I-Mucormycosis

I-Mucormycosis ukutheleleka kwesikhunta kwamasono, ubuchopho noma amaphaphu. Kwenzeka kwabanye abantu abanamasosha omzimba abuthakathaka.

I-Mucormycosis ibangelwa izinhlobo ezahlukahlukene zesikhunta ezivame ukutholakala ezintweni eziphilayo ezibolayo. Lokhu kufaka phakathi isinkwa esonakele, izithelo nemifino, kanye nenqwaba yenqwaba yomquba. Iningi labantu lihlangana ne-fungus ngesikhathi esithile.

Kodwa-ke, abantu abanamasosha omzimba abuthakathaka amathuba okuba bahlakulele i-mucormycosis. Lokhu kufaka phakathi abantu abanezimo ezilandelayo:

• Ingculaza
• Kushe
• Isifo sikashukela (ngokuvamile esilawulwa kabi)
• I-leukemia ne-lymphoma
• Isikhathi eside ukusetshenziswa kwama-steroid
• I-Metabolic acidosis
• Ukungondleki kahle (ukungondleki)
• Ukusetshenziswa kwemithi ethile

I-Mucormycosis ingafaka:

• Isifo sesono kanye nobuchopho esibizwa nge-rhinocerebral infection: Kungase kuqale njengokutheleleka kwesono, bese kuholela ekuvuvukeni kwemizwa ephuma ebuchosheni.Kungadala namahlule egazi avimba imithambo yobuchopho.
• Ukutheleleka kwamaphaphu okubizwa nge-pulmonary mucormycosis: I-pneumonia iba yimbi ngokushesha futhi ingasakazeka esifubeni, enhliziyweni nasebuchosheni.
• Ezinye izitho zomzimba: I-Mucormycosis yomgudu wamathumbu, isikhumba nezinso.

Izimpawu ze-rhinocerebral mucormycosis zifaka:

• Amehlo avuvukalayo futhi aphume (aphume)
• Ukukhwabanisa okumnyama emigodini yamakhala
• Imfiva
• Ubuhlungu bekhanda
• Izimo zengqondo ziyashintsha
• Ukubomvu kwesikhumba ngaphezu kwezono
• Ubuhlungu besinus noma ukuminyana

Izimpawu zamaphaphu (pulmonary) mucormycosis zifaka:

• Khwehlela
• Ukukhwehlela igazi (ngezikhathi ezithile)
• Imfiva
• Ukuphelelwa umoya

Izimpawu ze-mucormycosis yamathumbu zifaka:

• Ubuhlungu besisu
• Igazi ezitulweni
• Uhudo
• Kuhlanza igazi

Izimpawu zezinso (renal) mucormycosis zifaka:

• Imfiva
• Ubuhlungu esiswini esingenhla noma emuva

Izimpawu zesikhumba (ezinqunyiwe) i-mucormycosis zifaka indawo eyodwa, kwesinye isikhathi ebuhlungu, eqinile yesikhumba engaba nendawo emnyama.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola. Bona udokotela we-ear-nose-throat (ENT) uma unezinkinga zesono.

Ukuhlola kuncike kwizimpawu zakho, kepha kungafaka lokhu kuhlolwa kwe-imaging:

• Ukuskena kwe-CT
• Ukuhlolwa kwe-MRI

Kufanele kwenziwe i-biopsy ukuxilonga i-mucormycosis. I-biopsy ukususwa kocezu oluncane lwezicubu ukuze kuhlolwe elebhu ukukhomba ukhunta nokuhlasela kwezicubu ezibamba.

Ukuhlinzwa kufanele kwenziwe ngokushesha ukuze kususwe zonke izicubu ezifile nezinegciwane. Ukuhlinzwa kungaholela ekuguqulweni komzimba ngoba kungabandakanya ukususwa kolwanga, izingxenye zekhala, noma izingxenye zeso. Kepha, ngaphandle kokuhlinzwa okunolaka okunjalo, amathuba okusinda ancipha kakhulu.

Uzophinda uthole umuthi wokubulala izinhlungu, ngokuvamile i-amphotericin B, ngomthambo. Ngemuva kokulawulwa kokutheleleka, ungashintshelwa kumuthi ohlukile njenge-posaconazole noma i-isavuconazole.

Uma unesifo sikashukela, kuzobaluleka ukuthola ushukela wegazi lakho ebangeni elijwayelekile.

I-Mucormycosis inezinga lokufa eliphakeme kakhulu, noma ngabe kwenziwa ukuhlinzwa okunolaka. Ubungozi bokufa buxhomeke endaweni yomzimba ethintekayo nasempilweni yakho yonke.

Lezi zinkinga zingenzeka:

• Ubumpumputhe (uma kuthinteka i-optic nerve)
• Ukuvala noma ukuvimba imithambo yegazi yobuchopho noma yamaphaphu
• Ukufa
• Ukulimala kwemizwa

Abantu abanamasosha omzimba abuthakathaka nezinkinga zokuzivikela komzimba (kufaka phakathi isifo sikashukela) kufanele bafune usizo lwezokwelapha uma bekhula:

• Imfiva
• Ubuhlungu bekhanda
• Ubuhlungu besono
• Ukuvuvukala kwamehlo
• Noma yiziphi ezinye izimpawu ezibalwe ngenhla

Ngoba isikhunta esidala i-mucormycosis sisakazeke yonke indawo, indlela engcono yokuvimbela lesi sifo ukuthuthukisa ukulawula izifo ezihambisana ne-mucormycosis.

Ukutheleleka kwefungal - mucormycosis; I-Zygomycosis

• Isikhunta

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Mucormycosis. www.cdc.gov/fungal/diseases/mucormycosis/index.html. Kubuyekezwe u-Okthoba 28, 2020. Kufinyelelwe ngoFebhuwari 18, 2021.

IKontoyiannis DP. I-Mucormycosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 320.

UKontoyiannis DP, uLewis RE. Ama-ejenti we-mucormycosis kanye ne-entomophthoramycosis. 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 258.