I-Actinomycosis: Masifunde ngolu sulelo lungaqhelekanga lwebhaktiriya.

Ubusazi ukuba sonke sinezigidi zeebhaktheriya ezihlala ngaphakathi nangaphandle kwesikhumba sethu? Zikwaluncedo kuthi. Kodwa ngamanye amaxesha, xa ezi bhaktheriya zingenabungozi zifika kwiindawo ezingafanele zibe kuzo, ziqala ukubangela iingxaki. Enye yezo ntsholongwane zingaqhelekanga, ezingaqhelekanga zibizwa ngokuba yi -actinomycosis . Lusulelo olukhula kancinci, kodwa olunokuba yingozi olunokubangela iingxaki ezinkulu ukuba alunyangwa. Ngoko ke, masithethe kancinci ngale nto, akunjalo?

Yintoni kanye kanye i-actinomycosis?

Ngamafutshane, i-actinomycosis lusulelo olungaqhelekanga olubangelwa luhlobo lwebhaktheriya ebizwa ngokuba yi -Actinomyces . Le bhaktheriya ihlala ingenabungozi emlonyeni, emqaleni, emathunjini, kwaye ngamanye amaxesha nakwilungu lobufazi labasetyhini. Njengezinye iibhaktheriya eziluncedo emizimbeni yethu.

Kodwa, ukuba utyando, ukwenzakala, okanye esinye isifo sinyanzela ezi ntsholongwane ukuba zihambe ngaphandle komlinganiselo wazo oqhelekileyo, ziye kwindawo ezingafanele zibe kuyo, kulapho ke ingxaki iqala khona. Apho, ezi ntsholongwane ziyakhula zize zibangele usulelo.

Olu sulelo lubangela imingxunya okanye amathumba agcwele ubovu . Zijikeleze, kuyenzeka nezicubu ezifana namaqhuma. Eyona nto ingaqhelekanga kukuba olu sulelo lusasazeka kwizicubu ezijikelezileyo. Rhoqo, oku kubangela inxeba elifana nomngxuma phantsi kolusu. Ngaphakathi kwezi zilonda, ungabona iigranules ezincinci ezityheli ezibizwa ngokuba yi "sulfur granules" kunye ne-yellow pus. Nangona eli gama linjalo, azinaso i-sulfur. Zifumana igama lazo kumbala wazo otyheli. Ezi granules zenziwa kukuqokelelana kweeseli zethu zomzimba kunye neziqwenga zebhaktheriya.

Enye into kukuba ngamanye amaxesha kungathatha iiveki, kwaneenyanga, ukuba iimpawu zibonakale emva kokuba usulelo luqalile.

Ziziphi iintlobo ze-actinomycosis?

Iibhaktheriya ze-Actinomyces zinokubangela usulelo kwiindawo ezahlukeneyo zomzimba. Zihlelwa ngokwendawo yosulelo.

• I-Cervicofacial actinomycosis: Olu lolona hlobo luqhelekileyo. Lunokuchaphazela ubuso bakho, umlomo, impumlo, intamo, okanye umhlathi. Ngamanye amaxesha lubizwa ngokuba "ngumhlathi onamaqhubu," kuba lubangela iqhubu emhlathini. Umzekelo, le meko inokwenzeka ukuba intsholongwane ingena ngokukhutshelwa kwezinyo okanye ngokwenzakala kweentsini.
• I-Thoracic okanye i-pulmonary actinomycosis: Oku kuchaphazela imiphunga yakho okanye indawo yesifuba. Umzekelo, kunokwenzeka ukuba ukutya okanye isiselo sibambeke emiphungeni yakho (i-aspiration).
• I-actinomycosis yesibeleko okanye ye-pelvic:Olu luhlobo lomhlaza oluchaphazela abasetyhini. Lunokuchaphazela indawo ye-pelvic kunye namalungu okuzala, njengesibeleko, iityhubhu ze-fallopian, kunye neetyhubhu ze-fallopian. Lo mngcipheko uphezulu kakhulu kubasetyhini abasebenzisa isixhobo sangaphakathi kwesibeleko (IUD), ingakumbi ukuba i-IUD ibikho ixesha elide.
• I-abdominal actinomycosis: Oku kuchaphazela amathumbu okanye ezinye izitho zesisu. Umzekelo, kunokuvela ngenxa yemeko efana ne-appendicitis okanye emva kotyando lwesisu.

Ziziphi iimpawu ezibonakala xa esi sifo sikhula?

Iimpawu ze-actinomycosis ziyahluka ngokuxhomekeke kwindawo yosulelo. Ukongeza kwiimpawu eziqhelekileyo, kukwakho neempawu ezithile zohlobo ngalunye.

• Usenokuba nomkhuhlane .
• Usenokunciphisa umzimba .
• Ukuba une-cervicofacial infection: Usenokuba namaqhuma okanye iindawo ezizele lulwelo entanyeni, emhlathini, ebusweni, okanye ngaphakathi emlonyeni. Usenokuba neentlungu xa usitya kwaye unokuba nomhlathi oqinileyo.
• Kwimeko yosulelo lwemiphunga (usulelo lwesifuba): iintlungu zesifuba, ukukhwehlela, kwaye ngamanye amaxesha igazi xa ukhwehlela.
• Usulelo lwesisu okanye lwe-pelvic: Iimpawu ezinje ngeentlungu zesisu kunye nokudumba zinokubakho.
• Usulelo lwe-pelvic: Abafazi banokufumana ulwelo olungaqhelekanga okanye ukopha kwi-vaginal.

Khumbula, ngenxa yokuba iintsholongwane ze-Actinomyces zikhula kancinci, kungathatha iinyanga, okanye iminyaka, ukuba iimpawu zibonakale emva kotyando okanye isifo esaqala usulelo. Yiyo loo nto ngamanye amaxesha kunokuthatha ixesha ukuyiqonda.

Kutheni le nto i-actinomycosis isenzeka?

Eyona nto ibangela oku luhlobo lwebhaktiriya oluthi `Actinomyces israelii (A. israelii)` . Nangona kunjalo, ezinye iintlobo ezininzi ze-`Actinomyces`, ezifana ne-`A. naeslundii`, `A. odontolyticus`, `A. viscosus`, `A. gerencseriae`, nazo zinokubangela olu sulelo.

Ngokwesiqhelo, ezi bhaktheriya zihlala kwi-mucous membranes yomqala wethu, emathunjini, nakwilungu lobufazi. Lo gama nje zikhona, aziyongxaki. Nangona kunjalo, ukuba zifumana ithuba lokuya kwindawo ekungafanelekanga ukuba zibe kuyo, njengezicubu ezinzulu, ziyanda apho kwaye ziqale usulelo.

Oku kudluliselwa njani kuthi... okanye kuphuhliswe njani?

Eyona nto ibalulekileyo kukuba i-actinomycosis ayisosifo esosulelayo. Ayinakusasazeka ukusuka komnye umntu ukuya komnye.

Oku kwenzeka xa iintsholongwane ze-Actinomyces zingena kwinxalenye yomzimba apho zingahlali khona rhoqo. Umzekelo:

• Isifo seentsini okanye unyango lwamazinyo: Le yeyona nto ixhaphakileyo. Xa izinyo likhutshwa okanye licocwa, ukuba kukho inxeba elisentsinini, iintsholongwane zinokungena ngalo.
• Izixhobo ze-intrauterine (IUDs):Abafazi abanxiba ii-IUD, ingakumbi ukuba bezikho ixesha elide, banokufumana usulelo lwe-pelvic.
• Ukufutha ukutya, ulwelo, okanye into yangaphandle emiphungeni: Oku kunokubangela usulelo emiphungeni.
• Izifo zesisu: Iimeko ezifana ne-appendicitis, i-diverticulitis, okanye isifo sesilonda se-peptic zinokuvumela le ntsholongwane ukuba ingene kwisisu.
• Utyando lwesisu: Olu mngcipheko lukwakho nasemva kotyando olufana ne-cholecystectomy kunye ne-colectomy.

Khawucinge nje ngoku. Umhlobo wakho, masithi uNimal, uye kugqirha ngenxa yengxaki yezinyo lakhe. Ugqirha wagqiba ekubeni alikhuphe izinyo. Emva kweentsuku ezimbalwa likhutshiwe izinyo, uNimal waba nokudumba okuncinci kuloo ndawo, okwathi kancinci kancinci kwakhula kwaza kwaqala ukuba buhlungu. Kuphela xa wakubonisa ugqirha oko wafumanisa ukuba yintsholongwane ye-actinomycosis. Ibhaktheriya ethi `Actinomyces` eyayisemlonyeni wakhe yangena ngenxeba apho likhutshiwe khona izinyo.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Nantoni na enokuwonakalisa izicubu zomlomo, inkqubo yokugaya ukutya, okanye isibeleko yandisa umngcipheko wokufumana i-actinomycosis.

• Izifo okanye iimeko ezonakalisa izicwili.
• Ucoceko lomlomo olungelulo (ucoceko lwamazinyo olungelulo) lunokuba negalelo koku, kuquka ukungahlambi amazinyo kakuhle nokuba nesifo seentsini.
• Izixhobo ezifakwe emzimbeni (umz., `(IUD)`), utyando, okanye iinkqubo zonyango. Kwimeko `(IUD)`, umngcipheko uyanda xa ixesha elide lisemzimbeni.
• Abantu abaneenkqubo zokuzikhusela zomzimba ezibuthathaka: Abantu abaneenkqubo zokuzikhusela zomzimba ezibuthathaka banamathuba amaninzi okufumana ezi zifo kuba benobunzima bokulwa nezifo. Oku kuquka abantu abanesifo seswekile, abantu abosulelwe yi-HIV, kunye nabantu abafumana unyango lomhlaza.
• Nangona unobangela ochanekileyo ungaziwa, kufunyenwe ukuba amadoda anamathuba amaninzi okufumana esi sifo kunabafazi .

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba oku akuphathwanga kakuhle, okanye ukuba ikhondo lee-antibiotics aligqitywanga, usulelo lwebhaktiriya lunokusasazeka ngakumbi kwaye lubangele iingxaki ezinkulu. Ezi ziquka:

• Ukufa kwezicubu (necrosis): Izicubu zinokufa kwiindawo ezineentsholongwane.
• Ukosuleleka kwamathambo (i-osteomyelitis) kunye nokutshatyalaliswa kwamathambo: Ukosuleleka kungasasazeka emathanjeni, okubangela ukuba anyibilike aze atshatyalaliswe.
• Ithumba lobuchopho: Le meko inobungozi inokwenzeka, ingakumbi ukuba usulelo lwempumlo lusasazeka lusiya engqondweni.
• Ukungasebenzi kakuhle kwamalungu omzimba: Usulelo lunokubangela ukungasebenzi kakuhle kwamalungu omzimba abalulekileyo.

Kungoko ke, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuba uneempawu zesi sifo.

Oogqirha bayibona njani le nto?

Ugqirha uxilonga i-actinomycosis ngokujonga iimpawu zakho aze athathe isampuli yolwelo okanye izicubu kwindawo enesifo. Ingcali yezifo ihlola le sampuli phantsi kwe-microscope ukuze ibone ukuba i-Actinomyces okanye "i-sulfur granules" zikhona na.

Ngenxa yokuba i-actinomycosis sisifo esingaqhelekanga kwaye ngamanye amaxesha ibonisa iimpawu ezifana nezinye izifo, ezifana nomhlaza, ngamanye amaxesha kungathatha ixesha ukuyixilonga ngokuchanekileyo.

Zithini iindlela zonyango zoku?

I-Actinomycosis inyangwa ngeedosi eziphezulu zee-antibiotics . Ngokwesiqhelo, ii-antibiotics zinikwa ngemithambo (IV) kangangeentsuku okanye iiveki ezininzi. Emva koko, uya kuqhubeka nokuthatha ii-antibiotics njengeepilisi onokuzithatha ekhaya. Ngamanye amaxesha, ukukhupha amanzi kunye nokucoca indawo enesifo kunokufuneka.

Kukho iintlobo ezininzi zee-antibiotics ezinokusetyenziswa kule meko:

• `I-Penicillin`
• `I-Amoxicillin`
• `I-Erythromycin`
• `I-Tetracycline`
• I- Doxycycline ( iDoxycycline ) (iDoxycycline)
• `I-Minocycline`
• `I-Clindamycin`

Ugqirha uza kukhetha eyona antibiotic ifanelekileyo kuwe.

Kuza kuthatha ixesha elingakanani ukuze umntu aphile emva kokuthatha amayeza? Yintoni esifanele siyilindele?

Kungathatha iinyanga, kwaneminyaka, ukuba usulelo lwe-actinomycosis luphile ngokupheleleyo. Olu lunyango oluhlala ixesha elide. Ukuba uyeka ukuthatha amayeza okubulala iintsholongwane ngokukhawuleza, usulelo lunokubuya okanye lusasazeke. Ngoko ke, kubaluleke kakhulu ukuthatha amayeza kanye njengoko ugqirha wakho ekuxelela.

Kufuneka ubonane nogqirha wakho rhoqo ukuqinisekisa ukuba amayeza ayasebenza, kwaye uhlale ujonge iimpawu zakho kwaye uxelele ugqirha wakho ngokukhawuleza ukuba zibonakala zisiba mandundu.

Zithini amathuba okuchacha ukuba unesifo esi?

I-Actinomycosis idla ngokunyangeka ukuba inyangwa ngokufanelekileyo. Amathuba amahle okuchacha ngokupheleleyo ngala:

• Ukuba usulelo lufunyenwe kwangethuba kwaye unyango luqalisiwe.
• Ukuba uthatha yonke i-antibiotics echazwe ngugqirha, kanye njengoko kuchazwe ngugqirha.
• Ngaphandle kokuba unezinye iingxaki zenkqubo yomzimba yokuzikhusela.

Ngaba oku kungabulala?

Ewe, i-actinomycosis inokubulala. Nangona uninzi lwabantu luyaphola ngonyango, ukuba alunyangwa okanye luyekiswa kwangethuba, usulelo lunokusasazeka kwaye lube yingozi ebomini. Iintsholongwane ezikwimpumlo, ngakumbi, zinokuba yingozi kuba zinokusasazeka ziye engqondweni.

Ungayiphepha njani i-actinomycosis?

Ukuze uphephe i-cervicofacial actinomycosis (uhlobo oluqhelekileyo), kufuneka uyinyamekele kakuhle impilo yomlomo wakho.

• Kuphephe ngokupheleleyo ukutshaya nezinye iimveliso zecuba.
• Hlamba amazinyo akho nge-toothpaste equlethe i-fluoride ubuncinane kabini ngemini.
• Faka amazinyo akho phakathi kwamazinyo yonke imihla.
• Sebenzisa isihlambi somlomo esilwa neentsholongwane (kungcono ubuze ugqirha wamazinyo ngale nto).
• Bona ugqirha wamazinyo rhoqo. Ngale ndlela, ukuba kukho ingxaki ngamazinyo okanye kwiintsini zakho, unokuyibona kwangethuba.

Kunzima ukutsho ukuba kukho indlela ethile yokuphepha ezinye iintlobo ze-actinomycosis, kodwa azixhaphakanga kangako.

Ndingazinyamekela njani?

Eyona nto ingcono onokuyenza njengomntu one-actinomycosis kukuthatha onke amayeza akho njengoko uyalelwe kwaye uhlale ubona ugqirha wakho ngexesha. Khumbula ukuba ukuyeka amayeza okubulala iintsholongwane ngokukhawuleza kunokubangela ukuba usulelo lubuye kwaye lubangele iingxaki ezinkulu.

Ndifanele ndimbone nini ugqirha? / Ndifanele ndiye nini kwigumbi likaxakeka?

Ukuba uziva ngathi uneempawu ze-actinomycosis, okanye ukuba unesilonda esingapholiyo okanye esiqhubeka sisasazeka, qiniseka ukuba ubona ugqirha.

Hlala unxibelelana nogqirha wakho ngelixa unyangwa i-actinomycosis. Ukuba uneengxaki okanye ukuba uziva ngathi iimpawu zakho ziya zisiba mandundu, xelela ugqirha wakho ngoko nangoko.

Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) :

Ukuba unezi mpawu ziqatha, yiya kwigumbi likaxakeka esibhedlele ngoko nangoko:

• Umkhuhlane ongaphezulu kwama-103 Fahrenheit (40 Celsius).
• Intlungu enzima kakhulu.
• Ukuba kuza njengokuxhuzula.
• Ukuba kukho ukudideka okanye ukudideka.

Ndimele ndibuze ntoni kugqirha wam?

Xa usiya kugqirha wakho, kuyanceda ukubuza le mibuzo:

• Uzinyamekela njani izilonda zesikhumba?
• Kuza kufuneka ndithathe amayeza okubulala iintsholongwane ixesha elingakanani?
• Ndingalithatha njani eli yeza? (ixesha, ngaphambi okanye emva kokutya, njl.njl.)
• Ndingabuya nini ndize kukubona kwakhona?
• Zeziphi iimpawu ezintsha ekufuneka ndiziqaphele? Okanye zeziphi ezinye zeempawu endinazo ezinokuba yingozi ukuba ziya zisiba mandundu?

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Nangona ezinye iintsholongwane emizimbeni yethu zingasenzakalisi, ngamanye amaxesha zinokubangela iingxaki ukuba zifika kwiindawo ezingafanelanga ukuba zifike kuzo. Iintsholongwane ze-Actinomyces azifani. Usulelo ezilubangelayo, olubizwa ngokuba yi-actinomycosis, lunokuhlala ixesha elide kwaye lunokonakalisa izicubu.

Nangona kunjalo, ukuba oku kuqatshelwe kwangethuba kwaye kunyangwa ngokufanelekileyo, kunokunyangeka ngokupheleleyo. Unyango luthatha ixesha, ngoko ke kufuneka ube nomonde. Bona ugqirha wakho rhoqo kwaye ulandele imiyalelo yakhe ngokuchanekileyo. Emva koko, ugqirha uya kukunika i-antibiotic efanelekileyo kuwe aze akuxelele ukuba ungayeka nini ukuthatha amayeza. Akukho nto inokubangela ixhala, ukuba uyenza kakuhle, ungayinyanga le nto!

i- actinomycosis, usulelo lwebhaktiriya, ithumba, usulelo lomlomo, usulelo lwemiphunga, i-IUD, ii-antibiotics