa. Wannan zai haifar da wani mummunan yanayin da aka sani da barci mai barci .
Abincin barci yana da yanayin inda mutum ya dakatar da numfashi don ɗan gajeren lokacin yayin barci. Wannan zai haifar da gajiya, rashin tausayi, halayyar yanayi, da sauransu, lamarin lafiyar mafi tsanani kamar jini da cutar zuciya. Abincin barci mai mahimmanci kuma shine babban abin nunawa ga tonsillecties a cikin mutanen da ke ci gaba da tonsillitis.
Kalma Daga
Idan wani a cikin iyalinka yana da tonsillitis, zai fi kyau ka ware wannan mutumin da kuma kula da wasu, musamman yara, da kyau har sai an warware alamun. Idan kana magance wani dan uwa, wanke hannuwanka bayan taɓa su kuma yi la'akari da saka fuskar fuska idan akwai tari ko sneezing. Kada ka bari yaran ya je makaranta har sai an dawo da ita kuma ba a ci gaba ba.
> Sources:
> Erickson, B ;; Larsen, D .; St. Sauver, J. et al. "Canje-canje a cikin tasiri da kuma alamun tonsillectomy da adenotonsillectomy, 1970-2005." GMS Curr Top Ortorhinolaryngol Head Neck Surg. 2009; 140 (6): 894-901; DOI: 10.1016 / j.otohns.2009.01.044.
> Stelter, K. "Tonsillitis da ciwon makogwaro a cikin yara." GMS Curr Top Ortorhinolaryngol Head Neck Surg. 2013; 13: doc07; DOI: 10.3205 / cto000110