Imbali

I-Histoplasmosis sisifo esivela ekuphefumlweni kwi-spores yefungus Imbali yeplasma capsulatum.

I-Histoplasmosis yenzeka kwihlabathi liphela. E-United States, ixhaphake kakhulu kumazantsi mpuma, embindini weAtlantic, nakwindawo eziphakathi, ngakumbi kwiintlambo zaseMississippi naseOhio.

I-Histoplasma fungus ikhula njengobumba emhlabeni. Unokugula xa uphefumla kwi-spores eziveliswa yifungus. Umhlaba oqulethe iintaka zeentaka okanye zelulwane unokuba nesixa esikhulu sale fungus. Isoyikiso sikhulu emva kokudilizwa kwesakhiwo esidala, okanye emiqolombeni.

Olu sulelo lunokwenzeka kubantu abanamajoni omzimba asempilweni. Kodwa, ukuba namajoni omzimba abuthathaka kwandisa umngcipheko wokufumana okanye wokuvuselela esi sifo. Abantu abancinci kakhulu okanye abantu abadala kakhulu, okanye abo bane-HIV / AIDS, umhlaza, okanye ukufakelwa komzimba baneempawu ezinzima.

Abantu abanesifo semiphunga sexesha elide (esinganyangekiyo) esifana ne-emphysema kunye ne-bronchiectasis banomngcipheko ophezulu wosulelo olomeleleyo.

Uninzi lwabantu alunazimpawu, okanye lube nokugula okuphakathi komkhuhlane.

Ukuba iimpawu zenzeka, zingabandakanya:

• Umkhuhlane kunye nokubanda
• Ukukhwehlela kunye nentlungu yesifuba esiba mandundu xa uphefumla
• Intlungu edibeneyo
• Izilonda zomlomo
• Amaqhuma abomvu ngolusu, amaxesha amaninzi kwimilenze esezantsi

Usulelo lunokusebenza ixesha elifutshane, kwaye emva koko iimpawu ziyahamba. Ngamanye amaxesha, usulelo lwemiphunga lungahlala lukho. Iimpawu zibandakanya:

• Intlungu yesifuba kunye nokuphefumla okufutshane
• Khohlela, mhlawumbi ukhohlela igazi
• Umkhuhlane nokubila

Inani elincinci labantu, ngakumbi kulawo ane-immune system, i-histoplasmosis isasazeka emzimbeni wonke. Oku kubizwa ngokuba yi-histoplasmosis. Ukuphendula kukosuleleka kukudumba kunye nokudumba (ukudumba) kwenzeka. Iimpawu zingabandakanya:

• Intlungu yesifuba kukudumba kwengxowa efana nokugubungela intliziyo (pericarditis)
• Intloko kunye nokuqina kwentamo ukusuka kukudumba kwenwebu egubungele ingqondo kunye nentambo yomqolo (meningitis)
• Umkhuhlane ophezulu

I-Histoplasmosis ifunyaniswa ngu:

• I-Biopsy yemiphunga, ulusu, isibindi, okanye umongo wethambo
• Uvavanyo lwegazi okanye umchamo ukufumana i-histoplasmosis protein okanye ii-antibodies
• Iinkcubeko zegazi, umchamo, okanye isikhohlela (olu vavanyo lubonelela ngoxilongo olucacileyo lwe-histoplasmosis, kodwa iziphumo zinokuthatha iiveki ezi-6)

Ukunceda ukufumanisa le meko, umboneleli wakho wezempilo angenza:

• I-Bronchoscopy (uvavanyo olusebenzisa indawo yokujonga efakwe kwimiphunga yomoya ukujonga iimpawu zosulelo)
• Isifuba se-CT scan
• I-x-ray yesifuba
• Impompo yomqolo ukujonga imiqondiso yosulelo kwi-cerebrospinal fluid (CSF)

Kwabanye abantu abasempilweni, olu suleleko luhlala luhamba ngaphandle konyango.

Ukuba uyagula ngaphezulu kwenyanga enye okanye unengxaki yokuphefumla, umboneleli wakho unokumisela amayeza. Unyango oluphambili lwe-histoplasmosis ngamayeza okubulala.

• Izinto zokubulala ukungunda zingadinga ukunikwa ngomthambo, kuxhomekeke kwifom okanye kwinqanaba lesifo.
• Amanye ala mayeza anokuba neziphumo ebezingalindelekanga.
• Unyango lwexesha elide ngamachiza okubola anokufuneka ukuya kuthi ga kwi-1 ukuya kwi-2 iminyaka.

Imbonakalo ixhomekeke ekubeni lukhulu kangakanani usulelo, kunye nemeko yempilo yakho ngokubanzi. Abanye abantu baba ngcono ngaphandle konyango. Usulelo olusebenzayo luya kuhamba kunye neyeza lokubulala. Kodwa, usulelo lunokushiya ulusu ngaphakathi emiphungeni.

Izinga lokusweleka liphezulu kubantu abane-histoplasmosis engafakwanga inyangiweyo ene-immune system.

Ukuqhekeka kwisifuba kunokubeka uxinzelelo koku:

• Imithambo yegazi emikhulu ithwala igazi lisusa entliziyweni
• Intliziyo
• I-Esophagus (umbhobho wokutya)
• Ithumba

I-lymph nodes ezandisiweyo esifubeni sinokucinezela kwiindawo zomzimba ezifana ne-esophagus kunye nemithambo yegazi yemiphunga.

Shayela umnikezeli wakho ukuba uhlala kwindawo apho i-histoplasmosis iqhelekileyo kwaye ukhula:

• Iimpawu ezinjengomkhuhlane
• Iintlungu zesifuba
• Khohlela
• Ukuqhawukelwa ngumphefumlo

Ngelixa ezinye izifo zineempawu ezifanayo, kusenokufuneka uvavanywe kwi-histoplasmosis.

I-Histoplasmosis inokuthintelwa ngokunciphisa ukubekeka eluthulini kwiihoko zeenkuku, emiqolombeni, nakwezinye iindawo ezinobungozi obukhulu. Nxiba iimaski kunye nezinye izixhobo zokukhusela ukuba usebenza okanye ungena kwezi ndawo.

Usulelo lomngundo - i-histoplasmosis; Umkhuhlane we-Ohio River Valley; I-Fibrosing mediastinitis

• Amaphaphu
• I-histoplasmosis efanelekileyo
• Kusasazwe i-histoplasmosis
• I-Histoplasmosis, isasazwa kwisigulana se-HIV

I-Deepe GS. Imbali yeplasma capsulatum (i-histoplasmosis). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 265.

Kauffman CA. Imbali. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 332.