Ulaula wela. Mea ʻai no ka maʻi ʻulaʻula

He aha ke kuni ulaula

ulaula wela he ma'i lele ma'i e pi'i ai ka wela o ke kino, 'ikea ka ma'i ma ka ili, a hoomaka ka puu e eha. Hoʻokumu ʻia ka maʻi e Streptococcus pyogenes, he huakini o ka genus beta-hemolytic streptococcus.

ʻAno ʻulaʻula

Hiki mai ke kuni ʻulaʻula:

• Extrapharyngeal. Hoʻopilikia ʻia nā ʻōpū lymph āpau a me ka oropharynx, akā ʻaneʻane paʻa nā tonsils. ʻElua mau ʻano:
  - atypical;
  – maʻamau.
• Pharyngeal:
  - atypical;
  – maʻamau.

ʻO nā ʻano maʻamau o ka maʻi hiki ke maʻalahi, haʻahaʻa a koʻikoʻi. Me ka maʻi ʻulaʻula maʻamau maʻamau, piʻi ka mahana i 38.5 ° C, aia kahi ʻeha ʻeha, ʻike ʻia kahi maʻi maʻi ma ke kino. Hoʻopili mau ʻia ka papa haʻahaʻa me ke kuni kiʻekiʻe, purulent tonsillitis, nā hōʻailona o ka ʻona nui o ke kino a me ka ʻūhū nui. ʻO ke kuni ʻulaʻula maʻamau maʻamau, ua hoʻokaʻawale ʻia i:

• Septic. Ke ulu nei ka necrotic angina. Hoʻopili ka hana inflammatory i nā ʻiʻo a puni, nasopharynx, oropharynx, lymph nodes, palate.
• ʻona. Hoʻopuka ʻia ka ʻona (hiki ke ulu ka haʻalulu infectious-toxic). Piʻi ka mahana i 41°C. Hiki i ka mea maʻi ke loaʻa i nā hallucinations, delusis, maule. Piʻi ka puʻuwai ( kālīkīkī ). Hiki ke hoʻomaka ka luaʻi.
• ʻona-septic. Hōʻike ia iā ia iho me nā hōʻailona ʻano o nā ʻano septic a me nā mea ʻawaʻawa.

Hiki ke maʻalahi ke kuni ʻulaʻula atypical (me nā hōʻailona holoi ʻia). Hiki i ka mea maʻi ke ʻulaʻula iki i nā tonsils, aia nā ʻōpala hoʻokahi ma ke kumu.

Nā kumu o ke kuni ʻulaʻula

ʻO ke kumu kumu o ke kuni ʻulaʻula i nā keiki a me nā pākeke ʻo ka hui A beta-hemolytic streptococcus. ʻO kāna kumu he mea lawe (ʻaʻole manaʻo ke kanaka ua maʻi ʻo ia) a i ʻole he maʻi. ʻOi aku ka maʻi lele i nā lā mua. ʻO ka pilikia o ka hoʻouna ʻana i ka maʻi i nā poʻe ʻē aʻe e nalowale wale i ʻekolu pule ma hope o ka hoʻomaka ʻana o nā hōʻailona.

Wahi a nā helu helu, ʻo 15-20% o ka heluna kanaka he mau mea lawe asymptomatic o ke kuni ʻulaʻula. I kekahi manawa hiki i ke kanaka ke kumu o ka maʻi no kekahi mau makahiki.

Hoʻouna ʻia ʻo Streptococcus e nā kulu lewa (aerosol mechanism) a me nā ala o ka home. No laila, hoʻokuʻu ka mea maʻi iā ia i loko o ke kaiapuni i ka wā e ʻuʻu ai, sneezing, i ka wā kamaʻilio. Inā komo ka pathogen i ka meaʻai, ʻaʻole hiki ke kāpae ʻia ke ala ʻai o ka lawe ʻana i ka maʻi. ʻO ka pinepine, ua maʻi ka poʻe e pili kokoke ana i ke kumu o ka maʻi.

Pono e hoʻomaopopo ʻia he kiʻekiʻe ka maʻalahi o ka Streptococcus pyogenes. ʻO ka pale ʻana i ulu i ka poʻe i loaʻa mua i ke kuni ʻulaʻula he ʻano kikoʻī. ʻO ia ke ʻano o ka loaʻa ʻana o nā ʻano streptococcus ʻē aʻe.

Ua ʻike ʻia ka piʻi ʻana o ke kuni ʻulaʻula i nā pākeke a me nā keiki i ka hāʻule a me ka hoʻoilo.

ʻO ka pathogenesis o ke kuni ʻulaʻula

Komo ka maʻi i loko o ke kino ma o ka mucous membrane o ka nasopharynx, ka ʻāʻī a i ʻole nā ​​ʻāpana genital (kakaʻikahi loa). I kekahi manawa ua poino ka ili o ka puka komo no ka bacteria Streptococcus pyogenes.

Ma ke kahua o ka hoʻokomo ʻana i ka pathogen, ua hoʻokumu ʻia kahi kikowaena infectious kūloko. ʻO nā microorganisms e hoʻonui ana i loko o ia mea hoʻokuʻu i nā mea ʻawaʻawa i loko o ke koko. Hoʻoulu ka ʻona maʻi. ʻO ka loaʻaʻana o ka toxin i loko o ke koko e alakaʻi i ka hoʻonuiʻana i nā moku liʻiliʻi i loko o nā'ōpū o loko a me kaʻili. Hōʻike ʻia kahi ʻūhū. Ma hope o ia mea, hoʻomaka ka hoʻomaka ʻana o ka antitoxic immunity i loko o kahi mea maʻi - nalo ka ʻōpala, me nā hōʻailona o ka ʻona.

Inā komo ka bacteria Streptococcus pyogenes pono'ī i loko o ke kahe koko, ua hoʻopilikia ʻia nā meninges, nā lymph nodes, nā ʻiʻo o ka ʻāpana kino, ke kōkua hoʻolohe, a pēlā aku. ʻO ka hopena, ua ulu ka mumū purulent-necrotic koʻikoʻi.

ʻO nā kumu e kōkua ai i ka ulu ʻana o ke kuni ʻulaʻula

ʻO nā kumu i ka ulu ʻana o ka maʻi, ʻo nā kauka ke:

• wā hoʻoilo-hoʻoilo;
• hoʻemi i ka palekana;
• influenza , SARS ;
• nā maʻi maʻi o ka pharynx a me nā tonsils.

Nā hōʻailona o ke kuni ʻulaʻula i nā mākua a me nā keiki

ʻO ka manawa incubation o ke kuni ʻulaʻula mai 1 a 12 mau lā (ʻoi aku ka nui o nā lā 2-4). Hoʻomaka nui ka maʻi. Piʻi ka mahana o ke kino, ʻike ʻia nā hōʻailona o ka ʻona nui:

• ʻeha ʻiʻo ;
• nawaliwali ;
• palpitations ;
• ʻeha poʻo.

Hiki ke hele pū me ke kuni me ka hiamoe a me ka manaʻo ʻole, a i ʻole, euphoria, hoʻonui ka mobility. Ma muli o ka ʻona, luaʻi ka hapa nui o ka poʻe maʻi.

ʻO nā hōʻailona ʻē aʻe o ka maʻi ʻulaʻula:

• ʻEha ka ʻāʻī i ka ʻai ʻana . ʻO nā tonsils, nā ʻāʻī o ke alelo, ka palale palupalu a me ka paia pharyngeal hope e lilo i hyperemic. I kekahi mau hihia, hiki mai ka follicular-lacunar tonsillitis. A laila ua uhi ʻia ka mucosa me kahi plaque o kahi ʻano purulent, necrotic a i ʻole fibrous.
• ʻO ka hoʻonui ʻia ʻana o nā wahi lymph nodes. Lilo lākou i ka ʻeha, ʻeha ma ka palpation.
• ʻŌlelo ʻulaʻula . I ka lā 4-5 o ka maʻi, loaʻa i ke alelo ke kala ʻulaʻula ʻulaʻula, nalowale ka plaque mai kona ʻili. Aia ka hypertrophy papillary.
• ʻO ka ʻili ʻana o nā lehelehe i ka ʻulaʻula (he hōʻailona o ka ʻulaʻula i nā pākeke, ʻano ʻano o ke ʻano koʻikoʻi o ka maʻi).
• Liʻiliʻi liʻiliʻi . Hōʻike ʻia ma ka lā 1-2 o ka maʻi. Hoʻokumu ʻia nā kiko o kahi malu ʻeleʻele ma ka ʻili o ka maka a me ke kino o luna, ma hope ma nā ʻili o nā lima, nā ʻūhā i loko, a me nā ʻaoʻao. ʻO ka mānoanoa o ka ʻili ʻili, hana lākou i nā ʻili ʻulaʻula ʻeleʻele. I kekahi manawa, hui ʻia ka erytherma nui.
• ʻO ka loaʻa ʻole o nā rashes i ka triangle nasolabial (hōʻailona o Filatov). Ma keia wahi, ua haikea ka ili.
• ʻO nā hemorrhages liʻiliʻi . Hoʻokumu ʻia lākou ma muli o ka palupalu o nā kīʻaha koko, ke kuʻi ʻana a i ʻole ka friction o ka ʻili i hoʻopilikia ʻia.

I ka lā 3-5, hoʻomaka nā hōʻailona o ke kuni ʻulaʻula. Lilo mālie ka ʻōpala a ma hope o 4-9 mau lā e nalowale loa. Ma hope o ia mea, noho mau ka ʻili liʻiliʻi ma ka ʻili (ʻike pinepine ʻia ka nui-scaly ma nā wāwae a me nā poho lima).

I nā mākua, ʻaʻohe asymptomatic ka ʻulaʻula (kahi ʻano holoi ʻia). Hoʻomaopopo wale ka mea maʻi:

• he liʻiliʻi, haʻihaʻi haʻihaʻi e wehe koke;
• liʻiliʻi liʻiliʻi o ka pharynx.

Inā ʻike ʻoe i nā hōʻailona like, e kelepona koke i kāu kauka. ʻOi aku ka maʻalahi o ka pale ʻana i kahi maʻi ma mua o ka hana ʻana i nā hopena.

ʻIke ʻia o ka maʻi ʻulaʻula

ʻO ke kiʻi lapaʻau kikoʻī e hiki ai i nā kauka ke hana i kahi hōʻailona ma muli wale nō o ka nānā kino a me ka ʻikepili nīnauele. ʻO ka hōʻoia ʻana o ka Laboratory no ka ʻulaʻula he helu koko piha, kahi e hōʻoia ai i ka loaʻa ʻana o kahi maʻi bacteria:

• hoʻonui i ka ESR;
• leukocytosis neutrophilic;
• ka hoʻoneʻe ʻana o ke ʻano leukocyte i ka hema.

ʻO RKA kahi ʻano o ka hōʻike ʻana i ka maʻi ʻulaʻula i nā pākeke a me nā keiki.

Inā loaʻa i ka mea maʻi nā pilikia mai ka ʻōnaehana cardiovascular, ua ʻōlelo ʻia ʻo ia e kūkākūkā me kahi cardiologist a ua ʻōlelo ʻia e hana i kahi ultrasound a me ECG o ka puʻuwai. Me nā hōʻailona o ka otitis media, hōʻike ʻia kahi hoʻokolokolo e kahi otolaryngologist. No ka loiloi i ka hana o ka ʻōnaehana urinary, hana ʻia kahi ultrasound o nā puʻupaʻa.

Lapaʻau ʻulaʻula

Ma kahi ʻano koʻikoʻi o ke ʻano o ka mea maʻi me ke kuni ʻulaʻula, waiho ʻia lākou i loko o kahi haukapila. I nā hihia ʻē aʻe, hiki ke mālama ʻia ma ka home. Pono ka mea maʻi e hoʻomaha i kahi moe no hoʻokahi pule. Pono e kaulike ka meaʻai. No ka wā o ka mana o nā hōʻailona angal, pono e hāʻawi ʻia ka makemake i nā kīʻaha semi-wai a me nā mea ʻoluʻolu.

No ka hoʻopau ʻana i ka hopena maikaʻi ʻole i ke kino o ka pathogen, hoʻohana pinepine ʻia ʻo "Penicillin", i kuhikuhi ʻia no kahi papa he ʻumi lā. Hiki ke hoʻohana ʻia ʻo Cefazolin, Erythromycin, cephalosporins a me macrolides o ka hanauna mua.

Inā loaʻa nā contraindications i kēia mau lāʻau antibacterial, lincosamides a i ʻole penicillins synthetic i kuhikuhi ʻia. Hiki i ka lāʻau paʻakikī ke hoʻokomo pū i ka lawelawe like ʻana o nā lāʻau antibiotic me ka serum antitoxic (hoʻomākaukau ʻana mai ke koko o ka poʻe immune, nā holoholona).

ʻO ka mālama ʻana i ka maʻi ʻulaʻula e pili ana i ka gargling me kahi hopena o "Furacilin" (hoʻoheheʻe ʻia i ka ratio o 1:5000) a i ʻole decoctions i hoʻomākaukau ʻia mai nā lāʻau lapaʻau (calendula, eucalyptus, chamomile).

Inā ʻōlelo ʻia nā hōʻailona o ka ʻona nui o ke kino, kau ʻia nā droppers me nā hopena o ka glucose a i ʻole gemodez. I ka hihia o ka puʻuwai, pono e hoʻohana ʻia nā mea cardiological, no ka laʻana, Camphor, Ephedrine, Cordamine.

Eia kekahi, ʻo ka mālama ʻana i ke kuni ʻulaʻula e pili ana i ka hoʻohana ʻana i:

• ʻO nā lāʻau antihistamine ("Cetrin", "Loratadin") - kōkua i ka haʻalele ʻana i ka hoʻomohala ʻana o nā hoʻopiʻi e hiki mai ana me ka allergization.
• ʻO nā hoʻomākaukau e pili ana i ka hoʻoikaika ʻana i nā paia vascular ("Galascorbin", "Ascorutin") - e hōʻemi i nā hopena maikaʻi ʻole o nā toxins ma nā capillaries koko.
• Antipyretics ("Ibuprofen", "Paracetamol") - hoʻomaʻamaʻa i ka mahana o ke kino, hoʻopau i ke poʻo a me ka ʻeha ʻeha.

ʻO ka physiotherapy i ka wā o ka mālama ʻana i ke kuni ʻulaʻula e ʻōlelo ʻia:

• ʻO ka iradiation o nā tonsils me nā kukui ultraviolet (e hāʻawi i ka luku ʻana i ka bacteria).
• UHF-therapy (hoʻolalelale i ka ho'ōla ʻana o ka ʻili i hōʻino ʻia, loaʻa ka hopena anti-inflammatory).
• ʻO ka lāʻau lapaʻau kenimika (CMV) o nā tonsils (hoʻohana ʻia nā microwave).
• KUV-therapy (hoʻomaʻemaʻe i nā tonsils a me nā tonsils mai ka plaque).
• Magnetic laser therapy (hoʻonui i ka hana o nā cell immune, normalizes blood circulation).

Nā lāʻau lapaʻau no ka mālama ʻana i ke kuni ʻulaʻula

ʻO nā ʻōlelo aʻoaʻo kanaka e kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi me ke kuni ʻulaʻula:

• E holoi i ke aʻa horseradish, maloʻo a ʻokiʻoki ma kahi grater. E ninini i 1 lita o ka wai e hoʻolapalapa a hoʻomau no 3 mau hola. Gargle me ka puʻu hopena 5 manawa i ka lā.
• Hoʻohui i ka hapalua o ke aniani o ka wai beetroot hou me ka 1 tsp. apple cider winika, 1 tsp meli maoli a me ka hapalua o ke aniani wai mahana. E hoʻohana i ka gargle ma hope o kēlā me kēia ʻai.
• ʻO ka hapalua o ke aniani o nā pua calendula e ninini i ka 1/2 lita o ka wai wela a hoʻomoʻa i ka ʻauʻau wai no ka hapalua hola. E hoʻokomo i ka gauze i loko o ka hupa i loaʻa a hoʻopili i ka ʻūhā.
• 1 tsp wili propolis a ninini i ke aniani o ka waiū. E mālama i ka wai ʻauʻau no 15 mau minuke. E inu ma mua o ka moe, ma hope o ka holoi ʻana i ka ʻāʻī.
• E hoʻohui i ka licorice a me ka pauka ginger i ka like like. 1 tbsp ka hopena hui ʻia e ninini i 1 tbsp. wai paila. E waiho i ka infuse no ka hapalua hola. E kānana a inu.
• Holoi a ʻokiʻoki i ke aʻa paʻi. E ninini i kahi spoonful o greens 1 tbsp. wai paila. E hoʻomau i 20-25 mau minuke. E kānana ma ka cheesecloth. E lawe i 3 tbsp. 4 manawa i ka lā.
• 1 tsp dilute citric acid i loko o ke aniani wai mahana. Gargle me ka hopena hopena 4 mau manawa i ka lā. Ua ʻae ʻia e nau i nā ʻāpana lemon i kēlā me kēia manawa.

E nānā!

ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.