Histoplasmosis - pulmonary huʻi (mua)

ʻO ka histoplasmosis pulmonary ākea kahi maʻi maʻi hanu e hopena ʻia e ka hanu ʻana i nā spores o ka fungus Histoplasma capsulatum.

Histoplasma capsulatumʻo ia ka inoa o ka fungus e kumu i ka histoplasmosis. Loaʻa ia ma ke kikowaena a me ka hikina o ʻAmelika Hui Pū ʻIa, hikina ʻo Kanada, Mekiko, ʻAmelika Waena, ʻAmelika Hema, ʻApelika, a me ʻAsia Hikina Hema. ʻIke ʻia ia i ka lepo ma nā awāwa. Loaʻa i loko o ka lepo ka hapanui mai ka lepo manu a me nā ʻōpeʻapeʻa.

Hiki iā ʻoe ke maʻi ke hanu ʻoe i nā spores a ka fungus e hana ai. I kēlā me kēia makahiki, he maʻi nā tausani o ka poʻe me ka ʻōnaehana paleʻea maʻamau ma ka honua holoʻokoʻa, akā ʻaʻole maʻi ka hapanui. ʻAʻohe o ka hapanui o nā hōʻailona a i ʻole loaʻa wale i kahi maʻi flu-like me ka maʻi a hoʻōla me ka ʻole o kahi lapaʻau.

Hiki paha i ka histoplasmosis pulmonary huehue ke ʻano he maʻi ahulau, me nā poʻe he nui i kahi ʻāina e lilo i maʻi i ka manawa like. ʻO ka poʻe me nā ʻōnaehana pale nawaliwali (ʻike i ka paukū Symptoms ma lalo) e hiki ke:

• E hoʻomohala i ka maʻi inā hōʻike ʻia i nā spore fungus
• E hoʻi ka maʻi
• Loaʻa nā ʻōuli he nui aku, a me nā hōʻailona koʻikoʻi ʻoi aku, ma mua o nā poʻe ʻē aʻe i loaʻa i ka maʻi

ʻO nā mea pilikia e pili ana i ka huakaʻi ʻana a i ʻole ka noho ʻana ma ke kikowaena a i ʻole ka hikina o ʻAmelika Hui Pū ʻIa e kokoke ana i nā awāwa ʻo Ohio a me Misisipi, a e hōʻike ʻia i nā pulu manu a me nā opeapea. ʻOi aku ka nui o kēia hoʻoweliweli ma hope o ka wāwahi ʻia ʻana o kahi hale kahiko a hele nā ​​spores i ka lewa, a i ʻole ke ʻimi ʻana i nā ana.

ʻO ka hapa nui o ka poʻe me ka histoplasmosis pulmonary koʻikoʻi ʻaʻohe o lākou hōʻailona a i ʻole nā ​​ʻōuli mālie wale nō. ʻO nā ʻōuli maʻamau ka:

• ʻEha ʻeha
• ʻO Chills
• Cough
• Fiva
• ʻEha hui a ʻāʻī
• ʻEha ka ʻili a me ka ʻoʻoleʻa
• Rash (ʻo ka maʻamau ka ʻeha liʻiliʻi ma nā wāwae lalo)
• Pokole o ka hanu

Hiki i ka histoplasmosis pulmonary koʻikoʻi ke lilo i maʻi nui i nā ʻōpio, nā poʻe mākua, a me nā poʻe me ka ʻōnaehana nāwaliwali, e like me ka poʻe:

• Loaʻa iā HIV / AIDS
• Loaʻa i ka iwi iwi a i ʻole ke koli ʻana o nā meaola
• E lawe i nā lāʻau e kāohi i kā lākou ʻōnaehana pale

Pākuʻi ʻia paha nā ʻōuli i kēia mau poʻe:

• ʻO ka huhū a puni ka puʻuwai (i kapa ʻia he pericarditis)
• Nā maʻi maʻi nui
• ʻEha puʻupuʻu

E hōʻoia i ka histoplasmosis, pono ʻoe i ka fungus a i ʻole nā ​​hōʻailona o ka fungus i kou kino. A i ʻole e hōʻike kāu ʻōnaehana pale pale i ka haʻalulu.

Loaʻa i nā hoʻāʻo:

• Nā hōʻailona Antibody no histoplasmosis
• ʻO Biopsy o ka pūnaewele maʻi
• Bronchoscopy (hana mau ʻia inā koʻikoʻi nā ʻōuli a loaʻa paha iā ʻoe kahi ʻōnaehana pale maʻi maʻamau)
• Helu piha ke koko (CBC) me ka ʻokoʻa
• Scanner CT pahu
• Chest x-ray (e hōʻike paha i ka maʻi maʻi a i ʻole ka maʻi ʻaʻai.
• ʻO ka moʻomeheu Sputum (ʻaʻole hōʻike pinepine kēia hōʻike i ka fungus, ʻoiai inā maʻi ʻoe)
• Hōʻike mimi no Histoplasma capsulatum antigen

ʻO ka hapa nui o nā hihia o ka histoplasmosis e hoʻomaʻemaʻe me ka ʻole o kahi lapaʻau kūikawā. Kūkā ʻia ka poʻe e hoʻomaha a lawe i ka lāʻau e kaohi ai i ka fiva.

Hiki i kāu kauka olakino ke kuhikuhi i ka lāʻau inā maʻi ʻoe no nā pule he 4 a ʻoi paha, loaʻa kahi ʻōnaehana nāwaliwali nāwaliwali, a i ʻole nā ​​pilikia hanu.

Ke paʻakikī a hele a maikaʻi ʻole paha ka maʻi maʻi histoplasmosis, hiki i ka maʻi ke hala i mau mahina. ʻOiai ʻo ia, ʻaʻole make iki.

Hiki ke hōʻeha ka maʻi i ka manawa a lilo i maʻi lōʻihi (maʻi mau) (ʻaʻole hele aku).

Hiki i ka Histoplasmosis ke pālahalaha i nā lālā ʻē aʻe ma o ke kahe o ke koko (hoʻolaha). ʻIke pinepine ʻia kēia i nā pēpē, nā keiki ʻōpio, a me nā poʻe me kahi ʻōnaehana pale i kāohi ʻia.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka histoplasmosis, keu hoʻi inā loaʻa ʻoe i kahi ʻōnaehana nāwaliwali ai ʻole i hōʻike koke ʻia i ka lepo manu a i ʻole nā ​​ʻōpeʻapeʻa
• Mālama ʻia ʻoe no ka histoplasmosis a hoʻomohala i nā ʻōuli hou

Hōʻalo i ka pili me nā manu a i ʻole nā ​​peʻa ʻōpeʻapeʻa inā ʻoe ma kahi kahi e maʻa mau ai ka spore, keu hoʻi inā he nāwaliwali nāwaliwali.

• Histoplasmosis huikau
• Fungus

ʻO Deepe GS. Histoplasma capsulatum (histoplasmosis). 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 263.

Kauffman CA, Galgiani JN, Thompson GR. Mycoses Endemik. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 316.