Clinical features
Nebhakitiriya tonsillitis zviratidzo zvinogona kuva zvakanyanya. Murwere ane hanya nehuro, akabatanidzwa nezviratidzo zvakadai sokuti:
• general malaise;
• fivha;
• cervical lymphadenopathy (kuwedzerwa kwemakondomu lymph nodes).
Dzimwe nguva kurwadziwa kunopa munzeve, saka muvana vaduku, chirwere chinogona kukanganiswa ne otitis media (kuvhiringidza kwepakati ear). Kune ruvara uye edema ye oropharynx (pakati pe-soft palate uye epiglottis), zvichida kuonekwa kweexudate (detachable) pamusoro pematoni. Zvakakosha kusiyanisa bhakitiriya angina kubva ku viral pharyngitis (kuvhiringidza kwe pharynx). Utachiona hwehutachiona hunofambidzana nekudzikinurwa kwemashure nemutsipa (kutaurirana kwemukati mutsara pamwe ne pharynx), kuunganidza kwekucheneswa kwepululent pamusoro pematoni uye kufema kufema.
Lymphadenopathy
Kune rumwe rutivi rwechigunwe, kune nguva dzose kuwedzera mumakirini emiromo yecervical, iyo inova yakagadzikana uye inorwadza. Lymphadenopathy uye kuputika kwematoni zvinowanzoitika muhutachiona hwemononucleosis. Muzviitiko zvisingawanzoiti, matonti akawedzerwa zvakakonzera zvinogona kukonzera kudzivirirwa kwemhepo, iyo inowanzozivikanwa nehutachiona hwemononucleosis. Dzimwe nguva zvakaoma kwazvo kusiyanisa pakati pehutachiwana hwehutachiona uye hwebhakitiriya, uye smear kubva ku pharynx inogona kutsausa. Kuongororwa kwetonillitis kunobva pane chipatara chemifananidzo, zvikurukuru pane zviratidzo zvakadai seodema yemirasi yecervical lymph nodes nekuputika kwematoni. Kana pane kusava nechokwadi kwehutachiona hwemukondombera, ropa remurwere rinotumirwa kune izvo zvinonzi se-single-spot test kuti zvigone kuonekwa. Bhakteria tonsillitis inoda kurapwa nemishonga inorwisa mabhakitiriya, zvichida penicillin kana, nokuda kwechirwere ichi, erythromycin. Amoxicillin haina kukurudzirwa kuti ishandiswe, sezvo munyaya ye infectious mononucleosis inogona kukonzera kupisa.
Mushonga wokuvhiya
Tonsillectomy (tonsillectomy) ikozvino inowanzoitwa kazhinji, asi nekuvhiya kazhinji kwechirwere chechigoni hakugoni kudziviswa. Zvimwe zviratidzo zvekuvhiyiwa zvinosanganisira apnea syndrome (kuporesa kumusungwa) muhope uye kusina kwemasoni. Kuvanhu vakuru, kubvisa marwadzo mukati mehuro kunobatsira kushambidza nemhinduro ye soda. Kuti kuderedze kutonhora, acetaminophen inoshandiswa. Tonsillitis inobata zvikuru vana nevechidiki, inopararira nemadonhwe emhepo. Kutanga kwechirwere ichi kazhinji kunofanana nehutachiona hwehutachiona, hunoteverwa nekubatanidzwa kwebhakitiriya-chinowanzoita beta-hemolytic streptococcus, inogona kuramba ichipinda mumatavi ematoni kwenguva yakareba.
Purulent tonsillitis
Paratonsillar abscess (kusanganisa kwepus) inowanzove yakagadzikana uye inokonzerwa nehutachiona hwehutachiona. Pamberi pechikonzero chakakomba chekuumbwa kwemafirimu emapurisa pamatoni pamwe nekuputsika kwekupema kufema kwaiva diphtheria. Zvisinei, zvirwere zvepasi pose zvakaderedza chiitiko chechirwere ichi. Kazhinji tonsillitis inobvumirwa kwemazuva mashanu. Mamiriro acho ezvinhu anogara achipfuura achizvimiririra, asi kazhinji kacho kudzokera kunogona kuwedzera kuwedzera kunaka kwehupenyu hwomurwere. Chimwe chetachiona chekuwedzera kwechirwere chechibereki chinonzi lymph nodes chinogona kukonzera kushungurudzwa kwekodhi uye inofanira kubviswa. Tonsillitis inowanikwa muhuduku nehuwandu hwehutachiona hwehutachiona uye huwandu hwezvirwere. Kuchengetedza utsanana mumuromo nemazino kunogona kuderedza chiitiko. Kurwara vana havafaniri kuenda kuchikoro, nokuti hutachiona hunopararira nyore nyore muboka revana.