Arthritis-ka fungal

Fungal arthritis waa barar iyo cuncun (caabuq) oo wadajir ah oo ay keento infekshanka fungal. Waxaa sidoo kale loo yaqaan 'mycotic arthritis'.

Fungal arthritis waa xaalad dhif ah. Waxaa sababi kara nooc kasta oo ka mid ah fangaska noocyadiisa kala duwan. Infekshanku wuxuu ka dhalan karaa infekshan ku dhex jira xubin kale, sida sambabada oo u safra isugeynta marinka dhiigga. Kalagoysku sidoo kale wuu ku dhici karaa inta lagu jiro qalliinka. Dadka nidaamka difaaca jirkoodu daciifka yahay ee u safraya ama ku nool meelaha fangasku ku badan yahay, ayaa ugu nugul sababaha badankood ee fangas arthritis.

Xaaladaha sababi kara fangaska arthritis waxaa ka mid ah:

• Blastomycosis
• Candidiasis
• Coccidioidomycosis
• Cudurka 'Cryptococcosis'
• Cudurka 'histoplasmosis'
• Sporotrichosis
• Exserohilum rostratum (laga bilaabo cirbadeynta fijaannada sumeysan ee steroid)

Fangaska wuxuu saameyn ku yeelan karaa lafaha ama unugyada wadajirka ah. Hal ama in ka badan oo kala-goys ah ayaa saameyn ku yeelan kara, badiyaaana isku-dhafka waaweyn ee culeyska qaadaya, sida jilbaha.

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Qandho
• Xanuun wadajir ah
• Qalafsanaan wadajir ah
• Barar wadajir ah
• Barar anqawyada, cagaha, iyo lugaha ah

Bixiyahaaga daryeelka caafimaadka ayaa ku baari doona.

Tijaabooyinka la dalban karo waxaa ka mid ah:

• Ka saarista dheecaanka wadajirka ah si loogu raadiyo fungus hoosta mikroskoob
• Dhaqanka dheecaanka wadajirka ah si loo raadiyo fungus
• Raajo wadajir ah oo muujinaya isbeddelada wadajirka ah
• Tijaabinta antibody ee qumman (serology) ee cudurka fungal
• Biopsy synovial muujinaya fungus

Ujeedada daaweynta waa in lagu daaweeyo infekshanka iyadoo la isticmaalayo daawooyinka antifungal. Daawooyinka antifungal sida caadiga ah loo isticmaalo waa amphotericin B ama daawooyinka qoyska azole (fluconazole, ketoconazole, ama itraconazole).

Cudurka daba-dheeraada ama sare ee laf-dhabarka ama infakshanka wadajirka ah wuxuu u baahan karaa qalliin (xoqid) si looga saaro unugyada cudurka qaba.

Sida ugu wanaagsan ee aad wax u qabato waxay kuxirantahay sababaha keena cudurka iyo caafimaadkaaga guud. Nidaamka difaaca jirka oo daciifa, kansarka, iyo daawooyinka qaarkood ayaa saameyn ku yeelan kara natiijada.

Dhaawaca wadajirka ah ayaa dhici kara haddii cudurka aan isla markiiba la daaweyn.

Ballan wac wac bixiyahaaga haddii aad isku aragto astaamo fangas arthritis ah.

Si fiican loo daaweeyo infekshannada fungal meelo kale oo jirka ah ayaa laga yaabaa inay ka hortagto fangaska arthritis-ka.

Arthritis-ka 'Mycotic arthritis'; Cudurka faafa ee faafa - fungal

• Qaab dhismeedka wadajirka
• Barar garabka wadajirka ah
• Fungus

Ohl CA. Arthritis-ka faafa ee kala-goysyada hooyo. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: baab 103.

Ruderman EM, Flaherty JP. Infekshannada fungal ee lafaha iyo kala-goysyada. Gudaha: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley iyo Firestein's Buugga Buugga Rheumatology. 10aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 112.