Kodi Chifuwa Chamtundu wa Pleural, Chimafalikira Motani ndi Momwe Mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe matenda opatsirana amachitikira
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Kodi chifuwa chachikulu cha TB chimachiritsidwa?

Matenda a chifuwa chachikulu ndi matenda a pleura, omwe ndi filimu yopyapyala yomwe imayendetsa m'mapapu, ndi bacillus ya Koch, kuchititsa zizindikiro monga kupweteka pachifuwa, chifuwa, kupuma movutikira ndi malungo.

Ichi ndi chimodzi mwazofala kwambiri za chifuwa chachikulu cha m'mapapo mwanga, ndiye kuti, chimawoneka kunja kwa mapapo, monga fupa, khosi, ganglia kapena impso, kukhala chinthu chofala kwambiri kwa anthu omwe ali ndi chitetezo chofooka, monga anthu omwe ali ndi Edzi, khansa kapena kugwiritsa ntchito corticosteroids, mwachitsanzo. Phunzirani zambiri za zomwe zili komanso momwe mungadziwire chifuwa chachikulu cha mapapo.

Pofuna kuchiritsa chifuwa chachikulu, pulmonologist, kapena kachilomboka, nthawi zambiri amawonetsa nthawi ya chithandizo, ya miyezi isanu ndi umodzi, ndi mankhwala anayi a maantibayotiki, omwe ndi Rifampicin, Isoniazid, Pyrazinamide ndi Ethambutol.

Zizindikiro zazikulu

Zizindikiro za chifuwa chachikulu cha chifuwa chachikulu ndi:

• Chifuwa chowuma;
• Kupweteka pachifuwa, komwe kumakhalapo panthawi yopuma;
• Malungo;
• Kuchuluka thukuta usiku;
• Kupuma kovuta;
• Kuzonda popanda chifukwa chomveka;
• Malaise;
• Kutaya njala.

Kawirikawiri, chizindikiro choyamba chomwe chimaperekedwa ndi chifuwa, chomwe chimatsagana ndi kupweteka pang'ono pachifuwa. Pakadutsa maola ochepa, zizindikilo zina zimakhazikika ndikuipiraipira, kufikira munthuyo atavutika kupuma komanso kupuma movutikira.

Nthawi zonse pakaganiziridwa za vuto la m'mapapo, ndikofunikira kwambiri kupita kuchipatala kapena kukaonana ndi m'mapapo kuti ayambe kulandira chithandizo mwachangu ndikupewa zovuta zomwe zingachitike.

Momwe matenda opatsirana amachitikira

Matenda a chifuwa chachikulu samapatsirana, monga bacillus wa Koch sichipezeka m'mitsempha yam'mapapo ndipo sichifalikira mosavuta kudzera mukuyetsemula kapena kutsokomola. Chifukwa chake, aliyense amene angapeze chifuwa chachikulu choterechi amafunika kuyipitsidwa ndi anthu omwe ali ndi chifuwa chachikulu cha m'mapapo, omwe akamatsokomola, amafalitsa mabakiteriya ambiri m'chilengedwe.

Kenako, tizilombo timafikira ku pleura titafalikira kudzera m'magazi kapena kuchokera kuzilonda zopangidwa m'mapapu. Anthu ena amathanso kukhala ndi chifuwa chachikulu cha TB ngati vuto la chifuwa cham'mapapo, mwachitsanzo.

Momwe mungatsimikizire matendawa

Kuti adziwe kuti ali ndi chifuwa chachikulu cha TB, kuwonjezera pakuwunika zizindikiritso za munthuyo, dokotala amathanso kuyitanitsa mayeso, monga:

• Kufufuza kwa madzi am'mapapo, kuti azindikire michere yomwe ilipo, monga lysozyme ndi ADA;
• X-ray pachifuwa;
• Kufufuza kwa sputum kwa chifuwa chachikulu cha bacillus kafukufuku (BAAR);
• Kuyesa kwa Mantoux, komwe kumadziwikanso kuti kuyezetsa khungu la tuberculin kapena PPD. Mvetsetsani momwe zimachitikira komanso nthawi yomwe akuwonetsedwa;
• Bronchoscopy.

X-ray pachifuwa imatha kuwonetsa zotupa mu pleura, monga kukhathamiritsa kapena kuwerengera, kapena kuphatikizika kwamaphunziro, kotchedwanso madzi m'mapapu, omwe nthawi zambiri amakhudza m'mapapu amodzi okha. Mvetsetsani bwino chomwe chiri ndi zina zomwe zingayambitse kuphulika kwachisangalalo.

Momwe mankhwalawa amachitikira

Matenda a chifuwa chachikulu amatha kuchiritsidwa mwadzidzidzi nthawi zina, ngakhale popanda chithandizo, komabe, chithandizo chamankhwala chimachitika ndikamagwiritsa ntchito maantibayotiki 4 otchedwa Rifampicin, Isoniazid, Pyrazinamide ndi Ethambutol.

Malungo amatha kutha m'masabata awiri, koma amatha kupitilira milungu isanu ndi umodzi kapena isanu ndi itatu, ndipo kuponyedwa m'mapapo kumatha pafupifupi milungu isanu ndi umodzi, koma kumatha kupitilira miyezi itatu kapena inayi.

Mwambiri, wodwalayo akuwonetsa kusintha kwakukulu m'masiku 15 oyamba a chithandizo, koma ndikofunikira kumwa mankhwala omwe adalangizidwa ndi dokotala ngakhale kuti palibe zizindikiro, chifukwa bacillus imatenga nthawi yayitali kuti ichotsedwe mthupi. Dziwani zambiri za njira zochizira TB.

Kodi chifuwa chachikulu cha TB chimachiritsidwa?

Matenda a chifuwa chachikulu ali ndi mwayi wokwanira kuchiritsa 100%. Komabe, ngati mankhwalawa sakuchitidwa moyenera, pakhoza kukhala zovuta zina monga kukula kwa chifuwa chachikulu kumadera ena a thupi.