Pneumocystis jiroveci chibayo

Pneumocystis jiroveci Chibayo ndimatenda a fungus m'mapapu. Matendawa amatchedwa Pneumocystis carini kapena chibayo cha PCP.

Mtundu wa chibayo umayambitsidwa ndi bowa Pneumocystis jiroveci. Mafangayi amapezeka m'chilengedwe ndipo samayambitsa matenda kwa anthu athanzi.

Komabe, zimatha kuyambitsa matenda am'mapapo mwa anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha:

• Khansa
• Kugwiritsa ntchito corticosteroids kwa nthawi yayitali kapena mankhwala ena omwe amachepetsa chitetezo chamthupi
• HIV / Edzi
• Kuika thupi kapena mafuta m'mafupa

Pneumocystis jiroveci anali matenda osowa kwambiri mliri wa Edzi usanachitike. Asanagwiritse ntchito maantibayotiki popewa matendawa, anthu ambiri ku United States omwe ali ndi Edzi yayikulu nthawi zambiri amatenga matendawa.

Chibayo chotchedwa Pneumocystis chibayo mwa anthu omwe ali ndi Edzi nthawi zambiri chimayamba pang'onopang'ono patadutsa masiku kapena milungu kapena miyezi, ndipo sichikhala choopsa kwambiri. Anthu omwe ali ndi chibayo cha pneumocystis omwe alibe AIDS nthawi zambiri amadwala mwachangu ndipo amadwala kwambiri.

Zizindikiro zake ndi izi:

• Chifuwa, nthawi zambiri wofatsa ndi owuma
• Malungo
• Kupuma mofulumira
• Kupuma pang'ono, makamaka ndi zochitika (kuyesetsa)

Wothandizira zaumoyo wanu adzakufunsani ndikufunsani za zomwe mukudwala.

Mayeso omwe atha kulamulidwa ndi awa:

• Mpweya wamagazi
• Bronchoscopy (ndi kuchapa)
• Chifuwa chamapapo
• X-ray ya chifuwa
• Sputum mayeso kuti awone bowa omwe amayambitsa matendawa
• Zamgululi
• Mulingo wa Beta-1,3 glucan m'magazi

Mankhwala olimbana ndi matendawa amatha kuperekedwa pakamwa (pakamwa) kapena kudzera mumitsempha (kudzera m'mitsempha), kutengera kukula kwa matendawa.

Anthu omwe ali ndi mpweya wochepa komanso matenda ochepa amatha kupatsidwanso ma corticosteroids.

Chibayo cha chibayo chimatha kupha moyo. Zingayambitse kupuma komwe kumatha kubweretsa imfa. Anthu omwe ali ndi vutoli amafunikira chithandizo choyambirira komanso chothandiza. Kwa chibayo cha pneumocystis chibayo pakati pa anthu omwe ali ndi HIV / AIDS, kugwiritsa ntchito corticosteroids kwakanthawi kocheperako kumachepetsa kufa.

Zovuta zomwe zingakhalepo ndi izi:

• Kutulutsa kwa Pleural (kosowa kwambiri)
• Pneumothorax (mapapo atagwa)
• Kulephera kupuma (kungafune kuthandizira kupuma)

Ngati muli ndi chitetezo chamthupi chofooka chifukwa cha Edzi, khansa, kumuika, kapena kugwiritsa ntchito corticosteroid, itanani omwe amakupatsani ngati muli ndi chifuwa, malungo, kapena kupuma movutikira.

Njira zodzitetezera zimalimbikitsidwa kuti:

• Anthu omwe ali ndi HIV / Edzi omwe ali ndi CD4 amawerengera ochepera 200 ma cell / microliter kapena 200 cell / cubic millimeter
• Omwe amalandira ma marone
• Omwe amajambula m'thupi
• Anthu omwe amatenga kotekisi yayitali, yayikulu kwambiri
• Anthu omwe adakhalapo ndimagawo am'mbuyomu a matendawa
• Anthu omwe amatenga mankhwala osokoneza bongo a nthawi yayitali

Chibayo chibayo; Chibayo; PCP; Pneumocystis carinii; Chibayo cha PJP

• Chibayo mwa akulu - kutulutsa

• Mapapo
• Edzi
• Chibayo

Kovacs JA. Chibayo chibayo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 321.

Miller RF Walzer PD, Smulian AG. Mitundu ya pneumocystis. 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 269.