Nzeve, Ziso uye Nail Aspergillus zvirwere
Otomycosis
Otomycosis chirwere chefungal chenzeve, uye chinowanzosangana nehutachiona hwehutachiona munzeve, mhino uye huro makiriniki. Zvisikwa zvinokonzeresa otomycosis kazhinji fungi kubva kunharaunda, kazhinji aspergillus niger. Iyo fungi inowanzopinda munyama iyo yakatokuvadzwa nehutachiona hwehutachiona, kukuvara kwemuviri kana kuwandisa earwax.
Zviratidzo:
- Itching, kushatirwa, kusagadzikana kana kurwadziwa
- Zvishoma zvekubuda
- Kunzwa kwekuvharika munzeve
Muzviitiko zvisingawanzoitiki, Aspergillus kutapurira nzeve kunogona kupararira kumapfupa uye shwashwa, zvichikonzera chirwere chakakomba uye chinouraya. Izvi zvinonyanya kukonzerwa ne Aspergillus fumigatus pane aspergillus niger, uye yakabatana neiyo immunocompromisation, chirwere cheshuga mellitus kana varwere vari padialysis.
Kuongororwa kwe otomycosis kunosimbiswa nekutora marara kubva munzeve ine hutachiona, kuigadzira pane yakakosha agar plate uye kushandisa maikorosikopu kumisikidza chipenyu chinokonzera. Kana hutachiona hwakadzika, biopsy inofanira kutorwa kune fungal tsika uye kuzivikanwa. Kana paine fungidziro yekuti hutachiona huchapinda, CT uye MRI scans inogona kushandiswa kuona kana fungi yapararira kune chero dzimwe nzvimbo.
Kurapa kunosanganisira kunyatsoomesa uye kuchenesa canal nzeve, uchishandisa microsuction. Aural syringing inofanira kudzivirirwa sezvo inogona kutungamirira kuhutachiona hunoputika munzvimbo dzakadzika dzenzeve. Zvichienderana nekuoma kwakaita hutachiona, ungangoda kuenderera mberi nekurapa neantifungals yakaiswa panzeve. Kurapa kunofanirwa kuenderera kwemavhiki 1-3 uye nemuromo antifungal therapy inongodiwa kana iyo antifungals yakaiswa paganda isingashande, kana mamiriro acho ari invasive.
Nekucheneswa kwakanaka kwenzeve uye antifungal therapy, otomycosis inowanzoporeswa uye haidzokeri zvakare.
Onychomycosis
Onychomycosis chirwere chefungal chembambo, kazhinji chigunwe. Chirwere chefungal chipikiri chinowanzoitika muhuwandu hwevanhu vakuru, nehuwandu hwe5-25% uye kuwedzera kwezviitiko muvanhu vakwegura. Onychomycosis inoumba inenge 50% yezvirwere zvose zvembambo. Kune mhando dzakasiyana-siyana dzefungi dzinogona onychomycosis, asi T. rubrum ine mhosva ye80% yemakesi muUK. Aspergillus mhando, pakati pemamwe akawanda fungi, dzimwe nguva inogona kukonzera onychomycosis. Zvimwe zvirwere zvinokonzerwa nefungus dzinopfuura imwe.
Zviratidzo zvehutachiona zvinosiyana zvichienderana nerudzi rwefungus inobatanidzwa, asi zvipikiri zvakakora uye kushanduka kwemavara zvinowanzoitika.
Zvimwe zvezvikonzero zvinokonzeresa chirwere ichi ishangu dzakavharika, kubata mvura yakawanda nezvipikiri, kukanganisika kwezvipikiri, genetic predisposition uye zvirwere zvakabatana, zvakaita seshuga, kusafamba zvakanaka kweropa uye utachiona hweHIV, pamwe nedzimwe nzira dzekudzivirira muviri.
Kuongororwa kweiyo causative fungus inowanikwa nekukwenya mbambo (zvinhu zviri pasi pembambo ndiyo inobhadhara zvakanyanya). Zvimedu zvidiki zveizvi zvinobva zvaongororwa pasi pemaikorosikopu zvobva zvakura pamapureti eagar akakosha kuti zvionekwe kuti ndezvipi zvipenyu zvinokonzeresa chirwere ichi.
Kurapa kunoenderana nemhando dzinokonzera uye kuoma kwechirwere. Antifungal cream kana mafuta anozorwa kune yakakanganiswa mbambo inoshanda mune dzimwe nyaya dzakapfava. Oral antifungal therapy kana kuvhiyiwa kubvisa chipikiri kunogona kudiwa. Kurapa kunogona kubva pavhiki 1 kusvika kumwedzi gumi nemaviri, zvichienderana nenyaya. Kurapa kunokwanisika, asi kunotora nguva yakareba, sezvo kukura kwembambo kunononoka.
Kupeta kwembambo kunogonawo kutapukirwa - iyi inonzi paronychia, uye inowanzokonzerwa ne Candida albicans nezvimwe Candida marudzi.
Fungal keratitis
Fungal keratitis chirwere chefungal che cornea. Izvo zvinonyanya kukonzera causative agents ndezve Aspergillus flavus, Aspergillus fumigatus, fusarium spp. uye Candida albicans, kunyange zvazvo mamwe fungi anogona kukonzera. Kushungurudzika, kunyanya kana kwakabatana nemidziyo yezvirimwa, inowanzoitika kune fungal keratitis. Kubata lens fluid yakasvibiswa nefungi inogona kukonzera fungal keratitis. Zvimwe zvinogona kukonzera njodzi zvinosanganisira topical corticosteroids, mishonga yechivanhu uye tembiricha yepamusoro yekunze uye mwando. Bhakitiriya keratitis inonyanya kuwanda kune vanopfeka lens uye nyika dzekumadokero, nepo muIndia neNepal nedzimwe nyika, fungal keratitis inowanzoitika sebhakitiriya keratitis. Inofungidzirwa kuti inopfuura miriyoni zviitiko zvefungal keratitis gore negore pasi rose, kunyanya munyika dzinopisa.
zviratidzo zvinowanzoita semamwe marudzi ekeratitis, asi pamwe akareba kwenguva refu (5-10 mazuva):
- kutsvuka kwemaziso
- marwadzo
- misodzi yakawandisa kana kumwe kubuda muziso rako
- kunetseka kuvhura ziso rako nekuda kwekurwadziwa kana kusvotwa
- zvakashata
- kuderera kwekuona
- kunzwisisika kuchiedza
- kunzwa kuti chimwe chinhu chiri muziso rako
Nzira yakanakisa yekuongorora fungal keratitis ndeye kutora scraping ye infective material kubva ku cornea. Chero fungal agent mune iyi scraping inobva yakura pane yakakosha agar plate yekuzivikanwa. Pamwe chete nekurima chipenyu, microscopy inodiwa nekuda kwemhando dzakasiyana siyana dzinogona kukonzera fungi.
Antifungals inoshandiswa zvakananga kune ziso nenzira yemadonhwe emeso inokosha pakurapa fungal keratitis. Kuwanda kwavanoitwa kunoenderana nekuoma kwechirwere ichi. Muzviitiko zvakakomba izvi ndezveawa imwe neimwe, uye inogona kuderedzwa muhuwandu mushure mezuva 1 sekuvandudzika kwakanyorwa. Topical antifungal therapy ine 60% yekupindura chiyero nekuchengetedza kwechiratidzo kana keratitis yakaoma uye 75% mhinduro kana yakapfava. Kune zvirwere zvakakomba, kurapwa nemuromo kunorayirwawo. Iyo antifungal kurapwa kunopiwa kunoenderana nemhando inokonzeresa. Therapy inowanzoenderera mberi kwemazuva gumi nemana. Kuvhiyiwa kusvibiswa kwakakosha kune chirwere chakakomba.
Fungal keratitis inosanganiswa ne ~ 5- yakapetwa njodzi yepamusoro yekutevera perforation uye kudiwa kweiyo corneal transplant pane bhakitiriya keratitis. Kupora kwekuona kwakanyanya kana kuongororwa kukaitwa nekukurumidza.