I-Blastomycosis

IBlastomycosis yisifo esibangelwa ukuphefumula I-Blastomyces dermatitidis ukhunta. Isikhunta sitholakala ezinkuni ezibolile nasemhlabathini.

Ungathola i-blastomycosis ngokuthintana nenhlabathi enomswakama, imvamisa lapho kukhona izinkuni ezibolayo namaqabunga. Isikhunta singena emzimbeni ngamaphaphu, lapho ukutheleleka kuqala khona. Ukhunta bese usakazeka kwezinye izingxenye zomzimba. Lesi sifo singathinta isikhumba, amathambo namalunga, nezinye izindawo.

I-Blastomycosis ayivamile. Itholakala enkabeni naseningizimu-mpumalanga ye-United States, naseCanada, India, Israel, Saudi Arabia nase-Afrika.

Isici esiyinhloko esiyingozi kulesi sifo ukuxhumana nenhlabathi enesifo. Imvamisa kuthinta abantu abanamasosha omzimba abuthakathaka, njengalabo abane-HIV / AIDS noma abafakelwe isitho somzimba, kepha futhi kungathelela abantu abaphilile. Abesilisa basengozini enkulu yokuthinteka kunabesifazane.

Ukutheleleka kwamaphaphu kungenzeka kungabangeli zimpawu. Izimpawu zingabonakala uma ukutheleleka kusakazeka. Izimpawu zingafaka:

• Ubuhlungu obuhlangene
• Ubuhlungu besifuba
• Ukukhwehlela (kungakhipha amafinyila ansundu noma anegazi)
• Ukukhathala
• Imfiva nobusuku ukujuluka
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ubuhlungu bemisipha
• Ukwehla kwesisindo ngokungenhloso

Iningi labantu liba nezimpawu zesikhumba lapho ukutheleleka kusakazeka. Ungathola ama-papules, ama-pustules, noma ama-nodules ezindaweni eziveziwe zomzimba.

Ama-pustules:

• Kungabukeka njengezinsumpa noma izilonda
• Imvamisa ayinabuhlungu
• Shintsha ngombala kusuka kwimpunga kuya ku-violet
• Ingabonakala emakhaleni nasemlonyeni
• Ukopha kalula bese wenza izilonda

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Uzobuzwa ngomlando wakho wezokwelapha nezimpawu.

Uma umhlinzeki esola ukuthi une-fungal infection, ukuxilongwa kungaqinisekiswa yilezi zivivinyo:

• Isikena se-CT esifubeni
• I-x-ray yesifuba
• Isikhumba biopsy
• Isiko nokuhlola isikhwehlela
• Ukutholwa kwe-antigen ye-Urinary
• I-biopsy yezicubu namasiko
• Isiko lomchamo

Ungahle ungadingi ukuthatha umuthi wesifo esibuhlungu se-blastomycosis esihlala emaphashini. Umhlinzeki angancoma le mithi elwa namagciwane elandelayo uma isifo sinzima noma sisakazeka ngaphandle kwamaphaphu.

• I-Fluconazole
• I-Itraconazole
• Ketoconazole

I-Amphotericin B ingasetshenziselwa ukutheleleka okunzima.

Landela njalo umhlinzeki wakho ukuze uqiniseke ukuthi ukutheleleka akubuyeli.

Abantu abanezilonda ezincane zesikhumba (izilonda) kanye nokutheleleka okuncane kwamaphaphu ngokuvamile balulama ngokuphelele. Ukutheleleka kungaholela ekufeni uma kungenakwelashwa.

Izinkinga ze-blastomycosis zingafaka:

• Izilonda ezinkulu ezinobomvu (amathumba)
• Izilonda zesikhumba zingaholela ekuqhekekeni nasekulahlekelweni kombala wesikhumba (i-pigment)
• Ukubuyela kokutheleleka (ukubuyela emuva noma ukuphindaphinda kwezifo)
• Imiphumela emibi yezidakamizwa ezifana ne-amphotericin B

Shayela umhlinzeki wakho uma unezimpawu ze-blastomycosis.

Ukugwema ukuya ezindaweni lapho ukutheleleka kwaziwa ukuthi kungenzeka khona kungasiza ukuvimbela ukuvezwa kukhunta, kepha lokhu kungenzeka kungenzeki ngaso sonke isikhathi.

I-blastomycosis yaseNyakatho Melika; Isifo sikaGilchrist

• Ukunqunywa umlenze - ukukhishwa

• Isikhunta
• I-biopsy ye-Lung izicubu
• I-Osteomyelitis

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Izifo zefungal. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 77.

IGauthier GM, iKlein BS. I-Blastomycosis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 264.

IKauffman CA, iGalagiani JN, iThompson GR. Ama-mycoses endemic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 316.