: kuyini, izimpawu, ukuxilongwa nokwelashwa

-Delile

• Izimpawu zokutheleleka ngo I-Fusarium spp.
• Kunjani ukutheleleka
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwe-Fusariosis

I-Fusariosis yisifo esithathelwanayo esibangelwa ukhunta olungenelela, i- I-Fusarium i-spp., etholakala emvelweni, ikakhulukazi emasimini. Ukutheleleka nge I-Fusarium spp. kuvame kakhulu kubantu abanamasosha omzimba abucayi, kungaba ngenxa yezifo ze-hematological noma ngenxa yokufakwa komnkantsha wethambo, ngokwesibonelo, kuvame kakhulu kulezi zimo ukuvela kwe-fusariosis esatshalalisiwe, lapho isikhunta singafinyelela khona ezithweni ezimbili noma ngaphezulu , senza isimo somtholampilo somuntu sibe sibi ngokwengeziwe.

Izinhlobo eziyinhloko ze I-Fusarium okwazi ukudala izifo kubantu yilezi I-Fusarium solani, I-Fusarium oxysporum, Ama-verticillioides e-Fusarium futhi I-Fusarium proliferatum, engabonakala ngokuhlolwa kwelabhorethri.

Izimpawu zokutheleleka ngo I-Fusarium spp.

Izimpawu zokutheleleka nge-Fusarium spp. azicaciswanga kakhulu, ngoba ziyefana nezimpawu zezinye izifo ezibangelwa isikhunta, kuya ngesistimu yomzimba yokuzivikela, njengoba iyi fungus engosomathuba, futhi ingahluka ngokuya ngendawo yefungus emzimbeni. Izimpawu nezimpawu eziyinhloko ze-fusariosis yilezi:

• Imfiva;
• Ubuhlungu bemisipha;
• Izilonda zesikhumba, ezibuhlungu futhi ezingakhula zibe izilonda futhi zibonakala kaningi esiqwini nasemaphethelweni;
• Ukwehla kwamazinga okuqonda;
• Ukuvuvukala kwe-Corneal;
• Ukuguqulwa kombala, ukuqina nokuma kwesipikili, ngaphezu kobukhona bobovu, kwezinye izimo;
• Izinkinga zokuphefumula, zenhliziyo, ze-hepatic, ze-renal noma ze-neurological, kuya ngendawo yesikhunta.

Ukutheleleka nge I-Fusarium spp. kuvame ukwenzeka kubantu abanezifo ze-hematological, i-neutropenia, abathole ukufakelwa umnkantsha wethambo noma i-chemotherapy, abasebenzise ama-antifungal we-prophylactic ukuvikela ukutheleleka UCandida sp., ngokwesibonelo, futhi unesifo esibeka engcupheni amasosha omzimba.

Kunjani ukutheleleka

Ukutheleleka nge I-Fusarium spp. kwenzeka ikakhulukazi ngokuhogela izinhlamvu ezikhona emvelweni, ngoba le fungus itholakala ikakhulu ezitshalweni nasenhlabathini. Kodwa-ke, ukutheleleka kungenzeka futhi ngokufaka ngqo ukhunta, imvamisa njengomphumela wokusika okubangelwe yigatsha, ngokwesibonelo, okuholela ekutheni i-fungal keratitis.

I-fungal keratitis ingenye yokubonakaliswa komtholampilo kokutheleleka nge I-Fusarium spp. futhi ihambelana nokuvuvukala kwe-cornea okungadala ubumpumputhe, futhi kubalulekile ukuthi ikhonjwe futhi yelashwe ngokufakelwa kwe-corneal ngokushesha okukhulu ukuvimbela ukusabalala kwefungus. Ngaphezu kwalokho, i-keratitis yefungal nge I-Fusarium kungenzeka ngenxa yokusetshenziswa kwamalensi wokuxhumana angcoliswe yile fungus. Funda kabanzi nge-keratitis.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-fusariosis kwenziwa ngudokotela wezifo ezithathelwanayo noma udokotela ojwayelekile ngokuhlola izimpawu nezimpawu ezethulwayo, ngaphezu kwemiphumela yokuhlolwa kwelabhorethri. Isivivinyo esiqinisekisa ukutheleleka nge I-Fusarium spp. kungukuhlukaniswa kwesikhunta ezindaweni ezinegciwane, okungaba isikhumba, amaphaphu noma igazi ngokusho kwesiguli.

Ngemuva kokuhlukaniswa kanye namasiko, ukubonwa okuncane kakhulu kwenziwa ukuhlola ukhunta obhekene nokutheleleka. Yize le kuyindlela yokuxilonga eqinisekisa i-fusariosis, lezi zindlela zithatha isikhathi, njengoba kuthatha isikhathi ukuthi ukhunta ukhule ngokwanele ukuze ukwazi ukubonwa ngaphansi kwesibonakhulu. Ngaphezu kwalokho, ukuzihlukanisa nokubheka akuvumeli ukukhonjwa kohlobo olubhekele ukungenwa yilesi sifo, okudinga ukusetshenziswa kwezinqubo zamangqamuzana ukwenza ukuhlonza, nakho okudinga isikhathi.

Amasu wokuzivikela emzimbeni angasetshenziswa ukukhomba i- I-Fusarium spp., futhi uhlose ukukhomba izingxenye zodonga lwamafungal cell, kepha lezi zinqubo azicaciswanga kakhulu ekuboneni i-Fusarium spp, ngoba ingxenye efunwayo nayo iyingxenye yesinye isikhunta, njenge Aspergillus sp., ngokwesibonelo, okungadida ukuxilongwa.

Yize ukuhlukaniswa nokukhonjwa kwefungus kudinga isikhathi esithe xaxa, ukuhlolwa kusakhonjiswa ukuqinisekisa ukutheleleka.Ngaphezu kwalokho, kungenziwa ukuhlolwa kwe-histological, lapho kwenziwa khona i-biopsy yezicubu futhi, uma kutholakala ubukhona befungus, ukwelashwa kwe-prophylactic kungaqalwa ngenkathi kulindwe umphumela wesiko.

Ukwelashwa kwe-Fusariosis

I-Fusariosis ilashwa ngama-antifungal agents okufanele asetshenziswe ngokwesincomo sikadokotela, kuthi i-Amphotericin B neVoriconazole kubonakale kakhulu. I-Amphotericin B yi-antifungal eyinhloko ekhonjiswe ku-fusariosis esatshalalisiwe, kepha lo muthi uhlotshaniswa namazinga aphezulu obuthi kanti ezinye iziguli aziphenduli ekwelashweni, futhi kunconywa ukusetshenziswa kweVoriconazole.

O I-Fusarium spp. inokumelana kwangaphakathi ne-Fluconazole kanye nama-antifungals angaphansi kwesigaba se-echinocandin, njenge-Micafungin neCaspofungin, okwenza ukwelashwa kube nzima futhi kungahle kuhlotshaniswe namazinga aphezulu okugula nokufa.