Scrofula

Scrofula ke tšoaetso ea lefuba ea li-lymph node molaleng.

Scrofula hangata e bakoa ke baktheria Lefuba la Mycobacterium. Ho na le mefuta e meng e mengata ea baktheria ea mycobacterium e bakang scrofula.

Scrofula hangata e bakoa ke ho hema moea o silafalitsoeng ke baktheria ea mycobacterium. Joale libaktheria li tloha matšoafong ho ea ho li-lymph node molaleng.

Matšoao a scrofula ke:

• Feberu (e sa tloaelehang)
• Ho ruruha ho se nang bohloko ha li-lymph node molaleng le libakeng tse ling tsa 'mele
• Lisosa (tse sa tloaelehang)
• Ho fufuleloa

Liteko tsa ho fumana scrofula li kenyelletsa:

• Biopsy ea lisele tse amehileng
• Li-x-ray tsa sefuba
• Tlhatlhobo ea CT ea molala
• Mekhoa ea ho lekola libaktheria ka mehlala ea lisele tse nkiloeng ho li-lymph node
• Teko ea mali ea HIV
• Teko ea PPD (eo hape e bitsoang teko ea lefuba)
• Liteko tse ling tsa lefuba (TB) ho kenyeletsoa le liteko tsa mali ho bona hore na u kile ua pepesetsoa lefuba

Ha tšoaetso e bakoa ke Lefuba la Mycobacterium, kalafo hangata e kenyelletsa likhoeli tse 9 ho isa ho tse 12 tsa lithibela-mafu. Ho hlokahala hore lithibela-mafu tse 'maloa li sebelisoe hang. Likokoana-hloko tse tloaelehileng bakeng sa scrofula li kenyelletsa:

• Ethambutol
• Isoniazid (INH)
• Pyrazinamide
• Rifampin

Ha tšoaetso e bakoa ke mofuta o mong oa mycobacteria (eo hangata e hlahang ho bana), kalafo hangata e kenyelletsa lithibela-mafu tse kang:

• Rifampin
• Ethambutol
• Clarithromycin

Ka linako tse ling ho buuoa ho sebelisoa pele. E kanna ea etsoa hape haeba meriana e sa sebetse.

Ka kalafo, hangata batho ba fola ka botlalo.

Mathata ana a ka hlaha ho tsoa tšoaetsong ena:

• Ho tsoa metsi seso molaleng
• E qhekellang

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba uena kapa ngoana oa hao a e-na le ho ruruha kapa sehlopha sa ho ruruha molaleng. Scrofula e ka hlaha ho bana ba sa kang ba pepesetsoa motho ea nang le lefuba.

Batho ba pepeselitsoeng motho ea nang le lefuba la matšoafo ba lokela ho etsa tlhahlobo ea PPD.

Lefuba adenitis; Lefuba la mokokotlo oa mokokotlo oa lymphadenitis; Lefuba - scrofula

Motsoako oa Pasternack MS, Swartz MN. Lymphadenitis le lymphangitis. 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 97.

Wenig BM. Liso tse se nang methapo ea molala. Ka: Wenig BM, e hlophisitsoeng. Atlas ea Hlooho le Neck Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 12.