Kodi mukudziwa za mdani wamng'ono m'chilengedwe? Tiyeni tikambirane za Blastomycosis!

Tonsefe timakonda kukhala panja, m'chilengedwe, sichoncho? Koma nthawi zina, popanda ife kudziwa, tingavutike ndi zolengedwa zazing'ono zomwe zili pafupi nafe. Blastomycosis ndi matenda omwe amayamba chifukwa cha bowa kakang'ono, kosaoneka kotchedwa Blastomyces komwe kamalowa m'thupi kudzera mu kupuma. Kumayamba ngati chimfine ndipo nthawi zina kumatha kufalikira kuchokera m'mapapo kupita ku ziwalo zina za thupi. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa kuzindikira ndiye chitetezo chabwino kwambiri.

Kodi Blastomycosis ndi chiyani? Mwachidule...

Mwachidule, Blastomycosis ndi matenda omwe amayamba chifukwa cha bowa wotchedwa Blastomyces . Bowa uwu umakhala makamaka m'nthaka yonyowa ndi matabwa owola , makamaka m'malo oyandikira madzi. Mosiyana ndi bowa lalikulu lomwe timawona, uwu ndi bowa womwe ndi waung'ono kwambiri kuti uwoneke ndi maso. Mukakumba m'nthaka kapena kusonkhezera fumbi m'malo otere, tinthu ta bowa uwu timatha kulowa mumlengalenga ndikupumidwa. Kale, unkatchedwanso matenda a Gilchrist kapena matenda a Chicago.

Kodi zizindikiro za matendawa ndi ziti?

Zizindikiro za Blastomycosis zimatha kusiyana pang'ono kuchokera kwa munthu ndi munthu. Ndipo, modabwitsa, si aliyense amene ali ndi bowa uyu amene ali ndi zizindikiro. Kafukufuku wina akusonyeza kuti mpaka theka la anthu omwe ali ndi matendawa sasonyeza zizindikiro zilizonse . Komabe, ngati zizindikirozo zichitika, nthawi zambiri zimatha kuphatikizapo:

• Malungo .
• Kumva ngati ukuzizira (Chills).
• Kumva kutopa komanso kutopa nthawi zonse.
• Kutsokomola . Nthawi zina chifuwa chingakhalepo kwa nthawi yayitali.
• Kuvuta kupuma (kupuma movutikira) kapena kumva chifuwa chikulimba.
• Kupweteka thupi, kupweteka kwa minofu .
• Anthu ena amatha kutsokomola magazi .
• Thukuta la usiku .
• Zilonda za pakhungu, zilonda, ziphuphu kapena matuza zingachitikenso. Tiyeni tiwone izi mwatsatanetsatane.

Kodi Blastomyces dermatitidis imawoneka bwanji pakhungu?

Blastomycosis nthawi zina imatha kufalikira kunja kwa mapapo, makamaka pakhungu. Ndicho chifukwa chake timatcha Blastomyces dermatitidis . Ikachitika pakhungu motere, imatha kuwoneka mosiyana.

• Ngati ziphuphu zazikulu.
• Monga ziphuphu .
• Ngati zilonda .
• Mwina iziZitha kukhala mabala akuluakulu, otseguka, kapena zitha kukhala mabala otsekedwa .
• Kawirikawiri izi zimakhala ndi nkhanambo kapena zilonda ndipo zimayamba kung'ambika.

Ngati muli ndi vuto la khungu ngati ili, makamaka ngati likugwirizana ndi zizindikiro monga malungo ndi chifuwa, ndikofunikira kwambiri kukaonana ndi dokotala.

N’chifukwa chiyani timadwala Blastomycosis? Kodi zimayambitsa matenda amenewa ndi chiyani?

Choyambitsa chachikulu cha matendawa ndi mitundu ingapo ya bowa wotchedwa Blastomyces . Pakati pawo, Blastomyces dermatitidis (B. dermatitidis) ndi mtundu womwe umayambitsa matenda ambiri.

Ndiye, kodi bowa uyu ndi wofala kwambiri kuti?

Blastomyces ndi bowa lomwe limakula bwino m'malo okhala m'madzi . Limakula bwino m'nthaka yonyowa ndi matabwa owola, makamaka m'madera monga m'mphepete mwa mitsinje ndi pansi pa nyanja. Lanenedwa kuti lachokera m'madera ambiri padziko lapansi, koma limapezeka kwambiri m'madera ena a North America . Makamaka:

• Ndi yofala kwambiri m'maiko akumadzulo kwa dziko la US , makamaka ku Wisconsin ndi Minnesota.
• Mu mayiko a South Central ndi Southeast US .
• Kum'mwera chakum'mawa kwa Canada : Kumadera monga Ontario, Quebec, Manitoba, ndi Saskatchewan.
• Kuphatikiza apo, odwala anenedwanso kuchokera kumadera akumpoto chakum'mawa kwa United States (US Northeast).

Ngakhale izi sizichitika kawirikawiri ku Sri Lanka, ndikofunikira kwambiri kudziwa ngati mukupita kumadera otere kapena kugwira ntchito m'malo otere.

Kodi matendawa amafalikira bwanji kwa ife?

Blastomycosis imayamba chifukwa cha kupuma spores za bowa Blastomyces, zomwe zimauluka kuchokera ku dothi lonyowa kapena matabwa ovunda. Spores izi zimayamba kukula m'mapapo mwanu. Nthawi zina, zimatha kufalikira ku ziwalo zina za thupi lanu kudzera m'magazi anu .

Pakhala malipoti akuti dothi lalikulu limasunthidwa panthawi yomanga nyumba zazikulu kapena kufukula zinthu zakale, zomwe zimapangitsa kuti anthu ambiri atenge kachilomboka nthawi imodzi.

Chofunika kwambiri ndichakuti blastomycosis si yopatsirana. Izi zikutanthauza kuti simungathe kuitenga polankhula, kugwirana chanza, kapena kukhala pafupi ndi munthu amene ali ndi matendawa.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Aliyense amene amakhala kapena kupita kumadera kumene Blastomyces ili kwambiri ali pachiwopsezo chotenga matendawa. Komabe, pali anthu ena omwe ali pachiwopsezo chachikulu pang'ono. Tiyeni tiwone omwe ali:

• Ngati ntchito yanu kapena zomwe mumakonda kuchita zikuphatikizapo kusuntha dothi kapena kugwira ntchito pafupi ndi mitsinje kapena nyanja :
• Anthu ogwira ntchito m'munda womanga.
• Anthu amene amapita kukasaka (Kusaka).
• Kusodza.
• Anthu akupita kukagona m'misasa.
• Okwera mapiri (Kuyenda pansi).
• Kawirikawiri, pakhala zochitika pamene madokotala a ziweto atenga matendawa kuchokera ku singano yodetsedwa pamene akuchiza nyama yodwala.

Komanso, anthu ena ali pachiwopsezo chachikulu chotenga mavuto kapena kuipiraipira kwa matendawa ngati atadwala matendawa. Izi ndi izi:

• Anthu omwe chitetezo chamthupi chawo chili chofooka . Mwachitsanzo, anthu omwe ali ndi kachilombo ka HIV kapena omwe akumwa mankhwala oletsa chitetezo chamthupi ali pachiwopsezo chachikulu.
• Anthu omwe ali ndi matenda osatha a m'mapapo monga COPD (Chronic Obstructive Pulmonary Disease) .
• Anthu opitirira zaka 50 .

Kodi ndi mavuto otani omwe angabwere chifukwa cha matendawa?

Mavuto awiri akuluakulu a blastomycosis ndi acute respiratory distress syndrome (ARDS) ndi kufalikira kwa bowa ku ziwalo zina za thupi. Kuyambira m'mapapo, bowa amatha kuyenda m'magazi ndikukhudza ziwalo monga:

• Khungu : Monga tanenera kale, zilonda ndi ziphuphu pakhungu zimatha kuchitika.
• Mafupa : Matendawa amatha kufalikira mpaka m'mafupa, zomwe zimapangitsa kupweteka ndi kutupa.
• Dongosolo la mitsempha yapakati : Izi zikutanthauza kuti ngati ifalikira kumadera ofunikira monga ubongo ndi msana, ikhoza kukhala yoopsa kwambiri.

Kodi madokotala amazindikira bwanji matendawa? (Kuzindikira)

Ngati mukuganiza kuti muli ndi blastomycosis, dokotala adzakufunsani za zizindikiro zanu ndikukuyesani. Kenako, angachite mayeso ngati awa kuti atsimikizire matendawa:

• Mungatenge chitsanzo cha magazi anu, mkodzo , kapena makoswe (phlegm yochokera m'mapapo) .
• Ngati muli ndi zilonda pakhungu, chidutswa chaching'ono cha minofu (biopsy) chingachotsedwe kuchokera ku zilondazo ndikutumizidwa kuti akayesedwe.

Zitsanzo zimenezi zimatumizidwa ku labu ndikuyesedwa kuti zipeze zotsatirazi:

• Kuyesa kukulitsa bowa wa Blastomyces : Iyi ndiyo njira yabwino kwambiri yotsimikizira matendawa. Komabe, izi zitha kutenga milungu ingapo, kotero dokotala wanu angayambe kulandira chithandizo isanafike nthawiyo.
• Kuyesa kupezeka kwa yisiti ya Blastomyces: Ukadaulo wa PCR (Polymerase Chain Reaction) ungagwiritsidwe ntchito kuzindikira kupezeka kwa DNA kuchokera ku bowa uwu mu chitsanzo cha minofu kapena madzi amthupi.
• Mukhozanso kuyesa thupi lanu kuti muwone ngati muli ndi ma antibodies kapena ma antigen omwe amalimbana ndi bowa wa Blastomyces .

Kuphatikiza apo, mutha kuchitidwa X-ray pachifuwa kapena CT scan (Computed Tomography scans) kuti muwone momwe mapapo anu alili.

Kodi mukuganiza bwanji kuti muli ndi blastomycosis?

Zizindikiro za blastomycosis zimatha kufanana kwambiri ndi za matenda ena, monga chibayo . Chifukwa chake nthawi zina zimakhala zovuta kuzizindikira. Komabe, samalani ngati mukukumana ndi zotsatirazi:

• Ngati muli ndi zizindikiro monga kutentha thupi, chifuwa, ndi kuvutika kupuma, ndipo simukuchira ngakhale mutamwa maantibayotiki , kapena ngati matenda anu akuoneka kuti akukulirakulira.
• Ngati mukukhala m'dera lomwe bowa wa Blastomyces ndi wofala, kapena mwapitako posachedwapa kudera lotere .
• Ngati ntchito yanu kapena zomwe mumakonda kuchita zikuphatikiza malo okhala ndi fumbi komanso fumbi .

Ngati chinthu chonga ichi chikuchitika, ndikofunikira kwambiri kuonana ndi dokotala ndikuwauza izi.

Kodi chithandizo cha izi ndi chiyani?

Madokotala amachiritsa blastomycosis ndi mankhwala opha mabakiteriya . Mankhwala awiri akuluakulu omwe amagwiritsidwa ntchito ndi amphotericin B (amB) ndi itraconazole . Nthawi zina zoopsa, corticosteroids ingaperekedwenso kuti ichepetse kutupa m'thupi.

Kodi chimachitika ndi chiyani munthu akalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti achire?

Chofunika kwambiri ndichakuti Blastomycosis si matenda odziletsa okha . Muyenera kumwa mankhwala opha mabakiteriya. Nthawi zambiri, muyenera kumwa mankhwala awa kwa milungu ingapo. Komabe, nthawi zina, mungafunike kumwa mankhwala kwa chaka chimodzi kapena kuposerapo . Milandu yotereyi ikuphatikizapo:

• Ngati muli ndi matenda aakulu .
• Ngati bowa wafalikira kupitirira mapapo kupita ku ziwalo zina za thupi .
• Ngati muli ndi matenda a m'mapapo osatha .
• Ngati chitetezo chanu cha mthupi chili pangozi .

Choncho, ndikofunikira kwambiri kutsatira malangizo a dokotala molondola ndikumwa mankhwalawo pa nthawi yake.

Kodi kuchuluka kwa matendawa kumapitirira bwanji?

Nkhani yabwino ndi yakuti ngati mutakhala ndi blastomycosis,Anthu ambiri amachira ali ndi mwayi woposa 90% wochira. Komabe, monga tanenera kale, anthu omwe ali ndi matenda osatha a m'mapapo komanso omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chokhala ndi mavuto aakulu komanso oopsa. Chifukwa chake, ndikofunikira kwambiri kuzindikira matendawa msanga ndikuyamba kulandira chithandizo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro izi, pitani kwa dokotala:

• Ngati zizindikiro za chimfine kapena chimfine, monga kutentha thupi, chifuwa, ndi kupuma movutikira, sizikuchepa patatha sabata imodzi , kapena ngati matendawa akuoneka kuti akukulirakulira pakapita nthawi .
• Ngati mukuganiza kuti mwina mwakhala mukudwala bowa lomwe limayambitsa blastomycosis chifukwa cha ntchito yanu kapena zosangalatsa zanu , kapena ngati mwapita kudera lomwe bowa ndi lofala , uzani dokotala wanu .

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Nthawi zina zizindikiro zimatha kukhala zoopsa kwambiri. Ngati izi zitachitika, muyenera kupita kuchipatala mwamsanga. Zizindikiro zoopsazi zikuphatikizapo:

• Malungo amphamvu kwambiri (oposa 103 Fahrenheit/40 Celsius).
• Kupuma movutikira kwambiri kapena mwadzidzidzi .
• Kupweteka pachifuwa .
• Kutsokomola magazi .
• Kusokonezeka maganizo kapena kusintha kwina kwa maganizo .
• Zizindikiro za khunyu (Kugwidwa ndi khunyu) .
• Kusintha kwa mtundu wabuluu pakhungu, milomo, kapena misomali (cyanosis) .

Ngati mukuona chinthu chonga ichi, musachedwe, pitani kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, zingakhale zothandiza kufunsa mafunso ngati awa:

• Kodi ndili pachiwopsezo chachikulu chotenga matenda oopsa a blastotomycosis?
• Kodi pali njira zina zodzitetezera zomwe ndingachite kuti ndichepetse chiopsezo changa cha blastomycosis?
• Kodi ndiyenera kugwiritsa ntchito bwanji mankhwala anga ?
• Ndi zizindikiro ziti zazikulu zomwe ndiyenera kuda nkhawa nazo ?

Funsani mafunso ngati awa ndipo chotsani kukayikira kwanu.

Kodi timadziteteza bwanji ku Blastomycosis? (Kupewa)

Ngati mumakhala kudera lomwe Blastomyces ndi yofala kwambiri, zingakhale zovuta kupewa kupuma bowa uyu. Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu:

• Pewani kusonkhezera dothi ndi fumbi lalikulu, makamaka m'malo ozungulira madzi .
• Ngati ntchito yanu kapena zomwe mumakonda zikukuikani pa dothi lomwe lingakhale ndi Blastomyces, valani chigoba chopumira cha mtundu wa N95 (kapena KN95) . Izi zithandiza kusefa mpweya womwe mumapuma ndikuchepetsa kulowa kwa fungi.

Kodi bowa wa Blastomyces ungapezeke m'nyumba?

Kawirikawiri, mwayi wokhala ndi bowa wa Blastomyces m'nyumba mwanu ndi wochepa kwambiri. Pokhapokha ngati muli ndi dothi pa zovala zanu panja, muli pachiwopsezo. Chifukwa bowa uwu umakula bwino pamatabwa owola ndi dothi lonyowa, sudzapulumuka mukatsuka zovala zanu.

Pomaliza, zinthu zoti muzikumbukira

Palibe chinthu chonga mpweya wabwino panja, eti? Koma, monga ife, zolengedwa zina zimakonda malo akunja. Izi zikutanthauza kuti bowa monga Blastomyces nthawi zina amatha kumera m'malo omwe si oyenera, monga mapapu athu.

Chabwino kwambiri n'chakuti Blastomycosis ndi matenda ochiritsika . Komabe, dokotala ayenera kukhala wokhoza kuzindikira matendawa ndikuchita mayeso oyenera. Chifukwa chake, ngati mwakhala m'dera lomwe Blastomyces ingakhalepo ndipo muli ndi zizindikiro monga malungo ndi kuzizira kwa nthawi yoposa sabata, onetsetsani kuti mwauza dokotala wanu. Kuyamba chithandizo msanga kungathandize kuletsa bowa kufalikira ndikuletsa matendawa kuti asakule kwambiri. Chifukwa chake, samalani, dziwani!

Blastomycosis , Blastomycosis, matenda a bowa, matenda a m'mapapo, matenda a pakhungu, kupuma movutikira, chifuwa