Isifo sofuba Esisizayo

-Delile

• Isithombe se-Miliary TB
• Izimbangela ze-miliary TB
• Izici ezinobungozi ze-TB miliary
• Izimpawu nezimpawu ze-miliary TB
• Ukuxilongwa kwe-TB miliary
• Ukwelashwa kwe-miliary TB
• Imithi elwa namagciwane
• Ukuphuza ama-steroid
• Ukuhlinzwa
• Umbono we-miliary TB

Ukubuka konke

Isifo sofuba (TB) yisifo esibi kakhulu esivame ukuthinta amaphaphu akho kuphela, yingakho kuvame ukubizwa ngokuthi isifo sofuba samaphaphu. Kodwa-ke, kwesinye isikhathi amabhaktheriya angena egazini lakho, asabalale emzimbeni wakho wonke, futhi akhule esitho esisodwa noma eziningana. Lokhu kubizwa ngokuthi yi-miliary TB, uhlobo lwesifo sofuba olusatshalaliswa.

I-Miliary TB yathola igama layo ngo-1700 ivela kuJohn Jacob Manget ngokutholwa kwesidumbu, ngemuva kokushona kwesiguli. Imizimba ibizoba namabala amaningi amancane kakhulu afana namakhulu wembewu encane angaba ngamamilimitha ama-2 ubude asakazeka kwizicubu ezahlukahlukene. Njengoba imbewu yamabele icishe ilingane nosayizi, lesi simo saziwa njenge-miliary TB. Kuyisifo esibi kakhulu, esisongela impilo.

Lesi simo asivamile kubantu abanamasosha omzimba ajwayelekile. Kuvame kakhulu kubantu amasosha omzimba wabo angasebenzi kahle. Lokhu kubizwa ngokuthi ukungavumelani nomzimba.

Imvamisa amaphaphu akho, umnkantsha, nesibindi kuyathinteka ku-miliary TB, kepha futhi kungasakazeka emgqeni wenhliziyo yakho, umgogodla wakho nobuchopho, nakwezinye izingxenye zomzimba wakho. Ngokusho kwe-the, ulwelwesi lobuchopho lutheleleke kubantu abangamaphesenti angama-25 abane-TB yamakhemikhali. Kubalulekile ukukubheka lokhu ngoba kudinga ukwelashwa isikhathi eside.

Isithombe se-Miliary TB

Izimbangela ze-miliary TB

I-TB ibangelwa amagciwane abizwa ngokuthi Isifo sofuba iMycobacterium. Kuyathathelwana futhi kudluliswa lapho umuntu onesifo se-TB esisebenzayo emaphashini akhe ekhiphela amabhaktheriya emoyeni ngokukhwehlela noma ngokuthimula, bese omunye umuntu akuhogela. Ingahlala indiza amahora ambalwa.

Lapho unamagciwane emzimbeni wakho kodwa amasosha akho omzimba aqinile ngokwanele ukulwisana nawo, abizwa ngokuthi yi-TB efihlekile. Nge-TB efihlekile, awunazo izimpawu futhi awuthelelani. Uma amasosha akho omzimba eyeka ukusebenza kahle, i-TB efihlekile ingaphenduka i-TB esebenzayo. Uzoba nezimpawu futhi utheleleke.

Izici ezinobungozi ze-TB miliary

, i-miliary TB ibonakale ikakhulu ezinganeni nasezinganeni. Manje kutholakala kaningi kakhulu kubantu abadala. Lokhu kungenxa yokuthi ukuzivikela ekuzivikeleni ekuzivikeleni komzimba kuvame kakhulu namuhla.

Noma yini eyenza buthakathaka amasosha akho omzimba yandisa amathuba okuthola noma yiluphi uhlobo lwe-TB. I-Miliary TB ivame ukwenzeka kuphela uma amasosha akho omzimba ebuthakathaka kakhulu. Izimo nezinqubo ezinganciphisa amasosha akho omzimba zifaka:

• I-HIV ne-AIDS
• ukuphuza ngokweqile
• ukungondleki
• isifo esingapheliyo sezinso
• isifo sikashukela
• umdlavuza emaphashini akho, entanyeni, noma ekhanda
• ukhulelwe noma usanda kubeletha
• i-dialysis yesikhathi eside

Labo abasebenzisa imishanguzo esebenza ngokushintsha noma ukwenqaba amasosha omzimba nabo basengozini enkulu ye-miliary TB. Okuvame kakhulu ukusetshenziswa isikhathi eside kwe-corticosteroid, kepha izidakamizwa ezisetshenziswa ngemuva kokufakelwa komzimba noma ukwelapha izifo zomzimba nomdlavuza nazo zinganciphisa amasosha akho omzimba futhi zikhulise ubungozi be-miliary TB.

Izimpawu nezimpawu ze-miliary TB

Izimpawu ze-miliary TB zivame kakhulu. Zingafaka:

• umkhuhlane oqhubeka amasonto ambalwa futhi ungaba mubi kakhulu kusihlwa
• Ukugodola
• ukukhwehlela okomile okungase kube negazi ngezikhathi ezithile
• ukukhathala
• ubuthakathaka
• ukuphefumula okwenyuka ngesikhathi
• ukungathandi ukudla
• ukuncipha komzimba
• ukujuluka ebusuku
• ukungazizwa kahle ngokujwayelekile

Uma ezinye izitho ngaphandle kwamaphaphu akho zithelelekile, lezi zitho zingayeka ukusebenza kahle. Lokhu kungadala ezinye izimpawu, njengamazinga aphansi amaseli abomvu egazi uma umnkantsha wakho uthintekile noma ukuqubuka kwesici uma kuthinteka isikhumba sakho.

Ukuxilongwa kwe-TB miliary

Izimpawu ze-miliary TB ziyefana nalezo ezisezigulini eziningi, futhi amabhaktheriya kungaba nzima ukuthola uma igazi lakho, olunye uketshezi, noma amasampuli wezicubu kubhekwa ngaphansi kwemakhroskophu. Lokhu kwenza kube nzima kudokotela wakho ukuxilonga nokuhlukanisa kwezinye izimbangela zezimpawu zakho. Kungadingeka izivivinyo eziningana ezahlukahlukene ukuze udokotela wakho enze ukuxilongwa.

Ukuhlolwa kwesikhumba se-tuberculin okubizwa ngokuthi yi-PPD test kukhombisa ukuthi wake wachayeka yini kubhaktheriya elibanga i-TB. Lokhu kuhlolwa akukwazi ukukutshela uma ngabe manje unesifo esisebenzayo; kukhombisa kuphela ukuthi ngabe ungenwe yini esikhathini esithile. Uma unganqamukile emzimbeni, lokhu kuhlolwa kungakhombisa ukuthi awunaso lesi sifo noma unaso.

Udokotela wakho uzoku-oda i-X-ray yesifuba uma ukuhlolwa kwesikhumba sakho kukuhle noma uma unezimpawu eziphakamisa i-TB. Ngokungafani ne-TB ejwayelekile engabonakala njengezinye izifo, iphethini lembewu yamabele esfubeni i-X-ray ifana kakhulu ne-miliary TB. Lapho iphethini ibonakala, kulula ukwenza ukuxilongwa, kepha kwesinye isikhathi akubonakali uze ube nokutheleleka kanye nezimpawu isikhathi eside.

Olunye uvivinyo udokotela wakho anga-oda ngalo ukuqinisekisa ukutholakala kwe-TB ye-miliary yile:

• i-CT scan, enikeza isithombe esingcono samaphaphu akho
• amasampula esikhwehlela ukubheka amabhaktheriya ngaphansi kwesibonakhulu
• ukuhlolwa kwegazi okungathola ukuvezwa kwamagciwane
• i-bronchoscopy lapho kufakwa khona ikhamera ezacile, ekhanyisiwe ngomlomo wakho noma ngamakhala emaphashini akho ukuze udokotela wakho abheke izindawo ezingavamile futhi athole amasampula okufanele abhekwe ngaphansi kwesibonakhulu

Njengoba i-miliary TB ithinta izitho emzimbeni wakho ngaphandle kwamaphaphu akho, udokotela wakho angafuna ezinye izivivinyo kuye ngokuthi bacabanga ukuthi ukutheleleka kukuphi:

• i-CT scan yezinye izitho zomzimba wakho, ikakhulukazi isisu sakho
• i-MRI yokubheka ukutheleleka ebuchosheni bakho noma emgogodleni
• i-echocardiogram yokubheka ukutheleleka noketshezi kulwelwesi lwenhliziyo yakho
• isampula yomchamo ukubheka amabhaktheriya
• i-bone marrow biopsy, lapho inaliti ifakwa phakathi kwethambo ukuthatha isampula lokufuna amabhaktheriya ngaphansi kwesibonakhulu
• i-biopsy, lapho kuthathwa khona isiqeshana esincane sezicubu esithweni okucatshangwa ukuthi sinegciwane futhi sibhekwe ngemicroscope ukuthola amagciwane
• umpompi womgogodla uma udokotela wakho ecabanga ukuthi uketshezi oluzungeze umgogodla wakho nobuchopho bunalo
• inqubo lapho inaliti ifakwa khona eqoqweni loketshezi elizungeze iphaphu lakho ukubheka amabhaktheriya

Ukwelashwa kwe-miliary TB

Ukwelashwa kuyefana nokwesifo sofuba esijwayelekile futhi kungaqukatha:

Imithi elwa namagciwane

Uzokwelashwa ngama-antibiotic amaningana izinyanga eziyisithupha kuya kwezi-9. Lapho amabhaktheriya esekhulile ngokwesiko (okuthatha isikhathi eside), ilebhu izovivinya ukubona ukuthi ingabe ama-antibiotic ajwayelekile abulala uhlobo lwama-bacteria onawo. Kaningi, i-antibiotic eyodwa noma amaningi ngeke asebenze, okubizwa ngokuthi ukumelana nemithi. Uma lokhu kwenzeka, ama-antibiotic azoshintshelwa kwamanye asebenzayo.

Uma ulwelwesi lobuchopho bakho buthelelekile, uzodinga ukwelashwa izinyanga eziyi-9 kuya kwezi-12.

Imithi elwa namagciwane evamile yilena:

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

Ukuphuza ama-steroid

Ungahle unikezwe ama-steroids uma ulwelwesi lobuchopho noma inhliziyo yakho kuthelelekile.

Ukuhlinzwa

Ngokuvamile, ungahle ube nezinkinga, ezifana nethumba, ezidinga ukuhlinzwa ukuze uzelaphe.

Umbono we-miliary TB

I-Miliary TB yisifo esingajwayelekile kodwa esithathelwanayo nesongela impilo. Ukwelapha lesi sifo kudinga isikhathi esingaphezu kwenyanga sama-antibiotic amaningi. Kubalulekile ukuthi lesi sifo sitholakale ngokushesha ngangokunokwenzeka nokuthi uphuze ama-antibiotic isikhathi eside njengokuyalelwa. Lokhu kuvumela umphumela omuhle futhi kumisa ithuba lokukusabalalisa kwabanye abantu. Uma unezimpawu ze-TB, noma wazi ngokuvezwa yilesi sifo muva nje, xhumana nehhovisi likadokotela wakho ukuze uthole i-aphoyintimenti ngokushesha okukhulu.