He aha ka Scrofula?

Anter

• Nā kiʻi o scrofula
• He aha nā hōʻailona?
• He aha ke kumu o kēia?
• Nā kumu weliweli
• Pehea ia ʻike?
• Nā koho lapaʻau
• Nā pilikia i hiki
• He aha ke kuanaʻike?

Wehewehe

ʻO Scrofula kahi kūlana i loaʻa i nā koʻohune ke kumu i ka tuberculosis i nā ʻōuli ma waho o nā akemāmā. Lawe pinepine kēia i ke ʻano o nā lymph node i hoʻonāukiuki a hoʻonāukiuki ʻia i ka ʻāʻī.

Kāhea pū nā kauka iā scrofula "lymphadenitis maʻi palapū":

• ʻO Cer serve pili i ka ʻāʻī.
• ʻO Lymphadenitis e pili ana i ka mumū i nā lymph node, kahi ʻāpana o ke kino pale.

ʻO Scrofula ka maʻa maʻamau o ka maʻi tuberculosis i kū ma waho o nā akemāmā.

ʻO ka mōʻaukala, ua kapa ʻia ʻo scrofula ka "ʻino a ke aliʻi." A hiki i ke kenekulia 18, ua manaʻo nā kauka ʻo ke ala wale nō e hōʻola ai i ka maʻi e hoʻopili ʻia e kekahi lālā o ka ʻohana aliʻi.

ʻO ka mea pōmaikaʻi, ua ʻike nui nā kauka i kēia manawa e pili ana pehea e ʻike ai, diagnose, a mālama i kēia ʻano.

Nā kiʻi o scrofula

He aha nā hōʻailona?

Hoʻokumu pinepine ʻo Scrofula i ka pehu a me nā leona ma ka ʻaoʻao o ka ʻāʻī. ʻO kēia ka maʻa mau o kahi lymph node pona a i ʻole nā ​​piko e like paha me kahi nodule liʻiliʻi a puni. ʻAʻole palupalu a mahana paha ka nodule i ka pā. E hoʻomaka paha ka liona e nui a hiki i ka hoʻopau ʻana i ka pus a i ʻole ka wai ʻē aʻe ma hope o kekahi mau pule.

Ma waho o kēia mau hōʻailona, ​​hiki i kahi kanaka me scrofula ke ʻike:

• fiva
• malaise a i ʻole ka manaʻo maʻamau no ka maikaʻi ʻole
• puhū pō
• lilo kaumaha maopopo ʻole

ʻOi aku ka liʻiliʻi o ka Scrofula i nā lāhui hana ʻaʻole kahi maʻi maʻi maʻi maʻamau i ka tuberculosis. Hōʻike ʻo Scrofula i ka 10 pakeneka o nā maʻi tuberculosis i hōʻike ʻia e nā kauka i United States. Tuberculosis i nā lāhui nonindustrialized.

He aha ke kumu o kēia?

Mycobacterium tuberculosis, he koʻohune, ʻo ia ke kumu maʻamau o ka scrofula i nā mākua. Eia naʻe, ʻO Mycobacterium avium intracellulare hiki i ke kumu scrofula i ka hapa iki o nā hihia.

I nā keiki, ʻoi aku ka nui o nā kumu bacteria nontuberculosis. Hiki i nā keiki ke ʻaelike i ke ʻano mai ka waiho ʻana i nā mea haumia i ko lākou waha.

Nā kumu weliweli

ʻOi aku ka makaʻu o ka scrofula i ka poʻe immunocompromised. ʻO Scrofula nā helu no nā hihia āpau o ka tuberculosis i ka poʻe immunocompromised ma United States.

No kekahi mea i pale ʻia i ke ʻano immunocompromised ma muli o ke kumu ma lalo a i ʻole ka lāʻau, ʻaʻohe o ko lākou kino nā pūnaewele ʻōnaehana pale, ʻo ia hoʻi nā pūnaewele T, e kaua aku i nā maʻi. ʻO ka hopena, ʻoi aku ka maʻalahi o lākou i ka loaʻa ʻana o ke ʻano.

ʻO ka poʻe me ka poʻe HIV e pili ana i nā lāʻau antiretroviral e ʻike i ka nui o nā pane hoʻoweliweli i nā koʻohune tuberculosis.

Pehea ia ʻike?

Inā kānalua ke kauka he hiki i ka maʻi bacteria tuberculosis ke kumu i kou nui o ka ʻāʻī, hana pinepine lākou i kahi hoʻokolohua i ʻike ʻia ma ke ʻano he protein derivative (PPD) i hoʻomaʻemaʻe ʻia. Pili kēia hōʻike i ke komo ʻana i kahi liʻiliʻi o PPD ma lalo o ka ʻili.

Inā loaʻa ʻoe i nā koʻohune tuberculosis i loko o kou kino, ʻike ʻoe i kahi induction (kahi i hoʻokiʻekiʻe ʻia o ka ʻili he mau mile ka nui o ka nui). Eia naʻe, no ka mea hiki i nā bacteria ʻē aʻe ke kumu i ka scrofula, ʻaʻole kēia he hōʻike he 100 pākēneka definitive.

Hoʻomaopopo pinepine nā kauka i ka scrofula ma o ka lawe ʻana i kahi biopsy o ka wai a me nā mea i loko o ka wahi i ʻā ʻia a i ʻole nā ​​wahi a puni ka ʻāʻī. ʻO ke ala maʻamau ka biopsy maikaʻi o ka nila. Hoʻopili kēia i nā hana me ka mālama ʻole i ka hoʻolaha ʻana i nā koʻohune i nā wahi a puni.

E kauoha mua paha ke kauka i kekahi mau kiʻi paʻi kiʻi, e like me kahi X-ray, e hoʻoholo ai i ka pili o ka nui a i ʻole nā ​​lehulehu i ka ʻāʻī a inā like lākou me nā hihia scrofula ʻē aʻe. I kekahi manawa, i ka wā mua, hiki i ke kauka ke kuhi hewa i ka scrofula ma ke ʻano he ʻāʻī kanesa.

ʻAʻole i loaʻa nā hoʻokolohua koko kikoʻī e hōʻoia i ka scrofula. Eia nō naʻe, kauoha paha kāu kauka i nā hoʻokolohua koko, e like me nā titers ʻoki a me nā hoʻokolohua HIV, e kāpae i nā kūlana ʻē aʻe.

Nā koho lapaʻau

He maʻi nui loa ʻo Scrofula a hiki ke koi i ka mālama ʻana i loko o kekahi mau mahina. Kau pinepine kahi kauka i nā lāʻau antibiotic no ʻeono mahina a ʻoi paha. No nā malama ʻelua mua o ka mālama ʻana, lawe pinepine ka poʻe i nā lāʻau ʻino he nui, e like me:

• isoniazid
• rifampin
• ʻemambutol

Ma hope o kēia manawa, lawe lākou i isoniazid a me rifampin no ʻehā mau mahina hou aʻe.

I ka wā o ka hoʻomaʻamaʻa, ʻaʻole ia he mea maʻamau no ka piʻi ʻana o nā lymph node a i ʻole no ka ʻike hou ʻia nā lymph node hou. ʻIke ʻia kēia ma ke ʻano he "paradoxical upgrading react." He mea nui e pili pū me ka lāʻau ʻoiai inā kū kēia.

I kekahi manawa kauoha paha nā kauka i nā steroid oral, hiki ke kōkua i ka hōʻemi ʻana i ka mumū i nā lehelehe scrofula.

Paipai paha ke kauka i ka ʻoki ʻana i ka ʻāʻī a i ʻole ka nui o ka ʻāʻī ma hope o ka mālama ʻana me nā lāʻau ʻaloʻolika. Eia naʻe, ʻaʻole mālama pinepine ʻia ka nuipa a hiki i ka wā ʻaʻole i loaʻa ka bacteria. Inā ʻole, hiki i nā koʻohune ke hana i kahi fistula, kahi puka i hoʻopili ʻia ma waena o ka pona lymph i loaʻa a me ke kino. Hiki i kēia hopena ke kumu i nā ʻōuli ʻino.

Nā pilikia i hiki

o ka poʻe i loaʻa ka scrofula i ka maʻi kahe i ko lākou mau māmā. Hiki paha i ka scrofula ke hoʻolaha ma ʻō aku o ka ʻāʻī a hoʻopili i nā wahi ʻē aʻe o ke kino.

Eia kekahi, hiki i ke kanaka ke ʻike i kahi maʻi mau, e hoʻokahe i ka ʻeha hāmama mai ka ʻāʻī. Hiki i kēia ʻeha hāmama ke ʻae i nā ʻano bacteria ʻē aʻe i loko o ke kino, kahi e hiki ai i nā maʻi ʻino hou aʻe.

He aha ke kuanaʻike?

Me nā lāʻau antibiotic, maikaʻi loa nā helu hoʻōla no scrofula, ma kahi o 89 a 94 pakeneka. Inā manaʻo ʻoe hiki iā ʻoe ke loaʻa i ka maʻi puʻupuʻu a i ʻole he mau ʻōuli paha ʻoe o ka scrofula, e ʻike i kāu kauka no ka hoʻāʻo ʻili tuberculosis. Loaʻa pū kekahi i kēia ma nā keʻena olakino kūlanakauhale a me kalana ma ke ʻano he ala wikiwiki a haʻahaʻa hoʻi e ʻike ai i ka maʻi kō.