Isikhunta Esimnyama COVID-19

Uvalo olumnyama

Imiphumela yakhona iyesabeka kakhulu kunalokho I-COVID-19. I-Mucar mycosis isifo esisha sefungal. Ayigcini ekhaleni nasemlonyeni. Isakazeka emehlweni nasebuchosheni futhi ibabeke engozini enkulu. Lezi zimpawu ziyefana nezabantu abanesifo sikashukela.

Kungani idlondlobala?

I-Mooncar mycosis. Yilokhu noma ubani akuzwayo. Okubizwa ngokuthi i-black fungus, lena inkinga engavamile kakhulu. Kepha kuyaphawuleka ukuthi abantu abaningi manje sebethintekile ngokuqubuka kwe-Covid-19. I-Mucar mycosis, esafufusa njengamanje, ixhunywe ku-Covid-19 N. Vishnuswaroop Reddy kungathiwa inkinga. Kuyiqiniso ukuthi ukuqubuka kwe-Covid-19 ezweni Udokotela Ohlinzayo we-EAN, Izibhedlela ze-CARE, ezinyathelweni zokuqala, kodwa i-Banjara Hills, ayizange ibonakale kakhulu. Njengamanje, esigabeni sesibili se-Hyderabad, abantu abaningi bayathinteka futhi kuba yingozi. I-Mucaramycosis iyavela kakhulu ngemva kokudamba kwe-covid-19. Kubonakala ikakhulukazi kulabo abanesifo sikashukela, nalabo abasebenzise i-corticosteroids njengengxenye yokwelapha kwabo iCorona. Abanye abantu bayathinteka uma bene-corona.

Isikhunta Umsuka: Isikhunta esimnyama sibangelwa ukhunta okuthiwa Mucarmycetes (Zygomycetes). Kungaba ngaphakathi endlini noma ngaphandle kunoma iyiphi indawo. Umoya ungena emakhaleni nasemphinjeni futhi uyanda. Ngokuvamile abantu abanempilo abakwenzi lokhu. Kungaba yinkinga kubantu abangenawo amandla omzimba. Abanesifo sikashukela ngokuvamile banamasosha omzimba abuthakathaka. Kungakho ubungozi buphezulu kubantu osekunesikhathi eside bengasilawuli isifo sikashukela. Iziguli ezinomdlavuza, iziguli ze-leukemia, iziguli zokwelashwa ngamakhemikhali, abamukeli bokufakelwa izitho zomzimba, labo abathatha i-oriconazole ukwelapha ezinye izinhlobo zezifo ezikhunta, nalabo abasebenzisa izidakamizwa ezivimbela ukuzivikela komzimba. I-Mucar mycosis ihlasela kakhulu ikhala kanye nezikhala zomoya ekhaleni (i-paranasal sinuses). Akugcini lapho. Ukunwebeka emehlweni nasebuchosheni. Yingakho i-Rhino Orbito Cerebral Mucar Mycosis' isho ukuthi 'akukho gciwane lobhejane'. Ihlasela amehlo. kube |

With ngokweqile ama-steroids: Kuliqiniso ukuthi ama-corticosteroids asetshenziswa njengezidakamizwa ezisindisa impilo ezimweni ezinzima ze-Covid-19. Balawula ukuvuvukala futhi basize ukunciphisa ubunzima benkinga nemiphumela emibi. Uma zisetshenziswa ngenani elidingekayo futhi njengoba kudingeka, zisebenza njengeRambanam. Kulabo abakumoya-mpilo wangaphandle nalawo asebenzisa ama-ventilators, ama-steroid afana ne-dexamethasone ne-methylprednisolone kufanele anikezwe ngomthambo. Kodwa ukuthatha ngokweqile, ngokungadingekile, ngaphandle kokuthatha iseluleko sikadokotela kuyinto eyingozi ukuyenza. Njengamanje, uhlu lwemithi ye-Covid-19 lusatshalaliswa kabanzi ezinkundleni zokuxhumana. Ukubona lokhu, ukuthenga nokusebenzisa imithi ngokwakho kusanda kuvame kakhulu. Ama-steroid kufanele asetshenziswe kancane njengezinye izidakamizwa. Akukuhle neze ukuqala ama-steroid ezinsukwini ezi-5 zokuqala ngemuva kwe-corona. Uma uzizwa ukhathele ngemva kwezinsuku ezingu-5, ungayithatha. Kodwa-ke, kufanele ithathwe ngaphansi kokuqondisa kukadokotela ngesilinganiso esifanele. Ngoba ngalokhu, abantu abanesifo sikashukela, umfutho wegazi ophakeme, izilonda zesisu, i-drosy nesifo sofuba bazoba nezinkinga eziningi. Abanesifo sikashukela badinga ukuqapha okwengeziwe. Ama-steroid angakhuphula amazinga eglucose egazini. Yilokhu okwamanje okutshala i-mucormycosis. Ngisho nakubantu abangebona abanesifo sikashukela, isifo sikashukela esisha sivela nge-steroids. • Amazinga aphezulu e-fetin egazini nawo ayingozi. Lokhu kuvumela isikhunta ukuthi sinamathele esicutshini. Ngisho nakubantu abangebona abanesifo sikashukela, isifo sikashukela esisha sivela nge-steroids. • Amazinga aphezulu e-fetin egazini nawo ayingozi. Lokhu kuvumela i-fungus ukuthi ibambelele ezicubu. Ngisho nakubantu abangebona abanesifo sikashukela, isifo sikashukela esisha sivela nge-steroids. • Amazinga aphezulu e-fetin egazini nawo ayingozi. Lokhu kuvumela i-fungus ukuthi ibambelele ezicubu.

Ukwelashwa 

Neqembu zochwepheshe: I-Mucormycosis ihlotshaniswa nezitho eziningi. Ngakho-ke, bonke ochwepheshe abafana nodokotela abahlinzayo be-ENT, odokotela bezinzwa, odokotela bamehlo, odokotela bamazinyo, odokotela abahlinzayo be-facio-maxillary, odokotela abahlinza i-oculoplastic, i-intensivists, njll. kufanele belashwe ndawonye.

I-glucose Control: Ukulawula isifo sikashukela kubaluleke kakhulu. Phakathi kwazo, i-acidity esiswini iphezulu kakhulu ngenxa yesifo sikashukela. I-Mucormycosis ilawulwa kuphela lapho i-glucose ilawulwa. Uma kungenjalo, ikhula ngokushesha futhi ibe mnyama.

Isikhunta kunemithi noma amaphilisi: Imithi yokunciphisa ukutheleleka kwefungal kufanele iqalwe ngokushesha lapho isifo sitholakala. Umuthi omkhulu walokhu i-liposomal amphotericin B. Inikezwa ngo-5 mg ngekhilogremu yesisindo somzimba ngosuku. edingekayo Ekuthelelekeni okubi kakhulu, 10 mg wokusabalalisa ubuchopho. Kungase futhi kudingeke. Lokhu kufanele kunikezwe amaviki angu-2-4. Ihlanganiswe nesisombululo saline futhi inikezwe kancane. Okwamanje, i-liposomal amphotericin B ayitholakali kabanzi. Intengo nayo iphezulu. Ngakho-ke i-deoxycholite ingasetshenziswa njengenye indlela. Kungu-1 mg ngekhilogremu yesisindo somzimba ngosuku. kudingwa ngakunye Inemiphumela emibi eminingi njengokugodola, ngakho kufanele inikezwe kancane kancane. I-Fosaconazole ingasetshenziswa njengenye indlela. 300 mg kabili ngosuku ngosuku lokuqala. inikezwa per Kwanele ukuyinikeza kanye ngosuku kusukela izolo. Amathebulethi e-Isavuconazole angasetshenziswa esikhundleni salokho. Lezi zingama-200 mg. Umthamo unikezwa izikhathi ezi-3 ngosuku izinsuku ezimbili. Ngemva kwalokho, inikezwa kanye ngosuku. Lezi kufanele zithathwe kuze kube yilapho isifo sesilawulwa.

Qaphela : I-Liposomal amphotericin B ingase ibangele ukulimala kwezinsoNgakho-ke amazinga e-creatinine ne-potassium egazini kufanele aqashwe njalo. Uma i-creatinine ikhula khona-ke umuthi uyamiswa. Uma i-saline inikezwa ngamanani amakhulu, i-creatinine izokwehla. Ngakusasa umuthi uzoqalwa kabusha. Uma i-potassium iyancipha, inikezwa ngendlela yesiraphu. Kufanele kuqinisekiswe ukuthi okuqukethwe kwamanzi ikamela akunciphi.

Indlela yokunquma?

I-Nasal i-endoscopy : Lokhu kukhombisa ukuthi ingaphakathi lekhala linjani. Uma ama-turbinates ekhaleni ebukeka emnyama, ephuzi, noma e-sooty, lokho kubonisa ukutheleleka kwefungal. Kungase futhi kube namasheke amnyama nansundu emakhaleni. Kufanele iqoqwe futhi ihlolwe ngaphansi kwesibonakhulu (i-KV H mounting). Inquma ukuba khona noma ukungabi khona kwama-zygomycetes noma ama-mucomycetes.

CT Skena : I-CT scan yekhala kanye namagumbi omoya iveza ukuthi ukutheleleka kusabalele kangakanani. MR: Lokhu kungabona uma ukutheleleka kudlulela ebuchosheni, ku-cavernous sinus, noma iso.

Ukuhlinzwa kanye imithi I-Mucar mycosis ayiphathwa ngemithi yodwa. Ngemva kokuqala imithi, ukuhlinzwa kuyodingeka kwenziwe. Imithi kufanele iqhutshwe ngemva kokuhlinzwa. Uma kungenjalo, kunengozi yokuvela kabusha kwesikhunta.

Ukususwa kwe Isikhunta Izicubu : Ukuhlinzwa kwe-endoscopic sinus kususa izicubu ezimnyama emakhaleni nasemasini, kanye nobomvu emagumbini asemakhaleni. Uma i-palate nayo ithintekile, i-cheekbone kanye nengxenye yolwanga kungase kudingeke kukhishwe. Hlanza futhi ngemva kwamasonto angu-2-3 uma kunesidingo. Isiguli solwanga oluqhekekile kungase kudingeke sidliwe ngeshubhu ngekhala kuze kube yilapho ulwanga oludabukile luphola. Ngemva kokuphulukiswa, idivayisi encane efana nepuleti (umfundisi) ibekwa phezu kolwanga.

Eye ukususwa : Akuwona wonke umuntu, kodwa uma isifo sisakazekela esweni, abanye bangase badinge ngisho nokukhishwa kweso. Uma kungenjalo, kunengozi yokuthi ukutheleleka kusakazekele ebuchosheni nge-optic nerve. Uma ishubhu lisusiwe, kungase kudingeke ukuthi likhishwe futhi.

Early ukutholwa kungcono uma ukwelashwa kubambezelekile. Njengoba ukutheleleka kusakazeka kuwo womabili amakamelo omoya aseceleni. Uma isakazekela ebuchosheni ingabangela ukukhubazeka. Abanye bangase baquleke futhi bafe zingakapheli izinsuku. Ngakho | Kubalulekile ukuhlonza ukutheleleka ngokushesha ngangokunokwenzeka. Lokhu kungasindisa amehlo nempilo. Uma uqaphela ikhanda elibuhlungu kakhulu, ubuhlungu bezihlathi, ubuhlungu beso, ungawunaki futhi uthintane nodokotela ngokushesha.  

I-Covid-19- Mucaramycosis

Izimpawu zesikhunta esimnyama zihlukahlukene, njengoba ikhala, ulwanga, amehlo nobuchopho konke kuthinteka, kubonakala izimpawu ezihlukahlukene. Okubaluleke kakhulu ukuthi kunekhanda elibuhlungu kakhulu ohlangothini olulodwa. Ngokuhambisana nalokhu, izimpawu ziyanda ngokuya ngezitho ezifanele.

Black ngaphakathi ekhaleni : Esigabeni sokuqala, kunezimpawu ezifana nekhala eliminyene, ikhala eligijimayo, amafinyila ansundu namnyama. Kunama-turbinate amathathu emakhaleni ethu. Yizo lezi ezengeza umswakama emoyeni esiwuphefumulayo. E-Mucarma c ziba mnyama kanye ne-beam yekhala.

Eye ukulimala : Izimpawu zamehlo zenzeka cishe ku-50% wabantu. Ubuhlungu obungemuva kwamehlo, ukuvuvukala kwamajwabu amehlo, ukuphuma kwenhlamvu yeso, ukungaboni kahle, ukubona kabili, ukubomvu kwesikhumba eduze kwamehlo, bese kuba mnyama kwesikhumba. Lokhu kungenxa yokuthi lesi sifo sisakazeka sisuka ekhaleni nasemlonyeni siye emagumbini omoya aseduze nobuchopho. Kunamagumbi omoya angu-8 azungeze ikhala lethu. Kunamakamelo amabili omoya ebunzini (ngaphambili), phakathi kwamehlo (ethmoid), ngemuva kwezihlathi (maxillary), naseduze kobuchopho (sphenoid). Lesi sifo singasakazeka sisuka ekhaleni nasemlonyeni siye emagumbini omoya obuchopho. Eduze kwezindonga zala magumbi kune-cavernous sinus. Ino-3, 4, 6 pu nadus. Lezi yizo ezilawula ukunyakaza kwemisipha yamehlo. Lezi zonakele ngenxa yokutheleleka. Umphumela uba ukugoba kwejwabu leso, ukuyeka ukunyakaza kwe-eyeball, iris enwetshiwe, Ukulahlekelwa ukubona kwenzeka. Futhi, kungenzeka ukuthi ukutheleleka kusakazekele ebuchosheni nge-optic nerve. Ngenkathi izimpawu zamehlo ziqala kancane kwabanye, ezinye ziba zimbi ngokushesha kakhulu. Kuyaphawuleka ukuthi abanye abantu balahlekelwa ukubona ngeso elilodwa phakathi nezinsuku ezimbili noma ezintathu.

I-Palate njengamalahle : Ingxenye engenhla yomlomo wethu (ulwanga) isebenza njengesisekelo samagumbi omoya wamakhala. Iphenduka ibe mnyama kanye namalahle ngenxa yokutheleleka kwamakamelo omoya. Ibonakala cishe ku-20% wabantu.

Isihlathi ubuhlungu : Ngenxa yokutheleleka kwamakamelo omoya ekhaleni, izihlathi zingase zibe ndikindiki futhi izihlathi zizwe ubuhlungu.

Izinyo ukunyakaza : Uma isifo sokhunta siqala emigodini eseduze nezihlathi, umhlathi ungase uthinteke futhi amazinyo angase anyakaze. Lokhu kungaholela ekuphathweni kwamazinyo.

Ingabe kungagwenywa ?I-Mucaremycosis yenzeka kakhulu kubantu abanesifo sikashukela. Ngakho ingagwenywa uma ingalawulwa ngokuqinile. Uma amazinga eglucose enyuka ngenkathi kunikezwa ama-steroids, kufanele alawulwe ngokunikeza i-insulin. I-steroids kufanele futhi yengezwe. Ngokuhambisana nalokhu, ezinye izinyathelo zokuphepha kufanele zithathwe.

• Ama-steroid, lapho edingeka, angasetshenziswa ngemithamo efanele ukuvimbela ukutheleleka. Uma zingekho izimpawu ezifana nokukhathala ngakho-ke akufanelekile ukuzisebenzisa esigabeni sokuqala.
• Izinyathelo zokuphepha ezifana nokusebenzisa amanzi ahlanzekile ku-humidifier ngenkathi unikeza umoya-mpilo, ukushintsha isifudumezi namapayipi nsuku zonke kuyisibopho.
• Umuntu siqu nendawo ezungezile kufanele kugcinwe kuhlanzekile
• Hlanza umlomo wakho kabili ngosuku ngokugeza umlomo okuqukethe i-betta.
• Ukugqoka imaski kungavimbela ukhunta ukuthi ungangeni emakhaleni nasemphinjeni.
• Labo asebenomshini wokuphefumula isikhathi esingaphezu kwamasonto amabili, labo abaphuze umoya-mpilo ne-steroids, abanesifo sikashukela esingalawuleki, abangenaso isimiso sokuzivikela ezifweni sokuzivikela komzimba bangasebenzisa amaphilisi e-posaconazole njengesinyathelo sokuvikela ukutheleleka.
• Kubalulekile ukusola i-mucormycosis ezigulini ezine-bacterial sinusitis eziqala i-covid-19.
• Kulabo abanomoya-mpilo, kunconywa ukuhlanzwa kwekhala njalo nge-saline solution.

Early ukutholwa kungcono njengoba ukwelashwa kubambezeleka njengoba ukutheleleka kusakazekela ezinhlangothini zombili zamakamelo omoya. Uma isakazekela ebuchosheni ingabangela ukukhubazeka. Abanye bangase baquleke futhi bafe zingakapheli izinsuku. Ngakho kubalulekile ukuhlonza ukutheleleka ngokushesha ngangokunokwenzeka. Lokhu kungasindisa amehlo nempilo. Uma ubona ikhanda elibuhlungu elibuhlungu, ubuhlungu esihlathini, ubuhlungu beso, ungayinaki futhi uthintane nodokotela ngokushesha.