Kodi munayamba mwaganizapo kuti bakiteriya kakang'ono komwe kamapezeka m'nthaka kapena m'madzi otizungulira kangalowe m'thupi mwathu ndikuyambitsa matenda oopsa? Lero tikambirana za matenda omwe samveka kawirikawiri, koma ndi ofunikira kwambiri kudziwa. Timatcha izi "Nocardiosis". Ngakhale dzinalo lingamveke lachilendo, mukangolimvetsa mosavuta, palibe choopa.
Kodi Nocardiosis kwenikweni ndi chiyani?
Mwachidule, nocardiosis ndi matenda omwe amayamba chifukwa cha mtundu wa bakiteriya wotchedwa *Nocardia* womwe umalowa m'thupi lathu. Bakiteriya imeneyi nthawi zambiri imakhala m'malo athu, makamaka m'nthaka ndi m'madzi osasunthika.
Matendawa amayamba m'mapapo kapena pakhungu lathu. Komabe, ngati sachiritsidwa bwino, mabakiteriyawa amatha kuyenda m'magazi ndikufalikira ku ziwalo zina za thupi, makamaka ubongo, zomwe zimayambitsa matenda aakulu . Ichi ndichifukwa chake ndikofunikira kwambiri kudziwa izi.
Kodi izi zimapangidwa bwanji? Pali mitundu iwiri ikuluikulu.
Pali njira ziwiri zazikulu zomwe nocardiosis ingalowere m'thupi mwathu. Chifukwa chake, pali mitundu iwiri ya matendawa.
1. Pulmonary Nocardiosis: Mtundu uwu ndi wofala kwambiri. Bakiteriya iyi imalowa m'mapapo mwathu kudzera mu kupuma fumbi kuchokera m'nthaka kapena nthunzi yamadzi yoipitsidwa. Ili ngati kupuma fumbi.
2. Matenda a mtima oyamba a Cutaneous Nocardiosis: Izi zimachitika pamene mabakiteriya alowa m'thupi kudzera pachilonda chotseguka kapena pakhungu. Mwachitsanzo, ngati mutakanda pang'ono mukulima dimba ndikupeza dothi, zimakhala zosavuta kuti mabakiteriya alowe m'thupi.
Ndani ali pachiwopsezo chachikulu chotenga izi?
Ngakhale kuti mabakiteriya amenewa amapezeka m'chilengedwe, si aliyense amene amadwala matendawa. Chitetezo chathu cha mthupi nthawi zambiri chimalimbana ndi majeremusi amenewa ndipo chimatiteteza. Komabe, anthu ena ali pachiwopsezo chachikulu chotenga matendawa.
- Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe ali ndi matenda monga matenda a shuga, kachilombo ka HIV, ndi khansa ali ndi chitetezo chochepa chamthupi, kotero amatha kutenga matendawa mosavuta.
- Anthu omwe adaikidwa ziwalo: Anthu omwe adaikidwa ziwalo kapena mafupa ali pachiwopsezo chachikulu chifukwa cha mankhwala operekedwa kuti achepetse chitetezo cha mthupi.
- Anthu omwe akumwa mankhwala enaake: Anthu omwe amamwa mankhwala amphamvu kwambiri monga ma steroids kwa nthawi yayitali nawonso ali pachiwopsezo.
- Amuna: Chodabwitsa n'chakuti amuna ali ndi mwayi wochuluka wopeza matendawa katatu kuposa akazi. Amuna azaka zapakati omwe amagwira ntchito panja (monga alimi a m'munda, alimi, ogwira ntchito zomangamanga) ndi omwe ali pachiwopsezo chachikulu.
Chofunika kwambiri n’chakuti ngakhale munthu wathanzi komanso amene ali ndi chitetezo chamthupi chofooka ali ndi mwayi wochepa woti atenge matendawa. Chifukwa chake, ndikofunikira kuti aliyense adziwe zizindikiro zake.
Kodi zizindikiro za matendawa ndi ziti?
Zizindikiro zimadalira mtundu wa nocardiosis womwe muli nawo. Tiyeni tiwone tebulo ili m'munsimu kuti timvetse bwino izi.
| Mtundu wa matenda | Gawo lokhudzidwa ndi zizindikiro zake |
|---|---|
| Matenda a m'mapapo (Matenda a m'mapapo) | Zizindikiro za izi nthawi zambiri zimakhala zofanana ndi za chibayo kapena chifuwa chachikulu.
|
| Matenda a pakhungu (ochokera ku khungu) | Chizindikiro chachikulu ndi kupangika kwa zilonda pakhungu.
|
| Samalani! Ngati matendawa afalikira... (Disseminated Nocardiosis) | |
| Ngati ifalikira ku ubongo | Iyi ndi nkhani yaikulu kwambiri.
|
Ngati muli ndi zizindikiro izi, musataye nthawi ndipo pitani kwa dokotala nthawi yomweyo .
Kodi mwapeza bwanji izi, Dokotala?
Kusiyanitsa matenda a mtima ndi matenda ena kungakhale kovuta chifukwa zizindikiro za matenda a m'mapapo zimafanana ndi chibayo, ndipo zizindikiro za matenda a pakhungu zimafanana ndi matenda ena ofala a pakhungu.
Choncho, kuti adziwe bwino matendawa, dokotala wanu adzayesa mayeso ena.
- Kuyesa chitsanzo: Kachidutswa kakang'ono ka minofu kapena madzimadzi amatengedwa kuchokera pamalo omwe ali ndi kachilomboka ndikutumizidwa ku labu kuti akayesedwe. Pankhani ya mapapo, chitsanzo cha mamina chingatengedwe, kapena pakhungu, chidutswa chaching'ono cha chotupacho chingatengedwe.
- Kujambula X-ray pachifuwa kapena CT scan: Ngati matendawa ali m'mapapo, X-ray pachifuwa idzachitika. Mungafunikenso CT scan, yomwe ingapereke chithunzi chomveka bwino komanso chatsatanetsatane.
Kodi pali chithandizo? Musadandaule!
Inde! Nkhani yabwino ndi yakuti nocardiosis imatha kuchiritsidwa kwathunthu ndi maantibayotiki .
Koma nayi nkhani. Si maantibayotiki onse omwe amagwira ntchito pa mabakiteriya awa. Chifukwa chake, dokotala wanu adzafunika kuchita mayeso angapo a labu pa chitsanzo chanu kuti adziwe bwino lomwe maantibayotiki omwe ali abwino kwa inu.
Nthawi yolandira chithandizo imatha kusiyana malinga ndi kuopsa kwa matendawa. Nthawi zina amatha kuchiritsidwa pakatha milungu 6 yokha. Mu matenda oopsa, mungafunike kumwa mankhwala kwa chaka chimodzi.
Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera, osaphonya tsiku limodzi. Musasiye kumwa mankhwalawo pakati chifukwa choti mwamva bwino pang'ono.
Nthawi zina, opaleshoni yaying'ono ingafunike kuchotsa zilonda zazikulu pakhungu kapena kutulutsa mafinya.
Uthenga Wopita Nawo Kunyumba
- Nocardiosis ndi matenda omwe amayamba chifukwa cha mabakiteriya omwe amapezeka m'nthaka ndi m'madzi.
- Izi zimakhudza kwambiri mapapo ndi khungu.
- Anthu omwe ali ndi chitetezo chamthupi chofooka (odwala matenda a shuga, odwala khansa) ndi amuna omwe amagwira ntchito panja ali pachiwopsezo chachikulu.
- Dziwani zizindikiro za m'mapapo monga chibayo kapena zilonda za pakhungu.
- Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwala opha tizilombo amatha kuchiritsa matendawa kwathunthu. Ndikofunikira kumwa mankhwala omwe dokotala wakupatsani kwa nthawi yonse.
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