Ganda lesion ye blastomycosis

Ronda reganda re blastomycosis chiratidzo chehutachiona nefungus Blastomyces dermatitidis. Ganda rinotapukirwa sezvo fungus inopararira mumuviri wese. Imwe fomu blastomycosis inongova paganda uye kazhinji inova nani pachayo nenguva. Ichi chinyorwa chinobata nefomu yakapararira yehutachiona.

Blastomycosis chirwere chisingawanzo fungal. Inowanzo kuwanikwa mu:

• Africa
• Canada, kutenderedza Great Lakes
• Maodzanyemba epakati uye kuchamhembe pakati United States
• India
• Izirayeri
• Saudhi Arabhiya

Munhu anotapukirwa nekufema muzvikamu zvefungus zvinowanikwa muvhu rakanyorova, kunyanya panenge paine kuora zvinomera. Vanhu vane hutachiona hwemuviri vari panjodzi huru yekutapukirwa, asi vanhu vane hutano vanogona zvakare kukura chirwere ichi.

Iyo fungus inopinda mumuviri kuburikidza nemapapu uye inovatapura. Mune vamwe vanhu, fungus inozopararira (kuparadzira) kune dzimwe nzvimbo dzomuviri. Hutachiona hungakanganisa ganda, mapfupa nemajoini, sikarudzi uye weti, uye mamwe masisitimu Zviratidzo zveganda chiratidzo chekupararira (chakaparadzirwa) blastomycosis.

Muvanhu vazhinji, zviratidzo zveganda zvinokura apo hutachiona hunopararira kupfuura mapapu avo.

Papules, pustules, kana maqhumu anowanzo kuwanikwa munzvimbo dzakafumuka dzemuviri.

• Dzinogona kuita senge hosha kana maronda.
• Kazhinji hazvirwadze.
• Zvinogona kusiyana kubva grey kusvika ku violet muvara.

Iyo pustules inogona:

• Fomu maronda
• Bleed nyore
• Kuitika mumhino kana mukanwa

Nekufamba kwenguva, aya maronda eganda anogona kutungamira mukushaiwa uye kurasikirwa kweganda reganda (pigment).

Anopa hutano anoongorora ganda rako obvunza nezve zviratidzo.

Utachiona hunowanikwa nekutsvaga fungus mune tsika inotorwa kubva paganda lesion. Izvi zvinowanzo kuda biopsy yeganda.

Hutachiona uhwu hunorapwa nemishonga inorwisa antifungal yakadai saamphotericin B, itraconazole, ketoconazole, kana fluconazole. Chero zvemumuromo kana intravenous (yakananga mutsinga) zvinodhaka zvinoshandiswa, zvinoenderana nemushonga uye nhanho yechirwere.

Kunyatsoita kwaunoita kunoenderana nefomu re blastomycosis uye pane yako immune system. Vanhu vane immune system yakadzvanywa vangangoda kurapwa kwenguva refu kudzivirira zviratidzo kubva mukudzoka.

Zvinetso zvinogona kusanganisira:

• Kusuruvara (homwe dze pus)
• Imwe (yechipiri) hutachiona hweganda hunokonzerwa nehutachiona
• Matambudziko ane chekuita nemishonga (semuenzaniso, amphotericin B inogona kuve nemhedzisiro
• Pakarepo kudonhedza maqhuqhu
• Hutachiona hwakakura hwemuviri-wese uye kufa

Mamwe ematambudziko eganda anokonzerwa ne blastomycosis anogona kunge akafanana nezvinetso zveganda zvinokonzerwa nezvimwe zvirwere. Udza mupiki wako kana iwe ukava nezvinetso zvinokanganisa ganda.

Embil JM, Vinh DC. Blastomycosis. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2021. Philadelphia, PA: Elsevier; 2021: 856-860.

Gauthier GM, Klein BS. Blastomycosis. 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, Galgiani JN, R George T. Endemic mycoses. Mune: Goldman L, Shafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 316.