ʻO ka pneumonia. Jiroveci pneumonia

ʻO Pneumocystis jiroveci ʻo ka niumonia kahi maʻi fungal o nā akemāmā. Kāhea ʻia ka maʻi ma mua Pyncstis carini a i ʻole PCP pneumonia.

Hoʻokumu ʻia kēia ʻano pneumonia e ka fungus ʻO Pneumocystis jiroveci. Kūleʻa kēia fungus i ke kaiapuni a ʻaʻole iki i nā maʻi i nā kānaka olakino.

Eia nō naʻe, hiki ke kumu i kahi maʻi maʻi i loko o ka poʻe me ka ʻōnaehana nawaliwali nāwaliwali ma muli o:

• Kanesa
• Hoʻohana lōʻihi o nā corticosteroids a i ʻole nā ​​lāʻau ʻē aʻe e hoʻonāwaliwali ai i ka ʻōnaehana pale
• HIV / AIDS
• ʻO ka hoʻoneʻe ʻōiwi a iwi paha

ʻO Pneumocystis jiroveci he maʻi laha ʻole ma mua o ke ahulau o ka maʻi SIDA. Ma mua o ka hoʻohana ʻia ʻana o nā lāʻau ʻaloʻalo pale no ka maʻi, ʻo ka hapanui o ka poʻe maʻAmelika Hui Pū ʻIa me ka maʻi ʻoi loa o ka maʻi i hoʻomohala pinepine i kēia maʻi.

ʻO ka pulumosisstis pneumonia i ka poʻe me ka maʻi maʻamau e ulu lohi i nā lā a i nā pule a i ʻole mau mahina, a ʻoi aku ka liʻiliʻi. ʻO ka poʻe me ka pulumonia pneumaticstis ʻaʻole i loaʻa ka maʻi maʻamau e maʻi wikiwiki a ʻoi loa ka maʻi.

ʻO nā hōʻailona me:

• Cough, ʻoluʻolu pinepine a maloʻo
• Fiva
• Hanu wikiwiki
• Ka hanu ʻana o ka hanu, keu hoʻi me ka hana (hoʻoikaika)

E nānā ana kāu mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā kinoea koko
• ʻO Bronchoscopy (me ka lavage)
• ʻO Biopsy Lung
• X-ray o ka umauma
• ʻIke Sputum e nānā no ka fungus e kumu i ka maʻi
• CBC
• ʻO ka pae beta-1,3 glucan i loko o ke koko

Hiki ke hāʻawi ʻia nā lāʻau anti-maʻi e ka waha (waha) a i ʻole ma o ke aa (intravenously), kaukaʻi ʻia i ka nui o ka maʻi.

ʻO ka poʻe me nā pae oxygen haʻahaʻa a kaulike i nā maʻi nui e kuhikuhi pinepine ʻia i nā corticosteroids pū kekahi.

Hiki ke hoʻoweliweli i ka maʻi pneumonia Hiki iā ia ke kumu i ka hanu ʻole e hiki ai i ka make. Pono ka poʻe me kēia ʻano i ka hoʻomaʻemaʻe mua a maikaʻi. No ka maʻi kūpikipiki a nui loa hoʻi i ka poʻe me ka maʻi HIV / AIDS, ua hōʻemi ka hoʻohana wā pōkole o nā corticosteroids i ka make ʻana.

Nā pilikia e hopena paha me:

• Pleural effusion (kākaʻikahi loa)
• ʻO Pneumothorax (hāhā hāhā)
• Nā hana hanu ʻole (koi paha i ke kākoʻo hanu)

Inā loaʻa iā ʻoe kahi nāwaliwali nāwaliwali ma muli o ka maʻi SIDA, maʻi ʻaʻai, transplantation, a i ʻole ka hoʻohana ʻana o corticosteroid, e kāhea i kāu mea hāʻawi inā loaʻa ʻoe i ka puʻe, ke kuni, a me ka liʻiliʻi o ka hanu.

Paipai ʻia ʻo Preventive therapy no:

• ʻO ka poʻe me ka maʻi HIV / AIDS i loaʻa ka CD4 ma lalo o 200 mau hunaola / microliter a i ʻole 200 mau huna / milika cubic
• ʻO nā mea e lawe ana i ka iwi iwi
• Nā mea lawe transplant organ
• ʻO ka poʻe e lawe i nā corticosteroids lōʻihi loa
• ʻO ka poʻe i loaʻa i nā ʻāpana mua o kēia maʻi
• ʻO ka poʻe e lawe i nā lāʻau hoʻomalu lōʻihi

Poniauma pneumonia; Pumatokosis; PCP; Pneumocystis carinii; PJP pneumonia

• ʻO Ponia i nā mākua - hoʻokuʻu

• Lungs
• AIDS
• Pumatokiko

ʻO Kovacs JA. Pulumonia I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 321.

ʻO Miller RF Walzer PD, Smulian AG. ʻAno Pneumocystis. 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 269.