I-Sporotrichosis

I-Sporotrichosis yisifo sesikhumba sesikhathi eside (esingapheli) esibangelwa isikhunta esibizwa ngokuthi Sporothrix schenckii.

Sporothrix schenckii itholakala ezitshalweni. Ukutheleleka kuvame ukwenzeka lapho isikhumba siphukile ngenkathi usingatha izinto zezitshalo ezinjenge-rosebushes, briars, noma ukungcola okuqukethe isembozo esiningi.

I-Sporotrichosis ingaba yisifo esihlobene nomsebenzi kubantu abasebenza ngezitshalo, njengabalimi, abalimi be-horticulturists, abalimi be-rose, kanye nabasebenzi bezitshalo zezitshalo. I-sporotrichosis esakazekile (ingasatshalaliswa) ingakhula kubantu abanamasosha omzimba abuthakathaka lapho behogela uthuli olugcwele izinhlamvu zesikhunta.

Izimpawu zifaka phakathi iqhubu elincane, elingenabuhlungu, nelibomvu elivela endaweni yokutheleleka. Ngokuhamba kwesikhathi, lesi sigaxa sizophenduka isilonda (esibuhlungu). Isigaxa singakhula size sifike ezinyangeni ezintathu ngemuva kokulimala.

Izilonda eziningi zisezandleni nasemikhondweni ngoba lezi zindawo zivame ukulimala lapho ziphatha izitshalo.

Isikhunta silandela iziteshi ezisesimweni somzimba womzimba wakho. Izilonda ezincane zivela njengemigqa esikhunjeni njengoba ukutheleleka kunyusa ingalo noma umlenze. Lezi zilonda azipholi ngaphandle kokuba zelashwe, futhi zingahlala iminyaka. Izilonda kwesinye isikhathi zingakhipha ubomvu obuncane.

I-sporotrichosis yomzimba wonke (systemic) ingadala izinkinga zamaphaphu nokuphefumula, ukutheleleka kwamathambo, isifo samathambo, kanye nokutheleleka kohlelo lwezinzwa.

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho. Ukuhlolwa kuzobonisa izilonda ezijwayelekile ezibangelwa ukhunta. Kwesinye isikhathi, isampula elincane lezicubu ezithintekile liyasuswa, lihlolwe ngaphansi kwesibonakhulu, bese lihlolwa ebhodini ukukhomba ukhunta.

Ukutheleleka kwesikhumba kuvame ukwelashwa ngomuthi obulala amagciwane obizwa nge-itraconazole. Iyathathwa ngomlomo bese iyaqhubeka amasonto amabili kuya kwamane emuva kokuba izilonda zesikhumba sezisukile. Kungadingeka uphuze umuthi izinyanga ezi-3 kuye kwezi-6. Umuthi obizwa nge-terbinafine ungasetshenziswa esikhundleni se-itraconazole.

Izifo ezisabalale noma ezithinta umzimba wonke zivame ukwelashwa nge-amphotericin B, noma kwesinye isikhathi i-itraconazole. Ukwelashwa kwesifo se-systemic kungahlala ezinyangeni eziyi-12.

Ngokwelashwa, ukululama ngokugcwele kungenzeka. I-sporotrichosis esatshalaliswa inzima kakhulu ukuyelapha futhi idinga ukwelashwa izinyanga ezimbalwa. I-sporotrichosis esatshalalisiwe ingasongela impilo yabantu abanamasosha omzimba abuthakathaka.

Abantu abanamasosha omzimba aphilile bangaba nalokhu:

• Ukungakhululeki
• Izifo zesikhumba zesibili (njenge-staph noma i-strep)

Abantu abanamasosha omzimba abuthakathaka bangathuthuka:

• Isifo samathambo
• Ukutheleleka kwamathambo
• Izinkinga ezivela emithini - i-amphotericin B ingaba nemiphumela emibi kakhulu, kufaka phakathi ukulimala kwezinso
• Izinkinga zokuphefumula (ezifana ne-pneumonia)
• Ukutheleleka kobuchopho (meningitis)
• Isifo esisakazekile (esisatshalalisiwe)

Yenza i-aphoyintimenti nomhlinzeki wakho uma uba nezigaxa zesikhumba ezingapheli noma izilonda zesikhumba ezingapheli. Tshela umhlinzeki wakho uma wazi ukuthi uvezwe ezitshalweni kusuka engadini.

Abantu abanamasosha omzimba abuthakathaka kufanele bazame ukunciphisa ubungozi bokulimala kwesikhumba. Ukugqoka amagilavu ​​aminyene ngenkathi ingadi kungasiza.

• I-Sporotrichosis esandleni nasengalweni
• I-Sporotrichosis engalweni
• I-Sporotrichosis engalweni
• Isikhunta

IKauffman CA, iGalgiani 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.

I-Rex JH, i-Okhuysen PC. Sporothrix schenckii. 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 259.