Coccidioimycosis waa cudur fungal ah oo ay sababto Coccidioides immit or Coccidioides posadaii , oo loo yaqaan ' Dareemo Dareemo '. Waxay ku saleysantahay qeybo ka mid ah Koofurta Koonfuurta Mareykanka, Texas ilaa koonfurta California, iyo sidoo kale waqooyiga Mexico, Bartamaha Ameerika, iyo Koonfurta Ameerika.
Inkasta oo coccidioimycosis guud ahaan ay soo bandhigto gudaha sanbabada (pulmonary), marka uu ku faafo meel ka baxsan sanbabada (extrapulmonary) waxaa loo tixgeliyaa xaalad qeexan AIDS-ka Maraykanka Xarumaha Xakamaynta iyo Ka Hortagga Cudurada (CDC).
Heerka Cudurka Coccidioimycosis
Marka loo eego CDC, heerka celceliska heerka celceliska ee Maraykanka waa 44 qof 100,000 oo qof. Hase yeeshee, inta badan kiisaskaasi waxay ka dhacaan laba dawladood (Arizona, California), halkaasoo heerka sicirka uu ku socon karo ugu badnaan 248 halkii 100,000.
Sanadkii 2011, in ka badan 22,000 oo xaalado cusub oo coccidioimycosis ah ayaa lagu soo wargaliyey CDC, oo ah toban laab oo laga soo bilaabo 1998. Kaliya Kaliya Kaliya, tirade ayaa kordhay 719 sanadii 1998 ilaa ay ka saraysay 5,697 sanadkii 2011.
Taasi waxay tidhi, dadka qaba HIV, dhacdooyinka coccidioidomycosis cillad ayaa si aad ah u yaraatay tan iyo markii ay soo baxday daaweynta antiretroviral therapy (CART) , halka muujinta kiliinikada ee cudurka waxaa loo arkaa in ay aad u yar tahay.
Noocyada Gudbinta
Coccidioides waxay ku jirtaa carrada halkaasoo ay ku kobcin karto xanuunka hawada ee xilliga roobka. Caabuqa waxaa sababa neefsashooyinkan fungal, caadi ahaan adoon xitaa ogeyn.
Marka gudaha sanbabada, dhuunta ayaa soo saari kara daawooyinka kale, taas oo abuuri karta nodules oo qarxi kara oo keeni kara barar ku dhaca bararka. Qeybaha difaaca jirka ee difaaca-gaar ahaan dadka qaba HIV-ga CD4 ayaa ka hooseeya 250 unugyada / μL-taasi waxay keeni kartaa in badanaa infekshannada sambabada. Finku wuxuu ku faafi karaa sanbabada dhiigga, halkaas oo ay saameyn karto qaybaha kale ee jirka.
Coccidioides looma gudbin karo qof ilaa qof.
Calaamadaha Coccidioimycosis
Dadka badankooda cudurka qaba ma laha wax calaamado ah ama cawaaqib xumo. Kuwa calaamadaha sameeya, calaamadaha badanaaba iskood bay iska dhigaan oo ay la yimaadaan astaamaha hargabka sida:
- Qandho
- Madax xanuun
- Qufac
- Xanuunka laabta
- Neefsasho gaabis ah
- Qarxo
- Myalgia (murqo xanuun) iyo arthralgia (xanuun wadajir ah)
- Daal
Finanku waxay sidoo kale horumarin karaan ilaa 25% kiisaska. Finanku guud ahaan waa la go'doomiyaa xudduudaha hoose, oo lagu qeexay qanjidhada cas ee casriga ama shubanka qaabka aan caadiga ahayn. Xaaladaha qaarkood (qiyaastii 5-8%), infekshanku wuxuu horey u sii gudbin karaa unugyada oof-wareenka ah ee la-qabtey (CAP), oo badanaaba xaliya haba yaraatee wax daaweyn ah oo liddi ku ah fungal.
Si kastaba ha noqotee, marar dhif ah, coccidioimycosis waxay noqon kartaa mid aad u daran, taasoo keenaysa nabaro iyo muruqyo badan oo ku dhaca sanbabada. Marka la faafiyo (ie faafitaanka ka sarreysa sanbabada), waxay jilicsan kartaa jirka, taas oo keenta:
- Boogaha maqaarka iyo cirridka
- Nabaro barar iyo xanuun leh
- Dhaawacyada lafaha
- Bararka wadnaha
- Dhibaatooyinka kaadimareenka
- Qoorgooyaha
Mininjaytisku waa dhibaatada nolosha ugu khatarta badan ee coccidioimycosis. Inkasta oo tirada guud ee dhimashada Maraykanku uu yahay Maraykanka (0.07%), dadka qaba infakshanka HIV-ga ee ka hooseeya 100 unugyada / MA, dhimashada waxay noqon kartaa 70% xitaa daaweyn habboon.
Ciladeynta Coccidioimycosis
Coccidioimycosis waxaa lagu ogaan karaa baaritaanka microscopic ee dareerayaasha jirka, candhuufta, malabka (tusaale ahaan malax), ama maqaarka caddeyn. Baaritaanka waxaa sidoo kale lagu sameyn karaa baaritaan PCR (fal-celinta polymerase chain reaction), kaas oo xoojiya DNA-da tijaabooyinka serolojik-ka si loo xaqiijiyo cudurka Coccidioides .
Daaweynta Coccidioimycosis
Dadka qaba difaaca jirka ee qaba HIV (CD4 in ka badan 250 unugyada / μL), coccidioimycosis guud ahaan is-xaddidid oo u baahan daaweyn gaar ah oo aan ahayn daryeel lagu taageero.
Kuwa u baahan daaweyn-sababtoo ah calaamadaha joogtada ah ama cudurada horay u-soo-saara cudurka-maskaxda ayaa loo tixgeliyaa doorashadii ugu horeysay.
Kuwaas waxaa ka mid ah ketoconazole oo keliya FDA-ogolaanshaha keliya ee daaweynta coccidioimycosis, inkastoo khubarada badankood maanta ay yihiin fluconazole ama itraconazole. (Fadlan ogow in ketoconazole, fluconazole, iyo itraconazole ay ka hortagaan xiliga uurka iyo naas-nuujinta.)
Si aad u xanuunsan, amphotericin B antifungal waxaa loo tixgeliyaa daroogada doorashada. Waxaa loo maamulaa xididada ilaa infakshanka la xakameeyo ka dib, ka dib markii horey loo sii baaro afka laga qaato ketoconazole, fluconazole ama itraconazole.
Bukaansocodka meningitis-ka ee coccidioidal, amphotericin B waxaa loo maamuli karaa si aan caadi aheyn (ie meel bannaan oo ku wareegsan maskaxda ama xudunta laf-dhabarka).
Kahortagga Coccidioimycosis
Way adagtahay in laga hortago coccidioimycosis meelaha xasaasiga ah. Wixii qotodheerta difaaca adag, daaweynta prophylactic ayaa laga yaabaa inay ka hortagto cudurka. Wax tallaal ah ayaa hadda la heli karaa. Haddii aad ku nooshahay aag xasaasiyad leh oo aad is aaminsan tahay inaad halis ku jirto, waxaa jira dhawr marmood oo aad qaadi kartid:
- Xidho maaskaro boodh ah markaad la shaqeyneyso ciid, ama biyaha hoos u dhig ciidda si aad u yareeysid fungus.
- Iska ilaali inaad dibedda u baxdo inta lagu jiro duufaanka ciidda ama dabaylaha sare.
- Isticmaal tallaabooyinka tayada hawada, sida fiilo HEPA ah , kuna rakib daaqadda aan qaali ahayn iyo kan albaabada.
- Haddii aad ka shaqeyneyso goobta dhismaha, xiro maaskaro sheyga sheyga N95.
Ilaha:
Xarumaha Xakamaynta iyo Kahortagga Cudurrada Maraykanka (CDC). "Kordhinta Coccidioidomycosis - Maraykanka, 1998-2011." Dhimashada iyo Miisaaniyadda Toddobaadlaha ah (MMWR). Maarso 29, 2013: 62 (12): 217-221.
Galgiani, J. "Coccidioimycosis." Wargeyska Royal Society ee Daawooyinka Tropical iyo Nadaafadda. 2005; 41 (9): 1217-1223.
Pickering, L .; Baker, C .; Kimberlin, D; et al. "Coccidioimycosis." Akademiyada Maraykanka ee Cudurada Carruurta, Buugga Cas: 2009 Warbixinta Guddiga Cudurrada Cudurada. Elk Grove Village, Illinois; 28th Edition: 266-268.
Masannat, F. iyo Ampel, M. "Coccidioidomycosis ee bukaanka qaba HIV-1 Infekshanka Era ee Daaweynta Dabeecadda Antiretroviral." Cudurada Cudurrada Cudurrada ah. Janaayo 2010; 50: 1-7.
Xarumaha Xakamaynta iyo Kahortagga Cudurrada Maraykanka (CDC). "Kordhinta Coccidioidomycosis - United California, 2009." Dhimashada iyo Miisaaniyadda Toddobaadlaha ah (MMWR). Febraayo 13, 2009: 58 (5): 105-109.
Rabshadaha: kok-si-dee-oh-my-KOH-sis
Sidoo kale waa la yaqaan:
- Coccidioidal Granuloma
- Cocci
- "Xummadda California"
- "Jahawareer caws
- Posadas Wernicke Cudurka
- "San Joaquin Valley Fever"
Misspellings: Coccidiomycosis