Mucormycosis

ʻO kaucucycosis kahi maʻi fungal o nā sinus, lolo, a me nā akemāmā. Kū i kekahi poʻe me ka ʻōnaehana pale nawaliwali.

Hoʻokumu ʻia ka mucormycosis e nā ʻano fungi like ʻole i loaʻa pinepine ʻia i nā meaola popopo. Hoʻopili kēia i ka palaoa i hoʻopau ʻia, nā huaʻai, a me nā mea kanu, a me nā puʻu lepo a me nā compost. ʻO ka hapanui o ka poʻe e launa me ka fungus i kekahi manawa.

Eia nō naʻe, ʻo ka poʻe me ka ʻōnaehana pale nawaliwali e hoʻomohala i ka mucormycosis. Hoʻopili kēia i ka poʻe me kekahi o kēia mau ʻano:

• AIDS
• Burns
• Diabetes (maʻamau ka mālama maikaʻi ʻole ʻia)
• Leukemia a me lymphoma
• Hoʻohana steroid lōʻihi
• ʻAtosis metabolabolic
• Kaʻai maikaʻi ʻole (malnutrisi)
• Hoʻohana o kekahi mau lāʻau

Pili paha ka Mucormycosis:

• ʻO kahi maʻi sinus a me ka lolo i kapa ʻia ʻo ka maʻi rhinocerebral: E hoʻomaka paha ma ke ano he maʻi sinus, a laila e alakaʻi i ka pehu ʻana o nā aʻalolo e kū mai ka lolo.Hiki iā ia ke kumu i ke kahe o ke koko e ālai i nā moku i ka lolo.
• ʻO kahi maʻi maʻi i kapa ʻia ʻo pulmonary mucormycosis: Piʻi koke ka maʻi maʻi pneumonia a pāhola paha i ka umauma umauma, puʻuwai, a me ka lolo.
• Nā ʻāpana ʻē aʻe o ke kino: Mucormycosis o ka gastrointestinal tract, ʻili, a me nā puʻupaʻa.

ʻO nā ʻōuli o ka rhormicebral mucormycosis me:

• Nānā nā maka a kuʻi (protrude)
• ʻEleʻele i ka puka ihu
• Fiva
• ʻEha poʻo
• Hoʻololi ke kūlana noʻonoʻo
• ʻUlaʻula o ka ʻili ma luna aʻe o ka hewa
• ʻEha Sinus a huikau paha

Nā ʻōuli o ka hū (pulmonary) mucormycosis i loko:

• Cough
• ʻApu koko (i kekahi manawa)
• Fiva
• Pokole o ka hanu

Nā hōʻailona o ka gastrointestinal mucormycosis e komo pū me:

• Abdominal eha
• Koko i nā noho
• Pohā
• Koko luaʻi

Nā ʻōuli o ke kōpaʻa (renal) ʻo mucormycosis pū kekahi:

• Fiva
• ʻEha ma ka ʻōpū o luna a i hope paha

ʻO nā ʻōuli o ka ʻili (cutaneous) mucormycosis e komo pū me kahi, i kekahi manawa ʻeha, ʻāpana ʻoʻoleʻa o ka ʻili i loaʻa kahi kikowaena ʻeleʻele.

E nānā kāu mea mālama ola iā ʻoe. E ʻike i ke kauka pepeiao-ʻāʻī (ENT) inā loaʻa iā ʻoe nā pilikia sinus.

Aia ka hoʻāʻo i kāu mau ʻōuli, akā hiki ke hoʻopili i kēia mau hōʻike kiʻi:

• Nānā CT
• Nānā MRI

Pono e hana i kahi biopsy e ʻike pono i ka mucormycosis. ʻO kahi biopsy ka hemo ʻana o kahi ʻāpana liʻiliʻi o ke kiko no ka nānā ʻana i ka hale hana e ʻike ai i ka fungus a me ka hoʻouka i loko o nā mea hoʻokipa.

Pono e hana koke i kahi hana e wehe i nā mea make a me nā maʻi āpau. Hiki i ke ʻoki kino ke alakaʻi i ka disfiguration no ka mea pili paha ia i ka hemo ʻana o ka pā, nā ʻāpana o ka ihu, a me nā ʻāpana o ka maka. Akā, me ka ʻole o kahi ʻoki koʻikoʻi, ua hoʻemi nui ʻia ke ola.

E loaʻa iā ʻoe ka lāʻau antifungal, amphotericin B maʻamau, ma o kahi aa koko. Ma hope o ka kaohi ʻana o ka maʻi, hiki ke hoʻohuli ʻia ʻoe i kahi lāʻau ʻē aʻe e like me posaconazole a i ʻole isavuconazole.

Inā loaʻa ʻoe i ka maʻi diabetes, he mea nui ia e lawe i kāu kō kō i ka pae maʻamau.

He kiʻekiʻe kiʻekiʻe loa ka make o ka Mucormycosis, ʻoiai ke hana ʻia kahi ʻoki hōʻino. Aia ka pilikia o ka make i ka wahi o ke kino e pili ana a me kou olakino holoʻokoʻa.

Hiki ke hana i kēia mau pilikia:

• Makapō (inā pili ke aʻalolo optic)
• ʻO Clotting a blockage paha o ka lolo a i ʻole nā ​​kīʻaha koko
• Make
• Poino nerve

Pono nā kānaka me nā ʻōnaehana palewaliwali nāwaliwali a me nā maʻi pale (me ka maʻi kō) e ʻimi i ka lāʻau lapaʻau inā ulu lākou:

• Fiva
• ʻEha poʻo
• ʻEha Sinus
• Huʻi maka
• Kekahi o nā ʻōuli ʻē aʻe i helu ʻia ma luna

Ma muli o ka palahalaha ʻana o nā fungi i kumu e ulu ai nā mucormycosis, ʻo ke ala ʻoi loa e pale aku ai i kēia maʻi ka hoʻomaikaʻi ʻana i nā maʻi e pili ana i ka mucormycosis.

Maʻi maʻi Fungal - mucormycosis; ʻO Zygomycosis

• Fungus

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Mucormycosis. www.cdc.gov/fungal/diseases/mucormycosis/index.html. Hoʻohou ʻia ʻOkakopa 28, 2020. Loaʻa iā Pepeluali 18, 2021.

Kontoyiannis DP. Mucormycosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 320.

Kontoyiannis DP, Lewis RE. Nā Agena o ka mucormycosis a me ka entomophthoramycosis. 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 258.