Pneumocystis jiroveci serame sa matšoafo

Pneumocystis jiroveci pneumonia ke tšoaetso ea fungal ea matšoafo. Lefu lena le ne le bitsoa Pneumocystis carini kapa pneumonia ea PCP.

Mofuta ona oa pneumonia o bakoa ke fungus Pneumocystis jiroveci. Fungus ena e tloaelehile tikolohong mme ke ka seoelo e bakang bokuli ho batho ba phetseng hantle.

Leha ho le joalo, e ka baka tšoaetso ea matšoafo ho batho ba nang le sesole sa 'mele se fokolang ka lebaka la:

• Kankere
• Tšebeliso ea nako e telele ea li-corticosteroids kapa meriana e meng e fokolisang sesole sa 'mele
• HIV / AIDS
• Ho kenyelletsa 'mele kapa' mele oa masapo

Pneumocystis jiroveci e ne e le tšoaetso e sa tloaelehang pele ho seoa sa AIDS. Pele ho sebelisoa lithibela-mafu tse thibelang boemo bona, batho ba bangata ba United States ba nang le AIDS e tsoetseng pele hangata ba ile ba ba le ts'oaetso ena.

Pneumocystis pneumonia ho batho ba nang le AIDS hangata e hola butle ho feta matsatsi ho isa ho libeke kapa likhoeli, mme ha e na matla. Batho ba nang le pneumonia ea pneumonia ba se nang AIDS hangata ba kula kapele mme ba kula haholo.

Matšoao a kenyelletsa:

• Khohlela, hangata e bonolo ebile e omme
• Feberu
• Ho hema ka potlako
• Phefumoloho e khuts'oane, haholoholo ka ts'ebetso (boiteko)

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba ebe o botsa matšoao a hau.

Liteko tse ka laeloang li kenyelletsa:

• Likhase tsa mali
• Bronchoscopy (ka ho hlatsoa)
• Biopsy ea matšoafo
• X-ray ea sefuba
• Ho hlahloba sekhohlela ho hlahloba fungus e bakang tšoaetso
• CBC
• Beta-1,3 boemo ba glucan maling

Meriana e thibelang tšoaetso e ka fanoa ka molomo (ka molomo) kapa ka methapo (ka methapo), ho latela hore na lefu le matla hakae.

Batho ba nang le maemo a tlase a oksijene le mafu a itekanetseng ho isa ho a matla hangata le bona ba fuoa corticosteroids.

Pneumocystis pneumonia e ka beha bophelo kotsing. E ka baka ho hloleha ho hema ho ka lebisang lefung. Batho ba nang le boemo bona ba hloka kalafo ea kapele le e sebetsang. Bakeng sa pneumonia e itekanetseng ho isa ho e matla ho batho ba nang le HIV / AIDS, ts'ebeliso ea nakoana ea corticosteroids e fokolitse maemo a lefu.

Mathata a ka hlahang a kenyelletsa:

• Pleural effusion (e sa tloaelehang haholo)
• Pneumothorax (matšoafo a oeleng)
• Ho hloleha ho phefumoloha (ho ka hloka ts'ehetso ea ho hema)

Haeba o na le boits'ireletso ba mmele bo fokolang ka lebaka la AIDS, mofets'e, ho kenya 'mele, kapa ts'ebeliso ea corticosteroid, letsetsa mofani oa hau haeba o ba le sefuba, feberu kapa phefumoloho e fokolang.

Phekolo e thibelang e khothalletsoa bakeng sa:

• Batho ba nang le HIV / AIDS ba nang le palo ea CD4 e ka tlase ho lisele tse 200 / microliter kapa lisele tse 200 / cubic millimeter
• Batho ba amohelang masapo a masapo
• Baamoheli ba ho fetisetsa 'mele
• Batho ba nkang li-corticosteroids tsa nako e telele le tse phahameng
• Batho ba bileng le liketsahalo tsa pejana tsa tšoaetso ena
• Batho ba nkang lithethefatsi tsa nako e telele tsa ho itšireletsa mafung

Pneumonia ea matšoafo; Pneumocystosis; PCP; Pneumocystis carinii; Pneumonia ea PJP

• Pneumonia ho batho ba baholo - ho tsoa

• Matšoafo
• AIDS
• Pneumocystosis

Kovacs JA. Pneumonia ea pneumonia. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 321.

Miller RF Walzer PD, Smulian AG. Mefuta ea pneumocystis. 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 269.