Mutsva mushonga wekurapa tibhii

Zvemukati

• Inoshanda sei
• Sei kutora
• Zvinogona kuitika mhedzisiro
• Ndiani asingafanire kushandisa

Mushonga mutsva wekurapa chirwere chetibhi une maitiro mana ekurapa utachiona, anonzi Rifampicin, Isoniazid, Pyrazinamide neEtambutol.

Kunyangwe yave ichigadzirwa muBrazil kubvira 2014 nesangano reFarmanguinhos / Fiocruz, mu2018 uyu mushonga wakatanga kuwanikwa pachena maSUS. Imwe yenzvimbo dzekurapa mukana wekutora maantibioti mana muhwendefa rimwe chete.

Mushonga uyu unogona kushandiswa pakurapa marimimumapapu uye extrapulmonary tibhii, inogara kwemwedzi yakati wandei, uye inofanira kutungamirwa nepulmonologist kana chirwere chinotapukira, zvinoenderana nezviitiko zvese. Tsvaga rumwe ruzivo nezve kurapwa kwechirwere chetachiona.

Inoshanda sei

Mushonga wekurapa tibhii une musangano wezvinhu zvinotevera:

• Rifampicin;
• Isoniazid;
• Pyrazinamide;
• Ethambutol.

Aya maantibayoti anoita kurwisa uye kubvisa hutachiona hunokonzera tibhii, Mycobacterium tibhii.

Iko kusanganiswa kweRifampicin, Isoniazid, Pyrazinamide neEthambutol, kazhinji kunongodiwa chete mumwedzi miviri yekutanga yekurapa. Nekudaro, kurapwa kunogona kusiana zvichienderana nekukura kwechirwere, kana kurapwa kwakaitwa kare, uye zvinoenderana nezera remunhu uye mamiriro ehutano.

Uyezve tarisa kuti ingwarirei inofanirwa kutorwa mushure mekurapwa, kudzivirira kudzokazve.

Sei kutora

Mushonga weTiberculosis unofanirwa kutorwa zuva rega rega, mune imwe dose, uine mvura shoma, ndoda maminetsi makumi matatu pamberi kana maviri maawa mushure mekudya, sekurairwa nachiremba.

Huwandu hwemapiritsi anoshandiswa mune imwe nhanho hunosiyana zvichienderana nehuremu hwemurwere, uye zvinoratidzwa zvakare nachiremba:

Kune vana vanorema pakati pegumi nemaviri kusvika makumi matatu makirogiramu, iro rinokurudzirwa zuva rega rega mapiritsi maviri mune imwe dose. Vana nevachiri kuyaruka vanorema isingasvike makumi maviri kg havafanirwe kutora mushonga uyu.

Kana iro dose rikashaikwa, munhu wacho anofanirwa kutora mapiritsi akakanganwa nekukasika paanorangarira, kunze kwekunge ave padyo nekutora chinotevera chinwiwa. Mumamiriro ezvinhu akadaro, iyo yakarasika dhizaini inofanira kusvetwa. Izvo zvinodikanwa kuti utore mushonga nguva dzose uye usatombomisa kurapwa iwe pachako, sezvo kuramba kwemushonga kunogona kuitika.

Zvinogona kuitika mhedzisiro

Mimwe yemhedzisiro yakajairika mhedzisiro inogona kuitika panguva yekurapwa nemushonga uyu ndeyokuparara neuropathy, manyoka, kurwadziwa mudumbu, kuda kurutsa, anorexia, kurutsa, kukwira kwenguva pfupi kweserum transaminases, kuwedzera uric acid, kunyanya kune varwere vane gout, tsvuku uye zvakavanzika, kurwadza kwemajoini, kutsvuka, kuchenesa uye kuputika kweganda, shanduko yekuona uye kusagadzikana kwekuenda kumwedzi.

Ndiani asingafanire kushandisa

Mushonga uyu haufanire kushandiswa nevanhu vane hypersensitivity kune chero eiyo mafomura, vanhu vane chirwere chechiropa kana nhoroondo yejaundice uye shanduko mumazinga eropa eema enzymes anokonzerwa nemishonga inorwisa antipuberculous munguva yakapfuura.

Uye zvakare, haifanire kushandiswa kune vanhu vane kurasikirwa kwemaonero nekuda kweiyo optic nerve kusagadzikana. Kana chiremba achishuvira, uyu mushonga unogona kushandiswa mune vakadzi vane nhumbu.

Chiremba anofanirwa kuziviswa nezve chero mushonga uyo munhu ari kutora. Mushonga uyu unogona kudzikisira kushanda kwepiritsi rekuberekwa