Actinomycosis

Actinomycosis ndi matenda a bakiteriya a nthawi yayitali omwe amakhudza nkhope ndi khosi.

Actinomycosis nthawi zambiri imayambitsidwa ndi bakiteriya wotchedwa Actinomyces israelii. Ichi ndi chamoyo chofala chomwe chimapezeka m'mphuno ndi mmero. Nthawi zambiri sichimayambitsa matenda.

Chifukwa cha kupezeka kwa mabakiteriya pamphuno ndi pakhosi, actinomycosis imakhudza nkhope ndi khosi. Matendawa nthawi zina amapezeka pachifuwa (pulmonary actinomycosis), pamimba, m'chiuno, kapena madera ena amthupi. Matendawa siopatsirana. Izi zikutanthauza kuti sichifalikira kwa anthu ena.

Zizindikiro zimachitika mabakiteriya amalowa munthawi ya nkhope pambuyo povulala, kuchitidwa opaleshoni, kapena matenda. Zomwe zimayambitsa zimaphatikizapo kuphulika kwa mano kapena opaleshoni yamlomo. Matendawa amathanso kukhudza azimayi ena omwe ali ndi chida cha intrauterine (IUD) choteteza mimba.

Kamodzi mu mnofu, mabakiteriya amayambitsa chotupa, ndikupanga chotupa cholimba, chofiira mpaka kufiyira, nthawi zambiri pachibwano, pomwe pamachokera dzina lodziwika bwino loti, "nsagwada."

Pamapeto pake, chotupacho chimadutsa pakhungu kuti chikhale ndi sinus.

Zizindikiro zimatha kuphatikizira izi:

• Kutulutsa zilonda pakhungu, makamaka pakhoma pachifuwa kuchokera kumatenda am'mapapo ndi actinomyces
• Malungo
• Wofatsa kapena wopanda ululu
• Kutupa kapena kolimba, kofiira mpaka kufiyira kotuwa kumaso kapena kumtunda kwa khosi
• Kuchepetsa thupi

Wothandizira zaumoyo adzakuyesani ndikufunsani za matenda anu.

Mayeso omwe angachitike kuti muwone ngati mabakiteriya alipo ndi awa:

• Chikhalidwe cha minyewa kapena madzimadzi
• Kuyesedwa kwa madzi osungunuka pansi pa microscope
• Kujambula kwa CT m'malo omwe akhudzidwa

Chithandizo cha actinomycosis nthawi zambiri chimafuna maantibayotiki kwa miyezi ingapo mpaka chaka. Ngalande za opaleshoni kapena kuchotsa malo okhudzidwa (lesion) kungafune. Ngati vutoli likugwirizana ndi IUD, chipangizocho chiyenera kuchotsedwa.

Kuchira kwathunthu kumatha kuyembekezeredwa ndi chithandizo.

Nthawi zambiri, meninjaitisi imatha kukula kuchokera ku actinomycosis. Meningitis ndi matenda ngati nembanemba zophimba ubongo ndi msana. Kambalo kameneka kamatchedwa meninges.

Itanani omwe akukuthandizani ngati mukukula ndi matendawa. Kuyamba kumwa mankhwala nthawi yomweyo kumathandizira kufulumira kuchira.

Ukhondo wabwino wam'kamwa komanso kuchezera kwamankhwala kwamankhwala pafupipafupi kumathandizira kupewa mitundu ina ya actinomycosis.

Nsagwada

• Actinomycosis (nsagwada yovuta)
• Mabakiteriya

Brook I. Actinomycosis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 313.

Gardella C, Eckert LO, Lentz GM. Matenda opatsirana pogonana: maliseche, nyini, khomo pachibelekeropo, matenda owopsa, endometritis, ndi salpingitis. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 23.

Russo TA. Othandizira a actinomycosis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed.Philadelphia, PA: Elsevier; 2020: chap 254.