Ukuba unesifo se-TB esifikile, awuyi kuba neyiphi impawu kuba umzimba wakho usebenza ngokufanelekileyo ukugcina ibhaktheriya osu suleleke kuyo. Xa isistim somzimba sakho sokuzivikela singakhange somelele ngokwaneleyo ukwenza njalo, i-TB ephambeneyo iya kuba yintsebenziswano ye-TB, uphawu oluqhelekileyo olusisigxina esiqhubekayo esinokuvelisa i-phlegm enegazi. I-TB eyenza ngaphaya kwemiphunga ingabandakanya iimpawu ezinxulumene neentso, amathambo, ingqondo kunye nezinye iindawo zomzimba.
Iimpawu Zamaxesha amaninzi
Uninzi lweziganeko ze-TB zenzeka kwaye zihlala emiphakeni. Oku kubizwa ngokuba yi-pulmonary TB. Iimpawu ze-TB esebenzayo, i-pulmonary TB ziquka:
- Umkhuhlane ohlala ngaphezu kweeveki ezintathu
- Umkhuhlane ovelisa i-sputum eluhlaza okanye ephuzi (i-phlegm) enokuthi ifakwe kwigazi
- Ukuphefumula kwentlungu okanye intlungu yesifuba
- Ukukhathala
- Ukulahlekelwa ngumdla kunye nokulahleka kwesisindo
- Ukukhupha ebusuku
- Fever
Iimpawu eziqhelekileyo
Ngamanye amaxesha, i-TB esebenzayo iya kufakelwa ngaphaya kwemipopho ibe ngama-lymph nodes, izintso, amathambo, ingqondo, isisu, isangqa entliziyweni (i-pericardium), amanxeba (ngokukodwa amanyathelo athathaka, njengamaqatha namadolo), kunye nezitho zokuzala . Xa oko kwenzeka, kwaziwa ngokuba yisifo sofuba.
Izibonakaliso zesifo sofuba sisifo sithembele kwindawo echaphazelekayo kwaye ingaquka:
I-lymph nodes: I- lymph nodes ezikhupha iimiphunga zingaba zikhulu ngokwaneleyo ukuze zixinzelele iibhubhu ze-bronchial, ezibangela ukukhwehlela kwaye mhlawumbi umphunga we-lung.
Ukuba iibhaktheriya zisasazeka kwi-lymph nodes entanyeni, kunokwenzeka ukuba amaqhinga aphule isikhumba aze agxothwe.
Iizintso: Ukusuleleka kwe-TB yeentso kungabangela umkhuhlane, intlungu emva, kunye namaxesha egazini kumchamo. I-Infection isasazeka ngokusasazeka kwi-bladder, kubangela ukucoca okubuhlungu nokuqhelekileyo.
Ubuchopho: Isifo sofuba esichaphazela ingqondo, esibizwa ngokuba yi-meningitis enobuhlungu, isongela ubomi. EUnited States nakwamanye amazwe athuthukileyo, i-meningitis enamaqhekeza ngokuqhelekileyo iqhuba phakathi kwabantu abadala okanye abantu abanesistim sokuzivikela. Iimpawu zibandakanya umkhuhlane, intloko rhoqo, intamo yentamo, isisongela, kunye nokuzelazela okungakhokelela kwi-coma.
I-Pericardium: Kwi-pericarditis ene-tuberculous, i-pericardium iyancipha kwaye ngamanye amaxesha ivuza umlambo kwisithuba phakathi kwe-pericardium kunye nentliziyo. Oku kunokunciphisa intliziyo, kubangele ukuvutha kwentamo yesisu kunye nobunzima bokuphefumla.
Izifo: Isifo sofuba sinokusasazeka kwizitho zangasese. Kwamadoda, isifo sofuba esiswini somzimba senza ukuba i-scrotum ikhulise. Kubasetyhini, kubangela ubuhlungu beplavic kunye neenxeba zokuya esikhathini nokunyusa umngcipheko wokukhulelwa kwe-ectopic (apho iqanda lizifaka ngaphandle kwesibeletho).
Iingqungquthela zeqela
Abanye abantu kufuneka baqaphele ngakumbi iimpawu ezingabonakalisa i-TB, njengoko zisengozini enkulu yokufumana ingxaki kwi-illness. Ezi ziquka:
- Abantu abanentsholongwane kaGawulayo: Ukususela ekugqibeleni i-AIDS kuma-1980, inani lamatyala enesifo sofuba liye landa kakhulu. Ukusuleleka kwe-HIV kugxotha umzimba wokuzivikela, okwenza kube nzima kumzimba ukulawula ibhaktheriya ye-TB. Ehlabathini lonke, i-TB yenye yezona zinto ezibangela ukufa kubantu abane-HIV.
- Abafazi abakhulelweyo: Iintsana ezizalwe ngabasetyhini abane-TB ezingapheliyo zingaba nesisindo sokuzalwa esincinci kunokuba siphumelele, kwaye sinokuzalwa ne-TB ngokwazo. Abafazi abakhulelweyo kufuneka bafumane unyango ukuba amathuba abo abane-TB ayenzileyo ukuya phezulu.
Ukongezelela, nabani na abane-system immune system basengozini enkulu yokusuleleka kwintsholongwane ye-TB kunye neengxaki ezinxulumene nazo.
Nini ukubona iDokotela
Ukuba uye waboniswa umntu onentsholongwane ye-TB, intlungu yesifuba okanye ukukhwehlela okuqhubekayo kunye okanye ngaphandle kwe-phlegm, biza ugqirha wakho, ngubani oza kukunika uvavanyo lwesikhumba. I-TB yingozi kakhulu kwaye ingaba yingozi xa ingaphathwa.
> Imithombo:
> Clinical Mayo. Isifo sofuba. https://www.mayoclinic.org/diseases-conditions/tuberculosis/symptoms-causes/syc-20351250
> I-Merck Manual. Inguqu yomthengi. Isifo sofuba (TB). https://www.merckmanuals.com/home/infections/tuberculosis-and-leprosy/tuberculosis-tb
> Isebe le-US lezeMpilo kunye neNkonzo zoLuntu. IiNtsholongwane kaGawulayo kunye neNtsholongwane, iiConfections, kunye neMeko. https://aidsinfo.nih.gov/intelligent-hiv-aids/fact-sheets/26/90/hiv-and-tuberculosis--tb-