Tusitusiga

Scrofula o se faʻamaʻi pipisi o le lymph nodes i le ua.

Scrofula e masani ona mafua mai i siama Mycobacterium tuberculosis. E tele isi ituaiga o siama mycobacterium e mafua ai le scrofula.

Scrofula e masani ona mafua mai i le manava i le ea o loʻo pisia i mycobacterium siama. Ona alu ai lea o siama mai le mama i lymph nodes i le ua.

Faʻailoga o scrofula o:

• Fiva (seasea)
• Le faʻafefeteina ole fula ole limula i le ua ma isi vaega ole tino
• Maʻi (seasea)
• Afu

Suʻega e faʻamaonia ai tusitusiga e aofia ai:

• Biopsy o aʻa ua afaina
• Fatafata x-ave
• CT faʻataʻitaʻi le ua
• Aganuu e siaki mo siama i meaola faʻataʻitaʻi aveina mai le lymph nodes
• Tofotofoga toto HIV
• Suʻega PPD (e taʻua foi ole suʻega TB)
• O isi suʻega mo le fatafata vaivai (TB) e aofia ai ma suʻega toto e iloa ai pe na maua oe ile TB

A faʻamaʻi e mafua mai Mycobacterium tuberculosis, Togafitiga masani lava aofia ai 9 i le 12 masina o vailaʻau. E tele vailaʻau e tatau ona faʻaaoga i le taimi e tasi. Vailaʻau masani mo scrofula aofia ai:

• Ethambutol
• Isoniazid (INH)
• Pyrazinamide
• Rifampin

Afai o faʻamaʻi e mafua mai i se isi ituaiga o mycobacteria (lea e masani ona tupu i tamaiti), togafitiga masani aofia ai vailaʻau faʻapipiʻi pei o:

• Rifampin
• Ethambutol
• Clarithromycin

O taʻotoga e masani ona faʻaaoga muamua. E mafai foi ona fai pe a le ola vailaʻau.

Faʻatasi ai ma togafitiga, tagata masani ona faia se toe faʻaleleia atoatoa.

O nei faʻalavelave e ono tutupu mai lenei faʻamaʻi:

• Faasisina tiga i le ua
• Faasisila

Valaʻau lau fomaʻi pe a fai o oe poʻo lou alo o loʻo fulafula poʻo ni vaega fulafula i le ua. E mafai ona tupu le scrofula i tamaiti e leʻi aafia i se tasi e maua i le fatafata.

Tagata na maua i se tasi ma le fatafata vaivai o le mama e tatau ona faia se suʻega PPD.

Adenitis mamapala; Laʻu mama o le faʻaʻautagata; TB - scrofula

Pasternack MS, Swartz MN. Lymphadenitis ma le lymphangitis. I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi, Faʻafouina Lomiga. 8th ed. Filatelefaia, PA: Elsevier Saunders; 2015: mata 97.

Wenig BM. Lē neoplastic leʻona o le ua. I: Wenig BM, ed. Atlas o Ulu ma ua Pathology. 3rd ed. Filatelefia, PA: Elsevier; 2016: mata 12.