Usulelo lweNocardia

Usulelo lweNocardia (i-nocardiosis) sisifo esichaphazela imiphunga, ingqondo, okanye ulusu. Kwabanye abantu abaphilileyo, kunokwenzeka njengosulelo lwasekhaya. Kodwa kubantu abanamajoni omzimba abuthathaka, inokusasazeka emzimbeni wonke.

Usulelo lweNocardia lubangelwa yintsholongwane. Ihlala iqala emiphungeni. Inokusasazeka kwamanye amalungu, ubukhulu becala kwingqondo nakwisikhumba. Ingabandakanya nezintso, amalungu, intliziyo, amehlo kunye namathambo.

Iibhaktheriya zeNocardia zifumaneka kumhlaba jikelele. Esi sifo ungasifumana ngokuphefumla uthuli olunentsholongwane. Unokusifumana esi sifo ukuba umhlaba oqukethe i-nocardia bacteria ungena kwisilonda esivulekileyo.

Usengozini yokufumana olu sulelo ukuba unesifo semphunga sexesha elide (esinganyangekiyo) okanye amajoni omzimba abuthathaka, angenzeka ngokutshintshwa, umhlaza, i-HIV / AIDS, kunye nokusetyenziswa kwe-steroids ixesha elide.

Iimpawu ziyahluka kwaye zixhomekeke kumalungu achaphazelekayo.

Ukuba kwimiphunga, iimpawu zingabandakanya:

• Intlungu yesifuba xa uphefumla (kunokwenzeka ngesiquphe okanye kancinci)
• Ukukhohlela igazi
• Imikhuhlane
• Ukubila ebusuku
• Ukuhla ukusinda

Ukuba kwingqondo, iimpawu zinokubandakanya:

• Ifiva
• Intloko ebuhlungu
• Ukuxhuzula
• Coma

Ukuba ulusu luchaphazelekayo, iimpawu zinokubandakanya:

• Ukonakala kolusu kunye nokuhambisa amanzi (i-fistula)
• Izilonda okanye amaqhuqhuva osulelo ngamanye amaxesha asasazeka kunye ne-lymph node

Abanye abantu abane-nocardia usulelo abanazimpawu.

Umboneleli wezempilo uyakukuvavanya akubuze malunga neempawu zakho.

Usulelo lweNocardia lufunyaniswa kusetyenziswa iimvavanyo ezichonga ibhaktiriya (ibala leGram, ibala eliguquliweyo elineasidi okanye inkcubeko). Umzekelo, usulelo olusemiphungeni, inkcubeko yesikhohlela inokwenziwa.

Kuxhomekeke kwinxalenye yomzimba osulelekileyo, ukuvavanywa kunokubandakanya ukuthatha isampulu yethishu ngokuthi:

• Ingqondo yobuchwephesha
• I-biopsy yemiphunga
• Ulusu lwe-biopsy

Kuya kufuneka uthathe amayeza okubulala iintsholongwane iinyanga ezintandathu ukuya kunyaka okanye nangaphezulu. Unokufuna ngaphezulu kwesinye isibulala zintsholongwane.

Utyando lunokwenziwa ukukhupha ubofu obuqokelelwe kulusu okanye kwizicubu (ithumba).

Ukwenza kakuhle kangakanani kuxhomekeke kwimpilo yakho iyonke kunye namalungu omzimba abandakanyekayo. Usulelo oluchaphazela indawo ezininzi zomzimba kunzima ukunyanga, kwaye abanye abantu abanakho ukubuyela kwimeko yesiqhelo.

Iingxaki zentsholongwane ye-nocardia zixhomekeke kubungakanani bomzimba obandakanyekayo.

• Ezinye izifo zomphunga zingakhokelela ekunqobeni nasekuphepheni ixesha elide (elingapheliyo).
• Ukosuleleka kwesikhumba kunokukhokelela ekuqhekekeni okanye ekungafundini.
• Amathumba engqondo anokukhokelela ekuphulukaneni nomsebenzi we-neurological.

Tsalela umnikezeli wakho ukuba unempawu zolu sulelo. Zizimpawu ezingacacanga ezinokuba nezinye izizathu.

I-Nocardiosis

• Iintsholongwane

I-Chen SC-A, i-Watts MR, iMaddock S, iSorrell TC. I-Nocardia iintlobo. 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 253.

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