Kei te mōhio koe ki tēnei mate harore kino? (Mucormycosis) Me kōrero tāua!

Kua rongo kē koe i tēnei 'harore pango'? Tērā pea i rongo koe i roto i te nūpepa, i ngā purongo pouaka whakaata rānei. He mate whakamataku tēnei, ā, he mate kino pea. I tēnei rā, me kōrero tātou mō tēnei mate harore, e mōhiotia whānuitia ana ko te Mucormycosis, i roto i ngā kupu māmā noa iho.

He aha te Mucormycosis?

He kupu ngāwari noa iho, he mate harore tino kino te Mucormycosis. Nā tētahi rōpū harore e kiia nei ko te mucormycetes i hua mai. Ka pā pea ēnei harore ki ngā wāhanga rerekē o ō tātou tinana. Hei tauira, ka pā pea ki ō kanohi, ki ō ihu (ngā āputa i tō rae me ō paparinga), ki te roro, ki ngā pukahukahu, ki te puku me ngā whekau (ara kai), ki te kiri rānei.

I tēnei āhuatanga, ka rerekē ngā tohu i runga i te wāhanga o tō tinana e pāngia ana e te harore. I ētahi wā ka kiia ko te zygomycosis.

Whakaarohia, ko ēnei harore e kiia nei ko ngā mucomycetes e noho ana i roto i te taiao e karapoti ana i a tātou, inā koa i roto i te oneone, i te wairākau, i te para rau pirau, me ngā maramara rakau. Engari he mea miharo, ko te nuinga o tātou kāore e pāngia e ēnei harore. Heoi, ko te hunga e mate huka ana, e mate pukupuku ana, e ngoikore ana rānei te pūnaha ārai mate, he nui ake te tūponotanga ki te pāngia e te mucomycosis.

Ko te mea nui ko te mucormycosis he mate ka mate pea . Nō reira, ki te pā mai ēnei tohu ki a koe, me haere tonu koe ki te hōhipera, me rapu tohutohu hauora rānei.

He aha ngā momo matua o te Mucormycosis?

He maha ngā momo matua o te mucormycosis. Ko ēnei:

• Ko te momo e pā ana ki te ihu, ngā kanohi, me te roro (Rhino-orbital-cerebral, Rhinocerebral mucormycosis rānei)
• Te mucormycosis pūkahukahu
• Mucormycosis kiri
• Te momo e pā ana ki te pūnaha nakunaku (Gastrointestinal mucormycosis)
• Mucormycosis horapa

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He aha ngā tohu o tēnei mate?

Ko ngā tohu o te mucormycosis e whakawhirinaki ana ki te wāhanga o tō tinana kua pangia. Tērā pea ka pāngia koe e ngā tohu i roto i tō ihu, i ō pukahukahu, i te ara kai, i te taha o ō kanohi, i tō kiri rānei.

Te momo e pā ana ki te ihu, ngā kanohi, me te roro (Rhino-orbital-cerebral Mucormycosis)

Koinei te momo mucormycosis tino noa . I tēnei wā, ka pangia tuatahitia ō sinus e te harore, ā, ka horapa ki te porowhita me te roro. He mea noa iho tēnei i roto i te hunga he mate huka kino, kāore i te taea te whakahaere (hei tauira, he A1C neke atu i te 8% ahakoa te maimoatanga auau mō te neke atu i te tau) me te hunga kua whiwhi whakawhitinga okana.

Ko ngā tohu o tēnei momo ko:

• Kirika
• Ānini
• Mamae o te sinus (mamae i te rae, i ngā paparinga)
• Te pupuhi o te ihu
• He mariao, he puku rānei kei runga i te tuanui o te waha
• Te ngaronga o te tirohanga, te tirohanga takirua rānei
• He uaua ki te tahuri i ngā kanohi me te menemene (e kiia ana tēnei ko te 'pararutiki io ​​cranial')
• Ngā kanohi e kokiri ana (proptosis)
• Te pupuhi i te taha o ngā kanohi
• He roimata pango, he pupuhi rānei mai i ngā kanohi
• Te pōhēhē, ētahi atu huringa hinengaro rānei

Mucormycosis Pūkahukahu

Ko tēnei mate harore o ngā pukahukahu te tuarua o ngā momo tino kitea. He tino kitea i roto i:

• Ngā tāngata whai mate pukupuku e pā ana ki te toto (hei tauira, te leukemia, te lymphoma, te myeloma rānei), inā koa ko te hunga he iti te taumata o ētahi pūtau toto mā (neutropenia)
• Mō te hunga kua whakatōkia te hinu wheua
• Mō te hunga kua whai whakawhitinga okana pakari

Ngā tohu o tēnei momo:

• Kirika
• Mamae o te uma
• Te uaua ki te manawa (dyspnea)
• Te maremare toto (hemoptysis)

Mucormycosis kiri

Ka puta tēnei momo mate ina uru te harore ki roto i tō kiri mā te motu, mā te karawarawa rānei. Whakaarohia he patunga iti tōu, ā, ka uru mai tētahi mea pērā i te paru ki te patunga. Ka taea e tēnei te uru mai o tēnei harore. He mea whakamiharo, he mea noa anō hoki tēnei momo i roto i te hunga he hauora ō rātou pūnaha ārai mate.

Ngā tohu kiri:

• He pupuhi mamae, he mariao, he puku mārō rānei i runga i te kiri
• Te whero o te kiri, te rerekētanga o te tae, te pupuhi rānei

Ka kino haere ēnei huringa kiri i te roanga o te wā. Ka mangu, ka horapa ki ngā wāhi whānui, ā, i ētahi wā ka toro atu ki ngā uaua, ki ngā wheua rānei.

Te momo e pā ana ki te pūnaha nakunaku (Gastrointestinal Mucormycosis)

He mate puku, he mate whekau rānei tēnei. He mea tino noa tēnei i roto i ngā pēpi whānau wawe. Engari i ēnei rā tata nei, kua piki ake anō hoki i roto i ngā pakeke he ngoikore te ārai mate (neutropenia), te hunga e tango ana i ngā rongoā corticosteroid mō te wā roa, me te hunga e pāngia ana e ētahi atu mate e ngoikore ai te pūnaha ārai mate.

Ngā tohu:

• Mamae puku
• Whakapairuaki me te ruaki
• Te toto o te puku

Mucormycosis horapa

I tēnei āhuatanga, ka horapa te mate mā roto i te toto ki ngā wāhanga rerekē o te tinana. Ko te nuinga o te wā ka pā ki te roro, engari ka pā anō hoki ki te ngākau, te whēkau, te kiri rānei. Koinei te momo mucormycosis tino kino me te whakamate. Ka kitea whānuitia i roto i:

• Ngā tāngata whai mate pukupuku e pā ana ki te toto, inā koa ko te hunga he neutropenia
• Ngā tāngata kua whakatōkia he wheua wheua
• Ngā tāngata kua whai whakawhitinga okana pakari

Nā te mea he maha ngā wāhanga o te tinana e pāngia ana e tēnei momo, ka puta pea ngā tohu o ngā momo kē atu kua whakahuatia i runga ake nei, me ngā tohu o ngā mate hauora kei a koe.

He aha te take e puta ai te Mucormycosis?

He maha ngā momo harore e pāngia ai te mucomycosis. Ko ngā mea tino kitea ko te Rhizopus oryzae me te Rhizopus delemar. (He momo harore motuhake ēnei.) Ka noho ēnei harore ki te taiao - inā koa i roto i te oneone, te wairākau, te otaota rau pirau me ngā maramara rakau. Ka kitea hoki ēnei i roto i ngā kai kāore i horoia tika. Ko te nuinga o tātou kāore e pāngia e te mate i te manawa, i te pā atu rānei ki ēnei harore. Engari ki te mea he mate hauora tōu, kāore pea tō pūnaha ārai mate e kaha ki te whawhai ki te mate.

Me pēhea tēnei e pā mai ai ki a tātou?

Ka pāngia koe e te mucormycosis mā te hongi i ngā pua (ngā wāhanga whakaputa uri o te harore) o ēnei harore, mā te kai i tētahi mea kei roto ēnei, mā te wero rānei i a rātou mā te pakaru o te kiri. He iti rawa ēnei pua, kāore e taea te kite, te karo rānei.

He onge noa iho te horapa mai i ngā hōhipera, mā roto i ngā taputapu hauora kua poke, ā, i muri i ngā āhuatanga taiao. Hei tauira, ka taea e ngā awhiowhio kino te whakaoho i te nui o te oneone ka tukuna te harore ki te rangi.

He mea horapa tēnei mai i te tangata ki te tangata?

Kāo. Kāore te mucormycosis e horapa mai i tētahi tangata ki tētahi atu. Ka taea anake te whiwhi i tēnei harore mai i te taiao.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te mucormycosis?

Ko te hunga mate huka me ētahi mate hauora e ngoikore ai te pūnaha ārai mate te hunga tino mōrearea ki te whakawhanake i tēnei mate. Waihoki, ko te nui rawa o te rino i roto i te tinana ka whai wāhi atu ki tēnei. Ko ngā āhuatanga mōrearea ko:

• Mate huka, inā koa me ngā āhuatanga pēnei i te hyperglycemia me te ketoacidosis.
• Kua oti te whakawhitinga okana pakari te mahi.
• Kua whai whakawhitinga pūtau take hematopoietic (whakawhitinga wheua).
• Ko te Neutropenia he whakahekenga o te maha o ngā pūtau toto mā e kiia nei ko ngā neutrophils.
• Te mate pukupuku, inā koa te leukemia, te lymphoma, te myeloma rānei.
• Te whakamahinga roa o ngā rongoā corticosteroid.
• Te werohanga i ngā rongoā me te kore he tohutohu hauora.
• He āhuatanga e kiia nei ko te hemochromatosis (e whakanui ana i te nui o te rino i roto i te tinana - 'te nui rawa o te rino').
• Ngā weranga, ngā whara kiri kino rānei e āhei ai te paru me ngā huakita ki te tomo ki roto i te patunga.
• Te whānautanga mai i mua i te wā, te iti rānei o te taumaha i te whānautanga.

Ki te kī ngāwari, ki te ngoikore te pūnaha ārai mate o tō tinana (te pūnaha ārai mate), ka nui ake te tūponotanga ka pāngia koe e tēnei mate.

He aha ngā raruraru pea ka pā mai i tēnei mate?

Ka taea e te mucormycosis te whakararuraru i ngā raruraru kino me te morearea ki te ora, tae atu ki:

• Te toto totohu o te sinus cavernous: He toto toto tēnei e puta ana i roto i ngā kōhao o tō sinus. Ka mate pea.
• Te fasciitis necrotizing:He mate huakita kino tēnei, e tere horapa ana (e kiia ana ko "ngā huakita kai kikokiko"). Ka mate pea.
• Osteomyelitis: He mate tēnei o ō wheua. Ka taea te whakangaro i ngā wheua.

He tino morearea ēnei āhuatanga, koia te mea nui kia tere te rapu maimoatanga.

Me pēhea te tautuhi tika i tēnei mate? (Tautuhinga)

Tērā pea ka whakapae te tākuta kei a koe te mucormycosis i runga i ō tohu me ētahi atu mate hauora kei a koe. Hei whakaū i tēnei, ka tangohia e rātou he whakaahua o ngā wāhanga tinana e pāngia ana, ā, ka tirohia ngā kiko o tō tinana mō te kitea o ngā harore.

Ngā whakamātautau mō tēnei:

• Whakaahua: Tērā pea ka mahia ngā hihi-X o te uma, ngā matawai CT (ngā matawai tomography rorohiko), ngā matawai MRI (whakaahua aukume).
• Te ine i te puku o roto: He momo ine i te puku o roto tēnei. Ko te tikanga he taputapu ine i te puku e piri ana ki tētahi ngongo angiangi, e mārama ana, ka whakamahia hei tango pikitia o roto o ngā pukahukahu.
• Kohikohi kiko: Ka taea e te tākuta te tirotiro i tō kiko i raro i te karuārai, i roto rānei i ngā whakamātautau taiwhanga hei tirotiro mēnā kei reira ngā harore mucormycosis.

Me pēhea te rongoā i te Mucormycosis?

Ka rongoatia e ngā tākuta te mucormycosis ki ngā rongoā harore. Tērā pea me mahi pokanga rātou hei tango i ngā kiko pangia, kua mate rānei. Ko ngā rongoā harore e whakamahia ana mō tēnei ko:

• Amphotericin B
• Posaconazole (Posaconazole)
• Isavuconazole

Me tango e koe tēnei maimoatanga harore mō ngā wiki, mō ngā marama pea.

Ka taea te whakaora rawa i tēnei mate?

Ae, e taea ana. Engari me tere te rongoā. Ahakoa ka whakaroahia te rongoā mō ētahi rā, ka tino whakaitihia te tūponotanga o te ora. Ahakoa ka tīmata wawe te rongoā, ka uaua pea te rongoā.

Ko te maimoatanga tere te huarahi pai rawa atu ki te whakaora i te ora!

He aha te auau mate o te Mucormycosis?

Nā te mea he uaua ki te rongoā, ā, nā te mea he maha ngā tāngata e pāngia ana e te mucormycosis kua ngoikore te pūnaha ārai mate, he teitei te reiti mate. Ko te reiti mate mō ngā momo mucormycosis katoa he tata ki te 54%. He iti ake te reiti mate o te mucormycosis e pā ana ki ngā sinuses anake (tata ki te 46%). Heoi, he maha ngā wā ka mate te mucormycosis kua horapa ki ētahi atu wāhanga o te tinana.

He take nui tēnei. Nā te mea he uaua ki te rongoā i tēnei mate, ā, nā te mea he iti te ārai mate o te nuinga o te hunga e pāngia ana e tēnei mate, he nui te mate. Engari kaua e mutu te tumanako, he tūponotanga ka ora anō koe mā te rongoā wawe.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe tētahi o ngā mate e whai ake nei, pātai atu ki te tākuta me pēhea te ārai i ngā mate harore me pēhea hoki te kite wawe i aua mate:

• Mena he mate huka, he mate pukupuku rānei tōu.
• Mena kua whakawhitinga okana koe, kua whakawhitinga pūtau take rānei.
• Mena he mate tōu, kei te tango rongoā rānei koe e ngoikore ai tō pūnaha ārai mate.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ka mate pea te mucormycosis mēnā kāore e rongoatia wawetia. Mēnā kei a koe ngā tohu o te mucormycosis, inā koa he ngoikore tō pūnaha ārai mate, he mate huka rānei, haere tonu ki te rūma whawhati tata. Me rapu tonu i te tiaki whawhati tata mēnā kei a koe ētahi o ngā tohu kino e whai ake nei:

• Te kirika nui (neke atu i te 40 Celsius).
• Te uaua ki te manawa.
• Te maremare toto.
• He kanohi pupuhi, he kanohi pupuhi rānei huri noa i ngā kanohi.
• Ngā panonitanga o te tirohanga, pērā i te tirohanga takirua.
• Te pōhēhē, ētahi atu huringa hinengaro rānei.
• Ngā wiri.
• Hupe pango, roimata rānei.
• He patunga kāore e ora, e horapa tonu ana, e mangu rānei.

Ki te kitea tētahi o ēnei tohu, haere tonu ki te hōhipera!

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He nui ake te mōrearea o te pangia e ngā mate harore?
• He aha taku e taea ai hei whakaiti i taku mōrearea?
• He aha ngā tohu me tirotiro e au, ā, āhea me rapu tohutohu hauora?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha taku e tumanako atu ai me tēnei tātaritanga?

He huarahi hei ārai i te Mucormycosis? (Ārai)

Kei te taha tonu o tātou ngā harore e hua ai te mucormycosis, nō reira he uaua ki te karo katoa i a rātou. Engari anei ētahi mahi ka taea e koe te mahi hei whakaiti i tō tupono ki ngā mate harore:

• Mena he mate hauora tōu e tūpono ana ki te pangia e ngā mate harore kino, me mahi tahi koe me tō tākuta ki te whakahaere i taua mate.
• Mena he nui te mōrearea o te mate harore ki a koe, ka tohua pea e tō tākuta ngā rongoā harore hei āwhina i a koe kei pāngia e te mate.
• Mena kei te tūpono koe ki te pangia e te harore i tō mahi, pātai atu ki tō tākuta mena kei te nui ake tō tūponotanga ki te pangia e te mate.
• Āta karohia ngā wāhi puehu, pērā i ngā papa hangahanga. Mēnā me noho koe ki ēnei wāhi, mauria he kopare "N95" (he taputapu tiaki rānei) hei tātari i ngā pua harore mai i te hau e manawahia ana e koe.
• Āta karohia ngā mahi ka pāngia koe e ngā pua harore, pērā i te māra me te keri. Mauria he karapu me ngā kākahu e kapi ana i te nui o te kiri ina mahi ana i waho.
• Horoia pai ngā motu me ngā karawarawa ki te hopi me te wai.

Ka whakapiki ake rānei te COVID-19 i te mōrearea o te Mucormycosis?

I te tau 2021, i piki ake ngā keehi mucormycosis i waenga i te hunga kua pangia e te COVID-19. Engari kāore ngā tohunga i te tino mōhio he aha te hononga. Kāore hoki rātou i te tino mōhio mēnā he nui te COVID-19 hei whakanui ake i te mōrearea, nā te mea:

• Ko te nuinga o ngā keehi i puta mai i ngā rohe o te ao e kitea whānuitia ana te mucormycosis. I te wā o te mate urutā COVID-19, tata ki te 1 i roto i te 3 o ngā tāngata e pangia ana e te mucormycosis i ēnei rohe kāore i pangia e te COVID-19.
• I te wā o te mate urutā, he maha ngā kēhi o te COVID-19 me te mucormycosis i pūrongohia i ētahi atu wāhi o te ao (i ngā wāhi kāore i te tino kitea te mucormycosis), engari kāore he pakarutanga o te mate harore i ngā wāhi kāore i te tino kitea te mucormycosis.
• He tokomaha ngā tāngata i pāngia e te mucormycosis me te COVID-19, ā, kāore i te pai te whakahaere i te mate huka, i te tango rānei i ngā rongoā corticosteroid. He take mōrearea ēnei mō te mucormycosis.
• He tokomaha ngā tāngata i pāngia e te COVID-19 me te mucormycosis, he momo mate e pā ana ki te ihu, ki ngā kanohi, me te roro (rhino-orbital-cerebral mucormycosis) – ehara i te mate pūkahukahu noa e kitea ana e koe. E whakaatu ana hoki tēnei he maha atu ngā mate e pā ana ki tēnei mate, ehara i te COVID-19 anake.

Nō reira, he uaua ki te kī tonu ko te Covid-19 te take o tēnei. Tērā pea ētahi atu āhuatanga e whai wāhi ana ki tēnei.

Hei whakamutunga, ngā mea hei maumahara

He mate onge te Mucormycosis. E pāngia ana e te kotahi, e rua rānei ngā tāngata i roto i te miriona i ia tau. Engari, ki te mea he mate hauora tōu e ngoikore ai tō pūnaha ārai mate, he nui ake tō tūponotanga. Me tino tupato te hunga mate huka me te A1C teitei.

Ko te whakahaere i ō āhuatanga hauora taketake te huarahi pai ki te noho hauora. Engari kōrero ki tō tākuta mō ētahi atu huarahi hei whakaiti i tō tupono ki te pangia. Ka taea e ia te kōrero mō ō āwangawanga me te kī atu ki a koe he aha ngā tohu hei tirotiro māu.

Ehara tēnei i te mate e pā ana ki te katoa. Heoi, ki te mea he mate tōu e ngoikore ai tō pūnaha ārai mate, pērā i te mate huka, kia tino tupato. Ko te mea nui, ki te mea kei a koe ngā tohu o te mucormycosis, haere tonu ki te rūma whawhati tata. Nā te mea ka taea e te maimoatanga tere te whakaora i ngā oranga!