Ipneumonia yinyumoniya

IPneumocystis jiroveci inyumoniya sisifo sokungunda semiphunga. Esi sifo sasidla ngokubizwa IPneumocystis carini okanye inyumoniya yePCP.

Olu hlobo lwenyumoniya lubangelwa ngundo IPneumocystis jiroveci. Le fungus ixhaphake kwindalo esingqongileyo kwaye kunqabile ukuba ibangele ukugula kubantu abasempilweni.

Nangona kunjalo, inokubangela usuleleko lwemiphunga kubantu abanamajoni omzimba abuthathaka ngenxa:

• Umhlaza
• Ukusetyenziswa kwexesha elide kwe-corticosteroids okanye amanye amayeza enza buthathaka amajoni omzimba
• Intsholongwane kaGawulayo / uGawulayo
• Ukufakelwa komzimba okanye umongo wethambo

IPneumocystis jiroveci yayisisifo esinqabileyo phambi kobhubhane kaGawulayo. Ngaphambi kokusetyenziswa kwee-antibiotics zokuthintela le meko, uninzi lwabantu e-United States abane-AIDS ehambele phambili bahlala belwenza olu sulelo.

I-Pneumocystis pneumonia kubantu abane-AIDS ihlala ikhula kancinci kwiintsuku ukuya kwiiveki okanye kwiinyanga, kwaye ayinamandla kangako. Abantu abane-pneumocystis pneumonia abangenayo i-AIDS bahlala begula ngokukhawuleza kwaye bagula kakhulu.

Iimpawu zibandakanya:

• Khohlela, ihlala ithambile kwaye yomile
• Ifiva
• Ukuphefumla ngokukhawuleza
• Ukuphefumla okufutshane, ngakumbi ngomsebenzi (amandla)

Umboneleli wakho wezempilo uya kukuvavanya kwaye akubuze malunga neempawu zakho.

Uvavanyo olunoku-odolwa lubandakanya:

• Iigesi zegazi
• I-Bronchoscopy (ngokuhlamba)
• I-biopsy yemiphunga
• X-ray esifubeni
• Uvavanyo lwesikhohlela ukujonga ukungunda okubangela usulelo
• I-CBC
• Inqanaba leBeta-1,3 glucan egazini

Amayeza okuthintela usulelo anokunikwa ngomlomo (ngomlomo) okanye ngemithambo (ngaphakathi), kuxhomekeke ekubeni sibuhlungu kangakanani isigulo.

Abantu abanamanqanaba aphantsi eoksijini kunye nezifo ezimodareyithayo ukuya kwisifo esiqatha badla ngokumiselwa i-corticosteroids ngokunjalo.

I-pneumocystis pneumonia inokubusongela ubomi. Ingabangela ukusilela kokuphefumla okunokubangela ukufa. Abantu abakule meko bafuna unyango lwakwangoko nolusebenzayo. Ukulungelelanisa ukuya kwi-pneumocystis pneumonia ebukhali kubantu abane-HIV / AIDS, ukusetyenziswa kwexesha elifutshane kwe-corticosteroids kunciphisile imeko yokufa.

Iingxaki ezinokubangela zibandakanya:

• Ukuchithwa kwePleural (kunqabile kakhulu)
• IPneumothorax (umphunga owileyo)
• Ukungaphumeleli kokuphefumla (kunokufuna inkxaso yokuphefumla)

Ukuba unamajoni omzimba obuthathaka ngenxa ye-AIDS, umhlaza, ukufakelwa, okanye ukusebenzisa i-corticosteroid, tsalela umnikezeli wakho ukuba ngaba ukhohlela, umkhuhlane okanye ukuphefumla kancinci.

Kucetyiswa ukuba uthintele unyango:

• Abantu abane-HIV / AIDS abanezibalo ze-CD4 ezingaphantsi kwama-200 eeseli / microliter okanye iiseli ezingama-200 / ii-cubic millimeter
• Abamkeli bomongo wethambo
• Abamkeli bokufakelwa komzimba
• Abantu abathatha ixesha elide, idosi ephezulu ye-corticosteroids
• Abantu abaneziqendu zangaphambili zolu sulelo
• Abantu abathatha iziyobisi zexesha elide zokuzikhusela emzimbeni

Inyumoniya; Inyumoniya; I-PCP; IPneumocystis carinii; I-PJP inyumoniya

• I-pneumonia kubantu abadala - ukukhutshwa

• Amaphaphu
• UGawulayo
• IPneumocystosis

IKovacs JA. Ipneumonia inyumoniya. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 321.

UMiller RF Walzer PD, uSmulian AG. Iintlobo zepneumocystis. 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 269.