Kuongororwa kwe strep throat hakugoni kuongororwa chete pamakiriniki ezviratidzo nezviratidzo, uye kuwedzerwa kuongororwa kunodiwa kuti uve nechokwadi cheStreptococcus pyogenes mabhakitiriya anokonzera mamiriro acho. Chirwere chekurumidza chinyorwa chinogona kubereka zvakafanana-zuva zvigumisiro, asi zvinogona kutora mazuva mashomanana kuti zviwane migumisiro yemutsipa wehuro, kunyange zvazvo kuedza ikoko kwakarurama.
Kurongeka kwakarurama kunokosha nokuti kurapwa kunogona kubatsira kudzivirira zvinogona kuitika kwenguva refu, zvakadai semwoyo uye chirwere chepfungwa.
Self-Checks
Zviratidzo zvepakutanga uye zviratidzo zve strep throat zvinowanikwa neavo vakawanda vepamusoro ekuputika kwezvirwere. Nepo iwe usingakwanisi kuzviongorora iwe ne strep, unogona kutarisa zvinotevera, izvo zvinogona kutaura kuti strep throat inogona kukukanganisa iwe kana mwana wako:
- Kurerekera kumashure kwehuro
- Mavara matsvuku kana mavara machena kumucheto kwehuro
- Zviduku zvakatsvukuru kana ruvara rwepepuru mukati memuromo wako
Zvimwe zvirwere zvinokuvadza uye marapirwo zvinogona kutangawo nezviratidzo zvakafanana kune zve strep throat. Kunyange zvazvo iyo isingawanzoitiki, strep throat pachayo inogona kufambira mberi kukonzera zvinetso zvakakomba. Pane nyaya shomanana dzinokosha dzaunofanira kunge uri pakurindira kuti uone kuti hapana kunonoka pakuziva zvakajeka zvehutano hwako:
- High fever (pamusoro pe 101 degrees)
- Kupikisa fever (yakagara kwenguva refu kupfuura maawa 24)
- Rash pachipfuva, maoko, kana mutsipa
- Runyoro pameso
- Trouble breathing
- Kupera kwehuwandu hwemuti; kuchinja muhuro rwemuti
Labs uye Miedzo
Nokuti ruzivo runoita hunoita zviratidzo uye zviratidzo zvakangofanana nezvo zvehutachiona hwehutachiona uye mamwe maitiro eubhakitiriya, nzira yakanakisisa yekusimbisa kuongororwa ine ma laboratory tests anogona kuona kana Streptococcus pyogenes pachayo kana kuti kuona zviratidzo zvinoratidza kuti mhuka iripo mushure mehuro mako.
Tsika Yakaipa
Mutsipa wemutsipa wakambove uchionekwa sehutano hwegoridhe hwehutachiona hwehutachiona hutachiona hwehutachiona, uye kukanganisa kukuru kuva nguva yekuguma kwemaawa makumi maviri nemaviri kusvika makumi maviri nemakumi mashanu emigumisiro yemagariro. Mutsipa utsi unoitwa nekuunganidza mabhakitiriya kubva kumashure kwehuro pavanoshandisa swab refu. Muenzaniso wacho unobva waiswa pane mahwendefa akaitwa nemakondohwe eropa akakanganiswa nebhakitiriya kukura nhepfenyuro (inonzi makwai ropa agar plates) uye anobvumirwa kukura mubazi.
Streptococcus pyogenes ine chinhu chakasiyana-siyana chinobvumira kuputsa masero matsvuku eropa. Apo mabhakitiriya anokura pamahwendefa aya, pachava nekucheneswa kwemasero matsvuku eropa pane petri dish kana Streptococcus pyogenes mabhakitiriya aripo mumuenzaniso.
Kukurumidza Kuongorora Antigen Kuedzwa
Muedzo wokukurumidza weAgengen unowanzoitwa muhofisi yechiremba uye unoitwawo nokuputika shure kwehuro. Iyo swabhakitiriya swab inobva yaiswa kune maune enzyme kana kuti asidi kubvisa zvikamu zveStrep pyogenes bacteria, iyo inonzi antitigens. Chinhu chakanaka kana chakaipa, iwe unofanirwa kuwana mhinduro mumaminitsi anenge gumi kusvika ku20.
Maedzo ekukurumidza antigene ane senzwi rakanyanya kuderera kudarika mitsipa yehuro, izvo zvinoreva kuti ivo vanowanzoshaya kukanganisa zvirwere zvakanyanya kupfuura maitiro emakumbo.
Inofungidzirwa kuti kukurumidza kuongororwa kwakaitwa antigen kunenge 14 kubva kuzana kusvika ku20 muzana yenhema-yakaipa. Nokuda kwechikonzero ichi, kana pane mukana wakasimba we strep throat infection, zvinokurudzirwa kuti mhinduro yakaipa kubva mukukurumidza kwekuedzwa kweantigeni inofanira kuteverwa nehuro yehuro (nokuda kwekusimbisa).
Kukurumidza kuongorora zviratidzo zvekuongorora hazvibatanidzi nenhema yakanaka, iyo inoreva kuti kana vakadzoka vakanaka, kune chivimbo chakasimba chokuti une strep throat infection.
Imaging
Kufungidzira miedzo haisi tsika nguva dzose pakuongororwa kwekusanzwisiswa kwepachirwere chetachiona. Zvisinei, kuongororwa kwakafanana ne-X-ray, CT, MRI, kana ultrasound zvingave zvakakosha kuongororwa zvinetso zvakakomba zve strep throat zvirwere, zvakadai semafungiro kana kushanda kwemoyo.
Zvakare, zvisinei, zvinetso izvi hazviwanzoonekwi uye zvinowanikwa kune varwere vasingateereri.
Kusiyanisa Kuongorora
Zvizhinji zvepamusoro zvirwere zvinoputika zvinogona kutanga nemamwe zviratidzo uye zviratidzo se strep throat. Heano zvirwere zvinowanzoonekwa zvinongororwa apo uri kuongororwa kuti zvive nyore kuitika mumitsipa, pamwe chete nezvimwe zvinowedzera, zviratidzo zvinoshamisa:
- Epstein-Barr virus (mononucleosis): inosanganisira musero aches uye manzwiro ekuzvinzwa achidzika
- Influenza (chirwere)
- Pneumonia: utachiona hwemapapu anokonzera kukohwa, kuputika, uye kupera kwekufema
- Bronchitis: utachiona hwebronchi inokonzera kuora kwekubereka uye inogona kukonzera kupfupika kwemhepo
- Mycobacteria utachiona: hutachiona hwemapapu hunokonzera chifukidziro uye kuputika
- Fusobacterium necrophorum: utachiona hwemapapu anowanzokonzera zviratidzo zvinorema kupfuura strep throat
- Chirwere chetsika: chinogona kukanganisa chero nhengo yomuviri uye inogona kutanga nezviratidzo zvakafanana neyekutanga kwe strep throat
- Appendicitis: inogona kutanga nefivha uye aches, asi inowanzokonzera marwadzo emimba
- Arthritis: zviratidzo zvakafanana nezvo zvinetso zve strep infection
> Sources:
> Atkinson TP, Centor RM, Xiao L, et al. Kuongororwa kwei tonsillar microbiome muvechidiki vechidiki vane chirwere chinorwadza kunoratidza huwandu hwehuwandu hwaFusobacterium necrophorum uye dzakasiyana-siyana. PLoS One. 2018 Jan 19; 13 (1): e0189423. doi: 10.1371 / magazini.pone.0189423. eCollection 2018.
> Cohen JF, Bertille N, Cohen R, Chalumeau M. Rapid antigen kuongorora kuedza kweboka A streptococcus muvana vane pharyngitis. Cochrane Database Syst Rev. 2016 Jul 4; 7: CD010502. doi: 10.1002 / 14651858.CD010502.pub2.