Pulmonary nocardiosis

Pulmonary nocardiosis kahi maʻi o ka māmā me ka bacteria, Nocardia asteroides.

Hoʻoulu ka maʻi Nocardia ke hanu ʻoe i (inhale) o ka bacteria. Hoʻokumu ka maʻi i nā ʻōuli e like me ka pulumonia. Hiki ke pālahalaha ka maʻi i nā ʻāpana o ke kino.

ʻO ka poʻe me ka ʻōnaehana pale maʻi nāwaliwali i ka maʻi nui no ka maʻi maʻi nokardia. Hoʻopili kēia i ka poʻe i loaʻa:

• Ke lawe nei i nā steroid a i ʻole nā ​​lāʻau ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale maʻi no ka manawa lōʻihi
• Maʻi ʻo Cushing
• Kahi hoʻoliʻiliʻi meaola
• HIV / AIDS
• Lymphoma

ʻO nā kānaka ʻē aʻe i ka makaʻu pū me nā pilikia o ka maʻi wā lōʻihi (mau) e pili ana i ka puhipaka, emfysema, a me ka maʻi kō.

Hoʻopili ka nui o ka pulmonary nocardiosis i nā akemāmā. Akā, hiki ke pālahalaha aku i nā meaola ʻē aʻe i ke kino. Pili pū nā ʻōuli maʻamau:

KINO KALOA

• Fever (hele mai a hele)
• ʻO ka manaʻo maʻi maʻamau (malaise)
• Hoʻoulu ka pō

ʻSTLELO GASTROINTESTINAL

• Nusea
• ʻO ka ake a me ka pehu (hepatosplenomegaly)
• Loaʻa ka ʻai ʻole
• Ka hoʻohaʻahaʻa kaumaha ʻole
• ʻO ka luaʻi

NUI NA ALOHA A ME NA ALANUI

• Pilikia hanu
• ʻAʻole ʻeha ka umauma ma muli o nā pilikia o ka puʻuwai
• ʻApu ʻana i ke koko a i ʻole ka mucus
• Hanu wikiwiki
• Pokole o ka hanu

MUSCLES A HUI

• ʻEha hui

ʻERLĀ NERVOUS

• Hoʻololi i ke kūlana noʻonoʻo
• Huikau
• Puʻupuʻu
• ʻEha poʻo
• Ka hopu ʻana i nā maʻi
• Nā hoʻololi i ka hihiʻo

ʻIli

• Nā huehue o ka ʻili a i ʻole nā ​​puʻupuʻu
• ʻEha ʻili (abscesses)
• Nā pehu lymph pehu

E nānā kāu mea mālama ola iā ʻoe a hoʻolohe i kāu mau māmā me ka hoʻohana ʻana i kahi stethoscope. Loaʻa paha iā ʻoe nā kani māmā ʻole, i kapa ʻia nā crackles. ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka lavage Bronchoalveolar - hoʻouna ʻia ka wai no ka stain a me ka moʻomeheu, i lawe ʻia e bronchoscopy
• Pākuʻi x-ray
• CT a MRI scan o ka umauma
• ʻO ka moʻomeheu Pleural fluid a me nā stain
• Pākuʻi Sputum a me ka moʻomeheu

ʻO ka pahuhopu o ka mālama ʻana ka mālama ʻana i ka maʻi. Hoʻohana ʻia nā lāʻau antibiotic, akā lōʻihi paha ka manawa e hoʻomaikaʻi ai. E haʻi aku kāu mea lawelawe iā ʻoe i ka lōʻihi e pono ai ʻoe e lawe i nā lāʻau. No hoʻokahi makahiki paha kēia.

Pono paha ke ʻoki e wehe a hoʻokahe i nā wahi i loaʻa i ka maʻi.

E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e hoʻonāwaliwali ai i kou ʻōnaehana pale maʻi. Mai hōʻoki i ka lawe ʻana i ka lāʻau i mua o ke kamaʻilio mua ʻana i kāu mea hāʻawi.

Maikaʻi pinepine ka hopena ke ʻike ʻia ke ʻano a mālama koke ʻia.

Maikaʻi ka hopena ke loaʻa ka maʻi:

• Pāhola i waho o ka akemāmā.
• Lohi ka hana.
• He maʻi nui ko ke kanaka e alakaʻi ai i ʻole ka koi ʻana i ka hoʻopau lōʻihi o ka ʻōnaehana pale.

Komo pū kekahi nā pilikia o ka pulusary nocardiosis:

• Holo nā lolo
• Nā maʻi ʻili
• Nā maʻi kīnā

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia maʻi. ʻO ka hōʻailona mua a me ka mālama ʻana e hoʻomaikaʻi paha i ka manawa o kahi hopena maikaʻi.

E akahele i ka hoʻohana ʻana i nā corticosteroids. E hoʻohana liʻiliʻi i kēia mau lāʻau, i nā mahele lāʻau haahaa a me nā wā pōkole loa e hiki ai.

Pono paha kekahi poʻe me ka ʻōnaehana pale nawaliwali e lawe i nā lāʻau ʻalopika no nā manawa lōʻihi e pale ai i ka hoʻi ʻana o ka maʻi.

Nocardiosis - pulmonary; Mycetoma; Nocardia

• ʻŌnaehana hanu

Southwick FS. Nocardiosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 314.

ʻO Torres A, Menéndez R, Wunderink RG. ʻO ka maʻi pneumonia bacterial a me ka abscess I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 33.