Wake wacabanga ukuthi igciwane elincane elitholakala enhlabathini noma emanzini asizungezile lingangena emizimbeni yethu libangele ukugula okukhulu? Namuhla sizokhuluma ngesifo esingavamile ukuzwakala ngaso, kodwa okubaluleke kakhulu ukusazi. Lokhu sikubiza ngokuthi "i-Nocardiosis". Nakuba leli gama lingase lizwakale lingavamile, uma usuliqonda kalula, akukho okufanele ukwesabe.
Iyini ngempela i-Nocardiosis?
Kalula nje, i-nocardiosis ukutheleleka okubangelwa uhlobo lwebhaktheriya elibizwa ngokuthi *i-Nocardia* elingena emizimbeni yethu. Leli bhaktheriya livame ukuhlala endaweni esikuyo, ikakhulukazi enhlabathini nasemanzini amile.
Lokhu kutheleleka kuqala emaphashini noma esikhumbeni sethu. Kodwa-ke, uma kungelashwa kahle, leli gciwane lingahamba egazini lisakazeke kwezinye izingxenye zomzimba, ikakhulukazi ubuchopho, okubangela izimo ezibucayi . Yingakho kubaluleke kakhulu ukuqaphela lokhu.
Lokhu kwakheka kanjani? Kunezinhlobo ezimbili eziyinhloko.
Kunezindlela ezimbili eziyinhloko lapho i-nocardiosis ingangena khona emizimbeni yethu. Ngakho-ke, kunezinhlobo ezimbili zayo.
1. I-Pulmonary Nocardiosis: Lolu uhlobo oluvame kakhulu. Leli gciwane lingena emaphashini ethu ngokuphefumula uthuli oluvela enhlabathini noma ngomhwamuko wamanzi ongcolile. Kufana nokuhogela uthuli.
2. I-Primary Cutaneous Nocardiosis: Lokhu kwenzeka lapho amagciwane engena emzimbeni ngesilonda esivulekile noma ngomkrwelo esikhumbeni. Isibonelo, uma uthola umkrwelo omncane ngenkathi ulima engadini bese uthola ukungcola kuwo, kulula ukuthi amagciwane angene emzimbeni.
Ubani osengozini enkulu yokuthuthukisa lokhu?
Nakuba la magciwane ekhona endaweni ezungezile, akuwona wonke umuntu othola lesi sifo. Amasosha ethu omzimba avame ukulwa nala magciwane futhi asivikele. Kodwa-ke, abanye abantu basengozini enkulu yokuthola lesi sifo.
- Abantu abanezimilo zomzimba ezibuthakathaka: Abantu abanezifo ezifana nesifo sikashukela, i-HIV, nomdlavuza banama-immune aphansi, ngakho-ke bangathola kalula lesi sifo.
- Abantu abafakelwe izitho zomzimba: Abantu abafakelwe izitho zomzimba noma umnkantsha basengozini enkulu ngenxa yemithi enikezwa ukucindezela amasosha omzimba.
- Abantu abasebenzisa imithi ethile: Abantu abasebenzisa imithi enamandla kakhulu njenge-steroids isikhathi eside nabo basengozini.
- Amadoda: Ngokumangalisayo, amadoda anamathuba aphindwe kathathu okuthola lesi sifo kunabesifazane. Amadoda asekhulile asebenza ngaphandle (isib., abalimi, abalimi, abasebenzi bezokwakha) asengozini enkulu.
Into ebalulekile ukuthi ngisho nomuntu ophilile, onesimiso sokuzivikela somzimba esibuthakathaka unethuba elincane lokuthola lesi sifo. Ngakho-ke, kubalulekile ukuthi wonke umuntu aqaphele izimpawu zaso.
Ziyini izimpawu zalesi sifo?
Izimpawu zincike ekutheni unesifo senhliziyo esinjani. Ake sibheke ithebula elingezansi ukuze sikuqonde kahle lokhu.
| Uhlobo lokutheleleka | Ingxenye ethintekile kanye nezimpawu |
|---|---|
| Ukutheleleka kwamaphaphu (Amaphaphu) | Izimpawu zalokhu zivame ukufana neze-pneumonia noma isifo sofuba.
|
| Ukutheleleka kwesikhumba (okwesikhumba) | Uphawu oluyinhloko ukwakheka kwamathumba esikhumba.
|
| Qaphela! Uma ukutheleleka kusakazeka... (I-Nocardiosis Esakazekile) | |
| Uma isakazekela ebuchosheni | Lesi yisimo esibucayi kakhulu.
|
Uma unezinye zalezi zimpawu, ungachithi isikhathi bese ubona udokotela ngokushesha .
Ukuthola kanjani lokhu, Dokotela?
I-Nocardiosis ingaba nzima ukuhlukanisa nezinye izifo ngoba izimpawu zokutheleleka kwamaphaphu zifana ne-pneumonia, kanti izimpawu zokutheleleka kwesikhumba zifana nezinye izifo zesikhumba ezivamile.
Ngakho-ke, ukuze athole ukuxilongwa okunembile, udokotela wakho uzokwenza izivivinyo ezithile.
- Ukuhlolwa kwesampula: Kuthathwa isampula encane yezicubu noma uketshezi endaweni ethelelekile bese ithunyelwa elebhu ukuze ihlolwe. Uma kwenzeka amaphaphu, kungathathwa isampula ye-mucus, noma uma kwenzeka esikhumbeni, kungathathwa ingxenye encane yesimila.
- I-X-ray yesifuba noma i-CT scan: Uma ukutheleleka kuseziphashini, kuzokwenziwa i-X-ray yesifuba. Ungase udinge ne-CT scan, engakunikeza isithombe esicacile nesiningiliziwe.
Ingabe kukhona ukwelashwa? Ungakhathazeki!
Yebo! Izindaba ezinhle ukuthi i-nocardiosis ingelapheka ngokuphelele ngama-antibiotic .
Kodwa nansi into. Akuwona wonke ama-antibiotic asebenza kuleli gciwane. Ngakho-ke, udokotela wakho kuzodingeka enze izivivinyo eziningana zelebhu kusampula yakho ukuze athole ukuthi yiliphi i-antibiotic elikufanele ngempela.
Isikhathi sokwelashwa singahluka kuye ngokuthi ukutheleleka kungakanani. Ngezinye izikhathi kungalapheka emavikini ayisithupha kuphela. Ezifweni ezinzima kakhulu, kungadingeka ukuthi uphuze imithi isikhathi esingangonyaka.
Into ebaluleke kakhulu ukuphuza umuthi njengoba nje udokotela emyalile, ngaphandle kokulahlekelwa yilodwa usuku. Ungayeki ukuwuphuza phakathi nendawo ngoba nje uzizwa ungcono kancane.
Kwezinye izimo, kungase kudingeke ukuhlinzwa okuncane ukuze kususwe amathumba amakhulu esikhumba noma kukhishwe ubomvu kuwo.
Umlayezo Wokuya Nawe Ekhaya
- I-Nocardiosis ukutheleleka okubangelwa amagciwane atholakala enhlabathini nasemanzini.
- Lokhu kuthinta kakhulu amaphaphu nesikhumba.
- Abantu abanezivikeli mzimba ezibuthakathaka (abanesifo sikashukela, iziguli ezinomdlavuza) kanye nabesilisa abasebenza ngaphandle basengozini enkulu.
- Qaphela izimpawu zamaphaphu ezifana ne-pneumonia noma amathumba esikhumba.
- Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
- Ama-antibiotic angasiqeda ngokuphelele lesi sifo. Kubalulekile ukuthatha imithi enqunywe udokotela isikhathi sonke.
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