Kodi mabakiteriya achilendo awa amakhudzanso mapapo anu? (NTM Lung Disease) Tiyeni tikambirane mwatsatanetsatane!

Kodi mudamvapo za mtundu wa mabakiteriya otchedwa `Nontuberculous Mycobacteria` (NTM) omwe amayambitsa matenda a m'mapapo? Izi sizimachitika kawirikawiri, kutanthauza kuti si matenda omwe aliyense amadwala. Mwachidule, matenda awa otchedwa NTM m'mapapo amapezeka pamene majeremusi otchedwa NTM alowa m'mapapo mwathu ndikuyambitsa matenda kumeneko. Mwina dzinali ndi latsopano kwa inu, koma musadandaule, tikambirana izi mwatsatanetsatane lero, mu Chisinhala chomwe mungamvetse.

Kodi matenda a m'mapapo a NTM ndi chiyani? Kodi pali mitundu ina?

Chabwino, tsopano tiyeni tiwone kuti matenda a m'mapapo a NTM ndi otani, komanso ngati pali mitundu yosiyanasiyana ya matendawa. Uwu ndi matenda omwe amakhudza mapapo okha. Tikuwona mitundu iwiri ikuluikulu ya matendawa:

1. Nodular bronchiectasis: Uwu ndi mtundu wofala kwambiri wa matendawa ndipo ndi wofatsa . Makamaka, ndi vuto lomwe timabowo tating'onoting'ono timapangika m'mapapo, zomwe zimapangitsa kuti bronchi ikule (bronchiectasis). Vutoli limapezeka kwambiri kwa amayi omwe asiya kusamba (monga omwe asiya kusamba) komanso osasuta . Ngakhale kuti ndi lofatsa, lingayambitse mavuto ngati silinachiritsidwe.

2. Matenda a m'mapapo a NTM m'mimba: Uwu ndi mtundu woopsa kwambiri wa matendawa kuposa mtundu wakale. Umadziwika ndi kukula pang'onopang'ono kwa mabowo, kapena mabowo, m'minofu ya mapapo anu. Ganizirani ngati malo ang'onoang'ono, opanda kanthu m'mapapo anu. Pamene izi zikupitirira, kupuma kumakhala kovuta kwambiri ndipo kungayambitse kulephera kupuma . Mtundu uwu umapezeka kwambiri mwa osuta fodya, omwe akhala akusuta fodya kwa zaka zambiri, kapena omwe ali ndi matenda ena a m'mapapo, monga emphysema .

Ndiye NTM iyi ndi chiyani?

Tsopano mwina mukudabwa kuti ndi mtundu wanji wa mabakiteriya otchedwa NTM. `Nontuberculous mycobacteria` (NTM) ndi banja la mabakiteriya omwe amakula pang'onopang'ono, zomwe zikutanthauza kuti sachulukana ndipo amakula mofulumira. Modabwitsa amapezeka paliponse m'malo athu. Mwachitsanzo, mabakiteriyawa amapezeka m'nthaka, m'madzi (mitsinje, mitsinje, ngakhale m'madzi apampopi), komanso m'fumbi . Chifukwa chake, n'zosatheka kuti tipulumuke kwathunthu ku mabakiteriyawa.

Chinthu china chapadera pa mabakiteriya a NTM awa ndichakuti amalimbana ndi mankhwala ophera tizilombo toyambitsa matenda wamba . Kuphatikiza apo, mabakiteriya a NTM awa ali ndi mphamvu zodabwitsa zopirira kutentha kwambiri komwe kungaphe mitundu ina ya mabakiteriya. Izi zikutanthauza kuti safa ngakhale mutawatsuka ndi madzi otentha.

Kuopsa kwa matendawa, chithandizo chomwe chimaperekedwa, komanso kuchuluka kwa kuchira kwa matendawa zimatsimikiziridwa ndi zinthu ziwiri zazikulu. Choyamba ndi ichi,Kodi mtundu wa mabakiteriya (`strain`) omwe amayambitsa matendawa ndi uti? Chinanso ndi chakuti ngati matendawa ndi `nodular bronchiectatic` yomwe yatchulidwa kale kapena `cavitary` . Ngakhale kuti pali mitundu yambiri ya mabakiteriya m'banja la NTM, pali mitundu ingapo ikuluikulu yomwe imayambitsa matenda a m'mapapo mwa anthu:

• Mycobacterium avium complex (MAC): M'mayiko monga United States, matenda a m'mapapo a NTM nthawi zambiri amayamba chifukwa cha gulu la mabakiteriyawa.
• Mycobacterium abscessus: Iyi ndi mtundu woopsa komanso wovuta kuchiza.
• `Mycobacterium kansasii`: Iyi ndi njira ina.

Ndani amene ali ndi mwayi waukulu wopeza matenda a m'mapapo a NTM?

Si aliyense amene amadwala ndi mabakiteriya a NTM. Komabe, anthu ena ali ndi mwayi waukulu wopeza matendawa, kapena ali pachiwopsezo chachikulu . Izi zikutanthauza kuti, anthu omwe ali ndi matenda enaake omwe angayambitsidwe ndi matendawa akhoza kudwala matendawa. Makamaka, ngati muli ndi matenda ena a m'mapapo, muli ndi mwayi waukulu wopeza matenda a m'mapapo a NTM. Nazi zinthu zina zoti muganizire:

• Chibayo chobwerezabwereza: Anthu ena amadwala matenda a m'mapapo pafupipafupi. Izi ndi zoona makamaka kwa anthu omwe ali ndi matenda monga `chibayo chotchedwa aspirate pneumonia`, komwe zinthu zomwe timapuma (monga chakudya ndi zakumwa) zimatha kulowa m'mapapo mwathu ndi kutenga matenda .
• Mphumu: Ichi ndi vuto lomwe limafala pakati pa anthu ambiri. Mphumu imapangitsa kuti njira zopumira m'mapapo zikhale zosavuta, zomwe zimapangitsa kuti azidwala matenda a NTM.
• Matenda a Bronchiectasis: Izi zimanenedwa kuti ndi zomwe zimayambitsa matenda a m'mapapo a NTM. Pachifukwa ichi, bronchi ( njira zopumira) m'mapapo zimatambasuka, zimakula, ndipo makoma awo amakhala ofooka. Izi zimapangitsa kuti mamina asamagwire bwino ntchito, zomwe zimapangitsa kuti mabakiteriya azikula bwino.
• Matenda a m'mapapo osatha (COPD): Uwu ndi matenda a m'mapapo osatha omwe amapezeka kwambiri pakati pa osuta fodya.
• Matenda a cystic fibrosis: Uwu ndi matenda obadwa nawo. Amachititsanso kuti mamina okhuthala azisonkhana m'mapapo, zomwe zimapangitsa kuti matenda ayambe.
• Khansa ya m'mapapo: Chifukwa mapapu a munthu amene ali ndi khansa ya m'mapapo ndi ofooka, matenda monga NTM amatha kufalikira mosavuta.
• Chifuwa chachikulu (TB): Anthu omwe kale anali ndi chifuwa chachikulu komanso mapapu awo anawonongeka ali pachiwopsezo chotenga matenda a NTM.

Kuphatikiza apo, ngati muli ndi zaka zoposa 65 , kapena muli ndi matenda aliwonse omwe amafooketsa chitetezo chanu chamthupi (monga kachilombo ka HIV / Edzi , nyamakazi - matenda omwe amayambitsa kutupa kwa mafupa,Ngati muli ndi matenda a Sjögren (omwe amayambitsa zizindikiro monga maso ndi pakamwa pouma), kapena ngati mukumwa mankhwala oletsa chitetezo chamthupi (monga chemotherapy , corticosteroids yopumira ya matenda monga mphumu), mulinso pachiwopsezo chachikulu chotenga matenda a m'mapapo a NTM.

Kodi zizindikiro za matenda a m'mapapo a NTM ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe zimawonekera matenda a m'mapapo a NTM akayamba. Chizindikiro chachikulu chomwe chimawoneka nthawi zambiri ndi chifuwa . Chifuwa ichi sichili ngati chifuwa chomwe chimabwera ndi chimfine wamba. Ndi:

• Zitha kukhala nthawi yayitali . Izi zikutanthauza kuti zimatha kwa milungu kapena miyezi.
• Nthawi zina, mukamatsokomola, mungatulutse magazi pang'ono pamodzi ndi ntchofu . Izi zimatchedwa 'hemoptysis' m'mawu azachipatala.
• Chifuwacho chimatha kukhala choopsa kwambiri moti simungathe kugona usiku. Mungadzuke ndi chifuwa pamene mukugona.
• Mafinya okhuthala, mwina amitundu yosiyanasiyana angatuluke .

Kuwonjezera pa chifuwachi, zizindikiro zina zingayambenso. Si aliyense amene angakhale ndi zizindikiro zonsezi, koma inunso mungakhale ndi zina mwa izi:

• Kupweteka pachifuwa: Mungamve kupweteka pachifuwa chanu mukamapuma kapena kutsokomola.
• Kutopa/kutopa kwambiri: Sikuti kungotopa kokha, komanso kumva ngati wopanda thandizo zivute zitani.
• Kusowa chilakolako chofuna kudya: Kutaya chilakolako chofuna kudya.
• Malungo otsika komanso osakhazikika: Si malungo okwera, koma kutentha kwa thupi kumakhalabe kwakukulu.
• Thukuta la usiku: Umadzuka thukuta thupi lonse pamene ukugona.
• Matenda opatsirana pafupipafupi: Matenda ofanana ndi chibayo amapezeka miyezi ingapo iliyonse.
• Kuvuta kupuma (kupuma movutikira): Kuvuta kupuma ngakhale mutachita khama pang'ono kapena mukukwera masitepe.
• Kuchepetsa thupi mosadziwika: Kuchepetsa thupi mwadzidzidzi popanda kuchepetsa thupi.
• Phokoso la kupuma movutikira: Phokoso la mluzu limamveka kuchokera pachifuwa.

Chofunika kwambiri ndikuonana ndi dokotala kuti akupatseni upangiri ngati muli ndi zizindikiro izi, makamaka chifuwa chosatha.

Kodi matenda a m'mapapo a NTM ndi opatsirana?

Funso limene anthu ambiri amafunsa ndipo amafuna kudziwa ndi ili. Ndipotu, mabakiteriya a NTM nthawi zambiri safalikira kuchokera kwa munthu wina kupita kwa wina. Izi zikutanthauza kuti ngati mulankhula ndi munthu amene ali ndi chibayo cha NTM kapena kumwa kuchokera mu kapu yomwe adagwiritsa ntchito, simudzadwala. Chifukwa chake, pakadali pano akuvomerezedwa kuti iyi si matenda opatsirana .

Komabe, pali chinthu chimodzi. Pakati pa anthu omwe ali ndi matenda a majini otchedwa "cystic fibrosis", matenda ena (ofufuza akufufuzabe ngati matenda a NTM awa ali pakati pawo) sanafalikire kawirikawiri. Komabe, pakati pa anthu onse, palibe chifukwa choopera kufalikira kwa matenda a m'mapapo a NTM.

Kodi matenda a m'mapapo a NTM amapezedwa bwanji molondola?

Monga tanenera kale, kuzindikira matenda a m'mapapo a NTM kungakhale kovuta chifukwa zizindikiro zake sizili zenizeni. Izi zikutanthauza kuti, zimafanana kwambiri ndi matenda ena ofala kwambiri m'mapapo (monga chibayo, chifuwa chachikulu, bronchitis).

Kuti mupeze matenda, zinthu zitatu ziyenera kukwaniritsidwa:

1. Kupezeka kwa zizindikiro: Zizindikiro monga chifuwa chomwe chatchulidwa kale komanso kupuma movutikira.

2. Kusintha kwa X-ray kapena CT scan pachifuwa: Mayeso awa amafufuza timibulu, mabowo, kapena bronchiectasis m'mapapo.

3. Kukula kwa mabakiteriya a NTM mu chitsanzo cha makoswe: Makoswe omwe mumakosolera (omwe angasakanizidwe ndi malovu) amatengedwa ndikuyesedwa mu labotale kuti awone ngati mabakiteriya a NTM alipo ndipo akukula mmenemo.

Ngati muli ndi matenda, kudziwa mtundu weniweni wa mabakiteriya a NTM omwe amayambitsa matendawa ndikofunikira kwambiri pochiza.

Mayeso ena omwe achitika pa izi ndi awa:

• Kuwunika thupi: Dokotala adzakufunsani za zizindikiro zanu ndikumvetsera chifuwa chanu pogwiritsa ntchito stethoscope.
• Maphunziro a zojambula: X-ray ya pachifuwa kapena CT scan kuti muwone kusintha kwa minofu ya m'mapapo. CT scan ingapereke chithunzi chomveka bwino kuposa X-ray.
• Kumera kwa makoswe: Iyi ndi njira yofunika kwambiri yoyezera. Choyamba m'mawa, musanatsuke mano anu, muyenera kutsokomola makoswe ambiri ndikuyika mu botolo lapadera. Kuti muwonjezere kulondola kwa mayesowo, muyenera kupereka chitsanzocho kwa masiku angapo (nthawi zambiri masiku osachepera atatu). Nthawi zina, ngati simungathe kutsokomola makoswe bwino, dokotala wanu angatenge chitsanzo kuchokera m'njira zazing'ono zopumira m'mapapu anu pogwiritsa ntchito njira yotchedwa bronchoscopy . Kenako katswiriyo adzayang'ana chitsanzocho pansi pa maikulosikopu ndikuchipanga kukhala mabakiteriya.
• Kuyezetsa mapapo: Izi sizichitika kwa aliyense. Ngati palibe chitsimikizo chomveka bwino kuchokera ku mayeso a sputum kapena mayeso ena, kapena ngati pali kukayikiridwa kuti pali matenda ena, chidutswa chaching'ono cha minofu chimatengedwa kuchokera m'mapapo ndikuwunikidwa.

Kodi ndi chiyani china chomwe muyenera kudziwa chokhudza mayeso a NTM?

Palinso chinthu china chofunika kudziwa chokhudza kuyezetsa NTM. Anthu ambiri amakhala ndi matendawa kwa zaka zambiri asanapezeke ndi matendawa.Matenda a m'mapapo a NTM awa akhoza kukhalapo. Chifukwa zizindikiro zimawonekera pang'onopang'ono, anthu ena sazilabadira. Mukakhala ndi matendawa kwa nthawi yayitali, mapapo anu amawonongeka kwambiri ndipo chiopsezo chanu cha mavuto chimawonjezeka.

Ngati mukulandira kale chithandizo cha matenda ena a m'mapapo (monga mphumu, COPD), koma zizindikiro zanu (monga chifuwa, kupuma movutikira) zikukulirakulira, mungapindule poyesedwa matenda a NTM. Onetsetsani kuti mwauza dokotala wanu za izi.

Chisamaliro chabwino kwambiri cha matendawa chimachokera kwa madokotala omwe ali ndi chidziwitso chapadera komanso luso pa matendawa. Mwachitsanzo , madokotala a matenda opatsirana .

Kodi matenda a m'mapapo a NTM amachiritsidwa bwanji?

Chabwino, tsopano tiyeni tikambirane za chithandizo cha izi. Chithandizo choyenera kwa inu chimadalira zinthu zingapo. Izi zikuphatikizapo mtundu wa mabakiteriya a NTM omwe amayambitsa matenda anu, mtundu wa matenda a m'mapapo a NTM omwe muli nawo (nodular bronchiectatic kapena cavitary) , komanso mbiri yanu yonse ya thanzi komanso momwe mulili panopa .

Kawirikawiri, mankhwala akuluakulu a izi ndi maantibayotiki . Koma awa si mankhwala okha omwe mumamwa kwa masiku asanu ndi awiri kapena asanu ndi atatu kenako nkusiya. Maantibayotiki awa ayenera kumwedwa mosalekeza kwa miyezi ingapo, nthawi zina chaka chimodzi kapena kuposerapo . Nthawi zambiri, si maantibayotiki amodzi okha, koma mitundu iwiri kapena itatu ya maantibayotiki yomwe iyenera kumwedwa pamodzi .

Pa milandu yoopsa ya matendawa, zomwe zikutanthauza kuti mapapo awonongeka kwambiri ndipo mabowo apangika, nthawi zina opaleshoni ingafunike kuchotsa minofu ya mapapo yomwe yakhudzidwa. Komabe, izi sizichitika kwa aliyense. Ngati maantibayotiki sakulamulira bwino matenda anu, kapena ngati simungathe kupirira zotsatira zoyipa za maantibayotiki, madokotala nthawi zambiri amaganizira za opaleshoni. Anthu omwe ali ndi matenda a Mycobacterium avium complex (MAC) nthawi zina amatha kutuluka magazi m'mapapo chifukwa cha matendawa. Pazochitika zotere, opaleshoni ingafunike kuti magazi asiye kutuluka.

Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha NTM?

Inde, ili ndi funso lofunika kwambiri. Kumwa mankhwala opha maantibayotiki kwa nthawi yayitali, kutanthauza kuti, kwa miyezi ingapo, kungayambitse zotsatira zina zoyipa . Zotsatira zoyipa zomwe zimafala kwambiri ndi izi:

• Kusanza ndi nseru
• Kutsegula m'mimba (kupweteka m'mimba)
• Chilakolako cha chakudya
• Kuwawa kwam'mimba

Kuphatikiza apo, maantibayotiki ena (osati onse) angayambitse kusintha kwa kumva (monga kuchepa kwa kumva), kusintha kwa masomphenya (monga kusawona bwino), kuwonongeka kwa chiwindi, ndi ziphuphu pakhungu.Zinthu ngati zimenezo sizingachitike kawirikawiri.

Musadandaule! Dokotala wanu adzakudziwitsani za zotsatirapo zake. Komanso, panthawi ya chithandizo, mayeso anu a magazi, mayeso a maso, ndi mayeso akumva adzachitika nthawi zonse kuti muwone ngati pali zotsatirapo zake.

Mavuto amenewa angapangitse kuti zikhale zovuta kuchita zinthu za tsiku ndi tsiku. Komabe, ngati mukuvutika kupitiriza kulandira chithandizo, onetsetsani kuti mwauza dokotala wanu. Dokotala wanu akhoza kusintha mlingo, kukupatsani mankhwala ena, kapena kugwiritsa ntchito njira zina zothanirana ndi zotsatirapo zake. Musasiye kumwa maantibayotiki popanda kulankhula ndi dokotala wanu. Kuchita zimenezi kungapangitse kuti mabakiteriya asagwirizane ndi mankhwalawo, zomwe zingapangitse kuti vuto lanu likhale loipiraipira.

Kodi matenda a m'mapapo a NTM angapewedwe?

Monga tanenera kale, n'zovuta kupewa kukhudzana ndi mabakiteriya a NTM chifukwa amapezeka kwambiri m'chilengedwe chathu. Komabe, pali zinthu zosavuta zomwe mungachite kuti muchepetse chiopsezo chanu chotenga matenda a m'mapapo a NTM:

• Khalani aukhondo: Kusamba m'manja mwanu bwino ndi sopo ndi madzi nthawi zonse kungathandize kuchepetsa kufalikira kwa majeremusi monga mabakiteriya a NTM. Kumachepetsanso mwayi wokhala ndi matenda ngati mutakumana ndi mabakiteriya.
• Katemera: Ndikofunikira kulandira katemera wa chimfine chaka chilichonse komanso katemera wa chibayo monga momwe dokotala wanu wanenera. Chifukwa ngati mutalandira chimfine kapena chibayo, kuchira ku matenda a m'mapapo a NTM kungakhale kovuta kwambiri ndipo mapapu anu akhoza kufooka kwambiri.
• Siyani kusuta fodya ndi zinthu zopangidwa ndi fodya kwathunthu: Kusuta fodya kumawononga kwambiri mapapo. Kumawonjezera kwambiri chiopsezo cha matenda a m'mapapo ndi matenda monga NTM. Ngati ndinu wosuta fodya, kusiya kusuta ndiye chinthu chabwino kwambiri chomwe mungachite pa mapapo anu. Ngati mukufuna thandizo pa izi, lankhulani ndi dokotala.

Kodi tsogolo la anthu omwe ali ndi matenda a m'mapapo a NTM ndi lotani?

Izi zimadalira kwambiri momwe munthu alili. Komabe, anthu ambiri, makamaka omwe ali ndi matenda amtundu wa `non-cavitary` (osati-cavity, kutanthauza kuti palibe mabowo m'mapapo), amachira kwathunthu. Mwayi wanu ndi liwiro lanu lochira zimadalira zinthu monga:

• Mtundu wa matenda a m'mapapo a NTM omwe muli nawo (monga nodular bronchiectasis kapena cavitary?).
• Kodi ndi mtundu wanji wa mabakiteriya a NTM omwe adayambitsa matendawa? (Mabakiteriya ena amayankha bwino akalandira chithandizo kuposa ena.)
• Mbiri yanu yonse ya thanzi (monga matenda ena, chitetezo chamthupi, ndi zina zotero).
• Kaya mungathe kupirira chithandizo cha maantibayotiki kwa nthawi yayitali (vuto ngati muyenera kusiya kumwa mankhwalawo chifukwa cha zotsatirapo zake).
• Mudzalandiranso mankhwala oyenera opha tizilombo toyambitsa matenda, oyenera matenda anu komanso mtundu wa mabakiteriya.
• Ngati muli ndi bronchiectasis, luso lanu komanso kufunitsitsa kwanu kuchita chithandizo chochotsa mpweya woipa (monga masewera olimbitsa thupi ochotsa ntchofu) ndikofunikira.

Chofunika: Ngakhale chithandizo chikayenda bwino, anthu ena akhoza kubwereranso ndi matenda a m'mapapo a NTM kamodzi kapena kangapo . Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro ndikutsatira malangizo a dokotala wanu.

Chofunika ndi chiyani mukakhala ndi matenda a m'mapapo a NTM?

Kukhala ndi matenda a m'mapapo omwe amayamba chifukwa cha mabakiteriya a NTM nthawi zina kumakhala kovuta. Komabe, pali zinthu zosavuta komanso zothandiza zomwe mungachite kuti mukhale ndi thanzi labwino komanso omasuka momwe mungathere:

• Pewani chinyezi ndi nthunzi: Mabakiteriya a NTM amakula bwino m'malo onyowa. Chifukwa chake, pewani kugwiritsa ntchito mabafa otentha, ma spa, ndi ma sauna momwe mungathere. Ngati muli kukhitchini kapena m'bafa, ngati nthunzi ikudzaza, yatsani `fani yopumira mpweya` / `fani yotulutsa mpweya`. Mukasamba, musasiye madzi akutuluka nthawi yayitali ndipo mudzaze bafa ndi nthunzi.
• Idyani zakudya zopatsa thanzi: Kudya zakudya zoyenera komanso zopatsa thanzi kudzapatsa thupi lanu mphamvu ndi michere yomwe limafunikira kuti lithane ndi matenda. Phatikizani mapuloteni ambiri (nsomba, nyama, mazira, mkaka, mtedza), madzi (madzi, supu, madzi a zipatso), ndi ndiwo zamasamba ndi zipatso muzakudya zanu.
• Chitani masewera olimbitsa thupi omwe dokotala wanu akulangiza: Zochita zosavuta zolimbitsa thupi (monga kuyenda) zimatha kumasula mamina m'mapapu anu ndikupangitsa kuti zikhale zosavuta kutsokomola. Zingakuthandizeninso kukhala ndi mphamvu komanso kupirira. Komabe, funsani dokotala wanu kapena katswiri wa masewera olimbitsa thupi za masewera olimbitsa thupi omwe ali oyenera kwa inu.
• Valani chigoba cha nkhope ngati pakufunika kutero: Popeza mabakiteriya a NTM amatha kukhala m'fumbi ndi m'nthaka, kuvala chigoba cha nkhope mukapita kumadera monga udzu wodulidwa kumene, malo okonzedwa kumene, minda, ndi malo okhala ndi fumbi kungathandize kuchepetsa kukhudzana ndi NTM nthawi zonse.

Tiyeni titenge uthengawu kunyumba.

Chabwino, takambirana zambiri zokhudza matenda a m'mapapo a NTM. Pomaliza, nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

Matenda a m'mapapo a NTM ndi matenda a m'mapapo omwe amayamba chifukwa cha mtundu wa mabakiteriya (`Nontuberculous Mycobacteria`) omwe amakula pang'onopang'ono m'malo athu, monga dothi ndi madzi. Anthu omwe ali ndi matenda ena a m'mapapo (makamaka `Bronchiectasis`) ndi omwe ali ndi chitetezo chamthupi chofooka amakhala ndi mwayi waukulu wopeza matendawa.

Zingakhale zovuta kuzindikira ndi kuchiza, chifukwa zizindikiro zake zimafanana ndi matenda ena a m'mapapo ndipo chithandizo chingatenge nthawi yayitali. Komabe,Anthu ambiri amachira bwino akalandira chithandizo chamankhwala komanso upangiri woyenera.

Ngati muli ndi matendawa, kapena ngati mukuganiza kuti muli pachiwopsezo chotenga matendawa, kupewa chinyezi, kukhala aukhondo, komanso, ngati kuli kofunikira, kuvala chophimba nkhope mukatuluka panja m'malo afumbi kungathandize kwambiri.

Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro monga chifuwa chosatha, kutuluka magazi m'thupi, kupuma movutikira, kapena kuchepa thupi kosayembekezereka, musamangoganiza kuti ndi chinthu chosayembekezereka, koma pitani kwa dokotala wodziwa bwino ntchito nthawi yomweyo kuti akupatseni upangiri. Musadandaule, ngati mwapeza matenda oyenera komanso chithandizo choyenera, vutoli lingathe kuthetsedwa bwino. Simuli nokha, ndipo madokotala alipo kuti akuthandizeni.

Matenda a m'mapapo a NTM , mycobacterial nontuberculous, matenda a m'mapapo, mabakiteriya, matenda opuma, chifuwa, maantibayotiki