Isifo samathambo

Isifo samathambo esikhunta ukuvuvukala nokucasuka (ukuvuvukala) kwenhlanganisela ngesifo sokukhunta. Kubizwa nangokuthi i-mycotic arthritis.

I-arthritis ye-fungal yisimo esingavamile. Kungabangelwa yinoma yiziphi izinhlobo ezihlaselayo zesikhunta. Ukutheleleka kungavela ekuthelelekeni kwesinye isitho, njengamaphaphu bese uya ejoyintini egazini. Ilunga nalo lingatheleleka ngesikhathi sokuhlinzwa. Abantu abanamasosha omzimba abuthakathaka ahamba noma ahlala ezindaweni lapho kuvame ukhunta khona, athinteka kakhulu kwizimbangela eziningi zesifo samathambo.

Izimo ezingadala i-fungal arthritis zibandakanya:

• I-Blastomycosis
• I-Candidiasis
• ICoccidioidomycosis
• I-Cryptococcosis
• I-Histoplasmosis
• I-Sporotrichosis
• I-Exserohilum rostratum (kusuka kumjovo onezitsha ezingama-steroid ezingcolile)

Isikhunta singathinta amathambo noma izicubu ezihlangene. Ilunga elilodwa noma amaningi angathinteka, imvamisa amalunga amakhulu, athwala isisindo, njengamadolo.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Imfiva
• Ubuhlungu obuhlangene
• Ukuqina okuhlangene
• Ukuvuvukala okuhlangene
• Ukuvuvukala kwamaqakala, izinyawo, nemilenze

Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola.

Izivivinyo ezinga-odwa zifaka:

• Ukususwa koketshezi oluhlangene ukubheka ukhunta ngaphansi kwesibonakhulu
• Isiko loketshezi oluhlangene ukufuna ukhunta
• I-x-ray ehlangene ekhombisa izinguquko ezihlangene
• Ukuhlolwa okuqondile kwama-antibody (serology) kwesifo sefungal
• I-Synovial biopsy ekhombisa ukhunta

Umgomo wokwelashwa ukwelapha ukutheleleka usebenzisa imishanguzo yokubulala amakhambi. Izidakamizwa ezijwayele ukusetshenziswa kwe-antifungal yi-amphotericin B noma izidakamizwa emndenini we-azole (i-fluconazole, i-ketoconazole, noma i-itraconazole).

Ukutheleleka okungapheli noma okuthuthukile noma okuhlangene kungadinga ukuhlinzwa (ukukhishwa) ukususa izicubu ezinesifo.

Ukwenza kahle kangakanani kuncike embangela yokutheleleka nasempilweni yakho yonke. Amasosha omzimba abuthakathaka, umdlavuza, kanye nemithi ethile kungathinta umphumela.

Ukulimala okuhlangene kungenzeka uma ukutheleleka kungelashwa ngokushesha.

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu zesifo samathambo.

Ukwelashwa okuphelele kwezifo zefungal kwenye indawo emzimbeni kungasiza ekuvimbeleni isifo samathambo.

I-Mycotic arthritis; Isifo samathambo esithathelwanayo - ukhunta

• Ukwakheka kokuhlanganiswa
• Ukuvuvukala okuhlangene kwehlombe
• Isikhunta

Ohl CA. Isifo samathambo esithathelwanayo samalunga omdabu. 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: isahl. 103.

URuderman EM, uFlaherty JP. Ukutheleleka kwamafungal kwamathambo namalunga. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelley noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; I-2017: isahluko 112.