Mawallafi: Christy White
Ranar Halitta: 5 Yiwu 2021
Sabuntawa: 18 Nuwamba 2024
Anonim
Menene mucormycosis, bayyanar cututtuka da magani - Kiwon Lafiya
Menene mucormycosis, bayyanar cututtuka da magani - Kiwon Lafiya

Wadatacce

Mucormycosis, wanda aka fi sani da zygomycosis, kalma ce da ake amfani da ita don koma zuwa ƙungiyar cututtukan da fungi na tsari Mucorales ya haifar, galibi ta naman gwari Rhizopus spp. Wadannan cututtukan ba sa yaduwa daga mutum daya zuwa wani kuma sun fi yawa a cikin mutanen da ke da karamin rigakafi ko kuma tare da ciwon sukari da ba a shawo kansa.

Cutar na faruwa ne yayin da ake shaƙar fungi, kai tsaye zuwa huhu, ko kuma lokacin da suka shiga cikin jiki ta hanyar yankewar fata, wanda ke haifar da bayyanar cututtuka bisa ga ɓangaren da ya kamu da cutar, kuma za a iya samun matsanancin ciwon kai, zazzabi , kumburi, redness a fuska da tsananin fitar ruwa daga idanuwa da hanci. Lokacin da mucormycosis ya kai ga kwakwalwa, kamawa, wahalar magana har ma da rashin hankali na iya faruwa.

Ganewar cutar mucormycosis ana yin ta ne daga babban likita ko cuta mai yaduwa ta hanyar lissafin hoto da al'adun fungal kuma ana yin magani yawanci tare da amfani da allurar rigakafi ko magungunan ƙwayoyin cuta, kamar Amphotericin B.


Babban alamu da alamomi

Alamomi da alamomin cutar mucormycosis na iya bambanta gwargwadon yanayin rigakafin rigakafin mutum da gabar da gwari ya shafa, kuma akwai yiwuwar:

  • Hanci: yana daya daga cikin gabobin da wannan cuta ta fi shafa kuma yana haifar da bayyanar alamun kamannin sinusitis, kamar cushewar hanci, zafi a kuncin kumatu da kuma koren maniyyi, amma a cikin mawuyacin yanayi, kumburi a fuska, asarar nama daga sama bakin ko guringuntsi na hanci;
  • Idanu: za a iya ganin alamun mucormycosis ta hanyar matsaloli a gani kamar wahalar gani, tarawar fitar ruwa rawaya da kumburi a kusa da idanu;
  • Huhu: lokacin da fungi suka isa wannan gabar, tari tare da adadi mai yawa na jini ko jini na iya faruwa, ciwon kirji da wahalar numfashi;
  • Kwakwalwa: wannan gabobin yana shafar lokacin da mucormycosis ya bazu kuma yana iya haifar da alamomi kamar kamuwa da cuta, wahalar magana, canje-canje a jijiyoyin fuska har ma da rasa sani;
  • Fata: Fungi na Mucormycosis na iya harba yankuna na fata, kuma ja mai kauri, kumbura, kumbura, raunuka masu raɗaɗi na iya bayyana kuma, a wasu yanayi, na iya zama kumbura ya zama buɗaɗɗe, raunuka masu baƙi.

A cikin al'amuran da suka ci gaba, mutumin da ke da mucormycosis na iya samun laushi mai laushi a fata da yatsun shunayya kuma wannan ya faru ne saboda ƙarancin iskar oxygen da ke tattare da tarin fungi a cikin huhu. Bugu da kari, idan ba a gano cutar ba kuma ba a yi maganinta ba, naman gwari na iya yaduwa cikin sauri zuwa wasu gabobin, musamman idan mutum yana da garkuwar jiki sosai, har ya isa koda da zuciya tare da jefa rayuwar mutum cikin hadari.


Nau'in mucormycosis

Mucormycosis za a iya raba shi zuwa nau'uka da yawa dangane da wurin da cutar ta fungal take, kuma zai iya zama:

  • Mucormycosis na Rhinocerebral, wanda shine mafi yawan nau'in cutar, tare da yawancin waɗannan sharuɗɗan suna faruwa a cikin mutanen da ke fama da ciwon sukari. A cikin wannan nau'in, fungi ke kamuwa da hanci, sinus, idanu da baki;
  • Mucormycosis na huhu, wanda fungi ya isa huhu, wannan shine bayyananniya ta biyu;
  • Cututtukan mucormycosis, wanda ya kunshi yaduwar cutar fungal a sassan fata, wanda har ya isa ga tsokoki;
  • Mucormycosis na ciki, wanda naman gwari ya isa gareshin hanji, kasancewar ba kasafai ya kan faru ba.

Akwai kuma wani nau'in mucormycosis, wanda ake kira yadawa, wanda ya fi wuya kuma yana faruwa yayin da fungi suka yi kaura zuwa gabobin jiki daban-daban, kamar zuciya, koda da kwakwalwa.

Matsaloli da ka iya haddasawa

Mucormycosis rukuni ne na cututtukan da fungi ke bayarwa na Mucorales, mafi yawan mutane Rhizopus spp., waxanda ake samunsu a wurare daban-daban a muhallin, kamar su ciyayi, da qasa, da ‘ya’yan itatuwa da kayayyakin da suka lalace.


A yadda aka saba, waɗannan fungi ba sa haifar da matsalolin lafiya, saboda ana iya yaƙar su da garkuwar jiki. Ci gaban cututtuka yana faruwa galibi ga mutanen da ke da lalataccen tsarin rigakafi, kasancewa mafi yawanci a cikin mutanen da ke fama da ciwon sukari. Bugu da kari, mutanen da ke da karancin kariya saboda cututtuka irin su HIV, amfani da magungunan rigakafi ko wani nau'in dashewa, kamar kashin jikin kashi ko gabobin jiki, suma suna da hatsarin kamuwa da mucormycosis.

Yadda ake ganewar asali

Wani babban likita ne ko kuma cututtukan da ke kamuwa da cutar mucormycosis ake yin sa ta hanyar tantance tarihin lafiyar mutum da kuma yadda aka tsara su, wanda ke tabbatar da wurin da kuma girman kamuwa da cutar. Hakanan ana yin al'adun Sputum, wanda ya dogara ne akan nazarin ɓoyayyen huhu don gano naman gwari mai alaƙa da cutar.

A wasu lokuta, likita na iya neman binciken kwayar, kamar PCR, don gano jinsunan naman gwari kuma, ya danganta da dabarar da aka yi amfani da ita, adadin da ke cikin kwayar, da kuma hoton maganadisu don yin binciken ko mucormycosis ya kai ga Tsarin kwakwalwa, misali. Wajibi ne a yi waɗannan gwaje-gwaje da wuri-wuri, saboda saurin ganowar cutar, yawancin damar suna nan don kawar da cutar.

Mucormycosis magani

Maganin mucormycosis ya kamata a yi shi da sauri, da zaran an gano cutar, don haka damar samun waraka ya fi yawa kuma ya kamata a yi shi bisa ga shawarar likitan, da kuma yin amfani da antifungals kai tsaye a jijiya, kamar Amphotericin, na iya B, ko Posaconazole, misali. Yana da mahimmanci ayi amfani da magungunan bisa ga shawarar likita kuma a dakatar da maganin koda kuwa babu sauran alamun bayyanar.

Bugu da kari, gwargwadon tsananin kamuwa da cutar, likita na iya bayar da shawarar a yi aikin tiyata don cire kayan necrotic da ke cikin naman gwari, wanda ake kira lalatawa. Hakanan za'a iya ba da shawarar kwantar da hankalin ɗakin Hyperbaric, duk da haka, har yanzu ba a sami isassun karatu don tabbatar da ingancinta ba. Ara koyo game da yadda ɗakin hyperbaric ke aiki.

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