Hale ʻauʻau granuloma

ʻO kahi granuloma ʻauʻau kai kahi maʻi lōʻihi lōʻihi (mau). Hoʻokumu ʻia ia e ka bacteria Mycobacterium marinum (M marinum).

M marinum Noho ka bacteria ma loko o ka wai brackish, nā ʻauʻau ʻauʻau ʻole, a me nā pahu wai iʻa. Hiki i nā bacteria ke komo i loko o ke kino ma o ka haki ʻana o ka ʻili, e like me ka ʻoki ʻana, ke pili ʻoe me ka wai i loaʻa kēia bacteria.

Hōʻike ʻia nā hōʻailona o ka maʻi ʻili ma kahi o 2 a mau mau pule ma hope.

Pākuʻi ʻia nā pōpilikia i ka wai ʻauʻau, nā aquarium, a i ʻole nā ​​iʻa amphibians i hoʻopili ʻia me nā maʻi bacteria.

ʻO ka hōʻailona nui kahi puʻupuʻu ʻulaʻula (papule) e ulu mālie i kahi nodule maʻemaʻe a ʻeha hoʻi.

ʻO nā kuʻekuʻe lima, nā manamana lima, a me ke kua o nā lima nā ʻāpana o ke kino i laha pinepine ʻia. ʻO nā kuli a me nā wāwae ka liʻiliʻi o ka loli ʻana.

E haki paha nā nodule a waiho i kahi ʻeha hāmama. I kekahi manawa, hohola lākou i ka lālā.

Ma muli o ka hiki ʻole i ke koʻohune ke ola i ke ana wela o nā mea o loko, noho mau lākou i ka ʻili, e hoʻomaka ana i nā nodule.

E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mau hōʻailona. E nīnau ʻia paha ʻoe inā ua ʻau wale ʻoe i loko o kahi wai ʻauʻau a iʻa i lawelawe ʻia a i ʻole nā ​​amphibians.

ʻO nā hoʻokolohua e kuhikuhi ai i ka wai ʻauʻau granuloma:

• ʻIli ʻili e nānā ai no ka maʻi maʻi tuberculosis, e like paha ke ʻano
• ʻO ka biopsy ʻili a me ka moʻomeheu
• X-ray a i ʻole nā ​​hōʻike kiʻi ʻē aʻe no ka maʻi i pāhola ʻia i ka ami a iwi paha

Hoʻohana ʻia nā lāʻau antibiotic e mālama i kēia maʻi. Koho ʻia lākou ma muli o nā hopena o ka moʻomeheu a me ka biopsy o ka ʻili.

Pono paha ʻoe i mau mahina o ka mālama ʻana me ka ʻoi aku o hoʻokahi antibiotic. Pono paha ke ʻoki e wehe i nā mea make. Kōkua kēia i ka ʻeha e hoʻōla.

Hiki ke hoola ʻia nā granulomas ʻauʻau me nā lāʻau ʻaloʻalo. Akā, loaʻa iā ʻoe ka scarring.

Hana ʻia ʻo Tendon, ami, a iwi iwi paha i kekahi manawa. ʻOi aku paha ka paʻakikī o ka maʻi e mālama i nā poʻe nona ka ʻōnaehana pale ʻole e holo pono ana.

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā puʻupuʻu ʻulaʻula i kou ʻili i maopopo ʻole me ka mālama ʻana i ka home.

E holoi holoi i nā lima a me nā lima ma hope o ka hoʻomaʻemaʻe ʻana i nā aquarium. A i ʻole, komo i nā mīkina lima lima i ka wā e hoʻomaʻemaʻe ana.

Aquarium granuloma; Granuloma pahu wai; ʻO ka maʻi Mycobacterium marinum

ʻO Brown-Elliott BA, Wallace RJ. Nā maʻi i hoʻokumu ʻia e ʻO Mycobacterium bovis a me ka mycobacteria nontubercious ʻē aʻe ma mua o Mycobacterium avium paʻakikī I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 254.

Patterson JW. Nā maʻi bacteria a me nā maʻi hōʻeha. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2016: chap 23.