Blastomycosis

Blastomycosis ndi matenda omwe amayamba chifukwa cha kupuma mu Blastomyces dermatitidis bowa. Bowa amapezeka mumtengo wowola ndi nthaka.

Mutha kupeza blastomycosis pokhudzana ndi nthaka yonyowa, makamaka komwe kuli nkhuni ndi masamba owola. Bowa umalowa m'thupi kudzera m'mapapu, pomwe matenda amayamba. Bowa amatha kufalikira mbali zina za thupi. Matendawa amatha kukhudza khungu, mafupa ndi mafupa, ndi madera ena.

Blastomycosis ndiyosowa. Amapezeka pakati ndi kum'mwera chakum'mawa kwa United States, komanso ku Canada, India, Israel, Saudi Arabia, ndi Africa.

Choyimira pachiwopsezo cha matendawa ndi kukhudzana ndi nthaka yomwe ili ndi kachilomboka. Nthawi zambiri zimakhudza anthu omwe ali ndi chitetezo chamthupi chofooka, monga omwe ali ndi HIV / Edzi kapena omwe adalowapo ziwalo, koma amathanso kupatsira anthu athanzi. Amuna ndi omwe amakhudzidwa kwambiri kuposa akazi.

Matenda a m'mapapo sangayambitse zizindikiro zilizonse. Zizindikiro zitha kuwoneka ngati matendawa afalikira. Zizindikiro zimaphatikizapo:

• Ululu wophatikizana
• Kupweteka pachifuwa
• Chifuwa (chingatulutse ntchofu zofiirira kapena zamagazi)
• Kutopa
• Kutentha thupi ndi thukuta usiku
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Kupweteka kwa minofu
• Kuchepetsa mwangozi

Anthu ambiri amakhala ndi zizindikilo za khungu matendawa akamafalikira. Mutha kukhala ndi ma papulezi, ma pustule, kapena ma nodule pamagulu owonekera.

Ma pustules:

• Zitha kuwoneka ngati zotupa kapena zilonda
• Nthawi zambiri samakhala opweteka
• Kusintha mtundu kuchokera imvi mpaka violet
• Itha kuwonekera m'mphuno ndi pakamwa
• Kutuluka magazi mosavuta ndikupanga zilonda

Wothandizira zaumoyo adzayesa. Mudzafunsidwa za mbiri yanu yachipatala ndi zizindikiro zake.

Ngati wothandizirayo akukayikira kuti muli ndi matenda a fungal, kuzindikira kumatha kutsimikiziridwa ndi mayeso awa:

• Chifuwa cha CT
• X-ray pachifuwa
• Khungu lakhungu
• Chikhalidwe cha sputum ndikuwunika
• Kutsegula kwa antigen
• Zolemba zamatenda ndi chikhalidwe
• Chikhalidwe cha mkodzo

Mwina simukusowa kumwa mankhwala a matenda a blastomycosis omwe amakhala m'mapapu. Wothandizirayo angakulimbikitseni mankhwala otsatirawa ngati matendawa ali oopsa kapena akufalikira kunja kwa mapapo.

• Fluconazole
• Chinthaka
• Ketoconazole

Amphotericin B itha kugwiritsidwa ntchito ngati matenda opatsirana kwambiri.

Tsatirani pafupipafupi ndi omwe amakupatsani kuti muwonetsetse kuti matendawa sabweranso.

Anthu omwe ali ndi zilonda zazing'ono pakhungu (zotupa) komanso matenda ofatsa am'mapapo nthawi zambiri amachira. Matendawa amatha kufa ngati sanalandire chithandizo.

Zovuta za blastomycosis zitha kuphatikizira izi:

• Zilonda zazikulu ndi mafinya (abscesses)
• Zilonda pakhungu zimatha kubweretsa zipsera ndi kutayika kwa khungu (pigment)
• Kubwereranso kwa matendawa (kubwereranso kapena kuyambiranso matenda)
• Zotsatira zoyipa zamankhwala monga amphotericin B

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za blastomycosis.

Kupewa kuyenda kumadera omwe matendawa amadziwika kuti kumachitika kungathandize kupewa kupezeka ndi bowa, koma izi sizingatheke nthawi zonse.

Blastomycosis yaku North America; Matenda a Gilchrist

• Kudulidwa mwendo - kutulutsa

• Mafangayi
• Ziphuphu zakumapapo biopsy
• Osteomyelitis

Elewski BE, Hughey LC, Kuthamangira KM, Hay RJ. Matenda a fungal. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 77.

Gauthier GM, Klein BS. Blastomycosis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. 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 264.

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