Cudurka bisadda

Cudurka bisadda waa cudur infekshan ku dhaca bakteeriyada bartonella oo la rumeysan yahay inuu ku faafo xoqitaanka bisadaha, qaniinyada bisadaha, ama qaniinyada boodada.

Cudurka bisadda waxaa keena jeermiskaBartonella henselae. Cudurku wuxuu ku faafaa taabashada bisad cudurka qabta (qaniinyo ama xoqid) ama soo-gaadhista boodada bisadda. Waxaa sidoo kale lagu kala qaadi karaa taabashada candhuufta bisadaha maqaarka jaban ama dusha sare sida kuwa sanka, afka, iyo indhaha.

Qofka xiriir la yeeshay bisad cudurka qabta ayaa laga yaabaa inuu muujiyo astaamo caadi ah, oo ay ka mid yihiin:

• Ku soo bood (papule) ama fin (pustule) goobta dhaawaca (badanaa calaamadda ugu horreysa)
• Daal
• Qandho (dadka qaar)
• Madax xanuun
• Bararka qanjirada (lymphadenopathy) oo u dhow goobta xoqitaanka ama qaniinyada
• Raaxada guud (malaise)

Calaamadaha aan caadiga ahayn waxaa ka mid noqon kara:

• Cunto xumo
• Cune xanuun
• Miisaanka oo yaraada

Haddii aad leedahay qanjidhada qanjidhada oo barara iyo xoqid ama qaniinyo bisad, daryeel caafimaad bixiyahaagu wuxuu ka shakisan yahay cudurka bisad xoqidda.

Baadhitaanka jirka ayaa sidoo kale laga yaabaa inuu muujiyo beeryarada oo weynaaday.

Mararka qaarkood, qanjirada burooyinka qaba ayaa laga yaabaa inay sameysmo tunel (fistula) maqaarka oo ay ka marto (dheecaan dareere ah).

Cudurkan badanaa lama helo maxaa yeelay way adagtahay in la ogaado. Ku Bartonella henselaeimmunofluorescence assay (IFA) baaritaanka dhiiggu waa hab sax ah oo lagu ogaan karo infekshanka uu keeno bakteeriyadan. Natiijooyinka baaritaankaan waa in la tixgeliyaa iyadoo ay la socdaan macluumaad kale oo ka socda taariikhdaada caafimaad, baaritaanka shaybaarka, ama biopsy.

Cad ka-qaadista qanjirada 'limph node biopsy' ayaa sidoo kale loo samayn karaa si loo raadiyo sababaha kale ee qanjidhada oo barara.

Guud ahaan, cudurka bisad-xoqida ma ahan mid halis ah. Daaweyn caafimaad looma baahna. Xaaladaha qaarkood, daaweynta antibiyootikada sida azithromycin ayaa caawin kara. Antibiyootikada kale waa la isticmaali karaa, oo ay ku jiraan clarithromycin, rifampin, trimethoprim-sulfamethoxazole, ama ciprofloxacin.

Dadka qaba HIV / AIDS iyo kuwa kale, oo daciif ah habka difaaca jirka, cudurka bisadda-xoqidda ayaa ka sii daran. Daaweynta antibiyootikada ayaa lagula talinayaa.

Dadka leh nidaam difaac caafimaad leh waa inay si buuxda u bogsadaan daaweyn la'aan. Dadka qaba habka difaaca jirka oo daciifa, daaweynta antibiyootikada ayaa badanaa keenta soo kabasho.

Dadka nidaamyadooda difaaca ay daciifka yihiin waxaa laga yaabaa inay yeeshaan dhibaatooyin sida:

• Cudurka Encephalopathy (luminta shaqada maskaxda)
• Neuroretinitis (caabuq ku dhaca xubinta dambe ee isha iyo neerfaha indhaha)
• Osteomyelitis (infekshinka lafaha)
• Parinaud syndrome (casaan, cuncun, iyo isha xanuun leh)

Wac adeeg bixiyahaaga haddii aad ballaadhisay qanjirada qanjirada oo aad ku soo gaadhay bisad.

Si looga hortago cudurka bisad-xoqida:

• Si fiican ugu dhaq gacmahaaga saabuun iyo biyo ka dib markii aad la ciyaarto bisaddaada. Gaar ahaan dhaq wixii qaniinyo ama xoqan ah.
• Si tartiib ah ula ciyaar bisadaha si ayan u xoqin oo u qaniinin.
• Ha u oggolaan bisad inay leefleexdo maqaarkaaga, indhahaaga, afkaaga, ama boogaha furan ama xagashada.
• Adeegso tillaabooyinka xakamaynta boodada si aad u yarayso halista bisaddaadu ku dhacdo cudurka.
• Ha qaban bisadaha bahalka ah.

CSD; Qandho bisad-xoqan; Bartonellosis

• Cudurka xoqida bisadda
• Antibodies

Rolain JM, Raoult D. Bartonella caabuqyada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 299.

Rose SR, Koehler JE. Bartonella, oo ay ku jiraan cudurka bisadda-xoqidda. 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 234.