He aha ka mucormycosis, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Nā ʻano o mucormycosis
• Nā kumu kūpono
• Pehea e hana ʻia ai ke kuhi
• Māka lāʻau Mucormycosis

ʻO Mucormycosis, i kapa ʻia ma mua he zygomycosis, kahi manawa i hoʻohana ʻia e kuhikuhi i kahi hui o nā maʻi i hoʻokumu ʻia e nā fungi o ke kauoha Mucorales, ka mea maʻamau i ka fungus Rhizopus spp. ʻAʻole hoʻoili ʻia kēia mau maʻi mai kekahi kanaka a i kekahi mea ʻoi aku ka pinepine i nā poʻe me ka liʻiliʻi o ka pale ʻana a i ʻole me ka maʻi kō ʻole i kaohi ʻole ʻia.

Hana ʻia ka maʻi ke hanu ʻia nā fungi, e hele pololei i nā akemāmā, a i ke komo ʻana i ke kino ma o kahi ʻoki o ka ʻili, hiki i ke ʻano o nā ʻōuli e like me ka mea i maʻi, a aia paha he ʻeha ʻeha, kuni. , pehu, ʻulaʻula i ka maka a hoʻokuʻu ikaika mai nā maka a me ka ihu. Ke hiki i ka lolo i ka mucormycosis, hopu ʻia, paʻakikī e ʻōlelo a hiki i ka nalowale o ka ʻike.

Hana ʻia ke kuhi o ka mucormycosis e kahi loea ākea a i ʻole ka maʻi infectious ma o ka tomography compute a me ka moʻomeheu fungal a hana pinepine ʻia me ka hoʻohana ʻana i nā lāʻau antifungal injectable a waha paha, e like me Amphotericin B.

Nā hōʻailona nui a me nā ʻōuli

Hiki ke loli nā hōʻailona a me nā ʻōuli o ka mucormycosis e like me ke kekelē o ka immunocompromise o ke kanaka a me nā mea i loaʻa i ka fungus, a aia paha:

• Ihu: ʻo ia kekahi o nā ʻāpana i hoʻopili nui ʻia e kēia maʻi a alakaʻi i ke ʻano o nā ʻōuli e like me ka sinusitis, e like me ka ihu ihu, ʻeha ma nā papalina a me nā ʻōmaʻomaʻo ʻōmaʻomaʻo, akā i nā hihia ʻoi loa, ʻōhū i ka maka, ka nalo ʻana o nā mea mai ka lani ka waha a i ʻole ka iwi o ka ihu;
• Maka: hiki ke ʻike ʻia nā hiʻohiʻona o ka mucormycosis ma o nā pilikia i ka hihiʻo e like me ka paʻakikī i ka ʻike ʻana, ka hōʻiliʻili ʻana o ka hoʻokuʻu melemele a me ka pehu ʻana a puni nā maka;
• Lungs: ke hiki aku nā fungi i kēia ʻōpala, ke kūkae nei me ka nui o ka phlegm a i ʻole ke koko, ka ʻeha o ka umauma a me ka paʻakikī i ka hanu ʻana;
• Lolo: loli kēia ʻōpala ke pālahalaha ka mucormycosis a hiki ke kumu i nā ʻōuli e like me ka hopu ʻana, paʻakikī e ʻōlelo, hoʻololi i nā aʻa o ka maka a me ka nalo o ka ʻike.
• ʻIli: Hiki i nā fungi Mucormycosis ke hoʻopili i nā wahi o ka ʻili, a ʻulaʻula, paʻakikī, pehu, ʻeha nā ʻeha a hiki i kekahi mau hanana, hiki ke lilo i poha a hana i nā ʻeha ʻeleʻele.

I nā hihia i holomua, hiki i ke kanaka me ka mucormycosis ke ʻalani bluish ma ka ʻili a me nā manamana poni a ʻo kēia ke kumu o ka nele o ka oxygen i hoʻokumu ʻia e nā fungi i loko o nā akemāmā. Eia hou, inā ʻaʻole ʻike ʻia ka maʻi a mālama ʻia, hiki i ka fungus ke pālahalaha koke i nā lālā ʻē aʻe, keu hoʻi inā he ʻōnaehana paleʻoniʻoni nui loa ke kanaka, a hiki i nā puʻupaʻa a me ka puʻuwai a waiho i ke ola o kēlā kanaka i ka makaʻu.

Nā ʻano o mucormycosis

Hiki ke hoʻokaʻawale ʻia ka Mucormycosis i mau ʻano e like me ka wahi o ka maʻi fungal, a hiki ke:

• ʻO Rhinocerebral mucormycosis, ʻo ia ka ʻano maʻamau o ka maʻi, me ka hapanui o kēia mau hihia e kū nei i ka poʻe me ka maʻi maʻisā decompensated. I kēia ʻano, hoʻopili ka fungi i ka ihu, nā hewa, nā maka a me ka waha;
• Pulmonary mucormycosis, kahi e hiki ai nā fungi i nā māmā, ʻo kēia ka lua o ka ʻike pinepine ʻia;
• Mucormycosis kūpuna, ʻo ia hoʻi ka hoʻolaha ʻana o ka maʻi fungal i nā ʻāpana o ka ʻili, a hiki i nā mākala;
• ʻO Gastrointestinal mucormycosis, kahi e hiki ai ka fungus i ka gastrointestinal tract, e ʻike pinepine ʻole ʻia ana.

Aia kekahi ʻano o mucormycosis, i kapa ʻia ʻo ka hoʻolaha ʻia, ʻoi aku ka pinepine a loaʻa ke neʻe nā fungi i nā mea like ʻole o ke kino, e like me ka puʻuwai, nā puʻupaʻa a me ka lolo.

Nā kumu kūpono

ʻO ka Mucormycosis kahi hui o nā maʻi i hoʻokumu ʻia e fungi o ke kauoha Mucorales, ka mea maʻamau Rhizopus spp., i loaʻa ma nā wahi like ʻole o ke kaiapuni, e like me nā mea kanu, ka lepo, nā hua a me nā huahana decomposing.

ʻO ka maʻamau, ʻaʻole pilikia kēia mau momona i nā olakino, no ka mea, hiki ke kaua ʻia e ka ʻōnaehana pale. Loaʻa ka ulu ʻana o nā maʻi i ka poʻe i loaʻa ka ʻōnaehana pale maʻi, ʻoi aku ka pinepine i ka poʻe me ka maʻi diabet decompensated. Hoʻohui ʻia, ʻo ka poʻe me ka liʻiliʻi o ka palekana ma muli o nā maʻi e like me HIV, ka hoʻohana ʻana i nā lāʻau immunosuppressive a i ʻole kekahi ʻano transplant, e like me ka iwi iwi a i ʻole nā ​​ʻākoʻa, ʻoi aku ka nui o ka pilikia o ka hoʻomōhala ʻana i ka mucormycosis.

Pehea e hana ʻia ai ke kuhi

ʻO ke kuhi o ka mucormycosis i hana ʻia e ka mea hana maʻamau a i ʻole ka maʻi infectious e ka loiloi ʻana i ka mōʻaukala olakino o ke kanaka a me ka tomography i helu ʻia, e lawelawe ana e hōʻoia i ka wahi a me ka nui o ka maʻi. Hana ʻia ka moʻomeheu Sputum, kahi i kau ʻia ma ke kālailai ʻana i nā huna huna e ʻike ai i ka fungus e pili ana i ka maʻi.

I kekahi mau hihia, noi paha ke kauka i kahi hoʻokolohua molekino, e like me PCR, e ʻike ai i ka laha o ka fungus a, kaukaʻi ʻia i ke ʻano i hoʻohana ʻia, ka nui o ka meaola, a me nā kiʻi resonance ʻumeʻume e ʻimi inā ua hōʻea ka mucormycosis i ka nā kūkulu o ka lolo, no ka laʻana. Pono e hana i kēia mau hoʻāʻo i ka wā hiki wawe, no ka mea, ʻo ka wikiwiki o ka hōʻoia ʻana, ʻoi aku ka nui o nā manawa e hoʻopau i ka maʻi.

Māka lāʻau Mucormycosis

ʻO ka mālama ʻana no ka mucormycosis e hana koke ʻia, ke ʻike ʻia ka maʻi, no laila ʻoi aku ka nui o ka manawa o ka hoʻōla a pono e hana ʻia e like me ka ʻōlelo a ke kauka, a me ka hoʻohana pono ʻana i nā antifungals i ka aa, e like me Amphotericin, e kuhikuhi ʻia. ʻO B, a i ʻole Posaconazole, e laʻa me. He mea nui e hoʻohana ʻia nā lāʻau e like me ka ʻōlelo olakino a hoʻōki ʻia ka lāʻau ʻoiai inā ʻaʻohe hōʻailona hou aʻe.

Hoʻohui ʻia, kaukaʻi ʻia i ke koʻikoʻi o ka maʻi, hiki i ke kauka ke paipai e hana i ke ʻoki e wehe i ka ʻāpana kikoʻī i hoʻokumu ʻia e ka fungus, kahi i kapa ʻia he debridement. E ʻōlelo ʻia hoʻi kahi lāʻau ʻo Hyperbaric, akā naʻe, ʻaʻole lawa ka nui o nā noi e hōʻike ai i kona pono. E aʻo hou e pili ana i ka hana ʻana o ka lumi hyperbaric.