Blastomycosis

Blastomycosis ke tšoaetso e bakoang ke ho hema ka har'a Blastomyces dermatitidis fungus. Fungus e fumanoa lehong le bolang.

U ka fumana blastomycosis ka ho kopana le mobu o mongobo, hangata moo ho nang le patsi le makhasi a bolileng. Fungus e kena 'meleng ka matšoafo, moo tšoaetso e qalang teng. Fungus e ka fetela likarolong tse ling tsa 'mele. Lefu lena le ka ama letlalo, masapo le manonyeletso le libaka tse ling.

Blastomycosis ha e fumanehe hangata. E fumaneha bohareng le boroa-bochabela ho United States, le Canada, India, Israel, Saudi Arabia le Afrika.

Lebaka le ka sehloohong la kotsi ea lefu lena ke ho ikopanya le mobu o tšoaelitsoeng. Hangata e ama batho ba nang le boits'ireletso ba mmele bo fokolang, joalo ka ba nang le HIV / AIDS kapa ba kileng ba fuoa setho, empa e ka tšoaetsa batho ba phetseng hantle. Ho ka etsahala hore banna ba amehe ho feta basali.

Tšoaetso ea matšoafo e kanna ea se ke ea baka matšoao. Matšoao a ka bonahala haeba tšoaetso e ata. Matšoao a ka kenyelletsa:

• Bohloko bo kopaneng
• Bohloko ba sefuba
• Khohlela (e ka hlahisa mamina a sootho kapa a mali)
• Mokhathala
• Ho fufuleloa ke feberu le bosiu
• Ho se utloise bohloko ka kakaretso, ho se ts'oenyehe kapa ho kula (malaise)
• Bohloko ba mesifa
• Ho theola boima ba 'mele ka boomo

Batho ba bangata ba ba le matšoao a letlalo ha tšoaetso e ata. U ka fumana li-papules, li-pustule kapa li-nodule libakeng tse pepesitsoeng tsa 'mele.

Li-pustules:

• E ka shebahala joalo ka li-warts kapa liso
• Hangata ha li utloise bohloko
• Fapana ka 'mala ho tloha bohlooho ho ea bopherese
• E kanna ea hlaha ka nko le molomo
• Ho tsoa mali habonolo mme o theha lisosa

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. U tla botsoa ka nalane ea hau ea bongaka le matšoao.

Haeba mofani a belaela hore o na le ts'oaetso ea fungal, tlhahlobo e ka netefatsoa ke liteko tsena:

• Sekena sa CT
• X-ray sefubeng
• Letlalo biopsy
• Setso le tlhahlobo ea sekhohlela
• Ho bonoa ha antigen ea Urinary
• Biopsy ea lisele le setso
• Tloaelo ea moroto

Mohlomong ha ho hlokahale hore u noe moriana bakeng sa tšoaetso e bonolo ea blastomycosis e lulang matšoafong. Mofani oa thepa a ka khothaletsa litlhare tse latelang tse thibelang mafu ha lefu le le matla kapa le hasana kantle ho matšoafo.

• Fluconazole
• Itraconazole
• Ketoconazole

Amphotericin B e ka sebelisoa bakeng sa tšoaetso e matla.

Latela mofani oa hau khafetsa ho netefatsa hore ts'oaetso ha e khutle.

Batho ba nang le liso tse nyenyane tsa letlalo (liso) le tšoaetso e bonolo ea matšoafo hangata ba fola ka ho felletseng. Tšoaetso e ka lebisa lefung haeba e sa phekoloe.

Mathata a blastomycosis a kenyeletsa:

• Liso tse kholo tse nang le boladu (mathopa)
• Liso tsa letlalo li ka lebisa ho hlatsoeng le ho lahleheloa ke 'mala oa letlalo (pigment)
• Ho khutla ha ts'oaetso (ho khutlela morao kapa ho pheta-pheta ha mafu)
• Litla-morao tsa lithethefatsi tse kang amphotericin B

Bitsa mofani oa hau haeba u na le matšoao a blastomycosis.

Ho qoba ho etela libakeng tseo tšoaetso e tsejoang hore e tla ba teng ho ka thusa ho thibela ho pepesehela fungus, empa sena se kanna sa se khonehe kamehla.

Blastomycosis ea Amerika Leboea; Lefu la Gilchrist

• Ho khaoloa leoto - ho tsoa

• Li-fungus
• Biopsy ea matšoafo
• Osteomyelitis

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Mafu a fungal. Ka: Bolognia JL, Schaffer JV, Cerroni L, bahlophisi. Dermatology. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 77.

Gauthier GM, Klein, BS. Blastomycosis. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 264.

Kauffman CA, Galagiani JN, Thompson GR. Li-mycoses tse tloaelehileng. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 316.