Lefu la Legionnaire

Lefu la Legionnaire ke tšoaetso ea matšoafo le moea. E bakoa ke Legionella baktheria.

Libaktheria tse bakang lefu la Legionnaire li fumanoe litsing tsa phepelo ea metsi. Ba ka phela maemong a futhumetseng le a mongobo a meaho e meholo ho kenyeletsoa le lipetlele.

Maemong a mangata a bakoa ke baktheria Legionella pneumophila. Linyeoe tse ling kaofela li bakoa ke tse ling Legionella mefuta.

Ho hasana ha baktheria ho tloha ho motho ho ea ho motho ha ho so pakoe.

Matšoao a mangata a etsahala ho batho ba lilemong tse bohareng kapa ba baholo. Maemong a sa tloaelehang, bana ba ka fumana tšoaetso. Ha li etsa joalo, lefu lena le ba tlase haholo.

Mabaka a kotsi a kenyelletsa:

• Tšebeliso ea joala
• Ho tsuba koae
• Maloetse a sa foleng, a kang ho hloleha ha liphio kapa lefu la tsoekere
• Lefu la matšoafo la nako e telele (le sa foleng), joalo ka COPD
• Ts'ebeliso ea nako e telele ea mochini o phefumolohang (mochini o hokelang moea)
• Meriana e hatellang sesole sa 'mele, ho kenyeletsoa chemotherapy le lithethefatsi tsa steroid
• Botsofali

Matšoao a tloaetse ho mpefala nakong ea matsatsi a 4 ho isa ho a 6 a pele. Hangata li ntlafala matsatsing a mang a mane ho isa ho a mahlano.

Matšoao a ka kenyelletsa:

• Ho se utloise bohloko ka kakaretso, ho felloa ke matla kapa ho kula (malaise)
• Ho opeloa ke hlooho
• Feberu, ho thothomela mohatsela
• Mahlaba a kopaneng, bohloko ba mesifa le ho satalla
• Bohloko ba sefuba, phefumoloho e khutšoanyane
• Khohlela e sa hlahiseng sekhohlela kapa mamina a mangata (khohlela e ommeng)
• Ho khohlela mali (seoelo)
• Letšollo, ho nyekeloa ke pelo, ho hlatsa le bohloko ba mpeng

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Melumo e sa tloaelehang, e bitsoang mapetso, e ka utluoa ha u mametse sefuba ka stethoscope.

Liteko tse ka etsoang li kenyelletsa:

• Likhase tsa mali tse ngata
• Tloaelo ea mali ho khetholla baktheria
• Bronchoscopy ho sheba moea le ho fumana lefu la matšoafo
• X-ray sefubeng kapa CT scan
• Palo e felletseng ea mali (CBC), ho kenyeletsoa le palo e tšoeu ea lisele tsa mali
• ESR (sed rate) ho lekola hore na ho ruruha ho kae 'meleng
• Liteko tsa mali a sebete
• Liteko le litso ka sekhohlela ho khetholla baktheria ea legionella
• Liteko tsa moroto ho li hlahloba Legionella pneumophila libaktheria
• Liteko tsa limolek'hule tse nang le polymerase chain reaction (PCR)

Lithibela-mafu li sebelisetsoa ho loants'a tšoaetso. Kalafo e qala hang hang ha ho belaelloa lefu la Legionnaire, ntle le ho emela liphetho tsa liteko tsa laboraka.

Mefuta e meng ea kalafo e ka kenyelletsa ho amohela:

• Maro a tsoang mothapong (IV)
• Oxyjene, e fanoang ka mask kapa mochini oa ho hema
• Meriana e phefumolohang ho nolofalletsa ho hema
  
  

Lefu la Legionnaire le ka beha bophelo kotsing. Kotsi ea ho shoa e phahame ho batho ba:

• E-na le mafu a nako e telele (a sa foleng)
• Ho tšoaetsoa ha u le sepetlele
• Ke batho ba baholo

Ikopanye le mofani oa hau hang-hang haeba u na le bothata ba ho hema 'me u nahana hore u na le matšoao a lefu la Legionnaire.

Pneumonia ea Legionella; Feberu ea Pontiac; Legionellosis; Legionella pneumophila

• Pneumonia ho batho ba baholo - ho tsoa

• Lefu la Legionnaire - sebopuoa sa legionella

Edelstein PH, Roy CR. Lefu la Legionnaires le feberu ea Pontiac. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases, Khatiso e Ntjhafalitsoeng. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 234.

MOTSI OA MOLIMO Legionella tšoaetso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 314.