I-pulmonary nocardiosis

I-pulmonary nocardiosis yintsholongwane yemiphunga kunye neebhaktheriya, I-Nocardia asteroides.

Usulelo lweNocardia lukhula xa uphefumla ngaphakathi (inhale) intsholongwane. Usulelo lubangela iimpawu ezifana nenyumoniya. Usulelo lunokusasazeka kulo naliphi na ilungu lomzimba.

Abantu abanamajoni omzimba abuthathaka basemngciphekweni omkhulu wosulelo lwe-nocardia. Oku kubandakanya abantu abane:

• Uthathe i-steroids okanye amanye amayeza enza buthathaka amajoni omzimba ixesha elide
• Izifo ezinqabileyo
• Ukufakelwa komzimba
• Intsholongwane kaGawulayo / uGawulayo
• KwiLymphoma

Abanye abantu abasemngciphekweni babandakanya abo baneengxaki zemiphunga zexesha elide (ezingapheliyo) ezinxulumene nokutshaya, i-emphysema, okanye isifo sephepha.

I-pulmonary nocardiosis ichaphazela kakhulu imiphunga. Kodwa, inokusasazeka nakwamanye amalungu emzimbeni. Iimpawu eziqhelekileyo zingabandakanya:

UMZIMBA WONKE

• Umkhuhlane (uyeza uhambe)
• Imvakalelo yokugula ngokubanzi (malaise)
• Ukubila ebusuku

INKQUBO YE-GASTROINTESTINAL

• Isicaphucaphu
• Ukudumba kwesibindi kunye nokudakumba (hepatosplenomegaly)
• Ukuphelelwa ngumdla wokutya
• Ukuphulukana nobunzima ngabom
• Ukuhlanza

AMANDLA NEENDLELA

• Ukuphefumla ubunzima
• Intlungu yesifuba ayibangelwa ziingxaki zentliziyo
• Ukukhohlela igazi okanye amafinyila
• Ukuphefumla ngokukhawuleza
• Ukuqhawukelwa ngumphefumlo

KOMSIba KUNYE NEJOLETS

• Intlungu edibeneyo

INKQUBO YENKONZO

• Guqula kwimeko yengqondo
• Ukudideka
• Ukuba nesiyezi
• Intloko ebuhlungu
• Ukuxhuzula
• Utshintsho kumbono

ULusu

• Irhashalala okanye amaqhuma
• Izilonda zolusu (amathumba)
• I-lymph nodes ezidumbileyo

Umboneleli wakho wezempilo uya kukuvavanya kwaye amamele imiphunga yakho usebenzisa i-stethoscope. Unokuba nezandi zemiphunga ezingaqhelekanga, ezibizwa ngokuba ziingceba. Uvavanyo olunokwenziwa lunokubandakanya:

• I-bronchoalveolar lavage-ulwelo luthunyelwa ibala kunye nenkcubeko, ethathwa yi-bronchoscopy
• I-x-ray yesifuba
• Ukuxilongwa kwe-CT okanye iMRI kwesifuba
• Inkcubeko enamanzi amdaka kunye nebala
• Isikhohlela ibala kunye nenkcubeko

Injongo yonyango kukulawula usulelo. Amayeza okubulala iintsholongwane ayasetyenziswa, kodwa kungathatha ixesha ukuba ngcono. Umboneleli wakho uya kukuxelela ukuba kufuneka uthathe ixesha elingakanani na amayeza. Oku kunokuba unyaka.

Utyando lunokufuneka ukususa okanye ukukhupha iindawo ezosulelekileyo.

Umboneleli wakho angakuxelela ukuba uyeke ukuthatha nawaphi na amayeza enza buthathaka amajoni akho omzimba. Ungaze uyeke ukuthatha naliphi na iyeza ngaphambi kokuba uthethe nomboneleli wakho kuqala.

Isiphumo sihlala silungile xa imeko ifunyaniswa kwaye inyangwa ngokukhawuleza.

Isiphumo sihle xa usulelo:

• Isasazeka ngaphandle kwemiphunga.
• Unyango lulibazisekile.
• Umntu unesifo esibi esikhokelela okanye esidinga uxinzelelo lwexesha elide kumajoni omzimba.

Iingxaki ze-pulmonary nocardiosis zingabandakanya:

• Amathumba engqondo
• Usulelo lolusu
• Usulelo lwezintso

Tsalela umnikezeli wakho ukuba unempawu zolu gulo. Ukuchongwa kwangoko kunye nonyango kunokuphucula ithuba lesiphumo esihle.

Lumka xa usebenzisa ii-corticosteroids. Sebenzisa la mayeza kancinci, ngeedosi ezisezantsi ezisebenzayo kunye namaxesha amafutshane kunokwenzeka.

Abanye abantu abanamajoni omzimba abuthathaka banokufuna ukuthatha ii-antibiotics ixesha elide ukuthintela usulelo ekubuyeni.

I-nocardiosis - imiphunga; Unyango; I-Nocardia

• Inkqubo yokuphefumla

ISouthwick FS. I-Nocardiosis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 314.

UTorres A, uMenéndez R, uWunderink RG. I-pneumonia yebacteria kunye nethumba lemiphunga. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 33.