Kuyini iScrofula?

-Delile

• Izithombe ze-scrofula
• Ziyini izimpawu?
• Kubangelwa yini lokhu?
• Izici zobungozi
• Kutholakala kanjani?
• Izinketho zokwelashwa
• Izinkinga ezingenzeka
• Uyini umbono?

Incazelo

I-Scrofula yisimo lapho amabhaktheriya abangela isifo sofuba abangela izimpawu ngaphandle kwamaphaphu. Lokhu kuvame ukuthatha isimo sezinhlayiya ezivuthayo nezicasukile entanyeni.

Odokotela futhi babiza i-scrofula ngokuthi "i-lymphadenitis yesifo somlomo wesibeletho":

• Umlomo wesibeletho ubhekisela entanyeni.
• I-Lymphadenitis isho ukuvuvukala kuma-lymph node, okuyingxenye yamasosha omzimba omzimba.

I-Scrofula yindlela ejwayelekile kakhulu yokutheleleka kwesifo sofuba eyenzeka ngaphandle kwamaphaphu.

Ngokomlando, i-scrofula yayibizwa "ngobubi benkosi." Kuze kube yikhulu le-18, odokotela babecabanga ukuthi ukuphela kwendlela yokwelapha lesi sifo ukuthintwa yilungu lomndeni wasebukhosini.

Ngenhlanhla, odokotela sebazi okuningi manje mayelana nokuthi bangasibona kanjani, basithole futhi baselaphe lesi simo.

Izithombe ze-scrofula

Ziyini izimpawu?

I-Scrofula ivame ukudala ukuvuvukala nezilonda ohlangothini lwentamo. Lokhu kuvame ukuba i-lymph node noma ama-node avuvukile angazizwa njenge-nodule encane, eyindilinga. I-nodule imvamisa ayinalo ithenda noma ifudumele ekuthintweni. Isilonda singaqala ukuba sikhulu futhi singakhipha ubomvu noma olunye uketshezi ngemuva kwamasonto ambalwa.

Ngaphezu kwalezi zimpawu, umuntu one-scrofula angathola:

• imfiva
• i-malaise noma umuzwa ojwayelekile wokungaphili
• ukujuluka ebusuku
• ukuncipha kwesisindo okungaqondakali

I-Scrofula ayivamile kakhulu emazweni athuthukile lapho isifo sofuba singesona isifo esivamile esithathelwanayo. I-Scrofula imele amaphesenti ayi-10 wamacala wesifo sofuba odokotela abawaxilonga e-United States. Isifo sofuba emazweni angenawo amazwe.

Kubangelwa yini lokhu?

Isifo sofuba iMycobacterium, ibhaktheriya, iyimbangela evame kakhulu ye-scrofula kubantu abadala. Noma kunjalo, I-Mycobacterium avium intracellulare kungadala nescrofula ezimweni ezimbalwa.

Ezinganeni, izimbangela zegciwane lesifo sofuba zivame kakhulu. Izingane zingasithola lesi simo ngokufaka izinto ezingcolile emilonyeni yazo.

Izici zobungozi

Abantu abangakwazi ukuzivikela emzimbeni basengozini enkulu ye-scrofula. I-Scrofula ilinganiselwa kuzo zonke izimo zesifo sofuba kubantu abangenakuzivikela e-United States.

Kumuntu ongavikelekile ekuzimeleleni ngenxa yesimo esithile noma umuthi, umzimba wakhe awunawo amaseli amaningi omzimba omzimba, ikakhulukazi ama-T cell, ukulwa nezifo. Ngenxa yalokhu, basengozini enkulu yokuthola isimo.

Labo abane-HIV abakwelashwa ngezidambisigciwane bavame ukuzwa izimpendulo ezinkulu zokuvuvukala kubhaktheriya besifo sofuba.

Kutholakala kanjani?

Uma udokotela esola ukuthi amagciwane esifo sofuba angadala intamo yakho, bayovame ukwenza isivivinyo esaziwa njenge-purified protein derivative (PPD) test. Lokhu kuhlolwa kufaka ukujova inani elincane le-PPD ngaphansi kwesikhumba.

Uma unamagciwane esifo sofuba akhona emzimbeni wakho, uzothola i-induction (indawo ephakanyisiwe yesikhumba engamamilimitha ambalwa ngosayizi). Kodwa-ke, ngoba amanye amabhaktheriya angadala i-scrofula, lokhu kuhlolwa akunamaphesenti ayi-100 okucacile.

Odokotela bavame ukuxilonga i-scrofula ngokuthatha i-biopsy yomswakama nezicubu ngaphakathi kwendawo evuvukele noma izindawo ezisentanyeni. Indlela ejwayelekile kunazo zonke i-biopsy yenaliti enhle. Lokhu kuhilela ukuthatha ngokucophelela izinyathelo zokungawasabalalisi amagciwane ezindaweni ezizungezile.

Udokotela angaqala ngoku-oda ama-scan scan, njenge-X-ray, ukuthola ukuthi isisindo noma uquqaba luthinteka kangakanani entanyeni nokuthi ngabe abukeka njengamanye amacala we-scrofula. Kwesinye isikhathi, ekuqaleni, udokotela angakhomba ngephutha i-scrofula njengensimbi yomdlavuza enomdlavuza.

Azikho izivivinyo ezithile zegazi zokuxilonga i-scrofula. Kodwa-ke, udokotela wakho usengayalela ukuhlolwa kwegazi, njengama-cat-scratch titers kanye nokuhlolelwa i-HIV, ukukhipha ezinye izimo.

Izinketho zokwelashwa

I-Scrofula yisifo esibi futhi singadinga ukwelashwa phakathi nezinyanga ezimbalwa. Udokotela ujwayele ukunquma ama-antibiotic izinyanga eziyisithupha noma ngaphezulu. Ezinyangeni ezimbili zokuqala zokwelashwa, abantu bavame ukuthatha ama-antibiotic amaningi, njenge:

• i-isoniazid
• phumlani
• i-ethambutol

Ngemuva kwalesi sikhathi, bazothatha i-isoniazid ne-rifampin cishe izinyanga ezine ezengeziwe.

Ngesikhathi sokwelashwa, akuyona into engavamile ukuthi ama-lymph node akhule noma ukuthi kuvele ama-lymph node amasha avuvukile. Lokhu kwaziwa ngokuthi “ukusabela okuthuthukayo okuyindida.” Kubalulekile ukunamathela ekwelashweni noma ngabe lokhu kwenzeka.

Kwesinye isikhathi odokotela bangaphinde banikeze i-oral steroids, engasiza ukunciphisa ukuvuvukala ezilondeni ze-scrofula.

Udokotela angancoma ukuthi ngokuhlinzwa kususwe isisindo sentamo noma uquqaba ngemuva kokwelashwa ngama-antibiotic. Kodwa-ke, ubukhulu abuvamile ukwelashwa kuze kube yilapho amabhaktheriya engasekho. Ngaphandle kwalokho, amabhaktheriya angadala i-fistula, okuwumgodi ohlanganisiwe phakathi kwe-lymph node enegciwane nomzimba. Lo mphumela ungadala ezinye izimpawu ezinzima.

Izinkinga ezingenzeka

kulabo abane-scrofula nabo banofuba emaphashini abo. Kungenzeka ukuthi i-scrofula ingasakazeka ngaphesheya kwentamo futhi ithinte ezinye izindawo zomzimba.

Futhi, umuntu angathola isilonda esingapheli, esikhipha entanyeni. Lesi silonda esivulekile singavumela ezinye izinhlobo zebhaktheriya emzimbeni, ezingaholela ekutheleleni okuthe xaxa.

Uyini umbono?

Ngokwelashwa kwama-antibiotic, amazinga okwelashwa kwe-scrofula ahle kakhulu, cishe ngamaphesenti angama-89 kuya kwangama-94. Uma usola ukuthi ungaba nesifo sofuba noma unezimpawu ze-scrofula, bheka udokotela wakho ukuze ahlolwe isifo sofuba. Lokhu kuyatholakala futhi eminyangweni eminingi yezempilo yedolobha kanye nesifunda njengendlela esheshayo futhi eshibhile yokuthola isifo sofuba.