Pulmonary nocardiosis

Pulmonary nocardiosis chirwere chemapapu nehutachiona, Nocardia asteroides.

Nocardia hutachiona hunokura kana iwe uchifema mu (inhale) mabhakitiriya. Hutachiona hunokonzera mabayo-kunge zviratidzo. Utachiona hunogona kupararira kune chero chikamu chemuviri.

Vanhu vane immune system isina kusimba vari panjodzi huru yekutapukirwa nocardia. Izvi zvinosanganisira vanhu vane:

• Wakatora steroid kana mimwe mishonga inoderedza immune system kwenguva yakareba
• Cushing chirwere
• Nhengo yekuisa
• HIV / AIDS
• Lymphoma

Vamwe vanhu vari panjodzi vanosanganisira avo vane kwenguva refu (chisingaperi) matambudziko emapapu ane chekuita nekusvuta, emphysema, kana tibhii.

Pulmonary nocardiosis inonyanya kukanganisa mapapu. Asi, inogona zvakare kupararira kune dzimwe nhengo mumuviri. Zviratidzo zvakajairika zvinogona kusanganisira:

MUVIRI WOSE

• Fivhiri (inouya yoenda)
• Kazhinji kurwara kunzwa (malaise)
• Night sweats

GASTROINTESTINAL SYSTEM

• Nausea
• Chiropa uye spleen kuzvimba (hepatosplenomegaly)
• Kupererwa nechido
• Kurasikirwa kwekurema kwemaune
• Kusvipa

MHUNGWA NEMAWARE

• Kufema kunetseka
• Kurwadziwa pachifuva kwete nekuda kwematambudziko emoyo
• Kukosora ropa kana mhezi
• Kukurumidza kufema
• Kufema kwekufema

TSAMBA NEMAJOVE

• Joint kurwadziwa

ZVINONZI SYSTEM

• Shanduko muhutano hwepfungwa
• Kuvhiringidzika
• Dzungu
• Kutemwa nemusoro
• Kufenda
• Shanduko muchiono

GANDA

• Mapundu eganda kana mapundu
• Maronda eganda (mapundu)
• Kuzvimba lymph node

Anokuchengetedza hutano anokuongorora uye anoteerera kumapapu ako uchishandisa stethoscope. Iwe unogona kunge uine mapapu asina kujairika, anonzi mapundu. Miedzo inogona kuitwa inosanganisira:

• Bronchoalveolar lavage - fluid inotumirwa tsvina uye tsika, inotorwa nebronchoscopy
• Chest x-ray
• CT kana MRI scan yechifuva
• Pleural fluid tsika uye tsvina
• Sputum banga uye tsika

Chinangwa chekurapa ndechekudzivirira hutachiona. Mishonga inorwisa mabhakitiriya inoshandiswa, asi zvinogona kutora nguva kuti ive nani. Wako mupi achakutaurira kuti unofanira kutora mishonga kwenguva yakareba sei. Izvi zvinogona kunge zvinosvika pagore.

Kuvhiya kunogona kudikanwa kubvisa kana kudurura nzvimbo dzine hutachiona.

Mubatsiri wako anogona kukuudza kuti rega kutora chero mishonga inonetesa immune system yako. Usamborega kutora chero mushonga usati wataura nemupi wako kutanga.

Mhedzisiro yacho inowanzo kuve yakanaka kana mamiriro acho akaonekwa uye akarapwa nekukurumidza.

Mhedzisiro yacho yakashata kana hutachiona:

• Inopararira kunze kwepapu.
• Kurapa kunonoka.
• Munhu ane chirwere chakakomba chinotungamira kana chinoda kuremedza kwenguva refu immune system.

Matambudziko epulmonary nocardiosis anogona kusanganisira:

• Kuputirwa kwehuropi
• Zvirwere zveganda
• Hutsvo hutachiona

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi. Kutanga kuongororwa uye kurapwa kunogona kuvandudza mukana wemhedzisiro yakanaka.

Ngwarira paunenge uchishandisa corticosteroids. Shandisa iyi mishonga zvishoma, mune yakaderera inoshanda madhizaini uye kwenguva pfupi yenguva inogoneka.

Vamwe vanhu vane immune system isina kusimba vangangoda kutora mishonga inorwisa mabhakitiriya kwenguva yakareba kudzivirira hutachiona kudzoka.

Nocardiosis - pulmonary; Mycetoma; Nocardia

• Kufuridzira system

Maodzanyemba FS. Nocardiosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 314.

Torres A, Menéndez R, Wunderink RG. Hutachiona pneumonia uye mapapu jipu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 33.