Samun Masaninka
Cutar lalacewa ta hanyar cututtuka na numfashi ta hanyar motsa jiki shine babbar hanyar mutuwa ga mutanen dake da cystic fibrosis . Sanin wasu cututtuka da za ku fuskanta zai iya taimaka maka wajen shirya matsalolin da ke gaba da tsara hanyoyin da za a rage ƙalubalen ku. Kwayoyin da ke gaba ba su faru sosai a cikin mutanen lafiya, amma suna da matukar damuwa ga wadanda ke tare da CF.
Aspergillus
Aspergillus wani naman gwari ne wanda ke faruwa a cikin yanayi, don haka yana da wuya idan ba zai yiwu ba don kauce wa shiga tare da. Ga mafi yawan mutane, Aspergillus ba shi da lahani amma kashi 15 cikin dari na mutanen da ke da cystic fibrosis, zai iya haifar da yanayin barazanar da ake kira rashin lafiyar aspergillosis na bronchopulmonis (ABPA).
A wannan yanayin, za ku sami Aspergillus a cikin ƙwararru a cikin matsafinku amma ba mawuyaci ba ne. Maimakon haka, yana haifar da mummunan yaduwa tare da dukkanin kwayoyin cuta da kuma yaduwar kwayoyin halitta, haifar da ciwon hauka mai kwakwalwa. Kwayoyin cututtuka sun hada da tari da datti mai launin kore ko launin ruwan kasa a cikin sputum. Za ku sami ciwon sukari-kamar bayyanar cututtuka na haɗari da iska. A lokuta masu tsanani, zaka iya samun ciwon zazzaɓi, ciwon kai, da hasara na ci. An gwada shi ta gwaji na fata don Aspergillus antigen da gwaje-gwajen jini don Aspergillus precipitins da tsofaffin IgE da X-ray ko CT.
Jiyya yana tare da maganganun maganganu kamar yadda corticosteroids inhaled ba su aiki sosai ga ABPA ba. Idan ABPA na ci gaba, ana iya magance ku da maganin likita. Ana bin marasa lafiya tare da rawanin X-ray, gwajin gwagwarmaya, da gwajin gwaji kamar yadda lalacewar huhu zai iya ci gaba da faruwa ba tare da canji a cikin alamar cututtuka ba. Akwai hadari na fadadawa na tsaka-tsakin jiragen sama na tsakiya, wanda aka sani da bronchiectasis, da kuma maganin huhu.
Pseudomonas aeruginosa
Fiye da rabin dukan mutane tare da cystic fibrosis za suyi yaki da kamuwa da cutar huhu wanda kwayoyin cutar Pseudomonas aeruginosa ke haifarwa a wani lokaci a rayuwarsu. A gaskiya ma, shine kwayoyin da ke faruwa a cikin kwayoyin cutar CF. Saboda haka, P. aeruginosa kuma kwayoyin da ke da alhakin mutuwar mutane da yawa tare da CF.
P. aeruginosa ne kwayoyin kwayoyin da aka samo a kewaye da mu a cikin ƙasa, nutse, ruwa, da sauran yanayi mai laushi, don haka ba za'a iya kauce masa ba. Yana da wuya a rabu da shi lokacin da ya mamaye fili na numfashi.
Ana amfani da nau'in maganin cututtukan kwayoyin cutar tobramycin, wanda aka fi sani da TOBI, don magance cututtuka na Pseudomonas na yau da kullum a cikin mutane da cystic fibrosis. An ƙaddamar da busassun foda TOBI Podhaler.
Burkholderia cepacia
Burkholderia cepacia , wanda ake kira Pseudomonas cepacia , wani abu ne mai ban mamaki amma gagarumin barazana ga mutanen da ke da cystic fibrosis. Yayinda kuskuren suna cikin ni'imarka cewa ba za ka taba saduwar Burkholderia cepacia ba , ya kamata ka fahimci abin da yake da kuma yadda za ka rage hadarinka na samun shi.
Yayin da yake a cikin yanayin, ana nuna cewa akwai matsalolin da mutane ke fama da shi a yada su daga mutum zuwa mutum. Zai iya yin mulkin mallaka da kuma haifar da kamuwa da cuta wadda ta sannu a hankali ta ci gaba da aiki. Hakanan zai iya yadawa a cikin jikin da ke haifar da ciwon sarƙaƙen ƙwayar cuta ta wannan cuta tare da saurin ciwon huhu. Wannan zai haifar da mutuwa. Ana bi da shi tare da haɗakar juna kamar yadda zai iya magance mafi yawan maganin rigakafi.
MRSA
Methicillin-resistant Staphylococcus aureus (MRSA ), yana zama mai ƙara na kowa wahala a cikin mutane tare da cystic fibrosis. Ana iya samun MRSA akan fata, a cikin raunuka, a cikin fitsari, da kuma sauran sassa na jiki sai dai huhu ne mafi yawan shafukan yanar gizo na MRSA kamuwa da wadanda ke tare da CF.
Ana watsa MRSA ta hanyar kai tsaye kai tsaye kuma za'a iya samuwa a cikin al'umma ko a asibiti. Yin aiki da kariya mai kyau na iya taimakawa rage haɗarin.
> Sources:
> Gautam, V .; Singhal, L ;; da kuma Ray, P. " Burkholderia cepacia hadaddun: Bayan pseudomonas da acinetobacter." Ind J Med Microb. 2011; 29 (1): 4-12.
> Ortega VE. Allergic Bronchopulmonary Aspergillosis (ABPA). Merck Jagoran Mai Nuni. http://www.merckmanuals.com/professional/pulmonary-disorders/asthma-and-related-disorders/allergic-bronchopulmonary-aspergillosis-abpa#.
> Ramphal R. Ingantacewa saboda Pseudomonas Dabbobi da abubuwan da suka danganci. A: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Ka'idodin Magungunan Ciki na Harrison, 19th . New York, NY: McGraw-Hill; 2015.