Miliary Tuberculosis

Zvemukati

• Miliary TB mufananidzo
• Zvinokonzera miliary TB
• Njodzi zvinhu zve miliary TB
• Zviratidzo nezviratidzo zve miliary TB
• Kuongororwa kweiyo miliary TB
• Kurapa kweMiliary TB
• Mishonga inorwisa mabhakitiriya
• Steroid
• Kuvhiya
• Maonero eiyo miliary TB

Mhedziso

Tuberculosis (TB) chirwere chakakomba chinowanzo bata mapapu ako chete, ndosaka ichiwanzonzi pulmonary tuberculosis. Zvisinei, dzimwe nguva mabhakitiriya anopinda muropa rako, anopararira mumuviri wako wose, uye anokura mune imwe kana nhengo dzinoverengeka. Izvi zvinonzi miliary TB, fomu inopararira yetibhii.

Miliary TB yakawana zita rayo muna 1700 kubva kuna John Jacob Manget pane zvakawanikwa pakuongorora chitunha, mushure mekufa kwemurwere. Miviri yacho yaizove nemavara madiki madiki akafanana nemazana embeu diki angangoita mamirimita maviri akapararira mumatumbu akasiyana siyana. Sezvo mbeu yemapfunde inenge iri saizi, mamiriro acho akazozivikanwa seMiliary TB. Icho chirwere chakakomba kwazvo, chinotyisa.

Ichi chiitiko hachiwanzo kuwanikwa muvanhu vane immune system chaiyo. Izvo zvinowanzoitika kune vanhu vane immune system isiri kushanda zvakanaka. Izvi zvinodaidzwa kuti immunocompromised.

Kazhinji mapapu ako, mwongo wemapfupa, uye chiropa zvinokanganiswa mune miliary TB, asi zvinogona zvakare kupararira kumucheto wemoyo wako, musana wako wepelinha uye huropi, uye zvimwe zvikamu zvemuviri wako. Sekureva kwaiye, iyo lining yeuropi inotapukirwa mu25 muzana yevanhu vane miliary TB. Izvo zvakakosha kuti utarise izvi nekuti zvinoda kurapwa kwenguva refu.

Miliary TB mufananidzo

Zvinokonzera miliary TB

TB inokonzerwa nehutachiona hunonzi Mycobacterium tibhii. Inotapuriranwa uye inopfuudzwa kana mumwe munhu ane hutachiona hweTB hunoshanda mumapapu ake achiburitsa hutachiona mumhepo nekukosora kana kuhotsira, uye mumwe munhu achiufema. Inogona kugara ichibhururuka kwemaawa mashoma.

Paunenge uine hutachiona mumuviri wako asi immune system yako yakasimba zvakakwana kuti ikunde, inonzi latent TB. NeTB yakahwanda, hauna zviratidzo uye hautapurirane. Kana immune system yako ikamira kushanda nemazvo, TB yakahwanda inogona kushanduka kuita TB inoshanda. Iwe unenge uine zviratidzo uye wotapukira.

Njodzi zvinhu zve miliary TB

, miliary TB yakaonekwa kunyanya muvacheche nevana. Iye zvino inowanikwa kakawanda kazhinji muvakuru. Izvi zvinodaro nekuti kusazvidzivirira muviri kwakanyanya nhasi.

Chero chinhu chinoshayisa simba immune system yako chinowedzera mukana wako wekubata chero rudzi rweTB. Miliary TB inowanzoitika chete kana immune system yako isina kusimba. Mamiriro uye maitiro anogona kunetesa immune system yako anosanganisira:

• HIV neAIDS
• kudhakwa
• kushaya zvokudya zvinovaka muviri
• chirwere chetsvo chisingaperi
• chirwere cheshuga
• kenza mumapapu ako, mutsipa, kana musoro
• kuva nepamuviri kana kuti achangobva kuzvara
• -refu dialysis

Avo vari pamishonga inoshanda nekushandura kana kudzora immune system vari zvakare panjodzi huru yeiyo miliary TB. Iyo yakanyanya kuwanda ndeyekushandisa kwenguva yakareba corticosteroid, asi mishonga inoshandiswa mushure mekuiswa kwechimwe nhengo kana kurapa zvirwere zvemuviri uye gomarara zvinogona zvakare kunetesa immune system yako uye kuwedzera mukana wako weiyo miliary TB.

Zviratidzo nezviratidzo zve miliary TB

Zviratidzo zve miliary TB zvakanyanya kwazvo. Zvinogona kusanganisira:

• fivhiri inoenderera kwemavhiki akati wandei uye inogona kuve yakanyanya kuipa manheru
• chills
• chikosoro chakaoma icho chingave chinoteura ropa nguva nenguva
• kuneta
• kushaya simba
• kufema kufema kunowedzera nenguva
• kusadya zvakanaka
• kuonda
• husiku hweziya
• kwete kungonzwa mushe mushe

Kana dzimwe nhengo kunze kwemapapu ako dzakatapukirwa, nhengo idzi dzinogona kumira kushanda nemazvo. Izvi zvinogona kukonzeresa zvimwe zviratidzo, senge mashoma maseru masero matsvuku eropa kana pfupa rako remapfupa rakakanganiswa kana hunhu hwehunhu kana ganda rako rakabatanidzwa.

Kuongororwa kweiyo miliary TB

Zviratidzo zve miliary TB zvakafanana nezviri muzvirwere zvakawanda, uye mabhakitiriya anogona kunge akaoma kuwana kana ropa rako, zvimwe zvinwiwa, kana masampuli etishu akatariswa pasi pe microscope. Izvi zvinoita kuti zviomere chiremba wako kuti aongorore uye aparadzanise kubva kune zvimwe zvinogona kukonzera zviratidzo zvako. Mimwe bvunzo dzakasiyana dzinogona kudikanwa kuti chiremba wako aite chirwere.

Tuberculin test yeganda inonzi PPD test inoratidza kana wakambosangana nehutachiona hunokonzera TB. Muedzo uyu haugone kukuudza kana iwe uine hutachiona hunoshanda; zvinongoratidza chete kuti wakambotapukirwa pane imwe nguva. Paunenge usina kuzvidzivirira, bvunzo iyi inogona kuratidza kuti hauna chirwere kunyangwe iwe uchinacho.

Chiremba wako acharaira chifuva X-ray kana ganda rako bvunzo riri rakanaka kana uine zviratidzo zvinoratidza TB. Kusiyana neyakajairika TB inogona kutaridzika sehumwe hutachiona, iyo mapira emhando yemapayipi pachipfuva X-ray inonyanya kuratidza miliary TB. Kana iyo pateni ichionekwa, zviri nyore kuita kuti uongororwe, asi dzimwe nguva hauratidze kusvikira wave nehutachiona nezviratidzo kwenguva yakareba.

Mimwe miedzo iyo chiremba wako anogona kuraira kuti asimbise kuongororwa kweiyo miliary TB ndeiyi:

• CT scan, iyo inopa mufananidzo uri nani wemapapu ako
• masputum sampuli kutsvaga mabhakitiriya pasi pe microscope
• kuongororwa kweropa kunogona kuona kusvibiswa kwebhakitiriya
• bronchoscopy mune iyo yakaonda, yakavhenekera kamera inoiswa kuburikidza nemuromo wako kana mhino mumapapu ako kuitira kuti chiremba wako atarise nzvimbo dzisina kujairika uye awane masampuli ekutarisa pasi pe microscope.

Sezvo miliary TB inokanganisa nhengo mumuviri wako kunze kwemapapu ako, chiremba wako angangoda mimwe bvunzo zvichienderana nekwavanofunga kuti hutachiona huripo:

• CT scan yezvimwe zvikamu zvemuviri wako, kunyanya dumbu rako
• MRI yekutarisa hutachiona muuropi kana musana
• echocardiogram yekutsvaga hutachiona uye hura mukati memukati memwoyo wako
• weti sampuro yekutarisa mabhakitiriya
• bone marrow biopsy, panosungirwa tsono pakati nepfupa kutora sampuro yekutsvaga mabhakitiriya pasi pe microscope
• biopsy, umo chidimbu chidiki chetinyuchi chinotorwa kubva kunhengo inofungidzirwa kuti yatapukirwa uye inotariswa nemaikorosikopu kuti iwane hutachiona
• pombi yepasipinha kana chiremba wako achifunga kuti mvura iriko yakakomberedza musana wako uye uropi hutachiwana
• maitiro anoiswa tsono muchikamu chemvura chakakomberedza mapapu ako kutsvaga mabhakitiriya

Kurapa kweMiliary TB

Kurapa kwakafanana neakajairika TB uye inogona kuve ne:

Mishonga inorwisa mabhakitiriya

Ucharapwa nemaantibayoti akawanda kwemwedzi mitanhatu kusvika kumipfumbamwe. Kamwe mabhakitiriya akura mutsika (izvo zvinotora nguva yakareba), rabhoritari ichaedza kuona kana iwo akajairwa maantibhakitiriya anouraya mhando yebhakitiriya rauinaro. Kazhinji, imwe kana yakawanda yemishonga inorwisa mabhakitiriya haishande, inonzi kusagadzikana kwemishonga. Kana izvi zvikaitika, mishonga inorwisa mabhakitiriya inozochinjirwa kune mamwe anoshanda.

Kana iyo lining yeuropi yako yatapukirwa, iwe uchazoda 9 kusvika 12 mwedzi yekurapa.

Kazhinji mishonga inorwisa mabhakitiriya ndeiyi:

• isoniazid
• ethambutol
• pyrazinamide
• rifampin

Steroid

Iwe unogona kupihwa steroid kana iyo lining yehuropi hwako kana moyo uine hutachiona.

Kuvhiya

Kazhinji, unogona kukura matambudziko, akadai sethumba, ayo anoda kuvhiyiwa kuti arape.

Maonero eiyo miliary TB

Miliary TB chirwere chisingawanzo asi chinotapukira uye chinotyisa. Kurapa chirwere kunoda kupfuura mwedzi wemishonga yakawanda inorwisa mabhakitiriya. Zvakakosha kuti hutachiona uhu hunowanikwa nekukurumidza sezvinobvira uye kuti utore maantibayoti kwenguva yakareba sekurairwa. Izvi zvinobvumira mhedzisiro yakanaka uye zvinomisa mukana wekuzviparadzira kune vamwe vanhu. Kana iwe uine chero zviratidzo zveTB, kana uchiziva nezvechangobva kuitika kuchirwere ichi, bata hofisi yechiremba wako kuti aone musangano nekukurumidza sezvazvinogona.