Ingabe intamo yakho ivuvukele njengeqhubu? Ake sifunde nge-scrofula!

Wake waphawula ukuthi abanye abantu baneqhubu elincane ohlangothini olulodwa lwentamo yabo? Ngezinye izikhathi lingaba likhulu, njengenqwaba yamaqhubu anamathele ndawonye. Esikhathini esiningi alibuhlungu, noma kukhona ubuhlungu obuncane. Ngezinye izikhathi lingaba nsomi noma libe nombala ofanayo nesikhumba. Yileso simo esizokhuluma ngaso namuhla, futhi yi-scrofula.

Kuyini iScrofula? Kalula nje...

Kalula nje, i-scrofula yilapho ama-lymph node entanyeni yakho, esiwabiza ngokuthi ama-node , evuvukala ngenxa yokutheleleka ngamagciwane. Okwenzekayo ukuthi ama-node elilodwa noma ngaphezulu ahlangana futhi akhe inqwaba enkulu, eyisicaba entanyeni yakho.

Esikhathini esidlule, kwakubizwa ngokuthi "ububi benkosi" ngoba abantu babecabanga ukuthi inkosi ingabulapha. Kodwa manje odokotela bakubiza ngokuthi i-mycobacterial cervical lymphadenitis . Igama elide kancane, akunjalo? Kodwa yilokho kanye okubizwa ngakho lesi simo.

Empeleni, iScrofula iwuhlobo lwesifo sofuba . Kodwa-ke, ayigcini emaphashini kuphela, kodwa futhi ithinta nezindlala entanyeni.

Ivame kangakanani i-scrofula?

Uma ngikhuluma iqiniso, i-scrofula iyisimo esingavamile kakhulu . Cishe abantu abangu-5% kuphela ababonisa izimpawu zesifo sofuba abatholakala benesifo i-scrofula. Ngakho awuvamile ukuzwa ngaso.

Ziyini izimpawu zeScrofula?

Kwabaningi, uphawu oluyinhloko lwe-scrofula yiqhubu entanyeni, elingazwakala njengeqhubu ohlangothini olulodwa noma zombili zentamo. Kodwa-ke, abanye abantu bangase babe nezimpawu ezivamile zokutheleleka ngamagciwane, njenge:

• Ukuba nomkhuhlane.
• Ukujuluka ebusuku.
• Ukwehlisa isisindo ngokungahlosile.
• Ukuzizwa ukhathele ngaso sonke isikhathi. (Ukukhathala)

Cabanga nje, ngolunye usuku, uNilanthi Akka wakha iqhubu elincane entanyeni yakhe. Ekuqaleni, wayecabanga ukuthi kuyinto evamile. Kodwa ngemva kwesikhashana, lakhula, waqala ukuba nomkhuhlane ebusuku. Yilapho-ke aya khona kudokotela.

Yini ebangela i-scrofula?

Imbangela eyinhloko ye-scrofula kubantu abadala yigciwane elibizwa ngokuthi i-Mycobacterium tuberculosis . Leli yigciwane elibangela isifo sofuba (TB). Uma uphefumula leli gciwane, lingena emaphashini akho bese liya ezindlala entanyeni yakho, okubangela lesi simo.

Kodwa-ke, ezinye izinhlobo zokutheleleka kwe-Mycobacterium nazo zingabangela i-scrofula ezinganeni ezincane, ngakho-ke imbangela ingase ihluke kancane ezinganeni.

Ubani osengozini enkulu yalokhu?

Isici esiyinhloko esiyingozi sokuthola i-scrofula ukuphila ne-HIV, ngoba i-HIV yenza buthaka amasosha omzimba.

Ngaphezu kwalokho:

• Ukungondleki kahle
• Ezinye izimo ezenza buthaka amasosha omzimba wakho (isibonelo, ukusebenzisa imithi yokucindezela amasosha omzimba, ukuba nezimo ezithile zokuzivikela komzimba, noma ukuba nomdlavuza othile) kungandisa le ngozi.

Kalula nje, uma amandla omzimba wakho okulwa nezifo encishisiwe, kungenzeka ukuthi uhlaselwe yilezi zinhlobo zokutheleleka.

Yiziphi izinkinga ezingaba khona ze-scrofula?

Ngezinye izikhathi, ukuvuvukala okubangelwa yi-scrofula kungaqhuma futhi kukhiphe ubomvu. Lokhu kungabangela ukwakheka kwe -sinus , noma umhubhe, esikhumbeni sakho. Lokhu kulimala kungabangela nezibazi . Izibazi zingase zibe zaphakade.

Ungayithola kanjani i-scrofula?

Ngenxa yokuthi kunezinye izimbangela eziningi ezingase zibangele ukuvuvukala kwezindlala zentamo, udokotela wakho angase enze noma ancome ukuhlolwa okuningana ukuze anqume ukuthi une-scrofula. Lezi yizo ezivame ukwenziwa:

• I-Biopsy: Kulolu vivinyo , udokotela ususa isampula yesigaxa noma isampula yezicubu esebenzisa inaliti. Isampula bese ihlungwa ukuze kubonakale ukuthi ikhona yini i-mycobacteria, bese kusetshenziswa ibala elikhethekile ukubheka amagciwane.
• Ukuhlolwa kwegazi: Kungathathwa isampula yegazi lakho ukuze kuhlolwe ama-mycobacteria kanye nezinye izifo.
• Ukuhlolwa kwezithombe: Udokotela wakho angenza i -X-ray yesifuba , i-CT scan , noma i-ultrasound scan ukuze athole izithombe ezicacile zamaphaphu akho noma intamo.
• Ukuhlolwa kwesifo sofuba: Ukuhlolwa kwesikhumba kwe-PPD noma ukuhlolwa kwegazi kungabonisa ukuthi unesifo sofuba.
• Ukuhlolwa kwe-bacilli okusheshayo kwe-acid: Lokhu kuhilela ukuthatha isampula yezicubu noma isampula ye-mucus emaphashini akho bese ubheka ama-mycobacteria.

Zonke lezi zivivinyo zenziwa ukuqinisekisa uhlobo oluqondile lwesifo.

Iphathwa kanjani i-scrofula?

Odokotela belapha i-scrofula ngemithi elwa namagciwane eqondene ngqo nokutheleleka kwe-mycobacterial.(Isibonelo, i-macrolide). Ngokuvamile kuzodingeka uthathe le mithi izinyanga eziningana kuya onyakeni . Nazi ezinye izinhlobo zama-antibiotic ezinikezwa ukutheleleka kwe-mycobacterial:

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

Into ebaluleke kakhulu ukuphuza lo muthi njengoba nje udokotela wakho ekuyalele, kuze kube yilapho umuthi uphela. Uma uyeka ukuwuthatha phakathi nesikhathi, lesi sifo singase sibuye.

Ngezinye izikhathi udokotela wakho angase ancome ukususa ubovu obunegciwane ngokuhlinzwa . Angase futhi ancome indlela ebizwa ngokuthi i-DOT (Directly Observed Therapy) . Lokhu kuhilela omunye umuntu ongeyena ilungu lomndeni wakho okunikeza imithi futhi ahlale nawe uze uyithathe. Ngale ndlela, akudingeki ukhathazeke ngokulahlekelwa yimithi yakho.

Yini engingayilindela uma ngine-scrofula?

Uma uthatha ukwelashwa okufanele , ungalulama ngokuphelele ku-scrofula. Kodwa njengoba udokotela esho, kubalulekile ukuthatha umuthi ngqo sonke isikhathi sokwelashwa. Khumbula, lokhu kungathatha noma yikuphi kusukela ezinyangeni ezimbalwa kuya onyakeni. Izibazi ezibangelwa amanxeba zingase zibe ezihlala njalo.

Ingabe iScrofula iyabulala?

I-Scrofula ayivamile ukubulala uma yelashwa. Kodwa-ke, kunzima ukunikeza izinga eliqondile lokufa ngoba izifundo zokufa zivame ukugxila ekuthelelekeni kwe-mycobacterial emaphashini. Imiphumela ingahluka kakhulu.

Ingabe i-scrofula ingavinjelwa?

Yebo, ngezinga elithile. Unganciphisa ingozi yakho ye-scrofula ngokuhlola ukutheleleka kwe-TB ecashile . I-TB ecashile yisimo lapho ungakhombisi khona izimpawu, kodwa ingasakazekela kwezinye izingxenye zomzimba wakho futhi ibangele ukutheleleka okufana ne-scrofula. Uma uthola ukuthi unesifo se-TB, ungathola ukwelashwa ngaphambi kokuba sisakazeke.

Ungathola futhi umuthi wokugomela isifo sofuba i-Bacillus Calmette-Guérin (BCG) , kodwa umuthi wokugomela i-BCG uvame ukunikezwa ezindaweni lapho isifo sofuba sivame khona.

Ngizinakekela kanjani?

Into engcono kakhulu ongayenza ukuhlala useduze nodokotela wakho futhi uphuze imithi yakho njengoba uyalelwe.Nakuba unesifo sofuba (TB) noma ukutheleleka kwe-mycobacteria okungenasifo sofuba, ungasiza futhi ekuvimbeleni ukusabalala kwamagciwane ngokunciphisa ukuxhumana kwakho nabanye abantu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Ngingawuthatha kanjani umuthi?
• Ngenzenjani uma ngiphuthelwa umthamo wemithi?
• Kuzodingeka ngenze ukwelashwa isikhathi esingakanani?
• Kuzongithatha isikhathi esingakanani ukuthi ngilulame?
• Yiziphi izimpawu ezintsha noma eziya ziba zimbi okufanele ngiziqaphele?
• Kufanele ngize nini ukukubona futhi?

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

I-Scrofula yisimo esingavamile kodwa esivame ukuphulukiswa. Ukwelashwa kungathatha isikhathi - kungadingeka ubekezele isikhashana uze ululame. Bona udokotela wakho njalo, ikakhulukazi uma unesifo esicashile njenge-HIV. Udokotela wakho angaqapha intuthuko yakho, alungise imithi yakho uma kudingeka, futhi axazulule noma yiziphi izinkinga eziphakama ngesikhathi sokwelashwa. Ngakho-ke ungesabi, thola ukwelashwa okudingayo, bese uzama ukuhlala uphilile!

I- Scrofula, amaqhubu entamo, i-erysipelas, isifo sofuba, i-mycobacteria, ukutheleleka ngamagciwane, amaqhubu e-lymph