Indlela yokuchonga kunye nokunyanga isilonda se-buruli

Umxholo

• Iimpawu eziphambili kunye neempawu
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

Isilonda seBuruli sisifo solusu esibangelwa yintsholongwane Izilonda Mycobacterium, ekhokelela ekufeni kweeseli zolusu kunye nezicubu ezingqongileyo, kwaye inokuchaphazela ithambo. Olu suleleko luxhaphake kakhulu kwimimandla yetropiki, enje ngeBrazil, kodwa ifumaneka ingakumbi e-Afrika nase-Australia.

Nangona indlela yokwasulelwa sesi sifo ingaziwa, ezona zinto zinokwenzeka kukuba sidluliselwa ngokusela amanzi angcolisekileyo okanye ngokulunywa ziingcongconi okanye izinambuzane ezithile.

Xa isilonda sikaBuruli singanyangwa kakuhle, ngamayeza okubulala iintsholongwane, sinokuqhubeka nokukhula, sibangele ukukhubazeka okungenakulungiswa okanye ukusuleleka ngokubanzi kwintsholongwane.

Iimpawu eziphambili kunye neempawu

Izilonda zeBuruli zihlala zivela ezingalweni nasemilenzeni kwaye iimpawu eziphambili kunye neempawu zesi sifo zezi:

• Ukudumba kolusu;
• Intlungu ekhula kancinci ngaphandle kokubangela iintlungu;
• Isikhumba esimnyama ngombala, ngakumbi ejikeleze inxeba;
• Ukudumba kwengalo okanye umlenze, ukuba inxeba liyavela emalungwini.

Isilonda siqala ngeqhubu elingenabuhlungu eliqhubela phambili ngokuthe ngcembe kwisilonda. Kwiimeko ezininzi, inxeba elivela eluswini lincinci kunommandla ochaphazeleke yintsholongwane kwaye, ke, ugqirha unokufuna ukususa indawo enkulu kunesilonda ukuveza wonke ummandla ochaphazelekayo nokwenza unyango olufanelekileyo.

Ukuba isilonda sikaBuruli asinyangwa, oko kungakhokelela ekuveleni kweengxaki ezithile, ezinje ngeziphene, ukosuleleka kwintsholongwane kunye nethambo, umzekelo.

Indlela yokuqinisekisa ukuxilongwa

Xa kukho urhano lokosulelwa ngu Izilonda MycobacteriumKucetyiswa ukuba ubonane nogqirha wesikhumba ukuqinisekisa isifo kwaye uqalise unyango olufanelekileyo. Ngokubanzi, ukuxilongwa kwenziwa kuphela ngokujonga iimpawu kunye nokuvavanya imbali yomntu, ngakumbi xa uhlala kwimimandla apho kukho inani eliphezulu lamatyala.

Kodwa ugqirha unokuyalela kwakhona i-biopsy ukuba ivavanye isiqwenga sezicubu ezichaphazelekileyo elebhu ukuqinisekisa ubukho bentsholongwane okanye ukwenza inkcubeko ye-microbiological ukusuka kulusu lwesilonda ukuchonga i-microorganism kunye nosulelo olunokwenzeka lwesibini.

Unyango lwenziwa njani

Kwiimeko ezininzi, usulelo luchongwa xa lungaphuhliswanga kakuhle kwaye luchaphazela indawo engaphantsi kwe-5 cm. Kule meko, unyango lwenziwa kuphela ngokusetyenziswa kwee-antibiotics, ezinje ngeRifampicin ehambelana neStreptomycin, Clarithromycin okanye iMoxifloxacin, iiveki ezisibhozo.

Kwiimeko apho ibacteria ichaphazela indawo ebanzi, ugqirha unokufuna ukuba enze utyando ukuze kususwe zonke izicwili ezichaphazelekayo kunye nokulungisa okungalunganga, ukongeza ekwenzeni unyango ngamayeza okubulala iintsholongwane. Kule meko, uncedo oluvela kumongikazi lunokuba yimfuneko ukunyanga inxeba ngendlela efanelekileyo, oko ke kukhawulezisa ukuphilisa.