I-Aspergillosis ezilwaneni ezifuywayo

I-ejenti ye-causative ye-aspergillosis

I-agent causative ye-aspergillosis ingabangwa yisikhunta esingosomathuba sohlobo lwe-Aspergillus. Zingaba enhlabathini, ukhuni olubolile, izitshalo ezibolayo, utshani obumanzi notshani, izingubo zokulala ezimanzi, okusanhlamvu, ufulawa, okusanhlamvu nokudla okomile, amanzi, futhi zikhule ezindaweni eziswakeme nezingenawo umoya ohlanzekile - izindlu zangasese nezangaphansi. Izinhlamvu ziyaphikelela endaweni ezungezile. Ngokuvamile, izinyoni ziyagula, futhi kancane kancane - izilwane ezifuywayo nabantu. Izilwane ezihlaselwa kakhulu yilesi sifo yizilwane ezindala ezinezifo ezizimele, isifo sikashukela, izifo zokuphefumula, kanye nezilwane zezinhlobo ze-brachiocephalic kanye ne-German Shepherds, Rottweilers, Retrievers. I-Aspergillosis ithinta kakhulu uhlelo lokuphefumula. Ukutheleleka kwenzeka ngemvelo engcolile, izinto zasendlini, ukudla, ukuhogela uthuli. I-Aspergillosis ayisakazwa ngokuthintana.

Izimpawu zesifo

Ama-spores angena emgodini wekhala futhi anamathele ku-epithelium, lapho i-hyphae ye-fungus ikhula khona, iyibhubhise. Inkambo yesifo ingahluka kuye ngokuthi isikhunta sihlala kuphi. Kungaba i-bronchi namaphaphu, i-nasal cavity, futhi emakati kukhona nefomu le-sinoorbital, lapho ama-sinuses kanye nemizila yamehlo ethintekayo. Uhlobo olunzima lwalesi sifo luhambisana nokubhujiswa kwamathambo ekhala, ulwanga, izono zangaphambili, kanye / noma i-orbit yeso, ngisho nobuchopho. Nge-aspergillosis evamile, izitho ezihlukahlukene zangaphakathi zingathinteka. Izimpawu okufanele uzibheke: Ukuthimula

• Isikhukhula
• Ukukhishwa kwekhala okuhlangene noma okubili. Uhlamvu lungahluka kusuka emanzini kuya ku-purulent nokutheleleka kwebhaktheriya yesibili
• Ukopha ekhaleni, ngokuvamile kuningi kakhulu
• Ukuwa kwekhulu lesithathu
• Ukuvuza emehlweni
• Ukwakheka kwezimila emlonyeni
• Ama-lymph node akhulisiwe
• Ubuhlungu emlonyeni
• Isimo sokucindezeleka
• Fever
• Ukunciphisa ukudla
• Ukwehla kwesisindo
• Ukuphazamiseka kwemizwa

Izimpawu ezingenhla zingabuye zibonwe kwezinye izifo zokuphefumula, ngakho-ke kuyadingeka ukwenza ukuxilongwa ukuze kutholakale i-aspergillosis futhi unikeze ukwelashwa okufanele, futhi ngezinye izikhathi ukunakekelwa kokuhlinzwa.      Ukuxilongwa kwe-aspergillosis Noma yikuphi ukuvakashela udokotela kuqala ngokuqoqwa kwe-anamnesis - umlando wokuphila nokugula kwesilwane. Kubalulekile ukuthi udokotela azi ukuthi ikati, inja noma inyoni iphila ngaphansi kwaziphi izimo, idlani, kungakhathaliseki ukuthi kunezimo ezingapheli noma zokuzivikela komzimba. Lokhu kuzosindisa isikhathi futhi kusize ukuxilongwa. Ukucacisa ukuxilongwa, izindlela ezilandelayo nezifundo zivame ukusetshenziswa:

• Ukuhlolwa kwegazi okujwayelekile kanye ne-biochemical ukuhlola isimo somzimba jikelele, ngaphandle kwamanye ama-pathologies ezitho zangaphakathi ezingase zenzeke ngezimpawu ezifanayo;
• Ukukhipha amanzi emehlweni nasemakhaleni;
• I-X-ray yesifuba, intamo nekhanda. Ukubona ngeso lengqondo ubuqotho bezakhiwo zamathambo, ukukhishwa kwemizimba yangaphandle ehlukile;
• US, CT, MRI
• I-Rhino- noma i-tracheobronchoscopy. Zenziwa ngaphansi kwe-anesthesia. Ngokubukeka usebenzisa ishubhu eliguquguqukayo elinekhamera ekugcineni hlola ukwakheka kwendlela yokuphefumula.
• Ngesikhathi esifanayo nale nqubo, izicubu ezishintshiwe zingathathwa ukuze kuhlolwe i-cytological, histological, amasiko e-bacterial and fungal.

Ukwelashwa

Ngemuva kokuqinisekisa ukuxilongwa kwe-aspergillosis, ukwelashwa isikhathi eside kuyadingeka, okuvame ukuthatha izinyanga ezimbalwa. Ngokukhula okubanzi kwesikhunta, ukuhlinzwa kwezicubu kuyadingeka. Lokhu kungase kube ukukhishwa kwengxenye yekhala ngezicubu zethambo noma umjikelezo weso kanye nenhlamvu yeso, kodwa ngokuvamile lokhu kuyisilinganiso esidlulele ezilwaneni ezimweni ezithuthuke kakhulu. Uma kungenjalo, kusetshenziswa i-systemic antifungal therapy. Sebenzisa umuthi owodwa noma inhlanganisela yawo. Ukwelashwa kuvame ukude kakhulu. Ukulawula ukusebenza kwezidakamizwa ezinqunyiwe, izitshalo eziphindaphindiwe ziyenziwa. Ngemiphumela emibili engemihle, ukwelashwa kuyamiswa futhi isilwane sibhekwa njengesilulamile.

Prevention

Ayikho i-prophylaxis ethize ye-aspergillosis. Nokho, imisebenzi yomnikazi:

• Gada isimo sesilwane sakho, uhlole njalo ukuhlolwa kwezokwelapha, inhlanzeko kanye nezinqubo zokuvimbela.
• Khetha ukudla okuseqophelweni eliphezulu noma ukudla okulungisiwe okungeke kungcoliswe ukhunta.
• Gcina ifulethi nezindawo ezivalekile zihlanzekile, sebenzisa izibulala-magciwane ngezikhathi ezithile.
• Uma uthola noma yiziphi izimpawu ze-malaise esilwaneni sakho, kufanele uxhumane nomtholampilo wezilwane, futhi akukho cala ungazitholi.