I-nocardiosis yamaphaphu

I-pulmonary nocardiosis ukutheleleka kwamaphaphu ngamagciwane, Ama-asteroide eNocardia.

Ukutheleleka kweNocardia kukhula lapho uphefumula (uhogela) amabhaktheriya. Ukutheleleka kubangela izimpawu ezifana nenyumoniya. Ukutheleleka kungasakazeka kunoma iyiphi ingxenye yomzimba.

Abantu abanamasosha omzimba abuthakathaka basengozini enkulu yokutheleleka nge-nocardia. Lokhu kufaka abantu abane:

• Uthathe ama-steroids noma eminye imithi eyenza amasosha omzimba abe buthakathaka isikhathi eside
• Isifo se-Cushing
• Ukufakelwa komzimba
• I-HIV / AIDS
• I-Lymphoma

Abanye abantu abasengozini bafaka labo abanezinkinga zamaphaphu zesikhathi eside (ezingapheli) ezihlobene nokubhema, i-emphysema, noma isifo sofuba.

I-pulmonary nocardiosis ithinta kakhulu amaphaphu. Kepha, ingasakazeka nakwezinye izitho emzimbeni. Izimpawu ezivamile zingafaka:

UMZIMBA WONKE

• Imfiva (iyafika idlule)
• Ukuzizwa okujwayelekile (malaise)
• Ukujuluka ebusuku

UHLELO LWE-GASTROINTESTINAL

• Isicanucanu
• Ukuvuvukala kwesibindi nobende (hepatosplenomegaly)
• Ukuphelelwa isifiso sokudla
• Ukwehla kwesisindo ngokungenhloso
• Ukuhlanza

AMALUNGE NEENDLELA ZENDLELA

• Ubunzima bokuphefumula
• Ubuhlungu besifuba hhayi ngenxa yezinkinga zenhliziyo
• Ukukhwehlela igazi noma amafinyila
• Ukuphefumula ngokushesha
• Ukuphelelwa umoya

IMISIMBA NEZIHLANGANO

• Ubuhlungu obuhlangene

UHLELO LWE-NEERVOUS

• Shintsha esimweni sengqondo
• Ukudideka
• Isiyezi
• Ubuhlungu bekhanda
• Ukuquleka
• Izinguquko embonweni

ISIKHUMBA

• Ukuqhuma kwesikhumba noma izigaxa
• Izilonda zesikhumba (amathumba)
• Ama-lymph node avuvukile

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola futhi alalele amaphaphu akho esebenzisa i-stethoscope. Ungaba nemisindo yamaphaphu engajwayelekile, ebizwa ngama-crackles. Ukuhlolwa okungenziwa kufaka phakathi:

• I-bronchoalveolar lavage - uketshezi luthunyelwa ibala namasiko, athathwa yi-bronchoscopy
• I-x-ray yesifuba
• I-CT noma i-MRI scan yesifuba
• Isiko le-Pleural fluid nebala
• Ibhavu lesikhohlela namasiko

Umgomo wokwelashwa ukulawula ukutheleleka. Ama-antibiotic ayasetshenziswa, kepha kungathatha isikhashana ukuba ngcono. Umhlinzeki wakho uzokutshela ukuthi udinga ukuthatha imithi isikhathi esingakanani. Lokhu kungaba kuze kube unyaka.

Kungadingeka ukwelashwa ukuze ususe noma ukhiphe izindawo ezinegciwane.

Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha noma yimiphi imithi eyenza buthaka amasosha akho omzimba. Ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho kuqala.

Umphumela uvame ukuba muhle lapho isimo sitholakala futhi siphathwa ngokushesha.

Umphumela uba mubi uma ukutheleleka:

• Usakazeka ngaphandle kwamaphaphu.
• Ukwelashwa kubambezelekile.
• Umuntu unesifo esibi esiholela noma esidinga ukucindezelwa kwesikhathi eside kwamasosha omzimba.

Izinkinga ze-pulmonary nocardiosis zingafaka:

• Amathumba obuchopho
• Ukutheleleka kwesikhumba
• Ukutheleleka kwezinso

Shayela umhlinzeki wakho uma unezimpawu zalesi sifo. Ukuxilongwa nokwelashwa kusenesikhathi kungathuthukisa ithuba lomphumela omuhle.

Qaphela lapho usebenzisa i-corticosteroids. Sebenzisa le mithi kancane, ngamanani aphansi kakhulu asebenzayo nangesikhathi esifushane ngangokunokwenzeka.

Abanye abantu abanamasosha omzimba abuthakathaka bangadinga ukuthatha ama-antibiotic isikhathi eside ukuvimbela ukutheleleka ekubuyeni.

I-nocardiosis - amaphaphu; I-Mycetoma; UNocardia

• Uhlelo lokuphefumula

ISouthwick FS. I-nocardiosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 314.

UTorres A, uMenéndez R, uWunderink RG. I-pneumonia yebacteria kanye nethumba lamaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 33.