Blastomycosis

IBlastomycosis sisifo esibangelwa kukuphefumla IBlastomyces dermatitidis ngundo. Ifungus ifumaneka kumthi obolayo nasemhlabeni.

Unokufumana i-blastomycosis ngokunxibelelana nomhlaba ofumileyo, ubukhulu becala apho kukho ukubola kweenkuni kunye namagqabi. Ngundo ingena emzimbeni ngemiphunga, apho usulelo luqala khona. Lo mngundo unganwenwela kwamanye amalungu omzimba. Esi sifo sinokuchaphazela ulusu, amathambo kunye namalungu, kunye nezinye iindawo.

IBlastomycosis inqabile. Itholakala kumbindi nakumazantsi mpuma eUnited States, nase Canada, India, Israel, Saudi Arabia nase Afrika.

Eyona nto iphambili esi sifo kukunxibelelana nomhlaba owosulelekileyo. Ihlala ichaphazela abantu abanamajoni omzimba abuthathaka, njengaleyo inentsholongwane kaGawulayo / uGawulayo okanye abo banamalungu afakelwe ilungu lomzimba, kodwa inokosulela nabantu abasempilweni. Amadoda anokuchaphazeleka ngakumbi kunabafazi.

Usulelo lwemiphunga alunakubangela zimpawu. Iimpawu zinokubonwa ukuba usulelo luyasasazeka. Iimpawu zingabandakanya:

• Intlungu edibeneyo
• Iintlungu zesifuba
• Ukukhwehlela (kunokuvelisa i-mucus ebomvu okanye enegazi)
• Ukudinwa
• Umkhuhlane nobusuku ukubila
• Ukungakhululeki ngokubanzi, ukungonwabi, okanye ukuziva ungonwabanga (malaise)
• Intlungu yezihlunu
• Ukuphulukana nobunzima ngabom

Uninzi lwabantu luphuhlisa iimpawu zolusu xa usulelo lusasazeka. Unokufumana iipapuli, iipustules, okanye amaqhuqhuva kwiindawo zomzimba ezibonakalayo.

Iipustules:

• Ingabonakala njengeentsumpa okanye izilonda
• Zihlala zingenabuhlungu
• Vary ngombala ukusuka kwingwevu ukuya kwi-violet
• Ingabonakala empumlweni nasemlonyeni
• Ukopha ngokulula kwaye wenze izilonda

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uya kubuzwa malunga nembali yakho yonyango kunye neempawu.

Ukuba umboneleli ukrokrela ukuba unosulelo lokungunda, ukuxilongwa kunokuqinisekiswa zezi mvavanyo:

• Isifuba se-CT scan
• I-x-ray yesifuba
• Ulusu lwe-biopsy
• Inkcubeko kunye noviwo lwesikhohlela
• Ukuchongwa kwe-antigen ye-Urinary
• I-biopsy yethishu kunye nenkcubeko
• Inkcubeko umchamo

Kusenokungafuneki ukuba uthathe amayeza osulelo lwe-blastomycosis oluthambileyo oluhlala emiphungeni. Umboneleli unokucebisa la mayeza alandelayo wokubulala isifo xa sinzima okanye sisasazeka ngaphandle kwemiphunga.

• IFluconazole
• Itraconazole
• Ketoconazole

I-Amphotericin B inokusetyenziselwa usulelo olukhulu.

Landela rhoqo nomboneleli wakho ukuqinisekisa ukuba usulelo alubuyi.

Abantu abanezilonda ezincinane kulusu (izilonda) kunye nosuleleko olungenamiphunga oluqhelekileyo zihlala zichacha ngokupheleleyo. Usulelo lungakhokelela ekufeni ukuba alunyangwanga.

Iingxaki ze-blastomycosis zinokubandakanya:

• Izilonda ezinkulu ezinobomvu (amathumba)
• Izilonda zolusu zingakhokelela ekunqandeni nasekulahlekeni kombala wolusu (i-pigment)
• Ukubuya kosulelo (ukubuyela umva okanye ukuphindaphinda kwesifo)
• Iziphumo ebezingalindelekanga ezivela kumachiza afana ne-amphotericin B

Tsalela umnikezeli wakho ukuba unempawu ze-blastomycosis.

Ukuthintela uhambo oluya kwiindawo apho usulelo lwaziwa ukuba lunokwenzeka kunokunceda ukuthintela ukubonakaliswa kwefungus, kodwa oku akunakuhlala kunokwenzeka.

I-blastomycosis yaseMntla Melika; Isifo sikaGilchrist

• Ukunqunyulwa umlenze - ukubhobhoza

• Ngundo
• I-biopsy yemiphunga yemiphunga
• Osteomyelitis

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Izifo zefungal. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 77.

IGauthier GM, iKlein BS. Blastomycosis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 264.

IKauffman CA, iGalagiani JN, iThompson GR. I-mycoses engapheliyo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 316.