Kusurukirwa uye Aspergillosis

Zvitende kana kwete, kusurukirwa kwakaipa kune hutano hwako sekufutisa, kusvibiswa kwemhepo kana kusaita muviri. Zvimwe zvidzidzo zvinoisa kusurukirwa kwakafanana nekuputa midzanga gumi neshanu pazuva.

Mune imwe sarudzo ichangobva kuitika mumusangano wedu Facebook murwere boka kune vanhu vane aspergillosis zvisingaperi 40% vakataura kuti vaive vakasurukirwa kanopfuura kamwe chete pasvondo uye 75% yeavo vakataura kuti vaive vakasurukirwa mazuva ese. Pakazara 73% vakarekodha kusurukirwa nguva nenguva.

Takabvunzawo vanhu vanochengeta aspergillosis varwere mibvunzo mimwecheteyo uye panguva ino 56% yakataura kuti vaive vakasurukirwa kanopfuura kamwe chete pasvondo, ne78% vakasurukirwa dzimwe nguva.

Ipa mhinduro mbiri idzi, vanhu vakasurukirwa here nokuti vane chirwere chisingaperi chinogona kuvatadzisa kushamwaridzana, uye vakasurukirwa here nokuti vanotarisira mumwe munhu ane chirwere chisingaperi?

Chiyero chekusurukirwa muhuwandu hwevanhu muUK parizvino chiri pa45%, saka pane zvakajeka vanhu vazhinji vakasurukirwa mumapoka ese ari maviri abatwa neaspergillosis (73% uye 78%). Uyezve, 30% yevanhu avo vane chirwere chisingaperi che aspergillosis muongororo yedu vakasurukirwa zuva rega rega, izvo zvinoenzanisa zvisina kunaka nehuwandu hwenyika hunoratidza huwandu hwevanhu muhuwandu hwevanhu vanosurukirwa kakawanda semazuva ose i5 chete%.

mhedziso: Kune vanhu vakawanda vane aspergillosis vakapetwa katanhatu vakasurukirwa mazuva ese kana zvichienzaniswa nehuwandu hwevanhu veku UK!

Kusurukirwa zviri pachena dambudziko guru kune vanhu vane chirwere chisingaperi che aspergillosis kana kutarisira mumwe munhu ane chirwere chisingaperi aspergillosis.

Chii chatingaita pamusoro peizvi?

Chekutanga, kuziva nezvedambudziko iri danho rakakura. Kuziva nezvemigumisiro yaro inosvika kure nokuda kwoutano hwedu hwendangariro nomuviri kungagovera kurudziro yakati yokuita chiito kuedza kuchinja zvinhu. Mushandirapamwe wekupedza Kusurukirwa (https://www.campaigntoendloneliness.org/the-facts-on-loneliness/) akawana kuti avo vanobatwa vanogona kuva vezera rose/varume/vanhukadzi/ vakaremara kana vakaremara/kurwara kwenguva refu kana kuti kwete uye vane chinangwa chokukurudzira munhu wose kuti abatane uye nharaunda kuti dziuye pamwe chete kuti dzibatsire. Hapana munhu anofanira kunge asina kambani anoida.

Ivo zvakare vanopa akawanda anobatsira mazano uye matipi ekuti ungaderedza sei kusurukirwa (https://www.campaigntoendloneliness.org/feeling-lonely/ ), nzira yekubatana nevamwe zviri nani, uye kuderedza njodzi dzehutano hwako - kana pasina chimwe chinhu panguva iyo isu tese taigona kuita nekuungana kuti tidziyirwe! Zvisinei nekuti sei uchinzwa kusurukirwa, tese tinogona kuwana nzira yekubatanidza kunyangwe inokurumidza sei - zvese zvine basa.

Pano paNational Aspergillosis Center tinoita misangano yevhiki nevhiki yevarwere vese vari muno muUK nekune dzimwe nyika

Misangano yeZoom inzira yakajairika uye inonakidza yekutaura nevamwe vafambi veaspergillosis uye vashandi veNAC (Chipiri 2-3pm GMT neChina 10 - 11am GMT) maunogona kungogara uye kutiteerera tese tichitaura kweawa - zvese zvaunoda ndezve smartphone/tablet/laptop kuti ubatane nesu.

Misangano iyi ndeyakavanzika saka hatipe rairo yekuti tingajoinha sei papeji yeruzhinji yakaita seino. Kuti uwane mafambiro ekuti ungabatanidzwa sei joina rimwe remapoka anotevera uye isu tichadzoka kwauri:

Mapoka ekutsigira eTeregiramu

Facebook kutsigira mapoka

 

Chokwadi vamwe vanhu vanofara chose vari vega

ISHAM Mubairo waProf Malcolm Richardson

Yakatangwa muna 1954, International Society for Human and Animal Mycology (ISHAM) isangano guru repasi rose rinomiririra uye rinotsigira vose vanachiremba nevatsvakurudzi vane chido cheMedical Mycology - iyo inosanganisira aspergillosis pamwe chete nehosha yose yefungal.

Zvirwere zveFungal hazviwanzo kupihwa kutariswa kwazvinofanirwa kubva kune vezvekurapa saka zvakakosha kuti kuongororwa uye kutsvagisa kunotsigirwa pasi rese, kunyanya kune hutano masevhisi, saka basa reISHAM rakanyanya kukosha.

 

Mupiro wakakura wekurapa mycology diagnostics nyanzvi uye aimbova Director we Mycology Reference Center Manchester Prof Malcolm Richardson kune basa reISHAM rave kuzivikanwa pa ichangoburwa ISHAM musangano muNew Delhi, Gunyana 2022.

Mycology Reference Center Manchester Director (akarega) Prof Malcolm Richardson Anoremekedzwa

Prof Malcolm Richardson vanova Mutungamiriri weBSMM

Prof Malcolm Richardson

The British Society for Medical Myology (BSMM) ine nhoroondo refu uye yakasarudzika mukufambira mberi kwedzidzo uye kusimudzira tsvakiridzo mumapazi ese ezvekurapa uye zvemhuka mycology mumakore makumi matanhatu nepfumbamwe apfuura (www.bsmm.org), saka ibasa rukudzo rukuru kusarudzwa kuve Mutungamiriri waro. Prof Richardson vanotevera runyoro rwevamwe vezvekurapa mycologist vakashanda seMutungamiriri weBSMM kubvira 69.

 

Muzvinafundo Malcolm Richardson akavaka uye akamhanyisa marabhoritari ane hunyanzvi hwemycology pa Mycology Reference Center Manchester kubva payakatangwa padivi pe National Aspergillosis Center panguva Manchester University NHS FT muna 2009 kusvika pamudyandigere muna 2020, uye achiri kushandira nzvimbo iyi seConsultant Clinical Scientist muMedical Mycology. Ane runyoro rwakadzama rwezvinyorwa, zvinzvimbo uye budiriro - fkana mamwe mashoko tinya pano.

 

Prof Richardson vakati “Ndinonzwa kuremekedzwa zvikuru kusarudzwa seMutungamiriri wenyika, ndave nhengo yeBSMM kwemakore makumi mashanu”, uye zvakakosha kuti Vatungamiriri vauye kuManchester sezvo musangano wepagore weBSMM uchaitirwa muguta. muna Chivabvu 50.

 

 

Kukosha kwekuona gomarara nekukurumidza

 

Chinangwa chedu paNational Aspergillosis Center ndechekusimudzira ruzivo uye kutsigira avo vane aspergillosis. Zvakadaro, zvakakosha sesangano reNHS kuti tizivise nezvemamwe mamiriro nekuti, zvinosuruvarisa, kuongororwa kweaspergillosis hakuite kuti usabatike kune zvimwe zvese, uye chirwere chisingaperi chine mukana wekuvharisa zviratidzo zvemamwe mamiriro akaita segomarara.

Kudzvanyirira kuri kuramba kuchikura paNHS, kuwedzera nguva dzekumirira, kusada kuri kukura pakati pevazhinji kutsvaga kurapwa, uye kusanzwisisa zviratidzo zvinowanzoitika zvekenza zhinji zvese zvinhu zvinogona kutungamira mukuwedzerwa nguva yekuongorora, izvo zvinozoita. inoderedza nzira dzokurapa. Naizvozvo, kuzivikanwa kwekutanga kwezviratidzo nevarwere kwakakosha mukuderedza zvimwe zvinhu zvinononoka kuongororwa.

Izvo zvakakosha kuti uzive kuti hazvisi zvese zviratidzo zvealarm cancer. Zvakadaro, chiitiko chegomarara uye fungidziro yekufa inofungidzira kuti munhu mumwe muvaviri muUK achaonekwa aine cancer muhupenyu hwavo (1), saka svondo rapfuura pamusangano wedu wepamwedzi wevarwere, takataura nezvegomarara uye zviratidzo zvinowanzoitika. Tichifemerwa nebasa rinoshamisa remushakabvu Dame Deborah James pakusimudzira uye kuputsa taboo yakabatanidzwa negomarara remudumbu, isu takanyora zviri kubva muhurukuro iyoyo kuita chinyorwa chimwe.

Cancer chii?

Gomarara rinotangira mumasero edu.

Kazhinji, tine nhamba chaiyo yemhando yega yega yesero. Izvi zvinodaro nekuti masero anoburitsa masaini ekudzora kuti masero anopatsanuka sei uye kangani.

Kana chimwe chezviratidzo izvi chikatadza kana kushaikwa, maseru anogona kutanga kukura owanda oita bundu rinonzi bundu.

 

Cancer Research UK, 2022

Cancer Statistics

  • Maminitsi maviri ega ega, mumwe munhu muUK anobatwa cancer.
  • Gomarara rezamu, reprostate, remapapu nemudumbu pamwe chete rakaverengera inopfuura hafu (53%) yekese nyowani nyowani dzegomarara muUK muna 2016-2018.
  • Hafu (50%) yevanhu vakabatwa nekenza muEngland neWales vanopona chirwere chavo kwemakore gumi kana kupfuura (2010-11).
  • Kenza ndiyo honzeri ye27-28% yerufu rwese muEngland mugore rakajairika.

 

Vanamazvikokota vanotenda magomarara emudumbu - epahuro, emudumbu, emudumbu, pancreatic, ovarian - negomarara reurological - prostate, itsvo uye dundira - ndiwo angangoita kusazivikanwa.

 

Iyo chati iri pamusoro inoratidza kuongororwa kwegomarara nedanho kune mamwe cancer muna 2019 (iyo yakanyanya data data). Danho regomarara rinoenderana nekukura kwebundu uye kuti rapararira zvakadii. Kuongororwa pane imwe nguva kunoenderana nekupona kwakaderera.

Gomarara rezamu – Zviratidzo

 

  • Bundu kana kuti kukora muzamu kwakasiyana nemamwe mazamu
  • Kuramba kurwadza kwezamu mune chimwe chikamu chezamu kana muhapwa
  • Rimwe zamu rinova hombe kana kudzika/kukwira pane rimwe zamu
  • Shanduko dzezamu - kutendeukira mukati kana kuchinja chimiro kana nzvimbo
  • Kukwenya kana kuti dimpling kusvika pazamu
  • Kuzvimba pasi pehapwa kana kutenderedza collarbone
  • Mapundu pabeche kana kutenderedza zamu
  • Kubuda muzamu rimwe chete kana maviri

Kuti uwane mamwe mashoko shanyira:

https://www.breastcanceruk.org.uk/

https://www.cancerresearchuk.org/about-cancer/breast-cancer

 

Gomarara reitsvo - Zviratidzo

 

  • Ropa mumuguta
  • Kurwadziwa kwepashure kune rumwe rutivi kwete kuburikidza nekukuvara
  • Bundu padivi kana kuzasi musana
  • Kuneta
  • Kufirwa kwechido
  • Unexplained kuora kurasikirwa
  • Fivha isingakonzerwi neutachiona uye haipere

Kuti uwane mamwe mashoko shanyira:

https://www.nhs.uk/conditions/kidney-cancer/symptoms/

https://www.cancerresearchuk.org/about-cancer/kidney-cancer/symptoms

Kanza yemaperembudzi

Zviratidzo zvekenza yemapapu zvinogona kunyanya kuoma kusiyanisa kune varwere vane aspergillosis. Zvakakosha kuzivisa chero zviratidzo zvitsva, sekuchinja kwechikosoro chenguva refu, kupera uremu uye kurwadziwa muchipfuva kuna Chiremba wezvirwere zvese kana kuna chipangamazano.

zviratidzo

  • Chikosoro chinoramba chichipera mushure memavhiki maviri/2
  • Kuchinja kwekukosora kwako kwenguva refu
  • Kuwedzera uye kuramba kufema
  • Kukosora ropa
  • Kurwadza kana kurwadziwa muchipfuva kana pabendekete
  • Chirwere chechipfuva chinodzokororwa kana chinoramba chiripo
  • Kufirwa kwechido
  • Kuneta
  • Kuonda
  • Hoarsness

Kuti uwane mamwe mashoko shanyira:

https://www.nhs.uk/conditions/lung-cancer

https://www.cancerresearchuk.org/about-cancer/lung-cancer

 

Ovarian Cancer - Zviratidzo

 

  • Kuramba vachizvimba
  • Kunzwa kuguta nekukurumidza
  • Kufirwa kwechido
  • Shanduko mune maitiro ebura
  • Unexplained kuora kurasikirwa
  • Pelvic kana mudumbu kurwadziwa
  • Kuda kuchema kakawanda
  • Kuneta

Kuti uwane mamwe mashoko shanyira:

https://ovarian.org.uk

https://www.nhs.uk/conditions/ovarian-cancer/

 

Pancreatic Cancer

Zvimwe zvezviratidzo zvegomarara repancreatic zvinogona kunyatsofanana neaya emarara senge anogumbuka ura. Ona yako Chiremba wezvirwere zvese kana zviratidzo zvako zvikachinja, zvotowedzera, kana kuti usinganzwi zvakanaka kwauri.

zviratidzo

  • Yellow kune vachena vemaziso ako kana ganda (jaundice)
  • Ganda rinokwenya, kusviba uye poo yakatsvuka kupfuura nguva dzose
  • Kufirwa kwechido
  • Kuneta
  • chimhepo

Zvimwe zviratidzo zvinogona kukanganisa kugaya kwako, zvakadai se:

  • Nausea uye kurutsa
  • Shanduko mune maitiro ebura
  • Mudumbu uye / kana kurwadziwa shure
  • fufune
  • Bloating

Kuti uwane mamwe mashoko shanyira:

https://www.nhs.uk/conditions/pancreatic-cancer

https://www.cancerresearchuk.org/about-cancer/pancreatic-cancer

https://www.pancreaticcancer.org.uk/

 

Prostate Cancer - Zviratidzo

 

  • Kuita weti kakawanda, kazhinji panguva yehusiku (nocturia)
  • Kuwedzera kukurumidza kuita weti
  • Urine hesitancy (kunetseka kutanga kuita weti)
  • Kutadza kubuda weti
  • Kuyerera kusina simba
  • Kunzwa kuti dundira rako harina kubuda zvizere
  • Ropa muweti kana urume

Kuti uwane mamwe mashoko shanyira:

https://www.nhs.uk/conditions/prostate-cancer

https://prostatecanceruk.org/

https://www.cancerresearchuk.org/about-cancer/prostate-cancer

 

Kenza Kanzera

Varwere vari pamushonga weantifungal vari panjodzi yakawedzera yekuva negomarara reganda, saka zvakakosha kuti unzwisise zviratidzo uye utore matanho akakwana ekuzvidzivirira nezuva kuti uderedze njodzi.

zviratidzo

Kune marudzi matatu makuru egomarara reganda:

  • Yakakomba Melanoma
  • Basal Cell Carcinoma (BCC)
  • Squamous Cell Carcinoma (SCC)

Muchidimbu, zviratidzo (zvinoratidzwa mumufananidzo uri pasi apa):

Bcc

  • Yakati sandarara, yakasimudzwa kana kuti dome-shapa
  • Pearly kana ganda-ruvara

CSC

  • Yakasimudzwa, yakakora kana makwapa
  • Dzimwe nguva maronda

Melanoma

  • Mole isina kujairika ine asymmetrical, irregular uye ine mavara akawanda

 

Kuti uwane mamwe mashoko shanyira:

https://www.cancerresearchuk.org/about-cancer/skin-cancer

https://www.macmillan.org.uk/cancer-information-and-support/skin-cancer/signs-and-symptoms-of-skin-cancer

https://www.nhs.uk/conditions/melanoma-skin-cancer/

https://www.nhs.uk/conditions/non-melanoma-skin-cancer/

 

Throat Kenza

Gomarara repahuro ishoko rakajairika rinoreva gomarara rinotangira pahuro, zvisinei, Vanachiremba havawanzo kuishandisa. Izvi zvinodaro nekuti kune marudzi akasiyana egomarara anogona kukanganisa nzvimbo yehuro.

Mamwe mashoko anogona kuwanikwa pano: https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer/throat-cancer

Zviratidzo zvakazara

  • Huro inorwadza
  • Nzeve kurwadziwa
  • Bundu mumutsipa
  • Dambudziko kukumedza
  • Shandura inzwi rako
  • Unexplained kuora kurasikirwa
  • Kukosora
  • Kupfupika kwemhepo
  • Kunzwa kwechinhu chakanamira pahuro

Kuti uwane mamwe mashoko shanyira:

https://www.cancerresearchuk.org/about-cancer/head-neck-cancer/throat#:~:text=Throat%20cancer%20is%20a%20general,something%20stuck%20in%20the%20throat.

https://www.nhs.uk/conditions/head-and-neck-cancer/

https://www.christie.nhs.uk/patients-and-visitors/services/head-and-neck-team/what-is-head-and-neck-cancer/throat-cancer

Gomarara redundiro - Zviratidzo

 

  • Kuwedzera urination
  • Kukasika kuita weti
  • Kunzwa kupisa paunenge uchibudisa weti
  • Uturu hwepelvic
  • Flank kurwadziwa
  • Zvinorwadza mumimba
  • Unexplained kuora kurasikirwa
  • Gumbo kuzvimba

Kuti uwane mamwe mashoko shanyira:

https://www.nhs.uk/conditions/bladder-cancer/

https://www.cancerresearchuk.org/about-cancer/bladder-cancer

 

Bowel Cancer - Zviratidzo

 

  • Kubuda ropa kubva pasi uye/kana ropa mupoo
  • Kuchinja kunoramba kuripo uye kusingatsananguriki muuura
  • Unexplained kuora kurasikirwa
  • Kuneta
  • Marwadzo kana bundu mudumbu

Kuti uwane mamwe mashoko shanyira:

https://www.bowelcanceruk.org.uk/about-bowel-cancer/

https://www.cancerresearchuk.org/about-cancer/bowel-cancer

 

 

 

(1)Smitenaar CR, Petersen KA, Stewart K, Moitt N. Cancer chiitiko uye kufa kwekufungidzira muUK kusvika 2035. Br J Cancer 2016 Oct 25; 115 (9): 1147-1155

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

 

 

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