chirwere

Munguva yekushanda kwechirwere chechirwere, zviratidzo zvinowanzovapo (fivha, kuputika kweusiku, chikosoro chisingaperi, nezvimwewo). Chiremba anovimba nezviratidzo izvi, asiwo nemhedzisiro yezvinotevera bvunzo uye bvunzo.

Kuongorora kweganda. Muedzo weganda unogona kuona kuvapo kweKoch's bacillus mumuviri. Mumunhu achangobva kubatwa nechirwere ichi, ongororo iyi inenge iine mavhiki mana kusvika gumi mushure mekubatwa nechirwere ichi. Idiki diki ye tuberculin (yakanatswa puroteni kubva Mycobacterium tuberculosis) inobayiwa pasi peganda. Kana ganda rekuita rikaitika panzvimbo yejekiseni (kutsvuka kana kuzvimba) kwemaawa 48 kusvika ku72 anotevera, izvi zvinoratidza utachiona. Kana mhedzisiro yacho isina kunaka, chiremba anogona kuratidza bvunzo yechipiri mushure memavhiki mashoma.

Pulmonary radiography. Kana murwere ane zviratidzo zvechikosoro chinoramba chiripo, semuenzaniso, x-ray yechipfuva icharairwa kuti iongorore mamiriro emapapu. Munguva yekutevera, x-ray inoitawo kuti zvikwanise kutarisa kufambira mberi kwechirwere.

Biological bvunzo pane pulmonary secretion samples. Izvo zvakasvibiswa zvinotanga kuonekwa pasi pe microscope kutarisa kana utachiona huripo mune zvakavharwa chikamu chemhuri ye mycobacteria (Koch's bacillus is mycobacterium). Mhedzisiro yebvunzo iyi inowanikwa zuva rimwe chete. Isu tinoenderera mberi zvakare tsika nemagariro of secretions kuziva mabhakitiriya uye kuti haapokane nemishonga inorwisa mabhakitiriya here. Nekudaro, iwe unofanirwa kumirira 2 mwedzi kuti uwane mibairo.

Kana kuongororwa kwema microscopic kunoratidza kuvepo kwe mycobacteria uye kuongororwa kwechiremba kunoratidza kuti chirwere chetachiona, kurapwa nemishonga inorwisa mabhakitiriya kunotanga pasina kumirira mhedzisiro yekuongorora tsika yehutachiona. Nokudaro, zviratidzo zvinosunungurwa, chirwere chinodzorwa, uye munhu wacho haakwanisi kutapurira utachiona kune avo vakamupoteredza. Mushonga wacho unogona ipapo kugadziriswa, kana zvichidiwa.

Mishonga inorwisa mabhakitiriya

The mutsara wekutanga antibiotics inogona kukunda tibhii munenge muzviitiko zvese. Vanhu vane chirwere ichi vanokumbirwa kuti vagare pamba kana kupfeka mask pamberi peruzhinji kudzamara chiremba aona kuti havachatapukira (kazhinji mushure memavhiki maviri kana matatu ekurapwa).

Mutsara wekutanga kurapwa. Kazhinji inorayirwa mana antibiotics zvinotevera isoniazid, rifampin, ethambutol uye pyrazinamide, iyo inotorwa nemuromo. Kuti ushande uye uuraye mabhakitiriya zvachose, kurapwa kunoda kuti mishonga inotorwa zuva nezuva kwenguva shoma. 6 mwedzi, dzimwe nguva kusvika kumwedzi gumi nemiviri. Yese iyi mishonga inorwisa mabhakitiriya inogona kukonzera kukuvara kwechiropa kune madhigirii akasiyana. Udza chiremba wako kana chero zviratidzo zvikaitika, zvakadai sekurutsa uye kurutsa, kurasikirwa kwechido, jaundice (yero yeganda), weti yakasviba, kana fivha pasina chikonzero chakajeka.

Mutsara wechipiri marapirwo. Kana utachiona huchishingirira kumishonga miviri mikuru inorwisa mabhakitiriya (isoniazid nerifampin), inobva yadaidzwa kuti multidrug resistance (MDR-TB) uye inofanirwa kushandisa mishonga ye2.^e line. Dzimwe nguva 4 kusvika ku6 mishonga inorwisa mabhakitiriya inosanganiswa. Vanowanzoda kutorwa kwenguva yakareba, dzimwe nguva kusvika kumakore maviri. Vanogonawo kukonzera mhedzisiro, semuenzaniso, kupera kwemaoko kana tsoka, uye chiropa chehupfu. Zvimwe zvacho zvinopinzwa mutsinga.

Kurapa kwehutachiona hwekupedzisira-resistant. Kana rudzi rwehutachiwana rwuchishingirira kumishonga yakawanda inowanzopihwa pamutsetse wekutanga kana wechipiri, mushonga wakanyanya uye une muchetura, unowanzoitwa netsinga, unoshandiswa kurwisa ichi chinodaidzwa kuti chisingaperi tuberculosis kana XDR-TB.

Cons-zvinoratidza. THE 'doro uyeacetaminophen (Tylenol®) inopikiswa mukati mekurapa. Zvinhu izvi zvinowedzera kuomesera chiropa uye zvinogona kukonzera matambudziko.

mwe

Kana zva'chikafu kushaya simba, kutora multivitamin uye mineral supplement kunogona kubatsira kudzivirira hutachiona kuti husadzoke⁴. Kugamuchirwa kwemiitiro yekudya yakadzikama kunofanira kufarirwa kuitira kuti ukurumidze kupora, kana zvichiita. Kuti uwane rumwe ruzivo nezve izvo zvekutanga zvekudya zvine hutano, ona yedu Idya Zvirinani chikamu.