Helitaanka Barashada Dareemaha
Dhaawaca sanbabada ee keena infekshannada neefsiga ee soo noqnoqda ayaa sabab u ah dhimashada dadka qaba cystic fibrosis . Inaad ogaatid qaar ka mid ah infakshannada aad la kulmi karto waxay kaa caawin karaan inaad u diyaargaroobto caqabadaha hortaagan oo qorshee tabaha si aad u yareyso khatartaada. Waxyaabahan soo socda ma dhacaan inta badan dadka caafimaadka qaba, laakiin waxay si gaar ah dhib ugu yihiin kuwa leh CF.
Aspergillus
Aspergillus waa fungus kaas oo badanaaba ku dhaca bii'ada, sidaa daraadeed way adagtahay haddii aan suurtagal ahayn in laga fogaado in lala xiriiro. Dadka intooda ugu badan, Aspergillus waa wax aan waxyeello lahayn laakiin boqolkiiba 15 dadka qaba cystic fibroxis, waxay u horseedi kartaa xaalad nololeed oo halis ah oo loo yaqaan 'alerji bronchopulmonary aspergillosis' (ABPA).
Xaaladdan, waxaad Aspergillus ku yeelan doontaa xabada ku jira sanbabadaada, laakiin ma aha wax khasaare ah. Taa baddalkeeda, waxay kicisaa falgal difaac ah oo xad-dhaaf ah oo leh labadaba unugyada difaaca jirka iyo unugyada difaaca, taas oo keenta oof-wareenka eosinophilic. Astaamaha waxaa ka mid ah qufac leh caleenta cagaaran ama midabada caanaha oo ku jira xaakada. Waxaad yeelan doontaa astaamo la mid ah astaamaha hurgunka iyo marin-haweedka marin-haweedka. Xaaladaha daran, waxaa kale oo laga yaabaa inaad yeelato xummad, madax xanuun, iyo cunto xumo. Waxaa lagu ogaanayaa baaritaanka maqaarka ee Aspergillus antigen iyo baaritaanka dhiigga ee Aspergillus precipitins iyo IgE-ga difaaca iyo raajada feedhaha ama CT.
Daaweyntu waxay la socotaa prednisone afka oo ah corticosteroids oo la neefsado si fiican uma shaqeyn waayo ABPA. Haddii ABPA uu sii jiro, waxaa lagugu daaweyn karaa daawo antifungal ah. Bukaan-socodka waxaa la socda raajada xabadka, baaritaanada hawlaha sambabada, iyo baaritaanada shaybaadhka ah sida dhaawaca sambabku uu sii wadi karo iyada oo aan wax is-bedelin calaamadaha. Waxaa jira halis ah in si joogto ah loo kordhiyo hawo-mareenada dhexe ee loo yaqaan "bronchiectasis", iyo cirridka sambabada.
Pseudomonas aeruginosa
In kabadan nus ka mid ah dhammaan dadka qaba fibro-biska cysticis ayaa la dagaalami doona infakshanka sanbabada ee uu keeno bakteeriyada Pseudomonas aeruginosa marxalad noloshooda ah. Dhab ahaantii, waa unugyada ugu badan ee ku dhaca cudurada ku dhaca infakshanka sanbabada ee CF. Sidaa darteed, P. aeruginosa sidoo kale waa bakteeriyada mas'uul ka ah dhimashada dad badan oo leh CF.
P. aeruginosa waa bakteeriyaal caadi ah oo nagu wareegsan oo dhan nagu wareega carrada, saxanka, dabaasha, iyo meelo kale oo qoyan, sidaas awgeed lagama fogaan karo. Way adag tahay in laga takhaluso marka ay soo dhacdo mareenka neefsashada.
Nooca la isugeeyey ee antibiyootikada tobramycin, oo loo yaqaan TOBI, ayaa loo isticmaalaa in lagu daweeyo caabuqyada Pseudomonas ee joogtada ah ee dadka qaba cystic fibrosis. Budabbo qalalan TOBI Podhaler ayaa sidoo kale la sameeyay.
Burkholderia cepacia
Burkholderia cepacia , oo loo yaqaan ' Pseudomonas cepacia' , waa halis laakiin halis weyn u leh dadka qaba cystic fibrosis. Inkasta oo runtu ay ku jirto naftaada inaadan waligeed la kulmi doonin Burkholderia cepacia , waa inaad faham asaasi ah ka sheegtaa waxa ay tahay iyo sida loo yareeyo khatarta aad u heli karto.
Inkastoo ay ku jirto bay'ada, muruqyada infekshanka dadka ayaa hadda la muujiyay in ay dadku ku faafaan. Waxay ku fiiqi kartaa sanbabada waxayna sababi kartaa infakshan si tartiib ah uga sii daraya shaqada sanbabada. Waxay sidoo kale ku faafi kartaa jidhka oo dhan taas oo keenaysa cudurrada cudurrada "elacia syndrome" iyada oo si degdeg ah u sii xumaato sambabada. Tani waxay keeni kartaa dhimasho. Waxaa lagu daaweeyaa daaweynta isku dhafan sababta oo ah waxay u adkeysan kartaa antibiyootigyada badankood.
MRSA
Staphylococcus aureus (MRSA ) oo ah methicillin- resistive , waxay noqotaa mid sii kordheysa ee dadka ay ku dhacdo fayruska cysticis. MRSA waxaa laga heli karaa maqaarka, boogaha, kaadida, iyo qaybo kale oo jirka ka mid ah, laakiin sanbabadu waa goobta ugu badan ee cudurka MRSA ee kuwa leh CF.
MRSA wuxuu ku faafaa xiriir toos ah iyo mid aan toos ahayn waxaana laga heli karaa bulshada dhexdeeda ama isbitaalka. Ku dhaqanka xakameynta infekshanka wanaagsan waxay yareyn kartaa halista.
> Ilo:
> Gautam, V .; Singhal, L .; iyo Ray, P. " Murqaha Burkholderia cepacia : Beyond pseudomonas iyo acinetobacter." Indhaha Jm Microb. 2011; 29 (1): 4-12.
> Ortega VE. Allergic Bronchopulmonary Aspergillosis (ABPA). Nidaamka Merck Manual Professional Professional Version. http://www.merckmanuals.com/professional/pulmonary-disorders/asthma-and-related-disorders/allergic-bronchopulmonary-aspergillosis-abpa#.
> Ramphal R. Caabuqyada Sababta loo yaqaan 'Pseudomonas Speces' iyo 'Organisms'. In: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Mabaadii'da Harrison ee Daaweynta gudaha, 19e . New York, NY: McGraw-Hill; 2015.