Mucormycosis

Mucormycosis ndimatenda oyambitsa matupi, ubongo, kapena mapapo. Zimapezeka mwa anthu ena omwe ali ndi chitetezo chamthupi chofooka.

Mucormycosis imayambitsidwa ndi mitundu yosiyanasiyana ya bowa yomwe nthawi zambiri imapezeka pakuwononga zinthu zakuthupi. Izi ndi monga mkate wowonongeka, zipatso, ndiwo zamasamba, komanso nthaka ndi milu ya manyowa. Anthu ambiri amakumana ndi bowa nthawi ina.

Komabe, anthu omwe ali ndi chitetezo chamthupi chofooka amatha kukhala ndi mucormycosis. Izi zikuphatikiza anthu omwe ali ndi izi:

• Edzi
• Kutentha
• Matenda a shuga (nthawi zambiri samayang'aniridwa bwino)
• Khansa ya m'magazi ndi lymphoma
• Kugwiritsa ntchito steroid kwakanthawi
• Matenda a acidosis
• Chakudya choperewera (kusowa kwa zakudya m'thupi)
• Kugwiritsa ntchito mankhwala ena

Mucormycosis itha kukhala:

• Matenda a sinus ndi ubongo otchedwa rhinocerebral matenda: Itha kuyamba ngati matenda a sinus, kenako ndikupangitsa kutupa kwa mitsempha yomwe imachokera muubongo.Zitha kupanganso kuundana kwamagazi komwe kumatsekereza zotengera kuubongo.
• Matenda am'mapapo otchedwa pulmonary mucormycosis: Chibayo chimakula mofulumira ndipo chitha kufalikira pachifuwa, pamtima, ndi muubongo.
• Ziwalo zina za thupi: Mucormycosis ya m'mimba, khungu, ndi impso.

Zizindikiro za rhinocerebral mucormycosis ndi monga:

• Maso omwe amatupa ndikutuluka (kutuluka)
• Mdima wakuthwa m'miphako
• Malungo
• Mutu
• Maganizo amasintha
• Kufiira kwa khungu pamwamba pamiyeso
• Sinus kupweteka kapena kuchulukana

Zizindikiro za m'mapapo (m'mapapo mwanga) mucormycosis ndizo:

• Tsokomola
• Kutsokomola magazi (nthawi zina)
• Malungo
• Kupuma pang'ono

Zizindikiro za m'mimba mucormycosis ndizo:

• Kupweteka m'mimba
• Magazi pamalopo
• Kutsekula m'mimba
• Kusanza magazi

Zizindikiro za impso (impso) mucormycosis ndizo:

• Malungo
• Kupweteka kumtunda kapena kumbuyo

Zizindikiro za khungu (cutaneous) mucormycosis zimaphatikizapo gawo limodzi, nthawi zina lopweteka, lolimba pakhungu lomwe limatha kukhala ndi malo akuda.

Wothandizira zaumoyo wanu adzakuyesani. Onani dokotala wamakutu-mphuno (ENT) ngati mukukumana ndi mavuto a sinus.

Kuyesedwa kumadalira zizindikiritso zanu, koma kungaphatikizepo mayesero awa:

• Kujambula kwa CT
• Kujambula kwa MRI

Chidziwitso chiyenera kuchitidwa kuti muzindikire mucormycosis. Biopsy ndikutulutsa kachidutswa kakang'ono kofufuzira labotale kuti muzindikire bowa ndi kulowerera mthupi.

Opaleshoni iyenera kuchitidwa nthawi yomweyo kuchotsa minofu yakufa komanso yomwe ili ndi kachilomboka. Kuchita opaleshoni kumatha kubweretsa kusintha chifukwa kumatha kuphatikizira m'kamwa, mbali zammphuno, kapena mbali zina za diso. Koma, popanda opareshoni yankhanza ngati imeneyi, mwayi wopulumuka umachepa kwambiri.

Mupezanso mankhwala oletsa antifungal, nthawi zambiri amphotericin B, kudzera mumitsempha. Matendawa atatha, mutha kusintha mankhwala ena monga posaconazole kapena isavuconazole.

Ngati muli ndi matenda ashuga, ndikofunikira kuti shuga wanu wamagazi azikhala wamba.

Mucormycosis imakhala ndiimfa yayikulu kwambiri, ngakhale opaleshoni yovuta itachitika. Kuopsa kwaimfa kumadalira dera lomwe thupi lanu likukhudzidwa komanso thanzi lanu lonse.

Zovuta izi zitha kuchitika:

• Khungu (ngati mitsempha ya optic ikuphatikizidwa)
• Kutseka kapena kutseka kwa mitsempha yamaubongo kapena yamapapu
• Imfa
• Kuwonongeka kwa mitsempha

Anthu omwe ali ndi chitetezo chamthupi chofooka komanso matenda amthupi (kuphatikiza matenda ashuga) ayenera kupita kuchipatala akayamba:

• Malungo
• Mutu
• Sinus ululu
• Kutupa kwa diso
• Zina mwazizindikiro zomwe zatchulidwa pamwambapa

Chifukwa bowa zomwe zimayambitsa mucormycosis ndizofala, njira yabwino yopewera matendawa ndikuthandizira kuwongolera matenda omwe amapezeka ndi mucormycosis.

Matenda a fungal - mucormycosis; Zygomycosis

• Mafangayi

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Mucormycosis. www.cdc.gov/fungal/diseases/mucormycosis/index.html. Idasinthidwa pa Okutobala 28, 2020. Idapezeka pa February 18, 2021.

Kontoyiannis DP. Mucormycosis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 320.

Kontoyiannis DP, Lewis RE. Othandizira a mucormycosis ndi entomophthoramycosis. 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 258.