Histoplasmosis: chimene chiri, zizindikiro zazikulu ndi chithandizo
Zamkati
Histoplasmosis ndi matenda opatsirana omwe amabwera chifukwa cha bowa Mbiri ya plasma capsulatum, zomwe zimafalikira ndi nkhunda ndi mileme, makamaka. Matendawa ndiofala kwambiri ndipo amakhala ovuta kwambiri kwa anthu omwe ali ndi chitetezo chamthupi chofooka, monga anthu omwe ali ndi Edzi kapena omwe adafufuzidwa.
Kuwonongeka kwa bowa kumachitika popumira bowa omwe amapezeka m'deralo ndipo zizindikilo zimasiyana malinga ndi kuchuluka kwa ma spores opumira, malungo, kuzizira, chifuwa chouma komanso kupuma movutikira, mwachitsanzo. Nthawi zina, bowa imathanso kufalikira ku ziwalo zina, makamaka chiwindi.
Chithandizocho chiyenera kuchitidwa molingana ndi zomwe adokotala ananena, dokotala nthawi zambiri amalimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo, monga Itraconazole ndi Amphotericin B, mwachitsanzo.
Zizindikiro za Histoplasmosis
Zizindikiro za histoplasmosis nthawi zambiri zimawoneka pakati pa masabata 1 ndi 3 mutakumana ndi bowa ndipo zimasiyanasiyana kutengera kuchuluka kwa bowa wopumira komanso chitetezo chamthupi cha munthu. Kuchuluka kwa fungus yomwe imapuma komanso momwe chitetezo chamthupi chimasokonezedwera, zizindikilozo zimakhala zowopsa kwambiri.
Zizindikiro zazikulu za histoplasmosis ndi izi:
- Malungo;
- Kuzizira;
- Mutu;
- Kupuma kovuta;
- Chifuwa chowuma;
- Kupweteka pachifuwa;
- Kutopa kwambiri.
Nthawi zambiri, pamene zizindikilozo ndizochepa ndipo munthu alibe chitetezo chamthupi chofooka, zizindikilo za histoplasmosis zimatha patatha milungu ingapo, komabe sizachilendo kuwerengera pang'ono m'mapapu.
Munthu akakhala ndi chitetezo chamthupi chofooka, kukhala pafupipafupi mwa anthu omwe ali ndi Edzi, omwe adamuika kapena kugwiritsa ntchito mankhwala osokoneza bongo, zizindikilozo zimakhala zosakhalitsa, ndipo pakhoza kukhala kusintha kwakukulu kwamapweya.
Kuphatikiza apo, pakalibe chithandizo chamankhwala kapena kusapezeka kwa matenda olondola, bowa amatha kufalikira ku ziwalo zina, zomwe zimayambitsa matendawa, omwe amatha kupha.
Momwe mankhwalawa amachitikira
Chithandizo cha histoplasmosis chimasiyanasiyana kutengera kukula kwa matendawa. Pakakhala matenda opatsirana pang'ono, zizindikirazo zimatha kutha posafunikira chithandizo chilichonse, komabe kugwiritsa ntchito Itraconazole kapena Ketoconazole, mwachitsanzo, komwe kuyenera kugwiritsidwa ntchito kwa milungu 6 mpaka 12 malinga ndi malangizo a dokotala, kungalimbikitsidwe.
Pankhani ya matenda opatsirana kwambiri, dokotala kapena wodwala matenda opatsirana amatha kuwonetsa kugwiritsa ntchito Amphotericin B mwachindunji mumtsempha.