Iscrofula

I-Scrofula sisifo sesifo sephepha se-lymph node entanyeni.

I-Scrofula idla ngokubangelwa yintsholongwane Isifo sephepha seMicobacterium. Zininzi ezinye iintlobo zebhakteria ye-mycobacterium ebangela i-scrofula.

I-Scrofula ihlala ibangelwa kukuphefumla emoyeni okungcoliswe yibacteria ye-mycobacterium. Iibhaktheriya emva koko zihamba kwimiphunga ziye kwii-lymph node entanyeni.

Iimpawu zescrofula zezi:

• Umkhuhlane (unqabile)
• Ukudumba okungenasiphelo kwee-lymph node entanyeni nakwezinye iindawo zomzimba
• Izilonda (ezinqabileyo)
• Ukubila

Uvavanyo lokufumanisa i-scrofula lubandakanya:

• I-Biopsy yezicubu ezichaphazelekayo
• I-X-ray yesifuba
• Ukuvavanywa kwe-CT entanyeni
• Inkcubeko yokujonga ibacteria kwiisampulu zeethishu ezithathwe kwii-lymph node
• Uvavanyo lwegazi lwe-HIV
• Uvavanyo lwe-PPD (lukwabizwa ngokuba luvavanyo lwe-TB)
• Olunye uvavanyo lwesifo sephepha (i-TB) kubandakanya ukuvavanywa kwegazi ukufumanisa ukuba ngaba ukhe wafunyanwa sisifo sephepha

Xa usulelo lubangelwa Isifo sephepha seMicobacterium, unyango luhlala lubandakanya iinyanga ezili-9 ukuya kwezi-12 ze-antibiotics. Kufuneka kusetyenziswe ii-antibiotics ezininzi ngaxeshanye. Iintsholongwane eziqhelekileyo zescrofula zibandakanya:

• I-Ethambutol
• Isoniazid (INH)
• IPyrazinamide
• Rifampin

Xa usulelo lubangelwa lolunye uhlobo lwe-mycobacteria (edla ngokwenzeka ebantwaneni), unyango luhlala lubandakanya i-antibiotics enje:

• Rifampin
• I-Ethambutol
• Clarithromycin

Ngamanye amaxesha uqhaqho lusetyenziswa kuqala. Inokwenziwa kwakhona ukuba amayeza akasebenzi.

Ngonyango, abantu bahlala bechacha ngokupheleleyo.

Ezi ngxaki zinokwenzeka kwesi sifo:

• Ukutsala iintlungu entanyeni
• Ukuqhekeka

Biza umboneleli wakho wezempilo ukuba wena okanye umntwana wakho unokudumba okanye iqela lokudumba entanyeni. Iscrofula sinokubakho kubantwana abangakhange babhenceke kumntu onesifo sephepha.

Abantu abaye bavezwa ngumntu onesifo sephepha semiphunga kufuneka benze uvavanyo lwe-PPD.

Isifo sephepha; I-lymphadenitis yomlomo wesibeleko; Isifo sephepha

IPasternack MS, iSwartz MN. Lymphadenitis kunye lymphangitis. 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: isahluko 97.

IWenig BM. Izilonda ezingenayo i-neoplastic entanyeni. Ku: Wenig BM, ed. IAtlas yeNtloko kunye nePathology Pathology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.