Sengoli: Roger Morrison
Letsatsi La Creation: 25 September 2021
Ntlafatsa Letsatsi: 1 November 2024
Anonim
Matšoao a Paracoccidioidomycosis le kalafo e joang - Bophelo
Matšoao a Paracoccidioidomycosis le kalafo e joang - Bophelo

Litaba

Paracoccidioidomycosis ke tšoaetso e bakoang ke fungus Paracoccidioides brasiliensis, eo hangata e leng teng mobung le merohong, mme e ka ama likarolo tse fapaneng tsa 'mele, joalo ka matšoafo, molomo,' metso, letlalo kapa lisele tsa mmele.

Ts'oaetso ena eo hape e bitsoang blastomycosis ea Amerika Boroa, e fumanoa ka ho hema 'me e atile haholo libakeng tsa tropike, e baka matšoao a kang ho hloka takatso ea lijo, ho fokotsa boima ba' mele, ho khohlela, feberu, ho hlohlona, ​​liso tsa molomo le ponahalo ea metsi. E ka hlaha ka litsela tse 2:

  • Foromo ea bocha: khafetsa ho bana le bacha ba lilemo li 10 ho isa ho 20, tse atisang ho hlaha hantle haholo, kamora libeke tse 'maloa tsa tšoaetso;
  • Sebopeho sa batho ba baholo: hangata e ama batho ba pakeng tsa lilemo tse 30 ho isa ho tse 50, haholo banna ba sebetsang libakeng tsa mahaeng, joalo ka lihoai, le batho ba tsubang, ba noang lino tse tahang kapa ba sa fepehang hantle, e leng mofuta o sa foleng ho feta, o fetohang ho feta likhoeli ho isa ho lilemo kamora ho tšoaetsoa.

Kamora ho netefatsa tlhahlobo, ka liteko tsa mali le biopsy, ngaka e ka tataisa kalafo ka li-antifungals, tse kang Fluconazole, Ketoconazole, Itraconazole kapa Amphotericin, mohlala.


Phetiso e etsahala joang

Paracoccidioidomycosis e tšoaroa ha e hema, ka ho hema ha likaroloana tse tsoang ho Paracoccidioides brasiliensis. Fungus ena e lula mobung oa masimo, ka hona ho tloaelehile ho ama baahi ba libaka tsa mahaeng, lihoai le lihoai, ka mohlala, hobane motho a ka hula fungus hammoho le lerōle la lefats'e.

Hang ha e kentsoe matšoafong, li-fungus tsa paracoccidioidomycosis li baka lefu lena ka litsela tse fapaneng tse 2:

  1. Jala mali le phallo ea lymphatic ho litho tse ling tsa 'mele, joalo ka letlalo, li-lymph node, sebete, spleen, letlalo le boko, OR
  2. Ho khutsa, morao tjena, ka har'a liso tse bakiloeng ke matšoafo ka lilemo tse ngata, ho fihlela lefu lena le hlaha, haholo nakong ea maemo a fokolang a ts'ireletso ea mmele, joalo ka khaello ea phepo e nepahetseng, bokhoba ba tahi, ts'ebeliso ea lithethefatsi tse itšireletsang mafung kapa tšoaetso ea HIV.

Tsela ea bobeli ke e atisang ho ba teng hobane, ka kakaretso, ho tloaelehile haholo ho silafatsoa ke fungus leha e le ngoana kapa mocha, leha ho le joalo, hangata matšoao a hlaha ha a se a le moholo.


Ho bohlokoa ho hopola hore paracoccidioidomycosis ha e fetisoe ho tloha ho motho e mong ho ea ho e mong, leha e le ka ho kopana ka kotloloho kapa ka ho arolelana lintho tsa hau. Hape hlahloba mafu a mang a bakoang ke li-fungus tse jalang 'meleng oohle, joalo ka Histoplasmosis kapa Blastomycosis.

Matšoao a mantlha

Paracoccidioidomycosis e ka hlahisa mefuta e mengata ea matšoao le matšoao, a fapaneng ho latela litšobotsi tsa botho tse kang lilemo, boemo ba bophelo bo botle, boits'ireletso ba mmele esita le liphatsa tsa lefutso. Matšoao a mantlha a kenyelletsa:

  • Ho felloa ke takatso ea lijo le ho fokola;
  • Pallor;
  • Ho otlanya;
  • Feberu;
  • Phefumoloho e khutšoanyane le khohlela, e ka bang le mali kapa ntle le mali;
  • Liso letlalong kapa manong, haholo-holo sefahlehong, molomong, molomong, mareneneng, tse bakang mathata a ho hlafuna le ho metsa;
  • Ho hlaha ha maleme ka ho holisa li-lymph node, tse bitsoang hape ho holisa lymph node;
  • Ho holisa sebete sa spleen.

Maemong a boima ka ho fetesisa, lefu lena le ka fihla le ho litho tse kang boko, mala, masapo kapa liphio, mohlala.


Mokhoa oa ho netefatsa

Bakeng sa tlhahlobo ea paracoccidioidomycosis, ngaka e tla etsa tlhahlobo ea bongaka, tlhahlobo ea 'mele, mme e ka laela liteko tse kang sefuba sa X-ray, palo ea mali, litekanyo tsa ho ruruha le ho lekola mesebetsi ea liphio le sebete.

Netefatso e entsoe haholoholo ho tsoa ho khethollo ea fungus ho biopsy ea lesion, leha ho le joalo, liteko tse ling tsa bohlokoa li kenyelletsa pokello ea sekhohlela, aspirate ea pulmonary, ho hlakola liso kapa setso sa fungus.

Ntle le moo, ho boetse ho na le liteko tsa mali tse nang le bokhoni ba ho khetholla lithibela-mafu khahlanong le fungus, tse ka thusang ho tseba le ho lekola kalafo ea lefu lena.

Mefuta ea kalafo

Kalafo ea paracoccidioidomycosis e tataisoa ke ngaka ea mafu a tšoaetsanoang, e sebelisa likokoana-hloko tse kang Itraconazole, Fluconazole, Ketoconazole kapa Voriconazole.

Kalafo e ka etsoa hae, ka ts'ebeliso ea lipilisi mme e ka nka likhoeli ho isa ho lilemo. Maemong a boima ka ho fetisisa, moo ho nang le bofokoli bo boholo kapa ho holofala ho matla ha matšoafo le litho tse ling, ho kena sepetlele le ts'ebeliso ea meriana e matla mothapong, joalo ka Amphotericin le Rifampicin, ho ka hlokahala.

Ho bonts'oa hape ho qoba ho tsuba, lino tse tahang, le ho phekola likokoana-hloko tsa mala, tse tloaelehileng ho bakuli bana.

Mokhoa oa ho thibela

Joalokaha Paracoccidioides brasiliensis e phela mobung le tikolohong, ho thata ho theha mefuta ea thibelo, leha ho le joalo, tlhokomelo e 'ngoe ea khothaletsoa, ​​haholo bakeng sa batho ba sebetsang libakeng tsa mahaeng, joalo ka ho ela hloko bohloeki ba' mele, ho hlapa matsoho kamehla le ho hlapa qetellong ea letsatsi, ntle le ho lula u apere lisebelisoa tse loketseng tsa ts'ireletso ea botho, ka liaparo tse loketseng, litlelafo, mask le lieta.

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