Actinomycosis

I-Actinomycosis sisifo sexesha elide (esingapheliyo) sosulelo lwebacteria ezichaphazela ubuso nentamo.

I-Actinomycosis ihlala ibangelwa yintsholongwane ebizwa Actinomyces israelii. Le yinto eqhelekileyo efumaneka empumlweni nasemqaleni. Ngokwesiqhelo ayizibangeli izifo.

Ngenxa yendawo eqhelekileyo yebhaktiriya kwimpumlo nasemqaleni, i-actinomycosis ixhaphake kakhulu ebusweni nasentanyeni. Usulelo ngamanye amaxesha lunokwenzeka esifubeni (i-pulinary actinomycosis), isisu, isinqe, okanye ezinye iindawo zomzimba. Usulelo alusuleli. Oku kuthetha ukuba ayisasazeli nakwabanye abantu.

Iimpawu zenzeka xa ibhaktheriya ingena kwizicubu zobuso emva koxinzelelo, utyando, okanye usulelo. Iziphumo eziqhelekileyo zibandakanya ithumba lamazinyo okanye utyando ngomlomo. Usulelo lunokuchaphazela nabasetyhini abathile abane-intrauterine device (IUD) yokuthintela ukukhulelwa.

Kanye kwithishu, intsholongwane ibangela ithumba, ivelisa iqhuma elilukhuni, elibomvu libe bomvu-bumfusa, rhoqo emhlathini, apho kuvela igama lesiqhelo, "umhlathi onamaqhuqhuva."

Ekugqibeleni, ithumba liyaphuka kulusu lwangaphandle ukuze kuvelise i-sinus tract.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukutsala izilonda kulusu, ngakumbi eludongeni lwesifuba kusuleleko lwemiphunga kunye ne-actinomyces
• Ifiva
• Ntlungu okanye akukho ntlungu
• Ukudumba okanye ukuba lukhuni, kubomvu kuqhume obomvu-bomfusa ebusweni okanye entanyeni
• Ukuhla ukusinda

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho.

Uvavanyo olunokwenziwa ukujonga ubukho bentsholongwane lubandakanya:

• Inkcubeko yethishu okanye ulwelo
• Ukuvavanywa kolwelo olunyuliweyo phantsi kwemicroscope
• Ukuhlolwa kwe-CT kweendawo ezichaphazelekayo

Unyango lwe-actinomycosis ihlala ifuna i-antibiotics kwiinyanga ezininzi ukuya kunyaka. Umsele wokuhambisa okanye ukususwa kwendawo echaphazelekayo (lesion) kunokufuneka. Ukuba imeko inxulumene ne-IUD, isixhobo kufuneka sisuswe.

Ukuchacha okupheleleyo kunokulindelwa ngonyango.

Kwiimeko ezinqabileyo, i-meningitis inokukhula ukusuka kwi-actinomycosis. I-Meningitis sisifo ukuba inwebu egubungele ingqondo kunye nentambo yomqolo. Le nwebu ibizwa ngokuba yimenges.

Fowunela umnikezeli wakho ukuba uphuhlisa iimpawu zolu sulelo. Ukuqala unyango kwangoko kunceda ukukhawulezisa ukubuyisela kwimeko yesiqhelo.

Ucoceko lomlomo olulungileyo kunye notyelelo lwamazinyo rhoqo lunokunceda ukuthintela ezinye iindlela ze-actinomycosis.

Umhlathi onamaqhuqhuva

• I-Actinomycosis (umhlathi oneqhubu)
• Iintsholongwane

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

UGardella C, uEckert LO, uLentz GM. Usulelo lwamalungu esini sangasese: ubufazi, ubufazi, umlomo wesibeleko, isifo sokudakumba esinetyhefu, i-endometritis, kunye ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 23.

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.