Matenda amphaka

Matenda opatsirana ndi matenda omwe amapezeka ndi mabakiteriya a bartonella omwe amakhulupirira kuti amafalikira chifukwa cha zilonda zamphaka, kuluma kwa mphaka, kapena kulumidwa ndi utitiri.

Matenda amphaka amayamba chifukwa cha bakiteriyaBartonella henselae. Matendawa amafalikira kudzera kukumana ndi mphaka yemwe ali ndi kachilomboka (kuluma kapena kukanda) kapena kupezeka ndi utitiri wa mphaka. Ikhozanso kufalikira kudzera mwa kukhudzana ndi malovu amphaka pakhungu losweka kapena malo am'mimba ngati omwe ali pamphuno, mkamwa, ndi maso.

Munthu amene adalumikizana ndi mphaka yemwe ali ndi kachilombo amatha kuwonetsa zizindikilo, kuphatikizapo:

• Bump (papule) kapena blister (pustule) pamalo ovulala (nthawi zambiri chizindikiro choyamba)
• Kutopa
• Fever (mwa anthu ena)
• Mutu
• Kutupa kwamatenda am'mimba (lymphadenopathy) pafupi ndi pomwe pamakhalapo kapena kuluma
• Zovuta zonse (malaise)

Zizindikiro zochepa zomwe zingaphatikizepo zimaphatikizapo:

• Kutaya njala
• Chikhure
• Kuchepetsa thupi

Ngati muli ndi ma lymph node otupa komanso kukanda kapena kuluma kwa mphaka, omwe amakuthandizani pa zaumoyo angaganize kuti matenda amphaka amayamba.

Kuwunika kwakuthupi kumathanso kuwonetsa ntchafu zokulitsidwa.

Nthawi zina, ma lymph node omwe ali ndi kachilombo amatha kupanga ngalande (fistula) kudzera pakhungu ndikutulutsa (kutulutsa madzi).

Nthawi zambiri matendawa sapezeka chifukwa ndi ovuta kuwazindikira. Pulogalamu ya Bartonella henselaekuyezetsa magazi (IFA) ndi njira yolondola yozindikira matenda omwe amayambitsidwa ndi mabakiteriyawa. Zotsatira za kuyesaku ziyenera kulingaliridwa limodzi ndi zambiri kuchokera ku mbiri yanu ya zamankhwala, kuyesa kwa labu, kapena biopsy.

Lymph node biopsy itha kuchitidwanso kuti ifufuze zifukwa zina zotupa zotupa.

Nthawi zambiri, matenda amphaka siowopsa. Chithandizo chamankhwala sichingakhale chofunikira. Nthawi zina, chithandizo chamankhwala opha tizilombo monga azithromycin chitha kukhala chothandiza. Maantibayotiki ena atha kugwiritsidwa ntchito, kuphatikiza clarithromycin, rifampin, trimethoprim-sulfamethoxazole, kapena ciprofloxacin.

Mwa anthu omwe ali ndi HIV / AIDS ndi ena, omwe ali ndi chitetezo chamthupi chofooka, matenda opatsirana amphaka amakhala owopsa. Chithandizo cha maantibayotiki ndichofunika.

Anthu omwe ali ndi chitetezo chamthupi choyenera ayenera kuchira popanda chithandizo. Kwa anthu omwe ali ndi chitetezo chamthupi chofooka, chithandizo chamankhwala opha tizilombo nthawi zambiri chimapangitsa kuti achire.

Anthu omwe chitetezo chamthupi chawo chafooka amatha kukhala ndi zovuta monga:

• Encephalopathy (kutayika kwa ubongo)
• Neuroretinitis (kutupa kwa diso ndi mitsempha ya diso)
• Osteomyelitis (matenda amfupa)
• Matenda a Parinaud (diso lofiira, lokwiyitsa, komanso lopweteka)

Itanani omwe akukuthandizani ngati mwawonjezera ma lymph node ndipo mwakumana ndi paka.

Kupewa matenda amphaka:

• Sambani m'manja ndi sopo mutatha kusewera ndi mphaka wanu. Makamaka sambani kuluma kapena kukanda kulikonse.
• Sewerani pang'ono ndi amphaka kuti asakande ndi kuluma.
• Musalole kuti mphaka anyambire khungu lanu, maso, pakamwa, kapena mabala otseguka kapena zokanda.
• Gwiritsani ntchito njira zowongolera utoto kuti mphaka wanu utenge matendawa.
• Osamagwira amphaka amphaka.

CSD; Malungo amphaka; Bartonellosis

• Matenda a mphaka
• Ma antibodies

Pewani JM, Raoult D. Bartonella matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 299.

Rose SR, Koehler JE. Bartonella, kuphatikizapo matenda amphaka. 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 234.