Isilonda sesikhumba se-blastomycosis

Isilonda sesikhumba se-blastomycosis yisifo sokutheleleka nge-fungus I-Blastomyces dermatitidis. Isikhumba siyangenwa njengoba ukhunta usakazeka emzimbeni wonke. Enye indlela ye-blastomycosis isesikhumbeni kuphela futhi imvama iba ngcono ngokwayo ngokuhamba kwesikhathi. Lo mbhalo ubhekene nefomu elithe chithi saka lokutheleleka.

I-Blastomycosis isifo esingajwayelekile sefungal. Kuvame ukutholakala ku:

• Afrika
• ECanada, ezungeze amaGreat Lakes
• INingizimu maphakathi nenyakatho ne-United States
• India
• U-Israyeli
• I-Saudi Arabia

Umuntu utheleleka ngokuphefumula izinhlayiya zesikhunta ezitholakala enhlabathini emanzi, ikakhulukazi lapho kunezimila ezibolayo. Abantu abanenkinga yokuzivikela komzimba basengozini enkulu yokuthola lesi sifo, kepha abantu abaphilile nabo bangasithola lesi sifo.

Isikhunta singena emzimbeni ngamaphaphu bese siyabathelela. Kwabanye abantu, ukhunta bese usakazeka (usabalalisa) kwezinye izindawo zomzimba. Ukutheleleka kungathinta isikhumba, amathambo namalunga, izitho zangasese kanye nomgudu wokuchama, nezinye izinhlelo. Izimpawu zesikhumba ziyisibonakaliso se-blastomycosis esabalele (esatshalalisiwe).

Kubantu abaningi, izimpawu zesikhumba ziyakhula lapho ukutheleleka kusakazeka ngaphezu kwamaphaphu abo.

Amapapu, ama-pustules, noma ama-nodules atholakala kakhulu ezindaweni eziveziwe zomzimba.

• Zingabukeka njengezinsumpa noma izilonda.
• Imvamisa azinabuhlungu.
• Zingahluka kusuka kokumpunga kuya koku-violet ngombala.

Ama-pustules anga:

• Yakha izilonda
• Ukopha kalula
• Yenzeka emakhaleni noma emlonyeni

Ngokuhamba kwesikhathi, lezi zilonda zesikhumba zingaholela ekunqobeni nasekulahlekelweni kombala wesikhumba (i-pigment).

Umhlinzeki wezokunakekelwa kwempilo uzohlola isikhumba sakho abuze ngezimpawu.

Ukutheleleka kutholakala ngokukhomba ukhunta esikweni elithathwe esikhunjeni sesikhumba. Lokhu ngokuvamile kudinga i-biopsy yesikhumba.

Lokhu kuthathwa kuphathwa ngemithi yokubulala efana ne-amphotericin B, itraconazole, ketoconazole, noma i-fluconazole. Kusetshenziswa izidakamizwa zomlomo noma zomlomo (ngqo emthanjeni), kuya ngomuthi kanye nesigaba sesifo.

Ukwenza kahle kangakanani kuya ngesimo se-blastomycosis nakuzivikeli mzimba zakho. Abantu abanamasosha omzimba acindezelweyo bangadinga ukwelashwa isikhathi eside ukuvimbela izimpawu ukuthi zingabuyi.

Izinkinga zingafaka:

• Amathumba (amaphakethe obomvu)
• Okunye (ukutheleleka) ukutheleleka kwesikhumba okubangelwa amagciwane
• Izinkinga ezihlobene nemithi (ngokwesibonelo, i-amphotericin B ingaba nemiphumela emibi kakhulu)
• Ukukhipha ngokuzenzekelayo izigaxa
• Ukutheleleka okukhulu komzimba wonke nokufa

Ezinye zezinkinga zesikhumba ezibangelwa i-blastomycosis zingafana nezinkinga zesikhumba ezibangelwa ezinye izifo. Tshela umhlinzeki wakho uma uba nezinkinga zesikhumba ezikhathazayo.

Embil JM, Vinh DC. I-Blastomycosis. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2021. IPhiladelphia, PA: Elsevier; 2021: 856-860.

IGauthier GM, iKlein BS. I-Blastomycosis. 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.

UKauffman CA, uGalgiani JN, uReorge T.I-mycoses ebangelwa izifo. Ku: Goldman L, Shafer AI, eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 316.