Wakambochenesa nzvimbo yekare ine guruva yakaita sedenga rekare, bako, kana chikwere chehuku here? Kana kuti wakashanda pakuvaka chivako chekare chiri kuputswa? Dzimwe nguva dzakadai, zvirwere zvatisingatombofungi nezvazvo zvinogona kupinda mumiviri yedu nemhepo yatinofema. Ndiyo mhando yemamiriro ane njodzi atiri kutaura nezvayo muchinyorwa chino nhasi, asi isinganyanyi kutaurwa nezvayo munyika medu.
Zvichitaurwa zviri nyore, chii chinonzi Histoplasmosis?
Histoplasmosis chirwere chinokonzerwa nefungus. Kutaura chokwadi, fungus rinoikonzera rinonzi `(Histoplasma capsulatum)`. fungus iyi inowanzogara muvhu. Asi kwete muvhu rese. fungus iyi inokura zvakanaka muvhu rine manyowa akawanda echiremwaremwa kana shiri .
Funga nezvevhu riri muchivako chekare, bako remapopoma, nzvimbo ine matanga ehuku, kana pasi pebhiriji panowanzo shandiswa shiri dzakadai senjiva. Kana ivhu rikacherwa, rakatsvairwa, kana kukanganiswa munzvimbo idzi, maspores aya efungus ari muvhu anogona kusunungurwa mumhepo. Zvadaro, patinofema mweya iwoyo, maspores iwayo efungus anogona kupinda mumapapu edu okonzera hutachiona .
Chinhu chinonyanya kukosha ndechekuti histoplasmosis haisi chirwere chinogona kutapuriranwa kubva kune mumwe munhu kuenda kune mumwe. Izvi zvinoreva kuti hauzotapuri chirwere ichi nekutaura, kudya naye, kana kuva pedyo nemunhu ane hutachiona. Saka hapana chikonzero chekunetseka nezvazvo.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kutaura zvazviri, vanhu vazhinji vane hutachiona hwefungus iyi havaratidzi zviratidzo. Munhu ane masoja emuviri ane hutano anogona kurwisa fungus iyi uye kuidzora pasina matambudziko. Zvisinei, kune vamwe vanhu, kunyanya mamwe mapoka, chirwere ichi chinogona kukonzera matambudziko akakomba.
Avo vari panjodzi huru ndevanotevera:
- Vacheche vadiki nevakwegura: Nekuti vanhu ava vese vane masoja emuviri asina simba.
- Vanhu vane zvirwere zvemapapu zvisingaperi: Utachiona uhwu hunogona kuwedzera mamiriro evanhu vane zvirwere zvemapapu zvakaita seasthma neCOPD .
- Vanhu vakaderedza dziviriro yavo yemuviri nemaune:Mamwe matambudziko anoda kurapwa nemishonga inodzvinyirira masoja emuviri. Semuenzaniso, vanhu vakamboisirwa nhengo yemuviri kana avo vanotora mishonga inovhara TNF (semuenzaniso infliximab (Remicade)).
- Vanhu vane zvirwere zvinoderedza simba remuviri: Varwere vegomarara (kunyanya avo vari kurapwa nechemotherapy), varwere veAIDS, uye avo vanotora mishonga yakaita semasteroid kwenguva yakareba vari panjodzi huru.
Zviratidzo zvacho ndezvipi? Tinozviziva sei?
Sezvatakambotaura, vanhu vazhinji havaratidzi zviratidzo. Zvisinei, kana zviratidzo zvikaonekwa, zvinogona kutanga pakati pemazuva matatu kusvika gumi nemanomwe mushure mekusangana nefungus (kazhinji mazuva gumi). Zviratidzo zvinosiyana zvichienderana nerudzi rwechirwere. Ngatitarisei tafura iri pazasi kuti tinzwisise izvi zvakajeka.
| Hunhu hwechirwere | Zviratidzo zvikuru | Pfungwa dzakakosha |
|---|---|---|
| Chirwere Chekufema Chakanyanya (Acute Histoplasmosis) | Fivha, kurwadziwa kwemuviri, musoro, kurwadziwa kwechipfuva, kukosora kwakaoma, kuneta. | Zvakafanana nedzihwa. Mumunhu ane hutano, rinowanzopera pasina kurapwa. |
| Chirwere chemapapu chisingaperi (Chronic Histoplasmosis) | Kukosora kwenguva refu (dzimwe nguva nefivha), kudzikira kwehuremu, fivha, kurwadziwa pachipfuva, kunetseka kufema. | Izvi zvakafanana nechirwere chetiibhii. Chinogona kugara kwemwedzi yakawanda, kunyange makore. Kana chikasarapwa, chirwere chacho chinowedzera kuipa. |
| Histoplasmosis Inopararira Inofambira Mberi | Inopararira kubva mumapapu ichienda kune dzimwe nhengo dzakadai semapapu, uropi, chiropa, chirebvu, uye ganda. Fivha yakanyanya, kudzikira kwehuremu, uye maronda paganda zvinogona kuitika. | Iyi ndiyo nhanho yakanyanya kuoma uye ine njodzi. Kana ikasarapwa, inogona kuuraya. Inowanzoitika kuvanhu vane masoja emuviri asina simba. |
Chiremba anowana sei izvi?
Kana uine zviratidzo zvakaita sefivha nekukosora uye uchangobva kuchenesa nzvimbo yekare ine guruva, iva nechokwadi chekuudza chiremba wako.
Chiremba achakuongorora, oteerera mapapu ako, uye oraira kuti uongororwe kana vachifungidzira kuti chirwere chacho ndechechokwadi.
- X-ray yechipfuva: Kutarisa zviratidzo zvehutachiona mumapapu.
- Kuongororwa kweropa kana weti: Tarisa kana paine ma antibodies kana ma antigen ane chekuita nefungus.
- Kuongororwa kwemapundu kana kuti tissue: Muenzaniso wemapundu kana, kana zvichidikanwa, chidimbu chidiki chenyama chinotorwa kubva mumapapu chinoongororwa nemaikorosikopu kusimbisa kuvapo kwefungus.
Inorapwa sei?
Nzira yekurapa inoenderana nehunhu uye kuoma kwechirwere chako.
- Histoplasmosis Isingarware: Utachiona hushoma mumunhu ane hutano hahudi kurapwa kwakakosha. Kufanana nedzihwa, hunopera mumavhiki mashoma kana munhu ambozorora uye aine mvura yakawanda .
- Utachiona hwakakomba, husingaperi, kana hwakapararira: Zviitiko izvi zvinoda kurapwa. Chiremba wako achakupa mishonga inouraya utachiona. Kurapa uku kunogona kutora mavhiki mashoma kusvika kumwedzi yakati wandei. Kana uine masoja emuviri asina simba, ungangoda kutora mishonga iyi nedosi shoma kweupenyu hwako hwese. Usamborega kutora mishonga yawakanyorerwa nachiremba.
Chii chatingaita kuti tizvidzivirire kubva kuchirwere ichi?
Kuti udzivise hutachiona uhu, unofanira kudzivirira kufema fungi. Zvinhu izvi zvinogona kubatsira.
- Kana uri kuchenesa nzvimbo dzine zviremwaremwa kana tsvina yeshiri (zvivakwa zvekare, mapako, matanga ehuku), pfeka chifukidzo chakanaka. Kana zvichibvira, zvakanaka kushandisa chifukidzo chine simba rekusefa rakawanda, senge N95 .
- Kuti uderedze guruva, isa mvura shoma usati wabvisa ivhu kana marara. Kana zvanyorova, zvinoderedza huwandu hweguruva rinoburitswa mumhepo.
- Kana uri muboka rine njodzi (rine masoja emuviri asina simba), dzivisa kuita izvi zvakanyanya sezvinobvira.
- Mushure mekushanda munzvimbo yakaita seiyi, geza maoko ako nesipo zvakanaka.
Kana uine zviratidzo izvi, kunyanya kana uine masoja emuviri asina simba,Tsvaga rubatsiro rwechiremba nekukasika. Kana ukatanga kunetseka zvakanyanya kufema kana fivha yakanyanya, usazeza kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Histoplasmosis chirwere chemapapu chinokonzerwa nefungus inowanikwa muvhu rine tsvina yeshiri/mabat.
- Izvi hazvitapurirani kubva kumunhu kuenda kune mumwe, saka usatya kuva pedyo nemunhu ane hutachiona.
- Vanhu vazhinji vane hutano hwakanaka havaratidzi zviratidzo kunyangwe vakabatwa nefungus iyi.
- Vanhu vane masoja emuviri asina simba, vana vadiki, vakwegura, uye avo vane zvirwere zvemapapu zvisingaperi vari panjodzi huru.
- Kana ukaona zviratidzo zvakaita sefivha, kukosora, kana kurwadziwa pachipfuva mushure mekuchenesa nzvimbo yekare ine guruva, enda kuna chiremba nekukasika.
- Kune nzira dzekurapa dzinoshanda zvikuru dzezvirwere zvakakomba, saka zvakakosha kutevera mazano echiremba nemazvo.
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