I-Scrofula

I-Scrofula ukutheleleka kwesifo sofuba kwama-lymph node entanyeni.

I-Scrofula ivame ukubangelwa amagciwane Isifo sofuba iMycobacterium. Kunezinye izinhlobo eziningi zamagciwane e-mycobacterium abangela i-scrofula.

I-Scrofula ivame ukubangelwa ukuphefumula emoyeni okungcoliswe ngamagciwane e-mycobacterium. Ama-bacteria abe esehamba esuka emaphashini eya kuma-lymph node entanyeni.

Izimpawu ze-scrofula yilezi:

• Imfiva (akuvamile)
• Ukuvuvukala okungenasici kwama-lymph node entanyeni nakwezinye izindawo zomzimba
• Izilonda (ezingavamile)
• Ukujuluka

Ukuhlolwa kokuthola i-scrofula kufaka:

• I-biopsy yezicubu ezithintekile
• Ama-x-ray esifubeni
• I-CT scan entanyeni
• Amasiko wokuhlola amabhaktheriya kumasampula wezicubu athathwe kuma-lymph node
• Ukuhlolwa kwegazi le-HIV
• Ukuhlolwa kwe-PPD (okubizwa nangokuthi ukuhlolwa kwe-TB)
• Olunye uvivinyo lwesifo sofuba (i-TB) kubandakanya ukuhlolwa kwegazi ukuthola ukuthi ngabe uchayekile ku-TB

Lapho ukutheleleka kubangelwa Isifo sofuba iMycobacterium, ukwelashwa kuvame ukufaka izinyanga eziyi-9 kuya kwezingu-12 zemithi elwa namagciwane. Kudingeka kusetshenziswe ama-antibiotic amaningi ngasikhathi sinye. Ama-antibiotic ajwayelekile we-scrofula afaka:

• I-Ethambutol
• I-Isoniazid (INH)
• I-Pyrazinamide
• I-Rifampin

Lapho ukutheleleka kubangelwa olunye uhlobo lwe-mycobacteria (okuvame ukwenzeka ezinganeni), ukwelashwa kuvame ukufaka ama-antibiotic anjenge:

• I-Rifampin
• I-Ethambutol
• I-Clarithromycin

Ukuhlinzwa kwesinye isikhathi kusetshenziswa kuqala. Kungenziwa futhi uma imithi ingasebenzi.

Ngokwelashwa, abantu bavame ukululama ngokuphelele.

Lezi zinkinga zingavela kulokhu kutheleleka:

• Ukukhipha isifo entanyeni
• Kubabaza

Shayela umhlinzeki wakho wezokunakekelwa kwempilo uma wena noma ingane yakho ine-ukuvuvukala noma iqembu lokuvuvukala entanyeni. I-Scrofula ingenzeka ezinganeni ezingazange zivezwe umuntu onesifo sofuba.

Abantu abadalulwe kumuntu onesifo sofuba samaphaphu kufanele bahlolwe i-PPD.

Isifo sofuba adenitis; I-lymphadenitis yomlomo wesibeletho; I-TB - i-scrofula

IPasternack MS, iSwartz MN. I-Lymphadenitis ne-lymphangitis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 97.

I-Wenig BM. Izilonda ezingenayo i-neoplastic entanyeni. Ku: Wenig BM, ed. I-Atlas of Head and Neck Pathology. 3rd ed. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.