I-pneumocystis jiroveci pneumonia

I-Pneumocystis jiroveci inyumoniya ukutheleleka kwamaphaphu. Lesi sifo sasike sabizwa I-Pneumocystis carini noma i-PCP pneumonia.

Lolu hlobo lwe-pneumonia lubangelwa ukhunta I-Pneumocystis jiroveci. Lesi sikhunta sivamile emvelweni futhi akuvamile ukuthi sidale ukugula kubantu abaphilile.

Kodwa-ke, kungadala ukutheleleka kwamaphaphu kubantu abanamasosha omzimba abuthakathaka ngenxa:

• Umdlavuza
• Ukusetshenziswa kwesikhathi eside kwama-corticosteroids noma eminye imithi eyenza amasosha omzimba abe buthakathaka
• I-HIV / AIDS
• Ukufakelwa komzimba womzimba noma wethambo

I-Pneumocystis jiroveci kwaba ukutheleleka okungajwayelekile ngaphambi kobhadane lwengculaza. Ngaphambi kokusetshenziswa kwama-antibiotic okuvikela lesi simo, abantu abaningi e-United States abane-AIDS esezingeni eliphezulu bavame ukuletha lesi sifo.

I-pneumocystis pneumonia kubantu abane-AIDS ivame ukukhula kancane ezinsukwini noma emasontweni noma ngisho nasezinyangeni, futhi ayinamandla kangako. Abantu abane-pneumocystis pneumonia abangenayo i-AIDS bavame ukugula ngokushesha futhi bagule kakhulu.

Izimpawu zifaka:

• Khwehlela, imvamisa imnene futhi yomile
• Imfiva
• Ukuphefumula ngokushesha
• Ukuphefumula, ikakhulukazi ngomsebenzi (ukuzikhandla)

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola abuze ngezimpawu zakho.

Izivivinyo ezinga-odwa zifaka:

• Amagesi egazi
• I-Bronchoscopy (ngokuhlanza)
• I-biopsy yamaphaphu
• I-X-ray yesifuba
• Ukuhlolwa kwesikhwehlela ukuhlola isikhunta esibangela ukutheleleka
• I-CBC
• Izinga le-Beta-1,3 glucan egazini

Imithi elwa nokutheleleka inganikezwa ngomlomo (ngomlomo) noma ngomthambo (ngemithambo yegazi), kuya ngokuthi isifo siqine kangakanani.

Abantu abanamazinga aphansi e-oksijini kanye nezifo ezilinganiselwe kuya kwezinzima bavame ukunikezwa i-corticosteroids futhi.

I-pneumocystis pneumonia ingasongela impilo. Kungadala ukwehluleka kokuphefumula okungaholela ekufeni. Abantu abanalesi simo badinga ukwelashwa kusenesikhathi futhi ngempumelelo. Ukuze uthole i-pneumocystis pneumonia emaphakathi kuya kwelinzima kubantu abane-HIV / AIDS, ukusetshenziswa kwesikhashana kwe-corticosteroids kunciphise izehlakalo zokufa.

Izinkinga ezingaba nomphumela zifaka:

• I-Pleural effusion (engavamile kakhulu)
• I-Pneumothorax (ukuwa kwamaphaphu)
• Ukwehluleka kokuphefumula (kungadinga ukwesekwa kokuphefumula)

Uma unamasosha omzimba abuthakathaka ngenxa yengculaza, umdlavuza, ukufakelwa kabusha, noma ukusetshenziswa kwe-corticosteroid, shayela umhlinzeki wakho uma uba nokukhwehlela, umkhuhlane noma ukuphefumula okuncane.

Kunconywa ukwelashwa kokuvimbela:

• Abantu abane-HIV / AIDS abanezibalo ze-CD4 ezingaphansi kwama-200 cell / microliter noma ama-200 cells / cubic millimeter
• Abamukeli bokufakelwa umnkantsha wethambo
• Abamukeli bokufakelwa komzimba
• Abantu abathatha i-corticosteroids yesikhathi eside, ephezulu
• Abantu abake baba neziqephu ezedlule zalesi sifo
• Abantu abathatha izidakamizwa zesikhathi eside zokuzivikela emzimbeni

I-pneumocystis inyumoniya; Inyumoniya; PCP; IPneumocystis carinii; I-PJP pneumonia

• I-pneumonia kubantu abadala - ukukhipha

• Amaphaphu
• Ingculaza
• I-pneumocystosis

IKovacs JA. I-pneumocystis inyumoniya. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 321.

UMiller RF Walzer PD, uSmulian AG. Izinhlobo ze-pneumocystis. 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 269.