Zotupa pakhungu la blastomycosis

Chotupa cha khungu cha blastomycosis ndi chizindikiro cha matenda omwe ali ndi bowa Blastomyces dermatitidis. Khungu limayambukira pamene bowa limafalikira mthupi lonse. Mtundu wina wa blastomycosis umangokhala pakhungu ndipo nthawi zambiri umakhala bwino pakapita nthawi. Nkhaniyi ikufotokoza za kufalikira kwa matendawa.

Blastomycosis ndimatenda ochepa omwe amapezeka ndi mafangasi. Amapezeka nthawi zambiri mu:

• Africa
• Canada, mozungulira Nyanja Yaikulu
• Kummwera chapakati ndi kumpoto pakati ku United States
• India
• Israeli
• Saudi Arabia

Munthu amatenga kachilomboka popuma tinthu tating'onoting'ono tomwe timapezeka m'nthaka yonyowa, makamaka pamene pali zomera zowola. Anthu omwe ali ndi vuto la chitetezo cha mthupi ali pachiwopsezo chachikulu chotenga matendawa, ngakhale anthu athanzi amathanso kutenga matendawa.

Bowa umalowa m'thupi kudzera m'mapapu ndikuwapatsira. Kwa anthu ena, bowa umafalikira (kufalitsa) kumadera ena a thupi. Matendawa amatha kukhudza khungu, mafupa ndi malo olumikizirana mafupa, kumaliseche ndi thirakiti, ndi machitidwe ena. Zizindikiro za khungu ndi chizindikiro cha kufalikira (kufalikira) kwa blastomycosis.

Kwa anthu ambiri, zizindikilo za khungu zimayamba matendawa akamapitirira mapapu awo.

Papules, pustules, kapena ma nodule amapezeka kwambiri m'malo owonekera.

• Zitha kuwoneka ngati zotupa kapena zilonda.
• Nthawi zambiri samva zowawa.
• Amatha kusiyanasiyana kuyambira imvi mpaka violet.

Ma pustules atha:

• Pangani zilonda
• Kutuluka magazi mosavuta
• Zimapezeka m'mphuno kapena mkamwa

Popita nthawi, zotupazi zimatha kubweretsa mabala ndi kutayika kwa khungu (pigment).

Wothandizira zaumoyo adzafufuza khungu lanu ndikufunsani za zizindikilo.

Matendawa amapezeka podziwa bowa pachikhalidwe chomwe chatengedwa pakhungu. Izi nthawi zambiri zimafunikira khungu.

Matendawa amathandizidwa ndi mankhwala osokoneza bongo monga amphotericin B, itraconazole, ketoconazole, kapena fluconazole. Mankhwala am'kamwa kapena amitsempha (mwachindunji mumitsempha) amagwiritsidwa ntchito, kutengera mankhwala ndi gawo la matendawa.

Momwe mumakhalira bwino zimatengera mtundu wa blastomycosis komanso chitetezo cha mthupi lanu. Anthu omwe ali ndi chitetezo chamthupi choponderezedwa angafunike chithandizo chanthawi yayitali kuti zipsyinjo zisabwerere.

Zovuta zingaphatikizepo:

• Ziphuphu (matumba a mafinya)
• Matenda ena (achiwiri) akhungu omwe amayamba chifukwa cha bakiteriya
• Zovuta zokhudzana ndi mankhwala (mwachitsanzo, amphotericin B imatha kukhala ndi zovuta zoyipa)
• Kungotulutsa minyewa yokha
• Matenda owopsa mthupi lonse ndi imfa

Ena mwa mavuto akhungu omwe amabwera chifukwa cha blastomycosis atha kukhala ofanana ndi mavuto akhungu omwe amayambitsidwa ndi matenda ena. Uzani wothandizira wanu ngati mukukumana ndi mavuto akhungu.

Lembani JM, Vinh DC. Blastomycosis. Mu: Kellerman RD, Rakel DP, olemba., Eds. Chithandizo Chamakono cha Conn 2021. Philadelphia, PA: Elsevier; 2021: 856-860.

Gauthier GM, Klein BS. Blastomycosis. 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, Galgiani JN, R George T. Odwala mycoses. Mu: Goldman L, Shafer AI, eds. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 316.