ABCs na Sore Throats
Lokacin da yara suka kamu da rashin lafiya, yara likita suna so su tantance su da abu guda, don haka baza su gane asalin strep da mono ba a lokaci guda.
Dukkanin bakin gwargwadon rahoto da na daya suna da alamun bayyanar cututtuka, ciki har da ciwon makogwaro, zazzabi , da ƙuƙwalwa.
A mafi yawancin lokuta, ko da yake, an yi la'akari da dangi a cikin jariri wanda ke gwada gwajin cutar don strep amma yana da alamun bayyanar.
Strep vs. Mono Gwada
Kuma za a iya gwada gwaje-gwaje don kimanta ɗiri ga kowane kamuwa da cuta, ciki har da:
- gwajin gwagwarmaya da ƙwaƙwalwa ga ƙungiyar A Streptococcus
- wani gwajin anti-anti-anti-anti-anti-virus (muni) da kuma Epstein-Barr cutar (EBV) matakan ɗauka don mononucleosis
Ba'a sabawa su a lokaci daya, ko da yake, musamman a alamar farko cewa yaron yana da ciwo mai tsanani da zazzaɓi.
Maimakon haka, yarinya wanda ya riga ya yi gwajin gwagwarmaya ba ya komawa likitocin su hudu ko biyar daga baya saboda ba ya samun mafi alhẽri, sannan ana gwada shi don mono.
Ko kuma yaron da ya gwada kwayar cutar strep an sanya shi a kan kwayoyin halitta, kamar su mikixillin, kuma yana tasowa mummunan rauni a 'yan kwanaki, wanda shine halayen sa. Amma ko da yaron da strep ba zai sami raguwa ba, zai iya zama ba mafi kyau, kuma har yanzu, an gwada shi ga dan daya.
Saboda haka yana yiwuwa a samu strep da mono a lokaci ɗaya, ko da yake mutum baya haifar da wasu.
Mafi yawan al'amuran al'ada shine cewa yarinya ya kamu da cutar ta hanyar kwatsam. Lokacin shiryawa yana da hudu zuwa shida makonni na daya da kwana uku zuwa biyar don strep, don haka yaronka ya kasance yana kusa da wani tare da maniyyi da strep a lokuta masu dacewa, ya kamu da cutar, sannan kuma ya nuna alamun cututtuka na duka ciwo a daidai wannan lokaci.
Ko kuma yana yiwuwa daya ko biyu na gwaje-gwaje na karya ne. Wani bincike na CDC da ya fi yadda yawan kwayoyin cutar strep throat a wani asibitin a Wyoming kwanan nan ya gano cewa hanyar da ba daidai ba ta haifar da gwaje-gwaje masu yawa daga strep kamar yadda ya kamata (sun jira dogon lokaci don karanta gwajin).
Duk da haka, wasu masana sunyi imani cewa zaku iya samun strep da mono a lokaci daya saboda wadannan cututtuka suna da 'sakamako masu tasiri' a kan ƙuƙwalwar ƙwaƙwalwar ƙwayar da yaro da ƙuruciya, alal misali, sa shi ya fi dacewa cewa za a iya kamuwa da ku tare da karamin yayin da yana da strep. Amma yayin da nazarin binciken ya gano cewa kashi 30 cikin dari na marasa lafiya tare da mono kuma suna da strep, wasu sababbin karatun sun samo kudaden da suka fi ƙasa, a kashi uku ko hudu kawai kawai.
Ko da yake yana da wuya a gaya masa idan yarinya yana da mahimmanci da kuma gwargwadon lokacin da gwaje-gwaje biyu suke da tabbacin, ko kuma idan yana da maɗaukaki kuma shi ne mai yaduwa, idan ya gwada tabbatacce ga strep, zai bukaci maganin rigakafi don hana samun ciwon sukari . Kuma tun da yake yana da maɗaukaki, wannan yana daya daga cikin 'yan tsirarun da ke da mahimmanci cewa dan jaririn ya zaɓi abin da kwayoyin zai rubuta wa ɗanka. Hakan ya faru ne saboda moriya ko Amoxil, kwayoyin da ake amfani da shi don magance yara tare da strep, zai iya haifar da mummunan raguwa idan kun dauki shi lokacin da kake da saiti.
Masu sintiri na Strep
Wani bayanin da ya fi dacewa shi ne cewa yaron da ke da mawaki da strep kawai shi ne mai dauke da strep. Wadannan yara ne da ke fama da kamuwa da cutar kututtuka kuma ko da yake sun fi kyau kuma ba su da wani bayyanar cututtuka, kwayoyin strep suna ci gaba da rayuwa a bayan gwiwar su.
Ba a zaton masu ɗaukar shinge ba su zama masu ciwo ba kuma za su iya gwada tabbatacce ga strep na watanni ko shekaru, koda kuwa suna da ciwon makogwaro wanda cutar ta haifar.
Sources:
CDC. Bayanan kula daga filin: Rukunin A Streptococcal Pharyngitis Misdiagnoses a Rural Urgent-Care Clinic - Wyoming, Maris 2015. MMWR. Janairu 1, 2016/64 (50); 1383-5
Hersh AL, Jackson MA, Hicks LA, et al. Ka'idodin maganin kwayoyin maganin cututtukan kwayoyin halitta na ƙananan cututtuka a cikin yara. Pediatrics. 2013; 132 (6): 1146-54.
Shirin Neman Harkokin Kasuwancin IDSA don Bincike da Gudanarwar Rukuni A Streptococcal Pharyngitis: 2012 Sabuntawar Cibiyar Cututtuka na Ingantacciyar Ciwon Maɗammiyar Amirka
Rush MC. Abin da ya faru na cutar Epstein-Barr a cikin yara da aka gano tare da rukuni A streptococcal pharyngitis. Clin Pediatr (Phila) 01-JUN-2003; 42 (5): 417-20.