I-Actinomycosis

I-Actinomycosis yisifo sesikhathi eside (esingapheli) sokutheleleka kwebhaktheriya okuthinta kakhulu ubuso nentamo.

I-Actinomycosis ivame ukubangelwa yi-bacterium ebizwa I-Actinomyces israelii. Lesi yisidalwa esivamile esitholakala emakhaleni nasemphinjeni. Imvamisa ayizibangeli izifo.

Ngenxa yendawo ejwayelekile yamagciwane emakhaleni nasemphinjeni, i-actinomycosis ivame ukuthinta kakhulu ubuso nentamo. Ukutheleleka kwesinye isikhathi kungavela esifubeni (i-pulinary actinomycosis), isisu, i-pelvis, noma ezinye izindawo zomzimba. Ukutheleleka akuthathelani. Lokhu kusho ukuthi akusakazeki kwabanye abantu.

Izimpawu zenzeka lapho amabhaktheriya engena ezicutshini zobuso ngemuva kokuhlukumezeka, ukuhlinzwa, noma ukutheleleka. Izimbangela ezivamile zifaka ithumba lamazinyo noma ukuhlinzwa ngomlomo. Ukutheleleka kungathinta nabesifazane abathile abake baba ne-intrauterine device (IUD) ukuvimbela ukukhulelwa.

Uma esesicutshini, amabhaktheriya abangela ithumba, akhiqize isigaxa esiqinile, esibomvu ngokubomvu ngokunsomi, kaningi emhlathini, okuvela kuwo igama elijwayelekile lalesi simo, "umhlathi onesigaxa."

Ekugcineni, ithumba lingena esikhunjeni ukuze likhiqize ipheshana lesinki eliphuzayo.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukukhipha izilonda esikhumbeni, ikakhulukazi odongeni lwesifuba ekungenweni ngamaphaphu ngama-actinomyces
• Imfiva
• Ubuhlungu obuphansi noma abukho
• Ukuvuvukala noma okuqinile, okubomvu kuya kwesigaxa esibomvu ngokunsomi ebusweni noma entanyeni ephezulu
• Ukwehla kwesisindo

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho.

Ukuhlolwa okungenziwa ukuhlola ukutholakala kwamagciwane kufaka phakathi:

• Isiko lezicubu noma uketshezi
• Ukuhlolwa koketshezi olukhishelwe ngaphansi kwesibonakhulu
• I-CT scan yezindawo ezithintekile

Ukwelashwa kwe-actinomycosis ngokuvamile kudinga ama-antibiotic izinyanga ezimbalwa kuya onyakeni. Ukudonsa amanzi noma ukususwa kwendawo ethintekile (lesion) kungadingeka. Uma isimo sihlobene ne-IUD, idivayisi kufanele isuswe.

Ukululama okugcwele kungalindelwa ngokwelashwa.

Ezimweni ezingavamile, i-meningitis ingakhula kusukela ku-actinomycosis. I-Meningitis iyisifo uma ulwelwesi lumboza ubuchopho nomgogodla. Lolu ulwelwesi lubizwa ngokuthi ama-meninges.

Shayela umhlinzeki wakho uma uba nezimpawu zalesi sifo. Ukuqala ukwelashwa khona manjalo kusiza ukusheshisa ukululama.

Ukuhlanzeka ngomlomo nokuvakashelwa odokotela bamazinyo njalo kungasiza ekuvikeleni ezinye izinhlobo ze-actinomycosis.

Umhlathi onamaqhuqhuva

• I-Actinomycosis (umhlathi onamaqhuqhuva)
• Amagciwane

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

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

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.