Mucormycosis

Mucormycosis chirwere chefungal chematadzo, huropi, kana mapapu. Izvo zvinoitika kune vamwe vanhu vane immune system isina kusimba.

Mucormycosis inokonzerwa nemhando dzakasiyana dzefungi dzinowanzo kuwanikwa mukuora kwezvinhu zvakasikwa. Izvi zvinosanganisira chingwa chakaparadzwa, michero, uye miriwo, pamwe neivhu nemirwi yemanyowa. Vanhu vazhinji vanosangana nefungus pane imwe nguva.

Nekudaro, vanhu vane immune system isina simba vane mukana wekuvandudza mucormycosis. Izvi zvinosanganisira vanhu vane chero eanotevera mamiriro:

• AIDS
• Kunopisa
• Chirwere cheshuga (kazhinji chisina kudzorwa zvakanaka)
• Leukemia uye lymphoma
• Yakareba-term steroid kushandiswa
• Metabolic acidosis
• Kusadya zvakanaka (kushaya zvinovaka muviri)
• Kushandiswa kwemimwe mishonga

Mucormycosis inogona kusanganisira:

• Sinus uye hutachiona hutachiona hunonzi rhinocerebral hutachiona: Zvinogona kutanga sehutachiona hwechivi, zvobva zvatungamira mukuzvimba kwemitsipa inotangira muuropi.Zvinogona zvakare kukonzera kuwanda kweropa kunovharira midziyo kuuropi.
• Utachiona hwemapapu hunodaidzwa kuti pulmonary mucormycosis: Pneumonia inowedzera kukurumidza uye inogona kupararira kune chipfuva mhango, moyo, uye huropi.
• Zvimwe zvikamu zvemuviri: Mucormycosis yemudumbu, ganda, uye itsvo.

Zviratidzo zve rhinocerebral mucormycosis zvinosanganisira:

• Maziso anozvimba uye anobuda kunze (kubuda)
• Kusviba kwakasviba mumatombo emhino
• Kupindwa nechando
• Kutemwa nemusoro
• Mamiriro epfungwa anochinja
• Kutsvuka kweganda pamusoro pezvivi
• Sinus kurwadziwa kana kuzara

Zviratidzo zvemapapu (pulmonary) mucormycosis zvinosanganisira:

• Kukosora
• Kukosora ropa (pano neapo)
• Kupindwa nechando
• Kufema kwekufema

Zviratidzo zvemudumbu mucormycosis zvinosanganisira:

• Marwadzo emudumbu
• Ropa muzvigaro
• Manyoka
• Kusvipa ropa

Zviratidzo zveitsvo (renal) mucormycosis zvinosanganisira:

• Kupindwa nechando
• Marwadzo mudumbu repamusoro kana kumashure

Zviratidzo zveganda (cutaneous) mucormycosis inosanganisira imwechete, dzimwe nguva inorwadza, yakaoma nzvimbo yeganda inogona kunge iine nzvimbo yakasviba.

Anokuchengetedza hutano achakuongorora. Ona nzeve-mhino-huro (ENT) chiremba kana iwe uine matambudziko e sinus.

Kuedzwa kunoenderana nezviratidzo zvako, asi zvinogona kusanganisira bvunzo dzekufungidzira:

• CT inoongorora
• MRI inoongorora

Biopsy inofanirwa kuitwa kuti uongorore mucormycosis. Bhiopsy ndiko kubviswa kwechidimbu chidiki chemucherechedzo kuti uongororwe murabhoritari kuti uone fungus nekupinda muzvinyama zvinopinda.

Kuvhiya kunofanirwa kuitwa ipapo ipapo kubvisa zvese zvakafa uye hutachiona hutachiona. Kuvhiya kunogona kutungamira mukushanduka nekuti zvinogona kusanganisira kubvisa mukanwa, zvikamu zvemhino, kana zvikamu zveziso. Asi, pasina kuvhiyiwa kwakadai, mikana yekurarama yakadzikira zvakanyanya.

Iwe zvakare unogashira antifungal mushonga, kazhinji amphotericin B, kuburikidza netsinga. Mushure mekunge hutachiona hwave pasi pekutonga, unogona kuchinjirwa kumushonga wakasiyana senge posaconazole kana isavuconazole.

Kana iwe uine chirwere cheshuga, zvichave zvakakosha kuti utore shuga yako yeropa mune yakajairwa renji.

Mucormycosis ine yakanyanya kufa mwero, kunyangwe pakavhiyiwa zvine hukasha. Njodzi yerufu inoenderana nenzvimbo yemuviri unobatanidzwa uye hutano hwako hwese.

Aya matambudziko anogona kuitika:

• Hupofu (kana tsinga yemaziso ichibatanidzwa)
• Kuvhara kana kuvhara kwehuropi kana mapapu eropa mitsipa
• Rufu
• Tsinga kukuvara

Vanhu vane hutachiona husina simba uye immune immune (kusanganisira chirwere cheshuga) vanofanirwa kutsvaga kurapwa kana vachikura:

• Kupindwa nechando
• Kutemwa nemusoro
• Sinus kurwadziwa
• Kuzvimba kwemaziso
• Chero chipi chezvimwe zviratidzo zvakanyorwa pamusoro

Nekuti iyo fungi inokonzeresa mucormycosis yakapararira, nzira yakanakisa yekudzivirira iyi hutachiona ndeyekuvandudza kudzora kwezvirwere zvinosanganisirwa ne mucormycosis.

Fungal chirwere - mucormycosis; Zygomycosis

• Chakuvhe

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Mucormycosis. www.cdc.gov/fungal/diseases/mucormycosis/index.html. Yakagadziridzwa Gumiguru 28, 2020. Yakasvika muna Kukadzi 18, 2021.

Kontoyiannis DP. Mucormycosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 320.

Kontoyiannis DP, Lewis RE. Agent e mucormycosis uye entomophthoramycosis. 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 258.