Sporotrichosis

ISporotrichosis sisifo solusu sexesha elide (esingapheliyo) esibangelwa ngundo ekuthiwa I-Sporothrix schenckii.

I-Sporothrix schenckii ifumaneka kwizityalo. Usulelo lwenzeka ngesiqhelo xa ulusu lophukile ngelixa kuphathwa izinto zezityalo ezinjenge rosebushes, briars, okanye ukungcola okuqulethe i-mulch eninzi.

I-Sporotrichosis inokuba sisifo esinxulumene nomsebenzi kubantu abasebenza nezityalo, ezinje ngamafama, abalimi bezolimo, abagadi begadi rose, kunye nabasebenzi bezityalo. Ukusasazeka (ukusasazwa) i-sporotrichosis inokukhula kubantu abanamajoni omzimba abuthathaka xa befaka uthuli oluzele ziintsholongwane zomngundo.

Iimpawu zibandakanya iqhuma elincinci, elingenabuhlungu, elibomvu eliqala kwindawo yosulelo. Ngokuhamba kwexesha, eli qhuma liza kujika libe sisilonda (esibuhlungu). Isigaxa sinokukhula ukuya kwiinyanga ezi-3 emva kokonzakala.

Uninzi lwezilonda zisezandleni nakwizandla zangaphambili kuba ezi ndawo zenzakala kakhulu xa kuphathwa izityalo.

Lo mngundo ulandela imijelo kwinkqubo yelym yomzimba wakho. Izilonda ezincinci zivela njengemigca kulusu njengoko usulelo lonyusa ingalo okanye umlenze. Ezi zilonda azinyangi ngaphandle kokuba zinyangiwe, kwaye zinokuhlala iminyaka. Izilonda ngamanye amaxesha zinokukhupha isixa esincinci sobofu.

Ububanzi bomzimba (systemic) i-sporotrichosis inokubangela iingxaki zemiphunga kunye nokuphefumla, usulelo lwethambo, isifo samathambo kunye nosulelo lwenkqubo yemithambo-luvo.

Umboneleli wezempilo uyakukuvavanya akubuze malunga neempawu zakho. Uviwo luya kubonisa izilonda eziqhelekileyo ezibangelwa ngundo. Ngamanye amaxesha, isampulu encinci yethishu echaphazelekayo iyasuswa, ihlolwe phantsi kwemicroscope, kwaye ivavanywe elebhu ukufumanisa ukungunda.

Usulelo lolusu luhlala lunyangwa ngamayeza okubola abizwa ngokuba yiitraconazole. Ithathwa ngomlomo kwaye iqhubekeke kangangeeveki ezi-2 ukuya kwezi-4 emva kokuba ulusu lususiwe. Kungafuneka uthathe iyeza iinyanga ezintathu ukuya kwezi-6. Iyeza elibizwa ngokuba yi-terbinafine linokusetyenziswa endaweni ye-itraconazole.

Usulelo olusasazekileyo okanye oluchaphazela umzimba wonke luhlala lunyangwa nge-amphotericin B, okanye ngamanye amaxesha itraconazole. Unyango lwezifo zesistim lunokuhlala ukuya kwiinyanga ezili-12.

Ngonyango, ukubuyiswa ngokupheleleyo kunokwenzeka. Ukusasazwa kwe-sporotrichosis kunzima ukunyanga kwaye kufuna iinyanga ezininzi zonyango. Ukusasazwa kwe-sporotrichosis kunokuba sisongelo kubomi kubantu abanamajoni omzimba abuthathaka.

Abantu abanamajoni omzimba asempilweni banokuba:

• Ukungakhululeki
• Usulelo lwesibini lwesikhumba (njenge-staph okanye i-strep)

Abantu abanamajoni omzimba abuthathaka banokukhula:

• Isifo samathambo
• Usulelo lwamathambo
• Iingxaki ezivela kumayeza-i-amphotericin B inokuba neziphumo ebezingalindelekanga ezibi, kubandakanya ukonzakala kwezintso
• Imiphunga kunye neengxaki zokuphefumla (njenge-pneumonia)
• Usulelo lobuchopho (meningitis)
• Ukusasazeka kwezifo

Yenza idinga nomnikezeli wakho ukuba ukhula ube nezilonda ezingapheliyo. Xelela umboneleli wakho ukuba uyazi ukuba ubonakalisiwe kwizityalo ukusuka kwigadi.

Abantu abanamajoni omzimba abuthathaka kufuneka bazame ukunciphisa umngcipheko wokonzakala kolusu. Ukunxiba iiglavu ezingqindilili ngelixa ukwenza igadi kunokunceda.

• Sporotrichosis kwisandla nakwingalo
• Sporotrichosis engalweni
• Sporotrichosis kwingalo
• Ngundo

IKauffman CA, iGalgiani 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.

Rex JH, i-Okhuysen PC. I-Sporothrix schenckii. 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 259.