Tonsilitis: Gwahaniaeth rhwng fersiynau

[[Llid]] y [[Tonsil|tonsiliau]] yw '''tonsilitis''', cyflwr sydd fel arfer yn datblygu'n gyflym.<ref name=Pub2016>{{cite web|title=Tonsillitis|url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0025779/|website=PubMed Health|accessdate=30 September 2016|deadurl=no|archiveurl=https://web.archive.org/web/20170107031248/https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0025779/|archivedate=7 January 2017|df=}}</ref> Math o ffaryngwst ydyw.<ref>{{cite web|title=Tonsillitis|url=https://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi?field=uid&term=D014069|accessdate=4 August 2016|deadurl=no|archiveurl=https://web.archive.org/web/20160325080921/http://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi?field=uid&term=D014069|archivedate=25 March 2016|df=}}</ref> Gall [[Symptom|symptomau]] gynnwys dolur ynghylch y [[Gwddf|gwddf,]] [[twymyn]], tonsiliau chwyddedig, trafferthion wrth lyncu, ac ehangiad yn y nodau lymff o gwmpas y gwddf. Mae modd i'r cyflwr arwain at gymhlethdodau, gan gynnwys crawniad peritonsilaidd.<ref name=Klug2016>{{cite journal|last1=Klug|first1=TE|last2=Rusan|first2=M|last3=Fuursted|first3=K|last4=Ovesen|first4=T|title=Peritonsillar Abscess: Complication of Acute Tonsillitis or Weber's Glands Infection?|journal=Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery|date=August 2016|volume=155|issue=2|pages=199–207|pmid=27026737|doi=10.1177/0194599816639551}}</ref>

Achosir tonsilitis fel arfer gan haint firaol ac y mae oddeutu 5% i 40% o achosion yn datblygu oherwydd haint bacteriol.<ref name=Wind2016/><ref name=Lang2009>{{cite book|last1=Lang|first1=Florian|title=Encyclopedia of Molecular Mechanisms of Disease|date=2009|publisher=Springer Science & Business Media|isbn=9783540671367|page=2083|url=https://books.google.com/books?id=DdBJ6jCf8KgC&pg=PA2083|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20161002102233/https://books.google.com/books?id=DdBJ6jCf8KgC&pg=PA2083|archivedate=2016-10-02|df=}}</ref> Pan achosir y cyflwr gan y grŵp bacteriwm A streptococws, cyfeirir ato fel gwddf strep.<ref>{{cite book|last1=Ferri|first1=Fred F.|title=Ferri's Clinical Advisor 2016: 5 Books in 1|date=2015|publisher=Elsevier Health Sciences|isbn=9780323378222|page=PA1646|url=https://books.google.com/books?id=bbLSCQAAQBAJ&pg=RA1-PA1646|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20161002102931/https://books.google.com/books?id=bbLSCQAAQBAJ&pg=RA1-PA1646|archivedate=2016-10-02|df=}}</ref> Nid yw bacteria megis ''Neisseria gonorrhoeae, Corynebacterium diphtheriae,'' neu ''Haemophilus influenzae'' yn achosi'r cyflwr fel arfer. Lledaenir yr haint fel rheol drwy'r awyr. Gall system sgorio, fel sgôr Centor, gynorthwyo wrth wahanu achosion gwahanol. Gellir cadarnhau [[Diagnosis meddygol|diagnosis]] drwy swab gwddf neu brawf strep cyflym.<ref name=Wind2016>{{cite journal|last1=Windfuhr|first1=JP|last2=Toepfner|first2=N|last3=Steffen|first3=G|last4=Waldfahrer|first4=F|last5=Berner|first5=R|title=Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management.|journal=European Archives of Oto-Rhino-Laryngology|date=April 2016|volume=273|issue=4|pages=973–87|pmid=26755048|doi=10.1007/s00405-015-3872-6}}</ref>

Wrth drin y cyflwr gwneir ymdrech i wella symptomau a gostwng cymhlethdodau. Gellir defnyddio [[parasetamol]] (asetaminoffen) ac [[ibuprofen]] i ostwng poenau. Os mai strep y gwddf sy'n bresennol, caiff y [[gwrthfiotig]] [[penisilin]] ei argymell fel rheol. Gall rhai dioddefwyr fod ag alergedd tuag at benisilin, ac mewn achosion felly, defnyddir seffalosborin neu macrolidiau i drin tonsilitis. Cynigir tonsilectomi i rai plant sy'n profi cyfnodau rheolaidd o donsilitis. Mae'r driniaeth honno'n lleihau'r risg o donsilitis dychweladwy yn gymedrol.<ref>{{cite journal|last1=Windfuhr|first1=JP|last2=Toepfner|first2=N|last3=Steffen|first3=G|last4=Waldfahrer|first4=F|last5=Berner|first5=R|title=Clinical practice guideline: tonsillitis II. Surgical management.|journal=European Archives of Oto-Rhino-Laryngology|date=April 2016|volume=273|issue=4|pages=989–1009|pmid=26882912|doi=10.1007/s00405-016-3904-x}}</ref>

Mae tua 7.5% o bobl yn dioddef poen ynghylch y gwddf o leiaf unwaith bob tri mis, ac mae oddeutu 2% o'r boblogaeth yn ymweld â [[meddyg]] ar gyfer tonsilitis yn flynyddol.<ref name=Jones2014>{{cite book|last1=Jones|first1=Roger|title=Oxford Textbook of Primary Medical Care|date=2004|publisher=Oxford University Press|isbn=9780198567820|page=674|url=https://books.google.com/books?id=2LB0PC17uFsC&pg=PA674|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20160818174808/https://books.google.com/books?id=2LB0PC17uFsC&pg=PA674|archivedate=2016-08-18|df=}}</ref> Effeithir y cyflwr ar blant oed ysgol yn bennaf, yn enwedig yn ystod tymhorau'r [[Hydref (tymor)|hydref]] a'r [[Gaeaf|gaea]]<nowiki/>f. Gwellir y rhan fwyaf o achosion gyda [[meddyginiaeth]], neu hebddynt hyd yn oed. Mewn oddeutu 40% o achosion, gwellir y symptomau o fewn tridiau, a 80% o achosion o fewn wythnos, hyd yn oed os mae streptococws yn bresennol. Mae gwrthfiotigau yn lleihau hyd symptomau tua 16 awr.<ref name=Cochrane2013>{{cite journal|last1=Spinks|first1=A|last2=Glasziou|first2=PP|last3=Del Mar|first3=CB|title=Antibiotics for sore throat.|journal=The Cochrane Database of Systematic Reviews|date=5 November 2013|volume=11|pages=CD000023|pmid=24190439|doi=10.1002/14651858.CD000023.pub4}}</ref>