Zimachitika bwanji kufalikira kwa chifuwa chachikulu
Zamkati
Matenda opatsirana ndi chifuwa chachikulu amachitika kudzera mlengalenga, mukamapuma mpweya woipitsidwa ndi bacillus wa Koch, zomwe zimayambitsa matendawa. Chifukwa chake, kufalikira ndi matendawa kumachitika pafupipafupi mukakhala pafupi ndi munthu yemwe ali ndi chifuwa chachikulu kapena mukalowa m'malo omwe munthu yemwe ali ndi matendawa adakhalako posachedwa.
Komabe, kuti bacillus yomwe imayambitsa matendawa ipezeke mlengalenga, munthu yemwe ali ndi chifuwa chachikulu cha m'mapapo kapena pakhosi ayenera kuyankhula, kuyetsemula kapena kutsokomola. Mwanjira ina, chifuwa chachikulu chimafalikira ndi anthu omwe ali ndi chifuwa chachikulu cham'mapapo, ndi mitundu ina yonse ya chifuwa chachikulu chowonjezera, monga miliary, fupa, matumbo kapena chifuwa cha ganglionic, mwachitsanzo, sichimafalikira kuchokera kwa munthu wina kupita kwa wina.
Njira yayikulu yopewera chifuwa chachikulu ndi katemera wa BCG, yemwe amayenera kuperekedwa ali mwana. Kuphatikiza apo, tikulimbikitsidwa kuti tisamakhale m'malo omwe muli anthu omwe akukayikira kuti ali ndi matenda, pokhapokha ngati mankhwalawa achitika moyenera kwa masiku opitilira 15. Kuti mumvetsetse chifuwa chachikulu ndi mitundu yake yayikulu, onani TB.
Momwe kufalitsa kumachitikira
Matenda opatsirana a chifuwa chachikulu amachitika kudzera mlengalenga, pomwe munthu amene watenga kachilomboka amatulutsa ma bacilli a Koch m'chilengedwe, kudzera kukhosomola, kuyetsemula kapena kuyankhula.
Bacillus wa Koch imatha kukhala mlengalenga kwa maola ambiri, makamaka ngati ndi yolimba komanso yopanda mpweya wabwino, monga chipinda chatsekedwa. Chifukwa chake, anthu omwe angatenge kachilomboka ndi omwe amakhala mdera limodzi ndi munthu yemwe ali ndi chifuwa chachikulu, monga kukhala chipinda chimodzi, kukhala m'nyumba imodzi kapena kugawana malo omwewo, mwachitsanzo. Dziwani momwe mungazindikire zizindikiro za munthu yemwe ali ndi chifuwa chachikulu.
Ndikofunika kukumbukira kuti munthu amene wapezeka ndi chifuwa chachikulu cha m'mapapo amasiya kufalitsa matendawa patatha masiku 15 kuchokera pomwe mankhwalawa amayamba ndi maantibayotiki ovomerezedwa ndi adotolo, koma izi zimangochitika ngati mankhwalawo akutsatiridwa mosamalitsa.
Zomwe sizimafalitsa chifuwa chachikulu
Ngakhale chifuwa chachikulu cha m'mapapo chimafalikira mosavuta, sichidutsa:
- Kugwirana chanza;
- Amagawana chakudya kapena chakumwa;
- Valani zovala za wodwala;
Kuphatikiza apo, kupsompsonana sikuyambitsanso matendawa, chifukwa kupezeka kwa katulutsidwe ka m'mapapo kumafunikira kunyamula bacillus wa Koch, zomwe sizichitika mkupsompsona.
Momwe mungapewere matendawa
Njira yofunika kwambiri komanso yothandiza kupewa matenda a chifuwa chachikulu ndikutenga katemera wa BCG, womwe umachitika m'mwezi woyamba wamoyo. Ngakhale katemerayu samapewa kuipitsidwa ndi bacillus wa Koch, amatha kupewa mitundu yayikulu yamatenda, monga TB ya miliary kapena meningeal. Onani nthawi yomwe mungatenge komanso momwe katemera wa chifuwa chachikulu cha BCG amagwirira ntchito.
Kuphatikiza apo, tikulimbikitsidwa kuti tipewe kukhala m'malo omwewo anthu omwe ali ndi chifuwa chachikulu cham'mapapo, makamaka ngati simunayambe mankhwala. Ngati sizingatheke kupewa, makamaka anthu omwe amagwira ntchito m'malo azachipatala kapena othandizira, ndikofunikira kugwiritsa ntchito zida zodzitetezera, monga chigoba cha N95.
Kuphatikiza apo, kwa iwo omwe amakhala ndi anthu omwe ali ndi kachilombo ka TB, adotolo angavomereze chithandizo chodzitetezera, ndi mankhwala a Isoniazid, ngati chiwopsezo chachikulu chokhala ndi matendawa chadziwika, ndipo chatsutsidwa ndi mayeso monga Radio-x kapena PPD.