Scrofula

Scrofula chirwere chetiberculosis chema lymph node mumutsipa.

Scrofula inowanzo kukonzerwa nehutachiona Mycobacterium tibhii. Kune mamwe akawanda marudzi e mycobacterium bacteria inokonzera scrofula.

Scrofula inowanzo kukonzerwa nekufema mumhepo iyo yakasvibiswa ne mycobacterium bacteria. Mabhakitiriya anobva afamba kubva mumapapu kuenda kuma lymph node mumutsipa.

Zviratidzo zve scrofula ndezvi:

• Mhepo (zvisingawanzoitiki)
• Kuzvimba kusingarwadzi kwema lymph node mumutsipa nedzimwe nzvimbo dzemuviri
• Maronda (zvisingawanzoitika)
• Kudikitira

Miedzo yekuongorora scrofula inosanganisira:

• Biopsy yematambudziko akakanganiswa
• Chest x-ray
• CT scan yemutsipa
• Tsika dzekutarisa mabhakitiriya ari mumashutu esampu akatorwa kubva kuma lymph node
• Kuongororwa ropa kweHIV
• PPD bvunzo (inonziwo TB bvunzo)
• Mimwe miedzo yetibhii (TB) inosanganisira kuongororwa ropa kuti uone kana wakambosangana neTB

Kana hutachiona hunokonzerwa ne Mycobacterium tibhii, kurapwa kunowanzo sanganisira 9 kusvika ku12 mwedzi yemishonga inorwisa mabhakitiriya. Mishonga yakawanda inorwisa mabhakitiriya inoda kushandiswa kamwechete. Kazhinji mishonga inorwisa mabhakitiriya inosanganisira:

• Ethambutol
• Isoniazid (INH)
• Pyrazinamide
• Rifampin

Kana hutachiona hukonzerwa neimwe mhando ye mycobacteria (iyo inowanzoitika muvana), kurapwa kunowanzo sanganisira maantibayoti akadai se:

• Rifampin
• Ethambutol
• Clarithromycin

Kuvhiya dzimwe nguva kunoshandiswa kutanga. Zvinogona zvakare kuitwa kana mishonga isiri kushanda.

Nokurapwa, vanhu vanowanzo gamuchira zvakakwana.

Aya matambudziko anogona kuitika kubva kuhutachiona.

• Kudonhedza ronda mumutsipa
• Kupenga

Fonera wako mupi wezvehutano kana iwe kana mwana wako ane kuzvimba kana boka rekuzvimba mumutsipa. Scrofula inogona kuitika muvana vasina kuburitswa kune mumwe munhu ane tibhii.

Vanhu vakafumurwa kune mumwe munhu ane tibhii yemapapu vanofanira kuve neiyo PPD bvunzo.

Tuberculous adenitis; Chirwere chepervical lymphadenitis; TB - scrofula

Pasternack MS, Swartz MN. Lymphadenitis uye lymphangitis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 97.

Wenig BM. Asina-neoplastic maronda emutsipa. Mune: Wenig BM, ed. Atlas yeMusoro uye Neck Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2016: chits.