Aspergillosis uye kuneta

Vanhu vane chirwere chisingaperi chekufema vanogarotaura kuti chimwe chezviratidzo zvikuru chavanoona chichivaomera kurarama nacho ndicho chimwe chisingasviki mupfungwa sedambudziko guru kune vazhinji vedu vasina chirwere chisingaperi - kuneta.

Nguva nenguva vanhu vane aspergillosis vanotaura kuti kuneta kunoita kuti vanzwe sei, uye pano paNational Aspergillosis Center takasarudza kuti kuneta chinhu chikuru chechirwere chechirwere chemapapu aspergillosis (CPA - ona). Al-Shair et. al. 2016) uye kuti kukanganisa kweaspergillosis pahutano hwehupenyu hwevarwere kwakabatana zvakanaka nehuwandu hwekuneta hwakatambura.

Pane zvakawanda zvinokonzeresa kuneta muchirwere chisingaperi: chinogona kunge chiri chikonzero chesimba iro immune system yemurwere inoisa mukurwisa hutachiona, zvinogona kunge zviri mhedzisiro yeimwe yemishonga inotorwa nevanhu vanorwara. vanorwara zvisingaperi uye pamwe mhedzisiro yezvinetso zvehutano zvisina kuwanikwa zvakadai seanemia, hypothyroidism, low cortisol kana utachiona (semuenzaniso. yakareba COVID).

Nekuda kwezvizhinji zvinogoneka zvinokonzeresa kuneta, nhanho yako yekutanga mukuedza kugadzirisa mamiriro acho ndeyekuenda kunoona chiremba wako anogona kutarisa zvese zvinowanzoitika zvikonzero zvekuneta. Kana wangoona kuti hapana zvimwe zvingavanzwa zvikonzero zvaunogona kuverenga ino pakuneta kunogadzirwa neNHS Scotland ine zvakawanda zvekudya zvekufunga uye mazano ekuvandudza kuneta kwako.

Kurarama nekuneta

Drug Induced Photosensitivity

Chii chinonzi drug-induced photosensitivity?

 

Photosensitivity ndiko kusajairika kana kukwidziridzwa kuita kweganda kana rakafumurwa nemwaranzi yeultraviolet (UV) kubva kuzuva. Izvi zvinoita kuti ganda rinenge rapiswa nezuva risina dziviriro ritsva, uye izvi zvinogona kuwedzera njodzi yekubatwa negomarara reganda.

Kune huwandu hwehuwandu kurapwa kwemamiriro se lupus, psoriasis uye rosacea iyo inogona kuwedzera kunzwa kwemunhu kune ultraviolet chiedza. Rondedzero yakazara yemamiriro anozivikanwa anogona kuwanikwa pano.

Zvinodhaka-induced photosensitivity ndiyo inonyanya kuzivikanwa mhando yeganda-ine chekuita neadverse drug reaction uye inogona kuitika semhedzisiro yemishonga yemusoro uye yekunwa. Zvinoitika kana chimwe chikamu chemushonga chasangana nemwaranzi yeUV panguva yekuve nezuva, zvichiita kuti phototoxic iite senge kutsva nezuva, kunoonekwa nekuzvimba, kutsvuka, kutsvuka kwakanyanya uye panguva yakaipisisa, mablister uye kubuda.

Mifananidzo iri pazasi inoratidza kuita kuchiedza chezuva uri pa voriconazole. Murwere akapa iyi mifananidzo aive nekushomeka kuratidzwa uye aive akapfeka factor 50 suncream patsoka dzavo.  

Tsoka ichitaridza kutumbuka kuchigunwe chikuru chekurudyi.

Zuva 1 Kuita kweganda kuchiedza chezuva uri pavoriconazole

Tsoka ichitaridza kutumbuka kuchigunwe chikuru chekurudyi.

Day 2

Tsoka ichitaridza kutumbuka kuchigunwe chetatu cheruboshwe.

1 Svondo

Tsoka dzekuruboshwe nedzekurudyi dzichiratidza kutumbuka kuchigunwe chikuru chekurudyi nechigunwe chechitatu cheruboshwe.

1 mwedzi

 

Varwere vanotora mishonga yemishonga, kunyanya, Voriconazole uye Itraconazole (iyo yekare inonyanya kuzivikanwa nokuda kwekukonzera maitiro), vanowanzoziva nezvekuwedzera kwengozi dze photosensitivity; zvisinei, iyi handiyo chete mishonga inogona kuunza mhinduro isina kujairika kune UV kuratidzwa. Mimwe mishonga inonzi inokonzera photosensitivity ndeiyi:

  • NSAIDs (Ibuprofen (yemuromo uye yepamusoro), naproxen, aspirin)
  • Mushonga wemwoyo (furosemide, ramipril, amlodipine, nifedipine, amiodarone, clopidogrel - zvishomanana)
  • Statins (simvastatin)
  • Psychotropic zvinodhaka (olanzapine, clozapine, fluoxetine, citalopram, sertraline - zvishomanana)
  • Mishonga inorwisa mabhakitiriya (ciprofloxacin, tetracycline, doxycycline)

Izvo zvakakosha kuti uzive kuti runyorwa rwuri pamusoro haruna kuperera, uye zvinoshumwa maitiro anosiyana kubva pane zvisingawanzo kusvika kune zvinowanzoitika. Kana iwe uchifunga kuti mushonga usiri wako antifungal uri kukonzera kuita kune zuva, taura nemushonga wako wemishonga kana GP.

Nzira yekuzvidzivirira nayo

Muzviitiko zvakawanda, varwere havagoni kurega kutora mishonga inogona kutungamirira kune photosensitivity. Kugara kunze kwezuva hakugoneki nguva dzose - hupenyu hwehupenyu nguva dzose chinhu chakakosha chekufungisisa; saka, kutarisirwa kwakanyanya kunofanira kutorwa kuchengetedza ganda ravo vari kunze.

Kune marudzi maviri ekudzivirira:

  • mushonga
  • chisimba

Kemikari kudzivirira iri muchimiro che sunscreen uye sunblock. Zvisinei, zvakakosha kuyeuka kuti sunscreen uye sunblock hazvina kufanana. Sunscreen ndiyo inonyanya kuzivikanwa mhando yekudzivirira kwezuva, uye inoshanda nekusefa ezuva UV maranzi, asi mamwe achiri kupfuura. Sunblock inoratidzira mwaranzi kubva paganda uye inodzivirira kuti isapinda mairi. Paunenge uchitenga sunscreen, tsvaga sun protection factor (SPF) ye30 kana kupfuura kudzivirira UVB uye dai wango chiyero cheUVA chekudzivirira che 4 nyeredzi.

Kudzivirirwa mumuviri 

  • NHS kutungamira kunopa zano kugara mumumvuri kana zuva rakasimba, iro muUK riri pakati pe11am na3pm kubva Kurume kusvika Gumiguru.
  • Shandisa sunshade kana amburera
  • Ngowani ine brimmed yakafara inopenya kumeso, mutsipa nenzeve
  • Matop emaoko marefu, tirauzi nemasiketi akagadzirwa nemachira ari pedyo-weave anomisa chiedza chezuva kupinda.
  • Magirazi ezuva ane malenzi ekuputira uye maoko akafara anoenderana neBritish Standard
  • UV zvipfeko zvinodzivirira

 

Links kune rumwe ruzivo

NHS

British Skin Foundation

Skin Cancer Foundation

 

 

Medical Alert Paraphernalia

Zvinhu zvekuzivikanwa zvekurapa zvakaita semabhurekete zvakagadzirirwa kuzivisa vashandi vehutano nezvemamiriro ezvinhu anogona kukanganisa kurapwa panguva yekukurumidzira kwausingakwanise kutaura wega.

Kana uine chirwere chisingaperi, chikafu kana zvinodhaka zvinodhaka, kana kutora mishonga yakadai seyenguva refu steroids kana anticoagulants, inogona kuchinja marapirwo aungagamuchira, uye zvakakosha kuti vashandi vehutano vazive uye vanogona kuita saizvozvo. Mumamiriro ezvinhu apo iwe unogona kunge usingazivi kana kusakwanisa kutaura, chenjedzo yezvokurapa inogona kupa ruzivo rwakakosha maererano nemamiriro ezvinhu, mishonga uye hama yepedyo.

Ndezvipi zvinhu zvechenjedzo zvekurapa zviripo?

Zvinhu zvakawanda zvakasiyana-siyana zvechenjedzo zvekurapa zviripo, iyo inonyanya kuzivikanwa ndeye bracelet inopfekwa uye inozivikanwa zviri nyore munjodzi.

Kune akati wandei emakambani epamhepo ane mukurumbira kwaunogona kutenga bracelet yekuzivisa yekurapa, akati wandei akanyorwa pazasi. Ndokumbirawo uone kana uchitenga online kuti kambani iri pamutemo uye kuti zvishongo zvavo zvinozivikanwa nevashandi vehutano.

https://www.medicalert.org.uk/collections/

https://www.amazon.co.uk/Medic-Alert-Bracelets/s?k=Medic+Alert+Bracelets

Mharidzo yeClub Club muBhodhoro

Mharidzo yeClubs Clubs muBhodhoro inzira iri nyore asi inoshanda yekuti vanhu vachengete ruzivo rwavo rwemunhu uye rwezvekurapa kwavanogona kuwanikwa munguva yekukurumidzira pafomu yakajairwa uye munzvimbo yakafanana - firiji.

Mharidzo muBhodhoro (inozivikanwa mukati meShumba seMIAB) inobatsira vashandi ve emergency emergency kuchengetedza nguva yakakosha mukuziva munhu nekukurumidza uye kuziva kana aine allergies kana kutora mishonga yakakosha.

MaParamedics, mapurisa, vanodzima moto uye masevhisi ezvekugarisana vanotsigira chirongwa ichi cheLions chekuponesa hupenyu uye vanoziva kutarisa mufiriji kana vaona zvinamira zveMharidzo muBhodhoro zvichipihwa. Chirongwa chinopa runyararo rwepfungwa kuti rubatsiro rwekurapa rwekukurumidza uye rwakakodzera runogona kupihwa, uye vepedyo vehama / vekukurumidzira vanogona kuziviswa.

Nzira yekuwana Mharidzo muBhodhoro

Veruzhinji nemamwe masangano vanogona kuwana Mharidzo muBhodhoro kit nekubata kirabhu yekwavo yeLions; mamwe mashoko aripo pano.

Zano kune varwere venguva refu steroid kurapwa

Iwe uri pakurapa kwenguva refu steroid?

Varwere vanotora nguva yakareba (inopfuura mavhiki matatu) nemuromo, inhaled, kana topical steroids yemamiriro ekurapa, vari panjodzi yekukudziridza yechipiri adrenal insufficiency (zvichikonzera kuderera zvakanyanya cortisol mazinga) uye kuva steroid-inotsamira (kutsiva artificially cortisol).

Kusiiwa kwesteroids kuvarwere ava kunogona kukonzera dambudziko readrenal sezvo vasingachabudisi yavo cortisol, inova emergency emergency iyo ikasarapwa inogona kuuraya. Semuenzaniso, kana murwere anovimba nesteroid akaita tsaona yemumugwagwa uye akapinzwa kuA&E pasina vashandi vezvokurapa vachiziva kuti vaida mishonga yemazuva ese yesteroid (senge vange vasingazive kana kuti vasingakwanisi kutaura) ipapo vangave vari panjodzi huru yeadrenal. dambudziko.
CHERECHEDZA: zvinowanzodiwa kuti murwere aderedze dhigirii yavo yemuromo steroid kuitira kuderedza mhedzisiro yakaipa uye zviratidzo. Kana izvi zvikaitwa murwere anovimba nesteroid anogona kuchinjirwa kumhando yeoral steroid iyo inofanirwa kusanyanya kukonzeresa zvakaipa (kureva hydrocortisone) kuitira kudzivirira kuti vasapinda muadrenal crisis.

Cortisol zvakare chikamu chehurongwa hwemuviri wako kubata nekushushikana. Nekuda kweizvozvo, kana uri steroid-inotsamira pane eg hydrocortisone unozoda imwe dose yakawedzerwa kana kushushikana kwako kukawedzera - izvi zvinogona kukonzerwa nezvinhu zvakawanda zvinosanganisira kutapukirwa, kurwara zvakanyanya, kutambura kushungurudzika, kana kuvhiyiwa semuenzaniso.

Kuve nechokwadi chekuti vashandi vekiriniki vanogara vachiziva nezve njodzi yeAdrenal dambudziko, nekudaro iyo gwara idzva renyika rakapihwa muna Nyamavhuvhu 2020 iyo inokurudzira murwere mutsva-akabatwa neSteroid Emergency Card kubatsira vashandi vehutano kuti vaone varwere vane adrenal insufficiency uye kupa ruzivo pamusoro pekurapa kwekukurumidzira kana murwere akauya munguva yenjodzi. Kadhi rinopawo ruzivo rweanonyorerwa, mushonga, dosi, uye nguva yekurapa.

Varwere vangawana kupi steroid kadhi?

Makadhi anogona kuwanikwa kubva kunavanaChiremba, zvikwata zvemuchipatara uye muzvitoro zvemishonga. Rumwe ruzivo runogona kuwanikwa pano.

Iyo kadhi inogonawo kuva downloaded sePDF, uye yakawedzerwa sekiyi yekukiya kune nharembozha. Dzidza zvakawanda kubva ku Addison's Chirwere Kuzvibatsira Boka.

 

 

Aspergillosis uye zvakanakira kurovedza muviri zvinyoro - maonero emurwere

Mufananidzo wemurume nemukadzi vari kurovedza muviri mumba mavo. Vese vari vaviri vari munzvimbo ye squat vakaisa maoko avo pamberi pavo. Matinji akatarisa mukati.

Vaviri vakuru vanofara vari mumba kumba, vachiita maekisesaizi vari mumba.

Cecilia Williams ane chirwere che aspergillosis muchimiro che aspergilloma uye Chronic Pulmonary Aspergillosis (CPA). Mune ino post, Cecilia anotaura nezve kwakareruka asi kugaro kurovedza muviri kwakabatsira sei kunatsiridza hutano hwake nekugara zvakanaka.

 

Ndakadhawunirodha gwaro remaekisesaizi (inowanikwa pano) munaSeptember gore rino. Mwero wangu weokisijeni wanga uchityisa, uye ndaida kuita imwe nzira yekugadziridza pulmonary kumba. Ndakashamiswa kuti maekisesaizi ari muchirongwa aifanira kuitwa zuva nezuva, sezvo mapurogiramu ekare emapapu pachipatara aingova katatu pavhiki. Zvisinei, purogiramu iyi yakanga iri nyore zvikuru.

Ndinoita muitiro wekutambanudza maminetsi mashoma ndisati ndaita maekisesaizi, uye zvino ndaunza huremu hwe 2.5kg, asi ndaizozviita pasina uremu pandakatanga. Ndakatanga pane yakaderera nhamba ye reps yekugara uye yakamira maekisesaizi uye zvishoma nezvishoma ndakawedzera kune yakakurudzirwa seti. Ndinotora nguva yangu kuita maekisesaizi sezvo ndichifemeruka, uye nguva yandinotora zvinoenderana nerudzi rwezuva randiri kuita. Ini ndinotyora danho remaminitsi makumi matatu kuita maviri; chinhu chekutanga mangwanani uye chimwe mushure mekudya kwemasikati. Kana ndikaenda kunotandara panze, ndinongoita mamwe maekisesaizi uye hapana nhanho yetsika. Ndinoedza nepandinogona napo kuisa pfungwa dzangu pakufema kwangu sezvinoratidzwa pachati. Ini ndinoshandisa nzira dzekufema dzinokurudzirwa naPhil (National Aspergillosis Center Specialist Physiotherapist, vhidhiyo iripo pano), kunova kwave kuda kwangu kuti ndidzorere kufema kwangu.

Pandakatanga chirongwa ichi, mwero wangu wekuzara kweokisijeni waive wakashata. Ndakanga ndisingafeme kwenguva refu, uye ndaitambura zuva rose nekupishana kwemhino kunotyisa uye kudonha kwepamhino - ndaingogara ndichipfungaira nemakristasi ementhol. Kubatanidza maekisesaizi uye maitiro ekufema mumaitiro angu ezuva nezuva (chinhu chekutanga mangwanani muimba yangu yekurara nemahwindo akavhurika) yakave nemhedzisiro yakakura. Kuzara kwangu kunopera nyore pasina kupisa. Ndinogona kutora kufema kwakadzika uye kubata mweya wangu kwenguva refu. Ndakaona nguva yandinotora kuti ndidzoke kubva muzvikamu zvemazinga eokisijeni yakaderera uye kufema kwakawedzera. Ndinoita zviitwa zvese zviri patafura; zviyereso zvakakosha, uye nenguva nekudzidzira, ndiri kunatsiridza – kunyangwe ndisati ndatanga kuzviita nemaziso angu akavhara – handisati ndasvika! Ndinovimba kuti kunyora nhoroondo yangu yemabhenefiti kunyangwe akareruka ezvirongwa zvekurovedza muviri zvinopa vamwe kusatya uye kurudziro yekuita chirongwa chekumba-yekurovedza muviri.

 

Kana iwe uchida kuziva zvakawanda nezve kurovedza muviri ne aspergillosis, nyanzvi yedu yePhysiotherapist Phil Langdon ane hurukuro iripo kuburikidza neyedu. YouTube chiteshi pano. 

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