ʻO ka hōʻeha kinoʻana o nā tonsils a iʻole ka tonsillitis he meaʻike pinepine ia i nā pēpē e hoʻomaka ana mai ka makahiki 2 o ka makahiki. He hele maʻalahiʻo Angina, akā me kaʻike pono o kona mau hōʻailona. Ināʻole, hiki i kahi papa hana kīnā nui ke komo i loko o ka manawa hana mau.
Nā kumu o ka angina ma nā keiki
ʻO nā'ōkuhi he mauʻano o kaʻiʻo lymphoid. Ke komo nei lākou i ka hoʻomohalaʻana i nā pūnaewele kūlohelohe a ua hanaʻia e pale i ke kino mai ka maʻi. ʻOiai i loko o ka puʻu, kahi e lele ai ka wai, kaʻai a me ka wai, nā kinipona i kēlā lā i kēia lā e launa pū me kahi lehulehu o nā mea pipiʻi, no laila ke emi iho nei ka maikaʻi o kā lākou hana. ʻO ka mea hopena, ua lilo ke kino lymphoid i mea wela, akā,ʻaʻole kēiaʻano o ka hana pilikino i ka'ōpū.
ʻO nā kumu wale nō o ka angina he streptococcal a me ka bacteria staphylococcal. ʻO nā microbes i'ōlelo muaʻia e pili ana i 80% o nā hihia a pau o kēia maʻi. ʻO ke koena o ka 20% e hoʻonāukiukiʻia e nā lāʻau staphylococcal a iʻole ka maʻiʻeha. Hoʻopili ka Tonsillitis i nā maʻi pīpī,ʻaʻole hiki ke "hāpaiʻia" ma ka'ānenaʻana i ka hauʻopa, aiʻole ma ka mīpīpīpī, e laweʻia kaʻeha puʻuwai mai ka mea halihali o ka bacteria. Ke piʻi nei nā kūlana o kahi keiki e maʻi ana i nāʻano i lalo:
- ʻaiʻole;
- nā maʻi mua, nā hana kūponoʻole;
- ke kikowaena inflammatory kokoke i nā tonsils ( sinusitis , caries a me nā mea'ē aʻe);
- hana nui;
- ua hoʻonāwaliwaliʻia ka'ōnaehana kamepiula.
Angina i nā keiki - nāʻano a me nā hōʻailona
ʻO ke kūlana o ka tonsillitis e hoʻokumuʻia ma keʻano a me keʻano o ka nahāʻana o nāʻiʻo lymphoid. He mea nui e wehewehe koke i ka holomua o ka angina i loko o nā keiki -ʻo ka hōʻailona a me ka mālamaʻana i ka mumuna e pili ana i konaʻano. Hoʻokomo hou kekahi mau kauka i ke kī o ka tonsillitis i loko o ka hui microbial a me ka viral, akāʻo kēia keʻano pololei o ka hoʻohuiʻana. ʻO kaʻeha o kaʻoiaʻiʻo maoli no kahi pilikino. Hiki i nā kuʻuna ke hōʻeha i ka maʻi maʻi, akā i kēia mau hihia, hōʻailona ka hōʻailona,ʻaʻole i ka maʻi kūʻokoʻa.
Nāʻano o ka'ōpū puʻuwai ma nā keiki:
- catarrhal;
- lacunar;
- nā mea maʻamau ;
- herpes a viral (ʻano likeʻole).
ʻO Catarrhal angina ma nā keiki
ʻO keʻano o ka pilikino, ka maʻalahi a me ka maikaʻi. ʻO kēia'ānele i loko o kahi keiki e hōʻikeʻia e kahi lelo haʻahaʻa o nā tonesils. ʻO ka papa hana pāʻokoʻa e pili ana i nā pēpē mucous o nā pēpili lymphoid, a ola mau kaʻiʻo i loko. Catarrhal angina - hōʻailona i nā keiki:
- pumehana;
- hiamoe;
- nausea;
- ke kaumahaʻeha i ka wā e'atiʻana;
- ke piʻiʻana i 38-38.5 mau kiʻekiʻena;
- ke kani hou o pharynx;
- ka momona o nā huna;
- i kaʻehaʻoluʻolu ma nā lymph nodes kokoke (heʻole);
- nele i kaʻai.
ʻO nā angina maʻamau i nā keiki
ʻO keʻano o ka tonsillitis e hōʻikeʻia ana e ka purulent i ka hōʻinoʻana i nā kiko. Ua hele pūʻia ka'enela Lacunar me kaʻikeʻana o nā kikowaena nui e pili ana i kekahi me kekahi a me keʻano o ka mīkini i kaʻiʻo lymphoid. ʻO ka pākuhi he leka a me ke papalū, hiki ke laweʻia me ka mechanically. Inā pilikia ka laikini,ʻikeʻia nā hōʻailona o ka angina i loko o ke keiki:
- ke kiʻekiʻe o ke kino, i nā keiki liʻiliʻi hiki i nā kiʻekiʻe he 40 ;
- ka nawaliwali a me ka hiamoe;
- Nausea a me nā'ākau;
- ke kaumaha nui i ka wā e 'ai a me ka kamaʻilioʻana, hiki ke hāʻawi i ka pepeiao;
- i nāʻokoʻa i nā hui;
- pilikia i nāʻiʻo;
- nā maʻiʻeha;
- hōʻoleʻole eʻai a inu.
ʻO ka'ōpū maʻamau maʻamau i nā keiki
ʻO keʻano o ka maʻi i hōʻikeʻia pū kekahi me keʻano o ka hoʻouluʻana i kahi'ōpū keʻokeʻo keʻokeʻo ma luna o nā tonsils. He nui nā kaukaʻaʻole e hoʻokaʻawale i nā meaʻeleʻele a me nā angina follicular i nā keiki -ʻo nā hōʻailona a me ka mālamaʻana i kēia mauʻano pilikino like a me nā manawa likeʻole. I kekahi manawaʻo nā hōʻailona o kēlā me kēiaʻano o ke tonsillitis e pili ana i kēlā me kēia kīʻaha.
Keʻikeʻia nei ka angina'ālunu i nā keiki i kēia mau hōʻailona:
- ka wela, ka mahana a hiki i ke kiʻekiʻe he 41;
- nāʻokoʻa i ke kino;
- ka nawaliwali ma nāʻiʻo;
- ka nui o ka puʻu,ʻoi aku kaʻino me ka aleʻana;
- nāuʻa, nele i kaʻai;
- hiamoe;
- nā maʻiʻeha;
- ʻO nā'ōpū keʻokeʻo me nā keʻokeʻo ka nui o kahi pinhead ma nā pūpū.
ʻO ka'ōpū o ka Herpes i nā keiki
Maanei, ua hoʻonāukiukiʻia ka papahana inflammatory e nā huapuni Coxsackie. ʻO ka pinepine,ʻo ka mea hoʻopukaʻeha keʻano o ka 'A (aia nōʻo B). Hāʻawiʻia ka'ānela viral ma nā keiki me ka herpes, koe wale no ka inoa. He mea lele nui, i lawe nuiʻia e nā'alele i ke ea, i kekahi manawa e nā mea hale. ʻO kaʻelele makamae o ka mumū, he mau mea hoʻopili, kahi e pili ana i nā kinona, nā mea lymphoid a me nā muscle i loko o ke kino.
ʻAʻole hewa kēia tonsillitis e kapaʻia "angina" i loko o nā keiki -ʻo kona mau hōʻailona a me ka mālamaʻana, heʻano likeʻole ia i kaʻinoʻeha. ʻO keʻano i ho'ākākaʻia ke kumuʻia e ka maʻi viral a he māhele ia o nā hōʻailona o ke kauka. ʻO ka'ōpū o ke kīpē Herpes i nā keiki - nā hōʻailona:
- piʻi nui i ka mahana o ke kino i nā kiʻekiʻena kiʻekiʻe (38.5-40 degrees);
- keʻokeʻo o ka puʻu;
- ka māmā o ka'ōpū;
- luaʻi;
- ʻikeʻia i loko o ka puʻu o nā nodules liʻiliʻi nui, a ma hope aku lilo i loko o nā pūpū me nā mea i ka pouli;
- i nāʻokoʻa i nā hui;
- i kaʻeha i loko o nāʻiʻo;
- ka nui o nā lymph nodes;
- nausea;
- aloha salivation;
- ka momona a me ka puʻu'ā'ī;
- kaheʻana o ka waha me ka pōʻino kino liʻiliʻi,ʻoiai no kaʻaiʻana i kaʻai;
- ka wehe muaʻiaʻana o nā pane ma hope o 3-4 mau lā me kaʻikeʻia o ka palapalaha ma ko lākou wahi;
- ka maʻi kala (ma kekahi manawa) - arrhythmia, pilikia i ka naʻau;
- nā maʻiʻeha;
- ʻO ka maningitis mau (rare rare) me ka hoʻohuiʻana o nā hōʻailona neurologic.
Ehia ka nui o ka mahana o ka pēpē i ka angina?
ʻO ka wela a me ka wela, he mau hōʻailona maʻamau o kēlā me kēia papahana inflammatory, hōʻike lākou i kahi hakakā ikaika e kū'ē i ka palekana i ka maʻi. Ke piʻi nei ka mahana ma ka angina i nā keiki 3-4 mau lā, a ma hope iho ua hoʻonuiʻia ke kumu o ka hoʻomalu. Ua'ōleloʻia nā kaukaʻaʻole e wāwahi i lalo a hiki i ka heluʻana o ke ana wela a 38,5-39. I ka manawa pinepine,ʻaʻole pono ka laweʻana i nā antipyretics no ka hoʻohanaʻana i nā lāʻau'alopelo.
Ma mua o ka lawelaweʻana i kahi angina i ke keiki?
Hoʻomaʻamaʻa i ka hoʻoholoʻana i kekahi mau mea i hoʻoholoʻia e pale i nā maʻi maʻi a me ka ho'ōkiʻana i nā hōʻailona o ka maʻi. He mea nui ia eʻike ai i keʻano o ka angina e ulu nei i nā keiki -ʻo ka hōʻailona a me ka mālamaʻana i kaʻano catarrhal e like me keʻano o nā mea maʻamau a me nā tonsillitis follicular. ʻO ka hūʻole o ka herpes (viral, enterovirus)ʻaʻole kahi mea e pono ai ka hoʻolālā, ka moe hoʻomaha, ka mea mahana a me ka hoʻonuanuʻana o ke kiʻi maʻi o ka maʻi. Ke ho'āla hou nei ma hope o 7-10 mau lā me ka hoʻokumuʻana i ke kuʻi.
Hoʻomaʻoʻia o ka'ānela ma nā keiki me kahi maʻi bacteria o ka maʻi e komo pū ana:
- Nā hoʻomākaukau kūloko. No ka weheʻana i kaʻeha, kaʻiliʻana a me ka paleʻana o ka puʻu, ka pulupulu (Geksoral, Oracet), nā candies (Tharyngept, Neo-Angin) a me nā mea lapaʻau'ē aʻe. Ke kohoʻia nei nā keiki ma lalo o 3 makahiki.
- ʻO nā antihistamines. E pale i ka hoʻomohalaʻana o nā mea hōʻailona maʻi i nā toxins i hoʻokuʻuʻia e ka bacteria, kōkua iā Secretrin, Peritol, Suprastin a me nā lāʻau like.
- ʻO Antipyretic. Hoʻohanaʻia wale nō i nā mea nui - Nurofen, Ibuprofen a me nā mea'ē aʻe. No nā kamaliʻi,ʻoi aku ka maikaʻi o ka kohoʻana i nā mea pono (rectferalgan, Cefekon a me nā like ana).
- E hoʻoholo i nā hopena. ʻO nā wai wai e kōkua i ka hoʻopau waleʻana i ka hōʻailona o ke tonsillitis a me ka hoʻohaʻahaʻaʻana i ka maʻi o ka maʻi, no laila hiki iāʻoe ke hoʻohana i ka lāʻau lapaʻau a me nā hōʻailona.
- ʻO nā lāʻauʻokoʻa. ʻO ka hui nui o nā lāʻau lapaʻau i ka lāʻau. He mea maikaʻi loa ke hāʻawiʻana i nā lālā lāʻau penicilline o nā keiki me nāʻano he nui. Hiki wale nō i ke kauka ke kau i kekahi lāʻau kino'ī, ma kahi o ka maʻi angline maʻamau i nā keiki - e mālamaʻia e nā koho koho i waeʻia he mea weliweli.
- Nā Pro- a me nā hanaʻeleʻele. Hoʻopilikia nā'anakamai a me nā meaʻeleʻele i ka microflora intestinal, no laila, ua manaʻoʻiaʻo Bififir, Linex a me nā lāʻau'ē aʻe no kona ola houʻana.
Ma mua o ka puʻu o ka puʻu i kahi angina i ke keiki?
Hiki ke hanaʻia ka hana i hōʻikeʻia me nā hanana kūmole o ka wai wela me ka paʻakai, ka waiu (1 teaspoon i kēlā me kēia'ōmole) a me kahi māmole o iodine. Inā makemakeʻia, he maʻalahi kaʻikeʻana i ka hōʻailona hōʻailona no ka angina no nā keiki i loko o ka hale kūʻai:
- ʻO Chlorophyllipt;
- ʻO Miramistin ;
- Kuhi;
- Rivanol;
- ʻO Furacilin;
- Iodinol;
- ʻO Rotokan;
- Ingapatytol;
- ʻO Stomatode a me nā mea'ē aʻe.
Nā lāʻau'aloʻolo no ka angina ma nā keiki
Ināʻaʻole nā antimicrobial,ʻaʻole e hiki ke pale aku i nā kāponika bacterial. Ma mua o ka hoʻonohonohoʻana i kahi lāʻau'aepe, he mea nui e hoʻokumu i ke kumu o ka angina i loko o nā keiki -ʻo ka hōʻailona a me ka hoʻomalu e hilinaʻi nui i ka maʻi o ka līlū. ʻO ka hapanui pinepine lākou he streptococcus, akā i kekahi manawa, ua kanuʻia kahi staphylococcus mai ka pharynx. ʻO kahi wale nō e ho'ōla koke ai i kaʻeha puʻuwai i loko o ke keiki,ʻo ia ka hoʻohanaʻana i nā lāʻau lapaʻau e pili ana i nā maʻi pākīpika:
- Flemoxin Solutab;
- ʻAmelika;
- Ke kula;
- ʻO nā mea nui a me nā mea'ē aʻe o kekahi mau meaʻeleʻele.
Ke manaʻo nuiʻia ka manaʻoʻole i kēia mau lāʻau lapaʻau:
- Hoʻomākaukau;
- Hemomycin;
- 'Azitroxy;
- ʻO Macropean.
I nā hihia koʻikoʻi, kohoʻia nā cephalosporins no ka mālamaʻana:
- Aksetin;
- Cephalexin;
- Kākoʻo;
- ʻo Zinnat.
Nā hoʻoponopono Folk no nā'ōpū nui
Hoʻomoʻiʻia nā kauka e hoʻohana i nā hanana no ka holoiʻana i ka puʻu mai nā mea'ē aʻe. ʻO ka hoʻohanaʻana i nā meaʻokoʻa i nā keiki ma ka home me ka hoʻohanaʻoleʻia o nā lāʻau'alopelo he meaʻole ia a hiki i ka hopena pilikia a iʻole ka hoʻololiʻana o ka hoʻonaehoʻana o nā tonsils i loko o keʻano maʻamau me ka hoʻi pinepine. ŸO ka hakakä (ÿo ia hoÿi, ka holoi i ka lemon, ka mäläwai pölä a me ka ÿïpona cider winika), ua päpä ÿole ÿia, inä paha he ÿuÿuku ka pöpö.
ʻO ka hoʻopuniʻana o ka lau nahele no ka holoi
Mea Kai:
- Pāʻina ka lau - 4 tsp;
- nā pua chamomile - 50 g;
- wai - 300 ml.
Hoʻo hoʻomākaukau, hoʻohana :
- E kanu i nā mea kanu a e paila i ka wai.
- Ma hope o ka hapalua hora, eʻoki i ka hoʻonuiʻana.
- E mālama i kahi palekana 4 mau manawa ma ka lā.
ʻO nā pilikia o ka puʻu maʻamau i nā keiki
Me ka hoʻolāʻihi a kūponoʻole paha, hiki i ka tonsillitis ke hoʻoulu i nā hopena koʻikoʻi. ʻO ka angina follicular maʻamau a me keʻano kūʻokoʻa ka hopena o nā pilikia i loko o nā keiki:
- nā pāpā otitis;
- laryngitis;
- lepsis;
- nā maningitis;
- pericarditis;
- nā hanipādenitis āpana;
- encephalitis;
- pyelonephritis;
- ka pīpī kaʻinoʻino;
- Appendicitis;
- pancarditis;
- hōkū;
- nā vasculitis hemorrhagic;
- lanakila o ka mediastinum;
- 'ōponalonepelu;
- ʻo ke kino o ka thrombocytopenic;
- ʻo ka mumū maʻamau i ka hoʻololiʻana i ka maʻi maʻamau i ka maʻi maʻamau;
- myocarditis a me nā mea'ē aʻe.
ʻO ka prophylaxis o ka angina ma nā keiki
No ka paleʻana i ka maʻi me ka tonsillitis, pono ia e nānā i ka hana o ka palapilikia a ikaika mau. ʻO ka prophylaxis o ka angina e komo pū ana:
- ka palekana kaulike a me ka maikaʻi;
- paʻakikī;
- hoʻoponopono kūpono i nā maʻi;
- hiʻu kiʻekiʻe;
- kūpaʻa i nā rula mālama ola;
- i pāpaleʻia i nā keiki.