Pneumocystosis ndi chithandizo chotani?
Zamkati
Pneumocystosis ndi matenda opatsirana omwe amapezeka chifukwa cha bowa Pneumocystis jirovecii, yomwe imafikira m'mapapu ndikupangitsa kuvuta kupuma, kutsokomola komanso kuzizira, mwachitsanzo.
Matendawa amawerengedwa kuti ndi mwayi wabwino chifukwa nthawi zambiri amachitika mwa anthu omwe ali ndi chitetezo chamthupi, monga omwe ali ndi Edzi, omwe adamuika kapena omwe amalandira chemotherapy, mwachitsanzo.
Chithandizo cha pneumocystosis chimachitika malinga ndi malingaliro a pulmonologist, ndipo kugwiritsa ntchito mankhwala opha tizilombo nthawi zambiri kumawonetsedwa pafupifupi milungu itatu.
Zizindikiro zazikulu
Zizindikiro za pneumocystosis sizodziwika bwino, zomwe zimatha kusokoneza matenda ena am'mapapo. Zizindikiro zazikulu za matendawa ndi awa:
- Malungo;
- Chifuwa chowuma;
- Kupuma kovuta;
- Kuzizira;
- Kupweteka pachifuwa;
- Kutopa kwambiri.
Zizindikiro za pneumocystosis nthawi zambiri zimasinthika mwachangu ndipo zimapitilira milungu yopitilira 2, chifukwa chake ndikofunikira kufunsa dokotala kapena pulmonologist kuti kuyezetsa kuchitike ndikupeza matenda.
Kuzindikira kwa pneumocystosis
Kuzindikira kwa pneumocystosis kumapangidwa ndi dokotala kutengera zotsatira za chifuwa cha X-ray, bronchoalveolar lavage ndi bronchoscopy, momwe kusintha kwa minofu ya m'mapapo ndi kulowa m'mapapo kumawonekera, ndikuwonetsa pneumocystosis. Kuphatikiza apo, adotolo amalimbikitsanso kusonkhanitsa sputum, mwachitsanzo, kuti kupezeka kwa bowa kuyang'anitsidwe pang'ono, popeza sikukula mchikhalidwe choyenera cha bowa.
Pofuna kuthandizira kupeza matenda a pneumocystosis, adotolo amalimbikitsa kuchuluka kwa enzyme ya Lactate Dehydrogenase (LDH), yomwe imakwezedwa panthawiyi, ndi mpweya wamagazi wamagazi, womwe ndi mayeso omwe amayesa momwe mapapu amagwirira ntchito, kuphatikiza kuchuluka kwa m'magazi, omwe amati ndi pneumocystosis amakhala otsika. Mvetsetsani momwe mpweya wamagazi wamagazi ulili komanso momwe amachitikira.
Momwe mankhwalawa amachitikira
Chithandizo cha pneumocystosis cholimbikitsidwa ndi dokotala kapena pulmonologist chimaphatikizapo kugwiritsa ntchito maantimicrobials, kugwiritsa ntchito Sulfamethoxazole-Trimethoprim nthawi zambiri amawonetsedwa, pakamwa kapena kudzera m'mitsempha, pafupifupi milungu itatu.
Komabe, ngati mankhwalawa sangapangitse kuti wodwalayo apite patsogolo, adotolo amatha kusankha njira yachiwiri yothandizira, yomwe imachitika ndi mankhwala ena ophera tizilombo, Pentamidine, yomwe imagwiritsidwa ntchito kudzera m'mitsempha ndipo imawonetsedwa kwamasabata atatu.
Ndikofunikira kuti chithandizo chomwe dokotala akuwonetsa chikutsatiridwa molingana ndi malingaliro ake kuti bowa lisakule ndikusokoneza chitetezo chamthupi cha wodwalayo, zomwe zimabweretsa zovuta ngakhale kufa.