Ulusu lwesilonda se-blastomycosis

Isilonda solusu se-blastomycosis luphawu losulelo kunye nefungus IBlastomyces dermatitidis. Ulusu luyosuleleka njengoko ukungunda kusasazeka emzimbeni wonke. Olunye uhlobo lwe-blastomycosis lisesikhumbeni kuphela kwaye ihlala iba bhetele ngexesha. Eli nqaku lijongana nefom yokusasazeka ngokubanzi.

I-Blastomycosis yintsholongwane enqabileyo yosulelo. Ihlala ifumaneka:

• Afrika
• ECanada, malunga namachibi amakhulu
• Umzantsi wombindi nomntla wombindi United States
• Indiya
• Sirayeli
• Sawudi Arabhiya

Umntu wosulelwa ngokuphefumla kumasuntswana omngundo afunyenwe kumhlaba ofumileyo, ngakumbi apho kukho uhlaza olubolayo. Abantu abanamajoni omzimba abasemngciphekweni omkhulu kolu suleleko, nangona abantu abasempilweni banokuphuhlisa esi sifo.

Ngundo ingena emzimbeni ngemiphunga ize ibosulele. Kwabanye abantu, ukungunda kusasazeka (kusasazwa) kwezinye iindawo zomzimba. Usulelo lunokuchaphazela ulusu, amathambo kunye namalungu, amalungu esini kunye nomchamo, kunye nezinye iinkqubo. Iimpawu zolusu luphawu lokusasazeka ngokubanzi (ukusasazwa) kweblastomycosis.

Kubantu abaninzi, iimpawu zolusu zikhula xa usulelo lusasazeka ngaphaya kwemiphunga yabo.

Iipapu, iipustules, okanye amaqhuqhuva afunyanwa rhoqo kwiindawo zomzimba ezibonakalayo.

• Banokubonakala ngathi ziintsumpa okanye izilonda.
• Zihlala zingenantlungu.
• Ziyahlukahluka kumbala ongwevu ukuya ku-violet ngombala.

Iipustules zinokuthi:

• Yenza izilonda
• Ukopha ngokulula
• Yenzeka empumlweni okanye emlonyeni

Ixesha elingaphezulu, ezi zilonda zolusu zingakhokelela ekunqobeni nasekulahlekeni kombala wolusu (i-pigment).

Umboneleli wezempilo uya kuvavanya ulusu lwakho kwaye abuze malunga neempawu.

Usulelo lufunyaniswa ngokuchonga ukungunda kwinkcubeko ethathwe kulusu lwesikhumba. Oku kuhlala kufuna i-biopsy yolusu.

Olu sulelo lunyangwa ngamachiza okubulala ukungunda njenge-amphotericin B, itraconazole, ketoconazole, okanye i-fluconazole. Nokuba kungomlomo okanye ukufakwa ngaphakathi (ngqo emthanjeni) iziyobisi ziyasetyenziswa, kuxhomekeke kwichiza nakwinqanaba lesi sifo.

Ukwenza kakuhle kangakanani kuxhomekeke kwifom ye-blastomycosis nakwisistim somzimba wakho. Abantu abanamajoni omzimba acinezelweyo banokufuna unyango lwexesha elide ukuthintela iimpawu ukuba zingabuyi.

Iingxaki zinokubandakanya:

• Amathumba (iipokotho zobofu)
• Olunye (lwesibini) usulelo lolusu olubangelwa ziintsholongwane
• Iingxaki ezinxulumene namayeza (umzekelo, i-amphotericin B inokuba neziphumo ebezingalindelekanga ezibi)
• Ukuzikhupha ngokuzenzekelayo amaqhuqhuva
• Ukosuleleka komzimba wonke kunye nokufa

Ezinye zeengxaki zolusu ezibangelwa yi-blastomycosis zinokufana neengxaki zolusu ezibangelwa zezinye izifo. Xelela umboneleli wakho ukuba uvelisa naziphi na iingxaki zolusu ezixhalabisayo.

Bhala iJM, iVinh DC. Blastomycosis. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2021. IPhiladelphia, PA: Elsevier; 2021: 856-860.

IGauthier GM, iKlein BS. Blastomycosis. 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, iGalgiani JN, uReorge T.I-mycoses engapheliyo. Ku: IGoldman L, Shafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 316.