Kodi mukudziwa za "Chigwa cha Chigwa" chomwe chili chofala m'madera ena a ku America? Tiyeni tikambirane za icho!

Kodi munapitapo ku America Southwest, kapena mbali zina za Central ndi South America? Kapena mukukonzekera kupitako? Ngati ndi choncho, izi zitha kukhala zosangalatsa kwa inu. Lero tikambirana za matenda achilendo a bowa otchedwa "Valley Fever." Amakhudza mapapu athu.

Kodi "Chigwa cha Chigwa" n'chiyani? Mwachidule...

Mwachidule, "chimfine cha m'chigwa" ndi matenda a bowa m'mapapo mwanu. Amayambitsidwa ndi mtundu wa bowa wotchedwa Coccidioides. Bowa uwu umakhala m'malo ozungulira, makamaka kum'mwera chakumadzulo kwa United States (monga California ndi Arizona), mbali zina za boma la Washington, komanso m'nthaka ya Central ndi South America.

Tangoganizirani, gawo loyamba la matenda a bowa a `(Coccidioides)` limatchedwa `(Chigwa cha Chigwa).` Nthawi zina izi zikachitika, zizindikiro monga chimfine kapena chimfine zimatha kuwonekera, kapena zimatha popanda zizindikiro zilizonse. Komabe, nthawi zina izi zimatha kukhala vuto lalikulu.

Akuti anthu pafupifupi 20,000 amadwala ``Valley Fever`` chaka chilichonse. Ndi yofala kwambiri ku California ndi Arizona. Imatchedwanso ``Coccidioidomycosis``.

Kodi zizindikiro za "malungo otsika" ndi ziti? Onani ngati muli nazonso

Nthawi zambiri, matendawa sayambitsa zizindikiro zilizonse. Komabe, ngati mutakhala ndi zizindikiro za ``Chigwa cha Chigwa'', zingaphatikizepo:

• Ziphuphu zokhala ndi ziphuphu pakhungu zomwe zasintha mtundu (zofiira, zofiirira, zofiirira, kapena zakuda). Madokotala amatcha izi `(Erythema Nodosum)`.
• Chifuwa
• Kumva kutopa kwambiri (Kutopa)
• Malungo
• Kupweteka kwa mafupa
• Kupweteka kwa minofu
• Thukuta la usiku
• Kuvuta kupuma (Dyspnea)

Nthawi zina madokotala amatcha kutupa pakhungu, malungo, ndi kuuma kwa mafupa awa kuti "desert rheumatism."

Kodi munthu amadwala bwanji "chimfine cha m'chigwa"?

Pali mitundu iwiri ya bowa wa Coccidioides omwe amayambitsa Valley Fever:

1. `(Coccidioides immitis)` (`C. immitis`): Bowawa amamera m'nthaka ya ku California.

2. `(Coccidioides posadasii)` (`C. posadasii`): Izi zimapezeka m'madera ena a ku America komanso m'nthaka ya Central ndi South America.

Mitundu yonse iwiri imayambitsa zizindikiro zomwezo.

Tsopano tiyeni tiwone momwe izi zimalowera m'thupi lathu. Dothi likasokonekera, ndiko kuti, tikamalikumba, monga momwe zimakhalira ndi mphepo, bowa awa amasweka. Akasweka, tinthu tating'onoting'ono toberekera, totchedwa spores , timatulutsidwa mumlengalenga. Mukapuma mpweya wokhala ndi spores izi, zimalowa m'mapapo anu ndikukhazikika, komwe zimayamba kukula kukhala magulu akuluakulu a spores, otchedwa spherules.

Ma spherule awa amatha kuswekanso, kutumiza ma spherule ambiri ku ziwalo zina za mapapo anu, ndipo nthawi zina ku ziwalo zina za thupi lanu. Ma spherule amenewo amatha kupanga ma spherule kachiwiri, kufalitsa bowa m'thupi lanu lonse.

Chofunika: Bowa uwu supezeka kawirikawiri m'nthaka ya Sri Lanka. Umapezeka m'madera enaake okha. Chifukwa chake, palibe chifukwa choti anthu okhala ku Sri Lanka azidera nkhawa kwambiri ndi izi. Komabe, ndikofunikira kuti omwe akupita kumadera amenewa adziwe izi.

Kodi "chimfine cha m'chigwa" chimapatsirana?

Ayi, Valley Fever si matenda opatsirana. Simungawatenge kuchokera kwa munthu wina. Komabe, nthawi zina amatha kufalikira m'malo omwe muli fumbi lambiri mumlengalenga, mwachitsanzo m'malo omwe kuli mphepo yamphamvu kapena panthawi yomanga.

Komabe, nthawi zambiri, mumatha kupuma spores kuchokera ku zilonda zotseguka pathupi la munthu amene ali ndi ``Chigwa cha Chigwa``. Koma mwayi woti zimenezo zichitike ndi wochepa kwambiri. Nthawi zambiri, njira yokhayo yopezera spores ndi kupuma spores mumlengalenga panja.

Ndani amene ali pachiwopsezo chachikulu chotenga izi?

Ngati wina apuma bowa `(C. immitis)` kapena `(C. posadasii)`, akhoza kutenga `(Valley Fever).` Komabe, ngati muli ndi zaka zoposa 60, muli ndi mwayi waukulu wopeza izi.

Komanso, muli pachiwopsezo chachikulu chotenga "Chigwa cha Malungo" ngati:

• Ngati ndinu wakuda kapena wa ku Philippines.
• Ngati muli mu trimester yachitatu ya mimba.
• Ngati chitetezo chanu chamthupi chili chofooka, "muli ndi vuto la chitetezo chamthupi." Izi zitha kukhala chifukwa cha matenda monga "HIV/AIDS", kapena zitha kukhala chifukwa chomwa mankhwala ena monga "immunosuppressants" kapena "immunomodulators".
• Ngati muli ndi matenda a shuga (Diabetes Mellitus).
• Ngati mwangoyenda kumene kapena kusamukira kudera lomwe bowa ili limakhala.
• Ngati mumagwira ntchito ndi dothi kapena fumbi (monga ulimi, zomangamanga).

Kodi mavuto omwe angakhalepo chifukwa cha "chigwa cha chigwa" ndi ati?

Mavuto ochokera ku Valley Fever nthawi zambiri amakhala osowa. Anthu 5 mpaka 10 okha pa anthu 100 aliwonse amakhala ndi zizindikiro zoopsa. Komanso, munthu m'modzi pa anthu 100 aliwonse ndi amene amadwala matendawa m'thupi.

Komabe, ngati mukukumana ndi mavuto aakulu, angaphatikizepo:

• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS)
• Kutuluka kwa Pleural kapena Empyema
• Kufalikira kwa matenda kunja kwa mapapo (Disseminated Coccidioidomycosis)
• Chibayo
• Hydropneumothorax (thumba lodzaza madzi kapena lodzaza mpweya m'mapapo)

Mwa izi, vuto loopsa kwambiri la Valley Fever ndi kufalikira kwa matendawa kupitirira mapapo. Izi zitha kufalikira ku ziwalo zanu monga:

• Fupa
• Ubongo
• Msewu
• Chiwindi
• Impso
• Pancreas
• Khungu

Ngati Coccidioidomycosis ifalikira ku ubongo, mutha kudwala matenda otchedwa Coccidioidal Meningitis. Izi zitha kukhala zoopsa kwa moyo . Zingayambitsenso zizindikiro za mitsempha monga kusintha kwa masomphenya ndi kumva, mutu, komanso khosi lolimba.

Kodi madokotala amazindikira bwanji "chimfine cha m'chigwa"?

Dokotala adzatenga mbiri yanu yachipatala, adzakufunsani za zizindikiro zanu ndi mbiri yanu yaulendo, ndikukupimirani thupi. Kuti adziwe ngati muli ndi Chigwa cha Valley Fever, angachite mayeso otsatirawa:

• Kufufuza za thupi : Dokotala amatenga chitsanzo cha minofu yanu ndikuitumiza ku labu kuti akaone ngati pali zizindikiro za bowa wa Coccidioides.
• Kuyezetsa Magazi : Kuyezetsa magazi nthawi zambiri kumagwiritsidwa ntchito pozindikira matenda a Valley Fever. Amatumiza chitsanzo cha magazi ku labu ndikuyang'ana ma antibodies kapena ma antigen omwe ali enieni ku bowa wa Coccidioides.
• Mayeso Ojambula Zithunzi: Dokotala wanu angachite X-ray pachifuwa kapena CT scan kuti aone ngati pali zizindikiro za chibayo zomwe zimayambitsidwa ndi Valley Fever.

Kodi "chimfine cha m'chigwa" chimachiritsidwa bwanji?

Chithandizo cha Valley Fever chimadalira kuopsa kwake. Dokotala wanu angakulangizeni kuti mudikire mosamala. Izi zikutanthauza kuti simukufunika chithandizo mwachangu chifukwa mulibe zizindikiro zoopsa, koma adzakuyang'anirani mosamala ndikukuyesani nthawi zonse.

Ngati muli ndi matenda oopsa kapena osatha, kapena ngati muli pachiwopsezo cha matenda aakulu (monga matenda osatha oletsa kupuma (COPD)), angakulembeni mankhwala ophera tizilombo toyambitsa matenda. Izi zingaphatikizepo:

• Amphotericin B imaperekedwa kudzera m'mitsempha
• `(Fluconazole)`
• `(Itraconazole)`

Mungafunike kumwa mankhwala ophera bowa kwa miyezi itatu mpaka isanu ndi umodzi. Komabe, ngati muli ndi Valley Fever kapena mavuto ena, nthawi imeneyi ingakhale yayitali.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukhala kudera komwe bowa `(Coccidioides)` ndi wofala, kapena mwapita kudera lotere posachedwapa, ndipo muli ndi zizindikiro zofanana ndi chimfine zomwe zimakhalapo kwa nthawi yoposa sabata imodzi, pitani kwa dokotala nthawi yomweyo .

Ngati dokotala wakupezani ndi "Valley Fever" ndipo mukupeza zizindikiro izi, funsani nthawi yomweyo, kapena pitani ku chipinda chapafupi chadzidzidzi:

• Magazi m'malovu
• Kuuma kwa khosi
• Kuvuta kupuma
• Kusintha kwa masomphenya kapena kumva

Mukapita kwa dokotala, mungafune kuwafunsa mafunso awa:

• Kodi ndili pachiwopsezo chachikulu chotenga matenda oopsa a "Valley Fever"?
• Ndi bowa wamtundu wanji (Coccidioides) womwe unayambitsa matenda anga?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndiyenera kuyang'anitsitsa zizindikiro zina?
• Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Kodi "chimfine cha m'chigwa" chingapewedwe?

Ngati mumakhala kudera lomwe spores za Coccidioides zimapezeka kwambiri, zingakhale zovuta kupewa kuzipumira. Komabe, mungachite izi kuti muchepetse chiopsezo chanu chokhala ndi Valley Fever:

• Pewani malo omwe mungakumane ndi dothi kapena fumbi.
• Pakagwa fumbi, tsekani mawindo ndipo khalani m'nyumba.
• Gwiritsani ntchito zosefera za High-Efficiency Particulate Air (HEPA) m'nyumba mwanu.
• Valani chigoba cha N95 chopumira mpweya mukamalima m'munda, kukumba, kapena kuchita ntchito zina zakunja zomwe zingakupangitseni kudwala matenda a bowa.

Kodi ndingayembekezere chiyani ngati nditadwala "chimfine cha m'chigwa"?

Anthu ambiri amachira ku Valley Fever popanda mavuto a nthawi yayitali. Komabe, anthu ochepa amatha kukhala ndi matenda a m'mapapo osatha. Izi zingatenge nthawi yayitali kuti achire - nthawi zina zaka. Chiwerengero cha anthu omwe amafa chifukwa cha Valley Fever ndi chocheperapo kuposa chimodzi pa milandu zana iliyonse.

Kawirikawiri, bowawu umafalikira mbali zina za thupi lanu. Ngati sunalandire chithandizo, coccidioidomycosis mu ubongo wanu ikhoza kukupha.

Kodi "chimfine cha chigwa" chimatenga nthawi yayitali bwanji?

Zizindikiro za Coccidioidomycosis nthawi zambiri zimatha zokha mkati mwa milungu kapena miyezi ingapo.

Komabe, anthu ochepa akhoza kukhala ndi matenda omwe amapitirira m'mapapo mwawo. Ngati izi zitenga nthawi yayitali, madokotala amatcha kuti matenda osatha (a nthawi yayitali) m'mapapo (coccidioidomycosis). Zizindikiro za matenda osatha m'mapapo (coccidioidomycosis) ndi awa:

• Kupweteka pachifuwa
• Chifuwa chosatha
• Kutsokomola magazi (Hemoptysis)
• Kuvuta kupuma
• Kuchepetsa thupi popanda chifukwa

Kodi "malungo otsika" angabwerenso kachiwiri?

Nthawi zambiri, ngati mutadwala Valley Fever ndikuchira, mwayi woti mudwalenso ndi wochepa.

Kodi ndingachotse bwanji bowa lomwe limayambitsa "chimfine cha m'chigwa" m'munda mwanga?

Tizilombo ta Coccidioides ndi tating'ono kwambiri - timangooneka ndi maikulosikopu. Palibe njira yosavuta yozizindikira kapena kuzichotsa m'munda mwanu.

Chofunika: Malangizo awa akugwira ntchito kwa anthu okhala m'madera a ku United States komwe bowa `(Coccidioides)` ndi ofala kwambiri. Palibe chifukwa choopa bowa uwu m'minda ya Sri Lanka.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngati mumakhala kudera lomwe bowa la Coccidioides limamera, zingakhale zovuta pang'ono kupewa Valley Fever. Mwamwayi, milandu yambiri si yoopsa ndipo imatha yokha.

Komabe, ngati muli ndi pakati, muli ndi zaka zoposa 60, kapena chitetezo chamthupi chanu chili chofooka, ndi bwino kuchitapo kanthu kuti mudziteteze. Mutha kusangalalabe ndi zinthu zakunja. Komabe, ndi bwino kuvala chigoba cha N95 ndikukhala m'nyumba, makamaka masiku amphepo. Lankhulani ndi dokotala wanu za njira zina zomwe mungatetezere thanzi lanu komanso zizindikiro zomwe muyenera kusamala nazo.

Kumbukirani: Ili ndi matenda makamaka omwe amapezeka m'madera ena a ku United States. Komabe, monga woyenda kulikonse padziko lapansi, nthawi zonse ndikofunikira kudziwa zinthu izi. Khalani ndi thanzi labwino!

Chigwa cha Chigwa, Coccidioides, Matenda a Bowa, Matenda a M'mapapo, Chifuwa, Malungo, Matenda a Bowa, Matenda a M'mapapo