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Tonsillitis nwaye nigbati igbona kan wa ninu awọn eefun ati ni ọpọlọpọ awọn ọran o ṣẹlẹ boya nipasẹ ọlọjẹ tabi akoran kokoro. O le waye ni eyikeyi ọjọ-ori ati pe o jẹ iṣoro ilera ti o wọpọ. Ninu nkan yii, a yoo ṣalaye awọn idi, awọn aami aisan ati iwadii ti tonsillitis.
Ohun ti O Fa Tonsillitis
Awọn eefun jẹ awọn paadi ti o ni irisi meji ti àsopọ ti o wa ni ẹhin ọfun. Wọn ṣe bi ẹrọ aabo lodi si awọn kokoro arun ati awọn ọlọjẹ ti o lagbara, nitorinaa jẹ ki wọn ni ipalara siwaju sii lati dagbasoke ikolu kan [1] .
- Kokoro arun - Streptococcus pyogenes ni iru awọn kokoro ti o wọpọ julọ lati fa ikolu tonsil. Awọn kokoro arun miiran bii Fusobacterium, Staphylococcus aureus, Neisseria gonorrhoeae, pneumonia ti Chlamydia, pneumonia Mycoplasma, ati Bordetella pertussis tun jẹ iduro [meji] .
- Kòkòrò àrùn fáírọọsì - Awọn oriṣi ọlọjẹ ti o wọpọ julọ lati ṣe akoran awọn eegun jẹ rhinovirus, adenovirus, ọlọjẹ imuṣiṣẹpọ atẹgun, ati ọlọjẹ ti o fa aarun ayọkẹlẹ tabi aarun ayọkẹlẹ [3] .
Orisi Ninu Tonsillitis
- Tonsillitis nla - Iru tonsillitis yii jẹ wọpọ julọ ni awọn ọmọde ati awọn aami aisan ti o wa fun ọjọ 10 tabi kere si [4] .
- Onibaje onibaje - Awọn eniyan yoo ni iriri ọfun ọfun ti nlọ lọwọ, ẹmi buburu ati awọn apa lymph tutu ni ọrun [5] .
- Loorekoore tonsillitis - Iru tonsillitis yii ni awọn iṣẹlẹ loorekoore ti ọfun ọgbẹ o kere ju awọn akoko 5 si 7 ni ọdun 1.
Iwadi iwadii kan fihan pe onibaje onibaje ati loorekoore tonsillitis ni o fa nitori awọn biofilms ninu awọn pọ ti awọn tonsils [6] .
Awọn aami aisan Ti Tonsillitis [7]
- Breathémí tí kò dára
- Biba
- Ibà
- Ọgbẹ ọfun
- Ọfun gbigbọn
- Iṣoro ninu gbigbe
- Ikun inu
- Efori
- Ọrun lile
- Pupa ati ki o swollen tonsils
- Etí
- Ikọaláìdúró
- Awọn keekeke ti iṣan wiwu
- Iṣoro ni ṣiṣi ẹnu
Awọn Okunfa Ewu Ninu Tonsillitis [7]
- Ọjọ ori (awọn ọmọde kekere n ni ipa siwaju sii)
- Ifihan nigbagbogbo si ọlọjẹ ati kokoro arun
Ilolu Of Tonsillitis
- Apnea ti oorun idiwọ
- Iṣoro ninu mimi
- Ikun-ara Peritonsillar [7]
- Cellulitis Tonsillar
Nigbati Lati Wo Dokita kan
Ti eniyan ba ni iriri ọfun ọgbẹ fun diẹ sii ju ọjọ 2, ti o ni iba nla, ọrun lile, iṣoro ninu mimi, ati ailera iṣan, o yẹ ki wọn kan si dokita lẹsẹkẹsẹ.
Okunfa Of Tonsillitis [8]
Dokita naa yoo kọkọ ṣayẹwo fun wiwu tabi sisu ni ayika awọn eefun ati lẹhinna yoo ṣeduro diẹ ninu awọn idanwo, ati iwọnyi pẹlu:
- Ọfun ọfun - Dokita naa n ta ọfun ifo ni ẹhin ọfun lati gba ayẹwo ti awọn ikọkọ ti a ṣe, eyiti a ṣayẹwo lẹhinna fun awọn igara ti kokoro arun tabi ọlọjẹ.
- Ẹjẹ sẹẹli ẹjẹ - Dokita naa yoo mu ayẹwo ẹjẹ rẹ lati ṣayẹwo fun wiwa eyikeyi kokoro tabi arun alamọ.
Itọju Ti Tonsillitis [8]
Awọn oogun
A lo awọn oogun apọju lori-counter (OTC) lati mu awọn aami aisan ti eefun jẹ. Ti o ba jẹ pe tonsillitis jẹ nipasẹ ikolu kokoro, dokita yoo ma kọwe awọn egboogi.
Tonsillectomy
Tonsillectomy jẹ iṣẹ abẹ lati yọ awọn eefin. Aṣayan itọju yii ni gbogbogbo ko ṣe iṣeduro titi ati ayafi ti o jẹ onibaje ati tonsillitis ti nwaye. O jẹ dokita ni imọran ti awọn eefun ba n fa apnea ti oorun, iṣoro ni gbigbe ati mimi, ati titiipa inu awọn eefun.
Awọn atunṣe ile Fun Tonsillitis
- Gargle pẹlu omi iyọ lati dinku aibanujẹ ọfun
- Mu omi pupọ
- Mu isinmi pupọ
Idena Ti Tonsillitis
- Rii daju pe iwọ ati ọmọ rẹ ni awọn iwa imototo ti o dara
- Yago fun pinpin ounjẹ ati mimu lati gilasi kanna
- Wẹ ọwọ rẹ daradara ṣaaju ounjẹ ati lẹhin lilo igbonse
- [1]Putto, A. (1987). Febillle exudative tonsillitis: gbogun ti tabi streptococcal? .Pediatrics, 80 (1), 6-12.
- [meji]Brook, I. (2005). Ipa ti awọn kokoro arun anaerobic ninu tonsillitis Iwe akọọlẹ ti kariaye ti otorhinolaryngology paediatric, 69 (1), 9-19.
- [3]Goudsmit, J., Dillen, P. W. V., Van Strien, A., & Van der Noordaa, J. (1982). Ipa ti ọlọjẹ BK ninu arun atẹgun nla ati niwaju BKV DNA ni awọn eefun. Iwe iroyin ti iṣọn-ara iṣoogun, 10 (2), 91-99.
- [4]Burton, M. J., Towler, B., & Glasziou, P. (2000). Tonsillectomy dipo itọju ti kii ṣe iṣẹ-abẹ fun onibaje / loorekoore tonsillitis. Awọn ibi ipamọ data Cochrane ti awọn atunyẹwo eto, (2), CD001802-CD001802.
- [5]Brook, I., & Yocum, P. (1984). Bacteriology ti onibaje onibaje ni awọn ọdọ. Archives ti Otolaryngology, 110 (12), 803-805.
- [6]Abu Bakar, M., McKimm, J., Haque, S. Z., Majumder, M., & Haque, M. (2018). Onibaje tonsillitis ati biofilms: iwoye ni ṣoki ti awọn ipo itọju. Iwe iroyin ti iwadii iredodo, 11, 329-337.
- [7]Georgalas, C. C., Tolley, S. S., & Narula, A. (2009). Tonsillitis.BMJ ẹri iwosan, 2009, 0503.
- [8]Di Muzio, F., Barucco, M., & Guerriero, F. (2016). Ayẹwo ati itọju ti pharyngitis / tonsillitis nla: iwadii akiyesi iṣaaju ni Oogun Gbogbogbo. Rev. Med. Ile-iwosan. Sci, 20, 4950-4954.
