Sporothrix brasiliensis yave nyaya huru Howa uhwu, hwakanga husingawanzoitiki kunze kweBrazil, huri kukonzera kuwedzera kukuru kwezviitiko zve sporotrichosis mumakati nevanhu, nedenda rakatonyorwa munyika dzinoverengeka dzeSouthern Cone. Idambudziko rehutano hweveruzhinji nerwemhuka muSouth America yese uye riri kukurukurwa zvakanyanya mukukurukurirana kwechiremba nemakiriniki emhuka diki.
Kunyangwe zvinganzwika sedambudziko risinganzwisisike kana kuti riri kure, Chokwadi ndechekuti utachiona uhwu huri kuchinja mamiriro ezvinhu Kunzwisisa zvirwere zvemhuka munharaunda iyi kwakakosha. Kuziva kuti zvirwere izvi chii, kuti zvinotapuriranwa sei, zviratidzo zvazvo mumakatsi nevanhu, uye nzira dzekurapa dziripo zvakakosha kune varidzi vekatsi, nyanzvi dzehutano, uye chero ani zvake anogara nemhuka kana anoshanda panze.
Chii chinonzi Sporothrix brasiliensis uye chirwere chipi chainokonzera?
Sporothrix brasiliensis imhando yefungus iri muboka reSporothrix.Ndiyo inokonzera hutachiona hunozivikanwa sesporotrichosis, chirwere chinonzi subcutaneous mycosis chinonyanya kukanganisa ganda nenyama iri pasi paro. Ndecheboka refungus dzakaita sedimorphic, zvichireva kuti dzinokwanisa kuchinja chimiro zvichienderana nekupisa kwekunze.
Muzvisikwa, Pakupisa kuri pedyo ne25°C, howa iyi inoonekwa seforoma ine filamentous.Ine hyphae refu ine matavi inogara muvhu uye muzvirimwa zviri kuora. Zvisinei, kana ikapinda mumhuka kana munhu yosangana nekupisa kwemuviri (inenge 37 °C), inotora chimiro chakaita sembiriso, ine masero madiki, akatenderera akagadziriswa kuti awedzere mukati menyama.
Sporotrichosis haisi itsvaYakatanga kutsanangurwa mukupera kwezana remakore rechi19 uye inogona kukonzerwa nemarudzi akasiyana-siyana eSporothrix, akadai seS. schenckii, S. globosa, S. mexicana, uye S. brasiliensis. Chichangobva kuwanikwa ndechekuzivikanwa kweS. brasiliensis, rudzi rwakanyanya kupararira rwakabatana nekutapurirana kwezvirwere kubva kumhuka kuburikidza nekatsi.
Zvinoenderana nedata kubva kuWorld Health Organization (WHO), Sporotrichosis inonyanya kuonekwa munzvimbo dzinopisa uye dziri pasi pemvura.nenzvimbo dzine chirwere ichi chinogona kukonzera pakati pe25 ne100 pavanhu 100,000. Latin America, uye Brazil zvikuru, ndiyo inonyanya kukonzera ruzhinji rwezvirwere zvakashumwa mumakumi emakore achangopfuura.
Paganda, hutachiona hunoonekwa semapundu, mapundu, uye maronda. Maronda aya anogona kuparadzaniswa kana kutevera nzira yemitsipa yeropa (lymphocutaneous kana sporotrichoid pattern). Kunyange zvazvo chimiro cheganda chiri icho chinonyanya kuitika, mune vamwe varwere—kunyanya avo vane dziviriro yemuviri inokundikana—fungus inogona kupinda muzvikamu zvakadzika, majoini, mapapu, kana kunyange tsinga huru.
Dambudziko rehutano hwevanhu riri kubuda muSouth America
Kupararira kwechirwere cheSporothrix brasiliensis kwakonzera kutya kukuru kubva kuna vanachiremba, vanachiremba vemhuka, uye vakuru vehutano. Kunyangwe chirwere che zoonotic sporotrichosis chave chichizivikanwa muBrazil kubvira pakati pezana remakore rechi20, kubva kuma1990 uye kunyanya kubvira muna 2007, kwave nekukura kukuru kwedenda, kusvika pakuti chirwere ichi chinoonekwa sechinowanikwa munzvimbo dzakasiyana siyana dzenyika.
Mumakore gumi apfuura, Munzvimbo dzeBrazil dzakabatwa nechirwere cheS. brasiliensis, vanhu vanodarika 11,000 vakabatwa nechirwere ichi.Panyaya iyi panofanira kuwedzerwa nyaya dzisingaverengeki dzekatsi—uye zvishoma mumbwa—dzisingawanzotaurwa nezvadzo. Maitiro acho ndeekukura kwechirwere chemhuka chinonzi zoonosis, chinokwanisa kuzvimirira uye kuramba chiripo mumaguta nenzvimbo dziri pedyo nemaguta.
Mamiriro acho ezvinhu haasisiri emuBrazil chete. Argentina, Chile, Paraguay, neUruguay dzatanga kutaura nezvenyaya dzechirwere ichi. ye sporotrichosis inobatanidzwa neS. brasiliensis, imwe iri muchimiro chezvirwere zvidiki, zviri munzvimbo imwe chete. Kubva muna 2009, mishumo yave ichiwanda munyika dzinoverengeka dzedunhu iri, uye muna 2023 nyaya nhatu dzekutanga kunze kweLatin America dzakatsanangurwa, muUnited Kingdom, izvo zvinoratidza mukana wekupararira kwefungus pasi rose.
MuUruguay, Sangano reUtsanana rakasimbisa kuparadzirwa kweS. brasiliensis munharaunda. Mumadhipatimendi eMaldonado neRocha, zvakanyorwa nezvekutapurirana kwechirwere ichi kubva kukati kuenda kumunhu pamwe nezviitiko zvevana vadiki nevakwegura zvakashumwa. Izvi zvakaita kuti Bazi reHutano hweVanhu neKomisheni yeZoonosis vatange kushanda, zvichiratidza shanduko huru mukuongorora kwezvirwere zvemudumbu munyika.
MuChile, yambiro yakamutswa apo Murwere wekutanga weS. brasiliensis akaonekwa mumukadzi ane makore makumi mashanu nemapfumbamwe ekuberekwa. Mugari wemudunhu reConcón, murwere uyu anonzi akabatwa nechirwere ichi kubva pakatsi yake, iyo yaive nemaronda makuru paganda uye yakazourayiwa nekuda kwekusagadzikana kwayo uye kusakwanisa kurapwa zvakanaka. Panguva iyi, marabhoritari ekuongorora akasimbisa nyaya dzinenge gumi nerimwe mumhuka (kunyanya katsi nembwa imwe chete) munzvimbo dzeMetropolitan neMagallanes, pamwe nedzimwe nyaya dziri kuferefetwa.
MuArgentina, nyanzvi dzakaona kuti Nyaya dze sporotrichosis yekatsi dzawedzera mumakore asingasviki gumiMuUruguay, data kubva kuhuwandu hwevanhu huchangobva kuitwa rinoratidza kuti 8% yemhuri dzine katsi, nhamba isingasanganisire huwandu hwakawanda hwekatsi dzinongogara dzakatsauka uye dzemusango dzinoshanda senzvimbo yekuchengetera howa. Zvese izvi zvinogadzira mamiriro akanaka ekupararira kweS. brasiliensis.
Sporothrix brasiliensis inotapuriranwa sei?
Kutapurirana kweSporotrichosis kunogona kutevera nzira mbiri huruNzira mbiri idzi dzekutapurirana dzinosanganisira kubaya howa nepaganda. Nzira yekare (isiri yemhuka) inoitika kuburikidza nekuboorwa kana kukwenywa kubva mumiti yakasviba, senge minzwa yemaruva, huswa, kana huni. Nzira iri kuramba ichizivikanwa ndeyemhuka, umo hutachiona hunoitika kuburikidza nekubata mhuka dzine utachiona, kunyanya katsi.
Mumamiriro ezvinhu echinyakare, Vanhu vanobatwa nechirwere ichi nekubata ivhu, zvirimwa, kana kuora kwezvinhu zvipenyu.Ndosaka dzimwe nguva chirwere chesporotrichosis chichinzi "chirwere chemurimi," chinobatanidzwa nevashandi vepapurazi, nzvimbo dzekurima, kuchekerera uswa, kana zviitiko zvekuzorora panze zvine njodzi yekukwenya.
Zvisinei, maererano neS. brasiliensis, Katsi dzave nzvimbo huru dzinotakura mhuka uye dzinotakura mhukaKatsi—kunyanya dziya dzinoenda panze kana kugara mumigwagwa—dzinogona kubata howa nekusangana nevhu kana miti yakasviba. Kana dzabatwa nechirwere ichi, dzinoita maronda eganda ane mbiriso yeSporothrix, iyo inonyanya kupararira mumaronda, mavanga, uye matumbu.
Kutapurirana kwechirwere kubva kukati kuenda kumunhu kunoitika zvikuru kuburikidza ne:
- Zvikwenya kubva kukatsi ine utachiona, iyo inopinza howa kubva munzara dzayo muganda remunhu.
- Kurumwakunyanya kana mhuka yacho yakakuvara pamuromo kana kumeso.
- Kubata maronda zvakananga, mavanga kana maburi yekatsi dzinorwara, kunyangwe kukuvara kwevanhu kuri kudiki kana kuti kusingaonekwe zvakanyanya.
- Kusangana nekubuda kwemhino kana maziso, kana kuhotsira yekatsi dzine hutachiona hwakanyanya.
Mune dzimwe nhenda, dzinoonekwawo sedzimwe dzinokonzera chirwere ichi. dzimwe mhuka dzinoyamwisa, kusanganisira imbwa dzine hutachiona hwefungus (fungus mumbwanezvinhu zvakasvibiswa, zvakaita sematanda akanyorova anoshandiswa mumigodhi (zviitiko zvinotsanangurwa muSouth Africa) kana zvinhu zvezvirimwa mushure mekufashamira, sezvakaonekwa muChina. Uyezve, zvimwe zvidzidzo zvinoratidza kuti makonzo akaita semakonzo anogona kushanda seanotakura uye kuita kuti howa ipararire munzvimbo dzakasiyana-siyana nekufamba senzvimbo dzinochengeterwa chikafu.
Kusvikira zvino, Kutapurirana zvakananga kweS. brasiliensis kubva kumunhu kuenda kumunhu hakuna kuratidzwa.Zvisinei, kutapurirana pakati pevanhu kwakatsanangurwa mune mamwe marudzi eSporothrix, saka nyanzvi hadzidi kubvisa zvachose mukana iwoyo mumamiriro ezvinhu chaiwo.
Sporothrix brasiliensis nekatsi: zviratidzo uye kuomarara
Katsi ndidzo dzinonyanya kubatwa uye panguva imwe chete ndidzo dzinonyanya kupararira yeS. brasiliensis mukupararira kwezvirwere pari zvino. Utachiona mumhuka dzekatsi hunowanzova hwakanyanya uye hwakakura kupfuura mune dzimwe mhuka, huine fungus yakawanda mumaronda eganda, zvichiita kuti dzive nzvimbo inoshanda zvikuru yekutapurirana.
Mukati, Chirwere ichi chinowanzo tanga nemaronda kana mapundu ane maronda Maronda aya anowanikwa pachiso, pamuromo, munzeve, kana pamakumbo epamberi. Anogona kubuda ropa, kuita mapundu akakora, uye kusapora kunyangwe mushure memavhiki. Sezvo hutachiona huchienderera mberi, maronda anogona kuoneka pahunde, mudumbu, nepamakumbo, nenzvimbo dzisina mvere uye maronda anoonekwa zvakanyanya.
Zviratidzo zvekiriniki zvinonyanya kuzivikanwa mumhara zvinosanganisira maronda asingapore, mapundu, alopecia iri munzvimbo, kuderedza uremu uye Ndoziva sei kana katsi yangu ine fivhaKana chirwere ichi chakura, sporotrichosis inogona kuparadza mhino, kukanganisa kufema, uye kukanganisa ma lymph nodes. Katsi dzinopera simba, dzinorasikirwa nehuremu hwakakura, uye, kana dzisina kurapwa kana dzisina mhinduro yakakwana, dzinogona kufa.
Dzakatsanangurwawo mafomu akapararira nekubatanidzwa kwemukati memucous (muromo, mhino, maziso) uye zviratidzo zvakaita seconjunctivitis nekubuda kwemvura mumaziso, kuhotsira nguva nenguva, kana kutadza kufema. Mumhuka dzine dziviriro yemuviri yakakanganisika—semuenzaniso, katsi dzine mavhairasi emukati akadai seFIV kana FeLV—chirwere ichi chinowanzova chakasimba uye chakaoma kudzora.
Zvidzidzo nemirairo yekiriniki zvinoratidza kuti Kurapa kwekatsi kunowanzotora nguva yakareba uye kunodhura.Utachiona hunowanzogara kwemwedzi yakati wandei. Mune zvimwe zviitiko zvakanyanya, nekudzikira kwakanyanya kwehutano uye kusagamuchira zvakanaka kwemishonga inouraya fungus, euthanasia yakashandiswa nekuda kwekuchengetedza mhuka, sezvakaitika kune katsi yakabata murwere wekutanga akaonekwa muConcón. Kunyangwe zvakadaro, nyanzvi dzinoti hutachiona, pachahwo, hahuna chikonzero chekuuraya mhuka kana paine mukana wekuti ipindure kurapwa.
Sporotrichosis muvanhu: mafomu ekiriniki uye zviratidzo
Muvanhu, sporotrichosis inokonzerwa neS. brasiliensis inowanzotanga paganda munzvimbo yekubaiwa majekiseni: maoko, maoko kana makumbo ndiwo anonyanya kuwanikwa, sezvo ari nzvimbo dzine mavanga uye mavanga.
Chimiro chinonyanya kuzivikanwa ndicho Sporotrichosis yeganda kana yelymphocutaneousMushure menguva yekuyamwisa inogona kubva pavhiki imwe kusvika kuvhiki gumi nembiri, bundu diki dzvuku, repingi, kana repepuru (bundu) rinoonekwa panzvimbo yeronda. Bundu iri rinogona kuita maronda uye kukura kuita chironda chinorwadza. Kubva ipapo, muchimiro che lymphocutaneous, mabundu matsva anomuka munzira yemidziyo ye lymphatic, zvichiita rudzi rwe "beaded string" yemaronda anotambanuka mumutsara kubva pakutanga kuenda kuma lymph nodes ari pedyo.
Mune zvimwe zviitiko, Maronda eganda anoramba ari panzvimbo imwe chete (chimiro chakagadzika), kunyange zvazvo zvichigonawo kuita maronda uye kuva nemigumisiro yakanaka pakunaka, kunyanya kana zvichikanganisa kumeso. Chirwere ichi chinogonawo kukanganisa maburi emudumbu akadai semuromo kana maziso.
Kana chirwere ichi chakabatana nekatsi, Vamwe varwere vanowana mamwe maitiro ekudzivirira muviriZviratidzo izvi zvinogona kusanganisira erythema multiforme (mavara matsvuku kana kuti mapundu akapararira mumuviri wese) kana kuputika kwakapararira kune maronda akawanda munzvimbo dzakasiyana dzeganda. Zviratidzo izvi hazvikonzerwi nekukura kwefungus zvakananga, asi nekuda kwemaitiro emuviri wekudzivirira chirwere kuhutachiona.
Muchikamu chidiki chezviitiko, kunyanya kuvanhu vane masoja emuviri asina simba Muvarwere vane HIV, kenza, avo vari kurapwa nemishonga inodzvinyirira immune system, kana avo vane zvirwere zvisingaperi zvisingabhadharwi, sporotrichosis inogona kudzika uye kupararira. Mumhando idzi dzakakomba, fungus arthritis, mapapu, mapfupa, uye kunyange meningitis zvakatsanangurwa. Maronda eganda muvarwere ava anogona kunge akakura uye akaoma kudzora.
Munyaya yeChile yakatsanangurwa, Mukadzi uyu akaonekwa nemaronda eganda ayo aida kurapwa kwenguva refu nedermatological dermatological.Kunyangwe mamiriro ake ese aive akanaka uye akagamuchira zvakanaka kurapwa nefungus, rudzi urwu rwekufambira mberi, kunyanya kubatanidzwa kweganda muvarwere vane dziviriro yemuviri, ndirwo rwakanyanya kuwanda.
Kuongororwa kwe sporotrichosis
Kuongororwa kwakarurama kwakakosha Kutanga kurapwa nekukurumidza uye kudzivirira matambudziko. Sporotrichosis inogona kuvhiringidzwa nezvirwere zveganda, kusanganisira mamwe mabhakitiriya akadzika, TB yeganda, leishmaniasis, kana mamwe mabundu eganda.
Kuti usimbise chirwere ichi, Nzira huru dzinoshandiswa pakuongorora ma microscopy, histopathology, uye tsika. yefungus. Mienzaniso inotorwa kubva mumaronda (mavanga, maexudates, zvidimbu zveganda kana subcutaneous tissue biopsy) uye inoongororwa nemaikorosikopu ichitsvaga mbiriso chaiyo, kunyangwe kazhinji huwandu hwefungus hunoonekwa hushoma uye zvingave zvakaoma kuhuziva zvakananga.
Kurimwa mune zvimwe zvinyorwa zve mycological Zvinobvumira Sporothrix kuparadzaniswa uye kupatsanurwa kubva kune dzimwe howa.Kana yakura, rabhoritari inogona kudzidza maitiro ayo uye, munzvimbo dzine zviwanikwa zvakawanda, inoita bvunzo dzemamorekuru kuti ione mhando chaiyo (S. brasiliensis, S. schenckii, nezvimwewo).
Mumakore achangopfuura Nzira dzekuongorora mamorekuru dziri kugadzirwa, zvakaita sePCR, izvo zvinopa mhedzisiro inokurumidza uye yakarurama. Zvisinei, hazvisati zvawanikwa zvakanyanya munyika dzese kana matunhu, kunyanya munzvimbo dzisina zviwanikwa zvakawanda, uko kuvimba zvakanyanya netsika nemaitiro echinyakare.
Mukati nedzimwe mhuka, Maitiro acho akafanana: kutora mienzaniso yemaronda (dzimwe nguva kubva kuma lymph nodes, mumhino, kana mamwe matishu) uye zvinotumirwa kuma laboratories anogona kusimbisa kuvapo kweS. brasiliensis kuburikidza nekuongororwa kwezvirimwa uye molecular. Kubatana pakati pevanachiremba vemhuka ne microbiologist kwakakosha pakuona kubuda kwezvirwere zvitsva nekukurumidza uye kutarisa kupararira kwefungus munzvimbo dzakasiyana.
Kurapa kwefungus mumakati nevanhu
Mashoko akanaka ndeekuti sporotrichosis inogona kurapwa zvinobudirira Kazhinji, chero bedzi chirwere ichi chikaonekwa nekukurumidza uye kurapwa kwacho kukateverwa nemazvo. Kunyangwe zvakadaro, hachisi mushonga unokurumidza: chinowanzo da mwedzi yakati wandei yekurapwa nguva dzose.
Ehe vanhu, Mishonga yekutanga inotorwa nemuromo inonzi itraconazole uye terbinafineMamorekuru aya aratidza kushanda zvakanaka pakurwisa Sporothrix uye ndiwo anonyanya kushandiswa pakurapa zvirwere zveganda nemapfupa. Nguva yekurapwa inoenderana nehukuru hwemaronda uye mhinduro yekiriniki, asi hazvishamisi kuti zvinotora mwedzi mitatu kusvika mitanhatu.
Yakamboshandiswawo kare mushonga we potassium iodide wakazara wakatorwa nemuromoIyi imishonga inodhura zvishoma inogona kubatsira zvikuru munzvimbo dzisina zviwanikwa zvakawanda. Zvisinei, kugadzirwa kwayo kunoda ruzivo rwakakwana rwemishonga uye inogona kukonzerwa nemigumisiro yakaipa, saka kushandiswa kwayo kunofanira kunyatsoongororwa.
Munzira dzakarongwa kana dzakaparadzirwa, Amphotericin B inopinzwa mutsinga inochengeterwa senzira yekurapa zvirwere zvakakombazvakaita sezvirwere zvakakomba zvemapapu, kubatanidzwa kwetsinga dzemutsinga, kana kubatanidzwa kwakanyanya kwemapfupa. Mimwe mishonga yechipiri inouraya fungus, yakaita se posaconazole kana musanganiswa wemishonga, inoongororwa zvichienderana nemamiriro emuviri wemurwere uye mhinduro yake kukurapa kwekutanga.
Mukati, Zvinokurudzirwa pasi rose zvinoratidza kuti itraconazole ndiyo mushonga unonyanya kusarudzwa.Mune zvimwe zviitiko, inosanganiswa ne potassium iodide kuti iwedzere kupindura. Chirwere chekatsi chinokonzerwa neS. brasiliensis chinogona kuoma uye chisingarapiki, saka kurapwa kunowanzoitwa kwemwedzi mitatu kusvika mina, uye dzimwe nguva kwenguva yakareba, kusvika maronda apera zvachose uye asingazoonekwizve kwenguva yakati rebei.
Mari yemishonga iyi uye kudiwa kwekupa mapiritsi zuva nezuva kwemwedzi yakati wandei Zvinopa dambudziko kumhuri dzakawanda.kunyanya munzvimbo dzine mari shoma. Kurapa katsi yakadzungaira kana yemunharaunda nekurapwa kwenguva refu kwehutachiona hwemabhakitiriya hakusi nyore nguva dzose, zvichiita kuti kudzorwa kwehutachiona hwemhuka kuome munzvimbo dzine makaka makuru.
Nyanzvi dzinosimbisawo kuti Varidzi vekatsi dzine chirwere vanofanira kuona chiremba kana vakaona maronda anofungidzirwa. pamaoko, mumaoko, kana chero nzvimbo yakafumurwa. Kurapa mhuka nemunhu panguva imwe chete kwakakosha kuti ubvise cheni yekutapurirana uye kudzivirira hutachiona kuti husapararire pakati pekatsi dziri munzvimbo iyoyo.
Mapoka ane njodzi nezvinhu zvinokurudzira kubuda kwechirwere
Sporotrichosis inogona kubata vanhu vane hutano hwakanaka nevanhu vasina dziviriro.Zvisinei, mamwe mapoka ane mukana wakakura wekutapukirwa kana kuti kukura kwezvirwere zvakakomba.
Nezve njodzi yekutapurirana, Vanhu vanoshanda nemiti, ivhu, kana zvinhu zvemiti vanonyanya kuzivikanwa.Izvi zvinosanganisira vanhu vanoshanda nevarimi, varimi veminda, vashandi vemasango, kana avo vanobata uswa, huswa, kana sphagnum moss. Chero chiitiko chekuzorora panze chine kukwenya ganda chinowedzerawo mikana yehutachiona kuburikidza nenzira yekare yezvakatipoteredza.
Mukutaura nezveS. brasiliensis, Mapoka anonyanya kubatwa nekatsi ndeaya anogara achisangana nekatsi.Vanachiremba vemhuka, vabatsiri vekiriniki, vanozvipira kuchengetedza mhuka, vanobata mhuka dzekatsi, uye, zvechokwadi, vachengeti vekatsi, kunyanya munzvimbo dzakatotsanangurwa nyaya dze sporotrichosis kubva kumhuka dzinoberekwa nemhuka.
Nezvekuoma kwaro, Vanhu vane masoja emuviri asina simba vari panjodzi huru yematambudzikoVarwere vanorarama neHIV, avo vanorapwa nemishonga inodzvinyirira masoja emuviri, kana avo vane maronda kana zvirwere zvisingaperi zvinogona kukonzera matambudziko emapfupa, kufema, kana tsinga. Vana vadiki nevakuru vanoonekwawo sevari panjodzi huru.
Pamusoro pezvo, kune zvinhu zvakatipoteredza uye zvemagariro evanhu zvinokurudzira kupararira kwezvirwere izvi. Kugara munyika zvakanyanya, kutemwa kwemasango, uye kupararira kwemaguta kusingadzoreki Zvinokanganisa kuenzana kwezvakatipoteredza uye zvinoisa vanhu nemhuka munjodzi dzezvirwere zvaimbove munzvimbo dzakaganhurirwa. Nyaya yeS. brasiliensis inoratidza kuti kushanduka kwezvakatipoteredza kunogona sei kukonzera matambudziko "matsva" ehutano hweveruzhinji.
Kune izvi zvinowedzerwa kuwanda kwekatsi dzakarashika kana kuti dzakapfuyiwa zvishoma Mumaguta mazhinji ekuLatin America, mhuka idzi, dzinowanzova dzisina kubatwa nemajekiseni uye dzine mukana wekupinda panze, dzinorwirana nzvimbo, chikafu, uye shamwari, zvichikonzera kukwenywa nekurumwa nguva dzose, zvakanaka pakuparadzira howa mukati memhuka dzekatsi uye, kubva ipapo, kuvanhu.
Kudzivirira, kudzora uye nzira yeOne Health
Hakuna majekiseni kana matanho chaiwo ekudzivirira sporotrichosisNzira iyi yakavakirwa pakuderedza njodzi yekubatwa nechirwere ichi, kuona vanhu vari kubatwa nacho nguva isati yakwana, uye kurapa mhuka nevanhu vane chirwere ichi.
Kumaruwa kana pakushanda nemiriwo, kushandisa magurovhosi, shangu dzakavharwa uye mbatya dzekudzivirira Kubata maruva, huswa, huni, kana moss kunobatsira kuderedza zvipembenene zvinobvumira howa kupinda. Kuchengetedza ganda rakachena uye kuuraya utachiona mumaronda madiki kunoderedzawo njodzi yekuti gomarara rikure.
Nezve katsi, mazano anobva kunyanzvi akajeka: Kurudzira kuva nemhuka dzinovaraidza zvine hungwaru, kubvisa hutachiona, uye kugara mumba kwekatsiKuchengeta katsi mumba uye kudzora kusangana kwadzo nedzimwe mhuka dzemumugwagwa kunoderedza zvikuru mukana wekuti dzitapukirwe kana kuparadzira howa kana dzitori nadzo kare.
Kana katsi ikauya maronda ane maronda pachiso, mudumbu, kana pamakumboKana maronda acho asingapori uye akanyanya kuipa, zvakakosha kuti uendese chipfuwo chako kuna chiremba wemhuka nekukurumidza kuti chiongororwe uye, kana zvichidikanwa, kutorwa kwemuenzaniso. Kana kurapwa nefungus kukatanga nekukurumidza, mikana yekupora inowedzera uye njodzi yekutapurirana kune dzimwe mhuka nevanhu inoderedza.
Kune varindi nevanhu vanoshanda nemhuka, chero kukwenywa kana kurumwa nekatsi kune kukuvara kunofungirwa Izvi zvinofanira kutorwa zvakakomba. Zvinokurudzirwa kugeza zvakanaka uye kubvisa mushonga panzvimbo yakakanganiswa, uye kubvunza chiremba kana mapundu, kutsvuka kunoramba kuripo, kana maronda akaonekwa mumavhiki anotevera. Kuzivisa chiremba kuti katsi inogona kunge yakabatana nekatsi ine utachiona kunobatsira kukurumidza kuona chirwere ichi.
Kubva pamaonero ehutano hwevanhu, Kudzora sporotrichosis inokonzerwa neS. brasiliensis kunoda kushanda pamwe chete pakati pevanachiremba, vanachiremba vemhuka, nyanzvi dzezvirwere, nevashandi vezvehutano.Nzira iyi yakabatana, inozivikanwa seOne Health, inoziva kuti hutano hwevanhu, hutano hwemhuka, uye mamiriro ezvakatipoteredza zvakabatana zvikuru. Mishandirapamwe yekuzivisa vanhu, mapurogiramu ekubata nekurapa katsi dzinorwara, uye masisitimu ekutarisa anobatanidza ruzivo rwevanhu nerwemhuka ndizvo zvinhu zvakakosha pakurwisa chirwere ichi.
WHO inosanganisira sporotrichosis pane runyorwa rwayo rwezvirwere zvemunzvimbo dzinopisa zvisina hanya uye Inoshanda kuvandudza marongero ezvirwere, kugadzira kuongororwa kwezvirwere nekukurumidza, uye kutsvaga mishonga mitsvapamusoro pekutarisa howa dziri kubuda dzakadai se Candida aurisZvisinei, munharaunda zhinji nemunharaunda, chipingamupinyi chikuru chiripo ndechekuwana mishonga inouraya fungus uye mabasa emurabhoritari anokwanisa kusimbisa vanhu vane chirwere ichi.
Muchirevo ichi, Dzidzai kuziva zviratidzo zviri mumakati nevanhu, kuziva kuti zvinotapuriranwa sei, uye kunzwisisa kukosha kwekutsvaga rubatsiro rwechiremba nekukasika. Kana paine maronda anofungidzirwa, matanho akakosha. Zvakaitika kuBrazil zvinoratidza kuti, kana S. brasiliensis yagara munzvimbo, inogona kupararira zvakanyanya kana pasina matanho akarongeka uye ekutanga akaitwa.
Zvese zvatinoziva kusvika pari zvino nezveSporothrix brasiliensis zvinoratidza kuti ihowa inokwanisa kuchinjika zvakanaka kuhupenyu hwemumaguta, ichishandisa mukana wekugara pamwe chete kwevanhu nekatsi kuti ikure, asiwo kuti tine zvishandiso zvinoshanda zvekuimisa kana tikasanganisa kutarisa, kuongororwa kwakakodzera, kurapwa kwefungus uye kuva nemhuka dzinovaraidza zvine hungwaru, kuitira kuti kugara nekatsi dzedu kurambe kwakachengeteka kwavari uye kwatiri.
