Izimpawu zeParacoccidioidomycosis nokuthi ilashwa kanjani

-Delile

• Ukudluliswa kwenzeka kanjani
• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Izinhlobo zokwelashwa
• Ungakuvimbela kanjani

I-Paracoccidioidomycosis yisifo esibangelwa yi-fungus Paracoccidioides brasiliensis, okuvame ukuba khona enhlabathini nasemifino, futhi kungathinta izingxenye ezahlukene zomzimba, njengamaphaphu, umlomo, umphimbo, isikhumba noma ama-lymph node.

Ebizwa nangokuthi i-South American blastomycosis, lesi sifo sitholakala ngokuphefumula futhi sivame kakhulu ezindaweni ezishisayo, okudala izimpawu ezinjengokuntula ukudla, ukwehla kwesisindo, ukukhwehlela, umkhuhlane, ukulunywa, izilonda zomlomo nokubonakala kwamanzi. Ingavela ngezindlela ezi-2:

• Ifomu lobusha: kuvame kakhulu ezinganeni nakubantu abasha abaneminyaka eyi-10 kuye kwengu-20, okuvame ukubonakala kahle kakhulu, ngemuva kwamasonto ambalwa esithelelanayo;
• Isimo sabadala: kuvame ukuthinta abantu abaphakathi kweminyaka engama-30 nengama-50 ubudala, ikakhulukazi abesilisa abasebenza ezindaweni zasemakhaya, njengabalimi, nabantu ababhemayo, abaphuza iziphuzo ezidakayo noma abangondlekile kahle, okuyifomu elingelapheki, eliguqukela ezinyangeni kuya eminyakeni emva kokutheleleka.

Ngemuva kokuqinisekisa ukuxilongwa, ngokuhlolwa kwegazi kanye ne-biopsy, udokotela angakhombisa ukwelashwa ngama-antifungal, njengeFluconazole, Ketoconazole, Itraconazole noma i-Amphotericin, ngokwesibonelo.

Ukudluliswa kwenzeka kanjani

I-Paracoccidioidomycosis inenkontileka lapho iphefumula, ngokuhogela izinhlayiya ezivela ku- Paracoccidioides brasiliensis. Lesi sikhunta sihlala enhlabathini yamasimu, ngakho-ke kuvamile ukuthinta abahlali bezindawo zasemakhaya, abalimi nabalimi, ngokwesibonelo, ngoba umuntu angadonsa isikhunta kanye nothuli lomhlaba.

Uma sesifakiwe emaphashini, isikhunta se-paracoccidioidomycosis senza lesi sifo ngezindlela ezi-2 ezahlukene:

1. Sabalalisa igazi nokusakazwa kwe-lymphatic kwezinye izitho zomzimba, njengesikhumba, ama-lymph node, isibindi, ubende, isikhumba nobuchopho, OR
2. Ukuthula, muva nje, ngaphakathi kwezilonda ezibangelwe emaphashini iminyaka eminingi, kuze kube yilapho lesi sifo sikhula, ikakhulukazi ezimeni zokuzivikela okubuthakathaka, njengokungondleki, ukuphuza ngokweqile, ukusetshenziswa kwezidakamizwa zokuzivikela noma ukutheleleka nge-HIV, isibonelo.

Indlela yesibili yiyona evame ukwedlula zonke ngoba, ngokuvamile, kuvame kakhulu ukungcoliswa yikhunta noma ngabe ingane noma eyeve eshumini nambili, noma kunjalo, imvamisa izimpawu zivela ebudaleni.

Kubalulekile ukukhumbula ukuthi i-paracoccidioidomycosis ayidluliseki isuka komunye umuntu iye komunye, noma ngokuxhumana ngqo noma ngokwabelana ngezinto zakho siqu. Futhi hlola ezinye izifo ezibangelwa isikhunta esisabalala emzimbeni wonke, njenge-Histoplasmosis noma i-Blastomycosis.

Izimpawu eziyinhloko

IParacoccidioidomycosis ingaletha izinhlobo eziningana zezimpawu nezimpawu, ezihluka ngokuya ngezimpawu zomuntu ezinjengobudala, isimo sempilo, ukusabela komzimba kanye nezici zofuzo. Izimpawu nezimpawu eziyinhloko zifaka:

• Ukuphelelwa isifiso sokudla nobuthakathaka;
• Pallor;
• Ukuncipha;
• Imfiva;
• Ukuphefumula kanye nokukhwehlela, okungaba negazi noma ngaphandle kwegazi;
• Izilonda esikhumbeni noma kolwelwesi lwamafinyila, ikakhulukazi ebusweni, emlonyeni, ezindebeni, ezinsinini, okudala ubunzima ekuhlafunweni nasekugwinyweni;
• Ukuvela kwezilimi ngokukhuliswa kwama-lymph node, okubizwa nangokuthi ukukhuliswa kwe-lymph node;
• Isibindi sobende esikhulisiwe.

Ezimweni ezimbi kakhulu, lesi sifo singafinyelela nasezithombeni ezinjengobuchopho, amathumbu, amathambo noma izinso, isibonelo.

Ungaqinisekisa kanjani

Ngokuthola i-paracoccidioidomycosis, udokotela uzokwenza ukuhlolwa komtholampilo, ukuhlolwa komzimba, futhi anga-oda izivivinyo ezifana ne-X-ray yesifuba, ukubalwa kwegazi, izilinganiso zokuvuvukala kanye nokuhlolwa kwemisebenzi yezinso nesibindi, ngokwesibonelo.

Isiqinisekiso senziwa ikakhulu ngokuhlonza ukhunta ku-biopsy ye-lesion, noma kunjalo, okunye ukuhlolwa okuwusizo kufaka ukuqoqwa kwesikhwehlela, i-aspirate yamaphaphu, ukukhulelwa kwezilonda noma isiko lefungus.

Ngaphezu kwalokho, kukhona nokuhlolwa kwegazi okwazi ukukhomba amasosha omzimba alwa nefungus, angasiza ekuhlolweni nasekuqapheni ukwelashwa kwalesi sifo.

Izinhlobo zokwelashwa

Ukwelashwa kwe-paracoccidioidomycosis kuqondiswa ngudokotela wezifo ezithathelwanayo, kusetshenziswa ama-antifungal anjenge-Itraconazole, Fluconazole, Ketoconazole noma i-Voriconazole.

Ukwelashwa kungenziwa ekhaya, ngokusetshenziswa kwamaphilisi futhi kungahlala izinyanga kuya eminyakeni. Ezimweni ezinzima kakhulu, lapho kunobuthakathaka obukhulu noma ukukhubazeka okukhulu kwamaphaphu nezinye izitho, ukulaliswa esibhedlela kanye nokusetshenziswa kwemithi enamandla emthanjeni, njenge-Amphotericin neRifampicin, kungadingeka.

Kuyakhonjiswa futhi ukugwema ukubhema, uphuzo oludakayo, nokwelapha izimuncagazi zamathumbu, ezivamile kulezi ziguli.

Ungakuvimbela kanjani

Njengoba i- Paracoccidioides brasiliensis uhlala phansi kanye nasemvelweni, kunzima ukusungula izindlela zokuvimbela, kepha-ke, kunconywa okunye ukunakekelwa, ikakhulukazi kubantu abasebenza ezindaweni zasemakhaya, njengokunaka inhlanzeko yomuntu siqu, njalo ukugeza izandla nokugeza ekugcineni usuku, ngaphezu kokuhlala ugqoke okokuvikela okufanele komuntu siqu, nezingubo ezifanele, amagilavu, imaski namabhuzu.