Scrofula

Scrofula ndi matenda a chifuwa chachikulu cha ma lymph node m'khosi.

Scrofula nthawi zambiri imayambitsidwa ndi mabakiteriya Mycobacterium chifuwa chachikulu. Pali mitundu yambiri ya bakiteriya ya mycobacterium yomwe imayambitsa scrofula.

Scrofula nthawi zambiri imayamba chifukwa cha kupuma mumlengalenga komwe kuli ndi mabakiteriya a mycobacterium. Mabakiteriyawo amayenda kuchokera m'mapapu kupita kumatenda am'mitsempha.

Zizindikiro za scrofula ndi izi:

• Malungo (osowa)
• Kutupa kopanda ma lymph nodes m'khosi ndi madera ena amthupi
• Zilonda (zosowa)
• Kutuluka thukuta

Kuyesa kwa kupeza scrofula ndi monga:

• Chiwindi cha minofu yomwe yakhudzidwa
• X-ray pachifuwa
• Kujambula kwa CT kwa khosi
• Zikhalidwe kuti zitsimikizire ngati mabakiteriya ali mumitundu yotengedwa kuchokera ku ma lymph node
• Kuyezetsa magazi
• Kuyesa kwa PPD (komwe kumatchedwanso kuyesa kwa TB)
• Kuyesedwa kwina kwa chifuwa chachikulu (TB) kuphatikiza kuyesa magazi kuti muwone ngati mwapezeka ndi TB

Matenda akamayambitsidwa ndi Mycobacterium chifuwa chachikulu, Chithandizo nthawi zambiri chimakhudza miyezi 9 mpaka 12 ya maantibayotiki. Maantibayotiki angapo ayenera kugwiritsidwa ntchito nthawi imodzi. Maantibayotiki wamba a scrofula ndi awa:

• Ethambutol
• Isoniazid (INH)
• Pyrazinamide
• Rifampin

Ngati matenda amayamba chifukwa cha mtundu wina wa mycobacteria (womwe umakonda kupezeka mwa ana), chithandizo chimakhala ndi maantibayotiki monga:

• Rifampin
• Ethambutol
• Clarithromycin

Nthawi zina opaleshoni imagwiritsidwa ntchito koyamba. Zitha kuchitikanso ngati mankhwala sakugwira ntchito.

Ndi chithandizo, anthu nthawi zambiri amachira kwathunthu.

Zovuta izi zimatha kupezeka ndi matendawa:

• Kukhetsa zilonda m'khosi
• Zosokoneza

Itanani wothandizira zaumoyo wanu ngati inu kapena mwana wanu muli ndi kutupa kapena gulu lotupa m'khosi. Scrofula imatha kuchitika kwa ana omwe sanadziwitsidwe ndi munthu amene ali ndi chifuwa chachikulu.

Anthu omwe akumana ndi munthu yemwe ali ndi chifuwa chachikulu cha mapapo ayenera kuyezetsa PPD.

Chifuwa chachikulu adenitis; Chifuwa chachikulu cha chiberekero cha lymphadenitis; TB - scrofula

Pasternack MS, Swartz MN (Adasankhidwa) Lymphadenitis ndi lymphangitis. 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 97.

Wenig BM. Zotupa zopanda khosi m'khosi. Mu: Wenig BM, mkonzi. Atlas of Head and Neck Pathology. Wachitatu ed. Philadelphia, PA: Elsevier; 2016: chap 12.