I-Actinomycosis: Ake sifunde ngalesi sifo esingavamile samagciwane.

Ubuwazi ukuthi sonke sinezigidi zamagciwane ahlala esikhumbeni sethu ngaphandle kokulimala? Aphinde asisize. Kodwa ngezinye izikhathi, lapho la magciwane angenangozi efika ezindaweni okungafanele abe kuzo, aqala ukubangela izinkinga. Esinye isifo esingavamile nesingavamile samagciwane sibizwa ngokuthi i-actinomycosis . Kuyisifo esikhula kancane, kodwa esingaba yingozi esingadala izinkinga ezinkulu uma singelashwa. Ngakho-ke, ake sixoxe kabanzi ngalokhu, akunjalo?

Iyini ngempela i-actinomycosis?

Kalula nje, i-actinomycosis iwukutheleleka okungajwayelekile okubangelwa uhlobo lwebhaktheriya elibizwa ngokuthi i-Actinomyces . Leli bhaktheriya livame ukuhlala lingenangozi emilonyeni yethu, emphinjeni, emathunjini, futhi ngezinye izikhathi esithweni sangasese sabesifazane. Njengamanye amabhaktheriya awusizo emizimbeni yethu.

Kodwa, uma ukuhlinzwa, ukulimala, noma okunye ukugula kuphoqa la mabhaktheriya ukuba ahambe ngaphandle kwebanga lawo elijwayelekile, aye endaweni okungafanele abe kuyo, yilapho inkinga iqala khona. Lapho, la mabhaktheriya akhula futhi abangele ukutheleleka.

Lokhu kutheleleka kubangela imigodi noma amathumba agcwele ubomvu . Ezizungezile, kwakheka izicubu ezifana nezigaxa. Into engavamile kakhulu ukuthi lokhu kutheleleka kusakazekela ezicutshini ezizungezile. Ngokuvamile, lokhu kubangela inxeba elifana nomhubhe ngaphansi kwesikhumba. Ngaphakathi kwalezi zilonda, ungabona ama-granule amancane aphuzi abizwa ngokuthi "ama-granule esibabule" kanye ne-pus ephuzi. Naphezu kwaleli gama, empeleni awaqukethe i-sulfur. Athola igama lawo ngombala wawo ophuzi. La ma-granule akhiwa ngokuqongelela kwamangqamuzana ethu omzimba kanye nezingcezu zamagciwane.

Enye into ukuthi ngezinye izikhathi kungathatha amasonto, ngisho nezinyanga, ukuthi izimpawu zivele ngemva kokuqala kokutheleleka.

Yiziphi izinhlobo ze-actinomycosis?

Amabhaktheriya e-Actinomyces angabangela ukutheleleka ezingxenyeni ezahlukene zomzimba. Ahlukaniswa ngokusekelwe endaweni yokutheleleka.

• I-Cervicofacial actinomycosis: Lolu uhlobo oluvame kakhulu. Lungathinta ubuso bakho, umlomo, ikhala, intamo, noma umhlathi. Ngezinye izikhathi lubizwa ngokuthi "umhlathi onamaqhubu," ngoba lubangela iqhubu emhlathini. Isibonelo, lesi simo singavela uma igciwane lingena ngokukhipha izinyo noma ngokulimala kwezinsini.
• I-actinomycosis yesifuba noma yamaphaphu: Lokhu kuthinta amaphaphu akho noma indawo yesifuba. Isibonelo, kungenzeka uma ukudla noma isiphuzo kubhajwa emaphashini akho (i-aspiration).
• I-actinomycosis yesibeletho noma ye-pelvic:Lolu uhlobo lomdlavuza oluthinta abesifazane. Lungathinta indawo ye-pelvic kanye nezitho zokuzala, njengesibeletho, amapayipi e-fallopian, kanye namapayipi e-fallopian. Le ngozi iphezulu kakhulu kwabesifazane abasebenzisa idivayisi ye-intrauterine (IUD), ikakhulukazi uma i-IUD isivele ikhona isikhathi eside.
• I-abdominal actinomycosis: Lokhu kuthinta amathumbu noma ezinye izitho zesisu. Isibonelo, kungavela ngenxa yesimo esifana ne-appendicitis noma ngemva kokuhlinzwa kwesisu.

Yiziphi izimpawu eziba khona lapho lesi sifo siqala?

Izimpawu ze-actinomycosis ziyahlukahluka kuye ngokuthi indawo yokutheleleka ikuphi. Ngaphezu kwezimpawu ezivamile, kunezimpawu ezithile zohlobo ngalunye.

• Ungase ube nomkhuhlane .
• Ungase wehlise isisindo .
• Uma kwenzeka ukutheleleka kwe-cervicofacial: Ungase ube namaqhubu noma izindawo ezigcwele uketshezi entanyeni, emhlathini, ebusweni, noma ngaphakathi emlonyeni. Ungase uzwe ubuhlungu lapho udla futhi ungase ube nomhlathi oqinile.
• Uma kwenzeka ukutheleleka emaphashini (ukutheleleka kwesifuba): ubuhlungu besifuba, ukukhwehlela, futhi ngezinye izikhathi igazi uma ukhwehlela.
• Ukutheleleka kwesisu noma kwe-pelvic: Izimpawu ezifana nobuhlungu besisu kanye nokuqunjelwa zingase zibe khona.
• Ukutheleleka kwe-pelvic: Abesifazane bangase babe nokukhishwa kwegazi okungajwayelekile noma ukopha esithweni sangasese sowesifazane.

Khumbula, ngenxa yokuthi amabhaktheriya e-Actinomyces akhula kancane, kungathatha izinyanga, noma ngisho neminyaka, ukuthi izimpawu zivele ngemva kokuhlinzwa noma ukugula okwaqala ukutheleleka. Yingakho ngezinye izikhathi kungathatha isikhathi ukukubona.

Kungani kwenzeka le actinomycosis?

Imbangela eyinhloko yalokhu uhlobo lwebhaktheriya oluthi `Actinomyces israelii (A. israelii)` . Kodwa-ke, ezinye izinhlobo eziningana ze-`Actinomyces`, njenge-`A. naeslundii`, `A. odontolyticus`, `A. viscosus`, `A. gerencseriae`, nazo zingabangela lokhu kutheleleka.

Ngokuvamile, lawa mabhaktheriya ahlala ezimbotsheni zomphimbo, emathunjini, kanye nangasese. Uma nje ekhona, awayona inkinga. Kodwa-ke, uma ethola ithuba lokuya endaweni okungafanele aye kuyo, njengezicubu ezijulile, ayanda lapho futhi aqale ukutheleleka.

Lokhu kudluliselwa kanjani kithi... noma kuthuthukiswe kanjani?

Into ebaluleke kakhulu ukuthi i-actinomycosis ayisona isifo esithathelwanayo. Ayikwazi ukusabalala isuka komunye umuntu iye komunye.

Lokhu kwenzeka lapho amabhaktheriya e-Actinomyces engena engxenyeni yomzimba lapho evame ukuhlala khona. Isibonelo:

• Isifo sezinsini noma ukwelashwa kwamazinyo: Lena imbangela evame kakhulu. Uma izinyo likhishwa noma lihlanzwa, uma kukhona inxeba ezinsini, amagciwane angangena ngalo.
• Amadivayisi angaphakathi kwesibeletho (ama-IUD):Abesifazane abagqoka ama-IUD, ikakhulukazi uma esenesikhathi eside ekhona, bangaba nezifo ze-pelvic.
• Ukufuthwa kokudla, uketshezi, noma into yangaphandle emaphashini: Lokhu kungabangela ukutheleleka emaphashini.
• Izifo zesisu: Izimo ezifana ne-appendicitis, i-diverticulitis, noma isifo sesilonda se-peptic zingavumela la magciwane ukuthi angene emgodini wesisu.
• Ukuhlinzwa kwesisu: Le ngozi ikhona nangemuva kokuhlinzwa okufana ne-cholecystectomy kanye ne-colectomy.

Cabanga ngalokhu. Umngane wakho, ake sithi uNimal, waya kudokotela ngenxa yenkinga yezinyo lakhe. Udokotela wanquma ukukhipha izinyo. Ezinsukwini ezimbalwa ngemva kokukhishwa kwezinyo, uNimal waba nokuvuvukala okuncane endaweni, okwakhula kancane kancane kwaqala ukuba buhlungu. Kwaba yilapho ekukhombisa udokotela kuphela lapho athola khona ukuthi kwakuyigciwane le-actinomycosis. I-'Actinomyces' yamagciwane eyayisemlonyeni wakhe yangena ngenxeba lapho kwakukhishwa khona izinyo.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici eziyingozi)

Noma yini engalimaza izicubu zomlomo, uhlelo lokugaya ukudla, noma isibeletho yandisa ingozi yokuthola i-actinomycosis.

• Izifo noma izimo ezilimaza izicubu.
• Ukungahlanzeki komlomo (ukungahlanzeki kwamazinyo) kungaba nomthelela kulokhu, okuhlanganisa ukungaxubhi amazinyo akho kahle nokuba nesifo sezinsini.
• Amadivayisi afakwe emzimbeni (isib. i-IUD), ukuhlinzwa, noma izinqubo zezokwelapha. Uma usebenzisa i-IUD, ingozi iyanda uma ihlala isikhathi eside emzimbeni.
• Abantu abanezivikeli mzimba ezibuthakathaka: Abantu abanezivikeli mzimba ezibuthakathaka banamathuba amaningi okuthola lezi zifo ngoba banenkinga yokulwa nezifo. Lokhu kufaka phakathi abantu abanesifo sikashukela, abantu abanegciwane lesandulela ngculaza, kanye nabantu abathola ukwelashwa komdlavuza.
• Nakuba imbangela eqondile ingaziwa, kutholakale ukuthi amadoda anamathuba amaningi okuthola lesi sifo kunabesifazane .

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma lokhu kungelashwa kahle, noma uma inkambo yama-antibiotic ingaqedwa, ukutheleleka ngamagciwane kungasakazeka kakhulu futhi kubangele izinkinga ezinkulu. Lokhu kufaka phakathi:

• Ukufa kwezicubu (i-necrosis): Izicubu zingase zife ezindaweni ezinegciwane.
• Ukutheleleka kwamathambo (i-osteomyelitis) kanye nokubhujiswa kwamathambo: Ukutheleleka kungasakazekela emathanjeni, kubangele ukuthi ancibilike futhi abhujiswe.
• Ithumba lobuchopho: Lesi simo esiyingozi singavela, ikakhulukazi uma izifo zamakhala zisakazekela ebuchosheni.
• Ukwehluleka kwezitho zomzimba: Ukutheleleka kungabangela ukulahlekelwa ukusebenza kwezitho ezibalulekile.

Ngakho-ke, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu uma unezimpawu zalesi sifo.

Odokotela bakubona kanjani lokhu?

Udokotela uxilonga i-actinomycosis ngokubheka izimpawu zakho bese ethatha isampula yoketshezi noma izicubu endaweni ethelelekile. Udokotela wezifo uhlola lesi sampula ngaphansi kwe-microscope ukuze abone ukuthi kukhona yini ama-bacteria e-Actinomyces noma "ama-sulfur granules".

Ngenxa yokuthi i-actinomycosis iyisifo esingavamile futhi ngezinye izikhathi sibonisa izimpawu ezifana nezinye izifo, njengomdlavuza, ngezinye izikhathi kungathatha isikhathi ukuyixilonga ngokunembile.

Yiziphi izindlela zokwelapha lokhu?

I-Actinomycosis yelashwa ngemithamo ephezulu yama-antibiotic . Ngokuvamile, ama-antibiotic anikezwa nge-intravenous (IV) izinsuku eziningana noma amasonto. Ngemva kwalokho, uzoqhubeka nokuthatha ama-antibiotic njengamaphilisi okufanele uwathathe ekhaya. Ngezinye izikhathi, kungadingeka ukukhipha amanzi nokuhlanza indawo ethelelekile.

Kunezinhlobo eziningana zama-antibiotic ezingasetshenziswa kulokhu:

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

Udokotela uzokhetha i-antibiotic efaneleka kakhulu kuwe.

Kuzothatha isikhathi esingakanani ukululama ngemva kokuthatha umuthi? Yini okufanele siyilindele?

Kungathatha izinyanga, ngisho neminyaka, ukuthi ukutheleleka kwe-actinomycosis kuphulukiswe ngokuphelele. Lokhu ukwelashwa kwesikhathi eside. Uma uyeka ukuthatha ama-antibiotic ngokushesha, ukutheleleka kungabuya noma kusakazeke. Ngakho-ke, kubaluleke kakhulu ukuthatha umuthi njengoba nje udokotela wakho ekutshela.

Udinga ukubona udokotela wakho njalo ukuze uqiniseke ukuthi umuthi uyasebenza, futhi uqaphele izimpawu zakho bese utshela udokotela wakho ngokushesha uma zibonakala ziba zimbi kakhulu.

Angakanani amathuba okululama uma uhlaselwa yilesi sifo?

I-Actinomycosis ivame ukwelapheka uma yelashwa kahle. Amathuba amahle kakhulu okululama ngokugcwele yilawa:

• Uma ukutheleleka kutholakala kusenesikhathi futhi kuqalwe ukwelashwa.
• Uma uthatha yonke imithi elwa namagciwane enqunywe udokotela, njengoba nje enqunyiwe.
• Ngaphandle kokuthi unezinye izinkinga zesimiso somzimba sokuzivikela.

Ingabe lokhu kungaba yingozi?

Yebo, i-actinomycosis ingaba yingozi. Nakuba abantu abaningi belulama ngokwelashwa, uma ingelashwa noma imiswa kusenesikhathi, ukutheleleka kungasakazeka futhi kube yingozi empilweni. Ukutheleleka ekhaleni, ikakhulukazi, kungaba yingozi ngoba kungasakazeka kuye ebuchosheni.

Ungayigwema kanjani i-actinomycosis?

Ukuze ugweme i-cervicofacial actinomycosis (uhlobo oluvame kakhulu), udinga ukunakekela impilo yakho yomlomo kahle.

• Gwema ukubhema neminye imikhiqizo kagwayi ngokuphelele.
• Hlanza amazinyo akho nge-toothpaste equkethe i-fluoride okungenani kabili ngosuku.
• Faka amazinyo akho phakathi kwamazinyo nsuku zonke.
• Sebenzisa isihlanzi somlomo esilwa namagciwane (kungcono ukubuza udokotela wamazinyo ngalokhu).
• Bonana nodokotela wamazinyo njalo. Ngaleyo ndlela, uma kukhona inkinga ngamazinyo noma izinsini zakho, ungayibona kusenesikhathi.

Kunzima ukusho ukuthi kukhona indlela ethile yokugwema ezinye izinhlobo ze-actinomycosis, kodwa azivamile kangako.

Kufanele ngizinakekele kanjani?

Into engcono kakhulu ongayenza njengomuntu one-actinomycosis ukuphuza yonke imithi yakho njengoba uyalelwe futhi uqhubeke ubonana nodokotela wakho ngesikhathi. Khumbula ukuthi ukuyeka ama-antibiotic ngokushesha kungabangela ukuthi ukutheleleka kubuye futhi kubangele izinkinga ezinkulu.

Kufanele ngimbone nini udokotela? / Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma uzizwa sengathi unezimpawu ze-actinomycosis, noma uma unesilonda esingapholi noma esiqhubeka nokusabalala, qiniseka ukuthi ubona udokotela.

Hlala uthintana nodokotela wakho ngenkathi welashwa i-actinomycosis. Uma unezinkinga noma uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.

Nini ukuya e-Emergency Treatment Unit (ETU) :

Uma unalezi zimpawu ezinzima, hamba uye egumbini lezimo eziphuthumayo esibhedlela ngokushesha:

• Umkhuhlane ongaphezu kwama-Fahrenheit angu-103 (40 Celsius).
• Ubuhlungu obukhulu kakhulu.
• Uma kuza njengokuxhuzula.
• Uma kukhona ukudideka noma ukudideka.

Yini okufanele ngiyibuze udokotela wami?

Uma uya kudokotela wakho, kuyasiza ukubuza le mibuzo:

• Unakekela kanjani amanxeba esikhumba?
• Kuzodingeka ngithathe ama-antibiotic isikhathi esingakanani?
• Kufanele ngiwuthathe kanjani ngempela lo muthi? (isikhathi, ngaphambi noma ngemva kokudla, njll.)
• Kufanele ngize nini ukukubona futhi?
• Yiziphi izimpawu ezintsha okufanele ngiziqaphele? Noma yiziphi ezinye zezimpawu enginazo ezingaba yingozi uma ziba zimbi kakhulu?

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule

Nakuba amanye amabhaktheriya emizimbeni yethu engasilimazi, ngezinye izikhathi angabangela izinkinga uma efika ezindaweni okungafanele afike kuzo. Amabhaktheriya e-Actinomyces nawo awahlukile. Ukutheleleka abakubangelayo, okubizwa ngokuthi i-actinomycosis, kungahlala isikhathi eside futhi kungalimaza izicubu.

Kodwa-ke, uma lokhu kuqashelwa kusenesikhathi futhi kwelashwa kahle, kungalapheka ngokuphelele. Ukwelashwa kuthatha isikhathi, ngakho-ke udinga ukubekezela. Bona udokotela wakho njalo bese ulandela imiyalelo yakhe ngqo. Ngemuva kwalokho, udokotela uzokunikeza umuthi ofanele kakhulu futhi akutshele ukuthi ungayeka nini ukuthatha umuthi. Akukho okufanele ukhathazeke ngakho, uma ukwenza kahle, ungakwelapha lokhu!

i- actinomycosis, ukutheleleka ngamagciwane, ithumba, ukutheleleka ngomlomo, ukutheleleka kwamaphaphu, i-IUD, ama-antibiotic