Iimpawu zeParacoccidioidomycosis kwaye lunjani unyango

Umxholo

• Ngaba kwenzeka njani ukuhambisa
• Iimpawu eziphambili
• Uqinisekisa njani
• Iindlela zonyango
• Indlela yokuthintela

IParacoccidioidomycosis sisifo esibangelwa ngumngundo IParacoccidioides brasiliensis, esihlala sikhona emhlabeni nakwimifuno, kwaye inokuchaphazela amalungu ahlukeneyo omzimba, anje ngemiphunga, umlomo, umqala, ulusu okanye ii-lymph node.

Ikwabizwa ngokuba yi-American American blastomycosis, olu suleleko lufunyanwa ngokuphefumla kwaye luxhaphake kakhulu kwimimandla yetropiki, kubangele iimpawu ezinje ngokunqongophala kokutya, ukwehla kobunzima, ukukhwehlela, umkhuhlane, ukurhawuzelela, izilonda zomlomo kunye nokubonakala kwamanzi. Inokuvela ngeendlela ezi-2:

• Ifom yolutsha: rhoqo rhoqo ebantwaneni nakubantu abancinci abaneminyaka eli-10 ukuya kwengama-20, edla ngokubonakala ngakumbi, emva kweeveki ezimbalwa zosulelo;
• Imilo yabantu abadala: ihlala ichaphazela abantu abaphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala, ngakumbi amadoda asebenza emaphandleni, njengamafama, nabantu abatshayayo, abasela iziselo ezinxilisayo okanye abangondlekanga, beyifom enganyangekiyo, eqhubeka ngaphezulu kweenyanga ukuya kwiminyaka emva kosulelo.

Emva kokuqinisekisa ukuxilongwa, kunye nokuhlolwa kwegazi kunye ne-biopsy, ugqirha unokukhokela unyango nge-antifungals, njengeFluconazole, Ketoconazole, Itraconazole okanye i-Amphotericin, umzekelo.

Ngaba kwenzeka njani ukuhambisa

IParacoccidioidomycosis inesivumelwano xa uphefumla, kunye nokuphefumla kwamasuntswana avela kwi IParacoccidioides brasiliensis. Le fungus ihlala kumhlaba wamasimi, ke yinto eqhelekileyo ukuba ichaphazele abahlali beendawo ezisemaphandleni, amafama kunye namafama, umzekelo, kuba umntu angangenisa umngundo kunye nothuli lomhlaba.

Nje ukuba ifakwe emiphungeni, ukungunda kweparacoccidioidomycosis kubangela isifo ngeendlela ezi-2 ezahlukeneyo:

1. Ukusasazeka kwegazi kunye nomjelo we-lymphatic kwamanye amalungu omzimba, afana nolusu, ii-lymph node, isibindi, udakada, ulusu kunye nengqondo, OKANYE
2. Ukuhlala uthe cwaka, mva nje, ngaphakathi kwezilonda ezibangelwe yimiphunga iminyaka emininzi, de isifo sikhule, ngakumbi kwiimeko zokungakhuseleki komzimba, njengokungondleki, utywala, ukusetyenziswa kweziyobisi ezikhuselayo okanye usulelo lwe-HIV, umzekelo.

Indlela yesibini yeyona ixhaphakileyo kuba, ngokubanzi, kuqhelekile ukuba kungcoliswe ngundo nokuba ngumntwana okanye kwinqanaba lokufikisa, nangona kunjalo, iimpawu zihlala zibonakala ebudaleni.

Kubalulekile ukuba ukhumbule ukuba iparacoccidioidomycosis ayinakusasazeka isuka komnye umntu isiya komnye, nokuba akunjalo ngokuqhagamshelana ngqo okanye ngokwabelana ngezinto ezizezakho. Jonga ezinye izifo ezibangelwa kukungunda okusasazeka emzimbeni wonke, njenge-Histoplasmosis okanye iBlastomycosis.

Iimpawu eziphambili

IParacoccidioidomycosis inokubonisa iintlobo ezininzi zeempawu kunye neempawu, ezahluka ngokweempawu zabantu ezinje ngobudala, inqanaba lempilo, ukuphendula komzimba kunye nezinto zemfuza. Iimpawu eziphambili kunye neempawu zibandakanya:

• Ukuphelelwa ngumdla wokutya kunye nokuba buthathaka;
• IPallor;
• Ukurhwebesha;
• Ifiva;
• Ukuphefumla okufutshane kunye nokukhohlela, okunokuba kunye okanye ngaphandle kwegazi;
• Izilonda kulusu okanye inwebu yangaphakathi, ikakhulu ebusweni, emlonyeni, emilebeni, kwiintsini, zibangela ubunzima ekuhlafunweni nasekuginyweni;
• Ukuvela kweelwimi ngokwandiswa kwee-lymph node, ezikwabizwa ngokuba kukwandiswa kwe-lymph node;
• Ukwandisa isibindi sesibindi.

Kwiimeko ezinzima kakhulu, esi sifo sinokufikelela nakwizitho ezinjengengqondo, amathumbu, amathambo okanye izintso, umzekelo.

Uqinisekisa njani

Ukuchongwa kweparacoccidioidomycosis, ugqirha uya kwenza uvavanyo lweklinikhi, uvavanyo lomzimba, kwaye anga-odola iimvavanyo ezinje ngesifuba X-reyi, ukubala kwegazi, ukulinganisa ukudumba kunye nokuvavanywa kwezintso kunye nokusebenza kwesibindi, umzekelo.

Isiqinisekiso senziwa ikakhulu ekuchongeni ukungunda kwi-biopsy yesilonda, nangona kunjalo, ezinye iimvavanyo eziluncedo zibandakanya ukuqokelelwa kwesikhohlela, i-aspirate yemiphunga, ukukhukuliswa kwezilonda okanye inkcubeko yefungus.

Ukongeza, kukwakho iimvavanyo zegazi ezikwaziyo ukuchonga izilwa-buhlungu ngokuchasene nefungus, ezinokukunceda ekuchongeni nasekuhloleni unyango lwesifo.

Iindlela zonyango

Unyango lweparacoccidioidomycosis lukhokelwa ngugqirha wesifo esosulelayo, kusetyenziswa ii-antifungals ezinje nge-Itraconazole, Fluconazole, Ketoconazole okanye Voriconazole, umzekelo.

Unyango lunokwenziwa ekhaya, kusetyenziswa iipilisi kwaye kunokuhlala kwiinyanga ukuya kwiminyaka. Kwiimeko ezinzima kakhulu, apho kukho ubuthathaka obukhulu okanye ukukhubazeka okukhulu kwemiphunga kunye namanye amalungu, ukulaliswa esibhedlele kunye nokusetyenziswa kwamayeza anamandla emthanjeni, njenge-Amphotericin kunye neRifampicin, kunokufuneka.

Kukwabonakalisiwe ukunqanda ukutshaya, iziyobisi, kunye nokunyanga ii-parasites zamathumbu, eziqhelekileyo kwezi zigulana.

Indlela yokuthintela

Njenge IParacoccidioides brasiliensis uhlala emhlabeni nasemhlabeni, kunzima ukuseka iindlela zokuthintela, nangona kunjalo, ukhathalelo oluthile luyacetyiswa, ngakumbi kubantu abasebenza ezilalini, njengokujonga impilo, ukuhlala uhlamba izandla kunye nokuhlamba usuku, ukongeza ekubeni usoloko unxiba izixhobo ezifanelekileyo zokukhusela, unxibe iimpahla ezifanelekileyo, iigloves, imaski kunye neebhutsi.