Qeexitaanka: Microsporidiosis waa cudur saami ah oo ay keento noocyada kala duwan ee fungi unicellular, microsporidia . Cudurka, taas oo saameyn karta mareenka caloosha iyo qaybaha kale ee jidhka, ayaa had iyo jeer lagu arkaa shakhsiyaadka leh nidaamyada difaaca jirka ee aadka u daran, sida kuwa qaba HIV . Inta badan ma aha, infakshanka wuxuu dhacaa marka tirada qofka CD4 uu hoos uga dhaco 100 unug / mL.
Inkastoo microsporidiosis badanaa la xidhiidha calaamadaha caloosha iyo mindhicirka, oo ay ka mid yihiin shuban daran iyo leexashooyin , noocyada qaar ee microsporidia waxay saameyn kartaa kelyaha, sambabada, siniyada, indhaha iyo nidaamka dareenka dhexe.
Markii hore waxaa loo maleynayay in uu noqonayo pathogen protozoan, cilmi-baaris hiddesid ah ka dib markii la xaqiijiyo microsporidia inuu noqdo xubin ka mid ah boqortooyada fungi. Waxaa hadda jira 14 noocyo microsporidia ah oo loo yaqaan in ay cudurka ku dhacaan.
Heerarka Muuqaalka
Caddaynta hadda jirta waxay u muuqataa in ay soo jeedinayso in kororka microsporidiosis ee dadka qaba HIV-ga ay hoos u dhacday, qiyaas ahaan 1.6%. Hase yeeshee, daraasado kale ayaa muujiyay in cudurada faafa ee microsporidial ee shakhsiyaadka dambe ee qaba calaamadaha shuban ama daran ay ku badan yihiin, qiyaastii 39%.
Noocyada Gudbinta
Inkasto gudbinta microsporidia weli maaha mid gebi ahaanba cad, inkastoo cilmi-baaristu ay u muuqato in ay soo jeedinayso in fangasta fungal laga yaabo in la nuugo, la neefsado, ama xataa laga maro unugyada yaryar ee nugul (sida isha).
Inta lagu jiro infekshanka, xayawaanku waxay ku dhufanayaan cytoplasm (ie, dareeraha gudaha) ee unugyada cudurka qaba, oo leh noocyo u eg Encephalitozooan intestinalis- saameynaya shuban daran, halka kuwa kale sida Encephalitozoon ay saameyn ku yeelanayaan kelyaha iyo habka dhexe ee dareenka.
Astaamaha Microsporidiosis
Inkastoo dadka difaaca jirka ee laga yaabo in lagu ogaado microsporidiosis, had iyo jeerba, cudurku wuxuu u muuqdaa kuwa qaba AIDS .
Marka uu saameynayo marinka mindhicirka, shuban daran iyo leexasho ayaa badanaa la xusaa, marar dhif ah maqnaashaha qandho, barar ama qandho sare. Marar dhif ah, astaamaha calaamaduhu waa mid aan laga garan karin cystoisosporiasis iyo cryptosporidiosis .
Calaamaduhu waxay noqon karaan kuwo aad u kala duwan (iyadoo ku xiran nooca microsporidia midka qaba cudurka) waxaana ka mid noqon kara:
- Qufac, neefsasho iyo neefsasho shaqo
- Infekshinka kaadida ee kaadida
- Jilicsanaanta murqaha iyo xanuunka
- Madax xanuun iyo murgacasho
- Aragga cilloobay, dareenka iftiinka, xanuunka indhaha, jeexjeexin xad dhaaf ah
- Cudurka dabaysha, xanuunka sambabada
- Saliingaha bararsan
Ciladeynta Microsporidiosis
Baadhitaanka microsporidiosis waxaa lagu taageeraa soo bandhigidda astaamaha kiliiniga iyo calaamadaha calaamadaha; horey u-imtixaanka hore (qiimeyn shakhsiyeed oo ku saabsan suuragalnimada caabuqa shakhsi ahaan); iyo falanqaynta saxarada, kaadida, unugyada jirka, ama dheecaannada kale ee jirka.
Qalabka microscopy oo loo gudbiyo, inkastoo qaali ah, ayaa bixin kara cilad kufilan oo si cad u qeexaysa xuubka microsporidia. Si kale, garaaminta laydhka laydhka leh ayaa loo tixgeliyaa si wax ku ool ah si loo ogaado is-goysyada faafista.
Baarista genetic PCR (jawaab celinta silsilad celin) ayaa lagu heli karaa aqoonsiga microsporidia, laakiin intaba guud ahaanba goobaha cilmi-baarista oo kaliya.
Daaweynta Microsporidiosis
Maadaama microsporidiosis ay guud ahaan la xiriirto xakameynta difaaca jirka ee daran, waxaa lagula talinayaa in daaweynta antiretroviral therapy (CART) lagu maamulo qayb ka mid ah ficilka koowaad ee ficilka.
Daawooyinka yar yar, albendazole, waxaa loo isticmaali karaa daaweynta microsporidia, gaar ahaan noocyada sida E. E. intestinalis , inkastoo qaar ka mid ah daraasaadka ay muujiyeen in ay yar tahay waxtarka daaweynta noocyada kale. Itraconazole waxaa sidoo kale loo isticmaalaa albendazole ee cudur la faafiyey (sida, marka ay ka sii gudubtay goobta hore ee bandhigga).
Fumagillin antifungal ayaa sidoo kale loo tixgeliyaa ikhtiyaar macquul ah, oo leh daraasado qaarkood oo soo jeedinaya in ay leedahay ficil ka sarreeya xaaladaha cudurada E. bienusi .
Si kastaba ha noqotee, looma heli karo isticmaalka nidaamka Maraykanka. Dareeraha fumagillin ee jirka ayaa laga heli karaa caabuqyada isha, inkasta waxaa lagu talinayaa in la isticmaalo daaweynta albendazole.
Fadlan xusuusnow, si kastaba ha ahaatee, in isticmaalka albendazole hadda laguma talinayo inta lagu jiro seddexda bilood ee ugu horreysa ee uurka sababtoo ah baaritaanka xoolaha ee soo jeedinaya khatarta dhalmada uur-ku-jirta. Waxaa hadda jira xog aan ku filnayn sida isticmaalka albendazole ee uurka.
Kahortagga Microsporidiosis
Maaddaama cilmi-baarista (microsporidiosis) aysan si buuxda u cadayn, waxaa lagula talinayaa in shakhsiyaadka difaaca jirka ay raacaan tilmaamo la mid ah cystoisosporiasis, taas oo ay ka mid tahay iska ilaalinta biyaha aan la daaweynin, hilibka cayriin, ama badeeco cayriin.
Rabshadaha: mi-kro-spo-rid-ee-OH-suhs
Ilaha:
Keeling, P .; iyo Madhani, H. "Shan su'aalood oo ku saabsan Microsporidia". Jir-baaris. Sebtembar 2009; 5 (9): e1000489.
Wasaaradda Caafimaadka ee Mareykanka iyo Adeegyada Aadanaha (DHHS). "Tilmaamaha Ka-hortagga iyo Daaweynta Cudurrada Fursadaha ee Dadka Qaangaarka ah ee qaba HIV iyo Dhallinyarada - Microsporidiosis." Rockville, Maryland; updated May 7, 2013
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Molina, J .; Tourneur, M .; Sarfati, C .; et al. "Fumagillin Daaweynta Xanuunka Microsporidiosis". Somali Journal of Medicine. Juun 2002: 346 (25): 196319699.