Kua rongo pea koe i te 'kirika roro', te meningitis rānei. Engari i mōhio koe ka taea hoki e te harore te whakaputa i tēnei mate kino? I tēnei rā ka kōrero tātou mō tētahi mate kino, engari kāore i te tino mōhiotia. Ko tōna ingoa ko te Cryptococcal Meningitis. He mea nui kia mōhio koe ki tēnei, inā koa mēnā he ngoikore tō pūnaha ārai mate .
He aha te mate kiriuhi pūtau (Cryptococcal Meningitis)?
Āe, me tīmata tātou i te tīmatanga. He momo rewena te Cryptococcus, he momo harore. Kāore tēnei harore e tino kino ki te tangata hauora, ā, he pai hoki tōna pūnaha ārai mate. Heoi, ki te ngoikore te pūnaha ārai mate o te tangata, he nui te whai wāhitanga o tēnei harore.
He aroha nui tēnei harore ki tō tātou pūnaha io, inā koa te roro me te taurakira. Nō reira, ka pā tika tēnei mate ki ngā kiriuhi tiaki e karapoti ana i tō tātou roro. E kiia ana ēnei kiriuhi e te rongoā he 'meninges'. Nō reira, ina pangia ēnei kiriuhi, ka pupuhi, ka kiia ko te meningitis, ko te 'kirika roro' rānei. Ina puta tēnei mate i te harore Cryptococcus, ka kiia ko te meningitis cryptococcal .
Ka puta tēnei mate i te pikinga ohorere o te pēhanga i roto i te roro. Ka taea e tēnei pēhanga teitei te kino i ngā wāhanga rerekē o te roro. Ehara i te mea koinā anake, engari i ētahi wā ka pakaru hoki ngā kanohi me ngā taringa. E rua ngā momo harore matua e puta ai tēnei mate. Ko te 'Cryptococcus neoformans' me te 'Cryptococcus gattii'. O ēnei, ko te momo tuatahi te mea tino noa.
Ko wai kei te nui ake te mōrearea ki te pangia e tēnei mate?
E ai ki tā tātou i kōrero ai i mua ake nei, he whai wāhitanga tēnei harore. Ko te tikanga ka tatari kia ngoikore ngā parepare o te tinana, arā, te pūnaha ārai mate, kātahi ka whakaeke.
He mea nui kia mōhiotia ko te 85% o ngā tūroro meningitis cryptococcal he pangia e te HIV , nō reira he mea tēnei e tika ana kia tino āwangawanga te hunga e ora ana me te HIV.
Haunga te HIV, he maha atu anō ngā mate e ngoikore ai te pūnaha ārai mate . Mena kei a koe tētahi o ēnei mate, he mea nui kia mōhio koe ki ēnei tohu.
- Ngā tāngata whai mate e pā ana ki te toto (Ngā mate o te toto)
- Ngā tāngata e pāngia ana e ngā mate ngoikore okana, pērā i te ngoikore o te ate
- Ngā whatukuhu, te ate, me ētahi atu.Ko te hunga kua whakawhitia ōkana, ā, kei te tango i ngā rongoā ārai mate
- Ngā tāngata whai mate ārai mate kē atu
- Ko te hunga e whakamahi ana i ngā rongoā ārai mate pēnei i te steroids mō te wā roa
Me pēhea te urunga mai o tēnei harore ki roto i ō tātou tinana?
Ka horapa tēnei harore Cryptococcus i roto i te taiao hei pua. He mea noa iho i roto i te oneone, i ngā paru manu (ina koa ko ngā paru kūkupa), me te rakau pirau.
Nō reira, ina manawa tātou, ka taea e ēnei pua te uru ki roto i ō tātou pukahukahu . Kaua e manukanuka, kāore e horapa mai i te tangata ki te tangata pērā i te rewharewha noa.
Ina uru ēnei pua ki te tinana o te tangata he pai tōna pūnaha ārai mate, ka whakangaromia rātou e ngā pūtau tiaki i roto i ngā pukahukahu (ngā macrophage alveolar). Heoi, ka rerekē te āhua o te tinana o te tangata he ngoikore tōna pūnaha ārai mate.
Hei whakarāpopototanga, koinei te mea ka tupu:
1. Ka uru ngā pua harore ki roto i ngā pukahukahu mā te manawa.
2. Nā te ngoikore o te ārai mate, kāore e taea e ngā pūtau tiaki i roto i ngā pukahukahu te whakangaro i ēnei.
3. Mai i reira, ka haere te harore ki ngā pona lymph, ka tere te wehe, ā, ka puta he maha ngā pūtau harore.
4. Kātahi ka haere ēnei pūtau harore i roto i te toto ka tae ki te roro me te taurakira.
5. I reira, ka tīmata te tipu o ēnei pūtau i roto i ngā kiriuhi e karapoti ana i te roro. Ka āta puta haere ngā tohu.
He aha ngā tohu o tēnei mate?
He maha ngā wā ka puhoi te puta o ngā tohu o te meningitis cryptococcal. Tērā pea kāore koe e kite wawe i tētahi rerekētanga nui. Nō reira, he mea nui kia mōhio koe ki ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Ānini | He ānini nui, he auau te mamae, kāore e pai ki ngā rongoā whakamamae noa. |
| Kirika | He kirika iti e haere tahi ana me te ngoikore. |
| Te hiamoe nui me te pouri | Te hiamoe tonu, te kore e hiahia ki te mahi i tetahi mea. |
| Kaki maro | He uaua ki te piko i te kaki ki mua, he mārō te āhua. |
| Whakapairuaki me te ruaki | Whakapairuaki me te ruaki, kāore he mamae o te puku. |
| Ngā raruraru kanohi | He uaua ki te titiro ki te mārama (photophobia), he tirohanga takirua (diplopia), ā, he iti iho te tirohanga. |
| Te ngaronga o te rongo | Te ngaronga o te rongo i roto i ngā taringa. |
| Ngā mate hopuhopu | Ka puta ngā mate pāwera ina kino haere te mate. |
Kia maumahara, ko te tangata he ngoikore rawa te pūnaha ārai mate, pērā i te tangata whai HIV , kāore pea e whakaatu i ēnei tohu i te tīmatanga. Nō reira, ka whakaroa pea te tautuhi i te mate. Mā tēnei whakaroa ka whai wāhi te harore ki te tipu pai i roto i te roro, ka kino ake te āhua.
Me pēhea te tautuhi tika i te mate?
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, ā, kei roto koe i tētahi o ngā rōpū mōrearea kua whakahuatia ake nei, me toro atu ki te tākuta tonu . He mea tino nui tēnei.
Ka tirohia koe e tō tākuta, ā, ka whakapae ia kei te pangia koe e te meningitis. Mena kei te mōrearea koe, ka whakaarohia hoki e ia te tūponotanga o te mate meningitis cryptococcal.
Hei whakaū i te mate, ka whakahaerehia e tō tākuta he pokanga lumbar.Ko tōna ingoa he spinal tap. Kaua e manukanuka, ehara tēnei i te mea whakamataku pērā i te whakaaro o te tini tāngata. Ko te tikanga he wero i tētahi ngira tino angiangi ki roto i tō tuara o raro, ka tangohia he tauira iti o te wai e karapoti ana i tō roro me tō taurakira (Cerebrospinal Water - CSF). Ko tēnei wai te mea e whāngai ana, e whakamakuku ana hoki i tō pūnaha io matua.
Kātahi ka whakamatautauria tēnei tauira CSF i roto i te taiwhanga hei tirotiro mēnā kei reira te harore Cryptococcus.
Hei tāpiritanga, ka tūtohu pea tō tākuta i tētahi matawai CT, MRI rānei o te roro.
He tino morearea tēnei mate?
Ae, he mate tino kino tēnei, ā, he mate morearea hoki. Ki te kore e rongoatia, ka pā he kino nui ki te roro. Tērā pea kāore e taea te whakatika i ētahi o ngā kino.
Ki te kore e rongoatia, ka pā mai ngā haurangi, te ngaronga o te māramatanga, te koma, tae noa ki te mate.
Ahakoa ngā maimoatanga pai rawa atu o te ao, ko te reiti mate mai i tēnei mate kei waenga i te 15% me te 30% . Mā tēnā koe e mōhio ai ki te kino o tēnei mate.
Me pēhea te rongoā?
Ka rongoatia tēnei ki ngā rongoā harore. Heoi, kāore tēnei maimoatanga e oti i roto i te rā kotahi, e rua rānei. Tērā pea ka roa ngā marama ka ora katoa.
E rua ngā whāinga matua o te maimoatanga:
1. Te whakahaere i te mate taketake: Hei tauira, ki te pangia koe e te mate HIV, he mea nui kia whiwhi koe i te maimoatanga tika (rongoā antiretroviral) me te whakahoki mai i te ārai mate o te tinana.
2. Te rongoā i ngā mate harore: Ka whakamahia ngā rongoā pēnei i te Amphotericin B, Fluconazole, Flucytosine, me te Itraconazole mō tēnei.
Me noho koe ki te hōhipera i ngā wāhanga tuatahi o te maimoatanga. Ko te angitu o te maimoatanga e whakawhirinaki ana ki te wawe o te tautuhi i te mate me te āhua o tō mate taketake.
Nō reira, ki te mea kei te tūpono koe ki te pangia e tēnei mate, kia tūpato tonu ki ngā tohu tōmua. Ki te mea he iti noa iho ō ruarua, kaua e mangere ki te kōrero ki te tākuta . Ko te kitenga wawe me te maimoatanga tere te huarahi pai hei whakaora i tō ora.
Karere Tangohia ki te Kāinga
- He mate harore kino te meningitis cryptococcal e pā ana ki te roro.
- He mea tino noa tēnei mō te hunga whai mate HIV, mō te hunga i whakawhitia ōkana, me te hunga he ngoikore te pūnaha ārai mate nā ētahi atu take.
- Ko ngā tohu matua ko te ānini pinepine, te kirika iti, te kaki maro, me te hiamoe nui. Tērā pea ka iti ake te whakaatu o ēnei tohu i te tīmatanga i te hunga he ngoikore te pūnaha ārai mate.
- Kāore tēnei mate e horapa mai i te tangata ki te tangata. Ka puta te mate mā te hongi i ngā pua harore i te taiao.
- Mena kei roto koe i tētahi rōpū mōrearea, ā, kei a koe ngā tohu o runga ake nei, rapua tonutia he tohutohu hauora . He mea tino nui te tātaritanga me te maimoatanga wawe tonu.
- Ka roa pea te maimoatanga mō ngā marama, ā, he mate kino tēnei ka mōrearea pea te ora.
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