Histoplasmosis - chenjera (chepuraimari) pulmonary

Acute pulmonary histoplasmosis chirwere chekupemha icho chinokonzereswa nekufemesa spores yefungus. Nhoroondo yeplasma capsulatum.

Nhoroondo yeplasma capsulatumndiro zita refungus rinokonzera histoplasmosis. Inowanikwa pakati nepakati kumabvazuva kweUnited States, kumabvazuva kweCanada, Mexico, Central America, South America, Africa, uye Southeast Asia. Inowanzo kuwanikwa muvhu mumipata yemipata. Inopinda muvhu kunyanya kubva kudonhwe reshiri neremuremwaremwa.

Iwe unogona kurwara kana iwe uchifema mune spores iyo iyo fungus inogadzira. Gore rega rega, zviuru zvevanhu vane immune system pasi rose vanotapukirwa, asi vazhinji havarware zvakanyanya. Vazhinji havana zviratidzo kana vanongova nehutachiona hushoma-senge chirwere uye vanopora pasina kurapwa.

Acute pulmonary histoplasmosis inogona kuitika sedenda, nevanhu vazhinji mune imwe nharaunda vachirwara panguva imwe chete. Vanhu vane immune system isina kusimba (ona Zviratidzo chikamu pazasi) vanowanzo kuita izvi:

• Ita chirwere ichi kana chikaiswa kune fungus spores
• Ita kuti chirwere chidzoke
• Iva nezviratidzo zvakawanda, uye zvimwe zvakakomba zviratidzo, kupfuura vamwe vanowana chirwere

Njodzi dzinosanganisira kufamba kuenda kana kugara pakati kana kumabvazuva kweUnited States padyo nemipata yemipata yeOhio neMississippi, nekufumurwa nemadonhwe eshiri nemabhawa. Uku kutyisidzira kwakakura kwazvo mushure mekunge chivakwa chekare chaputswa uye mhodzi dzapinda mumhepo, kana kana uchiongorora mapako.

Vazhinji vanhu vane acute pulmonary histoplasmosis havana zviratidzo kana chete zvinyoro zviratidzo. Zviratidzo zvakajairika ndezvi:

• Kurwadziwa pachifuva
• Kutonhora
• Kukosora
• Kupindwa nechando
• Joint kurwadziwa uye kuomarara
• Tsvina inorwadza uye kuomarara
• Rash (kazhinji maronda madiki pamakumbo epasi)
• Kufema kwekufema

Acute pulmonary histoplasmosis inogona kunge iri chirwere chakakomba muvadiki kwazvo, vanhu vakuru, uye vanhu vane immune system isina simba, kusanganisira avo:

• Ivai neHIV / AIDS
• Wakave nemongo wemapfupa kana yakasimba nhengo inochinja
• Tora mishonga inodzvinyirira immune system yavo

Zviratidzo muvanhu ava zvinogona kusanganisira:

• Kuzvimba kwakatenderedza moyo (unonzi pericarditis)
• Zvirwere zvakakomba zvemapapu
• Kutambudzika kwakanyanya kwemajoini

Kuti uongorore histoplasmosis, unofanirwa kunge uine fungus kana zviratidzo zvefungus mumuviri wako. Kana immune system yako inofanira kuratidza kuti iri kuita kune fungus.

Miedzo inosanganisira:

• Antibody bvunzo ye histoplasmosis
• Biopsy yehutachiona saiti
• Bronchoscopy (inowanzoitwa kana zviratidzo zvakanyanya kana iwe uine immune system isina kujairika)
• Yakazara kuverenga ropa (CBC) nemusiyano
• Chest CT scan
• Chest x-ray (inogona kuratidza hutachiona hutachiona kana pneumonia)
• Sputum tsika (bvunzo iyi kazhinji hairatidze fungus, kunyangwe iwe uine hutachiona)
• Weti bvunzo ye Nhoroondo yeplasma capsulatum antigen

Mazhinji kesi e histoplasmosis anojekesa pasina kurapwa chaiko. Vanhu vanokurudzirwa kuti vazorore uye vatore mishonga yekudzivirira fever.

Anokupa hutano anogona kukupa mushonga kana uchirwara kweanopfuura mavhiki mana, uine immune system isina kusimba, kana uine matambudziko ekufema.

Kana histoplasmosis hutachiona hwemapapu hwakanyanya kana hunowedzera, hurwere hunogona kusvika kumwedzi yakawanda. Kunyangwe ipapo, haiwanzo kuuraya.

Chirwere chinogona kuwedzera kuwedzera nekufamba kwenguva uye chichava chirwere chenguva refu (chisingaperi) chemapapu (chisingapere).

Histoplasmosis inogona kupararira kune dzimwe nhengo kuburikidza neropa (kuparadzira). Izvi zvinowanzoonekwa muvacheche, vana vadiki, uye vanhu vane yakadzivirirwa immune system.

Fonera mupiki wako kana:

• Iwe une zviratidzo zve histoplasmosis, kunyanya kana uine hutachiona husina simba kana kuti uchangobva kuburitswa kune shiri kana madonhwe ebheti.
• Iwe uri kurapwa kune histoplasmosis uye kukudziridza zviratidzo zvitsva

Dzivisa kusangana neshiri dzebute kana chiremwaremwa kana iwe uri munzvimbo inowanzoonekwa spore, kunyanya kana uine immune system isina kusimba.

• Acute histoplasmosis
• Chakuvhe

Deepe GS. Nhoroondo yeplasma capsulatum (histoplasmosis). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 263.

Kauffman CA, Galgiani JN, Thompson GR. Endemic mycoses. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 316.