Yini iPneumocystosis nokuthi ilashwa kanjani
-Delile
I-pneumocystosis yisifo esithathelanayo esingenelela esibangelwa ukhunta I-Pneumocystis jirovecii, efinyelela emaphashini futhi ibangele ubunzima ekuphefumuleni, ukukhwehlela okwomile kanye nokugodola, isibonelo.
Lesi sifo sithathwa njengesinenzuzo ngoba sijwayele ukwenzeka kubantu abanamasosha omzimba abekeke engcupheni, njengalabo abane-AIDS, abaye bafakelwa noma benza i-chemotherapy, ngokwesibonelo.
Ukwelashwa kwe-pneumocystosis kwenziwa ngokusho kwesincomo se-pulmonologist, futhi ukusetshenziswa kwemithi elwa namagciwane ngokuvamile kukhonjiswa cishe amasonto amathathu.
Izimpawu eziyinhloko
Izimpawu ze-pneumocystosis azicacisiwe kakhulu, ezingadala ukuthi idideke nezinye izifo zamaphaphu. Izimpawu eziyinhloko zalesi sifo yilezi:
- Imfiva;
- Ukukhwehlela okomile;
- Kunzima ukuphefumula;
- Ukugodola;
- Ubuhlungu besifuba;
- Ukukhathala ngokweqile.
Izimpawu ze-pneumocystosis zivame ukuvela ngokushesha futhi ziphikelele isikhathi esingaphezu kwamaviki ama-2, ngakho-ke kubalulekile ukuthintana nodokotela ojwayelekile noma i-pulmonologist ukuze kwenziwe izivivinyo futhi kutholakale ukuxilongwa.
Ukuxilongwa kwe-pneumocystosis
Ukuxilongwa kwe-pneumocystosis kwenziwa ngudokotela ngokuya ngemiphumela yesifuba i-X-ray, i-bronchoalveolar lavage kanye ne-bronchoscopy, lapho kuguqulwa khona izicubu zamaphaphu nokungena kwamaphaphu, okubonisa i-pneumocystosis. Ngaphezu kwalokho, udokotela angancoma ukuqoqwa kwesikhwehlela, ngokwesibonelo, ukuze ubukhona besikhunta buhlolwe ngemicroscopic, ngoba ayikhuli endaweni efanele yesiko lesikhunta.
Ukugcwalisa ukuxilongwa kwe-pneumocystosis, udokotela angancoma umthamo we-enzyme iLactate Dehydrogenase (LDH), ephakanyisiwe kulezi zimo, kanye namagesi emithambo yegazi, okuyisivivinyo esihlola ukusebenza kwamaphaphu, kufaka phakathi inani i-oxygen egazini, okuthi uma kwenzeka i-pneumocystosis iphansi. Qonda ukuthi imiphi imishanguzo yegazi egazini nokuthi yenziwa kanjani.
Yelashwa kanjani
Ukwelashwa kwe-pneumocystosis okunconywe ngudokotela ojwayelekile noma i-pulmonologist kubandakanya ukusetshenziswa kwama-antimicrobials, kusetshenziswa iSulfamethoxazole-Trimethoprim evame ukukhonjiswa, ngomlomo noma ngemithambo, cishe amasonto amathathu.
Kodwa-ke, lapho lokhu kwelashwa kungaphumeleli ekuthuthukiseni isiguli, udokotela angakhetha umugqa wesibili wokwelashwa, okwenziwa ngenye i-antimicrobial, iPentamidine, eyenzelwe ukusetshenziswa ngemithambo futhi evame ukukhonjiswa amasonto ama-3.
Kubalulekile ukuthi ukwelashwa okukhonjiswe ngudokotela kulandelwe ngokwesincomo sakhe sokuvimbela ukhunta ukuthi lwande futhi luqhubeke nokuphazamisa amasosha omzimba esiguli, kubangele izinkinga nokufa imbala.