Histoplasmosis - pachimake (pulayimale) m'mapapo mwanga

Pachimake m'mapapo mwanga histoplasmosis ndi matenda opumira omwe amayamba chifukwa chobwezera ma spores a bowa Mbiri ya plasma capsulatum.

Mbiri ya plasma capsulatumndi dzina la bowa lomwe limayambitsa histoplasmosis. Amapezeka pakati ndi kum'mawa kwa United States, kum'mawa kwa Canada, Mexico, Central America, South America, Africa, ndi Southeast Asia. Amapezeka kwambiri m'nthaka m'zigwa za mitsinje. Amalowa m'nthaka makamaka kuchokera ku ndowe za mbalame ndi mileme.

Mutha kudwala mukamapumira ma spores omwe bowa amapanga. Chaka chilichonse, anthu masauzande ambiri omwe ali ndi chitetezo chamthupi padziko lonse lapansi amatenga matendawa, koma ambiri samadwala kwambiri. Ambiri alibe zisonyezo kapena amangokhala ndi matenda ofanana ndi chimfine ndipo amachira popanda chithandizo chilichonse.

Pachimake m'mapapo mwanga histoplasmosis itha kuchitika ngati mliri, pomwe anthu ambiri mdera limodzi amadwala nthawi yomweyo. Anthu omwe ali ndi chitetezo chamthupi chofooka (onani Zizindikiro gawo pansipa) atha:

• Pitirizani matendawa ngati mutapezeka ndi bowa
• Matendawa abwerere
• Khalani ndi zizindikiro zambiri, komanso zizindikilo zowopsa, kuposa ena omwe amatenga matendawa

Zowopsa zimaphatikizapo kuyenda kapena kukhala pakatikati kapena kum'mawa kwa United States pafupi ndi zigwa za Ohio ndi Mississippi, ndikuwonetsedwa ndi zitosi za mbalame ndi mileme. Kuopseza kumeneku kumakhala kwakukulu pambuyo poti nyumba yakale idagwetsedwa ndipo ma spores alowa mlengalenga, kapena akamafufuza m'mapanga.

Anthu ambiri omwe ali ndi m'mapapo mwanga histoplasmosis alibe zisonyezo kapena zochepa chabe. Zizindikiro zofala kwambiri ndi izi:

• Kupweteka pachifuwa
• Kuzizira
• Tsokomola
• Malungo
• Ululu wophatikizana ndi kuuma
• Kupweteka kwa minofu ndi kuuma kwake
• Ziphuphu (nthawi zambiri zilonda zazing'ono kumiyendo yakumunsi)
• Kupuma pang'ono

Pachimake m'mapapo mwanga histoplasmosis atha kukhala matenda akulu kwambiri mwa achinyamata, achikulire, komanso anthu omwe ali ndi chitetezo chamthupi chofooka, kuphatikiza iwo omwe:

• Mukhale ndi HIV / AIDS
• Wakhala ndi mafupa kapena ziwalo zolimba
• Tengani mankhwala omwe amaletsa chitetezo chawo chamthupi

Zizindikiro mwa anthuwa zingaphatikizepo:

• Kutupa mozungulira mtima (wotchedwa pericarditis)
• Matenda akulu m'mapapo
• Kupweteka kwambiri kwamalumikizidwe

Kuti mupeze histoplasmosis, muyenera kukhala ndi bowa kapena zizindikiro za bowa mthupi lanu. Kapenanso chitetezo chanu cha mthupi chiyenera kuwonetsa kuti chikuyankha bowa.

Mayeso ndi awa:

• Mayeso a antibody a histoplasmosis
• Zomwe zimayambitsa matenda
• Bronchoscopy (nthawi zambiri imachitika kokha ngati zizindikiro zili zazikulu kapena muli ndi chitetezo chamthupi chachilendo)
• Kuwerengera kwathunthu kwamagazi (CBC) mosiyanasiyana
• Chifuwa cha CT
• X-ray pachifuwa (imatha kuwonetsa matenda am'mapapo kapena chibayo)
• Chikhalidwe cha Sputum (kuyesaku nthawi zambiri sikuwonetsa bowa, ngakhale mutakhala ndi kachilombo)
• Kuyesa kwamkodzo kwa Mbiri ya plasma capsulatum antigen

Matenda ambiri a histoplasmosis amatha popanda chithandizo. Anthu amalangizidwa kuti azipuma ndi kumwa mankhwala oletsa kutentha thupi.

Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala ngati mukudwala kwa milungu yopitilira 4, muli ndi chitetezo chamthupi chofooka, kapena mukuvutika kupuma.

Matenda a m'mapapo a histoplasmosis akachuluka kapena akukulirakulira, matendawo amatha miyezi yambiri. Ngakhale apo, sichimafa nthawi zambiri.

Matendawa amatha kukulira pakapita nthawi ndikukhala matenda am'mapapo (osatha) a nthawi yayitali (omwe samatha).

Histoplasmosis imatha kufalikira ku ziwalo zina kudzera m'magazi (kufalitsa). Izi zimawoneka kawirikawiri mwa makanda, ana aang'ono, ndi anthu omwe ali ndi chitetezo cha mthupi.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za histoplasmosis, makamaka ngati muli ndi chitetezo chamthupi chofooka kapena mwadzidzidzi mwadzidzidzi ndi zitosi za mbalame kapena mileme
• Mukuchiritsidwa ndi histoplasmosis ndikupanga zizindikilo zatsopano

Pewani kukhudzana ndi zitosi za mbalame kapena mileme ngati muli mdera lomwe spore imakonda kupezeka, makamaka ngati muli ndi chitetezo chamthupi chofooka.

• Pachimake histoplasmosis
• Mafangayi

Deepe GS. Mbiri ya plasma capsulatum (histoplasmosis). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 263.

Kauffman CA, Galgiani JN, Thompson GR. Mycoses yowopsa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 316.