Ke kuni awawa

ʻO ke kuni awāwa kahi maʻi e hiki ke hana ʻia i ka spores o ka fungus ʻO Coccidioides immitis e komo i kou kino ma o nā akemāmā.

ʻO ke kuni awāwa kahi maʻi fungal i ʻike pinepine ʻia ma nā wahi wao nahele o ke komohana hema o ʻAmelika Hui Pū ʻIa, a ma ʻAmelika Waena a me ʻAmelika Hema. Loaʻa iā ʻoe ma ka hanu ʻana i ka fungus mai ka lepo. Hoʻomaka ka maʻi i nā akemāmā. Hoʻololi pinepine ia i ka poʻe ma mua o 60 mau makahiki.

Kapa ʻia ke kuni awāwa ʻo coccidioidomycosis.

ʻO ka huakaʻi ʻana i kahi e ʻike pinepine ʻia ai ka fungus e hāpai i kou makaʻu no kēia maʻi. Eia nō naʻe, hiki paha iā ʻoe ke hoʻomohala i kahi maʻi maʻi inā ʻoe e noho ma kahi e loaʻa ai ka fungus a loaʻa kahi ʻōnaehana nāwaliwali ma muli o:

• Anti-tumor necrosis factor (TNF) therapy
• Kanesa
• ʻO Chemotherapy
• Nā lāʻau Glucocorticoid (prednisone)
• Nā kūlana puʻuwai-puʻuwai
• HIV / AIDS
• Ke kuʻi ʻōhua
• Ka hāpai keiki (ʻo ka trimester mua paha)

Hoʻohālikelike ʻia ka poʻe o nā ʻōiwi ʻAmelika, ʻApelika, a i ʻole ka Pilipino.

ʻO ka hapa nui o ka poʻe me ke kuni awāwa ʻaʻole loa e loaʻa nā hōʻailona. Loaʻa i nā poʻe ʻē aʻe nā anu a i ʻole flu e like me nā ʻōuli a me nā ʻōuli o ka niumonia. Inā kū nā ʻōuli, hoʻomaka lākou i 5 a 21 mau lā ma hope o ka hōʻike ʻana i ka fungus.

ʻO nā ʻōuli maʻamau ka:

• ʻO ka kuʻekuʻe wāwae, nā wāwae, a me ka pehu ʻana o ka wāwae
• Paʻi umauma (hiki ke loli mai ke akahai a i ʻole koʻikoʻi)
• Cough, e hana ana paha i ka phlegm koko-aniani (sputum)
• ʻO ka wela a me ka hou ka pō
• ʻEha poʻo
• Pākuʻi paʻa a ʻeha a ʻeha hoʻi nā mākala
• Loaʻa ka ʻai ʻole
• ʻO nā ʻehaʻeha, ʻulaʻula i nā wāwae haʻahaʻa (erythema nodosum)

Kākaʻikahi wale ka hoʻolaha ʻana o ka maʻi mai nā akemāmā ma o ke kahe o ke koko e hoʻopili i ka ʻili, nā iwi, nā hono, nā pūnana lymph, a me nā ʻōnaehana o ke kikowaena a i ʻole nā ​​mea ʻē aʻe. Kapa ʻia kēia pālahalaha ʻia ʻo coccidioidomycosis dissemined.

ʻO ka poʻe me kēia ʻano pālahalaha nui aʻe e lilo i maʻi. Pākuʻi ʻia paha nā ʻōuli me:

• Hoʻololi i ke kūlana noʻonoʻo
• Hoʻonui a hoʻokahe paha i nā lymph node
• Huʻi hui
• ʻO nā ʻōuli ʻoi loa o ka maʻi māmā
• ʻĀʻī ʻoʻole
• ʻIke i ka mālam
• Kaumaha emi

ʻO nā ʻili ʻili o ke kuni awāwa he hōʻailona pinepine ia o ka maʻi ākea (hoʻolaha ʻia). Me ka maʻi ākea ākea loa, ʻike pinepine ʻia nā ʻeha a me nā leona ma ka maka.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli a me ka mōʻaukala huakaʻi. Hana ʻia nā hoʻāʻo no nā ʻano momona o kēia maʻi.

• Ke ho'āʻo koko e nānā no ka maʻi maʻi coccidioides (ka fungus e kumu ai ke awāwa o ke awāwa)
• Pākuʻi x-ray
• Moʻomeheu Sputum
• Sputum smear (hōʻike KOH)

Hana ʻia nā hoʻāʻo no nā ʻano ʻoi aku ka hewa a ākea paha o ka maʻi.

• ʻO Biopsy o ka lymph node, lung, a i ʻole ate
• Biopsy iwi ʻōiwi
• ʻO Bronchoscopy me ka lavage
• Spinal tap (lumbar puncture) e kāpae i ka meningitis

Inā loaʻa kahi ʻōnaehana olakino olakino, aneane hele mau ka maʻi me ka ʻole o ka lapaʻau. Kuhi paha kāu mea hāʻawi i ka hoʻomaha moe a me ka mālama ʻana i nā hōʻailona like flu a hiki i ka nalo ʻana o kou kuni.

Inā loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali, pono paha ʻoe i ka mālama antifungal me amphotericin B, fluconazole, a i ʻole itraconazole. ʻO Itraconazole ka lāʻau i koho ʻia i ka poʻe me ka ʻeha pū a i ʻole ʻeha nāʻiʻo.

I kekahi manawa pono ʻia ke ʻoki e hemo i ka ʻāpana maʻi o ka akemā (no ka maʻi maʻi mau a koʻikoʻi paha).

Maikaʻi kāu hilinaʻi ʻana i ke ʻano o ka maʻi i loaʻa iā ʻoe a me kou olakino holoʻokoʻa.

ʻO ka hopena ma ka maʻi maʻi e maikaʻi paha. Me ka mālama ʻana, maikaʻi nō hoʻi ka hopena no nā maʻi maʻi mau a koʻikoʻi paha (ʻoiai e kū hou ana nā relapses). ʻO ka poʻe me ka maʻi i pālahalaha ʻia he helu kiʻekiʻe o ka make.

Hiki i ke ākea ke awāwa ke kumu:

• Nā hōʻiliʻili o ka nū i loko o ka akemāhā (abscess lung)
• Pākuʻi o ka hū

ʻOi aku paha ka nui o kēia mau pilikia inā he nāwaliwali kou nāwaliwali.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ke kuni awawa a i ʻole inā hoʻomaikaʻi ʻole kou ʻano me ka lāʻau.

ʻO ka poʻe me nā pilikia pale (e like me ka maʻi HIV / AIDS a me ka poʻe e pili ana i nā lāʻau e kāohi i ka ʻōnaehana pale) ʻaʻole pono lākou e hele i nā wahi i loaʻa ai kēia fungus. Inā ʻoe e noho nei i kēia mau wahi, nā hana ʻē aʻe i hiki ke lawe ʻia e hoʻopili pū ʻia:

• Pani puka aniani i ka wā ʻino
• Ke hōʻalo nei i nā hana e pili ana i ka mālama ʻana i ka lepo, e like me ka māla

Lawe i nā lāʻau pale e like me ka mea i kauoha ʻia e kāu mea hāʻawi.

San Joaquin Valley fever; Coccidioidomycosis; Cocci; Rumatika i ka wao akua

• Coccidioidomycosis - umauma x-ray
• Pulmonary nodule - nānā mua umauma x-ray
• ʻO coccidioidomycosis i hoʻolaha ʻia
• Fungus

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Ke kuni awāwa (coccidioidomycosis). www.cdc.gov/fungal/diseases/coccidioidomycosis/index.html. Hoʻohou ʻia ʻOkakopa 28, 2020. Loaʻa iā Kēkēmapa 1, 2020.

Elewski BE, Hughey LC, Hunt KM, Hay RJ. Nā maʻi fungal. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed.Piladelapia, PA: Elsevier; 2018: chap 77.

Galgiani JN. Coccidioidomycosis (ʻO Coccidioides ʻanoʻano). 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 265.