Liona ʻili o ka blastomycosis

ʻO kahi liona ʻili o blastomycosis kahi hōʻailona o kahi maʻi me ka fungus Blastomyces dermatitidis. Ua hele a maʻi ka ʻili i ka pālahalaha ʻana o ka fungus i ke kino. ʻO kekahi ʻano blastomycosis wale nō ma ka ʻili a maikaʻi ʻoi aku ma luna ona iho me ka manawa. Hoʻopili kēia ʻatikala me nā ʻano ākea ākea o ka maʻi.

ʻO Blastomycosis kahi maʻi fungal laha ʻole. ʻIke pinepine ʻia ia i:

• ʻApelika
• ʻO Kanada, a puni nā Moana Nui
• Waena waena a me waena waena o ʻAmelika Hui Pū ʻIa
• Inia
• Iseraela
• Saudi 'Alapia

Hoʻopili ʻia ke kanaka e ka hanu ʻana i nā huna o ka fungus i loaʻa i ka lepo momona, keu hoʻi kahi nā mea kanu popo. ʻO ka poʻe me nā ʻōnaehana pale pale ʻoi aku ka makaʻu no kēia maʻi, ʻoiai hiki i nā kānaka olakino ke hoʻomohala i kēia maʻi.

Komo ka fungus i ke kino ma o ka akemā a maʻi iā lākou. I kekahi poʻe, hoʻolaha ka fungus (hoʻolaha) i nā wahi ʻē aʻe o ke kino. Hoʻopili paha ka maʻi i ka ʻili, nā iwi a me nā hono, nā genital a me nā wahi mimi, a me nā ʻōnaehana ʻē aʻe. ʻO nā ʻōuli o ka ʻili kahi hōʻailona o ka hoʻolaha ākea (hoʻolaha ʻia) blastomycosis.

I ka poʻe he nui, ulu nā ʻōuli o ka ʻili ke pālahalaha ka maʻi ma ʻō aku o ko lākou māmā.

ʻIke pinepine ʻia nā papula, nā pustule, a me nā nodule ma nā wahi o ke kino i hōʻike ʻole ʻia.

• He ʻano warts a ulcer paha lākou.
• ʻAʻohe o lākou ʻeha.
• Hiki ke lauwili lākou mai ka hina a i ka viole i ke kala.

Nā pustules paha:

• Ulser form
• Maʻa maʻalahi
• Hana i ka ihu a waha paha

I ka hala ʻana o ka manawa, hiki i kēia mau ʻili ʻili ke alakaʻi i ka scarring a me ka nalo ʻana o ke kala o ka ʻili (pigment).

E nānā ka mea mālama ola i kou ʻili a nīnau e pili ana i nā ʻōuli.

Hoʻomaopopo ʻia ka maʻi e ka ʻike ʻana i ka fungus i kahi moʻomeheu i lawe ʻia mai kahi maʻi ʻili. Pono kēia i kahi biopsy o ka ʻili.

Mālama ʻia kēia maʻi me nā lāʻau antifungal e like me amphotericin B, itraconazole, ketoconazole, a me fluconazole. Hiki ke hoʻohana ʻia i nā lāʻau ma ka waha a i ʻole intravenous (pololei i ka aa), kaukaʻi ʻia i ka lāʻau a me ke kahua o ka maʻi.

Maikaʻi kāu hilinaʻi ʻana i ke ʻano o ka blastomycosis a i kāu ʻōnaehana pale. ʻO ka poʻe me ka ʻōnaehana pale pale i pono e pono i ka mālama wā lōʻihi e pale aku ai i nā hōʻailona mai ka hoʻi ʻana.

Komo pū nā pilikia:

• Nā abscesses (ʻeke o ka pus)
• ʻO kekahi maʻi ʻē aʻe (lua) o ka ʻili i hoʻokumu ʻia e ka bacteria
• Nā pilikia e pili ana i nā lāʻau (no ka laʻana, hiki i ka amphotericin B ke loaʻa nā hopena ʻino)
• Ke ninini kūlohelohe nei i nā nodule
• ʻO ka maʻi maʻi ākea a ākea ka make

ʻO kekahi o nā pilikia ʻili i hoʻokumu ʻia e ka blastomycosis hiki ke like me nā pilikia o ka ʻili i hoʻokumu ʻia e nā maʻi ʻē aʻe. E haʻi i kāu mea hāʻawi inā hoʻomohala ʻoe i nā pilikia ʻili hoprisome.

ʻO Embil JM, Vinh DC. Blastomycosis. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2021. Piladelapia, PA: Elsevier; 2021: 856-860.

ʻO Gauthier GM, Klein BS. Blastomycosis. 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 264.

Kauffman CA, Galgiani JN, R George T. Endemik mycoses. I: Goldman L, Shafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 316.