Isifo seLegionnaire

Isifo seLegionnaire sisifo semiphunga kunye neendlela zomoya. Kubangelwa Legionella iintsholongwane.

Iibhaktheriya ezibangela isifo seLegionnaire zifunyenwe kwiinkqubo zokuhambisa amanzi. Bangasinda kwiinkqubo ezishushu, ezifumileyo zokufaka umoya opholileyo wezakhiwo ezikhulu, kubandakanya nezibhedlele.

Uninzi lweziganeko zibangelwa ziintsholongwane Legionella pneumophila. Amanye amatyala abangelwa ngamanye Legionella iintlobo.

Ukusasazeka kwebhaktiriya ukusuka komnye umntu kuye emntwini akukangqinwa.

Uninzi losulelo lwenzeka kubantu abaphakathi okanye abadala. Kwiimeko ezinqabileyo, abantwana banokufumana usulelo. Xa besenza, esi sifo asibi qatha.

Izinto zomngcipheko zibandakanya:

• Ukusetyenziswa kotywala
• Ukutshaya icuba
• Izifo ezingapheliyo, ezinjengokusilela kwezintso okanye isifo seswekile
• Ixesha elide (elingapheliyo) isifo semiphunga, njengeCOPD
• Ukusetyenziswa kwexesha elide komatshini wokuphefumla (i-ventilator)
• Amayeza acinezela amajoni omzimba, kubandakanya ichemotherapy kunye neziyobisi ze-steroid
• Ukwaluphala

Iimpawu zihlala zisiba mandundu ngeentsuku zokuqala ezi-4 ukuya kwezi-6. Bahlala bephucula kwezinye iintsuku ezi-4 ukuya kwezi-5.

Iimpawu zingabandakanya:

• Ukuphazamiseka ngokubanzi, ukulahleka kwamandla, okanye ukugula (i-malaise)
• Intloko ebuhlungu
• Umkhuhlane, ukugungqa ukugodola
• Intlungu edibeneyo, iintlungu zemisipha kunye nokuqina
• Intlungu yesifuba, ukuphefumla kancinci
• Ukukhwehlela okungavelisi isikhohlela okanye umchamo (ukukhohlela owomileyo)
• Ukukhohlela igazi (kunqabile)
• Urhudo, isicaphucaphu, ukugabha kunye neentlungu esiswini

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Izandi ezingaqhelekanga, ezibizwa ngokuba zii-crackles, zinokuviwa xa umamele isifuba nge-stethoscope.

Uvavanyo olunokwenziwa lunokubandakanya:

• Iigesi zegazi
• Iinkcubeko zegazi ezichonga ibhaktiriya
• Bronchoscopy ukujonga iindlela zomoya kunye nokufumanisa isifo semiphunga
• I-x-ray yesifuba okanye i-CT scan
• Gcwalisa inani legazi (CBC), kubandakanya ukubala kweeseli ezimhlophe
• I-ESR (sed rate) ukujonga ukuba kungakanani na ukudumba emzimbeni
• Uvavanyo lwegazi
• Uvavanyo kunye neenkcubeko kwisikhohlela ukuchonga ibacteria yeLegionella
• Uvavanyo lomchamo ukukhangela Legionella pneumophila iintsholongwane
• Uvavanyo lweemolekyuli nge-polymerase chain reaction (PCR)

Amayeza okubulala iintsholongwane asetyenziselwa ukulwa usulelo. Unyango luqala kwangoko xa kurhanelwa isifo seLegionnaire, ngaphandle kokulinda iziphumo zalo naluphi na uvavanyo lwelebhu.

Olunye unyango lunokubandakanya ukufumana:

• Ulwelo ngomthambo (IV)
• Ioksijini, enikwa ngesigqumathelo okanye umatshini wokuphefumla
• Amayeza aphefumlelweyo ukuthomalalisa ukuphefumla
  
  

Isifo seLegionnaire sinokubusongela ubomi. Umngcipheko wokufa uphezulu kubantu:

• Unesifo sexesha elide (esingapheliyo)
• Usulelo xa usesibhedlele
• Ngaba ngabantu abadala abadala

Nxibelelana nomboneleli wakho kwangoko ukuba unayo nayiphi na ingxaki yokuphefumla kwaye ucinga ukuba uneempawu zesifo seLegionnaire.

Inyumoniya yaseLegionella; Umkhuhlane wePontiac; ILegionellosis; Legionella pneumophila

• I-pneumonia kubantu abadala - ukukhutshwa

• Isifo seLegionnaire - umzimba weLegionella

Edelstein PH, Roy CR. Isifo seLegionnaires kunye nePontiac fever. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 234.

UMarrie TJ. Legionella usulelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 314.