Yintoni iPneumocystosis kwaye inyangwa njani?

Umxholo

• Iimpawu eziphambili
• Uxilongo pneumocystosis
• Unyango lwenziwa njani

I-Pneumocystosis sisifo esosulelayo esibangela ukungunda IPneumocystis jirovecii, efikelela emiphungeni kwaye ibangele ubunzima ekuphefumlweni, ukukhohlela owomileyo kunye nokugodola, umzekelo.

Esi sifo sithathwa njengongenelelayo kuba sihlala senzeka kubantu abanamajoni omzimba athomalalisiweyo, afana nalawo ane-AIDS, athe afakelwa okanye afumana unyango lwe-chemotherapy, umzekelo.

Unyango lwe-pneumocystosis lwenziwa ngokwesindululo se-pulmonologist, kwaye ukusetyenziswa kwamachiza okubulala iintsholongwane kuboniswa ngokubanzi malunga neeveki ezi-3.

Iimpawu eziphambili

Iimpawu zepneumocystosis azicacanga kakhulu, ezinokubangela ukuba zibhidaniswe nezinye izifo zemiphunga. Iimpawu eziphambili zesi sifo zezi:

• Ifiva;
• Ukukhohlela owomileyo;
• Ubunzima bokuphefumla;
• Ukugodola;
• Iintlungu zesifuba;
• Ukudinwa okugqithisileyo.

Iimpawu zepneumocystosis zihlala ziguquka ngokukhawuleza kwaye ziyaqhubeka ngaphezulu kweeveki ezi-2, ke kubalulekile ukuba ubonane nogqirha okanye ugqirha wamaphaphu ukuze kuvavanywe kwaye kwenziwe uxilongo.

Uxilongo pneumocystosis

Ukuxilongwa kwe-pneumocystosis kwenziwa ngugqirha ngokusekelwe kwisiphumo sesifuba se-X-ray, i-bronchoalveolar lavage kunye ne-bronchoscopy, apho kuguqulwa khona izicubu zemiphunga kunye ne-pulmonary infiltrate, ebonisa ukuba inyumoniya. Ukongeza, ugqirha unokucebisa ukuqokelelwa kwesikhohlela, umzekelo, ukwenzela ukuba ubukho befungus buhlolwe ngemicroscopic, kuba ayikhuli kwindawo efanelekileyo yenkcubeko yefungus.

Ukuncedisa ukuxilongwa kwe-pneumocystosis, ugqirha unokucebisa idosi ye-enzyme iLactate Dehydrogenase (LDH), ephakanyisiweyo kwezi meko, kunye neearterial gases zegazi, olo luvavanyo olujonga ukusebenza kwemiphunga, kubandakanya isixa ioksijini egazini, apho imeko ye-pneumocystosis isezantsi. Qonda ukuba zithini na iigesi zegazi kunye nendlela ezenziwa ngayo.

Unyango lwenziwa njani

Unyango lwe-pneumocystosis olucetyiswa ngugqirha oqhelekileyo okanye ugqirha wemiphunga lubandakanya ukusetyenziswa kwee-antimicrobials, kusetyenziswa i-Sulfamethoxazole-Trimethoprim ihlala iboniswa, ngomlomo okanye ngaphakathi, malunga neeveki ezintathu.

Nangona kunjalo, xa olu nyango lungakhokeleli kuphuculo lwesigulana, ugqirha unokukhetha unyango lwesibini, olwenziwa ngenye into yokubulala iintsholongwane, iPentamidine, eyenzelwe ukusetyenziswa kwemithambo kwaye ihlala iboniswa iiveki ezi-3.

Kubalulekile ukuba unyango oluboniswe ngugqirha lulandelwe ngokwengcebiso yakhe yokuthintela ukungunda ukuba kwandiswe kwaye kuphazamisane nenkqubo yomzimba yokuzikhusela, ibangele iingxaki nokufa.