Fivha yemupata

Valley fever hutachiona hunoitika kana spores yefungus Coccidioides immitis pinda muviri wako kuburikidza nemapapu.

Valley fever chirwere chefungal chinowanzoonekwa munzvimbo dzerenje kumaodzanyemba kwakadziva kumadokero kweUnited States, uye muCentral neSouth America. Iwe unoiwana nekufema mufungus kubva muvhu. Utachiona hunotanga mumapapu. Inowanzo bata vanhu vanopfuura makore makumi matanhatu ekuberekwa.

Valley fever inogonawo kunzi coccidioidomycosis.

Kufamba uchienda kunzvimbo inowanzoonekwa fungus kunomutsa njodzi yako kutapukirwa uku. Nekudaro, iwe unowanzo kuve nehutachiona hwakakomba kana iwe uchigara panowanikwa fungus uye uine husina simba immune system nekuda kwe:

• Anti-tumor necrosis factor (TNF) kurapa
• Gomarara
• Chemotherapy
• Glucocorticoid mishonga (prednisone)
• Mamiriro emoyo-mapapu
• HIV / AIDS
• Kuisa muviri
• Kubata (kunyanya yekutanga trimester)

Vanhu veNative American, Africa, kana chizvarwa chePhilippines vanobatwa zvisingaenzaniswi.

Vanhu vazhinji vane fever fever havambove nezviratidzo. Vamwe vanogona kunge vaine kutonhora- kana dzihwa-kunge zviratidzo kana zviratidzo zvebayo. Kana zviratidzo zvikaitika, zvinowanzotanga mazuva mashanu kusvika makumi maviri nemashanu mushure mekuratidzwa nefungus.

Zviratidzo zvakajairika zvinosanganisira:

• Ankle, tsoka, uye gumbo kuzvimba
• Kurwadziwa pachifuva (kunogona kusiyana kubva pakapfava kusvika pakukutu)
• Kukosora, pamwe kuburitsa ropa-tinged phlegm (sputum)
• Fivha nehusiku ziya
• Kutemwa nemusoro
• Kuomarara kwakabatana uye kurwadziwa kana mhasuru aches
• Kupererwa nechido
• Zvinorwadza, matsvuku mapundu pamakumbo epasi (erythema nodosum)

Kazhinji, hutachiona hunopararira kubva mumapapu kuburikidza neropa kuti ubatanidze ganda, mapfupa, majoini, lymph node, uye yepakati tsinga system kana dzimwe nhengo. Uku kupararira kunodaidzwa kuti kuparadzirwa coccidioidomycosis.

Vanhu vane fomu iri rakapararira vanogona kurwara zvakanyanya. Zviratidzo zvinogona zvakare kusanganisira:

• Chinja mamiriro epfungwa
• Yakawedzera kana kudurura lymph node
• Joint kuzvimba
• Zvimwe zvakanyanya zviratidzo zvemapapu
• Kuomesa kwemitsipa
• Kunzwisisa kuchiedza
• Kuonda

Zvironda zveganda zvemupata wefivha kazhinji chiratidzo chechirwere chakapararira (chakaparadzirwa). Nehutachiona hwakapararira, maronda eganda kana maronda anowanzoonekwa kumeso.

Anopa hutano anozoongorora bvunzo uye obvunza nezvezviratidzo uye nhoroondo yekufamba. Kuyedzwa kwakaitwa nenzira dzakaomarara dzehutachiona uhwu kunosanganisira:

• Ropa bvunzo kutarisa coccidioides hutachiona (iyo fungus inokonzera Valley fever)
• Chest x-ray
• Sputum tsika
• Sputum smear (KOH bvunzo)

Kuyedzwa kwakaitwa kune mamwe maitiro akaomarara kana akapararira ehutachiona anosanganisira:

• Biopsy yeiyo lymph node, mapapu, kana chiropa
• Bone marora bhiopsy
• Bronchoscopy ine lavage
• Spinal tap (lumbar puncture) kubvisa hutachiona

Kana iwe uine immune system ine hutano, chirwere chinowanzoenda nguva dzose pasina kurapwa. Wako mupi anogona kuratidza kuzorora kwemubhedha uye kurapwa kwezviratidzo zvakaita sehwahwa kusvika fivhiri yako yanyangarika.

Kana uine immune system isina kusimba, ungangoda antifungal kurapwa neamphotericin B, fluconazole, kana itraconazole. Itraconazole ndiwo mushonga wesarudzo muvanhu vane marwadzo akabatana kana emhasuru.

Dzimwe nguva kuvhiya kunodiwa kubvisa chikamu chine hutachiona chemapapu (yechirwere chisingaperi kana chakakomba).

Kunyatsoita kwaunoita kunoenderana nechimiro chechirwere chauinacho uye hutano hwako hwese.

Mhedzisiro muchirwere chakakomba ingangove yakanaka. Nokurapwa, mhedzisiro yacho inowanzo kuve yakanakawo kune chirwere chisingaperi kana chakakomba (kunyange kudzokerazve kunogona kuitika). Vanhu vane chirwere chakapararira vane huwandu hwekufa zvakanyanya.

Kupararira kwemupata fever kunogona kukonzera:

• Unganidzo ye pus mumapapu (lung abscess)
• Kuora kwepapu

Aya matambudziko anonyanya kuitika kana iwe uine simba rekuzvidzivirira.

Sheedza musangano pamwe nemupi wako kana iwe uine zviratidzo zvemupata fever kana kana mamiriro ako asinganatsirike nemushonga.

Vanhu vane matambudziko ekuzvidzivirira (akadai seHIV / AIDS uye avo vari pamishonga inodzvinyirira immune system) havafanirwe kuenda kunzvimbo dzinowanikwa fungus iyi. Kana iwe uchitogara munzvimbo idzi, mamwe matanho anogona kutorwa anosanganisira:

• Kuvhara mawindo panguva yeguruva dutu
• Kudzivisa zviitiko zvinosanganisira kubata ivhu, senge kurima gadheni

Tora mishonga yekudzivirira sezvakarairwa nemupi wako.

Fivha yeSan Joaquin Valley; Coccidioidomycosis; Cocci; Desert rheumatism

• Coccidioidomycosis - chifuva x-ray
• Pulmonary nodule - pamberi pechifuva x-ray
• Yakaparadzirwa coccidioidomycosis
• Chakuvhe

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Fivha yemupata (coccidioidomycosis). www.cdc.gov/fungal/diseases/coccidioidomycosis/index.html. Yakagadziridzwa Gumiguru 28, 2020. Yakasvika muna Zvita 1, 2020.

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.

Galgiani JN. Coccidioidomycosis (Coccidioides mhando). 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 265.