Ua ʻike anei ʻoe i kēia maʻi fungal weliweli? (Mucormycosis) E kamaʻilio kākou!

Ua lohe paha ʻoe i kēia 'haʻi ʻeleʻele'? Ua lohe paha ʻoe ma ka nūpepa a i ʻole ma nā nūhou TV. He maʻi weliweli a koʻikoʻi paha ia. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi haʻi, i ʻike ʻia ma ke ʻano lapaʻau ʻo Mucormycosis, ma nā ʻōlelo maʻalahi.

He aha ka Mucormycosis?

I ka ʻōlelo maʻalahi, he maʻi fungal koʻikoʻi loa ka Mucormycosis. Hoʻokumu ʻia ia e kahi hui o nā fungi i kapa ʻia ʻo mucormycetes. Hiki i kēia mau fungi ke hoʻopilikia i nā ʻāpana like ʻole o ko mākou kino. No ka laʻana, hiki iā ia ke hoʻopilikia i kou mau maka, sinuses (nā hakahaka ma kou lae a me nā papālina), lolo, māmā, ʻōpū a me nā naʻau (gastrointestinal tract), a i ʻole ka ʻili.

I kēia hihia, ʻokoʻa nā hōʻailona ma muli o ka ʻāpana o kou kino i hoʻopilikia ʻia e ka fungus. I kekahi manawa ua kapa ʻia ʻo ia he zygomycosis.

I kēia manawa, e noʻonoʻo, noho kēia mau fungi i kapa ʻia ʻo mucomycetes i ke kaiapuni a puni mākou, ʻoi aku hoʻi i ka lepo, ka compost, ka ʻōpala lau palaho, a me nā ʻāpana lāʻau. Akā, ʻo ka mea kupanaha, ʻaʻole maʻi ka hapa nui o mākou mai kēia mau fungi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes, kekahi ʻano maʻi kanesa, a i ʻole nā ​​​​​​kūlana ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale .

ʻO ka mea nui loa, ʻo ka mucormycosis kahi maʻi i hiki ke make pinepine . No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e hele i ka haukapila a ʻimi koke i ke kōkua lapaʻau.

He aha nā ʻano nui o Mucormycosis?

Aia kekahi mau ʻano nui o ka mucormycosis. ʻO lākou kēia:

• ʻO ke ʻano e hoʻopilikia ai i ka ihu, nā maka, a me ka lolo (Rhino-orbital-cerebral a i ʻole Rhinocerebral mucormycosis)
• ʻO ka mucormycosis pulmonary
• ʻO ka mucormycosis ʻili
• ʻO ke ʻano e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe (Gastrointestinal mucormycosis)
• ʻO ka mucormycosis i hoʻolaha ʻia

He aha nā hōʻailona o kēia maʻi?

ʻO nā hōʻailona o ka mucormycosis e pili ana i ka ʻāpana o kou kino i loaʻa i ka maʻi. Hiki iā ʻoe ke ʻike i nā hōʻailona ma kou ihu, nā māmā, ke ala ʻai, a puni kou mau maka, a i ʻole ma kou ʻili.

ʻO ke ʻano e hoʻopilikia ai i ka ihu, nā maka, a me ka lolo (Rhino-orbital-cerebral Mucormycosis)

ʻO kēia ke ʻano maʻamau o ka mucormycosis . I kēia hihia, hoʻopilikia mua ka fungus i kou sinuses a hiki ke pālahalaha i ka orbit a me ka lolo. He mea maʻamau ia i nā poʻe me ka maʻi diabetes koʻikoʻi a kāohi ʻole ʻia (no ka laʻana, he A1C ma mua o 8% ʻoiai ke mālama mau ʻia no ka ʻoi aku o hoʻokahi makahiki) a i nā poʻe i loaʻa nā hoʻoili kino.

ʻO nā hōʻailona o kēia ʻano:

• kuni
• ʻEha poʻo
• ʻEha sinus (ʻeha ma ka lae, nā papālina)
• Paʻa ihu
• Nā ʻeha a i ʻole nā ​​ʻōpū ma luna o ka waha
• Ka nalowale ʻana o ka ʻike a i ʻole ka ʻike pālua
• Ka paʻakikī i ka hoʻohuli ʻana i nā maka a me ka minoʻaka (ua kapa ʻia kēia ʻo 'cranial nerve palsy')
• Nā maka e ʻō aku ana (proptosis)
• ʻO ka pehu a puni nā maka
• Nā waimaka ʻeleʻele a i ʻole ka pus mai nā maka
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe

ʻO ka Mucormycosis Pulmonary

ʻO kēia maʻi fungal o nā māmā ka lua o ke ʻano maʻamau. ʻO ia ka mea maʻamau i:

• ʻO nā kānaka me nā maʻi kanesa e pili ana i ke koko (e like me ka leukemia, lymphoma, a i ʻole myeloma), ʻoiai ka poʻe me nā pae haʻahaʻa o kekahi mau keʻokeʻo koko keʻokeʻo (neutropenia)
• No ka poʻe i loaʻa i kahi hoʻoili iwi iwi
• No ka poʻe i loaʻa i kahi hoʻoili kino paʻa

Nā hōʻailona o kēia ʻano:

• kuni
• ʻEha umauma
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Ke ʻū ʻana i ke koko (hemoptysis)

ʻO ka Mucormycosis ʻili

Hiki mai kēia ʻano maʻi ke komo kahi haʻi i kou ʻili ma o kahi ʻoki a i ʻole kahi ʻōpala. E noʻonoʻo he ʻeha liʻiliʻi kou a loaʻa kahi mea e like me ka lepo ma luna o ka ʻeha. Hiki i kēia ke kumu o kēia haʻi e komo. ʻO ka mea kupanaha, he mea maʻamau kēia ʻano i ka poʻe me nā ʻōnaehana pale olakino.

Nā hōʻailona ʻili:

• Nā pehu ʻeha, nā ʻeha, a i ʻole nā ​​puʻupuʻu paʻakikī ma ka ʻili
• ʻUlaʻula ka ʻili, hoʻololi ʻana, a pehu paha

ʻOi aku ka ʻino o kēia mau loli ʻili i ka hala ʻana o ka manawa. Lilo lākou i ʻeleʻele, pālahalaha ma luna o nā wahi nui, a i kekahi manawa hiki ke hoʻolōʻihi i loko o nā ʻiʻo a i ʻole nā ​​​​iwi.

ʻO ke ʻano e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe (Gastrointestinal Mucormycosis)

He maʻi kēia o ka ʻōpū a i ʻole nā ​​​​​​naʻau. ʻOi aku ka maʻamau i nā pēpē hānau mua ʻole. Akā i kēia mau lā, ua piʻi pū kekahi i nā pākeke me ka pale ʻole haʻahaʻa (neutropenia), ka poʻe e lawe ana i nā lāʻau corticosteroid lōʻihi, a me ka poʻe me nā maʻi ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale.

Nā hōʻailona:

• ʻEha ʻōpū
• Ka luaʻi a me ka luaʻi
• Ke kahe koko ʻana o ka ʻōpū

ʻO ka Mucormycosis i hoʻolaha ʻia

I kēia hihia, laha ka maʻi ma o ke koko i nā ʻāpana like ʻole o ke kino. Hoʻopilikia pinepine ia i ka lolo, akā hiki nō hoʻi ke hoʻopilikia i ka puʻuwai, ka spleen, a i ʻole ka ʻili. ʻO kēia ke ʻano koʻikoʻi loa a make hoʻi o ka mucormycosis. ʻIke pinepine ʻia ia ma:

• ʻO nā kānaka me nā maʻi kanesa e pili ana i ke koko, ʻoiai ka poʻe me ka neutropenia
• ʻO ka poʻe i loaʻa i kahi hoʻoili iwi iwi
• ʻO ka poʻe i loaʻa i kahi hoʻoili kino paʻa

Ma muli o ka hoʻopilikia ʻana o kēia ʻano i nā ʻāpana he nui o ke kino, hiki ke ʻike ʻia nā hōʻailona o nā ʻano ʻē aʻe i ʻōlelo ʻia ma luna, a me nā hōʻailona o kekahi mau kūlana olakino i loaʻa iā ʻoe.

No ke aha e kū mai ai ʻo Mucormycosis?

Hoʻokumu ʻia ka Mucomycosis e nā ʻano fungi like ʻole. ʻO ka mea maʻamau ka Rhizopus oryzae a me Rhizopus delemar. (He mau ʻano fungi kikoʻī kēia.) Noho kēia mau fungi i ke kaiapuni - ʻoi aku hoʻi i ka lepo, ka compost, ka ʻōpala lau palaho a me nā ʻāpana lāʻau. Hiki ke loaʻa iā lākou i loko o ka meaʻai i holoi pono ʻole ʻia. ʻAʻole maʻi ka hapa nui o mākou mai ka hanu ʻana a i ʻole ka hoʻopā ʻana i kēia mau fungi. Akā inā loaʻa iā ʻoe kekahi mau maʻi olakino, ʻaʻole hiki i kāu ʻōnaehana pale ke pale aku i ka maʻi.

Pehea e hiki mai ai kēia iā mākou?

Hiki iā ʻoe ke loaʻa i ka mucormycosis ma ka hanu ʻana i nā spores (nā ʻāpana hānau o ka fungus) o kēia mau fungi, ka ʻai ʻana i kahi mea nona lākou, a i ʻole ke komo ʻana iā lākou ma o kahi haki i ka ʻili. He liʻiliʻi loa kēia mau spores i hiki ʻole iā mākou ke ʻike iā lākou a pale aku paha iā lākou.

I kekahi manawa, ua laha pinepine ʻia mai nā haukapila, ma o nā lako lapaʻau i haumia ʻia, a ma hope o nā pōʻino kūlohelohe. No ka laʻana, hiki i nā makani ʻino ke hoʻoulu i ka nui o ka lepo a hoʻokuʻu i ka fungus i ka lewa.

He laha anei kēia mai ke kanaka a i ke kanaka?

ʻAʻole. ʻAʻole laha ka Mucormycosis mai kekahi kanaka a i kekahi. Hiki iā ʻoe ke loaʻa i kēia fungus mai ke kaiapuni wale nō.

ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka mucormycosis?

ʻO ka poʻe me ka maʻi diabetes a me kekahi mau maʻi olakino e hoʻonāwaliwali ai i ka ʻōnaehana pale kino ka mea nui loa o ka loaʻa ʻana o kēia maʻi. Eia kekahi, ʻo ka nui o ka hao i loko o ke kino e hiki ke kōkua i kēia. ʻO nā mea pilikia e komo pū ana me:

• ʻO ka maʻi diabetes mellitus, ʻoi aku hoʻi me nā kūlana e like me ka hyperglycemia a me ke ketoacidosis.
• Ma hope o ka hoʻoili ʻana o kahi kino paʻa.
• Ma hope o ka loaʻa ʻana o kahi hoʻoili cell kumu hematopoietic (hoʻoili iwi ʻiʻo).
• ʻO ka Neutropenia ka emi ʻana o nā keʻokeʻo koko i kapa ʻia he neutrophils.
• ʻO ke kanesa, ʻoiai ka leukemia, lymphoma, a i ʻole myeloma.
• Ka hoʻohana lōʻihi ʻana i nā lāʻau corticosteroid.
• Ke hoʻokomo ʻana i nā lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
• He kūlana i kapa ʻia ʻo hemochromatosis (kahi e hoʻonui ai i ka nui o ka hao i loko o ke kino - 'iron overload').
• Nā kuni a i ʻole nā ​​ʻeha ʻili nui e ʻae ai i ka lepo a me nā huakini e komo i loko o ka ʻeha.
• ʻO ka hānau ʻia ʻana ma mua o ka manawa kūpono a i ʻole ke kaumaha haʻahaʻa i ka wā hānau.

I ka ʻōlelo maʻalahi, inā nāwaliwali ka ʻōnaehana pale maʻi o kou kino (ʻōnaehana pale), ʻoi aku ka nui o ka loaʻa ʻana o kēia.

He aha nā pilikia e hiki mai ana o kēia maʻi?

Hiki i ka Mucormycosis ke hoʻoulu i nā pilikia weliweli a me nā mea e hoʻoweliweli ai i ke ola, e like me:

• Cavernous sinus thrombosis: He ʻūpā koko kēia e hana ʻia i loko o kou mau lua sinus. Hiki ke make.
• ʻO ka fasciitis necrotizing:He maʻi bacteria koʻikoʻi kēia e laha wikiwiki ana (i kapa ʻia hoʻi ʻo "bacteria ʻai ʻiʻo"). Hiki ke make.
• Osteomyelitis: He maʻi kēia o kou mau iwi. Hiki ke luku ʻia nā iwi.

He mau kūlana weliweli maoli kēia, ʻo ia ke kumu he mea nui e loaʻa koke ka lāʻau lapaʻau.

Pehea ʻoe e ʻike pololei ai i kēia maʻi? (Diagnosis)

Hiki i ke kauka ke kānalua i ka mucormycosis ma muli o kāu mau hōʻailona a me nā kūlana olakino ʻē aʻe āu i loaʻa ai. No ka hōʻoia ʻana i kēia, e lawe lākou i nā kiʻi (kiʻi) o nā ʻāpana kino i hoʻopilikia ʻia a nānā i kou mau ʻiʻo kino no ke alo o nā fungi.

Nā hoʻāʻo no kēia:

• Kiʻi: Hiki ke hana ʻia nā kiʻi X-ray o ka umauma, nā scan CT (computed tomography scans), a i ʻole MRI (magnetic resonance imaging).
• ʻO ka ultrasound endobronchial: He ʻano bronchoscopy kēia. ʻO ke ʻano kēia, hoʻohana ʻia kahi mea ultrasound i hoʻopili ʻia i kahi ʻōmole lahilahi a mālamalama e kiʻi i nā kiʻi o loko o nā māmā.
• ʻO ka biopsy ʻiʻo: Hiki i ke kauka ke nānā i kāu ʻiʻo ma lalo o kahi microscope a i ʻole ma o nā hoʻokolohua lab e ʻike ai inā loaʻa nā fungi mucormycosis.

Pehea e mālama ʻia ai ʻo Mucormycosis?

Hoʻōla nā kauka i ka mucormycosis me nā lāʻau antifungal. Pono paha lākou e hana i ke ʻoki ʻana e wehe i nā ʻiʻo i loaʻa i ka maʻi a i ʻole ka make. ʻO nā lāʻau antifungal i hoʻohana ʻia no kēia:

• ʻAmphotericin B
• ʻO Posaconazole `(Posaconazole)`
• ʻIsavuconazole

Pono ʻoe e lawe i kēia lāʻau antifungal no nā pule, a i ʻole he mau mahina.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻAe, hiki nō. Akā, pono e mālama koke ʻia. Inā paha e hoʻopaneʻe ʻia ka mālama ʻana no kekahi mau lā, hiki ke hoʻemi nui ʻia ka manawa e ola ai. Inā paha e hoʻomaka koke ʻia ka mālama ʻana, hiki ke paʻakikī ke ho'ōla.

ʻO ka lāʻau lapaʻau wikiwiki ka manawa kūpono loa e hoʻopakele ai i ke ola!

He aha ka nui o ka make ma muli o Mucormycosis?

No ka mea he paʻakikī ke mālama ʻia a no ka mea he nui ka poʻe me ka mucormycosis i hoʻonāwaliwali i nā ʻōnaehana pale, kiʻekiʻe ka nui o ka make. ʻO ka nui o ka make no nā ʻano mucormycosis āpau ma kahi o 54%. ʻO ka Mucormycosis e hoʻopilikia wale ana i nā sinuses he haʻahaʻa iki ka nui o ka make (ma kahi o 46%). Eia nō naʻe, ʻo ka mucormycosis i hoʻolaha ʻia i pālahalaha i nā ʻāpana ʻē aʻe o ke kino he mea make pinepine ia.

He mea koʻikoʻi kēia. No ka mea, he paʻakikī ke mālama ʻana i kēia maʻi, a no ka mea, he haʻahaʻa ka pale ʻana o ka hapa nui o ka poʻe i loaʻa iā ia, kiʻekiʻe ka nui o ka make. Akā, mai hoʻokuʻu i ka manaʻolana, aia kahi manawa e ola ai me ka mālama mua ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e nīnau i ke kauka pehea e pale aku ai i nā maʻi fungal a pehea e ʻike ai iā lākou i ka wā mua:

• Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke kanesa.
• Inā ua loaʻa iā ʻoe kahi hoʻoili kino a i ʻole kahi hoʻoili cell kumu.
• Inā he maʻi kou a ke lawe nei paha ʻoe i ka lāʻau lapaʻau e hoʻonāwaliwali ai i kou ʻōnaehana pale.

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

Hiki i ka Mucormycosis ke make inā ʻaʻole mālama koke ʻia. Inā loaʻa iā ʻoe nā hōʻailona o ka mucormycosis, ʻoiai inā he nāwaliwali kou ʻōnaehana pale kino a i ʻole ka maʻi diabetes, e hele koke i kahi lumi pilikia. E ʻimi mau i ka mālama pilikia inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi:

• Kuni nui (ma luna o 103 Fahrenheit/40 Celsius).
• Paʻakikī ka hanu ʻana.
• Ke ʻū ʻana i ke koko.
• Nā maka puʻupuʻu a i ʻole ka pehu a puni nā maka.
• Nā loli o ka ʻike, e like me ka ʻike pālua.
• Ka huikau a i ʻole nā ​​​​loli noʻonoʻo ʻē aʻe.
• Nā ʻōhūhū.
• Huhu ʻeleʻele a waimaka paha.
• He ʻeha i hoʻōla ʻole ʻia, hoʻomau i ka laha ʻana, a i ʻole e lilo i ʻeleʻele.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka haukapila!

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

He mea kōkua paha ke nīnau aku i kāu kauka i kēia mau nīnau:

• Aia anei au i ka pilikia kiʻekiʻe o ka loaʻa ʻana o nā maʻi fungal?
• He aha kaʻu e hana ai e hōʻemi i koʻu pilikia?
• He aha nā hōʻailona e pono iaʻu e makaʻala a i ka manawa hea e pono ai iaʻu e ʻimi i ke kōkua lapaʻau?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha kaʻu e manaʻo ai me kēia hōʻailona?

Aia kekahi mau ala e pale aku ai i ka Mucormycosis? (Ka pale ʻana)

Aia nā fungi e hoʻoulu ai i ka mucormycosis a puni mākou, no laila he paʻakikī ke pale loa iā lākou. Akā eia kekahi mau hana hiki iā ʻoe ke hana e hōʻemi i kou pilikia o nā maʻi fungal:

• Inā loaʻa iā ʻoe kahi maʻi e hoʻoweliweli iā ʻoe no nā maʻi fungal koʻikoʻi, e hana pū me kāu kauka e hoʻokele iā ia.
• Inā loaʻa iā ʻoe ka pilikia nui no nā maʻi fungal, hiki i kāu kauka ke kuhikuhi i nā antifungals e kōkua i ka pale ʻana iā ʻoe mai ka maʻi ʻana.
• Inā hoʻokomo kāu hana iā ʻoe i ka pilikia o ka ʻike ʻia ʻana i nā fungi, e nīnau i kāu kauka inā ʻoi aku kou pilikia o ka maʻi.
• E pale i nā wahi lepo, e like me nā kahua kūkulu. Inā pono ʻoe e noho ma ia mau wahi, e ʻaʻahu i kahi pale maka "N95" (a i ʻole nā ​​​​mea pale ʻē aʻe) e kōkua i ka kānana ʻana i nā spores fungal mai ka ea āu e hanu ai.
• E pale i nā hana e hōʻike paha iā ʻoe i nā spores fungal, e like me ka māla a me ka ʻeli ʻana. E ʻaʻahu i nā mīkina lima a me nā lole e uhi ana i ka ʻili e like me ka hiki ke hana ma waho.
• E holoi pono i nā ʻoki a me nā ʻōpala me ke kopa a me ka wai.

Ke hoʻonui nei ʻo COVID-19 i ka pilikia o Mucormycosis?

I ka makahiki 2021, ua piʻi aʻe nā hihia mucormycosis i waena o ka poʻe i loaʻa iā COVID-19. Akā, ʻaʻole maopopo i nā loea ke ʻano o ka pilina. ʻAʻole hoʻi lākou i maopopo inā lawa ka loaʻa ʻana o COVID-19 ponoʻī e hoʻonui i ka pilikia, no ka mea:

• Ua hōʻike ʻia ka hapa nui o nā hihia mai nā wahi o ka honua kahi i maʻamau ai ka mucormycosis. I ka wā o ka maʻi ahulau COVID-19, ma kahi o 1 i loko o 3 mau kānaka me ka mucormycosis ma kēia mau wahi ʻaʻohe COVID-19.
• I ka wā o ke ahulau, ua hōʻike ʻia kekahi mau hihia o COVID-19 a me ka mucormycosis ma nā wahi ʻē aʻe o ka honua (kahi i emi pinepine ai ka mucormycosis), akā ʻaʻohe puka ʻana o ka maʻi fungal ma nā wahi i emi pinepine ai ka mucormycosis.
• He nui ka poʻe i loaʻa i ka mucormycosis a me COVID-19 i loaʻa ka maʻi diabetes i kāohi maikaʻi ʻole ʻia a i ʻole e lawe ana i nā lāʻau corticosteroid. He mau mea pilikia kēia no ka mucormycosis.
• He nui ka poʻe i loaʻa i ka COVID-19 a me ka mucormycosis i loaʻa ke ʻano e hoʻopilikia ai i ka ihu, nā maka, a me ka lolo (rhino-orbital-cerebral mucormycosis) - ʻaʻole ka maʻi māmā maʻamau āu e manaʻo ai. Hōʻike pū kēia i nā maʻi ʻē aʻe, ʻaʻole wale ʻo COVID-19, e kōkua i kēia maʻi.

No laila, he mea paʻakikī ke ʻōlelo koke aku ua hoʻokumu ʻia kēia e Covid-19. Aia paha kekahi mau kumu ʻē aʻe e kōkua ana i ia mea.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He maʻi laha ʻole ka Mucormycosis. Hoʻopilikia ia i hoʻokahi a ʻelua paha kānaka i hoʻokahi miliona i kēlā me kēia makahiki. Akā inā loaʻa iā ʻoe kekahi mau maʻi olakino e hoʻonāwaliwali ai i kou ʻōnaehana pale, ʻoi aku kou pilikia. Pono ka poʻe me ka maʻi diabetes a me ke kiʻekiʻe o ka A1C e makaʻala loa.

ʻO ka mālama ʻana i kou mau kūlana olakino ke ala maikaʻi loa e noho olakino ai. Akā e kamaʻilio me kāu kauka e pili ana i nā ala ʻē aʻe e hōʻemi ai i kou pilikia o ka maʻi. Hiki iā ia ke kūkākūkā i kekahi mau hopohopo āu e loaʻa ai a haʻi iā ʻoe i nā hōʻailona e makaʻala ai.

ʻAʻole kēia he maʻi e hoʻopilikia i nā kānaka a pau. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi e hoʻonāwaliwali ai i kou ʻōnaehana pale, e like me ka maʻi diabetes, e makaʻala loa. ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona o ka mucormycosis, e hele koke i ka lumi pilikia o ka haukapila kokoke loa. No ka mea, hiki i ka mālama wikiwiki ke hoʻopakele i nā ola!

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