Unoziva here nezvehutachiona uhwu hune njodzi? (Mucormycosis) Ngatikurukurei!

Wakambonzwa nezve 'fungus nhema' iyi here? Pamwe wakainzwa mupepanhau kana paTV nhau. Chaizvoizvo chirwere chinotyisa uye chinogona kunge chakakomba. Nhasi, ngatitaurei nezvechirwere ichi chefungus, chinozivikanwa mukurapa seMucormycosis, nemashoko akareruka.

Chii chinonzi Mucormycosis?

Zvichitaurwa zviri nyore, Mucormycosis chirwere chakakomba chefungus . Chinokonzerwa neboka refungus rinonzi mucormycetes. Mafungus aya anogona kukanganisa nhengo dzakasiyana dzemiviri yedu. Semuenzaniso, anogona kukanganisa maziso ako, sinuses (nzvimbo dziri pahuma yako nematama), uropi, mapapu, dumbu neura (mudumbu), kana ganda.

Muchiitiko ichi, zviratidzo zvinosiyana zvichienderana nekuti ndeipi nhengo yemuviri wako inobatwa nefungus. Dzimwe nguva inonzi zygomycosis.

Fungidzira, howa idzi dzinonzi mucomycetes dzinogara munzvimbo dzakatipoteredza, kunyanya muvhu, mucompost, mashizha ari kuora, uye mumatanda madiki. Asi zvinoshamisa kuti vazhinji vedu hatirwari nehowa idzi. Zvisinei, vanhu vane chirwere cheshuga, mamwe marudzi ekenza, kana mamwe mamiriro anoshayisa simba rekudzivirira muviri vari panjodzi huru yekubatwa nehowa.

Chinhu chinonyanya kukosha ndechekuti mucormycosis chirwere chinogona kuuraya . Saka, kana uine zviratidzo izvi, unofanira kuenda kuchipatara kana kutsvaga rubatsiro rwechiremba nekukasika.

Ndedzipi mhando huru dzeMucormycosis?

Kune mhando dzakawanda dzemucormycosis. Idzi ndeidzi:

• Rudzi rwechirwere runokanganisa mhino, maziso, neuropi (Rhino-orbital-cerebral kana Rhinocerebral mucormycosis)
• Mucosa yemapapu
• Mucormycosis yeganda
• Rudzi runokanganisa kugaya chikafu (Gastrointestinal mucormycosis)
• Kupararira kwemucorosis

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvemucormycosis zvinoenderana nekuti ndeipi nhengo yemuviri wako ine hutachiona. Unogona kuona zviratidzo mumhino dzako, mapapu, nzira dzekugaya chikafu, pedyo nemaziso ako, kana paganda rako.

Rudzi rwechirwere runokanganisa mhino, maziso, neuropi (Rhino-orbital-cerebral Mucormycosis)

Iyi ndiyo mhando yemucormycosis inonyanya kuwanikwa . Muchiitiko ichi, howa inotanga yapinda mu sinuses dzako uye inogona kupararira kusvika kuuropi. Inonyanya kuwanikwa kuvanhu vane chirwere cheshuga chakanyanya, chisingadzoreki (semuenzaniso, A1C inopfuura 8% pasinei nekurapwa nguva dzose kweanopfuura gore) uye kune vanhu vakaisirwa nhengo dzemuviri.

Zviratidzo zverudzi urwu ndeizvi:

• Kupindwa nechando
• Musoro
• Kurwadziwa kwe sinus (kurwadziwa pahuma, pamatama)
• Kuzara kwemhino
• Maronda kana maronda padenga remuromo
• Kurasikirwa nekuona kana kuona kaviri
• Kuomerwa nekutendeudza maziso uye kunyemwerera (izvi zvinonzi `cranial nerve palsy`)
• Maziso akabudikira (proptosis)
• Kuzvimba kwakatenderedza maziso
• Misodzi nhema kana kuti urwa kubva mumaziso
• Kuvhiringidzika kana kumwe kuchinja kwepfungwa

Mucormycosis yemapapu

Utachiona hwefungus hwemapapu uhwu ndihwo hwechipiri pahunowanikwa. Hunonyanya kuwanikwa mu:

• Vanhu vane kenza ine chekuita neropa (semuenzaniso, leukemia, lymphoma, kana myeloma), kunyanya avo vane mamwe masero machena eropa mashoma (neutropenia)
• Kune avo vakamboisirwa bota remapfupa
• Kune avo vakamboisirwa nhengo yakasimba

Zviratidzo zverudzi urwu:

• Kupindwa nechando
• Kurwadziwa kwechipfuva
• Kuoma kufema (dyspnea)
• Kukosora ropa (hemoptysis)

Mucormycosis yeganda

Rudzi urwu rwehutachiona runoitika kana fungus ikapinda muganda rako kuburikidza nekucheka kana kukwenya. Fungidzira kuti une ronda diki uye chimwe chinhu chakaita sevhu chinopinda paronda. Izvi zvinogona kukonzera fungus iyi kupinda. Zvinoshamisa kuti rudzi urwu rwakajairikawo kuvanhu vane masoja ekudzivirira muviri ane hutano.

Zviratidzo zveganda:

• Mapundu, maronda, kana mapundu akaomarara paganda
• Kutsvuka kweganda, kuchinja ruvara, kana kuzvimba

Kuchinja kweganda uku kunotowedzera kuipa nekufamba kwenguva. Kunoshanduka kuita dema, kunopararira munzvimbo dzakakura, uye dzimwe nguva kunogona kupinda mutsandanyama kana mapfupa.

Rudzi runokanganisa kugaya chikafu (Gastrointestinal Mucormycosis)

Utachiona uhwu hunowanikwa mudumbu kana muura. Hunonyanya kuitika muvana vacheche vasati vasvika nguva. Asi munguva pfupi yapfuura, hwakawedzerawo muvanhu vakuru vane dziviriro shoma mumuviri (neutropenia), vanhu vanotora mishonga ye corticosteroid kwenguva refu, uye vanhu vane zvimwe zvirwere zvinoderedza simba remuviri rekudzivirira zvirwere.

Zviratidzo:

• Kurwadziwa kwedumbu
• Kusvotwa nekurutsa
• Kubuda ropa mudumbu

Kupararira kweMucormycosis

Muchiitiko ichi, hutachiona hunopararira neropa kuenda kunhengo dzakasiyana dzemuviri. Hunowanzo kanganisa uropi, asi hunogonawo kukanganisa moyo, chirebvu, kana ganda. Iyi ndiyo mhando yemucormycosis yakanyanya kuipa uye inouraya. Inowanzoonekwa mu:

• Vanhu vane kenza ine chekuita neropa, kunyanya avo vane neutropenia
• Vanhu vakamboisirwa mubofu
• Vanhu vakamboisirwa nhengo yakasimba

Nekuti rudzi urwu runokanganisa nhengo dzakawanda dzemuviri, zviratidzo zvemamwe marudzi ataurwa pamusoro apa zvinogonawo kuoneka, pamwe nezviratidzo zvechero chirwere chaungave nacho.

Sei Mucormycosis ichiitika?

Mucomycosis inokonzerwa nemhando dzakasiyana dzefungus. Idzo dzinonyanya kuzivikanwa ndiRhizopus oryzae naRhizopus delemar. (Idzi mhando dzakasiyana dzefungus.) Mafungus aya anogara munharaunda - kunyanya muvhu, mucompost, mashizha ari kuora uye matanda madiki. Anowanikwawo muchikafu chisina kugezwa zvakanaka. Vazhinji vedu hatirwari nekufema kana kubata fungus idzi. Asi kana uine zvimwe zvirwere, masoja emuviri wako angasakwanisa kurwisa hutachiona.

Izvi zvinotisvika sei?

Unogona kuwana mucormycosis nekufema spores (zvikamu zvekubereka zvefungus) zvefungus idzi, kudya chimwe chinhu chine spores idzi, kana kudzibvisa paganda. Spores idzi diki zvekuti hatigone kudziona kana kudzidzivisa.

Kashoma, inotapuriranwa kubva kuzvipatara, kuburikidza nemidziyo yekurapa yakasviba, uye mushure menjodzi dzechisikigo. Semuenzaniso, madutu makuru anogona kumutsa ivhu rakawanda uye kuburitsa howa mumhepo.

Izvi zvinotapurirana here kubva kumunhu kuenda kumunhu?

Kwete. Mucormycosis haiparadzirwi kubva kumunhu kuenda kune mumwe. Unogona kuwana howa iyi kubva kune nharaunda chete.

Ndiani ari panjodzi huru yekubatwa nechirwere chemucosa?

Vanhu vane chirwere cheshuga uye mamwe matambudziko ehutano anoderedza simba remuviri ndivo vari panjodzi huru yekubatwa nechirwere ichi. Uyewo, kuva nesimbi yakawandisa mumuviri kunogona kukonzera izvi. Zvinhu zvinoisa njodzi zvinosanganisira:

• Chirwere cheshuga, kunyanya kana paine zvirwere zvakaita se hyperglycemia uye ketoacidosis.
• Mushure mekuisirwa nhengo yakasimba.
• Kuve ne hematopoietic stem cell transplant (kuisirwa bone marrow).
• Neutropenia kuderera kwemasero machena eropa anonzi neutrophils.
• Gomarara, kunyanya leukemia, lymphoma, kana myeloma.
• Kushandisa mishonga ye corticosteroid kwenguva refu.
• Kubaya mishonga pasina kurairwa nachiremba.
• Chirwere chinonzi hemochromatosis (chinowedzera huwandu hwesimbi mumuviri - `kuwedzerwa kwesimbi`).
• Kutsva kana kukuvara kwakanyanya kweganda kunobvumira tsvina nehutachiona kupinda muronda.
• Kuzvarwa nguva isati yakwana kana kuva nehuremu hushoma.

Zvichitaurwa zviri nyore, kana muviri wako uchirwisa zvirwere (immune system) usina simba, une mukana mukuru wekuzvikonzera.

Ndezvipi zvinetso zvinogona kukonzera chirwere ichi?

Mucormycosis inogona kukonzera matambudziko akaipisisa uye anotyisidzira hupenyu, anosanganisira:

• Kuvharika kwetsinga dzemusana: Uku kuvharika kweropa kunoumba mumaburi etsinga dzemusana. Kunogona kuuraya.
• Necrotizing fasciitis: Kurapa kweganda:Uhu hutachiona hwebhakitiriya hwakakomba, hunopararira nekukurumidza (hunonziwo "hutachiona hunodya nyama"). Hunogona kuuraya.
• Osteomyelitis: Uku kutapukira kwemapfupa ako. Mapfupa anogona kuparadzwa.

Aya mamiriro ezvinhu ane njodzi zvikuru, ndosaka zvichikosha kuti munhu awane kurapwa nekukurumidza.

Ungaongorora sei chirwere ichi nemazvo? (Kuongororwa)

Chiremba anogona kufungidzira kuti une mucormycosis zvichienderana nezviratidzo zvako nezvimwe zvirwere zvaunazvo. Kuti vasimbise izvi, vachatora mifananidzo yezvikamu zvemuviri zvakakanganiswa voongorora nyama dzemuviri wako kuti vaone kana paine fungus.

Miedzo yeizvi:

• Kufungidzira: Kuongororwa kweX-ray dzechipfuva, CT scans (computed tomography scans), kana MRI (magnetic resonance imaging) scans zvinogona kuitwa.
• Endobronchial ultrasound: Iyi imhando yebronchoscopy. Izvi zvinoreva kuti mudziyo we ultrasound wakabatanidzwa pachubhu yakatetepa, ine chiedza unoshandiswa kutora mifananidzo yemukati memapapu.
• Kuongororwa kwetishu: Chiremba anogona kutarisa tishu yako nemaikorosikopu kana kuburikidza nekuongororwa kwerabhoritari kuti aone kana paine fungi yemucormycosis.

Mucormycosis inorapwa sei?

Vanachiremba vanorapa mucormycosis nemishonga inouraya utachiona. Vangangodawo kuvhiyiwa kubvisa nyama ine utachiona kana yakafa. Mishonga inouraya utachiona inoshandiswa pakurapa chirwere ichi ndeiyi:

• Amphotericin B
• Posaconazole `(Posaconazole)`
• Isavuconazole

Uchafanira kutora mushonga uyu wekuuraya fungus kwemavhiki, pamwe mwedzi.

Chirwere ichi chinogona kurapwa zvachose here?

Ehe, zvinogoneka. Asi zvinoda kurapwa nekukurumidza. Kunyangwe kurapwa kukanonoka kwemazuva mashoma, mikana yekurarama inogona kuderedzwa zvakanyanya. Kunyangwe kurapwa kukatanga nekukurumidza, zvinogona kuoma kurapa.

Kurapwa nekukurumidza ndiyo mukana wakanakisa wekuponesa hupenyu!

Huwandu hwerufu hunokonzerwa neMucormycosis hwakaita sei?

Nekuti zvakaoma kurapa uye nekuti vanhu vazhinji vane mucormycosis vane masoja ekudzivirira muviri asina simba, huwandu hwerufu hwakakwira. Huwandu hwerufu rwemarudzi ese emucormycosis hunosvika 54%. Mucormycosis inokanganisa sinuses chete ine huwandu hwerufu hwakaderera zvishoma (inenge 46%). Zvisinei, mucormycosis yakapararira kune dzimwe nhengo dzemuviri inowanzo uraya.

Iyi inyaya yakakomba. Nekuti chirwere ichi chakaoma kurapa, uye nekuti vanhu vazhinji vanochibata vane dziviriro shoma yemuviri, huwandu hwevanofa hwakakwira. Asi musarasa tariro, pane mukana wekupora nekurapwa nekukurumidza.

Ndinofanira kuona chiremba rini?

Kana uine chimwe chezvirwere zvinotevera, bvunza chiremba kuti ungadzivirira sei hutachiona hwefungus uye kuti ungazviziva sei nekukurumidza:

• Kana uine chirwere cheshuga kana kenza.
• Kana wakamboisirwa nhengo yemuviri kana kuti wakaisirwa stem cell.
• Kana uine chirwere kana kuti uri kutora mishonga inopedza simba masoja emuviri wako.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Mucormycosis inogona kuuraya kana ikasarapwa nekukasika. Kana uine zviratidzo zvemucormycosis, kunyanya kana uine dziviriro yemuviri isina simba kana chirwere cheshuga, enda kuchipatara nekukurumidza. Gara uchitsvaka rubatsiro rwekukurumidzira kana uine chimwe chezviratidzo zvikuru zvinotevera:

• Fivha yakanyanya (inopfuura 103 Fahrenheit/40 Celsius).
• Kutadza kufema zvakanaka.
• Kukosora ropa.
• Maziso akazvimba kana kuzvimba kutenderedza maziso.
• Kuchinja kwekuona, senge kuona kaviri.
• Kuvhiringidzika kana kumwe kuchinja kwepfungwa.
• Kuzvimba.
• Matehwe matema kana misodzi.
• Ronda risingapori, rinoramba richipararira, kana kuti richishanduka kuva dema.

Kana uine chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza!

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Ndiri panjodzi yakakura yekubata fungus here?
• Ndingaitei kuti ndideredze njodzi yangu?
• Ndezvipi zviratidzo zvandinofanira kutarisa uye ndinofanira kutsvaga rubatsiro rwechiremba riini?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Chii chandingatarisira nechirwere ichi?

Pane nzira dzekudzivirira Mucormycosis here? (Dziviriro)

Howa hunokonzera mucormycosis hwakatikomberedza, saka zvakaoma kudzidzivirira zvachose. Asi heano mamwe matanho aunogona kutora kuderedza njodzi yako yehutachiona hwefungus:

• Kana uine chirwere chinokuisa panjodzi yekubatwa nezvirwere zvakakomba zvefungus, shanda nachiremba wako kuti uzvigadzirise.
• Kana uri panjodzi huru yekubatwa nefungus, chiremba wako anogona kukupa mishonga inorwisa fungus kuti ikubatsire kudzivirira kurwara.
• Kana basa rako richikuisa panjodzi yekubatwa nefungus, bvunza chiremba wako kana uri panjodzi yakakura yekubatwa nehutachiona.
• Dzivisa nzvimbo dzine guruva, dzakadai senzvimbo dzekuvaka. Kana uchifanira kunge uri munzvimbo dzakadaro, pfeka mask ye "N95" (kana zvimwe zvishandiso zvekudzivirira) kuti ubatsire kusvina fungi kubva mumhepo yaunofema.
• Dzivisa zvinhu zvinogona kukupinza muzvirwere zvefungus, zvakaita sekurima mubindu nekuchera. Pfeka magirovhosi nembatya dzinofukidza ganda rakawanda sezvinobvira paunenge uchishanda panze.
• Geza mavanga nemavanga zvakanaka nesipo nemvura.

Ko COVID-19 inowedzera njodzi yeMucormycosis here?

Muna 2021, kwakava nekuwedzera kwehuwandu hwevanhu vane COVID-19. Asi nyanzvi hadzina chokwadi chekuti chinobatana nei. Hadzinawo chokwadi kana kuva neCOVID-19 pachayo kwakakwana kuwedzera njodzi, nekuti:

• Nyaya zhinji dzakataurwa kubva kunzvimbo dzepasi rose uko mucormycosis yakajairika. Munguva yedenda reCOVID-19, munhu mumwe chete pavanhu vatatu vane mucormycosis munzvimbo idzi akanga asina COVID-19.
• Munguva yedenda iri, nyaya dzinoverengeka dzeCOVID-19 uye mucormycosis dzakataurwa mune dzimwe nzvimbo dzepasi (uko mucormycosis isingawanzoitiki), asi hapana kubuda kwehutachiona hwefungus munzvimbo idzo mucormycosis isingawanzoitiki.
• Vanhu vazhinji vaiva nechirwere chemucormycosis neCOVID-19 vaiva nechirwere cheshuga chisina kudzorwa zvakanaka kana kuti vaitora mishonga ye corticosteroid. Izvi zvinhu zvinokonzera mucormycosis.
• Vanhu vazhinji vaiva neCOVID-19 uye mucormycosis vaiva nerudzi rwechirwere chinokanganisa mhuno, maziso, neuropi (rhino-orbital-cerebral mucormycosis) - kwete chirwere chemapapu chakajairika chaungatarisira. Izvi zvinoratidzawo kuti mamwe matambudziko, kwete COVID-19 chete, ndiwo anokonzera chirwere ichi.

Saka, zvakaoma kutaura ipapo ipapo kuti izvi zvinokonzerwa neCovid-19. Panogona kunge paine zvimwe zvinhu zvinokonzera izvi.

Pakupedzisira, zvinhu zvekurangarira

Mucormycosis chirwere chisingawanzoitiki . Chinobata munhu mumwe chete kana vaviri pavanhu miriyoni gore rega rega. Asi kana uine matambudziko ehutano anoshayisa simba masoja emuviri wako simba, uri panjodzi huru. Vanhu vane chirwere cheshuga uye A1C yakakwira vanofanira kungwarira zvikuru.

Kugadzirisa matambudziko ako ehutano ndiyo nzira yakanakisisa yekuchengetedza hutano hwako. Asi taura nachiremba wako nezvedzimwe nzira dzekuderedza njodzi yako yekutapukirwa. Iye anogona kukurukura chero zvinokunetsa uye kukuudza zviratidzo zvekutarisisa.

Ichi hachisi chirwere chinokanganisa munhu wese. Zvisinei, kana uine chirwere chinopedza simba remuviri wako, senge chirwere cheshuga, chenjera zvikuru. Chinhu chakakosha ndechekuti kana uine zviratidzo zvemucosa, enda kuchipatara chiri pedyo nekukurumidza. Nekuti kurapwa nekukurumidza kunogona kuponesa hupenyu!

mucormycosis , fungus nhema, hutachiona hwefungus, chirwere cheshuga, dziviriro yemuviri, sinus, mapapu, ganda, uropi, fungus