Ua ʻike anei ʻoe e pili ana i kahi ʻenemi liʻiliʻi i ke kaiapuni? E kamaʻilio kākou e pili ana i ka Blastomycosis!

Makemake mākou a pau e hoʻolilo i ka manawa ma waho, i ke kūlohelohe, ʻeā? Akā i kekahi manawa, me ka ʻike ʻole ʻia e mākou, hiki iā mākou ke hoʻopilikia ʻia e nā mea liʻiliʻi a puni mākou. ʻO Blastomycosis kahi maʻi i hoʻokumu ʻia e kahi fungus liʻiliʻi, ʻike ʻole ʻia i kapa ʻia ʻo Blastomyces e komo i loko o ke kino ma o ka hanu ʻana. Hoʻomaka ia e like me ke anu a hiki ke laha i kekahi manawa mai nā māmā i nā ʻāpana ʻē aʻe o ke kino. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, ʻo ka ʻike ka pale maikaʻi loa.

He aha ka Blastomycosis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo Blastomycosis kahi maʻi i hoʻokumu ʻia e kahi fungus i kapa ʻia ʻo Blastomyces . Noho nui kēia fungus i ka lepo pulu a me ka lāʻau pala , ʻoi aku hoʻi ma nā wahi kokoke i ka wai. ʻAʻole e like me nā halo nui a mākou e ʻike ai, he fungus liʻiliʻi loa kēia e ʻike ʻia me ka maka ʻōlohelohe. Ke ʻeli ʻoe i ka lepo a hoʻoulu paha i ka lepo ma ia wahi, hiki i nā spores o kēia fungus ke komo i ka lewa a hanu ʻia. I ka wā ma mua, ua kapa ʻia hoʻi ʻo ia he maʻi Gilchrist a i ʻole ka maʻi Chicago.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa iki nā hōʻailona o ka Blastomycosis mai kēlā kanaka a kēia kanaka. A, he mea kupanaha, ʻaʻole nā ​​​​kānaka a pau i loaʻa i kēia fungus e loaʻa nā hōʻailona. Manaʻo kekahi mau noiʻi ʻaʻole hōʻike iki ka hapalua o ka poʻe i loaʻa i ka maʻi i kekahi mau hōʻailona . Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Kuni .
• Manaʻo e like me ʻoe e anu ana (Chills).
• Manaʻo luhi a luhi mau.
• ʻUmiʻumi . I kekahi manawa hiki i ka ʻūmiʻumi ke mau no ka manawa lōʻihi.
• Paʻakikī ka hanu ʻana (dyspnea) a i ʻole ka manaʻo o ka paʻa o ka umauma.
• ʻEha kino, ʻeha ʻiʻo .
• Hiki i kekahi poʻe ke ʻū i ke koko .
• Nā hou o ka pō .
• Hiki ke loaʻa mai nā ʻeha ʻili, nā ʻōpū, nā puʻupuʻu a i ʻole nā ​​pehu . E nānā kākou i kēia mau mea me nā kikoʻī hou aku.

Pehea ke ʻano o ka Blastomyces dermatitidis ma ka ʻili?

Hiki i ka Blastomycosis ke pālahalaha ma waho o nā māmā, ʻoi aku hoʻi i ka ʻili. ʻO ia ke kumu e kapa ʻia ai ʻo Blastomyces dermatitidis . Ke ʻike ʻia ma ka ʻili e like me kēia, hiki ke ʻokoʻa ke ʻano.

• E like me nā puʻupuʻu nui.
• E like me nā warts .
• E like me nā palapū .
• Malia paha kēia mauHiki iā lākou ke lilo i mau ʻeha nui a hāmama, a i ʻole hiki iā lākou ke lilo i mau puʻu paʻa o nā puʻupuʻu .
• I ka manawa pinepine, lilo kēia mau mea i ʻūpā a i ʻole ʻili ʻia a hoʻomaka e ʻili.

Inā loaʻa iā ʻoe kahi pilikia ʻili e like me kēia, ʻoiai inā hele pū ʻia me nā hōʻailona e like me ke kuni a me ke kuni, he mea nui loa ia e ʻike i ke kauka.

No ke aha mākou e loaʻa ai i ka Blastomycosis? He aha nā kumu?

ʻO ke kumu nui o kēia maʻi he mau ʻano fungi i kapa ʻia ʻo Blastomyces . I waena o lākou, ʻo Blastomyces dermatitidis (B. dermatitidis) ke ʻano e hoʻoulu ai i nā maʻi he nui loa.

No laila, ma hea kahi e laha nui ai kēia fungus?

He haʻihaʻi ʻo Blastomyces e ulu maikaʻi ana i nā wahi wai . Ulu maikaʻi ia i ka lepo pulu a me ka lāʻau palaho, ʻoi aku hoʻi ma nā wahi e like me nā kapa muliwai a me nā lalo o ka loko. Ua hōʻike ʻia mai nā wahi he nui o ka honua, akā ʻoi aku ka maʻamau ma kekahi mau wahi o ʻAmelika ʻĀkau . ʻO ke kikoʻī:

• ʻO ia ka mea maʻamau ma nā mokuʻāina ʻo Midwestern o ʻAmelika Hui Pū ʻIa , ʻoi aku hoʻi ma Wisconsin a me Minnesota.
• Ma nā mokuʻāina ʻo Waena Hema a me Hikina Hema o ʻAmelika Hui Pū ʻIa .
• Hema Hikina o Kanada : Ma nā wahi e like me Ontario, Quebec, Manitoba, a me Saskatchewan.
• Eia kekahi, ua hōʻike ʻia nā maʻi mai nā ʻāpana ʻākau hikina o ʻAmelika Hui Pū ʻIa (US Northeast).

ʻOiai ʻaʻole kēia he mea maʻamau loa ma Sri Lanka, he mea nui loa ia e makaʻala inā ʻoe e hele i ia mau wahi a i ʻole e hana i ia mau kūlana kaiapuni.

Pehea lā e laha ai kēia maʻi iā kākou?

Hoʻokumu ʻia ka Blastomycosis e ka hanu ʻana i nā spores o ka fungus Blastomyces, e lele ana mai ka lepo pulu a i ʻole ka lāʻau pala. Hoʻomaka kēia mau spores e ulu i loko o kou mau māmā. I kekahi manawa, hiki iā lākou ke laha i nā ʻāpana ʻē aʻe o kou kino ma o kou koko .

Ua loaʻa nā hōʻike e pili ana i ka nui o ka lepo e hoʻoulu ʻia ana i ka wā o nā papahana kūkulu nui a i ʻole nā ​​​​​​ʻeli ʻana, e hopena ana i ka loaʻa ʻana o ka maʻi i nā poʻe he nui i ka manawa hoʻokahi.

ʻO ka mea nui loa, ʻaʻole laha ka blastomycosis. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke loaʻa ma ke kamaʻilio ʻana me, ka lulu lima ʻana, a i ʻole ka noho ʻana a puni kekahi mea i loaʻa i ka maʻi.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻO kēlā me kēia mea e noho ana a i ʻole e hele ana i nā wahi i laha ai ʻo Blastomyces, aia i ka pilikia o ka loaʻa ʻana o ka maʻi. Eia nō naʻe, aia kekahi poʻe i ʻoi aku ka nui o ka pilikia. E nānā kākou iā lākou:

• Inā pili kāu hana a leʻaleʻa paha i ka neʻe ʻana i ka lepo a i ʻole ka hana ʻana ma kahi kokoke i nā muliwai a i ʻole nā ​​​​loko :
• Nā kānaka e hana ana ma ke kahua kūkulu hale.
• Nā kānaka e hele ana e hahai holoholona.
• Lawaiʻa.
• Nā kānaka e hele ana i ka hoʻomoana.
• Nā mea piʻi mauna (Hiking).
• He mea kākaʻikahi loa, aia nā hihia kahi i loaʻa ai i nā kauka holoholona ka maʻi mai kahi nila haumia i ka wā e mālama ana i kahi holoholona i loaʻa i ka maʻi.

Eia kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā pilikia a i ʻole ka ʻino ʻana o ka maʻi inā loaʻa iā lākou kēia maʻi. Eia kēia mau mea:

• ʻO ka poʻe me ka ʻōnaehana pale maʻi nāwaliwali . No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me ka maʻi HIV a i ʻole ka poʻe e lawe ana i nā lāʻau immunosuppressive.
• ʻO nā kānaka me nā maʻi māmā mau loa e like me COPD (Maʻi Pulmonary Obstructive Chronic) .
• ʻO nā kānaka ma luna o 50 mau makahiki .

He aha nā pilikia e hiki ke kū mai ma muli o kēia maʻi?

ʻElua o nā pilikia nui o ka blastomycosis ʻo ia ka acute respiratory distress syndrome (ARDS) a me ka laha ʻana o ka fungus i nā ʻāpana ʻē aʻe o ke kino. Hoʻomaka i loko o nā māmā, hiki i ka fungus ke hele ma ke kahe koko a hoʻopilikia i nā ʻōpū e like me:

• ʻIli : E like me kā mākou i ʻōlelo ai ma mua, hiki ke loaʻa nā ʻeha ʻili a me nā puʻupuʻu.
• Iwi : Hiki i ka maʻi ke laha i nā iwi, e hōʻeha ai i ka ʻeha a me ka pehu.
• ʻŌnaehana nerve waena : ʻO ia hoʻi, inā pālahalaha ia i nā wahi koʻikoʻi e like me ka lolo a me ke kaula kuamoʻo, hiki ke lilo i mea weliweli loa.

Pehea e ʻike ai nā kauka i kēia maʻi? (Diagnosis)

Inā kānalua ʻoe he blastomycosis kou, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. A laila, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e hōʻoia i ka hōʻailona:

• Hiki ke lawe ʻia kahi laʻana o kou koko , mimi , a i ʻole sputum (phlegm mai nā māmā) .
• Inā he mau ʻeha ʻili kou, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka ʻeha a hoʻouna ʻia no ka hoʻāʻo ʻana.

Hoʻouna ʻia kēia mau laʻana i kahi lab a hoʻāʻo ʻia no kēia mau mea:

• Ke hoʻāʻo nei e hoʻoulu i ka haʻiki Blastomyces : ʻO kēia ke ala maikaʻi loa e hōʻoia i ka maʻi. Eia nō naʻe, hiki i kēia ke hala i kekahi mau pule, no laila e hoʻomaka paha kāu kauka i ka lāʻau ma mua o kēlā manawa.
• Ke hoʻāʻo ʻana no ke alo o ka hū Blastomyces: Hiki ke hoʻohana ʻia ka ʻenehana PCR (Polymerase Chain Reaction) e ʻike i ke alo o ka DNA mai kēia fungus i loko o kahi hāpana ʻiʻo a i ʻole ka wai o ke kino.
• Hiki iā ʻoe ke hoʻāʻo i kou kino no nā antibodies a i ʻole antigens e kūʻē i ka fungus Blastomyces .

Eia kekahi, hiki iā ʻoe ke loaʻa i kahi X-ray umauma a i ʻole kahi CT scan (Computed Tomography scans) e nānā i ke kūlana o kou mau māmā.

Pehea ʻoe e kānalua ai he blastomycosis kou?

Hiki i nā hōʻailona o ka blastomycosis ke like loa me nā hōʻailona o nā maʻi ʻē aʻe, e like me ka pneumonia . No laila hiki ke paʻakikī ke ʻike iā ia i kekahi manawa. Eia nō naʻe, e makaʻala inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻū, a me ka paʻakikī o ka hanu ʻana, a ʻaʻole ʻoe e hoʻomaikaʻi me ka lawe ʻana i nā lāʻau antibiotic , a inā paha e ʻoi aku ka ʻino o kou maʻi.
• Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ka haʻi Blastomyces, a inā paha ua huakaʻi koke ʻoe i ia wahi .
• Inā pili kāu hana a i ʻole leʻaleʻa i kahi kaiapuni lepo a lepo hoʻi .

Inā he mea e like me kēia, he mea nui loa e ʻike i ke kauka a haʻi iā lākou i kēia mau kikoʻī.

He aha ka lāʻau lapaʻau no kēia?

Hoʻōla nā kauka i ka blastomycosis me nā lāʻau antifungal . ʻO nā lāʻau lapaʻau nui ʻelua i hoʻohana ʻia ʻo amphotericin B (amB) a me itraconazole . I kekahi mau hihia koʻikoʻi, hiki ke hāʻawi ʻia nā corticosteroids e hōʻemi i ka mumū i loko o ke kino.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?

ʻO ka mea nui, ʻaʻole he maʻi hoʻopau ponoʻī ka Blastomycosis . Pono ʻoe e lawe i ka lāʻau antifungal. ʻO ka maʻamau, pono ʻoe e lawe i kēia mau lāʻau no kekahi mau pule. Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe e lawe i ka lāʻau no hoʻokahi makahiki a ʻoi aku paha . ʻO ia mau hihia:

• Inā he maʻi koʻikoʻi kou.
• Inā ua pālahalaha ka haʻihaʻi ma ʻō aku o nā māmā i nā ʻāpana ʻē aʻe o ke kino .
• Inā loaʻa iā ʻoe ka maʻi māmā mau loa .
• Inā ua hoʻopilikia ʻia kāu ʻōnaehana pale .

No laila, he mea nui loa e hahai pololei i nā ʻōlelo a ke kauka a lawe i ka lāʻau lapaʻau i ka manawa kūpono.

He aha ka nui o ke ola ʻana no kēia maʻi?

ʻO ka nūhou maikaʻi, inā loaʻa iā ʻoe ka blastomycosis,Hoʻōla ka hapa nui o ka poʻe me ka ʻoi aku ma mua o 90% o ka manawa e hoʻōla ai. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka poʻe me ka maʻi māmā mau loa a me ka poʻe me nā ʻōnaehana pale nāwaliwali e pilikia ana i ka loaʻa ʻana o nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola. No laila, he mea nui loa ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona o ke anu a i ʻole ka maʻi palū, e like me ke kuni, ka ʻū, a me ka paʻakikī o ka hanu ʻana, ma hope o hoʻokahi pule , a inā paha e ʻike ʻia ana ka maʻi e ʻoi aku ka ʻino i ka hala ʻana o ka manawa .
• Inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka maʻi fungus e hoʻoulu ai i ka blastomycosis ma o kāu hana a i ʻole nā ​​​​​​mea leʻaleʻa , a inā paha ua hele ʻoe i kahi wahi i loaʻa pinepine ai ka maʻi fungus , e haʻi i kāu kauka .

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

I kekahi manawa hiki ke koʻikoʻi nā hōʻailona. Inā hana ʻia kēia, pono ʻoe e hele koke i ka lumi pilikia. ʻO ia mau hōʻailona koʻikoʻi:

• Kuni nui loa (ma luna o 103 Fahrenheit/40 Celsius).
• Paʻakikī nui a koke paha ka hanu ʻana .
• ʻEha ka umauma .
• Ke ʻū ʻana i ke koko .
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe.
• Nā hōʻailona o ka maʻi epilepsy (Seizures) .
• ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui lima (cyanosis) .

Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua, e hele koke i ka haukapila.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea kōkua paha ka nīnau ʻana i nā nīnau e like me kēia:

• Aia anei au i ka pilikia nui o ka loaʻa ʻana o ka blastomycosis koʻikoʻi ?
• Aia kekahi mau hana palekana kūikawā hiki iaʻu ke hana e hōʻemi i koʻu pilikia o ka blastomycosis?
• Pehea e pono ai iaʻu ke hoʻohana i kaʻu mau lāʻau lapaʻau ?
• He aha nā hōʻailona koʻikoʻi e pono iaʻu e hopohopo ?

E nīnau i nā nīnau e like me kēia a e hoʻopau i kou mau kānalua.

Pehea mākou e pale ai iā mākou iho mai ka Blastomycosis? (Ka pale ʻana)

Inā ʻoe e noho ana ma kahi i loaʻa pinepine ai ʻo Blastomyces, he mea paʻakikī paha ke pale loa i ka hanu ʻana i kēia haʻiki. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• Mai hoʻoulu i ka nui o ka lepo a me ka lepo, ʻoiai ma nā wahi kokoke i ka wai .
• Inā hōʻike kāu hana a i ʻole leʻaleʻa iā ʻoe i ka lepo i loaʻa paha nā Blastomyces, e ʻaʻahu i kahi pale maka hanu ʻano N95 (a i ʻole KN95) . E kōkua kēia i ka kānana ʻana i ka ea āu e hanu ai a hōʻemi i ke komo ʻana o nā spores fungal.

Hiki ke loaʻa ka haʻi Blastomyces i loko o ka hale?

Ma keʻano laulā, haʻahaʻa loa ka manawa e loaʻa ai ka haʻi Blastomyces i loko o kou hale. Inā ʻaʻole he lepo ma kou mau lole ma waho, aia ʻoe i ka pilikia. No ka mea, ulu maikaʻi kēia haʻi ma ka lāʻau palaho a me ka lepo pulu, ʻaʻole ia e ola ma hope o kou holoi ʻana i kou mau lole.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻohe mea e like me ka hanu ʻana o ka ea hou ma waho, ʻeā? Akā, e like me kākou, makemake nā mea ola ʻē aʻe i waho. ʻO ia hoʻi, hiki i nā fungi e like me Blastomyces ke ulu i kekahi manawa ma nā wahi kūpono ʻole iā lākou, e like me ko kākou mau māmā.

ʻO ka mea maikaʻi loa, he maʻi hiki ke mālama ʻia ka Blastomycosis . Eia nō naʻe, pono i ke kauka ke hiki ke ʻike iā ia a holo i nā hoʻokolohua kūpono. No laila, inā ʻoe ma kahi e loaʻa ai ʻo Blastomyces a loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ke anu no ka ʻoi aku o hoʻokahi pule, e hōʻoia e haʻi i kāu kauka. ʻO ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua i ka pale ʻana i ka laha ʻana o ka fungus a pale i ka maʻi mai ka ʻino ʻana. No laila, e makaʻala, e makaʻala!

Blastomycosis , Blastomycosis, maʻi fungal, maʻi māmā, maʻi ʻili, paʻakikī i ka hanu ʻana, ʻūlū