Pehea e ʻike ai i ka Ganglionar Tuberculosis a pehea e mālama ai iā ia

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Pehea e loaʻa ai i ka maʻi puʻu ganglion
• Pehea e mālama ai i ka tuberculosis ganglion

Kuhi ʻia ʻo Ganglionic tuberculosis e ka maʻi o ke koʻohune Mycobacterium tuberculosis, kaulana kaulana ʻia ʻo bacillus o Koch, i ka ganglia o ka ʻāʻī, umauma, armpits a i ʻole ʻūlū, a emi pinepine i ka ʻāpana o ka ʻōpū.

ʻO kēia ʻano tuberculosis ka mea maʻa mau i nā mea maʻi me ka maʻi HIV a me nā wahine ma waena o nā makahiki he 20 a 40, he ʻokoʻa i ke ʻano pulmonary i ʻoi aku ka pinepine i nā kāne o ka ʻelemakule makahiki.

Me ka tuberculosis pleura, ʻo kēia ka ʻano maʻamau o ka tuberculosis keu-pulmonary, a hiki ke hiki ke mālama ʻia ke mālama ʻia me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo i kuhikuhi ʻia e ka pulmonologist.

Nā hōʻailona nui

ʻO nā ʻōuli o ka tuberculosis ganglionic he nonspecific, e like me ke kuni liʻiliʻi a me ka pohō kaumaha, hiki ke pale i ke kanaka mai ke ʻimi koke ʻana i ke kōkua lapaʻau. ʻO nā ʻōuli maʻamau ʻē aʻe:

• ʻO nā alelo pehu ma ka ʻāʻī, ʻāʻī, ʻāpana lima a i ʻole ke ʻūlū, maʻamau 3 cm akā hiki ke piʻi i 8-10 cm ke anawaena;
• Ka nele o ka ʻeha ma nā alelo;
• Paʻakī a paʻakikī e hoʻoneʻe i nā ʻōlelo;
• Hoʻoemi i ka makemake;
• Nui paha ka hou o ka hou i ka po;
• Ke kuni haʻahaʻa, a i 38º C, keu hoʻi i ka hopena o ka lā;
• Ka luhi nui loa.

I ke alo o kēia mau ʻōuli, he mea nui ka ʻimi ʻana i ke alakaʻi mai kahi pulmonologist a i ʻole ka mea hana maʻamau i hiki ke ʻike ʻia a hoʻomaka ʻia ka lāʻau antibiotic.

Hiki ke loli nā ʻōuli mai nā ganglia i hoʻopili ʻia, a me ka mokuʻāina o ka ʻōnaehana pale maʻi.

Pehea e hana ʻia ai ke kuhi

Hiki ke paʻakikī ke kuhi o ka maʻi pehu, ʻoiai ka maʻi e kumu ai i nā ʻōuli i hana ʻia e ka maʻi palū maʻalahi a i ʻole kekahi ʻano maʻi ʻē aʻe.

No laila, ma hope o ka loiloi ʻana i nā ʻōuli, hiki i ke kauka ke kauoha i kahi X-ray, e hōʻike ana ʻaʻole hoʻopili ʻia nā akemāmā, a me kahi hoʻokolohua microbiological e nānā ai i ke kū ʻana o nā bacteria, no kēia mea e ʻiʻini ʻia ka ganglion ʻeha a pehu hoʻi me kahi uku. kui kele a me nā mea i hoʻouna ʻia i ka hale hana.

Hoʻohui ʻia, kauoha ʻia paha nā hoʻokolohua ʻē aʻe e kōkua i ke kuhi, e like me ka helu ʻana o ke koko a me ka ana ʻana o PCR. ʻO ka manawa maʻamau mai ka hoʻomaka ʻana o nā ʻōuli i ka hōʻailona o ka extrapulmonary tuberculosis ʻokoʻa mai 1 a 2 mau mahina, akā hiki ke piʻi i 9 mau mahina.

Pehea e loaʻa ai i ka maʻi puʻu ganglion

I nā hihia o ka tuberculosis extrapulmonary, e like me ka tuberculosis ganglion, komo maʻamau ʻo Koch's bacillus i ke kino ma o nā alaloa, akā ʻaʻole i hoʻomoe ʻia i nā akemāmā, akā i nā ʻāpana ʻē aʻe o ke kino, e hōʻike ana i nā ʻano tuberculosis ʻokoʻa:

• ʻO Ganglion Tuberculosis, ʻo ia ka ʻano maʻamau o ka tuberculosis extrapulmonary a ʻike ʻia e ke komo ʻana o ka ganglia.
• ʻO ka maʻi maʻi Miliary, ʻo ia ka ʻano nui o ka maʻi kōpaʻa a kū i ka wā o ka Mycobacterium tuberculosis hiki i ke kahe o ke koko a hiki ke hele i nā ʻōpala like ʻole, e like me ka akemāmā, e hana ana i nā pilikia like ʻole;
• Bone Tuberculosis, kahi e noho ai ka bacteria i loko o nā iwi e hōʻeha ai i ka ʻeha a me ka mumū e keʻakeʻa ai i ka neʻe ʻana a makemake i ka wāwae o ka iwi iwi kūloko. E hoʻomaopopo hou aʻe e pili ana i ka iwi tuberculosis.

Hiki ke noho ka bacteri i loko o ka meaola hana ʻole no ka manawa lōʻihi a hiki i kekahi hanana, e like me ke koʻikoʻi, no ka laʻana, e alakaʻi ana i ka hōʻemi ʻana o ka ʻōnaehana pale, makemake i kāna hoʻolaha ʻana a, no laila, ka hōʻike o ka maʻi.

No laila, ʻo ke ala ʻoi loa e hōʻalo ai i ka tuberculosis ganglionic e hōʻalo i ka noho ʻana i nā wahi e noho ai nā poʻe ʻē aʻe me ka maʻi puʻupuʻu, keu hoʻi inā ua hoʻomaka ka lapaʻau ma mua o 15 mau lā ma mua.

Pehea e mālama ai i ka tuberculosis ganglion

Lawe ʻia ka mālama ʻana no ka tuberculosis ganglionic ma lalo o ke alakaʻi a kahi pulmonologist, mea hoʻomaʻi maʻi infectious a i ʻole ka mea hana maʻamau a hōʻike ʻia ka hoʻohana ʻana i nā lāʻau ʻaloʻalo no 6 mau mahina, a ma kekahi mau hihia e koi ʻia ka ʻoki ʻana e hoʻoneʻe i ka ganglion i hoʻāla ʻia.

ʻO nā lāʻau ʻaloʻalo maʻamau i hōʻike ʻia ʻo Rifampicin, Isoniazid, Pyrazinamide a me Ethambutol a pono e hana ʻia ka lāʻau e like me nā ʻōlelo kikoʻī a ke kauka, a ʻaʻole pono e hoʻōki ʻia, no ka mea he kumu ia no ke kūpaʻa ʻana o ke koʻokoʻo, hiki ke hoʻopilikia i ke ʻano, no ka mea ʻo nā antibiotic i ma mua o ka hana ʻana, ʻaʻole lākou e hana hou i ka bacteria, e paʻakikī ana e hakakā i ka maʻi.