Matenda a Nocardia

Matenda a Nocardia (nocardiosis) ndimatenda omwe amakhudza mapapu, ubongo, kapena khungu. Mwa anthu ena athanzi, zimatha kuchitika ngati matenda am'deralo. Koma mwa anthu omwe ali ndi chitetezo chofooka, amatha kufalikira mthupi lonse.

Matenda a Nocardia amayamba ndi bakiteriya. Nthawi zambiri zimayambira m'mapapu. Ikhoza kufalikira ku ziwalo zina, nthawi zambiri ubongo ndi khungu. Zitha kuphatikizanso impso, mafupa, mtima, maso, ndi mafupa.

Mabakiteriya a Nocardia amapezeka m'nthaka padziko lonse lapansi. Mutha kutenga matendawa mwa kupuma fumbi lomwe lili ndi mabakiteriya. Muthanso kutenga matendawa ngati dothi lomwe lili ndi mabakiteriya a nocardia lilowa pachilonda.

Mutha kutenga kachilomboka ngati muli ndi matenda a m'mapapo a nthawi yayitali kapena chitetezo chamthupi chofooka, chomwe chitha kuchitika ndikubzala, khansa, HIV / Edzi, komanso kugwiritsa ntchito ma steroids kwakanthawi.

Zizindikiro zimasiyanasiyana ndipo zimadalira ziwalo zomwe zimakhudzidwa.

Ngati m'mapapu, zizindikilo zingaphatikizepo:

• Kupweteka pachifuwa mukamapuma (kumatha kuchitika modzidzimutsa kapena pang'onopang'ono)
• Kutsokomola magazi
• Malungo
• Kutuluka thukuta usiku
• Kuchepetsa thupi

Ngati muubongo, zizindikilo zimatha kuphatikiza:

• Malungo
• Mutu
• Kugwidwa
• Coma

Ngati khungu limakhudzidwa, zizindikilo zimatha kuphatikizira izi:

• Kuwonongeka kwa khungu komanso thirakitala (fistula)
• Zilonda zam'mimba zomwe zimakhala ndi matenda nthawi zina zimafalikira m'matenda am'mimba

Anthu ena omwe ali ndi matenda a nocardia alibe zisonyezo.

Wothandizira zaumoyo adzakufunsani ndikufunsani za matenda anu.

Matenda a Nocardia amapezeka pogwiritsa ntchito mayeso omwe amadziwika ndi mabakiteriya (banga la Gram, kusinthasintha kwa asidi kapena chikhalidwe). Mwachitsanzo, pa matenda m'mapapo, chikhalidwe cha sputum chitha kuchitidwa.

Kutengera gawo la thupi lomwe lili ndi kachilomboka, kuyesa kumatha kuphatikizira kutenga zitsanzo za minofu ndi:

• Chidziwitso cha ubongo
• Chifuwa chamapapo
• Khungu lakhungu

Muyenera kumwa maantibayotiki kwa miyezi 6 mpaka chaka kapena kupitilira apo. Mungafunike maantibayotiki angapo.

Opaleshoni itha kuchitidwa kukhetsa mafinya omwe asonkhanitsa pakhungu kapena m'matumbo (abscess).

Momwe mumakhalira bwino zimatengera thanzi lanu komanso ziwalo za thupi zomwe zikukhudzidwa. Matenda omwe amakhudza mbali zambiri za thupi ndi ovuta kuchiza, ndipo anthu ena sangathe kuchira.

Zovuta za matenda a nocardia zimadalira kuchuluka kwa thupi lomwe limakhudzidwa.

• Matenda ena am'mapapo amatha kupuma komanso kufupika kwakanthawi.
• Matenda apakhungu atha kubweretsa zipsera kapena kusokonekera.
• Zotupa zamaubongo zimatha kubweretsa kutayika kwa minyewa.

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za matendawa. Sizizindikiro zenizeni zomwe zimatha kukhala ndi zifukwa zina zambiri.

Nocardiosis

• Ma antibodies

Chen SC-A, Watts MR, Maddocks S, Sorrell TC. Nocardia zamoyo. 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 253.

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