Histoplasmosis

Histoplasmosis chirwere chinowanikwa kubva mukufema mune spores yefungus Nhoroondo yeplasma capsulatum.

Histoplasmosis inoitika pasirese. MuUnited States, inowanzoitika kumaodzanyemba kwakadziva kumabvazuva, pakati peAtlantic, nepakati nyika, kunyanya mumipata yeMississippi neOhio.

Histoplasma fungus inokura seforoma muvhu. Iwe unogona kurwara kana iwe uchifema mune spores inogadzirwa nefungus. Ivhu rine madonhwe eshiri kana eremwaremwa anogona kunge aine huwandu hukuru hweiyi fungus. Iko kutyisidzira kwakanyanya mushure mekuvakwa kwechivakwa chekare, kana mumapako.

Iyi hutachiona inogona kuitika kune vanhu vane immune immune system. Asi, kuve neakaneta immune system kunowedzera mukana wekuwana kana kumutsidzira chirwere ichi. Vechidiki kwazvo kana vanhu vakuru, kana avo vane HIV / AIDS, gomarara, kana kumuisira nhengo vane zviratidzo zvakakomba.

Vanhu vane chirwere chenguva refu (chisingaperi) chemapapu (senge emphysema uye bronchiectasis) vari zvakare panjodzi yakanyanya yehutachiona hwakanyanya.

Vanhu vazhinji havana zviratidzo, kana kungova nechirwere chisina huremu.

Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Fivha uye kutonhora
• Kukosora uye kurwadziwa pachipfuva kunowedzera kana uchifema
• Joint kurwadziwa
• Maronda emuromo
• Tsvuku tsvuku ganda, kazhinji kazhinji pamakumbo ezasi

Utachiona hungashanda kwenguva pfupi, uye ipapo zviratidzo zvobva zvaenda. Dzimwe nguva, hutachiona hwemapapu hunogona kuve husingaperi. Zviratidzo zvinosanganisira:

• Kurwadziwa pachifuva nekufema kwekufema
• Kukosora, pamwe kukosora ropa
• Fivha nekudikitira

Mune mashoma vanhu, kunyanya kune avo vane immune system isina kusimba, histoplasmosis inopararira mumuviri wese. Izvi zvinonzi zvinoparadzirwa histoplasmosis. Mukupindura kune hutachiona kutsamwa uye kuzvimba (kuzvimba) kunoitika. Zviratidzo zvinogona kusanganisira:

• Chifuva chinorwadza kubva mukuzvimba kwesaga-kunge kufukidza kwakatenderedza moyo (pericarditis)
• Musoro uye kuomarara kwemutsipa kubva pakuzvimba kweiyo membranes yakafukidza uropi uye musana wesipinha (meningitis)
• Kupisa zvakanyanya

Histoplasmosis inoonekwa ne:

• Biopsy yemapapu, ganda, chiropa, kana mwongo wemapfupa
• Ropa kana weti bvunzo kuti uone histoplasmosis mapuroteni kana antibodies
• Tsika dzeropa, weti, kana sputum (uyu bvunzo unopa kujekesa kuri pachena kwe histoplasmosis, asi mhedzisiro inogona kutora mavhiki matanhatu)

Kuti ubatsire kuongorora mamiriro aya, wako wekuchengeta hutano anogona kuita:

• Bronchoscopy (bvunzo inoshandisa chiyero chekutarisa chakaiswa mupapu yemhepo kuti utarise zviratidzo zvehutachiona)
• Chest CT scan
• Chest x-ray
• Spinal tap kuti utarise zviratidzo zvehutachiona mucerebrospinal fluid (CSF)

Mune vamwe vanhu vane hutano, hutachiona uhwu hunowanzoenda husina kurapwa.

Kana iwe uchirwara kweinopfuura mwedzi mumwe kana uri kunetseka kufema, wako mupi anogona kupa mushonga. Mushonga mukuru we histoplasmosis ndeye antifungal zvinodhaka.

• Mishonga yekudzivirira inogona kuda kupihwa kuburikidza netsinga, zvinoenderana nechimiro kana nhanho yechirwere.
• Mimwe yemishonga iyi inogona kuve nemhedzisiro.
• Kurapa kwenguva refu nemishonga inorwisa antifungal kunogona kudikanwa kusvika kumakore maviri kusvika maviri.

Maonero anoenderana nekuti hutachiona hwakanyanya sei, uye hutano hwako hwese. Vamwe vanhu vanova nani vasina kurapwa. Utachiona hunoshanda hunowanzoenda nemushonga unodzivirira. Asi, hutachiona hunogona kusiya vanga mukati memapapu.

Chiyero chekufa chakakwira kune vanhu vasina kurapwa kurapwa histoplasmosis vane immune system isina kusimba.

Kupwanya mubhokisi chifuva kunogona kuisa kumanikidza kune:

• Midzi mikuru yeropa inotakura ropa kuenda uye kubva pamoyo
• Mwoyo
• Esophagus (pombi yezvikafu)
• Node nhengo

Yakawedzera lymph node mubhokisi inogona kumanikidza kumativi emuviri senge esophagus nemidzi yeropa yemapapu.

Fonera mupi wako kana iwe uchigara munzvimbo ine histoplasmosis yakajairika uye iwe uchikura:

• Zviratidzo zvakaita sefuru
• Kurwadziwa pachifuva
• Kukosora
• Kufema kwekufema

Nepo paine zvimwe zvakawanda zvirwere zvine zviratidzo zvakafanana, ungangoda kuongororwa histoplasmosis.

Histoplasmosis inogona kudzivirirwa nekudzikisa kusvibiswa neguruva mumakoko ehuku, mapako emabhuru, uye dzimwe nzvimbo dzine njodzi huru. Pfeka mamask uye zvimwe zvekudzivirira kana iwe ukashanda mukati kana kuenda munzvimbo idzi.

Fungal chirwere - histoplasmosis; Ohio River Valley fever; Fibrosing mediastinitis

• Mapapu
• Acute histoplasmosis
• Yakaparadzirwa histoplasmosis
• Histoplasmosis, yakaparadzirwa muHIV murwere

Deepe GS. Nhoroondo yeplasma capsulatum (histoplasmosis). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 265.

Kauffman CA. Histoplasmosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 332.