Ukutheleleka kweNocardia

Ukutheleleka kweNocardia (i-nocardiosis) yisifo esithinta amaphaphu, ubuchopho noma isikhumba. Kwabanye abantu abaphilile, kungenzeka njengokutheleleka kwasendaweni. Kepha kubantu abanamasosha omzimba abuthakathaka, angasakazeka emzimbeni wonke.

Ukutheleleka kweNocardia kubangelwa igciwane. Imvamisa iqala emaphashini. Ingadlulela kwezinye izitho, imvamisa ubuchopho nesikhumba. Kungabandakanya izinso, amalunga, inhliziyo, amehlo namathambo.

AmaNocardia bacteria atholakala enhlabathini emhlabeni jikelele. Lesi sifo ungasithola ngokuphefumulela othulini olunamagciwane. Ungasithola futhi lesi sifo uma inhlabathi equkethe amabhaktheriya e-nocardia ingena enxebeni elivulekile.

Amathuba amaningi okuthi uthole lokhu kutheleleka uma unesifo samaphaphu sesikhathi eside (esingapheli) noma amasosha omzimba abuthakathaka, angenzeka ngokufakelwa, umdlavuza, i-HIV / AIDS, kanye nokusetshenziswa kwama-steroids isikhathi eside.

Izimpawu ziyahlukahluka futhi zincike ezithweni ezithintekayo.

Uma emaphashini, izimpawu zingafaka:

• Ubuhlungu besifuba lapho uphefumula (kungenzeka ngokushesha noma kancane)
• Akhwehlele igazi
• Imikhuhlane
• Ukujuluka ebusuku
• Ukwehla kwesisindo

Uma ebuchosheni, izimpawu zingafaka:

• Imfiva
• Ubuhlungu bekhanda
• Ukuquleka
• I-Coma

Uma isikhumba sithintekile, izimpawu zingafaka:

• Ukuwohloka kwesikhumba kanye nepheshana lokukhipha (i-fistula)
• Izilonda noma amaqhuqhuva anokutheleleka kwesinye isikhathi asakazeka kuma-lymph node

Abanye abantu abanesifo se-nocardia abanazimpawu.

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho.

Ukutheleleka kweNocardia kutholakala kusetshenziswa izivivinyo ezikhomba amagciwane (i-Gram stain, stain acid-fast stain or culture). Isibonelo, ngokutheleleka emaphashini, isiko lesikhwehlela lingenziwa.

Ngokuya ngengxenye yomzimba othelelekile, ukuhlolwa kungabandakanya ukuthatha isampula lezicubu ngu:

• Ubuchopho be-biopsy
• I-biopsy yamaphaphu
• Isikhumba biopsy

Uzodinga ukuthatha ama-antibiotic izinyanga eziyisithupha kuya onyakeni noma ngaphezulu. Ungadinga ama-antibiotic angaphezu kwelilodwa.

Ukuhlinzwa kungenziwa ukukhipha ubomvu obuqoqwe esikhunjeni noma kwizicubu (ithumba).

Ukwenza kahle kangakanani kuya ngempilo yakho yonke kanye nezitho zomzimba ezithintekayo. Ukutheleleka okuthinta izindawo eziningi zomzimba kunzima ukuselapha, futhi abanye abantu bangase bangakwazi ukululama.

Izinkinga zezifo ze-nocardia zixhomeke ekutheni umzimba ubandakanyeka kangakanani.

• Ukutheleleka okuthile kwamaphaphu kungaholela ekuphefumuleni nasekukhaleni isikhathi eside (okungapheli).
• Ukutheleleka kwesikhumba kungaholela ekulimaleni noma ekonakaleni.
• Amathumba ebuchopho angaholela ekulahlekelweni komsebenzi wezinzwa.

Shayela umhlinzeki wakho uma unezimpawu zalesi sifo. Ziyizimpawu ezingacacisi ezingaba nezinye izimbangela eziningi.

I-nocardiosis

• Amasosha omzimba

UChen SC-A, Watts MR, Maddocks S, Sorrell TC. UNocardia izinhlobo. 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 253.

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