Sporotrichosis

Sporotrichosis ndimatenda a nthawi yayitali (okhalitsa) omwe amayamba chifukwa cha bowa wotchedwa Sporothrix schenckii.

Sporothrix schenckii amapezeka muzomera. Matendawa amapezeka khungu likathyoledwa ndikugwira zinthu monga rosebushes, briars, kapena dothi lomwe lili ndi mulch wambiri.

Sporotrichosis itha kukhala matenda okhudzana ndi ntchito kwa anthu omwe amagwira ntchito ndi mbewu, monga alimi, olima maluwa, omwe amalima m'minda yamaluwa, komanso ogwira ntchito nazale. Sporotrichosis yomwe imafalikira (imafalikira) imatha kukhala mwa anthu omwe ali ndi chitetezo chamthupi chofooka akamapuma fumbi lodzaza ndi spores wa bowa.

Zizindikiro zake zimakhala ndi chotupa chochepa, chopanda ululu, chofiira chomwe chimapezeka pamalo opatsirana. Pakapita nthawi, chotupacho chimasanduka chilonda (zilonda). Chotupacho chimatha miyezi itatu mutavulala.

Zilonda zambiri zili m'manja ndi m'manja chifukwa malowa amavulala kwambiri mukamagwira mbewu.

Bowa limatsatira njira zomwe zimayambira m'matupi anu. Zilonda zazing'ono zimawoneka ngati mizere pakhungu pomwe matenda amayendetsa dzanja kapena mwendo. Zilondazi sizichira pokhapokha zitachiritsidwa, ndipo zimatha zaka. Zilondazo nthawi zina zimatha kufinya pang'ono.

Thupi lonse (systemic) sporotrichosis limatha kuyambitsa mavuto am'mapapu ndi kupuma, matenda am'mafupa, nyamakazi, komanso matenda amanjenje.

Wothandizira zaumoyo adzakufunsani ndikufunsani za matenda anu. Kufufuza kukuwonetsa zilonda zomwe zimayambitsidwa ndi bowa. Nthawi zina, kachilombo kakang'ono kamene kamakhudzidwa kamachotsedwa, kuyesedwa ndi microscope, ndikuyesedwa labu kuti azindikire bowa.

Matenda apakhungu nthawi zambiri amachiritsidwa ndi mankhwala antifungal otchedwa itraconazole. Amamwedwa pakamwa ndikupitilira milungu iwiri kapena inayi zitatha. Muyenera kumwa mankhwalawa kwa miyezi itatu kapena isanu ndi umodzi. Mankhwala otchedwa terbinafine atha kugwiritsidwa ntchito m'malo mwa itraconazole.

Matenda omwe afalikira kapena kukhudza thupi lonse nthawi zambiri amachiritsidwa ndi amphotericin B, kapena nthawi zina itraconazole. Therapy yamatenda atha kutha mpaka miyezi 12.

Ndi chithandizo, kuchira kwathunthu ndikotheka. Kufalitsa sporotrichosis kumakhala kovuta kuchiza ndipo kumafuna miyezi ingapo ya chithandizo. Kufalitsa sporotrichosis kumatha kukhala pangozi kwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Anthu omwe ali ndi chitetezo chamthupi chokwanira akhoza kukhala ndi:

• Kusapeza bwino
• Matenda a khungu lachiwiri (monga staph kapena strep)

Anthu omwe ali ndi chitetezo chamthupi chofooka amatha kukhala:

• Nyamakazi
• Matenda a mafupa
• Zovuta zamankhwala - amphotericin B imatha kukhala ndi zovuta zoyipa, kuphatikizapo kuwonongeka kwa impso
• Mavuto am'mapapo ndi kupuma (monga chibayo)
• Matenda a ubongo (meningitis)
• Matenda ofala (kufalikira)

Pangani msonkhano ndi omwe amakupatsani ngati muli ndi zotupa nthawi zonse kapena zilonda za khungu zomwe sizimatha. Uzani wothandizira wanu ngati mukudziwa kuti mudapatsidwa mbeu kuchokera kumunda wamaluwa.

Anthu omwe ali ndi chitetezo chamthupi chofooka ayenera kuyesa kuchepetsa ngozi yovulala pakhungu. Kuvala magolovesi akuluakulu mukamalima kumatha kuthandizira.

• Sporotrichosis padzanja ndi mkono
• Sporotrichosis padzanja
• Sporotrichosis patsogolo
• Mafangayi

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.

Rex JH, PC ya Okhuysen. Sporothrix schenckii. 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 259.