Sporotrichosis

ʻO Sporotrichosis kahi maʻi lōʻihi lōʻihi (maʻi mau) i hoʻokumu ʻia e kahi fungus i kapa ʻia Sporothrix schenckii.

Sporothrix schenckii loaʻa i nā mea kanu. Kū pinepine ka maʻi i ka wā e haki ai ka ʻili i ka lawelawe ʻana i nā mea kanu e like me nā rosebushes, nā briars, a i ʻole ka lepo i nui ka mulch.

Hiki i ka Sporotrichosis ke lilo i maʻi pili i ka hana no ka poʻe e hana pū ana me nā mea kanu, e like me nā mahiʻai, nā hortikulturist, nā māla pua rose, a me nā limahana hana kanu mea kanu. Hiki ke hoʻomohala (hoʻolaha) sporotrichosis i ka poʻe me ka ʻōnaehana pale nāwaliwali ke hanu lākou i ka lepo i piha me nā spores o ka fungus.

Pākuʻi ʻia nā ʻōuli me kahi puʻupuʻu liʻiliʻi, ʻeha ʻole, ʻulaʻula e hoʻomohala ma kahi o ka maʻi. Ke hala nei ka manawa, e lilo kēia puʻupuʻu i ulcer (ʻeha). E hoʻomohala paha ka puʻupuʻu i 3 mau mahina ma hope o kahi ʻeha.

ʻO ka hapa nui o nā ʻeha ma nā lima a me nā forearms no ka mea ʻeha mau kēia mau wahi i ka lawelawe ʻana i nā mea kanu.

Hahai ka fungus i nā kahawai i ka ʻōnaehana lymph o kou kino. ʻIke ʻia nā ulcer liʻiliʻi e like me nā laina ma ka ʻili i ka neʻe ʻana o ka maʻi i kekahi lima a i ʻole ka wāwae. ʻAʻole hoola ʻia kēia mau ʻeha ke ʻole lākou e mālama ʻia, a he mau makahiki paha ka lōʻihi. Hiki i nā ʻeha ke hoʻokahe i nā liʻiliʻi o ka pus.

Hiki i ke kino ākea (ʻōnaehana) sporotrichosis ke kumu i nā pilikia o ka hanu a me ka hanu ʻana, ka maʻi o ka iwi, ka maʻi pākī, a me ka maʻi o ka ʻōnaehana.

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. E hōʻike ana ka hoʻokolokolo ʻana i nā ʻeha maʻamau i hoʻokumu ʻia e ka fungus. I kekahi manawa, hemo kahi laʻana o nā mea i hoʻopili ʻia, nānā ʻia ma lalo o kahi microscope, a hoʻāʻo ʻia i loko o kahi keʻena e ʻike ai i ka fungus.

Mālama pinepine ʻia ka maʻi o ka ʻili me kahi lāʻau antifungal i kapa ʻia ʻo itraconazole. Lawe ʻia e ka waha a hoʻomau ʻia no 2 a 4 mau pule ma hope o ka pau ʻana o ka ʻeha o ka ʻili. E ʻai paha ʻoe i ka lāʻau no 3 a 6 mau mahina. Hiki ke hoʻohana ʻia kahi lāʻau i kapa ʻia terbinafine ma kahi o itraconazole.

ʻO nā maʻi i pālahalaha a hoʻopili paha i ke kino holoʻokoʻa e mālama pinepine ʻia me amphotericin B, a i kekahi manawa ʻo itraconazole. Therapy no ka maʻi ʻōnaehana hiki ke hala i 12 mau mahina.

Me ka mālama ʻana, maliʻa paha ke ola hou ʻana. ʻOi aku ka paʻakikī o ka sporotrichosis i hoʻolaha ʻia a koi aku i mau mahina o ka hōʻola. Hiki i ka sporotrichosis disseminated ke hoʻoweliweli i ke ola no ka poʻe me ka ʻōnaehana nawaliwali nāwaliwali.

Loaʻa i ka poʻe me kahi ʻōnaehana olakino olakino:

• Hōʻoluʻolu
• Nā maʻi ʻili ʻelua (e like me staph a i ʻole strep)

ʻO nā kānaka me ka ʻōnaehana pale nawaliwali e ulu paha:

• Pākuʻi
• Maʻi maʻi iwi
• Nā pilikia mai nā lāʻau - hiki i nā amphotericin B ke loaʻa i nā hopena koʻikoʻi, e like me ka hōʻino ʻana o ka hakuʻala
• Nā pilikia o ka leha a me ka hanu (e like me ka niumonia)
• Lolo maʻiʻaʻai (meningitis)
• Pālahalaha (hoʻolaha ʻia) maʻi

E hana i kahi manawa me kāu mea hāʻawi inā hoʻomōhala ʻoe i nā puʻupuʻu paʻa mau a i ʻole nā ​​ʻeha ʻeha i hele ʻole. E haʻi i kāu mea hāʻawi inā ʻike ʻoe ua ʻike ʻia ʻoe i nā mea kanu mai ka māla ʻana.

Pono nā kānaka me ka ʻōnaehana pale nāwaliwali e hoʻāʻo e hōʻemi i ka makaʻu no ka ʻeha o ka ʻili. ʻO ke komo ʻana i nā mīkina lima mānoanoa ʻoiai hiki ke kōkua i ka māla.

• Sporotrichosis ma ka lima a me ka lima
• Sporotrichosis ma ka lima
• Sporotrichosis ma ka forearm
• Fungus

Kauffman CA, Galgiani JN, Thompson GR. Mycoses Endemik. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 316.

Rex JH, Okhuysen PC. Sporothrix schenckii. 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 259.