Ngaba uyazi ngotshaba oluncinci olukwindalo esingqongileyo? Masithethe ngeBlastomycosis!

Sonke siyakuthanda ukuchitha ixesha ngaphandle, kwindalo, akunjalo? Kodwa ngamanye amaxesha, ngaphandle kokwazi kwethu, sinokukhathazwa zizidalwa ezincinci ezisingqongileyo. I-Blastomycosis sisifo esibangelwa yi-fungus encinci, engabonakaliyo ebizwa ngokuba yi -Blastomyces engena emzimbeni ngokuphefumla. Iqala njengomkhuhlane kwaye ngamanye amaxesha inokusasaza ukusuka emiphungeni iye kwezinye iindawo zomzimba. Ngoko ke, masithethe ngale nto ngokweenkcukacha ezithe vetshe namhlanje, kuba ukuqonda yeyona ndlela ilungileyo yokuzikhusela.

Yintoni iBlastomycosis? Ngamafutshane...

Ngamafutshane, iBlastomycosis sisifo esibangelwa yifungus ebizwa ngokuba yiBlastomyces . Le fungus ihlala kakhulu kumhlaba omanzi kunye neenkuni ezibolileyo , ingakumbi kwiindawo ezikufutshane namanzi. Ngokungafaniyo namakhowa amakhulu esiwabonayo, le yifungus encinci kakhulu ukuba ingabonwa ngamehlo enyama. Xa ugrumba umhlaba okanye uxuba uthuli kwindawo enjalo, iispores zale fungus zinokungena emoyeni zize ziphefumle. Ngaphambili, yayikwabizwa ngokuba sisifo sikaGilchrist okanye isifo saseChicago.

Zithini iimpawu zesi sifo?

Iimpawu zeBlastomycosis zinokwahluka kancinci kumntu nomntu. Kwaye, ngokumangalisayo, ayinguye wonke umntu osulelwe yile fungus oza kuba neempawu. Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwisiqingatha sabo basulelekileyo ababonisi zimpawu kwaphela . Nangona kunjalo, ukuba iimpawu ziyenzeka, zihlala ziquka:

• Ifiva .
• Uziva ngathi uza kubanda (iintlungu zokugodola).
• Ndiziva ndidiniwe kwaye ndidiniwe ngalo lonke ixesha.
• Ukukhohlela . Ngamanye amaxesha ukukhohlela kunokuhlala ixesha elide.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla) okanye ukuziva uxinezelekile esifubeni.
• Iintlungu zomzimba, iintlungu zemisipha .
• Abanye abantu banokukhwehlela igazi .
• Ukubila ebusuku .
• Izilonda zesikhumba, izilonda, amaqhuma okanye amadyungudyungu nazo zinokubakho. Makhe sijonge ezi nkcukacha zithe vetshe.

Injani iBlastomyces dermatitidis eluswini?

I-Blastomycosis ngamanye amaxesha inokusasazeka ngaphandle kwemiphunga, ingakumbi eluswini. Yiyo loo nto siyibiza ngokuba yiBlastomyces dermatitidis . Xa isenzeka eluswini ngolu hlobo, inokubonakala yahlukile.

• Njengeempukane ezinkulu.
• Njengeentsumpa .
• Njengezilonda .
• Mhlawumbi eziZingaba ngamanxeba amakhulu, avulekileyo, okanye zinokuba ngamaqhuma avaliweyo .
• Zidla ngokuba nezikhwekhwe okanye zibe namaxolo zize ziqale ukuxobuka.

Ukuba unengxaki yolusu efana nale, ingakumbi ukuba ihamba neempawu ezifana nomkhuhlane nokukhwehlela, kubaluleke kakhulu ukubona ugqirha.

Kutheni sifumana iBlastomycosis? Zithini izizathu?

Unobangela oyintloko wesi sifo ziintlobo ezahlukeneyo zefungi ezibizwa ngokuba yiBlastomyces . Phakathi kwazo, iBlastomyces dermatitidis (B. dermatitidis) lolona hlobo lubangela izifo ezininzi.

Ngoko ke, le fungus ixhaphake phi kakhulu?

I-Blastomyces yi-fungus ekhula kakuhle kwiindawo zasemanzini . Ikhula kakuhle kumhlaba omanzi nakwimithi ebolileyo, ingakumbi kwiindawo ezifana nonxweme lomlambo kunye nezantsi kwechibi. Kuye kwaxelwa ukuba ikhula kwiindawo ezininzi zehlabathi, kodwa ixhaphake kakhulu kwiindawo ezithile zaseMntla Melika . Ngokukodwa:

• Ixhaphake kakhulu kumazwe aseMidwestern US , ingakumbi eWisconsin naseMinnesota.
• Kwimimandla eseMzantsi-mpuma ye-US .
• Umzantsi-mpuma weKhanada : Kwiindawo ezifana neOntario, iQuebec, iManitoba, kunye neSaskatchewan.
• Ukongeza, kuye kwaxelwa ukuba izigulana zivela kwimimandla ekumntla-mpuma we-United States (e-US Northeast).

Nangona oku kungaqhelekanga eSri Lanka, kubaluleke kakhulu ukuba uqaphele ukuba uhamba kwiindawo ezinjalo okanye usebenza kwiimeko ezinjalo.

Esi sifo sisasazeka njani kuthi?

I-Blastomycosis ibangelwa kukuphefumla ii-spores zefungus i-Blastomyces, eziphuma emoyeni zisuka kumhlaba omanzi okanye kwiinkuni ezibolileyo. Ezi spores ziqala ukukhula emiphungeni yakho. Ngamanye amaxesha, zinokusasazeka ziye kwezinye iindawo zomzimba wakho ngegazi lakho .

Kuye kwakho iingxelo zokuba umhlaba omninzi uvuthuzwa ngexesha leeprojekthi ezinkulu zokwakha okanye ukumba, nto leyo ebangele ukuba abantu abaninzi bosulelwe ngaxeshanye.

Eyona nto ibalulekileyo kukuba i-blastotomycosis ayisuleli. Oku kuthetha ukuba awunakuyifumana ngokuthetha, ukuxhawulana, okanye ukuba kufutshane nomntu onesifo.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na ohlala okanye ohamba kwiindawo apho iBlastomyces ixhaphake khona usemngciphekweni wokufumana esi sifo. Nangona kunjalo, kukho abanye abantu abasengozini enkulu kancinci. Makhe sijonge ukuba bangoobani:

• Ukuba umsebenzi wakho okanye into oyenzayo ibandakanya ukufuduka komhlaba okanye ukusebenza kufutshane nemilambo okanye amachibi :
• Abantu abasebenza kwicandelo lokwakha.
• Abantu abaya kuzingela (Ukuzingela).
• Ukuloba.
• Abantu baya kukhempisha.
• Abakhweli beentaba (Ukuhamba ngeenyawo).
• Kunqabile kakhulu ukuba kubekho iimeko apho oogqirha bezilwanyana baye basulelwa sisifo ngenaliti engcolileyo ngelixa benyanga isilwanyana esinesifo.

Kwakhona, abanye abantu basengozini enkulu yokufumana iingxaki okanye ukuba mandundu kwesi sifo ukuba banesi sifo. Nazi:

• Abantu abane-immune system ebuthathaka . Umzekelo, abantu abane-HIV okanye abo bathatha amayeza okunciphisa amajoni omzimba basengozini enkulu.
• Abantu abanezifo zemiphunga ezingapheliyo ezifana neCOPD (Chronic Obstructive Pulmonary Disease) .
• Abantu abangaphezu kweminyaka engama-50 ubudala .

Ziziphi iingxaki ezinokubakho ngenxa yesi sifo?

Iingxaki ezimbini eziphambili ze-blastotomycosis yi -acute respiratory distress syndrome (ARDS) kunye nokusasazeka kwe-fungus kwezinye iindawo zomzimba. Ukuqala emiphungeni, i-fungus ingahamba ngegazi kwaye ichaphazele amalungu anje ngala:

• Ulusu : Njengoko besitshilo ngaphambili, izilonda kunye namaqhuma esikhumba anokubakho.
• Amathambo : Usulelo lunokusasazeka luye emathanjeni, nto leyo ebangela iintlungu nokudumba.
• Inkqubo yemithambo-luvo ephakathi : Oku kuthetha ukuba ukuba isasazeka kwiindawo ezibalulekileyo ezifana nobuchopho kunye nomqolo, inokuba yingozi kakhulu.

Oogqirha bayixilonga njani le sifo? (Ukuxilongwa)

Ukuba ukrokrela ukuba une-blastotomycosis, ugqirha uza kukubuza ngeempawu zakho aze akuhlole. Emva koko, banokwenza uvavanyo olufana nolu ukuqinisekisa ukuba unesifo:

• Isampuli yegazi lakho, umchamo , okanye i-sputum (i-phlegm evela emiphungeni) ingathathwa.
• Ukuba unezilonda eluswini, iqhekeza elincinci lesicwili (i-biopsy) lingathathwa kwisicwili lize lithunyelwe ukuze livavanywe.

Ezi sampuli zithunyelwa kwilabhoratri kwaye zivavanyelwe oku kulandelayo:

• Ukuzama ukuhlakulela i-Blastomyces fungus : Le yeyona ndlela ilungileyo yokuqinisekisa isifo. Nangona kunjalo, oku kungathatha iiveki ezininzi, ngoko ugqirha wakho unokuqalisa unyango ngaphambi koko.
• Uvavanyo lobukho be-Blastomyces yeast: Itekhnoloji ye-PCR (Polymerase Chain Reaction) ingasetyenziselwa ukufumanisa ubukho be-DNA evela kule fungus kwisampuli yethishu okanye kulwelo lomzimba.
• Ungavavanya umzimba wakho ukuba awunazo ii-antibodies okanye ii-antigens kwi-Blastomyces fungus .

Ukongeza, ungenza i -X-ray yesifuba okanye i-CT scan (i-Computed Tomography scans) ukujonga imeko yemiphunga yakho.

Ucinga ukuba unesifo se-blastomycosis njani?

Iimpawu ze-blastotomycosis zinokufana kakhulu nezezinye izifo, ezifana ne -pneumonia . Ngoko ke ngamanye amaxesha kunokuba nzima ukuyiqonda. Nangona kunjalo, lumka ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba uneempawu ezinje ngomkhuhlane, ukukhohlela, kunye nobunzima bokuphefumla, kwaye awubi ngcono nangona usela amayeza okubulala iintsholongwane , okanye ukuba isigulo sakho sibonakala sisiba mandundu.
• Ukuba uhlala kwindawo apho i-Blastomyces fungus ixhaphake khona, okanye kutshanje uye waya kuloo ndawo .
• Ukuba umsebenzi wakho okanye into oyenzayo ibandakanya indawo enothuli nothuli .

Ukuba kukho into efana nale, kubaluleke kakhulu ukubona ugqirha uze umxelele ezi nkcukacha.

Luluphi unyango lwale nto?

Oogqirha banyanga i-blastotomycosis ngonyango lokubola . Amayeza amabini aphambili asetyenziswayo yi -amphotericin B (amB) kunye ne -itraconazole . Kwezinye iimeko ezinzima, ii-corticosteroids zinokunikwa ukunciphisa ukudumba emzimbeni.

Kwenzeka ntoni emva konyango? Kuthatha ixesha elingakanani ukuchacha?

Into ebalulekileyo kukuba iBlastomycosis ayisosifo esizithintelayo . Ngokuqinisekileyo kuya kufuneka uthathe amayeza okubola. Ngokwesiqhelo, kuya kufuneka uthathe la mayeza kangangeeveki ezimbalwa. Nangona kunjalo, kwezinye iimeko, kunokufuneka uthathe unyango unyaka okanye nangaphezulu . Amatyala anjalo aquka:

• Ukuba unesifo esinzima .
• Ukuba ifungus isasazeke ngaphaya kwemiphunga iye kwezinye iindawo zomzimba .
• Ukuba unesifo semiphunga esingapheliyo .
• Ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka .

Kungoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo kwaye uthathe amayeza ngexesha.

Lingakanani izinga lokusinda kwesi sifo?

Iindaba ezimnandi zezokuba ukuba unesifo se-blastomycosis,Uninzi lwabantu luyachacha lunethuba elingaphezulu kwama-90% lokuchacha. Nangona kunjalo, njengoko bekutshiwo ngaphambili, abantu abanesifo semiphunga esingapheliyo kunye nabo baneenkqubo zomzimba ezibuthathaka basengozini yokufumana iingxaki ezinzima nezisongela ubomi. Ke ngoko, kubaluleke kakhulu ukufumanisa isifo kwangethuba kwaye uqale unyango.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba iimpawu zomkhuhlane okanye umkhuhlane, ezinje ngomkhuhlane, ukukhohlela, kunye nobunzima bokuphefumla, aziphucuki emva kweveki , okanye ukuba ukugula kubonakala ngathi kuya kusiba mandundu ngokuhamba kwexesha .
• Ukuba ucinga ukuba ukhe wachaphazeleka yifungus ebangela i-blastomycosis ngenxa yomsebenzi wakho okanye izinto ozithandayo , okanye ukuba uye waya kwindawo apho le fungus ixhaphake khona , xelela ugqirha wakho .

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ngamanye amaxesha iimpawu zinokuba nzima kakhulu. Ukuba oku kuyenzeka, kuya kufuneka uye kwigumbi likaxakeka ngoko nangoko. Ezi mpawu zinzima ziquka:

• Umkhuhlane ophezulu kakhulu (ngaphezulu kwe-103 Fahrenheit/40 Celsius).
• Ubunzima obukhulu okanye obukhawulezileyo bokuphefumla .
• Iintlungu zesifuba .
• Ukukhohlela igazi .
• Ukudideka okanye olunye utshintsho lwengqondo .
• Iimpawu zesifo sokuwa (Ukuxhuzula) .
• Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu, imilebe, okanye iinzipho (i-cyanosis) .

Ukuba ubona into efana nale, ungalibazisi, yiya esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kunokuba luncedo ukubuza imibuzo efana nale:

• Ngaba ndisengozini enkulu yokufumana i-blastotomycosis enzima ?
• Ngaba kukho naziphi na iindlela zokuthintela ezinokuthi ndizithathe ukunciphisa umngcipheko we-blastomycosis?
• Ndingawasebenzisa njani amayeza am ?
• Zeziphi iimpawu ezinzima ekufuneka ndizixhalabele ?

Buza imibuzo efana nale uze ucime amathandabuzo akho.

Sizikhusela njani kwiBlastomycosis? (Ukuthintela)

Ukuba uhlala kwindawo apho iBlastomyces ixhaphakileyo khona, kunokuba nzima ukuyiphepha ngokupheleleyo le fungus. Nangona kunjalo, kukho izinto ezimbalwa onokuzenza ukunciphisa umngcipheko wakho:

• Kuphephe ukuxovula umhlaba nothuli oluninzi, ingakumbi kwiindawo ezikufutshane namanzi .
• Ukuba umsebenzi wakho okanye into oyenzayo ikubeka kwindawo enomhlaba onokuba neBlastomyces, nxiba imaski yokuphefumla efana neN95 (okanye iKN95) . Oku kuya kunceda ekuhluzeni umoya owuphefumlayo kwaye kunciphise ukungena kwe-fungus spores.

Ngaba i-Blastomyces fungus ingafumaneka ngaphakathi endlwini?

Ngokubanzi, amathuba okuba ne-Blastomyces fungus ngaphakathi ekhayeni lakho mancinci kakhulu. Ngaphandle kokuba unomhlaba kwiimpahla zakho ngaphandle, usemngciphekweni. Ngenxa yokuba le fungus ikhula kakuhle kwiinkuni ezibolileyo kunye nomhlaba omanzi, ayizukuphila emva kokuba uhlambe iimpahla zakho.

Okokugqibela, izinto ekufuneka uzikhumbule

Akukho nto ifana nokuphefumla umoya omtsha ngaphandle, akunjalo? Kodwa, njengathi, ezinye izidalwa ziyawuthanda umoya ongaphandle. Oko kuthetha ukuba iifungi ezifana neBlastomyces ngamanye amaxesha zinokukhula kwiindawo ezingezizo ezo, njengemiphunga yethu.

Eyona nto ingcono kukuba iBlastomycosis sisifo esinokunyangwa . Nangona kunjalo, ugqirha kufuneka akwazi ukusixilonga aze enze uvavanyo olufanelekileyo. Ngoko ke, ukuba ubukwindawo apho iBlastomyces inokuba khona kwaye uneempawu ezifana nomkhuhlane kunye nokubanda ixesha elingaphezulu kweveki, qiniseka ukuba uxelele ugqirha wakho. Ukuqala unyango kwangethuba kunokunceda ekuthinteleni ukusasazeka kwefungus kwaye kuthintele ukuba isifo singabi mandundu. Ngoko ke, lumka, qaphela!

I- Blastomycosis, i-Blastomycosis, usulelo lwefungus, isifo semiphunga, isifo solusu, ubunzima bokuphefumla, ukukhwehlela