Siyini isifo sofuba iPleural, Sisatshalaliswa Kanjani nokuthi Ungalapha Kanjani

-Delile

• Izimpawu eziyinhloko
• Kwenzeka kanjani ukutheleleka
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Ingabe isifo sofuba siyelapheka?

Isifo sofuba iPleural yisifo sofuba se-pleura, okuyifilimu elincanyana elungisa amaphaphu, nge-bacillus Koch, kubangela izimpawu ezifana nobuhlungu besifuba, ukukhwehlela, ukuphefumula okuncane kanye nomkhuhlane.

Lokhu kungenye yezinhlobo ezivame kakhulu zesifo sofuba esingeziwe ngamaphaphu, okusho ukuthi, sibonakala ngaphandle kwamaphaphu, njengethambo, umphimbo, i-ganglia noma izinso, okuyisimo esivame kakhulu kubantu abanamasosha omzimba abuthaka, njengabantu abane-AIDS, umdlavuza noma ukusebenzisa i-corticosteroids, isibonelo. Funda kabanzi mayelana nokuthi kuyini nokuthi ungasibona kanjani isifo sofuba esingeziwe ngamaphaphu.

Ukwelapha isifo sofuba se-pleural, i-pulmonologist, noma i-infectologist, imvamisa ikhombisa ishejuli yokwelashwa, okungenani izinyanga eziyisithupha, ngemithi engama-4 elwa namagciwane, eyi-Rifampicin, Isoniazid, Pyrazinamide ne-Ethambutol.

Izimpawu eziyinhloko

Izimpawu zesifo sofuba se-pleural yizi:

• Ukukhwehlela okomile;
• Ubuhlungu besifuba, obuvela ngesikhathi sokuphefumula;
• Imfiva;
• Ukujuluka ebusuku okwandisiwe;
• Kunzima ukuphefumula;
• Ukuncipha ngaphandle kwesizathu esisobala;
• Malaise;
• Ukuphelelwa isifiso sokudla.

Imvamisa, uphawu lokuqala olwethulwayo ukukhwehlela, okuhambisana nobuhlungu obuncane esifubeni. Ngemuva kwamahora ambalwa, ezinye izimpawu zizolunga futhi ziba zimbi kakhulu, kuze kube yilapho lowo muntu ephefumula kanzima futhi ezizwa ephefumula kanzima.

Noma nini lapho kusolwa inkinga yamaphaphu, kubaluleke kakhulu ukuya esibhedlela noma uthintane nodokotela wamaphaphu ukuqala ukwelashwa ngokushesha ngangokunokwenzeka futhi ugweme izinkinga ezingaba khona.

Kwenzeka kanjani ukutheleleka

Isifo sofuba iPleural asithelelani, njenge-bacillus ye Koch ayitholakali ekusithekeni kwamaphaphu futhi ayidluliseki kalula ngokuthimula noma ngokukhwehlela. Ngakho-ke, noma ngubani othola lolu hlobo lwesifo sofuba udinga ukungcoliswa ngabantu abanofuba lwesifo samaphaphu, okuthi uma ekhwehlela, asakaze inqwaba yamagciwane emvelweni.

Ngemuva kwalokho, ama-microorganisms afinyelela ku-pleura ngemuva kokusabalala egazini noma ngqo kusuka ezilondeni ezakhiwe ephashini. Abanye abantu bangabuye bahlakulele isifo sofuba se-pleural njengesifo sofuba se-pulmonary, isibonelo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukwenza ukuxilongwa kwesifo sofuba, ngaphezu kokuhlola izimpawu zomuntu nomlando wakhe, udokotela angaphinde ahlele ukuhlolwa, okufana nalokhu:

• Ukuhlaziywa kwe-pleural fluid, ukuthola ama-enzyme akhona ekuthelelekeni, njenge-lysozyme ne-ADA;
• I-X-ray yesifuba;
• Ukuhlolwa kwesikhwehlela ngocwaningo lwe-bacillus (BAAR);
• Ukuhlolwa kweMantoux, okwaziwa nangokuthi ukuhlolwa kwesikhumba se-tuberculin noma i-PPD. Qonda ukuthi kwenziwa kanjani nokuthi kukhonjiswa nini;
• I-Bronchoscopy.

I-X-ray yesifuba ingakhombisa izilonda ku-pleura, njengokuqina noma ukubalwa, noma i-pleural effusion, eyaziwa nangokuthi amanzi ephashini, okuvame ukuthinta kuphela amaphaphu ayi-1. Ukuqonda kangcono ukuthi kuyini nezinye izimbangela zokuchithwa kwe-pleural.

Yelashwa kanjani

Isifo sofuba esibizwa ngokuthi i-Pleural tuberculosis singelapheka ngokuzenzekelayo kwezinye izimo, ngisho nangaphandle kokwelashwa, noma kunjalo, ukwelashwa kuvame ukwenziwa ngokuhlanganiswa kwama-antibiotic amane abizwa nge-Rifampicin, Isoniazid, Pyrazinamide ne-Ethambutol.

Umkhuhlane unganyamalala emasontweni amabili, kepha ungaqhubeka amasonto ayisithupha noma ayisishiyagalombili, futhi ukucwiywa kwensimbi kuyanyamalala cishe emasontweni ayisithupha, kepha kungaqhubeka izinyanga ezintathu kuya kwezine.

Ngokuvamile, isiguli sikhombisa ukuthuthuka okukhulu ezinsukwini zokuqala eziyi-15 zokwelashwa, kepha kubalulekile ukuphuza imishanguzo enikezwe udokotela noma ngabe azikho izimpawu, njengoba i-bacillus ithatha isikhathi eside ukuthi isuswe ngokuphelele emzimbeni. Thola imininingwane eminingi ngezindlela zokwelapha isifo sofuba.

Ingabe isifo sofuba siyelapheka?

Isifo sofuba sePleural sinethuba lokwelashwa elingu-100%. Kodwa-ke, uma ukwelashwa kungenziwa ngendlela efanele, kungahle kube nezinkinga njengokuthuthukiswa kwesifo sofuba kwezinye izifunda zomzimba.