Ukuhlolwa kwesikhumba seLepromin

Ukuhlolwa kwesikhumba sochoko kusetshenziselwa ukuthola ukuthi umuntu unaluphi uhlobo lochoko.

Isampula lamabhaktheriya angasebenzi (angakwazi ukudala ukutheleleka) ajovwa ngaphansi kwesikhumba, imvamisa engalweni, ukuze isigaxa esincane sinyuse isikhumba. Isigaxa sikhombisa ukuthi i-antigen ijojowe ekujuleni okulungile.

Indawo yokujova ifakwe ilebuli futhi ihlolwe izinsuku ezi-3, iphinde ibuye ngemuva kwezinsuku ezingama-28 ukubona ukuthi kukhona yini ukusabela.

Abantu abane-dermatitis noma okunye ukucasulwa kwesikhumba kufanele kwenziwe ukuhlolwa engxenyeni yomzimba engathintekile.

Uma ingane yakho izokwenziwa lolu vivinyo, kungasiza ukuchaza ukuthi isivivinyo sizozizwa kanjani, futhi ukhombise nodoli. Chaza isizathu sokuhlolwa. Ukwazi ukuthi "kanjani futhi kungani" kunganciphisa ukukhathazeka ingane yakho ezwayo.

Lapho i-antigen ijojowe, kungahle kube nokuhlabana okuncane noma ukushisa. Kungase kube khona nokulunywa okuncane endaweni yomjovo ngemuva kwalokho.

Uchoko yisifo sesikhathi eside (esingapheli) futhi esingahle silimaze ukutheleleka uma singalashwa. Kubangelwa I-Mycobacterium leprae amagciwane.

Lokhu kuhlolwa kuyithuluzi lokucwaninga elisiza ukuhlukanisa izinhlobo ezahlukene zochoko. Akunconywa njengendlela eyinhloko yokuxilonga uchoko.

Abantu abangenalo uchoko bazoba nokusabela okuncane noma bangatholi nhlobo isikhumba ku-antigen. Abantu abanohlobo oluthile lochoko, olubizwa ngochoko olubizwa ngokuthi yi-lepromatous, ngeke futhi babe nokusabela kwesikhumba ku-antigen.

Ukusabela okuhle kwesikhumba kungabonakala kubantu abanezinhlobo ezithile zochoko, ezinjengesifo sofuba kanye nochoko lwesifo sofuba somngcele. Abantu abanochoko abanochoko ngeke baphendule kahle esikhunjeni.

Kukhona ingozi encane kakhulu yokuphendula okweqile, okungafaka ukulunywa futhi kuyaqabukela, isifuba.

Ukuhlolwa kwesikhumba sochoko; Isifo sikaHansen - ukuhlolwa kwesikhumba

• Umjovo we-antigen

UDupnik K. Uchoko (Mycobacterium leprae). 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 250.

UJames WD, u-Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Isifo sikaHansen. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews ’Zesikhumba. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.