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.