Chirwere chetibhi chinorapwa sei

Zvemukati

• 1. Mucheche tibhii
• 2. Kushanda tibhii
• Mashandisiro ekushandisa vhitamini D kumhanyisa kurapwa
• Zvinogona kuitika mhedzisiro yekurapa
• Zviratidzo zvekuvandudza
• Zviratidzo zvekuwedzera

Kurapa tibhii kunoitwa nemishonga inorwisa mabhakitiriya, yakadai seIsoniazid neRifampicin, iyo inobvisa hutachiona hunokonzera kuti chirwere chisimuke kubva mumuviri. Sezvo iyo bhakitiriya ichiramba kwazvo, zvakafanira kurapwa kwenguva inokwana mwedzi mitanhatu, kunyangwe mune zvimwe zviitiko, inogona kugara pakati pemwedzi gumi nesere kusvika pamakore maviri kusvika kupora kwapera.

Mhosva dzakareruka dzekurapa ndidzo dzechirwere cheshuramatongo chisinganzwisisike, ndiko kuti, apo mabhakitiriya ari mumuviri asi akarara, asingakonzere zviratidzo, uye asingakwanise kutapurirana. Kushanda tibhii, kune rumwe rutivi, yakanyanya kuoma kurapa uye, nekudaro, kurapwa kunogona kutora nguva yakareba uye kungave kuri madikanwa kutora anopfuura maantibayoti imwe kuti uwane mushonga.

Nekudaro, mishonga inoshandiswa pakurapa inosiyana zvichienderana nezera remurwere, hutano hwese uye mhando yetibhii uye, nekudaro, inoda kuratidzirwa nachiremba. Nekudaro, mishonga yekumba inogona kubatsira kubatsira kurapwa. Tarisa mishonga yekumba yakanakisa yetibhii.

1. Mucheche tibhii

Kune mishonga mitatu inowanzoshandiswa kurapa rudzi urwu rweTB, iyo inosanganisira Isoniazid, Rifampicin uye Rifapentine. Chiremba anowanzo gadza imwe chete yemishonga iyi inorwisa mabhakitiriya, iyo inofanirwa kushandiswa kwemwedzi mitanhatu kusvika kumipfumbamwe kusvika mabhakitiriya abviswa zvachose uye mhedzisiro inosimbiswa nekuongororwa kweropa.

Kunyangwe hazvo mabhakitiriya akarara, zvakakosha kuti ubate chirwere cheshuga chisingazivikanwe nekuti chirwere ichi chinogona kushanda chero nguva uye chiri kunetsa kurapa.

2. Kushanda tibhii

Mune zviitiko zvehutachiona hwehutachiona, huwandu hwehutachiona hwakanyanya kwazvo uye, nekudaro, immune system haigone kurwisa hutachiona hwega, zvichidikanwa kushandisa musanganiswa wemishonga inorwisa mabhakitiriya kweinopfuura mwedzi mitanhatu. Mishonga yakanyanya kushandiswa ndeiyi:

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

Kurapa kunofanirwa kuenderera mberi kunyangwe zviratidzo zvanyangarika, kuve nechokwadi chekubvisa hutachiona zvizere. Nekudaro, zvakakosha kuremekedza nguva yekurapwa inoratidzirwa nachiremba, uye mushonga unofanirwa kutorwa zuva rega rega, nguva dzose panguva imwe chete uye kusvikira chiremba ataura kuti anogona kumira.

Munguva yekurapa pulmonary tuberculosis, inoitika kana hutachiona huri mumapapu, zvakakosha kwazvo kutora matanho panguva yekurapwa, sekugara pamba, kudzivirira kusangana padyo nevamwe vanhu uye kuvhara muromo wako kana uchikosora kana kuhotsira, semuenzaniso, kudzivirira kutapurirana kwechirwere, kunyanya mukati memavhiki maviri kusvika matatu ekutanga.

Mashandisiro ekushandisa vhitamini D kumhanyisa kurapwa

Vitamin D ndiyo imwe yemishonga yekutanga yaishandiswa kurapa chirwere cheshuga kusati kwavapo kweanorwisa mabhakitiriya ekurapa chirwere ichi. Munguva yakapfuura, varwere vane tibhii vaionekwa nechiedza chezuva uye, kunyangwe hazvo chikonzero chekuti zuva rishande rakanga risingazivikanwe, varwere vazhinji vakavandudza.

Parizvino, vhitamini D inozivikanwa seyakakosha immune system regulator iyo inobatsira maseru ekudzivirira kubvisa zvakashata mapuroteni uye kugadzira mamwe mapuroteni anobatsira kubvisa mabhakitiriya, senge iwo anokonzera tibhii.

Nekudaro, kunatsiridza kurapwa kana kudzivirira hutachiona netibhii, zvinokurudzirwa kuwedzera mwero wevhitamini D mumuviri nekudya chikafu chakapfuma muvhitamini D uye kubuda kwezuva nesecreen yezuva yakakwana uye kunze kwemaawa engozi huru.

Zvinogona kuitika mhedzisiro yekurapa

Zvimwe zvinokanganisa pakurapwa kwechirwere ichi hazviwanzoitika, zvisinei, sezvo mishonga inorwisa mabhakitiriya yakashandiswa kwenguva yakareba, mhedzisiro senge:

• Kusvotwa, kurutsa uye kazhinji manyoka;
• Kurasikirwa nechido;
• Ganda jena;
• Weti yakasviba;
• Fivha iri pamusoro pe 38º C.

Kana mhedzisiro ikaonekwa, zvinokurudzirwa kuzivisa chiremba uyo akaraira mushonga, kuti aone kana zvichidikanwa kuti uchinje mushonga kana kuchinjisa muyero wekurapa.

Zviratidzo zvekuvandudza

Zviratidzo zvekuvandudzwa kwetibhii zvinoonekwa mushure memasvondo maviri mushure mekutanga kwekurapa uye zvinosanganisira kupera kuneta, kunyangarika kwefivha uye kuzorora kwekurwadziwa kwemhasuru.

Zviratidzo zvekuwedzera

Zviratidzo zvekuwedzera zvinowanzoitika kana kurapwa kusati kwatanga nenguva, kunyanya muzviitiko zvehutachiona husingaoneki umo murwere asingazive kuti ane hutachiona, uye kunosanganisira kutanga kwefivha pamusoro pe38º C, general malaise, kudikitira usiku uye mhasuru yekurwadziwa. .

Uye zvakare, zvinoenderana nenzvimbo yakakuvara, zvimwe zviratidzo zvakaita sekukosora kweropa, kuzvimba kwenzvimbo yakakanganiswa kana kuonda kunogona kuonekawo.