Scrofula

ʻO Scrofula kahi maʻi tuberculosis o nā lymph node i ka ʻāʻī.

Hoʻokumu pinepine ʻia ʻo Scrofula e ka bacteria Mycobacterium tuberculosis. Aia kekahi mau ʻano ʻē aʻe o ka bacteria mycobacterium i kumu i ka scrofula.

Hoʻokumu pinepine ʻia ʻo Scrofula e ka hanu ʻana i ka ea i haumia me nā bacteria mycobacterium. Hele ka bacteria mai nā māmā a i nā lymph node i ka ʻāʻī.

Nā ʻōuli o scrofula:

• Fevers (pohihihi)
• ʻO ka pehu ʻole o nā lymph node ma ka ʻāʻī a me nā wahi ʻē aʻe o ke kino
• Sores (pohihihi)
• Hoʻoulu

ʻO nā hoʻokolohua e kuhikuhi ai i ka scrofula:

• ʻO Biopsy o nā mea i hoʻopili ʻia
• Nā kukui uila
• CT scan o ka ʻāʻī
• Nā moʻomeheu e nānā no nā koʻohune i loko o nā kiko kiko i lawe ʻia mai nā lymph node
• Hōʻike koko HIV
• Hōʻike PPD (i kapa ʻia he hōʻike TB)
• Nā hoʻāʻo ʻē aʻe no ka tuberculosis (TB) me nā hoʻāʻo ʻana o ke koko e ʻike inā ʻike ʻia ʻoe i ka TB

Ke hoʻokumu ʻia ka maʻi maʻi e Mycobacterium tuberculosis, ʻo ka hana maʻamau me 9 a 12 mau mahina o nā antibiotic. Pono e hoʻohana i kekahi mau antibiotic i ka manawa hoʻokahi. ʻO nā antibiotic maʻamau no scrofula e:

• ʻO Ethambutol
• Isoniazid (INH)
• ʻO Pyrazinamide
• Rifampin

Ke hoʻokumu ʻia ka maʻi e kekahi ʻano mycobacteria (e ulu pinepine ʻia i nā keiki), pili pinepine ka mālama ʻana i nā lāʻau antibiotic e like me:

• Rifampin
• ʻO Ethambutol
• ʻO Clarithromycin

Hoʻohana mua ʻia ke ʻoki kino. E hana ʻia paha inā ʻaʻole holo nā lāʻau.

Me ka mālama ʻana, hana pinepine ka poʻe i kahi ola piha.

Hiki ke hana i kēia mau pilikia mai kēia maʻi:

• Kahe ʻana o ka ʻeha ma ka ʻāʻī
• Scarring

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe a ʻo kāu keiki paha ka pehu ʻana a i ʻole ka hui o ka ʻōhū o ka ʻāʻī. Hiki i ka Scrofula ke hana i nā keiki i hōʻike ʻole ʻia i kekahi me ka maʻi pehu.

ʻO ka poʻe i hōʻike ʻia i kekahi me ka maʻi puʻupuʻu o nā akepau e loaʻa kahi hōʻike PPD.

Adenitis puʻupuʻu; Lymphadenitis ʻeha maʻi puʻupuʻu; TB - scrofula

Pasternack MS, Swartz MN. Lymphadenitis a me lymphangitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 97.

ʻO Wenig BM. Nā leona neoplastic ʻole o ka ʻāʻī. I: Wenig BM, hoʻoponopono. Nā Atlas o ke poʻo a me ka neck pathology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2016: chap 12.