Isikhwehlela ibala le-mycobacteria

Ibala lesikhwehlela se-mycobacteria yisivivinyo sokubheka uhlobo lwama-bacteria abangela isifo sofuba nezinye izifo.

Lokhu kuhlolwa kudinga isampula yesikhwehlela.

• Uzocelwa ukuthi ukhwehlele ngokujulile bese ukhafula noma iyiphi into evela emaphashini akho (isikhwehlela) esitsheni esikhethekile.
• Ungacelwa ukuthi uphefumulele inkungu yomusi onosawoti. Lokhu kukwenza ukhwehlele ngokujule kakhulu bese ukhiqiza isikhwehlela.
• Uma ungakhiqizi isikhwehlela esanele, ungahle ube nenqubo ebizwa nge-bronchoscopy.
• Ukukhulisa ukunemba, lokhu kuhlolwa kwesinye isikhathi kwenziwa kathathu, kaningi izinsuku ezi-3 zilandelana.

Isampula yokuhlola ihlolwa ngaphansi kwesibonakhulu. Olunye uvivinyo, olubizwa ngesiko, lwenziwa ukuqinisekisa imiphumela. Ukuhlolwa kwesiko kuthatha izinsuku ezimbalwa ukuthola imiphumela. Lokhu kuhlolwa kwesikhwehlela kunganikeza udokotela wakho impendulo esheshayo.

Ukuphuza uketshezi ngobusuku obandulela ukuhlolwa kusiza amaphaphu akho akhiqize i-phlegm. Kwenza isivivinyo sinembe kakhudlwana uma kwenziwa into yokuqala ekuseni.

Uma une-bronchoscopy, landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungayilungiselela kanjani inqubo.

Akukho ukungakhululeki, ngaphandle kokuthi kwenziwe i-bronchoscopy.

Ukuhlolwa kwenziwa lapho udokotela esola isifo sofuba noma okunye ukutheleleka kwe-mycobacterium.

Imiphumela ijwayelekile uma kungatholakali izinto eziphilayo ze-mycobacterial.

Imiphumela engajwayelekile ikhombisa ukuthi ibala lihle ku:

• Isifo sofuba iMycobacterium
• I-Mycobacterium avium-intracellular
• Amanye ama-mycobacteria noma amabhaktheriya ashesha nge-asidi

Azikho izingozi ngalokhu kuhlolwa, ngaphandle uma kwenziwa i-bronchoscopy.

I-acid esheshayo ye-bacilli stain; Ibala le-AFB; Isifo sofuba smear; Ukugcwala kwe-TB

• Ukuhlolwa kwesikhwehlela

IHopewell PC, uKato-Maeda M, u-Ernst JD. Isifo sofuba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 35.

Izinkuni GL. I-Mycobacteria. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 61.