Kodi TB imachiritsidwa bwanji?

Zamkati

• 1. TB ya makanda
• 2. TB yogwira
• Momwe mungagwiritsire ntchito vitamini D kuti mwachangu chithandizo
• Zotsatira zoyipa zamankhwala
• Zizindikiro zakusintha
• Zizindikiro zakukula

Chithandizo cha chifuwa chachikulu chimachitika ndi mankhwala opha tizilombo, monga Isoniazid ndi Rifampicin, omwe amachotsa mabakiteriya omwe amayambitsa matendawa mthupi. Popeza bakiteriya imagonjetsedwa, ndikofunikira kulandira chithandizo kwa miyezi isanu ndi umodzi, ngakhale nthawi zina, imatha kukhala pakati pa miyezi 18 mpaka zaka ziwiri mpaka kuchira kwathunthu.

Matenda osavuta kuchiza ndi a chifuwa chachikulu cha TB, ndiye kuti, mabakiteriya ali mthupi koma ali mtulo, osayambitsa zisonyezo, ndipo sangapatsidwe. Matenda a TB, ndiye kuti ndi ovuta kuchiza, chifukwa chake, chithandizo chitha kutenga nthawi yayitali ndipo pangafunike kumwa maantibayotiki angapo kuti akwaniritse.

Chifukwa chake, mankhwala omwe amagwiritsidwa ntchito pochiritsira amasiyana malinga ndi msinkhu wa wodwalayo, thanzi lake komanso mtundu wa chifuwa chachikulu, motero, amafunika kuwonetsedwa ndi dokotala. Komabe, zithandizo zapakhomo zitha kukhala zothandiza kuthandizira chithandizocho. Onani zithandizo zabwino kwambiri zapakhomo za chifuwa chachikulu.

1. TB ya makanda

Pali mankhwala atatu omwe amagwiritsidwa ntchito kwambiri pochiza chifuwa chachikulu ichi, chomwe chimaphatikizapo Isoniazid, Rifampicin ndi Rifapentine. Dokotala nthawi zambiri amapereka mankhwala amodzi okhawo, omwe ayenera kugwiritsidwa ntchito kwa miyezi 6 mpaka 9 mpaka mabakiteriya atathetsedwa ndipo zotsatira zake zimatsimikiziridwa ndikuyesa magazi.

Ngakhale mabakiteriya akugona, ndikofunikira kwambiri kuchiza TB yaposachedwa chifukwa matendawa amatha kugwira ntchito nthawi iliyonse ndipo ndi ovuta kuchiza.

2. TB yogwira

Pomwe pali chifuwa chachikulu cha TB, kuchuluka kwa mabakiteriya kumakhala kwakukulu kwambiri motero, chitetezo cha mthupi sichitha kulimbana ndi matendawa okha, chifukwa chofunikira kugwiritsa ntchito maantibayotiki angapo kwa miyezi yopitilira 6. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Isoniazid;
• Rifampicin;
• Ethambutol;
• Pyrazinamide.

Chithandizo chikuyenera kupitilizidwa ngakhale zizindikiro zitasowa, kuwonetsetsa kuti mabakiteriya atha. Chifukwa chake, ndikofunikira kulemekeza nthawi yayitali yamankhwala yomwe adokotala awonetsa, ndipo mankhwalawo ayenera kumwa tsiku lililonse, nthawi zonse nthawi yomweyo mpaka dokotala atanena kuti akhoza kusiya.

Mukamachiza chifuwa chachikulu cha m'mapapo mwanga, chomwe chimachitika matendawa ali m'mapapu, ndikofunikira kwambiri kusamala mukamalandira chithandizo, monga kukhala kunyumba, kupewa kuyanjana ndi anthu ena ndikutseka pakamwa panu mukatsokomola kapena mukuyetsemula, chifukwa Mwachitsanzo, kupewa kufalikira kwa matendawa, makamaka mkati mwa milungu iwiri kapena itatu yoyamba.

Momwe mungagwiritsire ntchito vitamini D kuti mwachangu chithandizo

Vitamini D ndi imodzi mwazithandizo zoyambirira kugwiritsidwa ntchito kuchiritsa chifuwa chachikulu asanayambe kupezeka maantibayotiki ochizira matendawa. M'mbuyomu, odwala omwe anali ndi chifuwa chachikulu anali ndi kuwala kwa dzuwa ndipo, ngakhale chifukwa chomwe kuwala kwa dzuwa kunkagwirira ntchito sikunadziwike, odwala ambiri anali bwino.

Pakadali pano, vitamini D amadziwika kuti chitetezo chamthupi chofunikira chomwe chimathandizira maselo oteteza kuti athetse zomanga thupi zoyipa ndikupanga mapuloteni ambiri omwe amathandiziratu kuthana ndi mabakiteriya, monga omwe amayambitsa chifuwa chachikulu.

Chifukwa chake, kukonza chithandizo kapena kupewa matenda a chifuwa chachikulu, tikulimbikitsidwa kuwonjezera mavitamini D mthupi mwa kudya zakudya zokhala ndi vitamini D komanso kuwonekera padzuwa ndi zoteteza ku dzuwa zokwanira komanso kunja kwa nthawi zowopsa kwambiri.

Zotsatira zoyipa zamankhwala

Zotsatira zoyipa zochizira matendawa ndizochepa, komabe, popeza maantibayotiki akhala akugwiritsidwa ntchito kwanthawi yayitali, zovuta monga:

• Nseru, kusanza ndi kutsegula m'mimba pafupipafupi;
• Kutaya njala;
• Khungu lachikasu;
• Mkodzo wamdima;
• Malungo pamwamba pa 38º C.

Ngati zovuta zikuwoneka, ndibwino kuti mudziwe dokotala yemwe adamupatsa mankhwalawo, kuti awone ngati kuli kofunikira kusintha mankhwalawo kapena kusintha mankhwalawo.

Zizindikiro zakusintha

Zizindikiro zakusintha kwa chifuwa chachikulu zimapezeka patatha milungu iwiri kuchokera pomwe mankhwala adayamba ndikuphatikizanso kutopa, kutha kwa malungo komanso kupumula kwa minofu.

Zizindikiro zakukula

Zizindikiro zakukula zimachulukirachulukira ngati chithandizo sichinayambike munthawi yake, makamaka ngati pali chifuwa chachikulu chomwe wodwalayo sakudziwa kuti ali ndi kachilomboka, ndikuphatikizanso kuyamba kwa malungo pamwamba pa 38º C, malaise, thukuta usiku ndi minofu yopweteka .

Kuphatikiza apo, kutengera dera lomwe lakhudzidwa, zizindikilo zowoneka bwino monga kutsokomola kwamagazi, kutupa kwa dera lomwe lakhudzidwa kapena kuwonda kumawonekeranso.