I-actinomycosis yamaphaphu

I-pulinary actinomycosis isifo esingajwayelekile samaphaphu esibangelwa amagciwane.

I-pulinary actinomycosis ibangelwa amagciwane athile ajwayele ukutholakala emlonyeni nasemgodini wamathumbu. Amagciwane kaningi awabangeli ingozi. Kepha inhlanzeko yamazinyo engeyinhle kanye nethumba lamazinyo kungakhuphula ubungozi bokutheleleka kwamaphaphu okubangelwa yilawa mabhaktheriya.

Abantu abanezinkinga zempilo ezilandelayo banethuba eliphakeme lokuthola ukutheleleka:

• Ukusetshenziswa kotshwala
• Izibazi emaphashini (i-bronchiectasis)
• I-COPD

Lesi sifo siyivelakancane e-United States. Kungenzeka noma nini, kepha kuvame kakhulu kubantu abaneminyaka engama-30 kuye kwengama-60 ubudala. Abesilisa bathola lesi sifo kaningi kunabesifazane.

Ukutheleleka kuvame ukufika kancane. Kungaba amasonto noma izinyanga ngaphambi kokuqinisekiswa kokuxilongwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba lapho udonsa umoya
• Ukukhwehlela nge-phlegm (isikhwehlela)
• Imfiva
• Ukuphelelwa umoya
• Ukwehla kwesisindo ngokungenhloso
• Imikhuba emibi
• Ukujuluka ebusuku (akuvamile)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando nezimpawu zakho zezokwelapha. Ukuhlolwa okungenziwa kufaka phakathi:

• I-Bronchoscopy namasiko
• Qedela ukubalwa kwegazi (CBC)
• I-x-ray yesifuba
• Isikena se-CT esifubeni
• I-biopsy yamaphaphu
• Kushintshwe i-AFB smear yesikhwehlela
• Isiko lesikhohlela
• Ibala lezicubu nezikhwehlela
• Thoracentesis namasiko
• Isiko lamathishu

Umgomo wokwelashwa ukwelapha ukutheleleka. Kungathatha isikhathi eside ukuba ngcono. Ukuze welapheke, kungadingeka ukuthi uthole i-penicillin elwa namagciwane ngomthambo (ngemithambo) amasonto amabili kuya kwayisithupha. Ngemuva kwalokho udinga ukuthatha i-penicillin ngomlomo isikhathi eside. Abanye abantu badinga izinyanga ezingama-18 zokwelashwa ngama-antibiotic.

Uma ungakwazi ukuthatha i-penicillin, umhlinzeki wakho uzokunikeza amanye ama-antibiotic.

Ukuhlinzwa kungadingeka ukukhipha uketshezi emaphashini nokulawula ukutheleleka.

Abantu abaningi baba ngcono ngemuva kokwelashwa ngama-antibiotic.

Izinkinga zingafaka:

• Ithumba lobuchopho
• Ukubhujiswa kwezingxenye zamaphaphu
• I-COPD
• I-Meningitis
• I-Osteomyelitis (ukutheleleka kwethambo)

Shayela umhlinzeki wakho uma:

• Unezimpawu ze-actinomycosis yamaphaphu
• Izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa
• Uba nezimpawu ezintsha
• Unemfiva engu-101 ° F (38.3 ° C) noma ngaphezulu

Ukuhlanzeka kwamazinyo okuhle kungasiza ekunciphiseni ubungozi be-actinomycosis.

I-Actinomycosis - amaphaphu; I-Actinomycosis - i-thoracic

• Uhlelo lokuphefumula
• Ibala le-Gram le-biopsy yezicubu

Brook I.I-Actinomycosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 313.

URusso TA. Abameli be-actinomycosis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 254.