Umqala obuhlungu:-arhente causative zesi sifo abadala kunye nabantwana. Iimpawu kunye neentlobo angina

Akuthandeki ukuba kuya kubakho abantu abaninzi abaye zange umqala obuhlungu. Ukuze uphephe oku, abanye besoyika ukuba adle ice cream, musa ukusela iziselo ngqo ukusuka efrijini, yaye ngokuqinisekileyo shushu ngako. Kodwa ukuba umqala abandayo obuhlungu yingozi? I-arhente causative esi sifo, njani ngokuchanekileyo abaphandi bafumanisa ubuso ezininzi kunene. Yaye "ehlasela" kwi umqala yethu ngenxa yezizathu ezininzi. Angina ukuze Usenokuqalisa kwingxaki nezinye izifo ezinzulu, ezifana influenza, oko unokuhlangula ngaphandle amagciwane ayingozi nathi. Kodwa kwiimeko ezininzi le arhente causative tonsils yinto sodidi lwe iintsholongwane ezincinane ezihlala emlonyeni wethu rhoqo kwaye musa ukulimaza. Yintoni ekufuneka yenzeke le ntsholongwane ngesiquphe abe ndlongondlongo? Ziziphi ezinye amagciwane kubangela ukudumba emqaleni? zisichaphazela njani na uhlobo sifo? Indlela yokukhusela wena nabo ubathandayo kubo?

Abuhlungu emqaleni, tonsils okanye pharyngitis?

Indlela ngqondweni umqala obuhlungu? Le umqala ebomvu, tickling, iintlungu xa yokuginya, ifiva, silale, sinomnqweno elingathandabuzekiyo kulala phantsi. Abanye umnxeba kule imeko tonsils, ezinye angina. Ngokusisiseko, yinto enye. Igama elithi "tonsils 'sisuka tonsillae Latin, lithetha' zom, okanye, ukuba tonsils kazwelonke,. Ezi ekumisweni izihlunu lymphoid, elikhusela ukuba evela iintsholongwane eziyingozi kunye uncedo ukumelana nezifo. Igama elithi ".â €" livela kwi Ango Latin, elithetha "yalugudla, biso."

Ukudumba tonsils, apho emqaleni njengoko kubhaliwe zixinaniswe, kwaye tonsils okanye umqala obuhlungu. Lwegciwane kuphazamisa imeko eqhelekileyo tonsils bethu ingaba:

• virus;
• iintsholongwane;
• fungi izifo.

Kubonakala, umqala obuhlungu akukaze ice cream okanye isiselo esibandayo. ithuba elide le kubanda apha, abamsulwa kakhulu.

Pharyngitis kuthiwa ukudumba pharynx (ityhubhu osuka umlomo ukuba kuvuleke iminxunya), njengoko e Latin Umqala izandi ngathi pharynx. Kodwa inxenye yayo ephezulu, le somzimba umqala kunye tonsils. Ngoko ke, lo umqala emqaleni kunye kwingqula nako kunganikwa ingqwalasela angina. Umahluko kukuba umqala obuhlungu kuphela sisifo esosulelayo, nomqala obuhlungu inokuba non-ezosulelayo, okubangelwe kukungakhuseleki anobungozi imisi umqala, umoya oshushu, i-ice cream enye emzimbeni. Iimpawu kuyo efana flu kwaye ziquka:

• umqala obuhlungu;
• ubuhlungu xa ukuginya;
• ngamanye amaxesha umkhuhlane khohlo.

pharyngitis ezosulelayo, kakhulu, ukuba, ukongeza, kunokuba kwingxaki komkhuhlane, icesina nebomvu kunye nezinye izifo. Kwiimeko ezinjalo, oko kudla isifo njenge angina. Iarhente causative zezi zifo ezimbini iyafana, iimpawu phantse twatse. Ngokungafaniyo oogqirha nokuba abanamava azisoloko uqaphele, ukuba angina ukudumba eyendayo kule tonsils. ntoni A umqala obuhlungu xa na imida ecacileyo, ububomvu emqaleni ngokungathi iphalale yona, tonsils ukuxinana kwisiqalo ngokubanzi akemi ngaphandle.

iintlobo angina

Kunye izihloko izifo yakuqonda. Ngoku cinga yintoni Iifom ukuthatha tonsils okanye umqala obuhlungu. Iarhente causative apha ludlala indima enkulu, kodwa hayi nje elinye. Ukongeza uhlobo leentsholongwane, wazisa emqaleni, yaye ukwahlula iqondo umonakalo, nto leyo ibaluleke kakhulu ekuqeshweni unyango. Ngokusekelwe kule nkcazelo ingasentla, umqala obuhlungu ngu:

• Olubhlowu;
• lacunar;
• follicular;
• ithumba;
• fibrinous;
• herpes;
• ukuvuza ngaphantsi;
• wenze umboniso.

amagciwane izifo

Ezi zithinteli abahlala nande kuphela kwiiseli eziphilayo, ngoko bahlale bezama zingene. Xa babetha nathi kwinkqubo yokhuseleko umlomo avelise antibodies yokungenelela umkhosi nabaqhekezi. Ukuba impilo kulungile, kwaye umzimba owomeleleyo, iintsholongwane abakwazi ubambe yatshatyalaliswa okanye ngokupheleleyo.

Ukuba umzimba ubuthathaka, loo maphalo ebiqaliswe kwi kwiiseli ze tonsils - umqobo yethu yokusabela - aze aqalise ukuvelisa ngenkuthalo. Iiseli kufa, le tonsils baba asha, ukuqala umqala wentsholongwane obuhlungu. I-arhente causative kwesi sifo kungaba yintsholongwane yomkhuhlane, Epstein-Bar, i-herpes, Coxsackie, adenovirus, picornavirus, enterovirus. Ukuziqhelisa, uhlobo pathogen kwaye ubone abafane ndibanike bonke elinye igama - SARS. Amaninzi ubunzima ukusuka umqala wegciwane obuhlungu:

• abantwana;
• abantu abadala;
• izalwe nasiphi na isifo, utyando;
• abasetyhini abakhulelweyo;
• Izigulane na isifo esinganyangekiyo.

Oko kukuthi, kubantu kwiqela lomngcipheko kunye iinkqubo eziyekeyeke omzimba. umzimba yabo ayiyi kuba nako ukuphuhlisa izilwa ezininzi, ngoko iintsholongwane ahlaselayo lula ukufikelela kuzo iiseli ezifanelekileyo.

Incopho emphinjeni viral isibetho iwela ebusika kunye off-xesha, ingakumbi ekuqaleni kwentwasahlobo, xa sidle iziqhamo ngaphantsi nemifuno.

Khumbula: tonsils ezosulelayo kakhulu wentsholongwane egazini. Iarhente causative na ngokunamandla kakhulu, ukuba kulula ukuba osulele amaxhoba ezintsha ngokuthi uthimla, ekhohlela, incoko ngokweemvakalelo, wamanga. Kwakhona iintsholongwane ukuze ngcu kwizifundo ezahlukeneyo size ke sisifikele emlonyeni (ingakumbi abantwana) xa kungekho yococeko.

Iimpawu umqala legciwane obuhlungu:

• umqala obuhlungu;
• idlala ububomvu (ukutyabeka amaxesha ezimhlophe ekhoyo);
• ubushushu;
• nodes nkovu zidumbileyo entanyeni, indawo submandibular.

Kudla kukho iimpawu ezininzi eziqhelekileyo amagciwane:

• sasiphikisana esitulweni;
• isicaphucaphu;
• ukukhohlela;
• conjunctivitis;
• iimpumlo ezivuzayo.

Unyango lwenziwa antivirals ezifana "Ergoferonom". Amachiza contraindicated. Kwiqondo lobushushu eliphezulu emiselweyo Antipyretic "aspirin", "paracetamol". Isigulane isiselo luncedo kuninzi eshushu, gargle "chlorhexidine" sisombululo furatsilina okanye decoction of chamomile, calendula, nesisombululo nesoda yokubhaka. Well uncedo Oluma. abantwana babo ukwenza ngamanzi plain olufudumeleyo abadala Kuyancomeka ukongeza emanzini na utywala (1: 1). Bed ukuphumla - prerequisite ibuyambo ekhawulezileyo.

iintsholongwane izifo, i-arhente causative of throat umqala obuhlungu

Umntu ngamnye ohlala ka-4 kg iintsholongwane. Ngethamsanqa,-1% kuphela kubo izifo. Phakathi i-99% le ebizwa ngokuba yi-amathuba apho zibe yayintsholongwane eyosulela phantsi kweemeko, umzekelo xa bezikhulule kunye nezifo. Xa amagciwane zethu ezimbi zingadityaniswa kwi-bume iintsholongwane "umbhalo". Amagciwane angina phakathi kwazo zezi:

• streptococci;
• staphylococci;
• spirochetes;
• diplococci;
• Inegciwane Loffnera;
• gonococcus.

Inkoliso yezi yezinambuzane ane- Ukuhlelwa lwabo olunzulu. Abameli uhlobo nganye kwahluka enye kwenye nje kuphela inkangeleko kodwa yokuziphatha. Zinelungelo loluthando ukuhlasela iiseli kakuhle echazwe cell endo- ezahlukeneyo exotoxins, ngokulandelelana, ukuba iindidi ezahlukeneyo nangokurhala, izifo. Ngoko ke, ukuba abaphathe kuzo zonke antibiotics efanayo abakwazi. Ukuze ubone ukuba yintoni na efunekayo ukuze alwe ngayo iziyobisi, oogqirha abenza smears of ububomvu kunye yencindi ukusuka emqaleni kunye tonsils.

Iarhente causative of throat umqala obuhlungu - nto anaerobic, akukho mfuneko ioksijini, abangeni, ngababini okanye imixokelelwane. Ukuhlelwa Streptococci umxhelo. Bonke bephela, kuxhomekeke indlela ukutshabalalisa iiseli ezibomvu (hemolysis ihambo), yahlulwe ngokwamaqela amathathu - alpha, beta kunye wesigrike. Alpha-ebizwa viridans streptococci ngenxa yokuba hemolysis aziphelelanga, yaye kummandla ukungaphumeleli kubonakala umbala oluhlaza.

Gamma streptococci akuthethi kutshabalalisa iiseli ezibomvu. Ngoku ke idla iqela elahlukileyo enterococci.

streptococci Beta ngokupheleleyo iiseli ezibomvu. Zahlula-hlulwe ngamaqela A ku Amalungu Kaya zeqela A, okanye iintsholongwane pyogenic zithathwa ezingenelelayo. Bona banakho ukungena umlomo okusingqongileyo kwaye ngoko nangoko ivule esi sifo, yaye maziyingenise les ixesha elide. Kodwa xa umntu uya buthathaka amajoni omzimba, i streptococci baqala imisebenzi etshabalalisayo, ibangela umqala obuhlungu, pharyngitis, iphika, ifiva nebomvu, amathumba kunye nokothuka ityhefu.

Le tonsils igciwane, gciwane Staphylococcus aureus

Olu hlobo yesibini leentsholongwane ekwaziyo olungenelelayo kuba yingozi kakhulu. Igama livela kwigama lesiGrike elithi "STAF", gama elo elithetha "yomdiliya" kuba staphylococci zisoloko ezicwangciswe kumaqela efana ngamalunda yeediliya. Nabo, kakhulu, iyalungiswa musa ukuba ioksijini. Xa umlomo equlethwe ukuya kwi-40% kwala magciwane eseleyo. Logama nje umntu abe sifo kakhulu, bona azinabungozi, kodwa abantu ephelile, ezi amagciwane esebenzayo kakhulu. Bancede kunye streptococci yayintsholongwane eyosulela, staphylococci, rhoqo ukusebenza kunye. Iplagi ifumaneka kwi -smear evela emqaleni kunye tonsils kunye nezinye izifo ezosulelayo. Staphylococcus aureus ngu:

• zegolide;
• epidermal;
• saprophytic;
• haemolytic.

Bonke kubangela ubovu nangokurhala, abulale ezininzi nga le nto ikhokelele ekufeni. Ngokuba staphylococci waziphendulela ukuvelisa iiproteni ezithile, penicillinase, ngokubulala izilwa-buhlungu kunye nokwenza iintsholongwane ezininzi yanto.

Phila staphylococci, hayi nje kuphela kweli emlonyeni kodwa kokusingqongileyo. Baye uzinzo kumnandi. Umzekelo, substrates owomileyo lisaseleyo ukusuka ububomvu kunye isikhohlela, ukuba busebenza iinyanga ezintandathu, kwiinyanga ezi-3 eluthulini, musa ukuba ndingafeli ilanga, efrijini, emanzini ashushu, isisombululo zintsholongwane igcinwe processing. Kuphela abilayo uyakwazi ukuzibulala ngoko nangoko.

Ezinye iintlobo iintsholongwane, nangona ngaphantsi yayintsholongwane eyosulela, kodwa azixhaphakanga.

catarrhal angina

Igama elithi "catarrhal" amiliswe evela catarrhus, ngamanye ukubaleka-off olwelo. Ngoku olu hlobo mucosal ukudumba ibizwe SARS. agents tonsils causative abadala kunye nabantwana kwaye ibe ziintsholongwane. Izinto ezibangela ekuqaleni sifo:

• ukusebenza eziphilayo yayintsholongwane eyosulela langoku emlonyeni;
• kwebutho elivela ngaphandle (obekudibene nezigulana ze-non ukuthotyelwa sanitation).

zimpawu:

• ukonakala ebukhali kwimpilo, ubuthathaka umzimba uphela;
• intloko ebuhlungu;
• lobushushu (e izigulane ezikhethiweyo, ukuze niyigcine ngaphakathi 37,2-37,5 ° C, kodwa ubukhulu becala kuyenyuka ngaphezu kwe-38 ° C);
• ukwanda zone nkovu node submandibular;
• evakalelwa ukuba emqaleni "ususa phezulu";
• igwinya buhlungu;
• ububomvu kunye ekweneni tonsils neengqameko isifo emqaleni;
• inkangeleko uqweqwe ezimhlophe phezu tonsils, kodwa ngaphandle nezilonda;
• ukwandisa iiprothini umchamo (kwiqondo lobushushu eliphezulu);
• egazini kunokwandisa ESR kunye iiseli ezimhlophe zegazi, kodwa lo msebenzi nobuntu.

Catarrhal umqala obuhlungu ngaphandle umkhuhlane rhoqo une sisifo ezihlasela zosulele ngokuphefumla.

Iintsholongwane ze umqala obuhlungu ebantwaneni grudnichkovogo abaneminyaka zidluliselwe ukusuka kumama zizifo okanye amanye amalungu osapho. Ekubeni amajoni omzimba xa kuzalwa khange kwasekwa, esi sifo luzakuqala ukusuka emzimbeni kunye nasemva nezinye izifo wentsholongwane egazini. Amaninzi, abantwana abaphethwe staphylococcus, iStreptococcus iintsholongwane.

Iimpawu ziyafana kubantu abadala, kodwa ibe:

• moodiness;
• ukungathandi ukutya;
• ukozela okanye, icala, ixhala;
• ukwanda izinkcwe;
• e amahlaba lobushushu eliphezulu, urhudo kunye regurgitation.

Iindlela zonyango:

• alale;
• gargle, Oluma;
• ukusela intabalala iziselo;
• amachiza sulfa ( "Biseptolum", "Streptocide" "Bactrim");
• antihistamines;
• antipyretics (okubonisa);
• mzimba.

Antibiotics amisele kuphela ngugqirha ngokusekelwe kolu cazululo.

unyango angina kwiintsana algorithm igqiba ugqirha. Ngaphambi kokuba abazali bayo ekufikeni kungaba knock kuphela lobushushu eliphezulu (ukuba ngasentla-38 ° C) yabonwa indlela ethandwayo iqulathe ukuphelisa umntwana ithole okanye isisombululo kusempandleni iviniga buthathaka kuphela. Ngokuzimeleyo okanye antipyretics okanye antibiotics ayikwazi kunikwa. Kids konyaka omdala omnye phambi kokufika ugqirha anganika umntwana umkhuhlane "paracetamol" okanye "Nurofen", yaye ngokufuthi umntwana usela iti efudumeleyo.

tonsils

Zoboya emqaleni - le zemali iiseli emithanjeni kwi tonsils. Phantsi kweemeko eziqhelekileyo ke ezifanayo amaqhuma ngokungangqalanga. Xa baba asha, iqala tonsils. Ubangelwa sifo ke iyafana naleyo catarrhal tonsils, nto leyo ngokufuthi ikhula ngaphandle onyango follicular. Xa abadala kunye nabantwana adibana kunye isidanga ngokulinganayo. Iarhente causative tonsils - iStreptococcus, staphylococcus, ezinye iintsholongwane.

zimpawu:

• ebukhali bt ngesiquphe, ezivakaliswa amaqondo kukothuka ngasentla 39 ° C, ifiva, ubuthathaka jikelele;
• intlungu emqaleni, uqhebeke ezindlebeni;
• splenomegaly;
• intlungu entloko, emva;
• Ngamanye amaxesha zimpawu ukunxila, abantwana ucaca ngakumbi;
• tonsils hyperemic, kunye nezilonda esekuhleni ezimhlophe okanye bulubhelu kancinane amancinci;

• maxa wambi iimpawu ukusilela kwentliziyo (tachycardia, iintlungu entliziyweni);
• zisiba buhlungu xa ekuguquleni intloko;
• egazini eosinophils anda, umyinge neentlenge erythrocyte, iiseli ezimhlophe zegazi.

Njengee-arhente angina isoloko streptococci kunye staphylococci, okt iintsholongwane, unyango inyanzelekile owenziwe antibiotics. uluhlu lwabo kakhulu - "Ampicillin", "Erythromycin", "Tsefamezin" kunye nabanye.

Abantwana kunye nabantu abadala nako ukusebenzisa kufafazwa ukuze kuphele iintlungu emqaleni "Orasept", "Faringosprey". Amanye amalungu algorithm kuyafana noko lisetyenziswa angina Olubhlowu.

kufuneka ngaphandle kule menu rough, okuneziqholo, ezinetyuwa, ukutya peppery. Abantwana kufuneka banikwe iitapile ezicujiweyo kunye ipapa ukukhanya, kunye force-lokutyisa contraindicated.

lacunar tonsils

Isikhewu - a uluhlu tonsils ngokohlobo ezipokothweni kunye vee. Ukuba zezona zona izibeke ubovu exudate yencindi yomlomo. Amagciwane lacunar angina - na iintsholongwane kuphela, ngokufuthi cocci, kodwa iintsholongwane, kungaba kubi kakhulu urhulumente sele emibi malunga nesigulane eso. Iimpawu kwi angina follicular lacunar yinto efanayo, kodwa ubonisa kule meko iqapheleka kakhulu ngakumbi. Ngenxa yoko, izigulane basoloko lobushushu utsiba ukuya ku-40 ° C, yintloko ungaba kuze nokugabha, iimpawu kunxilwe akhoyo abantwana kunye nabantu abadala, ukudinwa, yaye ubuthathaka wonke umzimba ukuze umntu akafuni ukuya. On tonsils yomguli nokuba engumshumayeli ubona pustules ezimhlophe okanye ezityheli. Ewe enkulu kakhulu kunokuba tonsils follicular, kodwa hayi kakhulu njengoko uqhoqhoqho izilonda ezinzwaneni. Lo ngumthetho-siseko ephambili umahluko obonakalayo kwezi zifo ezintathu.

Unyango lwe follicular lacunar angina efanayo. Nezilonda emqaleni Awukwazi ukususa nantoni na, yaye amanxeba - lubricated ebulala. Plaque kuphela zisuswe ezopulayo.

Ngamanye amaxesha follicular kunye lacunar angina enkulu fibrinous stage, ubovu xa uqweqwe kwanwenwa tonsils kwiinkalo ekufutshane womqala.

herpangina

Kule sifo kukho amagama elinganayo ezininzi - gerpangina, aphthous okanye Enterovirus pharyngitis vesicular. Iarhente causative of herpes virus umqala obuhlungu, okanye mandithi eziliqela intsholongwane serovars coxsackie, hayi iintsholongwane, unyango zintsholongwane ngoko kule meko alifanelekile. Isifo kakhulu ivame abantwana, kuquka iintsana, kunye abadala kunqabile ukuba une. Gerpanginu pick up lula kakhulu, njengoko fantastic ngokunamandla yaye ngokukhawuleza zidluliselwe ukusuka zabo yemidiya abantu amachaphaza, ngaphantsi ilindle-ngomlomo indlela Coxsackie iintsholongwane (ngezandla ezimdaka - zokudlala, pacifier - umlomo). Nangakumbi ngamaxesha, esi sifo ingafumaneka kumfowunelwa ezinye izilwanyana, ezifana iihagu. Kanye umzimba ixhoba lakhe, iintsholongwane osulele kwiindawo nkovu, ke igazi ukusuka apho waya kwinkqubo umqala nkovu.

zimpawu:

• bt elibukhali (lobushushu tsiba-40 ° C, ubuthathaka, kude nestoyaniya kwi iinyawo ebantwaneni ukuxhuzula baphawula njalo);
• ukwanda kakhulu kwindawo efakwe womqala;
• iimpumlo ezivuzayo;
• maxa wambi ukukhohlela;
• irhashalala emqaleni ngohlobo vesicles zifuna ukuba ngqombela, ezele exudate ecacileyo (ziyafana abo herpes athululwe emilebeni); ezimbalwa iintsuku amaqamza iintsuba, ukhukuliseko kuvela kwindawo yazo.

Kuba iintsana kakhulu yingozi herpes angina. Lwegciwane emzimbeni yabo ibuthathaka unako ukuba bandiqumbise meningitis, pyelonephritis, kobuchopho, kunye vesicles zingavela kuphela emlonyeni, kodwa emzimbeni.

diagnosis Visual senziwa emva kokuba iimviwo inwebu yangaphakathi, kwaye yokugqibela ngokusekelwe serological kunye neemvavanyo virological.

Unyango ziquka iziyobisi antiviral entsonkothileyo, ezibonisa antipyretics, antihistamines, immunomodulatory. Umqala iphathwa ngale mixube ezizodwa, kunye nabantwana abadala amiswe ngamanzi. Oluma kunye inhalation Herpangina akuvumelekanga. Amachiza kumiselwe entsonkothileyo kuphela xa iingxaki eziphuhliswe ezinxulumene usuleleko antibacterial.

ubovu tonsils

Eli binzana ngamanye amaxesha ibizwa ngokuba nezinye izifo apho iinkqubo ukudumba waphawula umqala ukwenza exudate ubovu. Le lacunar kunye tonsils follicular, ziyinxalenye ebalulekileyo kuzo kukuba nangezilonda zisoloko zibekwe phezu tonsils alaqhenqetha kwiindawo ezikufutshane. Iarhente causative of ubovu tonsils kuphela neentsholongwane, kwaye ngo-80% oko throat,-10% - aureus kunye nenye-10% - ibhayisekili ezi kwamagciwane mabini. Ngamanye amaxesha ubovu tonsils ngokuba amagciwane okanye ifomu: ukuvuza ngaphantsi, kodwa kukho umahluko obonakalayo. Ngaloo ndlela, a angina ezinzwaneni ibangelwa zizifo fungal, ngokuxhaphakileyo Candida. main uphawu Its - nelitye elimhlophe obufana kuwo wonke loo mmandla umqala, nkqu ulwimi. Kungenxa yoko le nto angina ezinzwaneni kubhidaniswe thrush. nebhodi ezinzwaneni lula kususwe, ebonisa izilonda bubomvu. Oonobangela - ukuba buthathaka sifo, ukusetyenziswa elide okanye kwamalweyile ngendlela antibiotics. Ukuba arhente causative tonsils na gonococcus, ibizwa ngokuba ukuvuza ngaphantsi, okanye ngokuchanekileyo ngaphezulu: ukuvuza ngaphantsi womqala. Oku ngaphandle kuphela abadala abambalwa kakhulu. Isizathu - ngesondo lomlomo kunye komdlali ophethe. Iimpawu: ukuvuza ngaphantsi kunye ubovu tonsils ifana kakhulu, ngoko iyantlukwano echanekileyo kunokwenzeka kuphela ngokuthatha smear ukusuka kwisisu ngomlomo. Ngokweliso izilonda ngomqala: ukuvuza ngaphantsi luthe ngaphezu angina, dibanisa, ukuba utshisa inkalakahla kunye ulwimi.

Kubalulekile ukuqonda ukuba ubovu tonsils - ukugula etsolo ibakhona elingekho ngaphezulu kweentsuku ezingama-10 kwaye ziphinde zenzeke. Ukuba iintsuku 10 Akukho lula ukuphelisa esi sifo, ngoko uxilongo lokuqala engalunganga. Ngaphandle konyango olufanelekileyo angina unika iingxaki:

• amathumba emqaleni;
• otitis bekukubi avareji umntu ongaboniyo ukuva kunokwenzeka;
• nokudumba;
• samathambo;
• buhlungu intliziyo;
• ukusilela kwezintso;
• tonsils ezigulo ezondeleyo.

Ekugqibeleni, umqala obuhlungu - sisifo esosulelayo. Ngoko ke, ukuze ukosulela iintsapho zabo, abagulayo kufuneka bagcine ngokungqongqo nococeko.