Kua pupuhi tō kaki, pērā i te puku? Me ako tātou mō te scrofula!

Kua kite koe i tētahi wā he puku iti kei te taha kotahi o te kaki o ētahi tāngata? I ētahi wā ka nui, pērā i te puranga puku e piri tahi ana. I te nuinga o te wā kāore he mamae, he iti noa iho rānei te mamae. I ētahi wā ka papura, ka rite rānei te tae ki te kiri. Koinei te mate ka kōrerohia e tātou i tēnei rā, arā, ko te scrofula.

He aha te Scrofula? He māmā noa iho...

Ki te kī māmā noa, ko te scrofula te wā e pupuhi ai ngā pona lymph i roto i tō kaki, e kīia nei e tātou he pona , nā te mate huakita. Ko te mea ka tupu, ka honoa tētahi, neke atu rānei o ngā pona, ka hanga he puranga nui, papatahi i roto i tō kaki.

I mua, i tapaina ko te "kino a te kīngi" nā te mea i whakaaro te iwi ka taea e te kīngi te whakaora. Engari ināianei ka tapaina e ngā tākuta ko te mycobacterial cervical lymphadenitis . He ingoa roa, kāore? Engari koinei tonu te ingoa o tēnei mate.

He momo mate kohi te Scrofula. Heoi, kāore i te mea ko ngā pukahukahu anake e pāngia ana, engari ko ngā repe i te kaki anō hoki.

He pēhea te noa o te scrofula?

He pono, he tino onge te mate kiriuhi. Tata ki te 5% noa iho o te hunga e whakaatu ana i ngā tohu o te mate kohi ka kitea he kiriuhi. Nō reira, kāore koe e rongo pinepine ana mōna.

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He aha ngā tohu o te Scrofula?

Mō te tini o te tangata, ko te tohu matua o te scrofula he puku i te kaki, ka rite ki te puku i tetahi taha, i ngā taha e rua rānei o te kaki. Heoi, ka pāngia pea ētahi tāngata e ngā tohu e rite ana ki te mate kitakita, pēnei i:

• Te kirika.
• Te werawera i te pō.
• Te whakahekenga taumaha koretake.
• Te ngenge tonu. (Te ngenge)

Whakaarohia, i tētahi rā, ka puta he puku iti ki te kaki o Nilanthi Akka. I te tīmatanga, i mahara ia he mea noa. Engari i muri i tētahi wā, ka nui haere, ā, ka tīmata ia te pāngia e te kirika i te pō. I taua wā ka haere ia ki te kite i te tākuta.

He aha te take o te scrofula?

Ko te tino take o te scrofula i roto i ngā pakeke he huakita e kiia nei ko te Mycobacterium tuberculosis . Koinei te huakita e hua ai te mate kohi (TB). Ina manawa koe i tēnei huakita, ka uru ki roto i ō pukahukahu ka haere ki ngā repe i roto i tō kaki, ka puta ai te mate.

Heoi anō, ka taea hoki e ētahi atu momo mate Mycobacterium te whakaputa i te scrofula i roto i ngā tamariki nohinohi, nō reira he rerekē pea te pūtake i roto i ngā tamariki.

Ko wai te mea tino mōrearea mō tēnei?

Ko te tino take mō te whanaketanga o te scrofula ko te noho tahi me te HIV, nā te mea ka ngoikore te pūnaha ārai mate o te tinana i te HIV.

Hei tāpiritanga:

• Te kore kai
• Ko ētahi atu āhuatanga e ngoikore ai tō pūnaha ārai mate (hei tauira, te whakamahi i ngā rongoā ārai mate, te whai i ētahi āhuatanga ārai mate, te whai rānei i ētahi mate pukupuku) ka piki ake tēnei mōrearea.

Hei whakarāpopototanga, ki te heke te kaha o tō tinana ki te whawhai ki te mate, ka nui ake te tūponotanga ka pāngia koe e ēnei momo mate.

He aha ngā āhuatanga kino ka pā mai i te scrofula?

I ētahi wā, ka pakaru te pupuhi i puta mai i te scrofula, ka puta he waikura. Ka puta he ihu , he kauhanga rānei, i roto i tō kiri. Ka puta hoki he kiri mārō i tēnei whara. Tērā pea ka mau tonu te kiri mārō.

Me pēhea te tautuhi i te scrofula?

Nā te mea he maha atu ngā take pea o te pupuhi o ngā repe kaki, ka whakahaerehia pea e tō tākuta, ka tūtohu rānei i ētahi whakamātautau hei whakatau mēnā he scrofula tōu. Koinei ngā mea e mahia ana i te nuinga o te wā:

• Koiora: I roto i tēnei whakamātautau , ka tangohia e te tākuta tētahi tauira puku, tauira kiko rānei mā te whakamahi i tētahi ngira. Kātahi ka whakatōkia te tauira hei tirotiro mēnā kei reira ngā huakita mycobacteria, ā, ka whakamahia he tae motuhake hei rapu i ngā huakita.
• Ngā whakamātautau toto: Ka taea te tango i tētahi tauira o tō toto hei tirotiro mō ngā mycobacteria me ētahi atu mate pukupuku.
• Ngā whakamātautau whakaahua: Ka whakahaerehia pea e tō tākuta he hihi-X o te uma , he matawai CT , he matawai ultrasound rānei hei tiki whakaahua mārama o ō pukahukahu, o tō kaki rānei.
• Ngā whakamātautau mate kohi: Mā te whakamātautau kiri PPD , te whakamātautau toto rānei ka taea te whakaatu mēnā he mate kohi tōu.
• Whakamātautau huakita kore-waikawa: Ko te tikanga tēnei he tango i tētahi tauira kiko, i tētahi tauira hūpē rānei mai i ō pukahukahu, ka rapu ai mō ngā huakita mycobacteria.

Ka mahia ēnei whakamātautau katoa hei whakaū i te āhua tuturu o te mate.

Me pēhea te rongoā mō te scrofula?

Ka rongoatia e ngā tākuta te scrofula ki ngā rongoā paturopi e hāngai ana ki ngā mate mycobacterial.(Hei tauira, he macrolide). Me tango e koe ēnei rongoā mō ētahi marama ki te tau . Anei ētahi momo paturopi e hoatu ana mō ngā mate pukupuku mycobacterial:

• Ethambutol
• Isoniazid (INH)
• Pirazinamida
• Rifampin
• Clarithromycin

Ko te mea nui ko te tango i tēnei rongoā kia rite ki tā te tākuta i tohutohu ai, mō te roanga katoa o te rongoā. Ki te mutu te tango i waenganui, tera pea ka hoki mai anō te mate.

I ētahi wā, ka tūtohu pea tō tākuta kia tangohia te pūkahukahu pangia mā te pokanga . Ka tūtohu pea rātou i tētahi tikanga e kīia nei ko te DOT (Directly Observed Therapy) . Ko tēnei ko tētahi atu tangata ehara i te mema o tō whānau e hoatu ana i te rongoā ki a koe, ā, ka noho ki a koe kia tangohia rā anō e koe. Mā tēnei, kāore koe e manukanuka kei ngaro tō rongoā.

He aha taku e tumanako atu ai mēnā he scrofula tōku?

Ki te tika te maimoatanga , ka taea e koe te ora katoa mai i te scrofula. Engari e ai ki te tākuta, he mea nui kia tangohia te rongoā kia rite mō te wā katoa o te maimoatanga. Kia maumahara, ka roa pea tēnei mai i ētahi marama ki te tau. Tērā pea ka pumau tonu ngā koha i puta mai i ngā patunga.

He mate kino te scrofula?

Kāore e tino mate te scrofula mēnā ka rongoatia. Heoi, he uaua ki te hoatu i te reiti mate tika nā te mea ko ngā rangahau mate e aro ana ki ngā mate pukupuku i roto i ngā pukahukahu. Ka rerekē rawa ngā hua.

Ka taea te ārai i te scrofula?

Āe, ki tētahi taumata. Ka taea e koe te whakaiti i tō tupono ki te mate kiriuhi mā te whakamātautau mō te mate kohi huna . Ko te mate kohi huna he āhuatanga kāore koe e whakaatu i tētahi tohu, engari ka horapa ki ētahi atu wāhanga o tō tinana ka puta he mate pērā i te kiriuhi. Ki te kitea e koe he mate kohi tōu, ka taea e koe te whiwhi maimoatanga i mua i te horapa.

Ka taea hoki e koe te tiki i te kano ārai mate Bacillus Calmette-Guérin (BCG) mō te mate kohi, engari ko te tikanga ka hoatu noa te kano ārai mate BCG ki ngā wāhi e kitea whānuitia ana te mate kohi.

Me pēhea taku tiaki i ahau anō?

Ko te mea pai rawa atu ka taea e koe ko te noho piri tonu ki tō tākuta, me te tango i ō rongoā kia rite ki te mea i whakaritea.Ahakoa kei a koe te mate kohi (TB) me te mate mycobacteria kāore i te kohi, ka taea hoki e koe te āwhina ki te aukati i te horapa o ngā huakita mā te whakaiti i tō whakapā atu ki ētahi atu tāngata.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• Me pēhea taku tango i te rongoā?
• Me aha ahau mēnā ka ngaro i ahau tētahi horopeta rongoā?
• Kia pēhea te roa o taku maimoatanga?
• Kia pēhea te roa ka ora ake ahau?
• He aha ngā tohu hou, ngā tohu kino rānei me tirotiro e au?
• Āhea ahau me haere mai anō kia kite i a koe?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He mate onge te scrofula engari he maha ngā wā ka taea te rongoā. Ka roa pea te wā e rongoatia ai – me manawanui pea koe mō tētahi wā kia ora rā anō koe. Tirohia tō tākuta i ia wā, inā koa mēnā he mate kei roto i a koe pērā i te HIV. Ka taea e tō tākuta te aroturuki i tō ahunga whakamua, te whakarerekē i tō rongoā mēnā e tika ana, me te whakatika i ngā raruraru ka puta i te wā e rongoatia ana. Nō reira kaua e mataku, tikina te maimoatanga e hiahiatia ana e koe, ā, ngana kia noho hauora!