Pneumocystis jiroveci mabayo

Pneumocystis jiroveci mabayo chirwere chefungus chemapapu. Chirwere chaimbodaidzwa kunzi Pneumocystis carini kana PCP mabayo.

Mhando iyi yemabayo inokonzerwa nefungus Pneumocystis jiroveci. Iyi fungus yakajairika mune zvakatipoteredza uye haiwanzo kukonzera kurwara muvanhu vane hutano.

Zvisinei, inogona kukonzera hutachiona hwemapapu muvanhu vane immune system isina kusimba nekuda kwe:

• Gomarara
• Kushandiswa kwenguva refu kwecorticosteroids kana mimwe mishonga inoderedza immune system
• HIV / AIDS
• Sangano kana pfupa rekutsvaira

Pneumocystis jiroveci hwaive hutachiona husingawanzoitika pamberi pehosha yeAIDS. Pamberi pekushandisa kwekudzivirira mabhakitiriya emamiriro acho, vanhu vazhinji muUnited States vane hutachiona hweAIDS vanowanzo gadzira hutachiona uhu.

Pneumocystis pneumonia muvanhu vane AIDS inowanzo kukura zvishoma nezvishoma kwemazuva nemavhiki kana kunyange mwedzi, uye haina kusimba. Vanhu vane pneumocystis pneumonia vasina AIDS kazhinji vanorwara nekukurumidza uye vanorwara zvakanyanya.

Zviratidzo zvinosanganisira:

• Kukosora, kazhinji nyoro uye kuoma
• Kupindwa nechando
• Kukurumidza kufema
• Kufema kwekufema, kunyanya nebasa (kushingairira)

Anokupa hutano anozokuongorora obvunza nezvezviratidzo zvako.

Miedzo inogona kurairwa inosanganisira:

• Magasi eropa
• Bronchoscopy (ine lavage)
• Lung biopsy
• X-ray yechipfuva
• Sputum bvunzo kutarisa fungus inokonzera hutachiona
• CBC
• Beta-1,3 glucan mwero muropa

Mishonga yekudzivirira hutachiona inogona kupihwa nemuromo (nemuromo) kana kuburikidza nemutsinga (mukati), zvichienderana nekuti chirwere chakanyanya sei.

Vanhu vane yakaderera oxygen mazinga uye zvine mwero kune zvakanyanya chirwere anowanzo gadzirirwa corticosteroids futi.

Pneumocystis pneumonia inogona kutyisidzira hupenyu. Inogona kukonzera kutadza kufema kunogona kutungamira kurufu. Vanhu vane chirwere ichi vanoda kurapwa nekukurumidza. Zvepakati nepakati zvakanyanya pneumocystis pneumonia mune vanhu vane HIV / AIDS, iko kushandisa kwenguva pfupi kwecorticosteroids kwakadzora chiitiko cherufu.

Matambudziko anogona kuguma anosanganisira:

• Pleural effusion (zvakanyanya kushomeka)
• Pneumothorax (mapapu akadonha)
• Kukundikana kwekufema (kungangoda rutsigiro rwekufema)

Kana uine hutachiona husina simba nekuda kweAIDS, kenza, kuisirwa, kana kushandisa corticosteroid, danaidza mupi wako kana iwe ukava nekukosora, fivha, kana kufema kwekufema.

Mishonga yekudzivirira inokurudzirwa ku:

• Vanhu vane HIV / AIDS vane CD4 kuverenga pasi pemazana maviri emasero / microliter kana mazana maviri emasero / cubic millimeter
• Bone marora kupinza vanogamuchira
• Kuumba muviri vanogamuchira
• Vanhu vanotora nguva refu, yakakura-dose corticosteroids
• Vanhu vakave nezvikamu zvakapfuura zvechirwere ichi
• Vanhu vanotora kwenguva yakareba zvinodhaka zvekudzivirira muviri

Pneumocystis mabayo; Pneumocystosis; PCP; Pneumocystis carinii; PJP mabayo

• Pneumonia muvakuru - kubuda

• Mapapu
• AIDS
• Pneumocystosis

Kovacs JA. Pneumocystis mabayo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 321.

Miller RF Walzer PD, Smulian AG. Pneumocystis marudzi. 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 269.