Maʻi maʻi Nocardia

ʻO ka maʻi Nocardia (nocardiosis) kahi maʻi e pili ana i ka akemāmā, ka lolo, a me ka ʻili. I nā kānaka olakino ʻē aʻe, hopena ʻia ia ma ke ʻano he maʻi kūloko. Akā i ka poʻe me nā ʻōnaehana pale nawaliwali, ua laha paha ia i loko o ke kino.

Hoʻokumu ʻia ka maʻi Nocardia e kahi bacteria. Hoʻomaka ka hoʻomaka ʻana i loko o nā ake māmā. Hoʻolahalaha paha ia i nā meaola ʻē aʻe, ka pinepine o ka lolo a me ka ʻili. Pili pū paha ia i nā puʻupaʻa, nā hono, ka puʻuwai, nā maka, a me nā iwi.

Loaʻa nā bacteria Nocardia i ka lepo a puni ka honua. Hiki iā ʻoe ke loaʻa i ka maʻi ma ka hanu ʻana i ka lepo i loaʻa ka bacteria. Hiki iā ʻoe ke loaʻa i ka maʻi inā loaʻa ka lepo i loko o nā koʻokoʻo nolardia i loko o kahi ʻeha hāmama.

Loaʻa paha kēia maʻi iā ʻoe inā loaʻa ʻoe i ka maʻi loloa wā lōʻihi (mau) a i ʻole kahi ʻōnaehana nāwaliwali nāwaliwali, i hiki ke loaʻa me nā transplants, cancer, HIV / AIDS, a me ka hoʻohana wā lōʻihi o nā steroid.

Kūlike a hilinaʻi nā ʻōuli i nā ʻokana i pili.

Inā ma nā māmā, hiki i nā ʻōuli ke komo pū:

• Ka ʻeha o ka umauma ke hanu (hiki koke a lohi paha)
• ʻApu ʻana i ke koko
• Nā ʻūnana
• Hoʻoulu ka pō
• Kaumaha emi

Inā ma ka lolo, hiki i nā ʻōuli ke komo pū.

• Fiva
• ʻEha poʻo
• Ka hopu ʻana i nā maʻi
• Koma

Inā pili ka ʻili, hiki i nā ʻōuli ke hoʻopili ʻia:

• Ka haki ʻana o ka ʻili a me kahi kahawai hoʻokahe (fistula)
• ʻO nā ulcer a me nā nodule me ka maʻi i kekahi manawa e hoʻolaha ana ma nā lymph node

ʻAʻohe o kekahi poʻe i loaʻa i ka maʻi nolardia.

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

ʻIke ʻia ka maʻi Nocardia me ka hoʻohana ʻana i nā hoʻokolohua e ʻike ai i ka bacteria (Gram stain, hoʻololi ʻia ka waikawa a me ka moʻomeheu). ʻO kahi laʻana, no kahi maʻi i ka akemāmā, e hana ʻia kahi moʻomeheu sputum.

Kaukaʻi ʻia i ka ʻāpana o ke kino i loaʻa i ka maʻi, pili paha ka hoʻāʻo ʻana i ka lawe ʻana i kahi laʻana pūnaewele e:

• ʻO Biopsy lolo
• ʻO Biopsy Lung
• ʻ biiwi lāʻau

Pono ʻoe e lawe i nā lāʻau antibiotic no 6 mau mahina a hoʻokahi makahiki a ʻoi paha. Pono ʻoe i ʻoi aku i hoʻokahi antibiotic.

Hiki ke hana i kahi hana e hoʻokahe i ka pus i hōʻiliʻili ʻia i ka ʻili a i ʻole nāʻaʻaʻa (abscess).

Pili ʻoe i kou olakino holoʻokoʻa a me nā ʻāpana o ke kino i pili. ʻO ka maʻi e pili ana i nā wahi o ke kino he paʻakikī e mālama, a ʻaʻole hiki i kekahi poʻe ke ola.

Pili nā pilikia o ka maʻi o ka maʻi nocardia i ka nui o ke kino e pili ana.

• Hiki i kekahi mau maʻi lolo ke alakaʻi i ka scarring a me ka manawa lōʻihi (mau) o ka hanu.
• Hiki i nā maʻi ʻili ke alakaʻi i ka scarring a disfigurement paha.
• Hiki i nā abscesses lolo ke alakaʻi i ka nalo o ka hana neurological.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi mau ʻōuli o kēia maʻi. He mau hōʻailona nonspecific lākou i hiki ke loaʻa i nā kumu ʻē aʻe he nui.

Nocardiosis

• Nā Antibodies

ʻO Chen SC-A, Watts MR, Maddocks S, Sorrell TC. Nocardia ʻano laha. 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 253.

Southwick FS. Nocardiosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 314.