Matenda a Legionnaire

Matenda a Legionnaire ndi matenda am'mapapo ndi mlengalenga. Zimayambitsidwa ndi Legionella mabakiteriya.

Mabakiteriya omwe amayambitsa matenda a Legionnaire amapezeka m'madzi operekera madzi. Amatha kukhala ndi moyo m'malo ofunda, ofewetsa mpweya azinyumba zazikulu, kuphatikiza zipatala.

Matenda ambiri amayamba chifukwa cha bakiteriya Legionella pneumophila. Milandu yonseyi imayambitsidwa ndi ena Legionella zamoyo.

Kufalikira kwa mabakiteriya kuchokera kwa munthu kupita kwa munthu sikunatsimikizidwe.

Matenda ambiri amapezeka mwa anthu azaka zapakati kapena achikulire. Nthawi zambiri, ana amatha kutenga matendawa. Akatero, matendawa amakhala ochepa.

Zowopsa ndi izi:

• Kumwa mowa
• Kusuta ndudu
• Matenda osatha, monga impso kulephera kapena matenda ashuga
• Matenda a m'mapapo a nthawi yayitali, monga COPD
• Kugwiritsa ntchito makina opumira kwa nthawi yayitali (makina opumira)
• Mankhwala omwe amapondereza chitetezo cha mthupi, kuphatikiza chemotherapy ndi mankhwala a steroid
• Ukalamba

Zizindikiro zimangowonjezereka m'masiku 4 mpaka 6 oyamba. Nthawi zambiri amasintha masiku ena 4 kapena 5.

Zizindikiro zimaphatikizapo:

• Kusapeza bwino, kutaya mphamvu, kapena kudwala (malaise)
• Mutu
• Malungo, kugwedeza kuzizira
• Ululu wophatikizana, kupweteka kwa minofu ndi kuuma
• Kupweteka pachifuwa, kupuma movutikira
• Chifuwa chomwe sichimatulutsa sputum kapena ntchofu (chifuwa chouma)
• Kutsokomola magazi (kawirikawiri)
• Kutsekula m'mimba, nseru, kusanza, ndi kupweteka m'mimba

Wothandizira zaumoyo adzayesa. Phokoso losazolowereka, lotchedwa mabala, limamveka mukamamvetsera pachifuwa ndi stethoscope.

Mayeso omwe angachitike ndi awa:

• Mitsempha yamagazi yamagazi
• Zikhalidwe zamagazi kuzindikira mabakiteriya
• Bronchoscopy kuti muwone mayendedwe apansi ndikuzindikira matenda am'mapapo
• X-ray pachifuwa kapena CT scan
• Kuwerengera kwathunthu kwa magazi (CBC), kuphatikiza kuchuluka kwama cell oyera
• ESR (sed rate) kuti muwone kuchuluka kwa kutupa mthupi
• Kuyesa magazi a chiwindi
• Kuyesa ndi zikhalidwe pa sputum kuti muzindikire mabakiteriya a legionella
• Kuyesa kwamikodzo kuti mufufuze Legionella pneumophila mabakiteriya
• Kuyesa kwama molekyulu ndi polymerase chain reaction (PCR)

Maantibayotiki amagwiritsidwa ntchito kuthana ndi matendawa. Chithandizo chimayambidwa matenda a Legionnaire akangokayikiridwa, osadikirira zotsatira za mayeso aliwonse a labu.

Mankhwala ena atha kuphatikizira kulandira:

• Zamadzimadzi kudzera mumtsempha (IV)
• Oxygen, yomwe imaperekedwa kudzera mu chigoba kapena makina opumira
• Mankhwala omwe amapumidwa kuti athe kupuma bwino
  
  

Matenda a Legionnaire amatha kukhala pangozi. Chiwopsezo chofa chimakhala chachikulu mwa anthu omwe:

• Mukhale ndi matenda a nthawi yayitali
• Matendawa ali kuchipatala
• Ndi achikulire

Lumikizanani ndi omwe amakupatsani nthawi yomweyo ngati muli ndi vuto lililonse la kupuma ndipo mukuganiza kuti muli ndi matenda a Legionnaire.

Chibayo cha Legionella; Malungo a Pontiac; Legionellosis; Legionella pneumophila

• Chibayo mwa akulu - kutulutsa

• Matenda a Legionnaire - chamoyo cha legionella

Edelstein PH, Roy CR. Matenda a Legionnaires ndi malungo a Pontiac. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 234.

Marrie TJ. Legionella matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 314.