Blastomycosis

Blastomycosis chirwere chinokonzerwa nekufema mu Blastomyces dermatitidis chakuvhe. Iyo fungus inowanikwa muhuni dzinoora uye ivhu.

Unogona kuwana blastomycosis nekusangana nevhu nyoro, kazhinji panowanikwa huni dzinoora nemashizha. Iyo fungus inopinda mumuviri kuburikidza nemapapu, uko hutachiona hunotangira. Iyo fungus inogona kubva yapararira kune dzimwe nhengo dzomuviri. Chirwere ichi chinogona kukanganisa ganda, mapfupa nemajoini, uye dzimwe nzvimbo.

Blastomycosis ishoma. Inowanikwa pakati nepakati kumaodzanyemba kwakadziva kumabvazuva kweUnited States, uye muCanada, India, Israel, Saudi Arabia, uye Africa.

Chinhu chakakoshesa njodzi yechirwere kusangana nevhu rine hutachiona. Inowanzo bata vanhu vane immune system isina kusimba, sevaya vane HIV / AIDS kana vakaiswa nhengo, asi inogona zvakare kubata vanhu vane hutano. Varume vanowanzo kanganisika kupfuura vakadzi.

Utachiona hwemapapu haungakonzere chero zviratidzo. Zviratidzo zvinogona kuonekwa kana hutachiona huchipararira. Zviratidzo zvinogona kusanganisira:

• Joint kurwadziwa
• Kurwadziwa pachifuva
• Kukosora (kunogona kuburitsa shavi kana reropa mucus)
• Kuneta
• Fivha nehusiku ziya
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kutambudzika kwemhasuru
• Kurasikirwa kwekurema kwemaune

Vanhu vazhinji vanogadzira zviratidzo zveganda kana hutachiona hwapararira. Iwe unogona kuwana mapapule, pustules, kana ma nodule pane akafumurwa nzvimbo dzemuviri.

Iyo pustules:

• Inogona kutaridzika kunge warts kana maronda
• Kazhinji haarwadziwe
• Vary muvara kubva grey kusvika ku violet
• Inogona kuoneka mumhino nemukanwa
• Bleed nyore uye fomu ulcers

Anopa hutano anozoongorora muviri. Iwe uchazobvunzwa nezve yako nhoroondo yezvokurapa uye zviratidzo.

Kana mupi achifungidzira kuti une hutachiona hutachiona, kuongororwa kunogona kusimbiswa nemiyedzo iyi:

• Chest CT scan
• Chest x-ray
• Ganda biopsy
• Sputum tsika uye kuongorora
• Urinary antigen kuona
• Tissue biopsy uye tsika
• Urine tsika

Ungangodaro usingade kutora mushonga wehutachiona blastomycosis hutachiona hunogara mumapapu. Iye mupi anogona kukurudzira anotevera antifungal mishonga kana chirwere chakanyanya kana chinopararira kunze kwemapapu.

• Fluconazole
• Itraconazole
• Ketoconazole

Amphotericin B inogona kushandiswa kuzvirwere zvakakomba.

Tevera nguva zhinji nemupi wako kuti uone kuti hutachiona haudzoke.

Vanhu vane maronda madiki eganda (maronda) uye hutachiona hutachiona hwemapapu hunowanzo kupora zvakakwana. Utachiona hunogona kutungamira kurufu kana husina kurapwa.

Zvinetso zve blastomycosis zvinogona kusanganisira:

• Maronda makuru ane pus (abscesses)
• Maronda eganda anogona kutungamira kukuvara uye kurasikirwa kweganda reganda (pigment)
• Kudzoka kwehutachiona (kudzokerazve kana kudzoka kwechirwere)
• Zvimwe zvinokanganisa kubva kumishonga yakadai saamphotericin B

Fonera mupiki wako kana iwe uine zviratidzo zve blastomycosis.

Kudzivisa kuenda kunzvimbo uko hutachiona hunozivikanwa kuitika kunogona kubatsira kudzivirira kusangana nefungus, asi izvi hazvingagone kuitika nguva dzese.

North America blastomycosis; Chirwere cheGilchrist

• Kudimburwa gumbo - kubuda

• Chakuvhe
• Lung tishu biopsy
• Osteomyelitis

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Fungal zvirwere. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 77.

Gauthier GM, Klein BS. Blastomycosis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 264.

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