Ese uzi umwanzi muto mu bidukikije? Reka tuvuge kuri Blastomycosis!

Twese dukunda kumara umwanya hanze, mu bidukikije, si byo se? Ariko rimwe na rimwe, tutabizi, dushobora kubabazwa n'utundi dukoko duto tudukikije. Blastomycose ni indwara iterwa n'agahumyo gato katagaragara kitwa Blastomyces kinjira mu mubiri binyuze mu guhumeka. Gitangira nk'ibicurane kandi rimwe na rimwe gishobora gukwirakwira mu bihaha kikagera mu bindi bice by'umubiri. Reka tubiganireho mu buryo burambuye uyu munsi, kuko kumenya ni bwo buryo bwiza bwo kwirinda.

Blastomycosis ni iki? Mu magambo make...

Muri make, Blastomycosis ni indwara iterwa n'udusimba twitwa Blastomyces . Iyi ndwara ikunze kuba mu butaka butose n'ibiti bibora , cyane cyane mu bice byegereye amazi. Bitandukanye n'ibihumyo binini tubona, iyi ni udusimba duto cyane ku buryo tutabonwa n'amaso. Iyo ucukuye mu butaka cyangwa urimo gukurura ivumbi muri ako gace, utubuto tw'iyi ndwara dushobora kwinjira mu mwuka tugahumeka. Kera, byitwaga kandi indwara ya Gilchrist cyangwa indwara ya Chicago.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso bya Blastomycosis bishobora gutandukana gato bitewe n'umuntu ku wundi. Kandi, igitangaje ni uko atari buri wese wanduye iyi fungus uzagaragaza ibimenyetso. Ubushakashatsi bumwe bwerekana ko kimwe cya kabiri cy'abanduye batagaragaza ibimenyetso na gato . Ariko, iyo ibimenyetso bigaragaye, muri rusange bishobora kuba birimo:

• Umuriro .
• Kumva ugiye gukonja (ubukonje).
• Kumva unaniwe kandi unaniwe igihe cyose.
• Inkorora . Hari igihe inkorora ishobora kumara igihe kirekire.
• Kugorwa no guhumeka (kubura umwuka) cyangwa kumva igituza gifunze.
• Kubabara umubiri, kubabara imitsi .
• Hari abantu bashobora gukorora amaraso .
• Kubira ibyuya nijoro .
• Ibisebe byo ku ruhu, ibisebe, utubyimba cyangwa uduheri nabyo bishobora kubaho. Reka tubirebe mu buryo burambuye.

Blastomyces dermatitidis isa ite ku ruhu?

Blastomycosis rimwe na rimwe ishobora gukwirakwira hanze y'ibihaha, cyane cyane ku ruhu. Niyo mpamvu tuyita Blastomyces dermatitidis . Iyo ibaye ku ruhu gutya, ishobora kugaragara ukundi.

• Nk'udusimba duto.
• Nk'uduheri .
• Nk'ibisebe .
• Ahari ibiBishobora kuba ibikomere binini, bifunguye, cyangwa bikaba amatsinda y'ibibyimba bifunze .
• Akenshi ibi biba byacitse cyangwa bigatangira gushwanyuka .

Niba ufite ikibazo cy'uruhu nk'iki, cyane cyane iyo kijyana n'ibimenyetso nk'umuriro n'inkorora, ni ngombwa cyane kubonana na muganga.

Kuki turwara Blastomycosis? Ni izihe mpamvu?

Impamvu nyamukuru y'iyi ndwara ni ubwoko butandukanye bw'ibihumyo byitwa Blastomyces . Muri byo, Blastomyces dermatitidis (B. dermatitidis) ni yo idutera indwara nyinshi.

None se, iyi fungus ikunze kugaragara he cyane?

Blastomyces ni ikinyabuzima gikunda ubwiza mu bidukikije byo mu mazi . Kikunda ubwiza mu butaka butose n'ibiti bibora, cyane cyane mu duce nko ku nkengero z'imigezi no mu nkengero z'ibiyaga. Byavuzwe ko bituruka mu bice byinshi by'isi, ariko bikunze kugaragara cyane mu bice bimwe na bimwe bya Amerika ya Ruguru . By'umwihariko:

• Bikunze kugaragara cyane muri leta zo mu burengerazuba bwa Amerika , cyane cyane muri Wisconsin na Minnesota.
• Muri leta zo mu majyepfo yo hagati no mu majyepfo y'uburasirazuba bwa Amerika .
• Mu majyepfo y'uburasirazuba bwa Kanada : Mu turere nka Ontario, Quebec, Manitoba, na Saskatchewan.
• Byongeye kandi, abarwayi nabo bagaragaye baturutse mu turere two mu majyaruguru y'uburasirazuba bwa Leta Zunze Ubumwe za Amerika (Amerika y'Amajyaruguru).

Nubwo ibi bidakunze kugaragara muri Sri Lanka, ni ngombwa cyane kumenya niba ugiye muri utwo duce cyangwa ukorera ahantu nk'aho hameze nabi.

Iyi ndwara yadukwirakwira ite?

Blastomycosis iterwa no guhumeka utubuto tw’uduhumyo twa Blastomyces, duturuka mu butaka butose cyangwa mu giti cyangiritse. Utwo tubuto dutangira gukura mu bihaha byawe. Hari igihe dushobora gukwirakwira mu bindi bice by’umubiri wawe binyuze mu maraso yawe .

Hari raporo zerekana ko hari ubutaka bwinshi bwatembagajwe mu gihe cy'imishinga minini y'ubwubatsi cyangwa mu icukurwa ry'amabuye y'agaciro, bigatuma abantu benshi bandura ako kanya.

Igikuru ni uko blastotomycosis idakwirakwira. Ibi bivuze ko udashobora kuyirwara uganira n'umuntu ufite iyi ndwara, uyimukubita intoki, cyangwa uri hafi ye.

Ni nde uri mu kaga gakomeye ko kurwara iyi ndwara?

Umuntu wese utuye cyangwa ujya mu turere tugaragaramo Blastomyces aba afite ibyago byo kurwara iyi ndwara. Ariko hari abantu bamwe na bamwe bafite ibyago byinshi. Reka turebe abo ari bo:

• Niba akazi kawe cyangwa ibyo ukunda birimo kwimura ubutaka cyangwa gukorera hafi y'imigezi cyangwa ibiyaga :
• Abantu bakora mu bwubatsi.
• Abantu bajya guhiga (guhiga).
• Uburobyi.
• Abantu bagiye gukambika.
• Abazamuka imisozi (Gutembera mu misozi).
• Ni gake cyane, habayeho aho abaganga b'amatungo bandujwe indwara n'urushinge rwanduye mu gihe bavura inyamaswa yanduye.

Nanone, hari abantu bafite ibyago byinshi byo kugira ibibazo cyangwa kwiyongera kw'iyi ndwara baramutse barwaye iyi ndwara. Ibi ni ibi bikurikira:

• Abantu bafite ubudahangarwa bw'umubiri budakomeye . Urugero, abantu banduye agakoko gatera SIDA cyangwa abafata imiti igabanya ubudahangarwa bw'umubiri bari mu kaga gakomeye.
• Abantu bafite indwara zidakira z'ibihaha nka COPD (Indwara y'ibihaha idakira) .
• Abantu barengeje imyaka 50 .

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Ingorane ebyiri z'ingenzi ziterwa na blastomycosis ni indwara yo mu myanya y'ubuhumekero ikabije (ARDS) no gukwirakwira kw'iyi ndwara mu bindi bice by'umubiri. Guhera mu bihaha, iyi ndwara ishobora kunyura mu maraso ikagira ingaruka ku ngingo nka:

• Uruhu : Nkuko twabivuze mbere, ibisebe n'utubyimba bishobora kubaho ku ruhu.
• Amagufwa : Kwandura indwara bishobora gukwirakwira mu magufwa, bigatera ububabare no kubyimba.
• Uturemangingo tw’imitsi yo hagati : Ibi bivuze ko iyo ikwirakwira mu bice by’ingenzi nk’ubwonko n’umugongo, ishobora guteza akaga gakomeye.

Ni gute abaganga basuzuma iyi ndwara? (Isuzuma)

Niba ukeka ko ufite blastotomycosis, muganga azakubaza ibimenyetso byawe hanyuma akagusuzuma. Hanyuma, bashobora gukora ibizamini nk'ibi kugira ngo bemeze ko ufite indwara:

• Ushobora gufata icyitegererezo cy'amaraso yawe, inkari , cyangwa amatembabuzi (ibisebe biva mu bihaha) .
• Niba ufite ibisebe ku ruhu, agace gato k'umubiri (biopsy) gashobora gukurwa muri icyo gisebe kakoherezwa gupimwa.

Izi ngero zoherezwa muri laboratwari hanyuma zigapimwa ibi bikurikira:

• Kugerageza gukwirakwiza fungus ya Blastomyces : Ubu ni bwo buryo bwiza bwo kwemeza indwara. Ariko, ibi bishobora gufata ibyumweru byinshi, bityo muganga wawe ashobora gutangira kuvurwa mbere y'icyo gihe.
• Gupima niba hari umusemburo wa Blastomyces: Ikoranabuhanga rya PCR (Polymerase Chain Reaction) rishobora gukoreshwa mu kumenya niba ADN iva muri iki gihumyo iri mu gipimo cy'uturemangingo cyangwa mu mazi y'umubiri.
• Ushobora kandi gupima umubiri wawe niba urwanya indwara cyangwa antigens mu gihe urwanya fungus ya Blastomyces .

Byongeye kandi, ushobora kandi gupimwa X-ray yo mu gituza cyangwa CT scan (Computed Tomography scans) kugira ngo urebe uko ibihaha byawe bimeze.

Ni gute ukeka ko ufite blastotomycosis?

Ibimenyetso bya blastomycosis bishobora gusa cyane n'iby'izindi ndwara, nka pneumonia . Rero rimwe na rimwe bishobora kugorana kubimenya. Ariko, witondere niba uhuye na kimwe muri ibi bikurikira:

• Niba ufite ibimenyetso nk'umuriro, inkorora, no kugorwa no guhumeka, kandi ukaba utarimo koroherwa nubwo wafashe imiti yica udukoko , cyangwa niba indwara yawe isa n'aho ikomeje kwiyongera.
• Niba utuye mu gace kagaragaramo fungus ya Blastomyces, cyangwa uherutse kujya muri ako gace .
• Niba akazi kawe cyangwa ibyo ukunda birimo ahantu huzuye ivumbi n'umukungugu .

Niba hari ikintu nk'iki, ni ngombwa cyane kubonana na muganga ukamubwira aya makuru.

Ni ubuhe buryo bwo kuvura ibi?

Abaganga bavura blastotomycosis bakoresheje imiti irwanya udukoko . Imiti ibiri y'ingenzi ikoreshwa ni amphotericin B (amB) na itraconazole . Mu bihe bimwe na bimwe bikomeye, imiti ya corticosteroids ishobora no gutangwa kugira ngo igabanye ububyimbirwe mu mubiri.

Bigenda bite nyuma yo kuvurwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Icy'ingenzi ni uko Blastomycosis atari indwara yiyibasira . Nta gushidikanya ko uzakenera gufata imiti irwanya udukoko. Ubusanzwe, uzakenera gufata iyi miti mu gihe cy'ibyumweru bike. Ariko, rimwe na rimwe, ushobora gukenera gufata imiti mu gihe cy'umwaka cyangwa irenga . Muri ubwo buryo harimo:

• Niba ufite indwara ikomeye .
• Iyo fungus yakwirakwiriye hirya y'ibihaha ikagera no mu bindi bice by'umubiri .
• Niba ufite indwara y'ibihaha idakira .
• Niba ubudahangarwa bw'umubiri bwawe bwangiritse .

Bityo rero, ni ngombwa cyane gukurikiza amabwiriza ya muganga neza no gufata umuti ku gihe.

Ni iki gipimo cyo kubaho kw'iyi ndwara?

Inkuru nziza ni uko iyo urwaye blastotomycosis,Abantu benshi bakira bafite amahirwe arenga 90% yo gukira. Nyamara, nk'uko byavuzwe mbere, abantu barwaye indwara y'ibihaha idakira n'abafite ubudahangarwa bw'umubiri budakomeye baba bafite ibyago bikomeye byo kugira ibibazo bikomeye bishobora gushyira ubuzima bwabo mu kaga. Kubwibyo, ni ngombwa cyane gusuzuma indwara hakiri kare no gutangira kuyivura.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe muri ibi bimenyetso, jya kwa muganga:

• Iyo ibimenyetso by'ibicurane cyangwa grippe, nk'umuriro, inkorora, no guhumeka bigoranye, bitarushijeho kumera neza nyuma y'icyumweru , cyangwa niba indwara isa n'aho irushaho kwiyongera uko igihe kigenda gihita .
• Niba utekereza ko ushobora kuba warahuye n'udukoko dutera blastomycosis binyuze mu kazi kawe cyangwa mu byo ukora , cyangwa niba waragiye mu gace gakunze kugaragaramo udukoko , bwira muganga wawe .

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Hari igihe ibimenyetso bishobora kuba bikomeye. Ibi bibaye, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze. Ibimenyetso nk'ibi bikomeye birimo:

• Umuriro mwinshi cyane (uri hejuru ya 103 Fahrenheit/40 Selisiyusi).
• Guhumeka bigoranye cyane cyangwa bitunguranye .
• Kubabara mu gituza .
• Gukorora amaraso .
• Urujijo cyangwa izindi mpinduka zo mu mutwe .
• Ibimenyetso by'igicuri (Indwara zo mu mutwe) .
• Ibara ry'ubururu ry'uruhu, iminwa, cyangwa inzara (cyanosis) .

Nubona ikintu nk'iki, ntugatinde, jya kwa muganga ako kanya.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, byaba byiza ubajije ibibazo nk'ibi:

• Ese mfite ibyago byinshi byo kurwara blastotomycosis ikomeye ?
• Ese hari ingamba zihariye nshobora gufata kugira ngo ngire ibyago byo kurwara blastomycosis?
• Nigute nkwiye gukoresha imiti yanjye ?
• Ni ibihe bimenyetso bikomeye nkwiye guhangayikishwa nabyo ?

Baza ibibazo nk'ibi kandi ukosore gushidikanya kwawe.

Ni gute twakwirinda Blastomycosis? (Kwirinda)

Niba utuye mu gace kagaragaramo Blastomyces, bishobora kugorana kwirinda burundu guhumeka iyi fungus. Ariko hari ibintu bike ushobora gukora kugira ngo ugabanye ibyago byo kurwara iyi fungus:

• Irinde kuvanga ubutaka n'umukungugu mwinshi cyane cyane ahantu hafi y'amazi .
• Niba akazi kawe cyangwa ibyo ukora bigushyira mu butaka bushobora kuba burimo Blastomyces, ambara agapfukamunwa ko guhumeka ko mu bwoko bwa N95 (cyangwa KN95) . Ibi bizafasha kuyungurura umwuka uhumeka no kugabanya kwinjira kwa fungi.

Ese ibihumyo bya Blastomyces bishobora kuboneka mu nzu?

Muri rusange, amahirwe yo kurwara ibihumyo bya Blastomyces mu nzu yawe ni make cyane. Keretse niba ufite ivumbi ku myenda yawe hanze, uri mu kaga. Kubera ko iki gihumyo gikunda ibiti bibora n'ubutaka butose, ntikizarokoka nyuma yo kumesa imyenda yawe.

Amaherezo, ibintu byo kwibuka

Nta kintu kimeze nk'umwuka mwiza wo hanze, sibyo? Ariko, kimwe natwe, ibindi biremwa bikunda ahantu ho hanze. Ibyo bivuze ko ibihumyo nka Blastomyces rimwe na rimwe bishobora gukurira ahantu bitari aho, nk'ibihaha byacu.

Igishimishije ni uko Blastomycose ari indwara ishobora kuvurwa . Ariko, umuganga agomba kuba ashobora kuyisuzuma no gukora ibizamini bikwiye. Niba rero umaze icyumweru kirenga Blastomyces mu gace kashobora kubamo kandi ukaba ufite ibimenyetso nk'umuriro n'ubukonje, menya neza ko wabibwiye umuganga wawe. Gutangira kuvurwa hakiri kare bishobora gufasha guhagarika ikwirakwira ry'ibihumyo no gukumira ko indwara ikomeza kwiyongera. Rero, witondere, menya neza!

Blastomycosis , Blastomycosis, indwara z'ibihumyo, indwara z'ibihaha, indwara z'uruhu, guhumeka bigoranye, inkorora