Kusvika Pakuziva Muvengi Wako
Kukanganisa kwakakomberedzwa kunokonzerwa nekuputika kwezvirwere ndiko kunokonzera rufu rwevanhu vane cystic fibrosis . Kuziva zvimwe zvezvirwere zvaungatarisana nazvo zvinogona kukubatsira kugadzirira matambudziko mberi uye kuronga nzira dzokuderedza ngozi yako. Zvisikwa zvinotevera zvinowanzoitika kakawanda kuvanhu vakagwinya, asi zvinonyanya kunetseka kune avo vane CF.
Aspergillus
Aspergillus isu fungus inowanzoitika munharaunda, saka zvakaoma kana zvisingakwanisi kudzivisa kuonana. Kune vanhu vazhinji, Aspergillus haina ngozi asi kune 15 muzana yevanhu vane cystic fibrosis, inogona kutungamirira mumamiriro ezvinhu anotyisa anonzi allergic bronchopulmonary aspergillosis (ABPA).
Muchiitiko ichi, iwe uchava naAspergillus mumucheka mumapapu ako asi haisi kuitika. Pane kudaro, zvinokonzera kupindira kwekudzivirira kwemaviri nemaviri nemasero emunodzivirira, zvichiita kuti mushure mekushaya ropa. Zviratidzo zvinosanganisira chifukidziro chemavara matsvuku kana mavara ane tsvina mu sputum yako. Iwe uchange uine zviratidzo zveputi-sezviratidzo zvekuputika uye kuvhara kwemhepo. Mumatambudziko akaoma, iwe unogonawo kuva nefivha, kuora musoro, uye kurasikirwa kwechido. Inoongororwa neganda rinonyanya kuongororwa kweAspergillus antigen uye kuongorora ropa kweAspergillus precipitins uye IgE antibodies uye chifu che X-ray kana CT.
Kurapa kunowanikwa mumuromo we prednisone sezvakakonzerwa ne corticosteroids haishande zvakanaka kuAIDS. Kana ABPA ichienderera mberi, iwe unogona kurapwa nemishonga inogadziriswa. Varwere vanoteverwa nebhokisi X-rays, pulmonary function test, uye mabhii ekuongorora semapapu emapapu angaramba achiitika pasina kuchinja kwezviratidzo. Pane njodzi yekuwedzera kusingaperi kwepakati pemhepo, inozivikanwa sebronchiectasis, uye kupora kwemapapu.
Pseudomonas aeruginosa
Vanopfuura hafu yevanhu vose vane cystic fibrosis vacharwisana nemapupa emapapu anokonzerwa nebhakitiriya Pseudomonas aeruginosa pane imwe nguva muupenyu hwavo. Muzvokwadi, ndiyo inowanzoitika mumuviri weCF-yakakonzerwa nemapapu. Nokudaro, P. aeruginosa zvakare ibhakitiriya inokonzera rufu rwevanhu vazhinji vane CF.
P. aeruginosa ibhakitiriya yakajairika inowanikwa-svetuka muvhu, kunyura, mvura, uye mamwe mamiriro emvura, saka haigone kudziviswa. Zvakaoma kubvisa apo iyo inopinda mumugwagwa wekupemha.
Nzira yakakanganiswa yemishonga inonzi antibiotic tobramycin, inonzi TOBI, inoshandiswa kurapa zvirwere zvisingaperi zvepseudomonas zvirwere kune vanhu vane cystic fibrosis. A poda yakaoma TOBI Podhaler yakagadzirwawo.
Burkholderia cepacia
Burkholderia cepacia , iyo yaimbozivikanwa sePseudomonas cepacia , inowanzoshamisa asi inokosha kune vanhu vane cystic fibrosis. Kunyange zvazvo matambudziko ari munharaunda yako kuti hauzombofi wakatarisana neBurkholderia cepacia , iwe unofanirwa kuva nenzwisisiro yechiratidzo chekuti chii uye kuti kuderedza sei dambudziko rako rokuriwana .
Kunyange zvazvo iri mumamiriro ezvinhu, matambudziko anokonzera vanhu iye zvino anoratidza kuti anopararira kubva kumunhu kumunhu. Inogona kukonzera mapapu uye inokonzera utachiona hunowedzera kupera mapapu. Inogona kupararira mumuviri wose unokonzera cepacia syndrome nekukurumidza kupera kwemapapu. Izvi zvinogona kutungamirira kurufu. Iyo inobatwa nehutano huri pamwe chete sezvo inogona kusagadzikana nemishonga inorwisa mabhakitiriya.
MRSA
Methicillin-resistant Staphylococcus aureus (MRSA ), iri kuwedzera kuwirirana kune vanhu vane cystic fibrosis. MRSA inogona kuwanika paganda, mumaronda, mumuguta, uye zvimwe zvikamu zvakawanda zvemuviri asi mapapu ndiyo nzvimbo inonyanya kuwanda yehutachiona hweMSASA kune avo vane CF.
MRSA inopararira kuburikidza nehutano hwakananga uye husinganzwisisiki uye inogona kuwanikwa munharaunda kana muchipatara. Kuita kurapa kwakanaka kwehutachiona kunogona kubatsira kuderedza ngozi.
> Sources:
> Gautam, V .; Singhal, L .; uye Ray, P. " Burkholderia cepacia complex: Beyond pseudomonas uye acinetobacter." Ind J Med Microb. 2011; 29 (1): 4-12.
> Ortega VE. Allergic Bronchopulmonary Aspergillosis (ABPA). Merck Manual Professional Version. http://www.merckmanuals.com/professional/pulmonary-disorders/asthma-and-related-disorders/allergic-bronchopulmonary-aspergillosis-abpa#.
> Ramphal R. Infections Pamusana pePseudomonas Species uye Related Organisms. Muna: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Harrison's Principles of Internal Medicine, 19e . New York, NY: McGraw-Hill; 2015.