Zizindikiro za Paracoccidioidomycosis ndi momwe mankhwalawa aliri

Zamkati

• Momwe kufalitsa kumachitikira
• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Mitundu ya chithandizo
• Momwe mungapewere

Paracoccidioidomycosis ndi matenda omwe amayamba ndi bowa Paracoccidioides brasiliensis, yomwe nthawi zambiri imakhalapo m'nthaka ndi masamba, ndipo imatha kukhudza ziwalo zosiyanasiyana za thupi, monga mapapu, mkamwa, mmero, khungu kapena ma lymph node.

Amatchedwanso South American blastomycosis, matendawa amapezeka kudzera kupuma ndipo amapezeka kwambiri m'malo otentha, zomwe zimayambitsa zizindikilo monga kusowa kwa njala, kuonda, kutsokomola, malungo, kuyabwa, zilonda zam'kamwa komanso mawonekedwe amadzi. Itha kukhala m'njira ziwiri:

• Fomu ya achinyamata: pafupipafupi mwa ana ndi achinyamata azaka zapakati pa 10 mpaka 20, zomwe zimawoneka bwino kwambiri, patatha milungu ingapo yopatsirana;
• Maonekedwe achikulire: Nthawi zambiri zimakhudza anthu azaka zapakati pa 30 ndi 50, makamaka amuna ogwira ntchito kumidzi, monga alimi, komanso anthu omwe amasuta, kumwa zakumwa zoledzeretsa kapena omwe alibe chakudya chokwanira, kukhala mawonekedwe osachiritsika, osintha miyezi ingapo mpaka zaka atapatsira.

Atatsimikizira kuti ali ndi vutoli, poyesa magazi komanso moyeretsa, dotolo amatha kuwongolera mankhwalawa ndi maantifungal, monga Fluconazole, Ketoconazole, Itraconazole kapena Amphotericin.

Momwe kufalitsa kumachitikira

Paracoccidioidomycosis imadwala mukapuma, ndikulowetsedwa kwa ma particles ochokera ku Paracoccidioides brasiliensis. Bowa uyu amakhala m'nthaka yazomera, chifukwa chake zimakonda kukhudza nzika zakumidzi, alimi ndi alimi, mwachitsanzo, chifukwa munthuyo amatha kukoka bowa limodzi ndi fumbi lapansi.

Kamodzi kamayikidwa m'mapapu, bowa wa paracoccidioidomycosis imayambitsa matendawa m'njira ziwiri zosiyanasiyana:

1. Kufalikira m'magazi ndi mumtsinje wa lymphatic kupita ku ziwalo zina za thupi, monga khungu, ma lymph node, chiwindi, ndulu, khungu ndi ubongo, OR
2. Kukhala chete, posachedwa, mkati mwa zotupa zomwe zimayambitsidwa m'mapapo kwa zaka zambiri, mpaka matendawa atayamba, makamaka pakagwa chitetezo chokwanira, monga kusowa zakudya m'thupi, uchidakwa, kugwiritsa ntchito mankhwala osokoneza bongo kapena kachilombo ka HIV, mwachitsanzo.

Njira yachiwiri ndiyofala kwambiri chifukwa, nthawi zambiri, imafala kwambiri ndi bowa ngakhale mwana kapena wachinyamata, komabe, nthawi zambiri zizindikilozo zimawoneka ngati munthu wamkulu.

Ndikofunikira kukumbukira kuti paracoccidioidomycosis siyosunthika kuchokera kwa munthu wina kupita kwina, osalumikizana mwachindunji kapena kudzera pakugawana zinthu zanu. Onaninso matenda ena omwe amayambitsidwa ndi bowa omwe amafalikira mthupi lonse, monga Histoplasmosis kapena Blastomycosis.

Zizindikiro zazikulu

Paracoccidioidomycosis imatha kuwonetsa zizindikilo zingapo, zomwe zimasiyanasiyana kutengera mawonekedwe azaka, zaka, thanzi, chitetezo chamthupi komanso zamoyo. Zizindikiro zazikulu ndi monga:

• Kutaya njala ndi kufooka;
• Zovuta;
• Kupopera;
• Malungo;
• Kupuma pang'ono ndi kutsokomola, komwe kungakhale ndi magazi kapena popanda magazi;
• Zilonda pakhungu kapena zotupa, makamaka kumaso, mkamwa, milomo, m'kamwa, zomwe zimayambitsa zovuta kutafuna ndi kumeza;
• Kutuluka kwa malirime pakukulitsa ma lymph node, omwe amatchedwanso kukulitsa kwa lymph;
• Kukula kwa nthenda ya chiwindi.

Nthawi zovuta kwambiri, matendawa amathanso kufikira ziwalo monga ubongo, matumbo, mafupa kapena impso, mwachitsanzo.

Momwe mungatsimikizire

Pozindikira paracoccidioidomycosis, adotolo amayeza, kuwunika thupi, ndipo atha kuyitanitsa mayeso monga chifuwa cha X-ray, kuchuluka kwa magazi, kuyeza kwamatenda ndikuwunika kwa impso ndi chiwindi, mwachitsanzo.

Chitsimikizirochi chimapangidwa makamaka chifukwa chazindikilo za bowa pachimake cha chotupa, komabe, mayeso ena othandiza akuphatikizapo kutulutsa kwa sputum, aspirate ya m'mapapo, kuchotsa zotupa kapena chikhalidwe cha bowa.

Kuphatikiza apo, palinso mayeso amwazi omwe amatha kuzindikira ma antibodies olimbana ndi bowa, omwe angathandize pakuwunika ndikuwunika chithandizo cha matendawa.

Mitundu ya chithandizo

Chithandizo cha paracoccidioidomycosis chimatsogoleredwa ndi dokotala wa matenda opatsirana, pogwiritsa ntchito maantifungal monga Itraconazole, Fluconazole, Ketoconazole kapena Voriconazole.

Mankhwalawa amatha kuchitika kunyumba, kugwiritsa ntchito mapiritsi ndipo amatha miyezi ndi zaka. Milandu yovuta kwambiri, momwe muli kufooka kwakukulu kapena kuwonongeka kwakukulu kwa mapapo ndi ziwalo zina, kulandila anthu kuchipatala komanso kugwiritsa ntchito mankhwala amphamvu kwambiri mumtsinje, monga Amphotericin ndi Rifampicin, kungakhale kofunikira.

Amanenanso kuti apewe kusuta fodya, zakumwa zoledzeretsa, komanso kuchiza tiziromboti tomwe timapezeka m'matendawa.

Momwe mungapewere

Monga fayilo ya Paracoccidioides brasiliensis amakhala pansi komanso m'chilengedwe, ndizovuta kukhazikitsa njira zopewera, komabe chisamaliro china chimalimbikitsidwa, makamaka kwa anthu ogwira ntchito kumidzi, monga kusamalira ukhondo, kusamba m'manja nthawi zonse kumapeto kwa tsikulo, kuphatikiza pakuvala zovala zoyenera, ndi zovala zoyenera, magolovesi, chigoba ndi nsapato.