Akpịrịkpa

Scrofula bụ ụkwara nta nke ọrịa lymph na olu.

Ọ bụ nje bacteria na-akpata ọrịa scrofula Mycobacterium ụkwara nta. Enwere ọtụtụ ụdị nje mycobacterium ndị ọzọ na-akpata scrofula.

A na-emekarị scrofula site na iku ume na ikuku nke nje bacteria mycobacterium metọrọ. Nje bacteria ahụ na-esite na ngụgụ gaa lymph ọnụ na olu.

Mgbaàmà nke scrofula bụ:

• Ahụ ọkụ (obere)
• Ọrịa lymph na-enweghị mgbu na olu na akụkụ ahụ ndị ọzọ
• Akpịrị (obere)
• Sụsọ

Ule iji chọpụta scrofula gụnyere:

• Biopsy nke anụ ahụ metụtara
• Igwe ụzarị
• Nyocha CT nke olu
• Omenala ịlele maka nje dị na anụ ahụ wepụtara site na lymph
• Nnyocha ọbara HIV
• PPD ule (a na-akpọkwa ule TB)
• Nyocha ndị ọzọ maka ụkwara nta (TB) gụnyere nyocha ọbara iji chọpụta ma ọ bụrụ na ebutela gị TB

Mgbe bu oria site na Mycobacterium ụkwara nta, ọgwụgwọ na-agụnyekarị ọnwa 9 ruo 12 nke ọgwụ nje. Ọtụtụ ọgwụ nje kwesịrị iji ozugbo. Ọgwụ nje nkịtị maka scrofula gụnyere:

• Ethambutol
• Isoniazid (INH)
• Pyrazinamide
• Rifampin

Mgbe ọrịa ọzọ sitere na ụdị mycobacteria ọzọ (nke na-apụtakarị na ụmụaka), ọgwụgwọ na-agụnyekarị ọgwụ nje dị ka:

• Rifampin
• Ethambutol
• Clarithromycin

Mgbe ụfọdụ, a na-eji ịwa ahụ eme ihe. Enwere ike ịme ya ma ọ bụrụ na ọgwụ anaghị arụ ọrụ.

Na ọgwụgwọ, ndị mmadụ na-agbake kpamkpam.

Nsogbu ndị a nwere ike ịpụta site na ọrịa a:

• Igbapu akpịrị n'olu
• Egwu

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ na gị ma ọ bụ nwa gị nwere ọzịza ma ọ bụ ìgwè swell na olu. Ọrịa scrofula nwere ike ịpụta na ụmụaka ndị na-ebuteghị onye nwere ụkwara nta.

Ndị mmadụ ekpugherela onye nwere ụkwara nta nke ngụgụ kwesịrị ịnwale ule PPD.

Erckwara adenitis; Tuberculous cervical lymphadenitis; TB - scrofula

Pasternack MS, Swartz MN. Lymphadenitis na lymphangitis. Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett's Principles and Practice of Infectious Diseases, emelitere mbipụta. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: isi nke 97.

Wenig BM. Ọrịa ndị na-abụghị neoplastic n'olu. Na: Wenig BM, ed. Atlas nke Isi na Olu Pathology. Nke atọ ed. Philadelphia, PA: Elsevier; 2016: isi 12.