Umchormycosis

I-Mucormycosis sisifo sokungunda sesono, ingqondo, okanye imiphunga. Kuyenzeka kwabanye abantu abanamajoni omzimba abuthathaka.

I-Mucormycosis ibangelwa ziindidi ezahlukeneyo zomngundo ezihlala zifumaneka kwizinto ezibolayo. Oku kubandakanya isonka esonakeleyo, iziqhamo, kunye nemifuno, kunye nomhlaba kunye nenqwaba yomgquba. Uninzi lwabantu ludibana nefungus ngexesha elithile.

Nangona kunjalo, abantu abanamajoni omzimba abuthathaka kunokwenzeka ngakumbi ukuba baphuhlise i-mucormycosis. Oku kubandakanya abantu abanayo nayiphi na kwezi meko zilandelayo:

• UGawulayo
• Ukutsha
• Isifo seswekile (sihlala silawulwa kakubi)
• I-leukemia kunye ne-lymphoma
• Ukusetyenziswa kwexesha elide kwe-steroid
• I-metosis acidosis
• Isondlo esibi (ukungondleki)
• Ukusetyenziswa kwamanye amayeza

I-Mucormycosis inokubandakanya:

• Isusus kunye nosulelo lobuchopho olubizwa ngokuba yintsholongwane kaRhinocerebral Inokuqala njengosuleleko lwesono, emva koko ikhokelele ekudumbeni kwemithambo-luvo ephuma kwingqondo.Inokubangela namahlwili egazi athintela iimpahla kwingqondo.
• Usulelo lwemiphunga olubizwa ngokuba yi-pulmonary mucormycosis: I-pneumonia iba mandundu ngokukhawuleza kwaye inokusasazeka kwisifuba, intliziyo kunye nengqondo.
• Amanye amalungu omzimba: I-Mucormycosis yendlela yesisu, ulusu kunye nezintso.

Iimpawu ze-rhinocerebral mucormycosis zibandakanya:

• Amehlo adumbayo kwaye aphume ngaphandle (ukuphuma)
• Ukukhwabanisa okumnyama kwimingxunya yempumlo
• Ifiva
• Intloko ebuhlungu
• Ukutshintsha kwemeko yengqondo
• Ubomvu bolusu ngaphezu kwesono
• Iintlungu zesinus okanye ukuxinana

Iimpawu zemiphunga (pulmonary) mucormycosis zibandakanya:

• Khohlela
• Ukukhohlela igazi (ngamanye amaxesha)
• Ifiva
• Ukuqhawukelwa ngumphefumlo

Iimpawu zesisu somzimba esiswini zibandakanya:

• Intlungu zesisu
• Igazi kwizitulo
• Urhudo
• Ukuphalaza igazi

Iimpawu zezintso (i-renal) i-mucormycosis ibandakanya:

• Ifiva
• Intlungu kwisisu esingaphezulu okanye ngasemva

Iimpawu zesikhumba (ezinqamlezileyo) i-mucormycosis zibandakanya indawo enye, ngamanye amaxesha ebuhlungu, eqinileyo yesikhumba enokuba neziko elimnyama.

Umboneleli wakho wezempilo uyakukuvavanya. Jonga ugqirha wempumlo yomqala (ENT) ukuba unengxaki yesono.

Ukuvavanywa kuxhomekeke kwiimpawu zakho, kodwa kunokubandakanya ezi mvavanyo zokucinga:

• Ukuskena kweCT
• Ukuskena iMRI

I-biopsy kufuneka yenziwe ukuze ichonge i-mucormycosis. I-biopsy kukususwa kwesiqwenga esincinci seethishu kuvavanyo lwaselebhu ukufumanisa ukungunda kunye nokuhlasela kwithishu yokubamba.

Utyando kufuneka lwenziwe kwangoko ukususa zonke izicwili ezifileyo nezisulelekileyo. Utyando lunokukhokelela ekuguqulweni komzimba kuba kunokubandakanya ukususwa kwenkalakahla, iinxalenye zempumlo, okanye iinxalenye zamehlo. Kodwa, ngaphandle kotyando olunje, amathuba okusinda anciphile kakhulu.

Uyakufumana kwakhona iyeza lokubola, ngesiqhelo i-amphotericin B, ngomthambo. Emva kokuba usulelo luphantsi kolawulo, unokutshintshelwa kwelinye iyeza elinjengepacacazazole okanye isavuconazole.

Ukuba unesifo seswekile, kubalulekile ukuba ufumane iswekile yegazi kuluhlu oluqhelekileyo.

I-Mucormycosis inezinga eliphezulu kakhulu lokufa, nokuba sele kwenziwe utyando olunoburharha. Umngcipheko wokufa uxhomekeke kwindawo yomzimba ochaphazelekayo nakwimpilo yakho iyonke.

Ezi ngxaki zinokwenzeka:

• Ubumfama (ukuba kubandakanyeka i-optic nerve)
• Ukuvala okanye ukuvaleka kwengqondo okanye imithambo yegazi yemiphunga
• Ukufa
• Umonakalo wemithambo

Abantu abanamajoni omzimba abuthathaka kunye nokuphazamiseka komzimba (kubandakanya isifo seswekile) kufuneka bafune unyango ukuba bayaphuhlisa:

• Ifiva
• Intloko ebuhlungu
• Iintlungu zesinus
• Ukudumba kwamehlo
• Naziphi na ezinye iimpawu ezidweliswe apha ngasentla

Ngenxa yokuba ifungi ebangela i-mucormycosis ixhaphakile, eyona ndlela yokuthintela usulelo kukuphucula ulawulo lwezifo ezinxulumene ne-mucormycosis.

Usulelo lomngundo - mucormycosis; Zygomycosis

• Ngundo

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Umchormycosis. www.cdc.gov/fungal/diseases/mucormycosis/index.html. Ukuhlaziywa ngo-Okthobha 28, 2020. Kufikeleleke ngoFebruwari 18, 2021.

IKontoyiannis DP. Umchormycosis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 320.

UKontoyiannis DP, uLewis RE. Iiarhente ze-mucormycosis kunye ne-entomophthoramycosis. 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 258.