Actinomycosis pulmonary

ʻO ka actinomycosis pulmonary kahi maʻi maʻi pūhaka nui ʻole ʻia e ka bacteria.

Hoʻokumu ʻia ka actinomycosis pulmonary e kekahi mau koʻohune i loaʻa maʻamau i ka waha a me nā ʻōpū o ka gastrointestinal. ʻAʻole hōʻeha pinepine ka bacteria. Akā ʻo ka hoʻomaʻemaʻe kahua niho maikaʻi ʻole a me ka abscess o ka niho hiki ke hoʻonui i kou makaʻu no nā maʻi lolo i hoʻokumu ʻia e kēia bacteria.

ʻO ka poʻe me nā pilikia olakino e hiki mai ana ke loaʻa i ka manawa kiʻekiʻe o ka hoʻomohala ʻana i ka maʻi.

• Hoʻohana rama
• Pākuʻi ma ka akemāmā (bronchiectasis)
• COPD

ʻAʻohe ka maʻi i ʻAmelika Hui Pū ʻIa. Hiki paha ia i kēlā me kēia makahiki, akā ʻike pinepine ʻia i ka poʻe 30 a 60 mau makahiki. Loaʻa pinepine ka maʻi o nā kāne ma mua o nā wahine.

Hele mālie ka maʻi. He mau pule a mau mahina paha kēia ma mua o ka hōʻoia ʻana o ka hōʻailona.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻEha o ka umauma ke hanu nui
• Cough with phlegm (sputum)
• Fiva
• Pokole o ka hanu
• Ka hoʻohaʻahaʻa kaumaha ʻole
• Lethargy
• ʻO ka sweats i ka pō (maʻamau)

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO Bronchoscopy me ka moʻomeheu
• Helu piha koko (CBC)
• Pākuʻi x-ray
• Scanner CT pahu
• ʻO Biopsy Lung
• Hoʻololi i ka hamo AFB o ka sputum
• Moʻomeheu Sputum
• Pākuʻi a me ka sputum Gram stain
• Thoracentesis me ka moʻomeheu
• Moʻo moʻomeheu

ʻO ka pahuhopu o ka mālama ʻana e hōʻola i ka maʻi. Lōʻihi paha ka manawa e ʻoi aku ka maikaʻi. I mea e hoʻōla ʻia ai, pono ʻoe e loaʻa i ka penicillin antibiotic ma o ke aa (intravenously) no 2 a 6 mau pule. A laila pono ʻoe e lawe i ka penicillin e ka waha no kahi wā lōʻihi. Pono kekahi poʻe i 18 mau mahina o ka mālama ʻana i nā lāʻau antibiotic.

Inā ʻaʻole hiki iā ʻoe ke lawe i ka penicillin, e kuhikuhi aku kāu mea hāʻawi i nā lāʻau ʻaloʻalo ʻē aʻe.

Pono paha ke ʻoki e hoʻokahe i ka wai mai nā akemāmā a kaohi i ka maʻi.

ʻOi aku ka maikaʻi o ka hapanui o ka poʻe ma hope o ka mālama ʻana me nā lāʻau antibiotic.

Komo pū nā pilikia:

• Holo ka lolo
• Ka luku ʻana i nā ʻāpana o nā akemāmā
• COPD
• Meningitis
• Osteomyelitis (iwi maʻiʻaʻai)

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka pulmonary actinomycosis
• E hele a maikaʻi ʻole kāu mau ʻōuli a hoʻomaikaʻi ʻole paha me ka lāʻau
• Hoʻokumu ʻoe i nā ʻōuli hou
• Loaʻa ʻoe i ke kuni o 101 ° F (38.3 ° C) a ʻoi paha

Hiki i ke olakino niho maikaʻi ke kōkua i ka hōʻemi ʻana i kou makaʻi no ka actinomycosis.

Actinomycosis - pulmonary; ʻO Actinomycosis - thoracic

• ʻŌnaehana hanu
• Pākuʻi Gram o ka biopsyʻaʻaʻa

Brook I. Actinomycosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 313.

Russo TA. Nā Agena o ka actinomycosis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 254.