U-Angina kubantwana - iimpawu kunye nokunyangwa kwazo zonke iintlobo zesifo

Ukuvutha kwamabhaktheriya kweetoni okanye i- tonsillitis kukuxilongwa rhoqo kwiintsana ukususela kwiminyaka emi-2. U-Angina uphathwe kakhulu, kodwa ngokufumanisa ngexesha elifanelekileyo. Ngaphandle koko, inkqubo yokuvuvukala kakhulu ingadlulela kwifomu engapheliyo rhoqo.

Iimbangela ze-angina kubantwana

Iitoni zizitho zenziwe ngeethambo zellidi. Bandakanyeka ekuphuhliseni amaseli omzimba kwaye zenzelwe ukukhusela umzimba kwisifo. Ukuba emqaleni, ngomoya ophilileyo, ukutya kunye nokudlula kwamanzi, iifoni zokuqhagamshelana imihla ngemihla kunye nenani elikhulu labantu abachaphazelekayo, ngenxa yoko ukuphumelela komsebenzi wabo ngezinye izikhathi kunciphisa. Ngenxa yoko, i-lymphoid tissue iyavutha, kodwa le nkqubo ye-pathological hayikho i-tonsillitis.

Izimbangela kuphela ze-angina yi-streptococcal kunye ne-staphylococcal bacteria. Iimpawu ezinokuqala ezikhankanywe zibangelwa malunga ne-80% yazo zonke izifo zesifo. Ama-20% asele aphethwe yi-staphylococcal okanye usulelo oluxubekileyo. I-tonsillitis ibhekiselele kwizifo zentsholongwane, azinako "ukuthathwa" ngokuhlwaya i-ice cream, okanye nge-hypothermia, isifo esibuhlungu sisasazeka kwi-bacterium. Amathuba omntwana ekunyuka ukwanda kwezi zilandelayo:

• ukungondleki;
• izifo ezandulelayo, unyango olunganeleyo;
• foci evuzayo kufuphi neetoni ( sinusitis , caries kunye nabanye);
• ku sebenza;
• kulwa buthathaka.

U-Angina kubantwana - iintlobo kunye neempawu

Ukwahlula kwe-tonsillitis kusekelwe kumgangatho kunye nentsholongwane yokutshatyalaliswa kwezicubu ze-lymphoid. Kubalulekile ukucacisa ngoko nangoko ukuqhubela phambili kwe-angina kubantwana - iimpawu kunye nokunyangwa kokuvuvukala kuxhomekeke kwifom yayo. Abanye oogqirha bancedisa ukuhlukanisa i-tonsillitis kwiqela le-microbial kunye ne-viral, kodwa le ndlela engalunganga yokuhlelwa. Umqala oyimpumlo ungokoqobo kuphela ovela kubhaktheriya. Iifoni ziyakwazi ukutshabalalisa intsholongwane ye-virus, kodwa kwiimeko ezinjalo, ukunqandwa kuyimpawu, kungekhona isifo esizimeleyo.

Iintlobo zesifo somqala kubantwana:

• catarrhal;
• lacunar;
• ulandelelwano ;
• i-herpes okanye i-virus (uhlobo lwengxabano).

I-Catarrhal angina kubantwana

Indlela elula yokukhubazeka, ukunyamezela ngokulula kwaye iphethwe kakuhle. Le ngxaki yomntwana ibonakaliswe yilonda elingenangqondo leetoni. Inkqubo yokuvuvukala ichaphazela kuphela iimbumba ze-lymphoid, kunye nezicubu zangaphakathi zihlala ziphilile. Iimpawu ze-Catarrhal ezingabantwana:

• u buqhetseba;
• kulala;
• isicefe
• iintlungu ezilinganayo xa ziginya;
• ukushisa kuma-38-38.5 degrees;
• ukubuyiswa kwakhona kwe-pharynx;
• ukukhukhuma kweetoni;
• ubuhlungu obubuhlungu kwii-lymph nodes ezikufuphi (okunqabileyo);
• ukungabi nesidlo.

I-Lacunar angina kubantwana

Uhlobo olucacileyo lwe-tonsillitis lubonakaliswe ngumonakalo ongenalutho kumatoni. I-angun i-Lacunar ihambelana nokubonakala kwe-foci enkulu ekhuphayo edibanisa kunye kunye nokwenza uhlobo oluthile lweesitifiketi kwiethambo ze-lymphoid. I-plaque ikhululekile kwaye ingacacanga, ikhutshwe kalula. Ukuba i-lacuna yonakalisiwe, ezi zilandelayo zibonakaliso ze-angina kumntwana ziyabonwa:

• Ukushisa komzimba ophezulu, kubantwana abancinane kufinyelela kuma- 40 degrees ;
• ubuthathaka nokulala;
• isicathulo kunye nesisu;
• intlungu xa iginya kwaye ithetha, ingayinika indlebe;
• amaqatha kumalungu;
• ukungahambi kakuhle kwiimisipha;
• intloko;
• ukwala ukutya nokusela.

Intshontsho yesifo somqala emntwaneni

Uhlobo oluthiwa lugulo luhamba kunye nokubunjwa kwe-white-yellow on tonsils. Oogqirha abaninzi abahluli i-lacunar kunye ne-follicular angina kubantwana - iimpawu kunye nokunyangwa kwezi ntlobo zentsholongwane zifana kwaye zivame ukuvela kanyekanye. Ngamanye amaxesha imiqondiso yento nganye ecacisiweyo ye-tonsillitis ithintela itoni nganye.

I-angina engcolileyo ebonwa kubantwana inempawu ezinjalo:

• ubushushu, ubushushu ukuya kuma-41 degrees;
• i-aches emzimbeni;
• ubuthathaka kwimisipha;
• emqaleni, embi ngokugwinya;
• isicongconi, ukungabi nesidlo;
• kulala;
• intloko;
• iigceke ezimhlophe ezimhlophe eziluhlaza okwesibhakabhaka ubukhulu bentloko yeentloko kwietoni.

I-Herpes isifo somqala emntwaneni

Apha, inkqubo yokuvuvukala iyashukunyiswa yi-Coxsackie virus. Ngokuphindaphindiweyo, i-agent causative isifo sohlobo lwe-A (kusekho iB). Ukunikezelwa kwe-viral angina kubantwana akukho nto enxulumene ne-herpes, ngaphandle kwegama. Inentsholongwane, idluliselwa ngokubanzi ngamaconsi amanzi, ngamanye amaxesha ngamakhaya. I-agent engabangela ukutshaya yi-enteroviruses, echaphazela i-tonsils, ezinye iiscupu ze-lymphoid kunye nama-muscle emzimbeni.

Le tonsillitis ayilunganga ukubiza "i-angina" kubantwana - iimpawu kunye nonyango zihluke ngokusuka kumonakalo wobakteria. Iimeko ezichaziweyo zibangelwa usulelo lwentsholongwane kwaye luyinxalenye yempawu zekliniki zayo. I-Herpes isifo somqala emntwaneni - iimpawu:

• ukwanda ngokukhawuleza kobushushu bomzimba kumanani aphezulu (38.5-40 degrees);
• ubomvu emqaleni;
• kutyumba e siswini;
• ukuhlanza;
• ukubonakala emqaleni weengqungquthela ezincinci ezinokugqithisa, eziza kuba ngamachule ngobuninzi obuqulathiweyo;
• amaqatha kumalungu;
• ukubonisa intlungu kwiimisipha;
• kwandisa i-lymph nodes;
• isicefe
• salivation;
• ukubamba kunye nomqala;
• ukuphuma kumlomo ngomonakalo omncinci, nokuba ngenxa yokutya;
• Ukuvula okungahleliwe kwemibhobho emva kweentsuku ezingama-3-4 kunye nokubonakala kokukhukhula kwendawo yabo;
• i-carditis (ngamanye amaxesha) - i-arrhythmia, ingakhathazeki entliziyweni;
• intloko;
• I-sering meningitis (inqabile kakhulu) kunye nokongeza kweempawu ze-neurologic.

Ingakanani izinga lokushisa kwengane luneengcingo?

Ukushisa kunye nomkhuhlane zibonakalisa iimpawu zoluphi uhlobo lokuvuvukala, zibonisa ukulwa okukhuselekileyo ekukhuseleni ukhuseleko. Iqondo lokushisa kwi-angina kubantwana lihlala liphezulu kwiintsuku eziyi-3-4, emva koko iyakulinganisa ngokusisigxina kwimvelaphi yonyango. Oogqirha bayacetyiswa ukuba bangayiqondiyo phantsi kokuba ixabiso le thermometer lifike ku-38.5-39. Ngokuqhelekileyo ukuthatha i-antipyretics ayifuni imfuneko ngenxa yokusetyenziswa kwee-antibiotiki.

Kunokuba uphathe ingqondo kumntwana?

Ulwaphulo lubandakanya isicwangciso seenkqubo ezijoliswe ekupheliseni intsholongwane yebhaktheriya nokuyeka iimpawu zentsholongwane. Kubalulekile ukufumanisa ukuba luhlobo luni lwe-angina olukhula kubantwana - iimpawu kunye nokonyango kwefayili ye-catarrhal zihluke kwi-tonsillitis ye-lacunar kunye neentolisi. Ukungaxakeki kwe-herpes ukuvutha (i-virus, i-enterovirus) ayifuni unyango olukhethekileyo, ukuphumla kombhede, isiselo esinomtsalane esinokufudumala kunye nokunciphisa umfanekiso wesifo sesifo. Ukubuyisela kwenzeka emva kweentsuku ezi-7-10 kunye nokubunjwa kwe-immunity.

Unyango lwe-angina kubantwana abanomthombo wobhaktheriya uquka:

1. Amalungiselelo asekuhlaleni. Ukuze kususwe intlungu, ukubetha kunye nokubuyiselwa komqala, ukuphalaza (iGeksoral, Oracet), iisandi (Tharyngept, Neo-Angin) kunye nezinye izicwangciso ziyanconywa. Abantwana abaneminyaka engaphantsi kweminyaka emithathu banqunywe ngokuqaphela.
2. Antihistamines. Ukuthintela ukuphuhliswa kweempembelelo ezinobungozi ezikhutshwa yiibhaktheriya, kunceda i-Cetrin, i-Peritol, i-Suprastin kunye nemichiza efanayo.
3. Antipyretic. Kusetyenziswa kuphela kwiimeko ezimbi kakhulu - i-Nurofen, i-Ibuprofen nabanye. Kwiintsana, kungcono ukhethe i-rectal suppositories (Efferalgan, Cefekon kunye neempawu).
4. Hlanganisa izixazululo. Ezi ziselo zinceda ukuyeka kuphela iimpawu ze-tonsillitis kunye nokunciphisa i-syndrome, ukuze ukwazi ukusebenzisa i-pharmacy kunye nezilwanyana zamalungu.
5. Antibiotics. Iqela eliphambili lamachiza kunyango. Kukhethwa ukunika umntwana uchungechunge lwamagciwane e-penicillin kunye nefuthe elibanzi lemiphumo. Ugqirha kuphela onokumisela i-antibiotics, ingakumbi ukuba i-angun purulent kubantwana ifunyaniswa-unyango ngamagama akhethiweyo ayingozi.
6. Pro- ne eubiotics. Ama-anttimicrobial agents azithintela i-microstlora yamathumbu, ngoko ke i-Bififir, i-Linex kunye namanye amayeza acetyiswa ukuba abuyele.

Kunokuba ugqoke umqala emngeni kumntwana?

Inkqubo echazwe ingenziwa ngezicombululo ezilula zamanzi afudumele ngetyuwa, i-soda (1 ithisipuni nganye ngeglasi) kunye ne-drop of iodine. Ukuba unqwenela, kulula ukufumana i-antiseptic esebenza kakuhle kwi-angina yabantwana kwi-pharmacy:

• Chlorophyllipt;
• Miramistin ;
• Eludral;
• Rivanol;
• Furacilin;
• Iodinol;
• Rotokan;
• Ingaphytol;
• Stomatode nabanye.

I-antibiotics ye-angina kubantwana

Ngaphandle kwe-antimicrobials, akunakukwazi ukujamelana ne-baconial tonsillitis. Ngaphambi kokumisela i-antibiotics, kubalulekile ukusekwa oko kubangela ukuba i-angina kubantwana - iimpawu kunye nonyango kuxhomekeke kakhulu kwi-pathogen yokuvuvukala. Ininzi idla ngokuba yi-streptococcus, kodwa kwezinye iimeko i-staplocloccus ihlwayelwa kwi-pharynx. Indlela yodwa yokukhawuleza ukuphilisa umqala wengqondo emntwaneni kukusebenzisa loo mayeza antimicrobial apho iibhaktheriya ezinama-pathogenic zininzi:

• Flemoxin Solutab;
• Amoxiclav;
• Ecoclave;
• I-Augmentin kunye namanye ama-agent angama-amoxicillins.

Xa ukunganyanzelwanisi kwezi zi yobisi kukhuthazwa ama-macrolides:

• I-Sumamed;
• Hemomycin;
• Azitroxy;
• Macropean.

Kwiimeko ezinzima, i-cephalosporins ikhethwe unyango:

• Aksetin;
• Cephalexin;
• Supraks;
• Zinnat.

Izilwanyana zomntu zesifo somqala

Oogqirha bayacetyiswa ukuba basebenzise kuphela izicombululo zokuhlanjululwa komqala ukusuka kwezinye iindlela zokupheka. Ukwelashwa kwe-angina kubantwana ekhaya ngaphandle kokusetyenziswa kwamagciwane okungahambi kakuhle kwaye kunokukhokelela kwiimeko ezinobungozi okanye ukuguqulwa kweetoni zibe kwifomu engapheliyo ngokuphindaphindiweyo. Kuthetha kakhulu ubugwenxa (i-lemon i-chew, ukucoca i-aples ne-aple cider iviniga) inqatshelwe, ingakumbi ukuba umntwana usencinane.

Ukufakelwa kwamagqabha e-rinses

Izithako:

• amaqabunga omhlaba - 4 tsp;
• i-chamomile izimbali - 50 g;
• amanzi - 300 ml.

Ukulungiselela, sebenzisa :

1. Gaya izityalo kwaye uthele amanzi aphelayo.
2. Emva kwesigama seyure, xhaphaza ukumnika.
3. Gcina isisombululo sesiphumo 4 ngosuku.

Iingxaki zesifo somqala kubantwana

Ngonyango olwephuzile okanye olungalunganga, i-tonsillitis ingabangela ukuba kube nemiphumo emibi. I-Lacunar ne-purulent follicular angina kubangela iingxaki ezilandelayo kubantwana:

• i-otitis media;
• laryngitis;
• sepsis;
• i-meningitis;
• pericarditis;
• lymphadenitis yesithili;
• encephalitis;
• pyelonephritis;
• ukutshatyalaliswa okunesifo esiyingozi;
• appendicitis;
• i-pancarditis;
• i-phlegmon;
• vasculitis;
• ukunqotshwa kwe-mediastinum;
• glomerulonephritis;
• purpura ye-thrombocytopenic;
• i-rheumatic fever eguquguqukayo kunye nokuguquka kwindlovu yesifo somzimba esasigxina;
• myocarditis nabanye.

Iprophylaxis ye-angina kubantwana

Ukuthintela usulelo lwe-tonsillitis kuyimfuneko ukubeka esweni ukusetyenziswa komzimba kwaye uhlale uyomeleza. Iprophylaxis ye-angina iquka:

• ukutya okunokulinganisela kunye okunengqiqo;
• lukhuni;
• unyango lwezifo;
• iphupha eliphezulu;
• ukuthobela imithetho yokucoceka;
• yokugonywa kwabantwana.