He aha ka Pneumocystosis a pehea e mālama ʻia ai
Anter
ʻO ka maʻi pneumaticstosis kahi maʻi maʻi kūpilikiʻi i hoʻokumu ʻia e ka fungus ʻO Pneumocystis jirovecii, i hiki i nā māmā a hana i ka paʻakikī i ka hanu ʻana, hoʻomāū maloʻo a me ke anuanu, no ka laʻana.
Kuhi ʻia kēia maʻi he opportunityistic no ka mea maʻa mau ia i ka poʻe i loaʻa ka ʻōnaehana paleʻea i hoʻopilikia ʻia, e like me ka poʻe i loaʻa ka maʻi SIDA, i loaʻa kahi transplant a i ʻole ke hele nei i ka chemotherapy, no ka laʻana.
Hana ʻia ka lāʻau no ka pulukino e like me ka ʻōlelo a ka pulmonologist, a hōʻike pinepine ʻia ka hoʻohana ʻana i nā lāʻau antimicrobial ma kahi o 3 mau pule.
Nā hōʻailona nui
ʻAʻole kikoʻī loa nā ʻōuli o ka pulupulu, a he mea ia e huikau ai me nā maʻi ʻūhā ʻē aʻe. ʻO nā ʻōuli nui o kēia maʻi ʻo:
- Fiva;
- Mū maloo;
- Hanu paʻakikī;
- ʻO Chills;
- ʻEha o ka umauma;
- Ka luhi nui loa.
Hoʻololi pinepine nā ʻōuli o ka pulumosisstosis a hoʻomau no ka ʻoi aku o 2 mau pule, no laila he mea nui e nīnau aku i ka loio maʻamau a i ʻole pulmonologist i hiki ai i nā hoʻokolohua ke hana a hiki ke hana i kahi hōʻailona
Kānāwai o ka maʻi ākea
ʻO ke kuhi ʻana o ka pulukosestosis i hana ʻia e ke kauka e pili ana i ka hopena o ka X-ray umauma, bronchoalveolar lavage a me ka bronchoscopy, kahi e ʻike ʻia ai nā loli i nā kiko o ka māmā a me nā infiltrate pulmonary, e hōʻike ana i ka maʻi pulosstosis. Eia hou, hiki i ke kauka ke koi aku i ka hōʻiliʻili sputum, no ka laʻana, no laila ke nānā pono ʻia nei ke alo o fungi me ka microscopically, no ka mea ʻaʻole ia e ulu i ka moʻomeheu kūpono no ka fungus.
I mea e hoʻopiha ai i ka ʻike o ka pulukino, hiki i ke kauka ke koi aku i ka hana o ka enzyme Lactate Dehydrogenase (LDH), i hoʻokiʻekiʻe ʻia i kēia mau hihia, a me nā kinoea arterial, kahi hōʻike e nānā ai i ka hana o nā ake māmā, me ka nui o oxygen. i loko o ke koko, ka mea ma ka hihia o ka pneumocystosis haʻahaʻa. Hoʻomaopopo i nā kinoea arterial a pehea e hana ai.
Pehea e hana ai i ka lāʻau
ʻO ka mālama ʻana no ka pulukosisstosis i ʻōlelo ʻia e ka loio maʻamau a i ʻole pulmonologist e pili ana i ka hoʻohana ʻana i nā antimicrobial, me ka hoʻohana pinepine ʻia ʻana o Sulfamethoxazole-Trimethoprim, ma ka waha a i ʻole ke aniani, no 3 mau pule.
Eia nō naʻe, inā ʻaʻole hopena kēia lapaʻau i ka hoʻomaikaʻi ʻana o ka mea maʻi, hiki i ke kauka ke koho no ka lālani ʻelua o ka lapaʻau, i hana ʻia me kekahi antimicrobial, Pentamidine, no ka hoʻohana intravenous a hōʻike pinepine ʻia no 3 mau pule.
He mea nui ka ukali ʻia e ke kauka e like me kāna ʻōlelo aʻoaʻo e pale ai i ka fungus mai ka hoʻonui ʻana a keakea hou aku i ka ʻōnaehana pale maʻi o ka mea maʻi, e hana ana i nā pilikia a me ka make pū kekahi.