Isiko lesisu

Isiko le-Gastric yisivivinyo sokuhlola okuqukethwe yisisu kwengane kuma-bacterium adala isifo sofuba (TB).

Ishubhu eliguquguqukayo libekwa ngobumnene ngamakhala engane nasesiswini. Ingane inganikezwa ingilazi yamanzi bese icelwa ukuthi igwinye ngenkathi kufakwa ishubhu. Lapho ithubhu isisesiswini, umhlinzeki wezokunakekelwa kwempilo usebenzisa umjovo ukususa isampula lokuqukethwe yisisu.

Ishubhu libe selikhishwa ngobumnene ngamakhala. Isampuli ithunyelwa ebhodini. Lapho, ibekwa esitsheni esikhethekile esibizwa ngokuthi i-culture medium futhi kubhekelwe ukukhula kwamagciwane.

Ingane yakho izodinga ukuzila ukudla amahora angu-8 kuya kwayi-10 ngaphambi kokuhlolwa. Lokhu kusho ukuthi ingane yakho ayikwazi ukudla nokuphuza noma yini ngaleso sikhathi.

Isampula liqoqwa ekuseni. Ngalesi sizathu, ingane yakho kungenzeka ingeniswe esibhedlela ngobusuku obandulela ukuhlolwa. Ishubhu lingabekwa kusihlwa, bese isivivinyo senza into yokuqala ekuseni.

Uyilungiselela kanjani ingane yakho lesi sivivinyo kuya ngeminyaka yengane yakho, ulwazi oludlule, nezinga lokuthenjwa. Landela imiyalo yomhlinzeki wakho yokuthi ungayilungiselela kanjani ingane yakho.

Izihloko ezihlobene zifaka:

• Ukuhlolwa kwengane noma ukulungiswa kwenqubo (ukuzalwa unyaka ongu-1)
• Ukuhlolwa kwengane noma ukulungiselela inqubo (iminyaka eyi-1 kuye kwengu-3)
• Ukulungiselela ukuhlolwa noma ukulungiswa kwenqubo yasesikoleni (iminyaka emi-3 kuye kwengu-6)
• Ukuhlolwa kweminyaka yobudala besikole noma ukulungiselela inqubo (iminyaka engu-6 kuye kwengu-12)
• Ukuhlolwa noma ukulungiselela inqubo yentsha (iminyaka eyi-12 kuya kwengu-18)

Ngenkathi ishubhu lidluliswa ngamakhala nasemphinjeni, ingane yakho izozwa ukungakhululeki futhi futhi ingazizwa njengokuhlanza.

Lokhu kuhlolwa kungasiza ukuxilonga i-TB yamaphaphu (yamaphaphu) ezinganeni. Le ndlela isetshenziswa ngoba izingane azikwazi ukukhwehlela zikhafule amafinyila kuze kube yiminyaka engaba ngu-8. Zigwinya isikhunta, esikhundleni salokho. (Kungakho nje izingane ezincane zivame ukusabalalisa i-TB kwabanye.)

Ukuhlolwa kungenziwa futhi ukusiza ukuthola amagciwane, isikhunta, kanye namagciwane kokuqukethwe kwesisu kwabantu abanomdlavuza, i-AIDS, noma ezinye izimo ezibangela amasosha omzimba abuthakathaka.

Imiphumela yokugcina yokuhlolwa kwesiko esiswini ingathatha amasonto ambalwa. Umhlinzeki wakho uzothatha isinqumo sokuthi aqale ukwelashwa ngaphambi kokwazi imiphumela yokuhlolwa.

Amagciwane abanga i-TB awatholakali kokuqukethwe yisisu.

Uma amabhaktheriya abangela i-TB ekhula kusuka esikweni lesisu, kutholakala i-TB. Ngoba la mabhaktheriya akhula kancane, kungathatha amasonto afinyelela kwayisithupha ukuqinisekisa ukutholakala kwalo.

Isivivinyo esibizwa nge-TB smear sizokwenziwa kuqala kusampula. Uma imiphumela iba mihle, ukwelashwa kungaqalwa ngokushesha. Yazi ukuthi imiphumela emibi ye-TB ayihlambeli ngaphandle i-TB.

Lokhu kuhlola kungasetshenziswa futhi ukuthola ezinye izinhlobo zebhaktheriya ezingayibangeli i-TB.

Noma kunini lapho kufakwa ithubhu le-nasogastric ezansi nomphimbo, mancane amathuba okuthi lingene ku-windpipe. Uma lokhu kwenzeka, ingane yakho ingahle ikhwehlele, ikhefuzele, futhi ibe nenkinga yokuphefumula kuze kukhishwe ishubhu. Kukhona nethuba elincane lokuthi okunye okuqukethwe yisisu kungangena emaphashini.

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UFitzgerald DW, uSterling TR, uHaas DW. Isifo sofuba iMycobacterium. Ku: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 249.

IHatzenbuehler LA, i-Starke JR. Isifo sofuba (Mycobacterium isifo sofuba). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 242.

UMarcdante KJ, uKliegman RM. Isifo sofuba. Ku: UMarcdante KJ, uKliegman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 124.