Pneumocystis jirveci oof-wareen

Pneumocystis jiruveci oof wareen waa infakshan fungal ah oo ka dhaca sambabada. Cudurkii hore ayaa loogu yeeri jiray Pneumocystis carini ama oof wareenka PCP.

Oof-wareenka noocan ah waxaa sababa fangaska Pneumocystis jiruveci. Fangaskani waa mid ku badan deegaanka waana dhif in uu cudur ku keeno dadka caafimaadka qaba.

Si kastaba ha noqotee, waxay u horseedi kartaa infekshinka sambabka dadka qaba habka difaaca jirka oo daciifa sababo la xiriira:

• Kansarka
• Isticmaalka muddada-dheer ee corticosteroids ama daawooyinka kale ee daciifiya habka difaaca jirka
• HIV / AIDS
• Qalitaanka xubinta ama dhuuxa lafta

Pneumocystis jiruveci wuxuu ahaa infekshan dhif ah kahor cudurka AIDS-ka. Kahor intaan loo isticmaalin antibiyootikada kahortaga xaalada, dadka badankood ee ku nool Mareykanka ee qaba cudurka AIDS-ka ayaa inta badan ku dhacay cudurkaan.

Oof-wareenka oof-wareenka ee ku dhaca dadka qaba cudurka AIDS-ka wuxuu caadi ahaan si tartiib tartiib ah ugu dhacaa maalmo illaa toddobaadyo ama xitaa bilo, waana ka sii daran yahay. Dadka qaba pneumocystis pneumonia oo aan qabin cudurka AIDS-ka sida caadiga ah dhaqso ayey u bukoodaan oo si aad ah ayey u jiran yihiin.

Calaamadaha waxaa ka mid ah:

• Qufac, inta badan khafiif ah oo qalalan
• Qandho
• Neefsasho deg deg ah
• Neefta oo ku qabata, gaar ahaan firfircoonida (jimicsiga)

Bixiyahaaga daryeelka caafimaadka ayaa ku baari doona oo ku weydiin doona astaamahaaga.

Tijaabooyinka la dalban karo waxaa ka mid ah:

• Gaasaska dhiigga
• Bronchoscopy (oo leh wasakh)
• Cad ka-qaadista sambabka
• Raajo xabadka ah
• Baaritaanka Xaakada si loo hubiyo fungus sababa infekshinka
• CBC
• Beta-1,3 heerka glucan ee dhiiga kujira

Daawooyinka ka-hortagga infekshinka waxaa lagu bixin karaa afka (afka) ama xididka (xididka xididka), iyadoo ku xiran hadba sida jirradu u daran tahay.

Dadka qaba heerarka oksijiinta ee hooseeya iyo cudur dhexdhexaad ah ama daran ayaa badanaa loo qoraa corticosteroids sidoo kale.

Oof-wareenka oof-wareenku wuxuu halis gelin karaa nolosha. Waxay sababi kartaa howl gabka neef mareenka oo u horseedi kara dhimasho. Dadka qaba xaaladan waxay u baahan yihiin daaweyn hore iyo waxtar leh. Cudurka oof-wareenka dhexdhexaadka ah ama daran ee dadka qaba HIV / AIDS, isticmaalka muddada gaaban ee loo yaqaan 'corticosteroids' wuxuu yareeyay dhacdooyinka dhimashada.

Dhibaatooyinka ka dhalan kara waxaa ka mid ah:

• Dareenka raaxada (aad dhif u ah)
• Pneumothorax (sambabo burburay)
• Neefsashada oo xumaata (waxay u baahan kartaa taageero neefsasho)

Haddii aad leedahay tabar daciif ah oo ay ugu wacan tahay cudurka AIDS-ka, kansarka, ku tallaalida, ama isticmaalka corticosteroid, wac daryeel bixiyahaaga haddii aad isku aragto qufac, qandho, ama neef qabatow.

Daaweynta ka-hortagga waxaa lagula talinayaa:

• Dadka qaba HIV / AIDS ee qaba CD4 waxay tiradoodu ka hooseysaa 200 oo unug / microliter ama 200 unug / milimitir cubic
• Dadka qaata tallaalka dhuuxa lafta
• Qaatayaasha xubnaha jirka
• Dadka qaata muddada-dheer, corticosteroids-qaadasho sare ah
• Dadka soo maray dhacdooyin hore oo cudurkaan ah
• Dadka qaata daawooyinka mudada dheer ee difaaca jirka

Oof-wareenka oof-wareenka; Pneumocystosis; PCP; Pneumocystis carinii; Oof-wareenka PJP

• Oof wareenka dadka waaweyn - dheecaanka

• Sambabada
• AIDS-ka
• Pneumocystosis

Kovacs JA. Oof-wareenka oof-wareenka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 321.

Miller RF Walzer PD, Smulian AG. Noocyada Pneumocystis. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 269.