U-Angina uyisiganeko esithandekayo kwaye esingaqhelekanga.
Ngakolunye uhlangothi: i-angina ibakho kuzo zonke iincwadi zengxelo zonyango, abaninzi banalo, baninzi bayazi ukuba "iingqungquthela zanyuka ziginya buhlungu" - yiyona nto ininzi. Ngakolunye uhlangothi, akukho nto ingabonakaliyo kwizigaba ngezizwe ngezizwe (ICD-10). Ukuphazamiseka? Akunjalo.
Inyaniso kukuba i-angina mininzi. Ngokuchanekileyo, kakhulu. Iintlobo ezininzi zeentlobo zingabalwa ngaphandle kokushiya indawo. Umntu oqhelekileyo odibanisa yonke into yendawo yendawo kwinkqubo ekhethiweyo yenkqubo ye-lymphatic ebizwa ngokuba yietoni.
Siza kwenza ukuncincika okuncinci ukuze uqonde ngokubanzi: yiziphi iitoni, kwaye kutheni sifuna.
Inkqubo yokukhusela
Ukungakhuselekanga, oko kukuthi, inkqubo yokukhusela yomzimba wethu, le nto ilula kakhulu. Imelelwa ngamaseli, izicubu kunye nezinye izitho ezizodwa. Iimpawu ezifakwe ukhuselo kunye neeseli zibizwa ngokuba yi-lymphoid. Emzimbeni kukho indawo ezininzi zokugxininisa. I-pharynx yenye yazo.
Isixa esiphezulu sezinto ezivela ngaphandle ziza emzimbeni wethu ngeempumlo nomlomo-apha nomoya, kunye namanzi, kunye nokutya, nezinye izinto ezininzi ezingenakunyumba. Iintshaba ezinobundlobongela zinokuba zilungele ukuba zingabi nengozi kwiindlela ezikude, zingabashiyi. Le yinjongo yoluhlu olulodwa lweendlela ezikhethiweyo emqaleni, ezibizwa ngokuba ngamatoni.
I-tonsil i-lymph node "evulekile". Kwiziko lesisombululo esixhumeneyo sisisigxina esiphambili sabakhuseli emzimbeni ngendlela efana neethambo ezifanayo ze-lymphoid. Kukho iitoni ezininzi: iibini zeelatines, iilwimi (kwiingcambu zolwimi), i-pharyngeal (udonga olusemva kwe-pharynx), iibhanki zamathali (kwii-entrances to tubes auditors behind the pharynx). Yonke le ngqungquthela ibizwa ngokuba yindandatho yePirogov-Valdeier.
Ngethuba lokuqala, sinomdla kwiitoni zeelatine, ngamanye amaxesha zibhekiselwe kwi-parlance efana ne "glands". Ngomhlaba, zithintela kwiinqanawa ze-palatine - iifolda ze-membrane, ephuma kwingcambu yolwimi ukuya kwilinki elithambileyo (ngoko igama). Ezi toni zizona zinkulu, kwintsimi yabo ukuba umdlalo obizwa ngokuthi "angina" udlala.
Ngendlela, i-amygdala kwisiLatini izandile njenge-tonsila, ngoko ukuvuvukala kwayo kuya kuthiwa "tonsillitis". Apha ngaphantsi kwegama le-tonsillitis enobuhlungu kwaye i-angina yethu ihlala kwi-ICD-10.
Iindwendwe ezingahambelwanga
I-essence ye-tonsillitis elula ilula: ukuphuhliswa kwempendulo yokuvuvukala ekuphenduleni ukufikelela kwii-tonsils ze-microorganisms ze-pathogenic. Ingaba yi-bacteria, iintsholongwane, i-fungi, ngokulandelanayo, i-angina iya kuba yi-bacterial, viral or fungal.
Kukho iintlobo ze-angina kwizifo ezibi zegazi, kodwa kwihlathi elinjalo asinakuyisebenzisa, siya kumisa kwinkqubo yokusuleleka.
Ngoko, phakathi kweebhaktheriya ezininzi "ezidumileyo" izifo ze-strep komlomo zi-streptococci. Phantse i-80-90% ye-tonsillitis enamandla i-streptococcal. Ngokuqhelekileyo, imbangela yesifo ingaba staphylococci okanye ipneumococci. Kaninzi kuncinci kwindima ye-pathogen inokwenza i-spirochaetes, kwaye ivelise i-angina enkulu kakhulu i-Simanovsky-Plaut-Vincent.
Into ebangel 'umdla kukuba i-angina ayinakudluliselwa kuphela ngamaconsi amdaka, kodwa kunye nokutya, kuba ubisi olufanayo okanye amazambane ahlambulukileyo ngumthombo olungele ukuveliswa kwe-staphylococci okanye i-streptococci.
Kwixesha elizayo, xa sithetha nge-angina, siya kuba neengcinga ze-tonsillitis ezinzulu, kuba iyona nto ixhaphakileyo.
Ulwaphulo lomdla
Umsebenzi we-streptococcus ukungena emzimbeni womntu kunye nenzuzo apho kunye nento enandi. Umsebenzi we-immune system awuyi kukuphelelwa yintliziyo engcwele kwiindawo ezingcwele kwaye uyigxothise ngelahleko ezincinci. Kukho ukuvuvukala - oko kukuthi, ukusabela kwendawo ekungenisweni kwe-pathogen.
Ukuvuvukala kweetoni kubonakaliswe ngokubomvu babo (ukuhamba kwegazi) kunye nokwanda (i-edema). Lo ngumfanekiso ofanayo onokuwubona ngokuvula umlomo wakho phambi kwesibuko uze uzixelele "A-ah-ah-ah-ah-ah." Iqondo lokunyuselwa kweetoni liyakwazi ukuhluka - ubuncinci bade bajonge i-palatine, kunye neyona nto ikhethiweyo emlonyeni womlomo kwaye iyakuthintana. Ngenxa yokuvuvukala kwiitoni, sinesifo esibalulekileyo se-angina - intlungu ebuhlungu xa ugwinya, kwaye ngamanye amaxesha kungenakukwazi ukugwinya nantoni na, nokuba ngamathe.
Ngendlela, ngenxa yengqondo yomzimba i-rhinitis, ukukhwehlela okanye "uhlale phantsi" ilizwi alilona uphawu. Ezi zimpawu ziyakuthi zithethe nge-ARVI okanye uhlobo lwesifo sesifo.
Umgca olandelayo wokhuselo ngummandla. Nge-angina, ibonakalisa njengenyuka kunye nokunyuka kwama-lymph nodes-maxillary. Ziyakwazi ukutyhutyha ngeenxa yecala lomhlathi osezantsi - iifom ejikeleziweyo ubukhulu be-pea okanye ingundoqo yeentambo ze-hazelnuts.
Umda wokugqibela ngumzimba. Ukuphendula ngokungeniswa kwe-streptococcus - high fever (kufika ku-39 ° C), izilonda, i-acry muscle, i-malaise, ubuthathaka, isisulu sokunxilonga, kunye nezinye iimpawu zokuxilisa ngokuqhelekileyo ezizalisa umfanekiso weklinikhi we-angina.
Amanqanaba amathathu
U-Angina yinkqubo yesigaba. Yaye ukuba akaphazamisi, uhlala ehamba kuyo yonke indawo.
Yonke into iqala ngomlomo wesifo somzimba. Amakhonshoni amancinci kwaye avulekileyo, ukunyuka okuncinci kwindlubongela, intlungu encinci xa iginyiweyo. Ingqumbo engqabileyo yomqala ilibazisekile ngeli nqanaba, ngaphezu koko, izigulane ngokwazo azihlale zinika le mpawu ixabiso elifanelekileyo.
I-tonsillitis yefolda yindlela eqhelekileyo ngayo. Igama lidibene nokubonakala kwimihlaba yamanqaku amanqaku okuqokelela i-pus, ezo zibizwa ngokuba zii-follicles. Lapha sinawo umfanekiso opheleleyo we-angina, kubandakanywa nomkhuhlane omkhulu kunye nezinye iimpawu ezibonakalayo.
Ukuba awungeneleli, inkqubo iya kuqhubeka, kwaye i-pus iya kuqala ukuzalisa iifolda zeetoni-i-lacunae. U-Angina uya kudlula kwisigaba seLacunar.
I-tonsillitis ye-Phlegmon iyingqayizivele kakhulu, kwaye ithetha ukuba inyibiliki ye-tonsils, ukutshintshwa kwezibilini ezijikelezileyo, ukushisa kuya kwi-41 ° C, ngokuqhelekileyo ayihambelani nobomi.
Unyango
Ugqirha kufuneka aphathe i-angina. Ukuzinyango kwimeko apha akuvumelekanga kuphela, kodwa kuyingozi, malunga nokuba yintoni emva koko. Ukuxilongwa kufuneka kuqinisekiswe yi-bacteriolog examination (swab esuka ekhaleni kunye ne-pharynx). Inyaniso kukuba izifo ezinobungozi kakhulu, umzekelo, i-diphtheria, unokunika umfanekiso ofanayo.
Iyeza zanamhlanje zinento yonke efunekayo ukuphumelela ngokuphumelelayo umntu emqaleni. Unyango oluphambili luyi-antibiotics, ekhethwe kwakhona ngokubhekiselele ekuveleleni kwintsebenzo ye-microflora (enye i-bacteriological analysis).
Kubalulekile ukuba kugcinwe ngokugqithiseleyo yonke imiqathango kadokotela kwaye akukho nanye iimeko ezizimeleyo ekunciphiseni ikhosi yamayeza. Ngaphandle koko, unako ukukhulisa i-monster enobungozi kunye neziyobisi.
Imiphumo enokwenzeka
Ngoku malunga neyona nto ibaluleke kakhulu - malunga nokuba yi-angina iyingozi kangakanani, kwaye kutheni oogqirha banyanzelekile ukuba bagcine inyanga yonke abagulayo be-angina, uvavanyo lwe-urine, bathathe i-electrocardiogram kwaye benze ezinye izifundo.
Inyaniso kukuba i-streptococci iindwendwe ezingathandekiyo. Ziyasebenza kakhulu, zi-immunogens, kwaye zinokubangela ukuphazamiseka kwemizimba emzimbeni wethu. Iingxaki ezinzima kakhulu zi-rheumatism (ngentliziyo kunye nomonakalo odibeneyo) kunye ne-glomerulonephritis (ukunqotshwa kwezixhobo ze-glomerula zezintso). Ezi zifo zibini kulula ukukhusela kunokuba uphathe kakubi kamva.
Yingakho kungakhathaliseki ukuba kufuneka unqande unyango, buyele kwimithwalo yangaphambili, nangona imeko yezempilo iphuculwe ngosuku lwesithathu lwesine-4 yokugula. U-Angina - isifo sesimo sengqondo esingenangqondo nesiqhayisayo asizixoleli.
Ukungabikho komsebenzi kubantu abangama-10-15 ekhulwini. Kwaye abantu abatsha (ukufikelela kwiminyaka engama-30) basengozini enkulu yezifo. Oku kungenxa yempawu ezinxulumene neminyaka yokusebenza komzimba womzimba.