Fungal arthritis

ʻO Fungal arthritis ka pehu a me ka ukiuki (hoʻāhu) o kahi ami e kahi maʻi fungal. Kapa ʻia ia hoʻi ʻo ka mycotic arthritis.

ʻO ka maʻi fungal kahi ʻano maʻamau. Hiki ke kumu ʻia e kekahi o nā ʻano invasive o fungi. Hiki ke hopena i ka maʻi mai kahi maʻi i loko o kahi meaola ʻē aʻe, e like me ka māmā a hele i kahi hui ma o ke kahe o ke koko. Hiki i kekahi hui ke lilo i maʻi i ka wā o ke ʻoki. ʻO ka poʻe me nā ʻōnaehana pale nawaliwali e huakaʻi a noho paha i nā wahi i maʻa mau nā fungi, ʻoi aku ka maʻalahi o ka hapa nui o nā maʻi fungal.

Nā kūlana i hiki ke kumu i nā maʻi fungus e komo pū:

• Blastomycosis
• ʻO Candidiasis
• ʻO Coccidioidomycosis
• Cryptococcosis
• Histoplasmosis
• Sporotrichosis
• Exserohilum rostratum (mai ka hoʻopili ʻana me nā ipu steroid i hoʻohaumia ʻia)

Hiki i ka fungus ke hoʻopili i ka iwi a i ʻole ka hui pū. Hiki ke hoʻopili ʻia hoʻokahi a ʻoi paha o nā hono, pinepine ka nui, nā ami kaumaha, e like me nā kuli.

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

• Fiva
• ʻEha hui
• ʻOʻoleʻa hui
• Huʻi hui
• ʻO ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae

E nānā kāu mea mālama ola iā ʻoe.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• ʻO ka hemo ʻana o ka wai hui e nānā no ka fungus ma lalo o kahi microscope
• ʻO ka moʻomeheu o ka wai hui e nānā no ka fungus
• Hoʻohui x-ray e hōʻike ana i nā loli hui
• ʻO ka hoʻāʻo antibody maikaʻi (serology) no ka maʻi fungus
• ʻO ka biopsy Synovial e hōʻike ana i ka fungus

ʻO ka pahuhopu o ka mālama ʻana e hoʻōla i ka maʻi me ka hoʻohana ʻana i nā lāʻau antifungal. ʻO nā lāʻau lapaʻau antifungal e hoʻohana mau ʻia amphotericin B a i ʻole nā ​​lāʻau i loko o ka ʻohana azole (fluconazole, ketoconazole, a i itraconazole).

ʻO ka iwi maha a holomua paha a i ʻole ka maʻi maʻi paha e koi i ke kahakaha (debridement) e wehe i nā mea i loaʻa i ka maʻi.

Maikaʻi kāu hilinaʻi ʻana i ke kumu kumu o ka maʻi a me kou olakino holoʻokoʻa. ʻO kahi ʻōnaehana pale nāwaliwali, ka maʻi ʻaʻai, a me kekahi mau lāʻau i hiki ke hoʻololi i ka hopena.

Hiki ke hōʻino pū ʻia inā ʻaʻole mālama koke ʻia ka maʻi.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka maʻi fungus.

ʻO ka mālama pono ʻana i nā maʻi fungal ma nā wahi ʻē aʻe o ke kino e kōkua i ka pale ʻana i ka maʻi fungus.

Pākuʻi mycotic; Infectious arthritis - fungal

• ʻO ke ʻano o kahi ami
• Huʻi hui ʻapo
• Fungus

Ohl CA. Infectious arthritis o nā ami ʻōiwi. 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 103.

ʻO Ruderman EM, Flaherty JP. Nā maʻi fungal o nā iwi a me nā hono. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 112.