Yintoni i-Pleural TB, sisasazeka njani kwaye siyinyanga njani

Umxholo

• Iimpawu eziphambili
• Kwenzeka njani ukusasazeka
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• Ngaba siyanyangeka isifo sephepha?

Isifo sephepha sePleural sisifo seplura, esinefilimu ebhityileyo emigca yemiphunga, yintsholongwane Koch, Okubangela iimpawu ezinje ngesifuba, ukukhwehlela, ukuphefumla kancinci kunye nomkhuhlane.

Le yenye yezona ntlobo zixhaphakileyo zesifo sephepha esongezelelekileyo semiphunga, oko kukuthi, sibonakalisa ngaphandle kwemiphunga, enjengamathambo, umqala, i-ganglia okanye izintso, imeko exhaphake kakhulu kubantu abanomkhuhlane wokuzikhusela komzimba, njengabantu abane-AIDS, umhlaza okanye ukusebenzisa iicorticosteroids, umzekelo. Funda ngakumbi malunga nokuba yintoni kunye nendlela yokuchonga isifo sephepha esongezelelweyo kwimiphunga.

Ukunyanga i-pleural tuberculosis, i-pulmonologist, okanye i-infectologist, ihlala ibonisa ishedyuli yonyango, ubuncinci iinyanga ezi-6, kunye namachiza ama-4 okubulala iintsholongwane, eyiRifampicin, Isoniazid, Pyrazinamide kunye ne-Ethambutol.

Iimpawu eziphambili

Iimpawu zesifo sephepha sokuthambisa zezi:

• Ukukhohlela owomileyo;
• Intlungu yesifuba evelayo ngexesha lokuphefumla;
• Ifiva;
• Ukubila ubusuku obandayo;
• Ubunzima bokuphefumla;
• Ukucoca ngaphandle kwesizathu esibonakalayo;
• Malaise;
• Ukuphelelwa ngumdla wokutya.

Ngokwesiqhelo, uphawu lokuqala lubonisiwe sisikhohlela, esihamba kunye nentlungu encinci esifubeni. Emva kweeyure ezimbalwa, ezinye iimpawu ziya kuhlala kwaye ziba mbi, ade umntu abe nobunzima bokuphefumla kunye nemvakalelo yokuphefumla kancinci.

Nanini na xa kurhaneleka ingxaki yemiphunga, kubaluleke kakhulu ukuba uye esibhedlele okanye ubonane nogqirha wemiphunga ukuqala unyango kwangoko kwaye uphephe iingxaki ezinokubakho.

Kwenzeka njani ukusasazeka

Isifo sephepha esithandekayo asosuleli, njenge-bacillus ye Koch ayifumaneki kwiimfihlo zemiphunga kwaye ayihambisani ngokulula ngokuthimla okanye ngokukhohlela. Ke, nabani na ofumana olu hlobo lwesifo sephepha kufuneka angcoliswe ngabantu abanesifo sephepha semiphunga, abathi, xa bekhohlela, basasaze izixa ezikhulu zebhaktheriya kwindalo esingqongileyo.

Emva koko, ii-microorganisms zifikelela kwi-pleura emva kokusasazeka kwigazi okanye ngokuthe ngqo kwizilonda ezenziwe kumphunga. Abanye abantu banokuphuhlisa isifo sephepha njengengxaki yesifo sephepha semiphunga, umzekelo.

Indlela yokuqinisekisa ukuxilongwa

Ukwenza isifo sephepha lesifo sephepha, ukongeza kuvavanyo lweempawu zomntu kunye nembali, ugqirha unokuyalela iimvavanyo, ezinje:

• Uhlalutyo lwe-pleural fluid, ukufumanisa i-enzyme ezikhoyo kwisifo, njenge-lysozyme kunye ne-ADA;
• I-X-ray yesifuba;
• Uvavanyo lwesikhohlela sophando lwesifo sephepha se-bacillus (BAAR);
• Uvavanyo lweMantoux, ekwabizwa ngokuba luvavanyo lolusu lwe-tuberculin okanye i-PPD. Qonda ukuba yenziwa njani kwaye iboniswa nini;
• Bronchoscopy.

I-X-ray yesifuba ingabonisa izilonda kwi-pleura, njengokuqina okanye ukubala, okanye kwakhona ukucocwa komzimba, okwaziwa nangamanzi emiphungeni, ahlala echaphazela kuphela imiphunga. Ukuqonda ngcono ukuba yintoni kunye nezinye izizathu ezinokubangela ukungxola.

Unyango lwenziwa njani

I-Pleural tuberculosis inokunyangeka ngokukhawuleza kwezinye iimeko, nangaphandle konyango, nangona kunjalo, unyango luhlala lwenziwa ngokudityaniswa kwee-4 antibiotics ezibizwa ngokuba yiRifampicin, Isoniazid, Pyrazinamide kunye neEthambutol.

Umkhuhlane unganyamalala kwiiveki ezimbini, kodwa unokuqhubeka kangangeeveki ezintandathu okanye ezisibhozo, kwaye ukucocwa komzimba kuyanyamalala malunga neeveki ezintandathu, kodwa kunokuqhubeka iinyanga ezintathu ukuya kwezine.

Ngokubanzi, isigulana sibonisa ukuphucuka okubonakalayo kwiintsuku zokuqala ezili-15 zonyango, kodwa kubalulekile ukuthatha amayeza amiselweyo ngugqirha nokuba akukho zimpawu, njengoko i-bacillus ithatha ixesha elide ukuba isuswe emzimbeni. Fumana ezinye iinkcukacha malunga neendlela zokunyanga isifo sephepha.

Ngaba siyanyangeka isifo sephepha?

Isifo sephepha sePleural sinethuba le-100% lokunyanga. Nangona kunjalo, ukuba unyango alwenziwanga ngokufanelekileyo, kusenokubakho iingxaki ezinje ngokuphuhliswa kwesifo sephepha kweminye imimandla yomzimba.