ʻO Actinomycosis

ʻO ka Actinomycosis kahi maʻi bacteria lōʻihi lōʻihi (mau) e hoʻopili pinepine i ka maka a me ka ʻāʻī.

Hoʻokumu pinepine ʻia ʻo Actinomycosis e ka bacteri i kāhea ʻia Actinomyces israelii. He meaola maʻamau kēia i loaʻa i ka ihu a me ka puʻu. ʻAʻole kumu ia i ka maʻi.

Ma muli o ka wahi maʻamau o ka bacteria i ka ihu a me ka puʻu, ʻo ka actinomycosis ka mea maʻamau i ka maka a me ka ʻāʻī. Hiki i ka maʻi ke loaʻa i kekahi manawa i ka umauma (pulmonary actinomycosis), ʻōpū, pelvis, a i ʻole nā ​​wahi ʻē aʻe o ke kino. ʻAʻole lele ka maʻi. ʻAʻole hoʻolaha kēia i nā poʻe ʻē aʻe.

Hana ʻia nā ʻōuli ke komo ka bacteria i nā aʻa o ka maka ma hope o ka ulia pōpilikia, ʻoki kino a i ʻole ka maʻi. ʻO nā trigger maʻamau ka abscess o ka niho a i ʻole ka ʻoki ʻana o ka waha. Hiki i ka maʻi ke hoʻopili i kekahi mau wahine i loaʻa i kahi mea intrauterine (IUD) e pale i ka hāpai keiki.

I ka manawa i loko o ke kolo, hoʻokumu ke koʻohune i kahi abscess, e hana ana i kahi puʻupuʻu paʻakikī, ʻulaʻula i poni ʻulaʻula, pinepine ma ka iwi ā, kahi e puka ai ka inoa maʻamau o kēia ʻano, "jaw lumpy"

I ka hopena, haki ka abscess ma loko o ka ʻili e hana i kahi tract sinus.

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

• ʻO ke kuʻi ʻana i ka ʻeha ma ka ʻili, keu hoʻi ma ka paia o ka umauma mai ka maʻi lolo me nā actinomyces
• Fiva
• ʻEha me ka ʻeha ʻole
• ʻO ka ʻōhū a i ʻole he paʻakikī, ʻulaʻula i ʻulaʻula-poni i ka maka a i luna o ka ʻāʻī
• Kaumaha emi

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻāʻo e hiki ke hana ʻia e nānā no ke kū ʻana o nā bacteria i loko:

• Ka moʻomeheu o ka aʻa a i ʻole ka wai
• ʻO ka hoʻokolokolo ʻana o ka wai i hoʻokahe ʻia ma lalo o kahi microscope
• CT scan o nā wahi i hoʻopilikia ʻia

Pono ka mālama ʻana i ka actinomycosis i nā antibiotic no kekahi mau mahina a hoʻokahi makahiki. Hiki ke koi ʻia ka hoʻoheheʻe ʻoki a hemo ʻana paha o kahi i loli ʻia (lesion). Inā pili ke ʻano i kahi IUD, pono e hemo ka hāmeʻa.

Hiki ke manaʻo ʻia me ka hoʻōla piha me ka lāʻau.

I nā hihia maʻamau, hiki i ka meningitis ke ulu mai ka actinomycosis. ʻO ka meningitis kahi maʻi inā pili nā membrane i ka lolo a me ka iwi kuamoʻo. Kapa ʻia kēia membrane nā meninges.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o kēia maʻi. ʻO ka hoʻomaka koke ʻana o ka mālama ʻana kōkua kōkua ia i ka hoʻōla hou ʻana.

ʻO ka hoʻomaʻemaʻe waha maikaʻi a me nā kipa dentist maʻamau ke kōkua i ka pale ʻana i kekahi ʻano o ka actinomycosis.

ʻĀʻī puʻupuʻu

• Actinomycosis (lumpy jaw)
• ʻO bacteria

Brook I. Actinomycosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 313.

Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.

Russo TA. Nā Agena o ka actinomycosis. 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 254.