Isifo sofuba seMeningeal

-Delile

• Izici zobungozi
• Izimpawu
• Kutholakala kanjani
• Izinkinga
• Ukwelashwa
• Ukuvimbela
• Umbono wabantu abanofuba lwe-meningeal

Ukubuka konke

Isifo sofuba (TB) yisifo esithathelwanayo, esisemoyeni esivame ukuthinta amaphaphu. I-TB idalwa yigciwane elibizwa ngokuthi Isifo sofuba iMycobacterium. Uma ukutheleleka kungelashwa ngokushesha, amabhaktheriya angahamba egazini ukuze athelele ezinye izitho nezicubu.

Kwesinye isikhathi, amabhaktheriya azohamba aye kuma-meninges, okungulwelwesi oluzungeze ubuchopho nomgogodla. Ama-meninges athelelekile angaholela esimweni esisongela impilo esaziwa ngokuthi yisifo sofuba se-meningeal. Isifo sofuba iMeningeal saziwa nangokuthi i-tubercular meningitis noma i-TB meningitis.

Izici zobungozi

I-TB ne-TB meningitis ingakhula ezinganeni nakubantu abadala bayo yonke iminyaka. Kodwa-ke, abantu abanezinkinga ezithile zempilo basengozini enkulu yokuthuthukisa lezi zimo.

Izingozi zobungozi be-TB meningitis zihlanganisa ukuba nomlando we:

• I-HIV / AIDS
• ukusetshenziswa ngokweqile kotshwala
• amasosha omzimba abuthakathaka
• isifo sikashukela

I-TB meningitis ayitholakali e-United States ngenxa yamazinga aphezulu okugoma. Emazweni ahola kancane, izingane ezineminyaka ephakathi kwengu-4 kuya kwengu-4 zinamathuba amaningi okuthi zivele kulesi simo.

Izimpawu

Ekuqaleni, izimpawu zesifo sofuba i-meningitis ngokuvamile zivela kancane. Ziba nzima kakhulu esikhathini esingamasonto. Ngesikhathi sokuqala kokutheleleka, izimpawu zingafaka:

• ukukhathala
• ukulele
• umkhuhlane osezingeni eliphansi

Njengoba lesi sifo siqhubeka, izimpawu zizoba zimbi kakhulu. Izimpawu zakudala ze-meningitis, ezinjengentamo elukhuni, ikhanda elibuhlungu, nokuzwela okukhanyayo, azihlali zikhona kulesifo sofuba i-meningeal. Esikhundleni salokho, ungathola lezi zimpawu ezilandelayo:

• imfiva
• ukudideka
• isicanucanu nokuhlanza
• ukukhathala
• ukucasuka
• ukuquleka

Kutholakala kanjani

Udokotela wakho uzokwenza ukuhlolwa komzimba futhi akubuze ngezimpawu zakho nomlando wezokwelapha.

Udokotela wakho anga-oda ukuhlolwa okwengeziwe uma ecabanga ukuthi unezimpawu zesifo sofuba i-meningitis. Lokhu kungafaka ukubhoboza i-lumbar, okwaziwa nangokuthi umpompi womgogodla. Bazoqoqa uketshezi kukholamu lakho lomgogodla bese beluthumela elabhorethri ukuze lihlaziywe ukuqinisekisa isimo sakho.

Olunye uvivinyo udokotela wakho angalusebenzisa ukuhlola impilo yakho lubandakanya:

• i-biopsy yama-meninges
• isiko legazi
• X-ray esifubeni
• I-CT scan yekhanda
• ukuhlolwa kwesikhumba kofuba (ukuhlolwa kwesikhumba se-PPD)

Izinkinga

Izinkinga ze-TB meningitis zibalulekile, futhi kwezinye izimo zisongela impilo. Kubandakanya:

• isithuthwane
• ukulahlekelwa ukuzwa
• ingcindezi eyandayo ebuchosheni
• ukulimala kwengqondo
• unhlangothi
• ukufa

Ukwanda kwengcindezi ebuchosheni kungadala ukulimala kwengqondo okuhlala njalo futhi okungenakulungiseka. Shayela udokotela wakho ngokushesha uma uhlangabezana nezinguquko zombono kanye nekhanda ngasikhathi sinye. Lokhu kungaba uphawu lokucindezela okwandayo ebuchosheni.

Ukwelashwa

Imithi emine ijwayele ukwelashwa ukutheleleka nge-TB:

• i-isoniazid
• phumlani
• umagazine
• i-ethambutol

Ukwelashwa kwe-TB meningitis kufaka phakathi le mithi efanayo, ngaphandle kwe-ethambutol. I-Ethambutol ayingeni kahle emgqeni wobuchopho. I-fluoroquinolone, efana ne-moxifloxacin noma i-levofloxacin, ijwayele ukusetshenziswa endaweni yayo.

Udokotela wakho angakunikeza futhi ama-systemic steroids. Ukuphuza ama-steroid kuzonciphisa izinkinga ezihambisana nalesi simo.

Ngokuya ngobukhulu bokutheleleka, ukwelashwa kungahlala isikhathi esiyizinyanga eziyi-12. Kwezinye izimo, ungadinga ukwelashwa esibhedlela.

Ukuvimbela

Indlela engcono yokuvikela i-meningitis ye-TB ukuvikela ukutheleleka nge-TB. Emiphakathini lapho i-TB ijwayelekile khona, umuthi wokugoma i-Bacillus Calmette-Guérin (BCG) ungasiza ekulawuleni ukusabalala kwalesi sifo. Lo mgomo usebenza ngempumelelo ekulawuleni ukutheleleka kwe-TB ezinganeni ezisencane.

Ukwelapha abantu abanezifo ze-TB ezingasebenzi noma ezingasebenzi nakho kungasiza ekulawuleni ukusabalala kwalesi sifo. Izifo ezingasebenzi noma ezilele lapho umuntu ehlolelwa ukuthi une-TB, kodwa engenazo izimpawu zesifo. Abantu abanezifo ezilele nje basakwazi ukusabalalisa lesi sifo.

Umbono wabantu abanofuba lwe-meningeal

Umbono wakho uzoncika ebukhulwini bezimpawu zakho nokuthi uluthola ngokushesha kangakanani ukwelashwa. Ukuxilongwa kusenesikhathi kuvumela udokotela wakho ukuthi akunikeze ukwelashwa. Uma uthola ukwelashwa ngaphambi kokuba kube nezinkinga, umbono muhle.

Umbono wabantu abathola ukulimala kwengqondo noma isifo sohlangothi i-meningitis ye-TB awumuhle kangako. Ingcindezi eyengeziwe ebuchosheni ikhombisa ngokuqinile umbono ongemuhle womuntu. Ukulimala kobuchopho kulesi simo kungunaphakade futhi kuzoba nomthelela kwezempilo esikhathini eside esizayo.

Ungasithuthukisa lesi sifo kaningi. Udokotela wakho uzodinga ukukuqapha ngemuva kokuthi welashelwe i-TB meningitis ukuze akwazi ukuthola ukutheleleka okusha ngokushesha okukhulu.