Ingathi iFungus emnyama ichaphazele i-COVID-19

Umxholo

• Yintoni i-Fungus emnyama?
• Ziziphi iimpawu zeNkungu emnyama, kwaye inyangwa njani?
• Kutheni le nto Maninzi kakhulu amatyala amaFungus amnyama eIndiya?
• Ngaba ufanele ube nexhala malunga neFungus emnyama eU.S.?
• Uphengululo lwe

Kule veki, ixesha eloyikisayo, elitsha lilawule uninzi lwencoko ye-COVID-19. Kubizwa ngokuba yi-mucormycosis okanye "umngundo omnyama," kwaye kusenokwenzeka ukuba uve ngakumbi malunga nosulelo olunokubulala ngenxa yokwanda okuxhaphakileyo eIndiya, apho amatyala e-coronavirus asaphakama. Ngokukodwa, ilizwe linika ingxelo yenani elikhulayo lokuchongwa kwe-mucormycosis kubantu okwangoku okanye abasandula kuchacha kusulelo lwe-COVID-19. Kwiintsuku ezimbalwa ezidlulileyo, umphathiswa wezempilo waseMaharashtra uthe zingaphezulu kwe-2,000 XNUMX iimeko ze-mucormycosis ezixeliweyo kurhulumente kuphela, ngokutsho Ixesha leHindustan. Ngelixa usulelo olumnyama lwe-fungus lunqabile, "ukuba alukhathalelwanga lusenokufa," ngokweengcebiso ezivela kwi-Indian Council yoPhando lwezoNyango kunye neSebe lezeMpilo laseIndiya. Ngexesha lokupapashwa, usulelo olumnyama lwefungus lubulale abantu abasibhozo ubuncinci eMaharashtra. (Idibeneyo: Unganceda njani i-India ngexesha le-COVID-19 Ubundlobongela Nokuba awukho phi kwiLizwe)

Ngoku, ukuba ihlabathi lifunde nantoni na kulo bhubhane, kungenxa yokuba imeko iyavela ngaphaya Iglowubhu, ayithethi ukuba ayinakukwazi ukuya kwiyadi yakho yangasemva. Ngapha koko, i-mucormycosis "sele ilapha kwaye ihlala ikhona," utshilo u-Aileen M. Marty, MD, ingcali yezifo ezosulelayo kunye nonjingalwazi kwiYunivesithi yaseFlorida yeYunivesithi yaseHerbert Wertheim.

Kodwa musa ukoyika! Umngundo obangela usulelo udla ngokufunyanwa kwizinto ezibolayo zendalo nasemhlabeni (oko kukuthi umgquba, iinkuni ezibolileyo, ubulongwe bezilwanyana) kunye nakumanzi ezikhukula okanye kwizakhiwo ezonakaliswe ngamanzi emva kweentlekele zendalo (ezifana nemeko emva kweNkanyamba uKatrina, amanqaku. UGqirha Marty). Kwaye khumbula, ukungunda okumnyama kunqabile. Nantsi into ekufuneka uyazi malunga ne-mucormycosis.

Yintoni i-Fungus emnyama?

I-Mucormycosis, okanye i-fungus emnyama, isifo esibi kakhulu kodwa esinqabileyo esibangelwa liqela leembumba ezibizwa ngokuba yi-mucormycetes, ngokweZiko loLawulo lweSifo kunye noThintelo (CDC). UGqirha Marty uthi: "Ifungus ezibangela i-mucormycosis zikhona [kuyo yonke indawo] okusingqongileyo. "[Zixhaphakile] ikakhulu ekubolaweni komhlaba, kubandakanya isonka, iziqhamo, izinto zemifuno, umhlaba, iimfumba zomgquba, kunye nenkunkuma yezilwanyana." Ngokulula, bahlala "kuyo yonke indawo," utshilo.

Nangona isasazekile, ezi zibumba zibangela isifo zichaphazela ikakhulu abantu abaneengxaki zempilo (okt abangaxhomekeki emzimbeni) okanye abo bathatha amayeza okunyanga ukunganyanzeleki, ngokwe-CDC. Ke uluphuhlisa njani usulelo kumngundo omnyama? Ngokwesiqhelo ngokuphefumla kwi-teeny, iintsholongwane ezincinci zomngundo ezikhutshwa ngumngundo emoyeni. Kodwa unokufumana nosulelo kulusu ngenxeba elivulekileyo okanye ngokutsha, wongeza uGqirha Marty. (Eyeleleneyo: Nantsi yonke into omawuyazi malunga neCoronavirus kunye nokusilela kwamajoni omzimba)

Iindaba ezimnandi: "Inokungena kuphela, ikhule, kwaye ibangele isifo kwipesenti encinci yabantu ngaphandle kokuba ufumana 'idosi' eyoyikisayo yosulelo ngexesha elinye" okanye ingena "ngokwenzakala okungathethekiyo," ucacisa uGqirha Marty. Ke, ukuba uhlala usempilweni kwaye awunaso isifo esivulekileyo esidibana ngqo nokubumba okanye uphefumle kwisikhephe esineziporo ngelixa, yithi, inkampu ngaphezulu komhlaba ogcwele ukungunda (nangona, kunzima ukwazi ekubeni zincinci kangaka), amathuba akho okusuleleka asezantsi. I-CDC ibika ukuba idla ngokuphanda iimeko enye ukuya kwezintathu zamaqela (okanye ukuqhambuka okuncinci) kwefungus emnyama edityaniswe namaqela athile abantu, njengabo bane-organ transplant (funda: i-immunocompromised) ngonyaka.

Ziziphi iimpawu zeNkungu emnyama, kwaye inyangwa njani?

Iimpawu zosulelo lwe-mucormycosis zinokuvela kwintloko kunye nokuxinana ukuya kumkhuhlane kunye nokuphefumula okufutshane kuxhomekeke kwindawo apho umzimba ukhula khona i-fungus emnyama, ngokweCDC.

• Ukuba ingqondo yakho okanye i-sinus yosuleleka, Unokufumana ukuxinana kwempumlo okanye kwesono, intloko ebuhlungu, ukudumba kobuso kwicala elinye, umkhuhlane, okanye izilonda ezimnyama kwibhulorho lempumlo phakathi kwamashiya akho okanye ngaphakathi phezulu emlonyeni.
• Ukuba imiphunga yakho yosulelekile, Unokwazi ukujongana nomkhuhlane ngaphezu kokukhwehlela, intlungu yesifuba, okanye ukuphefumula okufutshane.
• Ukuba ulusu lwakho losuleleka, Iimpawu zingabandakanya i-blisters, ubomvu obugqithisileyo, ukudumba ujikeleze inxeba, iintlungu, ukufudumala, okanye indawo emnyama enesifo.
• Okokugqibela, ukuba ukungunda kungena kumgudu wakho wamathumbu, unokufumana iintlungu zesisu, isicaphucaphu kunye nokugabha, okanye ukopha emathunjini.

Xa kuziwa kunyango lwe-mucormycosis, oogqirha bahlala bebiza amayeza amayeza alawulwa ngomlomo okanye ngaphakathi, ngokutsho kweCDC. (FYI-iyenza hayi zibandakanya zonke antifungals, ezifana fluconazole ob-gyn yakho emiselweyo ukuba usulelo igwele.) Amaxesha amaninzi, izigulana umngundo emnyama kufuneka lwenziwe utyando ukususa izicubu ezosulelekileyo.

Kutheni le nto Maninzi kakhulu amatyala amaFungus amnyama eIndiya?

Okokuqala, qonda ukuba "kukho hayi ubudlelwane ngqo "phakathi kwe-mucormycosis okanye ukungunda okumnyama kunye ne-COVID-19, kugxininisa uGqirha Marty. Ngentsingiselo, ukuba wenza isivumelwano ne-COVID-19, awunyanzelekanga ukuba wosulelwe ngundo omnyama.

Nangona kunjalo, kukho izinto ezimbalwa ezinokuthi zichaze iimeko zomngundo omnyama eIndiya, utshilo uGqirha Marty. Eyokuqala kukuba i-COVID-19 ibangela i-immunosuppression, ethi, kwakhona, yenza ukuba umntu abe sesichengeni ngakumbi kwi-mucormycosis. Kwangokunjalo, ii-steroids-ezimiselwe ukubakho kwiifom ezinobunzima be-coronavirus-ziyayicinezela okanye ziyenze buthathaka inkqubo yomzimba yokuzikhusela. Isifo seswekile kunye nokungondleki - ezixhaphake kakhulu eIndiya- nazo ziyadlala, utshilo uGqirha Marty. Zombini isifo seswekile kunye nokungondleki kuphazamisa amajoni omzimba, ngaloo ndlela kuvula izigulana ukuya kusulelo lokungunda olufana ne-mucormycosis. (Eyeleleneyo: Yintoni i-Comorbidity, kwaye iwuchaphazela njani umngcipheko wakho we-COVID-19?)

Ngokusisiseko, "ezi fungi ezinamathuba ezithatha ithuba lokuzikhusela komzimba okubangelwa yintsholongwane ye-SARS-CoV-2 edibene nokusetyenziswa kwe-steroids kunye neminye imiba ekhankanywe apha ngasentla e-India," uyongeza.

Ngaba ufanele ube nexhala malunga neFungus emnyama eU.S.?

I-Mucormycosis sele ikho e-US-kwaye ibiyiminyaka. Kodwa akukho sizathu sangoko sokukhathazeka, njengoko, kwakhona, "ezi fungi azikho yingozi kubantu abaninzi" ngaphandle kokuba unesistim somzimba esibuthathaka, ngokutsho kweCDC. Ngapha koko, bahlala kuyo yonke indawo kwithala leencwadi laseMelika lezeMpilo elixhasa ukuba "abantu abaninzi banxibelelana nefungus ngexesha elithile."

Konke onokukwenza ngokwenene kukwazi iimpawu ezithile zosulelo ekufuneka uzijongile kwaye uthathe amanyathelo afanelekileyo okuzikhusela ukuze uhlale usempilweni. Yenza konke onako "ukunqanda ukufumana i-COVID-19, utye ngokufanelekileyo, wenze umthambo kwaye ulale ngokwaneleyo," utshilo uGqr. Marty.

Ulwazi kweli bali luchanekile ngexesha lokushicilelwa. Njengoko uhlaziyo malunga ne-coronavirus ye-COVID-19 luqhubeka nokuvela, kunokwenzeka ukuba ezinye iinkcukacha kunye nezindululo kweli bali zitshintshile ukusukela ekupapashweni kwayo. Siyakukhuthaza ukuba ujonge rhoqo ngezixhobo ezinjenge-CDC, i-WHO, kunye nesebe lezempilo likarhulumente kwindawo yakho yokufumana olona lwazi lwanamhlanje kunye neengcebiso.

Uphengululo lwe