Ingaba intamo yakho idumbile njengeqhubu? Masifunde nge-scrofula!

Ngaba wakha waphawula ukuba abanye abantu baneqhuma elincinci kwelinye icala lentamo yabo? Ngamanye amaxesha linokuba likhulu, njengeqela lamaqhuma anamathelene. Uninzi lwexesha alinantlungu, okanye kukho intlungu encinci. Ngamanye amaxesha linokuba mfusa okanye libe nombala ofanayo nolusu. Leyo yimeko esiza kuthetha ngayo namhlanje, kwaye yi-scrofula.

Yintoni iScrofula? Ngamafutshane...

Ngamafutshane, i-scrofula kuxa ii-lymph nodes entanyeni yakho, esizibiza ngokuba zii-nodes , zidumba ngenxa yosulelo lwebhaktheriya. Okwenzekayo kukuba i-nodes enye okanye ezingaphezulu zidibana kwaye zenze inqwaba enkulu, ethe tyaba entanyeni yakho.

Ngaphambili, yayibizwa ngokuba "bububi bokumkani" kuba abantu babecinga ukuba ukumkani angabunyanga. Kodwa ngoku oogqirha bayibiza ngokuba yi -mycobacterial cervical lymphadenitis . Igama elide, akunjalo? Kodwa yile nto kanye le meko ibizwa ngayo.

Enyanisweni, iScrofula luhlobo lwesifo sephepha . Nangona kunjalo, ayipheleli nje kwimiphunga, kodwa ikwachaphazela namadlala entanyeni.

Ixhaphake kangakanani i-scrofula?

Inyaniso kukuba, i-scrofula yimeko engaqhelekanga kakhulu . Kuphela ngabantu abamalunga ne-5% ababonisa iimpawu zesifo sephepha abafunyaniswa bene-scrofula. Ngoko ke awuva rhoqo ngayo.

Zithini iimpawu zeScrofula?

Kwabaninzi, uphawu oluphambili lwe-scrofula liqhuma entanyeni, elinokuvakala ngathi liqhuma kwelinye okanye kumacala omabini entamo. Nangona kunjalo, abanye abantu banokufumana iimpawu eziqhelekileyo zosulelo lwebhaktheriya, ezifana nezi:

• Ifiva.
• Ukubila ebusuku.
• Ukunciphisa umzimba ngengozi.
• Ndiziva ndidiniwe ngalo lonke ixesha. (Ukudinwa)

Khawucinge nje, ngenye imini, uNilanthi Akka wakha iqhuma elincinci entanyeni yakhe. Ekuqaleni, wayecinga ukuba yinto eqhelekileyo. Kodwa emva kwexesha elithile, lakhula, waza waqala ukuba nomkhuhlane ebusuku. Kulapho ke waya kugqirha.

Yintoni ebangela i-scrofula?

Eyona nto ibangela i-scrofula kubantu abadala yintsholongwane ebizwa ngokuba yiMycobacterium tuberculosis . Le yintsholongwane ebangela isifo sephepha (TB). Xa uphefumla le ntsholongwane, ingena emiphungeni yakho ize iye kumadlala entanyeni yakho, nto leyo ebangela esi sifo.

Nangona kunjalo, ezinye iintlobo zosulelo lweMycobacterium zinokubangela i-scrofula kubantwana abancinci, ngoko ke unobangela unokwahluka kancinci ebantwaneni.

Ngubani osengozini enkulu yoku?

Eyona nto iphambili ebangela ukuba umntu abe ne-scrofula kukuphila ne-HIV, kuba i-HIV iyenza buthathaka inkqubo yomzimba yokuzikhusela.

Ukwengeza:

• Ukungondleki kakuhle
• Ezinye iimeko ezenza buthathaka amasosha omzimba wakho (umzekelo, ukusebenzisa amayeza okunciphisa amasosha omzimba, ukuba neemeko ezithile zokuzikhusela komzimba, okanye ukuba nomhlaza othile) zinokunyusa le ngozi.

Ngamafutshane, ukuba amandla omzimba wakho okulwa nezifo anciphile, usenokuba sesichengeni sosulelo olunjalo.

Ziziphi iingxaki ezinokubakho ze-scrofula?

Ngamanye amaxesha, ukudumba okubangelwa yi-scrofula kunokuqhuma kuze kuphume ubovu. Oku kunokubangela ukuba kubekho i-sinus , okanye i-tunnel, eluswini lwakho. Oku kwenzakala kunokubangela amanxeba . Amanxeba anokuba ngunaphakade.

Indlela yokuxilonga i-scrofula?

Ngenxa yokuba zininzi ezinye izinto ezinokubangela ukudumba kwamadlala entamo, ugqirha wakho unokwenza okanye acebise uvavanyo oluninzi ukuze abone ukuba unayo na i-scrofula. Ezi zezona zidla ngokwenziwa:

• I-Biopsy: Kolu vavanyo , ugqirha ususa isuntswana okanye isampuli yethishu esebenzisa inaliti. Emva koko isampuli iyakhuliswa ukuze kubonwe ukuba ikhona na i-mycobacteria, kwaye kusetyenziswa ibala elikhethekileyo ukukhangela intsholongwane.
• Uvavanyo lwegazi: Isampuli yegazi lakho ingathathwa ukuze kuhlolwe iintsholongwane ze-mycobacteria kunye nezinye izifo.
• Uvavanyo lwemifanekiso: Ugqirha wakho unokwenza i -X-ray yesifuba , i-CT scan , okanye i-ultrasound scan ukuze afumane imifanekiso ecacileyo yemiphunga okanye intamo yakho.
• Uvavanyo lweSifo sePhepha: Uvavanyo lwesikhumba lwePPD okanye uvavanyo lwegazi lunokubonisa ukuba unesifo sePhepha.
• Uvavanyo lwe-asidi-fast bacilli: Oku kuquka ukuthatha isampuli yethishu okanye isampuli ye-mucus emiphungeni yakho nokukhangela i-mycobacteria.

Zonke ezi mvavanyo zenziwa ukuqinisekisa uhlobo oluchanekileyo lwesifo.

Iphathwa njani i-scrofula?

Oogqirha banyanga i-scrofula ngamayeza okubulala iintsholongwane akhethekileyo kwiintsholongwane ze-mycobacterial.(Umzekelo, i-macrolide). Kuya kufuneka uthathe la mayeza kangangeenyanga eziliqela ukuya kunyaka . Nazi ezinye iintlobo zee-antibiotics ezinikwa usulelo lwe-mycobacterial:

• I-Ethambutol
• I-Isoniazid (INH)
• I-Pyrazinamide
• I-Rifampin
• IClarithromycin

Eyona nto ibalulekileyo kukuthatha eli yeza kanye njengoko ugqirha wakho ekuyalele, ixesha lonke le yeza. Ukuba uyeka ukulithatha phakathi, isifo sinokubuya.

Ngamanye amaxesha ugqirha wakho unokucebisa ukuba kususwe ubovu obusulelekileyo ngotyando . Banokucebisa nendlela ebizwa ngokuba yiDOT (Directly Observed Therapy) . Oku kubandakanya umntu ongelilo ilungu losapho lwakho okunika amayeza aze ahlale nawe de uwasebenzise. Ngale ndlela, akufuneki ukhathazeke ngokuphoswa liyeza lakho.

Ndingalindela ntoni ukuba ndine-scrofula?

Ukuba uthatha unyango olufanelekileyo , ungaphila ngokupheleleyo kwi-scrofula. Kodwa njengoko ugqirha esitsho, kubalulekile ukusela iyeza lonke ixesha lonyango. Khumbula, oku kungathatha naphi na ukusuka kwiinyanga ezimbalwa ukuya kunyaka. Amanxeba abangelwa ngamanxeba anokuba ngunaphakade.

Ngaba iScrofula iyabulala?

I-Scrofula ayibulali kangako ukuba inyangwa. Nangona kunjalo, kunzima ukunika inani elichanekileyo lokufa kuba izifundo zokufa zihlala zigxila kusulelo lwe-mycobacterial emiphungeni. Iziphumo zinokuhluka kakhulu.

Ngaba i-scrofula ingathintelwa?

Ewe, ukuya kuthi ga kwinqanaba elithile. Ungawunciphisa umngcipheko wakho we-scrofula ngokuvavanya usulelo lwe-TB efihlakeleyo . I-TB efihlakeleyo yimeko apho ungabonakalisi zimpawu, kodwa inokusasazeka kwamanye amalungu omzimba wakho kwaye ibangele usulelo olufana ne-scrofula. Ukuba ufumanisa ukuba une-TB, ungafumana unyango ngaphambi kokuba isasazeke.

Ungafumana nogonyo lweBacillus Calmette-Guérin (BCG) lwesifo sephepha, kodwa ugonyo lweBCG ludla ngokunikezelwa kuphela kwiindawo apho isifo sephepha sixhaphake khona.

Ndingazinyamekela njani?

Eyona nto ingcono onokuyenza kukuhlala unxibelelana nogqirha wakho kwaye usele amayeza akho njengoko uyalelwe.Nangona unesifo sephepha (TB) okanye usulelo lwe-mycobacteria olungeyo-tuberculous, unokunceda ekuthinteleni ukusasazeka kwebhaktheriya ngokunciphisa ukudibana kwakho nabanye abantu.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza ugqirha wakho imibuzo efana nale:

• Ndingawathatha njani amayeza?
• Ndingenza ntoni ukuba ndiphoswe lidosi leyeza?
• Kuza kufuneka ndifumane unyango ixesha elingakanani?
• Kuza kuthatha ixesha elingakanani ukuba ndiphile?
• Zeziphi iimpawu ezintsha okanye eziya ziba mandundu ekufuneka ndiziqaphele?
• Ndingabuya nini ndize kukubona kwakhona?

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

I-Scrofula yimeko engaqhelekanga kodwa ehlala inyangeka. Unyango lungathatha ixesha – unokufuna ukuba nomonde okwethutyana ude uphile. Bona ugqirha wakho rhoqo, ingakumbi ukuba unesifo esifihlakeleyo njenge-HIV. Ugqirha wakho unokujonga inkqubela yakho, alungise amayeza akho ukuba kuyimfuneko, aze alungise naziphi na iingxaki ezivelayo ngexesha lonyango. Ngoko ke ungoyiki, fumana unyango olufunayo, kwaye uzame ukuhlala usempilweni!

I- Scrofula, amaqhuqhuva entamo, i-erysipelas, isifo sephepha, i-mycobacteria, usulelo lwebhaktheriya, amaqhuqhuva e-lymph