Chii chinonzi Pneumocystosis uye inorapwa sei
Zvemukati
Pneumocystosis chirwere chinotapukira chinokonzerwa nefungus Pneumocystis jirovecii, iyo inosvika pamapapu uye inokonzera kunetseka mukufema, kuoma chikosoro uye kutonhora, semuenzaniso.
Chirwere ichi chinotorwa sechinhu chisina mukana nekuti chinowanzoitika kune vanhu vane immune system yakadzikama, sevaya vane AIDS, vakaiswazve kana vari kurapwa chemotherapy, semuenzaniso.
Mushonga wepneumocystosis unoitwa zvinoenderana nezvakakurudzirwa nepulmonologist, uye kushandiswa kwemishonga inorwisa mabhakitiriya inowanzo ratidzwa kweanenge mavhiki matatu.
Zviratidzo zvikuru
Zviratidzo zvepneumocystosis hazvina kunyatsojeka, izvo zvinogona kukonzera kuti ivhiringidzike nezvimwe zvirwere zvemapapu. Zviratidzo zvikuru zvechirwere ichi ndeizvi:
- Kupindwa nechando;
- Chikosoro chakaoma;
- Kunetseka kufema;
- Chills;
- Kurwadziwa pachifuva;
- Kuneta zvakanyanya.
Zviratidzo zvePneumocystosis zvinowanzo shanduka nekukurumidza uye zvinoramba zviripo kweanopfuura mavhiki maviri, saka zvakakosha kuti ubvunze chiremba mukuru kana pulmonologist kuitira kuti bvunzo dziitwe uye kuongororwa kuitwe.
Kuongororwa kwepneumocystosis
Kuongororwa kwepneumocystosis kunoitwa nachiremba zvichibva pamhedzisiro yechipfuva X-ray, bronchoalveolar lavage uye bronchoscopy, mune shanduko mumatumbu emapapu uye mapapu anopinda, zvichiratidza pneumocystosis. Uye zvakare, chiremba anogona kukurudzira sputum kuunganidzwa, semuenzaniso, kuitira kuti kuvepo kwefungus kutariswe nemicroscopically, sezvo isingakure mune yakakodzera tsika yepakati yefungus.
Kuti ubatsire kuongororwa kwepneumocystosis, chiremba anogona kukurudzira kuyerwa kweiyo enzyme Lactate Dehydrogenase (LDH), iyo yakakwidziridzwa mune idzi kesi, uye arterial ropa magasi, unova muyedzo unoongorora mashandiro emapapu, kusanganisira huwandu hwe okisijeni.ropa, iro mune pneumocystosis rakaderera. Nzwisisa kuti chii arterial erasi magasi uye kuti anoitwa sei.
Kurapwa kunoitwa sei
Mushonga wepneumocystosis unokurudzirwa nachiremba wepachipiri kana wepulmonologist unosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya, nekushandisa kweSulfamethoxazole-Trimethoprim inowanzo kuratidzwa, nemuromo kana mukati, mukati memavhiki matatu.
Zvisinei, kana kurapwa uku kusingaite kuti murwere avandudzike, chiremba anogona kusarudza mutsara wechipiri wekurapa, unoitwa neimwe mishonga inorwisa utachiona, Pentamidine, inova yekushandisa intravenous uye inowanzo kuratidzwa kwemavhiki matatu.
Izvo zvakakosha kuti kurapwa kunoratidzwa nachiremba kunoteerwa zvinoenderana nezano rake rekudzivirira iyo fungus kubva mukuwedzera uye nekuwedzera kupindira immune yemurwere, zvichikonzera matambudziko uye kunyange kufa.