IAVCs Yezvipembenene Zvikuru
Apo vana vanorwara, vanachiremba vanowanzofarira kuvatsanangurira nechinhu chimwe chete, saka kazhinji havazogoni kuziva kuti strep uye mono panguva imwechete.
Zvose strep throat uye mono dzine zviratidzo zvakafanana, kusanganisira gumbo rinopisa, fever , uye kuvhuvhuta kwezvironda.
Muzviitiko zvizhinji, kunyange zvakadaro, mono inofungidzirwa mumwana anoedza zvakaipa kune strep asi ane zviratidzo zvinoramba zvichiitika.
Strep vs. Mono Tests
Uye miedzo inogona kuitwa kutarisa mwana kune utachiona hweumwe neumwe, kusanganisira:
- a quick strep test uye mapfupa emutsipa weboka A bacreia Streptococcus
- a heterophil antibody test (monospot) uye Epstein-Barr utachiona (EBV) mazita okuti mononucleosis
Hazviwanzoitwa zvose panguva imwe chete, kunyange zvakadaro, kunyanya pachiratidzo chokutanga chokuti mwana ane hosha uye fever.
Pane kudaro, mwana anenge atova nemuviri wekuyeresa akadzoka kumwana wavo vana kana mazuva mashanu gare gare nokuti haasi kuve nani, uye anobva aedzwa mono.
Kana mumwe mwana akaedzwa chine ruzivo kune ruzivo anowanikwa mishonga inorwisa mabhakitiriya, yakadai se amoxicillin, uye inokurudzira kuputika kwemazuva mashomanana gare gare, izvo zvinoratidza mono. Asi kunyange kana mwana ane ruzivo asingatauri, angangodaro asina kuve nani, uye achiripo, kuongororwa mono.
Saka zvinokwanisika kuva ne strep uye mono panguva imwe chete, kunyange zvazvo imwe haisi iyo inokonzera imwe.
Nyaya inowanzozivikanwa ndeyokuti mwana akawana utachiona pamwe chete nemukana. Nguva yekuvhara kwemaawa mana kusvika kumatanhatu kwemazuva matatu uye mashanu kusvika kune mashanu, kuitira kuti mwana wako aifanira kunge ari pedyo nemumwe munhu ane mono uye strep panguva dzakakodzera, akawana utachiona, uye anoratidza zviratidzo zvezvose zvirwere panguva imwe chete nguva.
Kana zvinogoneka kuti chimwe chezviedzo kana zvose zviri zviviri chakanga chisiri chenhema. Kuongorora kweCDC yepamusoro-soro yepamusoro-soro yemakwenzi emakiriniki mu Wyoming munguva ichangopfuura yakawana kuti nzira isina kururama yakakonzera dzakawanda strep throat miedzo kuti dzisakanganise (dzakamirira nguva refu kuti dziverenge miedzo).
Kunyange zvakadaro, dzimwe nyanzvi dzinotenda kuti iwe unogona kuva ne-strep uye mono panguva imwe chete nokuti izvi zvirwere zvine 'synergistic effect' pamucheturo wekamuti wemwana uye toni, somuenzaniso, zvichiita kuti zvive nyore kuti utapukirwe nemono panguva having strep. Asi apo zvidzidzo zvekare zvakawana kuti 30 muzana yevarwere vane mono zvakare vane strep, zvimwe zvidzidzo zvitsva zvakawana zviyero zvaive zvakaderera, pamatatu kana mana chete.
Kunyange zvazvo dzimwe nguva zvakaoma kutaura kana mwana ane mono uye strep kana zvose zviedzo zvichiita zvakanaka, kana kuti iye ane mono uye ari strep carrier, kana akaedza chine simba nokuda kwe strep, achange achida mishonga inorwisa mabhakitiriya kudzivirira kuwana rheumatic fever . Uye sezvo aine mono, iyi ndeimwe yemamiriro mashomanana umo zvakakosha kuti chiremba wako wevana anonyatsosarudza ma antibiotic kuti ape mwana wako. Izvi zvinoreva kuti amoxicillin kana Amoxil, mishonga inorwisa mabhakitiriya iyo inowanzoshandiswa kurapa vana vane strep, inogona kukonzera kushata kwakaipa kana iwe ukatora iyo kana uine mono.
Strep Carriers
Chiitiko chinowanzoitika ndechekuti mwana ane mono uye strep anongova strep carrier. Ava ndivo vana vane chirwere chepachirwere uye kunyange zvazvo vari nani uye vasina zviratidzo zve strep, mabhakitiriya e strep vanoramba vachirarama mushure mehuro yavo.
Nzira dzekutakura hazvifungidziri kuti dzinopararira uye dzinokwanisa kuedza dzakanaka kune mitsara kwemwedzi kana makore, kunyange kana dziine chironda chinokonzerwa nehutachiona.
Sources:
CDC. Mhemberero kubva kuMunda: Gulu A Streptococcal Pharyngitis Inosanganisa muRural Urgent-Care Clinic - Wyoming, March 2015. MMWR. January 1, 2016/64 (50); 1383-5
Hersh AL, Jackson MA, Hicks LA, et al. Nheyo dzemishonga inoruramisa mishonga inorondedzera nezvekudzivirira kuputika kwezvirwere mune zvevana. Pediatrics. 2013; 132 (6): 1146-54.
IDSA Clinical Practice Guideline yeKutsvaga uye Kutungamirirwa kweBoka A Streptococcal Pharyngitis: 2012 Kuvandudzwa neA Infectious Diseases Society of America
Rush MC. Kuitika kweEppstein-Barr chirwere chetachiona kuvana vanoonekwa neboka A streptococcal pharyngitis. Clin Pediatr (Phila) 01-JUN-2003; 42 (5): 417-20.