Zviratidzo zveParacoccidioidomycosis uye kurapwa kwacho kwakadii

Zvemukati

• Maitirwo acho anoitika sei
• Zviratidzo zvikuru
• Maitiro ekusimbisa
• Mafomu ekurapa
• Nzira yekudzivirira

Paracoccidioidomycosis chirwere chinokonzerwa nefungus Paracoccidioides brasiliensis, iyo inowanzovapo muvhu nemiriwo, uye inogona kukanganisa zvikamu zvakasiyana zvemuviri, zvakadai semapapu, muromo, huro, ganda kana lymph node.

Iyo zvakare inonzi South American blastomycosis, hutachiona uhwu hunowanikwa kuburikidza nekufema uye hunowanzoitika munzvimbo dzinopisa, zvichikonzera zviratidzo sekushomeka kwekuda kudya, kuonda, kukosora, fivha, kuvaviwa, maronda emumuromo uye kuoneka kwemvura. Inogona kusimuka munzira mbiri:

• Fomu yevechidiki: inowanzoitika muvana uye vechidiki vane makore gumi kusvika makumi maviri, ayo anowanzo kuoneka achinyanyisa, mushure memavhiki mashoma ekutapurirana;
• Chimiro chevakuru: kazhinji inobata vanhu vari pakati pemakore makumi matatu nemakumi mashanu ekuberekwa, kunyanya varume vanoshanda mumaruwa, sevarimi, uye vanhu vanosvuta, vanonwa zvinwiwa zvinodhaka kana vasina kudya zvinovaka muviri, vari fomu isingagumi, ichichinja kwemwedzi kusvika makore mushure mekutapukira.

Mushure mekusimbisa kuongororwa, pamwe nekuongororwa kweropa uye biopsy, chiremba anogona kutungamira kurapwa neantifungal, senge Fluconazole, Ketoconazole, Itraconazole kana Amphotericin, semuenzaniso.

Maitirwo acho anoitika sei

Paracoccidioidomycosis inobatwa kana ichifema, nekufemerwa kwezvikamu kubva ku Paracoccidioides brasiliensis. Iyi fungus inogara muvhu reminda, saka zvakajairika kukanganisa vagari vekumaruwa, varimi nevarimi, semuenzaniso, nekuti munhu anogona kufemera fungus pamwe chete neguruva renyika.

Kamwe kaiswa mumapapu, iyo fungi yeparacoccidioidomycosis inokonzera chirwere nenzira mbiri dzakasiyana:

1. Kupararira kuburikidza neropa uye lymphatic kuyerera kune dzimwe nhengo dzemuviri, senge ganda, lymph node, chiropa, spleen, ganda uye huropi, OR
2. Kuti ugare wakanyarara, nguva pfupi yadarika, mukati memaronda anokonzerwa mumapapu kwemakore mazhinji, kudzamara hosha ichikura, kunyanya panguva dzekushomeka kwekudzivirira muviri, sekushaya kudya kwakakwana, kudhakwa, kushandisa mishonga yekuzvidzivirira kana hutachiona hweHIV, semuenzaniso.

Nzira yechipiri ndiyo inowanzoitika nekuti, kazhinji, zvakajairika kusvibiswa nefungus kunyangwe semwana kana kuyaruka, zvisinei, kazhinji zviratidzo zvinoonekwa mukukura.

Izvo zvakakosha kuti urangarire kuti paracoccidioidomycosis haigone kutapurika kubva kune mumwe munhu ichienda kune mumwe, kana kuburikidza nekubatana kwakananga kana kuburikidza nekugovana kwezvinhu zvemunhu. Uyezve tarisa zvimwe zvirwere zvinokonzerwa nefungus inopararira mumuviri wese, senge Histoplasmosis kana Blastomycosis.

Zviratidzo zvikuru

Paracoccidioidomycosis inogona kuburitsa akati wandei ezviratidzo nezviratidzo, zvinosiyana zvichienderana nehunhu hwakaita sezera, hutano mamiriro, immune immune uye kunyange majini zvinhu. Zviratidzo zvikuru nezviratidzo zvinosanganisira:

• Kurasikirwa kwechido uye kushaya simba;
• Pallor;
• Kuponda;
• Kupindwa nechando;
• Kufema kwekufema uye kukosora, izvo zvinogona kunge uine kana usina ropa;
• Maronda paganda kana mucous membranes, kunyanya kumeso, muromo, miromo, matadza, zvichikonzera kuoma mukutsenga nekumedza;
• Kubuda kwendimi nekuwedzera kwema lymph node, ayo anonziwo lymph node kuwedzera;
• Yakawedzera chiropa chiropa.

Muzviitiko zvakanyanya kwazvo, chirwere ichi chinogona zvakare kusvika kune nhengo senge huropi, ura, mapfupa kana itsvo, semuenzaniso.

Maitiro ekusimbisa

Zvekuongororwa kweparacoccidioidomycosis, chiremba achaita ongororo yekiriniki, kuongorora kwepanyama, uye anogona kuraira bvunzo dzakadai sechifuva X-ray, kuverenga kweropa, gaji yekuzvimba uye kuongorora kweitsvo uye chiropa mashandiro, semuenzaniso.

Iko kusimbiswa kunoitwa kunyanya kubva pakuonekwa kwefungus mune biopsy yechironda, zvisinei, mimwe miedzo inobatsira inosanganisira kuunganidzwa kwe sputum, pulmonary aspirate, kukwenya kwemaronda kana tsika yefungus.

Uye zvakare, kune zvekare kuongororwa kweropa kunokwanisa kuzivisa masoja ekudzivirira fungus, ayo anogona kubatsira mukuongorora pamwe nekutarisa kurapwa kwechirwere.

Mafomu ekurapa

Kurapa kweparacoccidioidomycosis kunotungamirirwa nachiremba wechirwere chinotapukira, uchishandisa antifungals senge Itraconazole, Fluconazole, Ketoconazole kana Voriconazole, semuenzaniso.

Iyo yekurapa inogona kuitirwa pamba, nekushandiswa kwemapiritsi uye inogona kutora kubva kumwedzi kusvika kumakore. Muzviitiko zvakakomba zvakanyanya, umo mune kushaya simba kwakanyanya kana kukanganiswa kwakanyanya kwemapapu nedzimwe nhengo, kurapwa muchipatara uye kushandiswa kwemimwe mishonga ine simba mutsinga, seAmphotericin neRifampicin, zvinogona kudikanwa.

Izvo zvinoratidzwa zvakare kudzivirira kuputa, zvinwiwa zvinodhaka, uye kurapa hutumbu hutumbu, izvo zvakajairika mune ava varwere.

Nzira yekudzivirira

Sezvo iyo Paracoccidioides brasiliensis anogara pasi uye nharaunda, zvinonetsa kumisikidza nzira dzekudzivirira, zvisinei, kumwe kuchengetedzwa kunokurudzirwa, kunyanya kune vanhu vanoshanda mumaruwa, sekutarisa hutsanana, kugara uchigeza maoko nekugeza pakupera zuva racho, pamusoro pekugara uchipfeka yakakodzera michina yekuzvidzivirira, nembatya dzakakodzera, magirovhosi, mask nemabhuti