Blastomycosis

He maʻi ʻo Blastomycosis e ka hanu ʻana i loko o ka Blastomyces dermatitidis ʻalalā. ʻIke ʻia ka fungus i ka lāʻau popopo a me ka lepo.

Hiki iā ʻoe ke kiʻi blastomycosis ma ka hoʻopili ʻana me ka lepo momona, ʻo ka mea maʻamau kahi e popo ana ka lāʻau a me nā lau. Komo ka fungus i ke kino ma o nā māmā, kahi e hoʻomaka ai ka maʻi. Hiki i ka fungus ke pālahalaha i nā ʻāpana ʻē aʻe o ke kino. Hoʻopili paha ka maʻi i ka ʻili, nā iwi a me nā hono, a me nā wahi ʻē aʻe.

Kākaʻikahi ka Blastomycosis. Loaʻa ia ma ke kikowaena a me ka hema hikina o ʻAmelika Hui Pū ʻIa, a ma Kanada, India, Israel, Saudi Arabia a me ʻApelika.

ʻO ke kumu pilikia nui no ka maʻi ka hoʻopili ʻana me ka lepo i loaʻa i ka maʻi. Hoʻololi pinepine ia i ka poʻe me nā ʻōnaehana pale nawaliwali, e like me nā poʻe me ka maʻi HIV / AIDS a i ʻole he transplant ʻōnaehana, akā hiki nō ke maʻi i nā kānaka olakino. ʻOi aku ka hopena o nā kāne ma mua o ka wahine.

ʻAʻole hiki i ka maʻi lepa ke hana i kekahi ʻōuli. ʻIke ʻia nā ʻōuli inā hoʻolaha ka maʻi. Pākuʻi ʻia paha nā ʻōuli:

• ʻEha hui
• ʻEha ʻeha
• Cough (hiki ke hana i nā mucus brown a koko paha)
• Ka luhi
• ʻO ka wela a me ka hou ka pō
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• ʻEha ʻeha
• Ka hoʻohaʻahaʻa kaumaha ʻole

Hoʻonui ka hapa nui o ka poʻe i nā ʻōuli o ka ʻili ke hoʻolaha ka maʻi. Loaʻa paha iā ʻoe nā papule, nā pustule, a i ʻole nā ​​nodule ma nā wahi o ke kino i hōʻike ʻia.

Nā pustules:

• E like paha me nā warts a me nā ulcer
• ʻAʻohe mea ʻeha
• Loli ke kala mai ka hina a i ka viola
• Hiki paha i ka ihu a me ka waha
• Māmā maʻalahi a hana i nā ulcer

E hana ka mea mālama ola i kahi hoʻokolokolo kino. E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala olakino a me nā hōʻailona.

Inā manaʻo ka mea hāʻawi he maʻi fungal kāu, hiki ke hōʻoia ʻia e kēia mau hoʻāʻo.

• Scanner CT pahu
• Pākuʻi x-ray
• ʻ biiwi lāʻau
• ʻO ka moʻomeheu Sputum a me ka hoʻokolokolo
• ʻImi antigen urinary
• ʻO ka biopsy a me ka moʻomeheu
• Moʻomeheu mimi

ʻAʻole paha ʻoe e pono e lawe i ka lāʻau no kahi maʻi blastomycosis mālie e noho mau i nā akemāmā. Hiki i ka mea hāʻawi ke koi i kēia mau lāʻau antifungal i ka wā he maʻi nui a pāhola paha i waho o nā akemāmā.

• ʻO Fluconazole
• ʻItraconazole
• Ketoconazole

Hoʻohana ʻia ʻo Amphotericin B no nā maʻi ʻino loa.

E hāhai mau me kāu mea hoʻolako e hōʻoia i ka hoʻi ʻole o ka maʻi.

ʻO nā kānaka me nā ʻili ʻili liʻiliʻi (lesions) a me nā maʻi lolo akahai e hoʻi hou loa. Hiki i ka maʻi ke alakaʻi i ka make inā ʻaʻole mālama ʻia.

Komo pū kekahi nā pilikia o ka blastomycosis:

• ʻO nā ʻeha nui me ka nū (abscesses)
• Hiki i nā ʻeha ʻili ke alakaʻi i ka scarring a me ka nalo ʻana o ke kala o ka ʻili (pigment)
• Ka hoʻi ʻana o ka maʻi (recurrence a i ʻole ka maʻi hou ʻana)
• Nā hopena ʻaoʻao mai nā lāʻau e like me amphotericin B

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o blastomycosis.

ʻO ka pale ʻana i ka huakaʻi i nā wahi kahi i ʻike ʻia ai ka maʻi e hiki ke kōkua i ka pale ʻana i ka haʻalulu, akā ʻaʻole hiki ke hiki i kēia.

Blastomycosis ʻAmelika Hema; Maʻi Gilchrist

• Hoʻokiʻoki wāwae - hoʻokuʻu

• Fungus
• ʻO ka biopsy o ka pūpū
• Osteomyelitis

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Nā maʻi fungal. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 77.

ʻO Gauthier GM, Klein BS. Blastomycosis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. 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 264.

Kauffman CA, Galagiani 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.