Isifo sekati

Isifo seCat-scratch sisifo esibangelwa yi-bartonella bacteria ekukholelwa ukuba siyosulelwa yimikrwelo yekati, ukulunywa yikati, okanye ukulunywa zizintakumba.

Isifo seCat-scratch sibangelwa ziintsholongwaneUBartonella henselae. Esi sifo sisasazeka ngokudibana kwikati enesifo (ukuluma okanye ukukrwela) okanye ukubhencwa kwiintakumba. Inokusasazeka ngokunxibelelana namathe ekati kulusu olaphukileyo okanye kumhlaba we-mucosal njengaleyo isempumlweni, emlonyeni nasemehlweni.

Umntu odibene nekati enesifo unokubonisa iimpawu eziqhelekileyo, kubandakanya:

• Bump (papule) okanye blister (pustule) kwindawo yokwenzakala (ngesiqhelo luphawu lokuqala)
• Ukudinwa
• Umkhuhlane (kwabanye abantu)
• Intloko ebuhlungu
• Ukudumba kwe-lymph node (lymphadenopathy) kufutshane nesiza sokukrwela okanye sokuluma
• Ukungahambi kakuhle (malaise)

Iimpawu eziqhelekileyo zingabandakanya:

• Ukuphelelwa ngumdla wokutya
• Umqala obuhkungu
• Ukuhla ukusinda

Ukuba une-lymph node ezidumbileyo kunye nokukrwela okanye ukuluma kwikati, umboneleli wakho wezempilo unokukrokrela isifo se-cat-scratch.

Uvavanyo lomzimba lunokubonisa ukuba udakada owandisiweyo.

Ngamanye amaxesha, i-lymph node eyosulelekileyo inokwenza i-tunnel (fistula) kulusu kwaye ikhuphe (ukuvuza ulwelo).

Esi sifo asifumaneki kuba kunzima ukusixilonga. Inkqubo ye- UBartonella henselaeuvavanyo lwe-immunofluorescence (IFA) yovavanyo lwegazi yindlela echanekileyo yokufumana usulelo olubangelwa zezi ntsholongwane. Iziphumo zolu vavanyo kufuneka ziqwalaselwe kunye nolunye ulwazi oluvela kwimbali yakho yezonyango, kuvavanyo lweelebhu, okanye kwi-biopsy.

I-lymph node biopsy inokwenziwa kwakhona ukujonga ezinye izizathu zokuvuvukala kwamadlala.

Ngokubanzi, isifo se-cat-scratch asikho nzulu. Unyango olunokungafuneki. Ngamanye amaxesha, unyango ngamayeza okubulala iintsholongwane afana ne-azithromycin lunokuba luncedo. Ezinye i-antibiotics zingasetyenziswa, kubandakanya i-clarithromycin, i-rifampin, i-trimethoprim-sulfamethoxazole, okanye i-ciprofloxacin.

Kubantu abane-HIV / AIDS kunye nabanye, abanamajoni omzimba abuthathaka, isifo se-cat-scratch sibi kakhulu. Kucetyiswa unyango ngamayeza okubulala iintsholongwane.

Abantu abanamajoni omzimba asempilweni kufuneka bachache ngokupheleleyo ngaphandle konyango. Kubantu abanamajoni omzimba abuthathaka, unyango ngamayeza okubulala iintsholongwane luhlala lukhokelela ekuvuseleleni.

Abantu abanamajoni omzimba abuthathaka banokuphuhlisa iingxaki ezinje:

• I-Encephalopathy (ukulahleka kwengqondo)
• I-Neuroretinitis (ukudumba kweretina kunye ne-optic nerve yeso)
• I-Osteomyelitis (usulelo lwethambo)
• I-Parinaud syndrome (iso elibomvu, elicasulayo, kunye nentlungu)

Fowunela umnikezeli wakho ukuba uzandisile ii-lymph node kwaye uye wachaphazeleka kwikati.

Ukuthintela isifo se-cat-scratch:

• Hlamba izandla zakho kakuhle ngesepha namanzi emva kokudlala nekati yakho. Ngokukodwa hlamba nakuphi na ukulunywa okanye ukukrwela.
• Dlala kamnandi neekati ukuze zingakrwibi kwaye zingaluma.
• Ungavumeli ikati ukuba ikhothe ulusu, amehlo, umlomo, okanye amanxeba avulekileyo okanye imikrwelo.
• Sebenzisa amanyathelo olawulo lwentambo ukunciphisa umngcipheko kwikati yakho ekuveliseni isifo.
• Musa ukuphatha iikati zasendle.

I-CSD; Umkhuhlane wekati; Bartonellosis

• Isifo sekati ekuqaleni
• Iintsholongwane

Phinda wenze iJM, uRaoult D. UBartonella usulelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 299.

URose SR, uKoehler JE. UBartonella, kubandakanya isifo se-cat-scratch. 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: isahl 234.