Nocardiosis m'mapapo

Pulmonary nocardiosis ndi matenda am'mapapo ndi mabakiteriya, Nocardia asteroides.

Matenda a Nocardia amayamba mukamapuma (inhale) mabakiteriya. Matendawa amayambitsa zizindikiro ngati chibayo. Matendawa amatha kufalikira mbali iliyonse ya thupi.

Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu chotenga matenda a nocardia. Izi zikuphatikiza anthu omwe ali ndi:

• Tatenga ma steroids kapena mankhwala ena omwe amachepetsa chitetezo chamthupi kwa nthawi yayitali
• Cushing matenda
• Kuika thupi
• HIV / Edzi
• Lymphoma

Anthu ena omwe ali pachiwopsezo ndi omwe ali ndi mavuto am'mapapo okhalitsa (okhalitsa) okhudzana ndi kusuta, emphysema, kapena chifuwa chachikulu.

Nocardiosis ya m'mapapo imakhudza kwambiri mapapo. Koma, imatha kufalikira ku ziwalo zina m'thupi. Zizindikiro zodziwika zimaphatikizapo:

Thupi Lonse

• Fever (amabwera ndikupita)
• Kumva kudwala (malaise)
• Kutuluka thukuta usiku

DZIKO LAPANSI

• Nseru
• Kutupa kwa chiwindi ndi ndulu (hepatosplenomegaly)
• Kutaya njala
• Kuchepetsa mwangozi
• Kusanza

MPHIMA NDI NJIRA ZA M'MAWALO

• Kupuma kovuta
• Kupweteka pachifuwa osati chifukwa cha mavuto amtima
• Kutsokomola magazi kapena ntchofu
• Kupuma mofulumira
• Kupuma pang'ono

MISAMBO NDI ZOPHUNZITSA

• Ululu wophatikizana

DZIKO LAPANSI

• Sinthani pamaganizidwe
• Kusokonezeka
• Chizungulire
• Mutu
• Kugwidwa
• Zosintha m'masomphenya

Khungu

• Ziphuphu kapena zotupa pakhungu
• Zilonda za khungu (abscesses)
• Kutupa ma lymph node

Wothandizira zaumoyo wanu adzakuyesani ndikumvetsera m'mapapu anu pogwiritsa ntchito stethoscope. Mutha kukhala ndi phokoso lamapapo lachilendo, lotchedwa mabala. Mayeso omwe angachitike ndi awa:

• Kuwotcha kwa bronchoalveolar - madzimadzi amatumizidwa ku banga ndi chikhalidwe, chomwe chimatengedwa ndi bronchoscopy
• X-ray pachifuwa
• Kufufuza kwa CT kapena MRI pachifuwa
• Chikhalidwe chamadzimadzi ndi banga
• Sputum banga ndi chikhalidwe

Cholinga cha chithandizo ndikuteteza matendawa. Maantibayotiki amagwiritsidwa ntchito, koma zimatenga nthawi kuti mukhale bwino. Wopezayo adzakuwuzani kutalika kwa nthawi yomwe muyenera kumwa mankhwala. Izi zitha kukhala mpaka chaka.

Kuchita opaleshoni kungafunike kuchotsa kapena kukhetsa malo omwe ali ndi kachilomboka.

Wothandizira anu akhoza kukuwuzani kuti musiye kumwa mankhwala aliwonse omwe amafooketsa chitetezo chanu chamthupi. Osasiya kumwa mankhwala musanalankhule ndi omwe akukuthandizani kaye.

Zotsatira zake nthawi zambiri zimakhala zabwino ngati matendawa amapezeka ndikuthandizidwa mwachangu.

Zotsatira zake sizikhala bwino ngati matendawa:

• Amafalikira kunja kwa mapapo.
• Chithandizo chimachedwa.
• Munthuyo ali ndi matenda oopsa omwe amatsogolera kapena amafunikira kupondereza chitetezo chamthupi kwanthawi yayitali.

Zovuta za pulmonary nocardiosis zitha kuphatikizira izi:

• Zotupa zaubongo
• Matenda a khungu
• Matenda a impso

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matendawa. Kuzindikira koyambirira ndi chithandizo kumathandizira kuti pakhale zotsatira zabwino.

Samalani mukamagwiritsa ntchito corticosteroids. Gwiritsani ntchito mankhwalawa mosamala, pamlingo wochepa kwambiri komanso kwakanthawi kochepa kwambiri.

Anthu ena omwe ali ndi chitetezo chamthupi chofooka angafunike kumwa maantibayotiki kwa nthawi yayitali kuti matenda asabwerenso.

Nocardiosis - m'mapapo mwanga; Mycetoma; Nocardia

• Dongosolo kupuma

Mzinda wa Southwick FS. Nocardiosis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 314.

Torres A, Menéndez R, Wunderink RG. Bakiteriya chibayo ndi mapapu abscess. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.