I-actinomycosis yemiphunga

Isenzo sepulmonary actinomycosis sisifo esinqabileyo semiphunga esibangelwa ziintsholongwane.

I-actinomycosis ye-Pulmonary ibangelwa ziibhaktheriya ezithile eziqhele ukufumaneka emlonyeni nakwindlela yesisu. Iibhaktheriya zihlala zingabangeli ingozi. Kodwa ukucoceka kwamazinyo okungafunekiyo kunye nokuqunjelwa kwamazinyo kunokunyusa umngcipheko wosulelo lwemiphunga olubangelwa zezi ntsholongwane.

Abantu abanezi ngxaki zempilo zilandelayo banethuba eliphezulu lokufumana usulelo:

• Ukusetyenziswa kotywala
• Amabala emiphungeni (bronchiectasis)
• ICOPD

Esi sifo sinqabile eMelika. Inokwenzeka nakweyiphi na iminyaka, kodwa ixhaphake kakhulu kubantu abaneminyaka engama-30 ukuya kwengama-60 ubudala. Amadoda alufumana olu sulelo rhoqo kunabafazi.

Usulelo luhlala luhamba kancinci. Isenokuba ziiveki okanye iinyanga ngaphambi kokuba kuqinisekiswe ukuxilongwa.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu yesifuba xa uthatha umoya
• Ukukhwehlela nge-phlegm (isikhohlela)
• Ifiva
• Ukuqhawukelwa ngumphefumlo
• Ukuphulukana nobunzima ngabom
• Ukuhamba
• Ukubila ebusuku (okungaqhelekanga)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yonyango kunye neempawu. Uvavanyo olunokwenziwa lunokubandakanya:

• Bronchoscopy nenkcubeko
• Gcwalisa ubalo lwegazi (CBC)
• I-x-ray yesifuba
• Isifuba se-CT scan
• I-biopsy yemiphunga
• I-smear ye-AFB eguqulweyo yesikhohlela
• Inkcubeko yesikhohlela
• Isikhumba kunye nebala lesikhohlela segram
• I-Thoracentesis ngenkcubeko
• Inkcubeko yezicubu

Injongo yonyango kukunyanga usulelo. Kungathatha ixesha elide ukuba ngcono. Ukuze uphilise, unokufuna ukufumana i-penicillin ye-antibiotic ngokusebenzisa umthambo (ngaphakathi) kwiiveki ezi-2 ukuya kwezi-6. Emva koko kufuneka uthathe ipenicillin ngomlomo ixesha elide. Abanye abantu bafuna iinyanga ezili-18 zonyango lonyango.

Ukuba awukwazi ukuthatha ipenicillin, umboneleli wakho uya kukuyalela amanye amayeza okubulala iintsholongwane.

Utyando lunokufuneka ukukhupha ulwelo emiphungeni kunye nokulawula usulelo.

Uninzi lwabantu lubangcono emva konyango ngamayeza okubulala iintsholongwane.

Iingxaki zinokubandakanya:

• Ithumba lobuchopho
• Ukutshatyalaliswa kwamalungu emiphunga
• ICOPD
• Ukudumba kwenwebu yengqondo
• I-Osteomyelitis (usulelo lwethambo)

Fowunela umnikezeli wakho ukuba:

• Unempawu ze-pulinary actinomycosis
• Iimpawu zakho ziya zisiba mbi okanye aziphucuki kunyango
• Uba neempawu ezintsha
• Unomkhuhlane we-101 ° F (38.3 ° C) okanye ngaphezulu

Ucoceko lwamazinyo olulungileyo lunokunceda ukunciphisa umngcipheko we-actinomycosis.

I-Actinomycosis - pulmonary; Actinomycosis - thoracic

• Inkqubo yokuphefumla
• Ibala legram yeethambo le-biopsy

Umlambo I. Actinomycosis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 313.

URusso TA. Abameli be-actinomycosis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 254.