He aha te Histoplasmosis? Tohutohu, Take, me te Maimoatanga

Ko te Histoplasmosis tetahi mate huhu i roto i te manawa e puta mai ana i te manawa i nga pūngāwerewere mai i te harore e kiia nei ko te Histoplasma capsulatum. E noho ana tenei harore i roto i te oneone kua whakapakaritia ki nga paru manu, ki nga paru popoki rānei, ina koa ki etahi wāhi o te United States penei i nga awaawa o Ohio me Mississippi.

Ko te nuinga o te hunga e manawa ana i enei pūngāwerewere kaore e puta he tohu, kaore rānei he mate iti noa iho, penei i te mate huka. Ka taea e tō pūnaha ārai te whakahaere i te mate kaore koe e mohio kua puta. Heoi, ka taea e etahi te whanake i nga tohu nui ake e pā ana ki o ratou ngā manawa, ā, i etahi wā, ka horapa ki ētahi atu wāhi o tō tinana.

He aha ngā tohu o te histoplasmosis?

Ko te nuinga o te hunga e pangia ana e te histoplasmosis kaore he tohu, ina koa ki te pai tō pūnaha ārai. Ki te puta mai ngā tohu, ka tīmata i te 3 ki te 17 rā i muri i te manawa i ngā pūngāwerewere harore, ā, he rite tonu ki te mate huka iti.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te kirika me te wiri e haere mai ana, e haere atu ana
• Te mare mare e roa ana pea mō ngā wiki
• Te mamae o te uma, te kore ranei e pai
• Te mamae o te upoko me te tinana
• Te ngenge e tino kaha ake ana i te mea noa
• Te mamae o ngā uaua puta noa i tō tinana
• Te ngaro o te hiahia kai

I etahi wā, ka taea hoki e koe te whanake i te pupuhi kiri me ngā pūngāwerewere whero, ina koa ki ō waewae. Ka puta mai tenei ina ka kaha te whakautu o tō pūnaha ārai ki te mate. Ko te rongo pai, ko ēnei tohu ka ngaro noa iho i roto i ngā wiki torutoru ki te marama mō te nuinga o te hunga hauora.

He aha ngā momo histoplasmosis?

E toru ngā momo matua o te histoplasmosis, e pā ana ki tō tinana i ngā huarahi rerekē. Ko te mārama ki ēnei momo ka āwhina i a koe ki te mohio ki te mea kei te pāngia koe, me te wā hei rapu awhina hauora.

Ko te histoplasmosis manawa koi te momo tino noa, ā, e pā ana ki ō manawa tika. Ko tenei momo te tikanga ka puta mai ngā tohu rite ki te mate huka i kōrerohia e mātou i mua, ā, ka ngaro noa iho i roto i ngā wiki torutoru. Ko te nuinga o te hunga hauora ka pāngia e tēnei momo ngāwari ake, ki te puta mai ngā tohu.

Ko te histoplasmosis manawa roa ka puta mai ina ka mau tonu te mate i roto i ō manawa mō ngā marama, mō ngā tau rānei. He nui ake te kino o tēnei momo, ā, e pā ana ki te hunga kua pangia e ngā mate manawa penei i te emphysema, te COPD rānei. Ka pāngia pea koe e te mare mare tonu, te ngaro o te taumaha, me ngā raruraru manawa e kaha ake ana i te wā.

Ko te histoplasmosis horapa te momo tino kino engari te iti rawa, kei hea ka horapa te mate ki tua atu i ō manawa ki ētahi atu whekau. Ka puta mai tēnei i te hunga he pūnaha ārai ngoikore, penei i te hunga e pangia ana e te HIV/AIDS, te hunga whiwhi whakawhitinga whekau, te hunga e whiwhi ana i ētahi maimoatanga mate pukupuku rānei. Ka uru ngā tohu ki te kirika teitei, te ngenge nui, me ngā raruraru ki ngā pūnaha whekau maha.

He aha ngā take o te histoplasmosis?

Ka puta te histoplasmosis ina ka manawa koe i ngā pūngāwerewere iti mai i te harore Histoplasma capsulatum. Ka puta enei pūngāwerewere ki te rangi ina pakaru te oneone kua whakapokea, ka hanga he kapua kore e kitea e taea e koe te manawa.

Ka tupu te harore i roto i ngā taiao motuhake kei reira ngā kai tika hei tupu:

• Te oneone kua whakapakaritia ki ngā paru manu, ina koa mai i ngā moa, ngā manu whero, ngā manu pango rānei
• Ngā wāhi he nui ngā paru popoki, ina koa i roto i ngā ana, i ngā whare tawhito rānei
• Ngā puranga komupōti me ngā mea ora kua whakauruhia ki ngā paru kararehe
• Ngā whare kararehe tawhito, ngā whare moa, ngā whare kua mahue rānei kei reira ngā manu e noho ana
• Ngā wāhi tata ki ngā piriti, ki ngā hanganga rānei kei reira ngā popoki e huihui ana

Ko ngā mahi noa ka āhei te whakaatu i a koe ki ēnei pūngāwerewere ko te horoi i ngā whare moa, te torotoro i ngā ana, te whakahoro i ngā whare tawhito, te mahi rānei i ngā wāhi he nui ngā manu. Ahakoa te mea ngāwari penei i te raki i ngā rau i te wāhi e noho ana ngā manu, ka taea pea te whakaatu i a koe ki ngā pūngāwerewere.

He mea nui kia mōhio kei te kore te histoplasmosis e horapa mai i te tangata ki te tangata. Kaore e taea e koe te hopu mai i te tangata kei te pangia e te mate, kaore hoki e taea e koe te hoatu ki ētahi atu ki te pangia koe.

Nō hea te rapu atu ki te taakuta mō te histoplasmosis?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te puta mai ngā tohu rite ki te mate huka e roa atu ana i te wiki, ina koa ki te tata nei koe ki ngā wāhi e noho ana te histoplasmosis. Ahakoa ka ngaro noa iho te nuinga o ngā keehi, he pai tonu te whiwhi whakamātautau hauora tika.

Rapua te awhina hauora i te wa poto ki te pāngia koe e ēnei tohu āwangawanga ake:

• Te uaua ki te manawa, te poto rānei o te manawa i ngā mahi noa
• Te mamae o te uma e kaha ake ana, e kore rānei e pai
• Te kirika teitei (neke atu i te 101°F) e mau tonu ana mō ngā rā maha
• Te mare mare e puta mai ana te toto, e kaha ake ana rānei
• Te ngenge nui e ārai ana i a koe i ngā mahi o ia rā
• Te ngaro o te taumaha kaore i te whakamārama

Ki te ngoikore tō pūnaha ārai nā te HIV, te maimoatanga mate pukupuku, te whakawhitinga whekau, te rongoā rānei, whakapiri atu wawe ki tō taakuta ki te whakaaro koe kua whakaatu koe ki te histoplasmosis. Ka hiahia tō kaiwhakarato hauora ki te tirotiro i a koe, ā, ka tīmata pea te maimoatanga i mua atu o te puta mai o ngā tohu.

He aha ngā take morearea mō te histoplasmosis?

He maha ngā take ka piki ake ai ō tūmanako ki te whanake i te histoplasmosis, ki te pāngia rānei e ngā tohu nui ake. Ko te mārama ki ēnei take morearea ka āwhina i a koe ki te tango i ngā whakarite tika, ki te rapu awhina hauora hoki ina hiahiatia.

He mea nui te wāhi whenua ki tō taumata morearea:

• Te noho, te toro atu rānei ki ngā awaawa o Ohio me Mississippi
• Te whakapau i te wā i ngā wāhi o te United States waenganui me te rāwhiti
• Te haere ki ētahi wāhi o Central me South America kei reira te harore e noho ana
• Te mahi, te takaro rānei i ngā wāhi whenua he nui ngā manu, ngā popoki rānei

Ka piki ake hoki te morearea o te whakaatu ki ētahi mahi me ngā mahi. Ko ngā tāngata mahi whenua, ngā kaihanga, ngā kaitoro ana (ngā kaitoro ana), me ngā kaimahi tiaki e mahi ana ki ngā whare tawhito he nui ake te tūmanako ki te tūtaki ki ngā pūngāwerewere. Me mōhio hoki ngā kaimahi māra me ngā kaiwhakapaipai e mahi ana i ngā wāhi he nui ngā manu ki te whakaatu pea.

Ko tō tūāhua pūnaha ārai e pā ana ki tō morearea o te mate, me te kaha o ngā tohu ka pāngia pea koe. Ko te hunga e pangia ana e te HIV/AIDS, te hunga e whiwhi ana i te chemotherapy, te hunga whiwhi whakawhitinga whekau e inu ana i ngā rongoā ārai pūnaha ārai, me te hunga he mate ārai tinana he nui ake te morearea o te whanake i ngā raruraru kino.

Ka taea hoki e te tau te pā ki tō morearea, me ngā pēpi me ngā pakeke neke atu i te 55 tau te nui ake te tūmanako ki ngā momo mate kino. Heoi, ka taea e te hunga hauora o tetahi tau te whanake i te histoplasmosis ki te whakaatu ki ngā pūngāwerewere nui.

He aha ngā raruraru pea o te histoplasmosis?

Ko te nuinga o te hunga e pangia ana e te histoplasmosis ka ora katoa kaore he pānga roa. Heoi, ko te mārama ki ngā raruraru pea ka āwhina i a koe ki te mohio ki te wā e hiahiatia ana te awhina hauora, me te mea hei titiro i te wā e ora ana koe.

Mō te hunga hauora, he iti ngā raruraru, engari ka uru ki:

• Te pericarditis (te mumura i te taha o te ngakau)
• Te mate rheumatologic e puta mai ana te mamae o ngā hononga me te ngoikore
• Te ngenge roa e mau tonu ana mō ngā marama
• Te tohu i roto i ngā manawa ka pā pea ki te manawa mō te wā roa

Ko ngā raruraru nui ake te tikanga ka puta i te hunga he pūnaha ārai ngoikore, te hunga e whanake ana i ngā momo mate roa rānei. Ka taea e te histoplasmosis horapa te pā ki ngā whekau maha, tae atu ki tō ate, tō kōpū, tō whekau wheua, me tō pūnaha io matua.

I etahi wā, ka taea e te histoplasmosis manawa roa te arahi ki te kino o ngā manawa e rite ana ki te mate kohi. Ka puta pea tenei i ngā raruraru manawa tonu, te mare mare tonu, me te ngaro o te taumaha i roto i ngā marama, i ngā tau rānei.

Ko te rongo pai, ahakoa ka puta mai ngā raruraru, ka taea te whakaora i te nuinga o te wā mā te tiaki hauora tika. Ko te mohiotanga wawe me te maimoatanga e pai ake ai ngā hua mō ngā momo histoplasmosis katoa.

Me pēhea te aukati i te histoplasmosis?

Ko te aukati i te histoplasmosis e arotahi ana ki te karo i te whakaatu ki ngā wāhi e tupu ana te harore, me te tango i ngā whakarite tiaki ina kaore e taea e koe te karo i ēnei taiao. Ka taea e ngā whakarite ngāwari te whakaiti i tō morearea o te manawa i ngā pūngāwerewere.

Ina mahi ana koe i ngā wāhi kua whakapokea pea, he mea nui ngā taputapu tiaki:

• Kakahuhia he kanohi manawa N95, he pai ake rānei ina pakaru ana te oneone i ngā wāhi morearea nui
• Whakamahia ngā kakahu tiaki e hipoki ana i ō ringa me ō waewae
• Waiho ngā wāhi puehu ki te wai i mua i te horoi hei whakaiti i ngā pūngāwerewere e rere ana i te rangi
• Karohia ngā mahi e hanga ana i ngā kapua puehu i ngā wāhi e noho ana ngā manu

I tō kāinga me tō whenua, ka taea e koe te tango i ētahi kaupae aukati. Pupurihia ngā wāhi tata ki ngā kai manu kia ma, kia pai te tiaki. Ki te hiahia koe ki te horoi i ngā wāhi e huihui ana ngā manu, ngā popoki rānei, me mahi i ngā rā mālie kaore te hau e horapa ngā pūngāwerewere.

Mō te hunga he pūnaha ārai ngoikore, he mea nui rawa te tupato atu. Whakaarohia te karo i te torotoro ana, te whakahou i ngā whare tawhito, te mahi rānei i ngā wāhi e mohiotia ana he nui ngā paru manu, ngā paru popoki rānei. Ka taea e tō kaiwhakarato hauora te hoatu i ngā aratohu motuhake e hāngai ana ki tō tūāhua hauora.

Ki te noho koe i ngā wāhi e noho ana te histoplasmosis, ko te noho mohio ki ngā mate e puta mai ana i te rohe, me te tango i ngā whakarite ngāwari i ngā mahi i waho ka āwhina i a koe me tō whānau.

Me pēhea te whakamātautau i te histoplasmosis?

Ko te whakamātautau i te histoplasmosis e hiahia ana tō taakuta ki te whakakotahi i ō tohu, tō hītori whakaatu, me ngā whakamātautau hauora motuhake. Ko te tukanga te tikanga ka tīmata ki te kōrero taipitopito mō ō mahi tata nei me tō hītori haere.

Ka ui tō kaiwhakarato hauora mō te whakaatu pea ki ngā wāhi e noho ana te harore, penei i ngā ana, ngā whare tawhito, ngā wāhi rānei he paru manu. Ka hiahia hoki rātou ki te mohio mō ō tohu, te wā i tīmata ai, me te āhua o te whakawhānui i te wā.

He maha ngā whakamātautau ka āwhina i te whakau i te whakamātautau:

• Ngā whakamātautau toto e titiro ana ki ngā antibodies, ki ngā pūtau harore rānei (antigens)
• Ngā whakamātautau mimi ka taea te kite i ngā antigens harore
• Ngā whakawhanaketanga sputum mai i te phlegm i mare
• Ngā X-rays uma hei titiro ki ngā huringa manawa
• Ngā tātaritanga CT mō te whakaahua manawa taipitopito ake

Ko te whakamātautau antigen te tikanga te mea tino āwhina, na te mea ka taea te kite i te mate mahi i te wa poto. Heoi, ka whakamahi pea tō taakuta i ngā whakamātautau maha hei whiwhi i te whakaahua katoa, ina koa ki te ngāwari ō tohu, ki te pangia rānei koe e ētahi atu āhuatanga hauora.

I etahi wā ka roa te whakamātautau na te mea ka rite ngā tohu ki ngā mate manawa maha atu. Ka tīmata pea tō taakuta ki ngā take tino pea, ka mahi i ētahi atu wāhi pea ki te kore e āwhina ngā maimoatanga tuatahi.

He aha te maimoatanga mō te histoplasmosis?

Ko te maimoatanga mō te histoplasmosis e hāngai ana ki te kaha o ō tohu, me tō tūāhua hauora whānui. Ko te nuinga o te hunga he tohu ngāwari kaore e hiahia ki tetahi maimoatanga motuhake, ka ora katoa noa iho mā te okioki me te tiaki tautoko.

Mō ngā tohu ngāwari ki te reo, ka tūtohu pea tō taakuta i te tiaki tautoko i te wā e whawhai ana tō pūnaha ārai ki te mate. Ka uru tenei ki te whiwhi i te okioki nui, te noho makuku, me te tango i ngā rongoā kore-tūtohu mō te kirika me te mamae o te tinana i te mea e hiahiatia ana.

Ka hiahiatia ngā rongoā antifungal ina he tohu nui ake koe, he take morearea rānei mō ngā raruraru:

• Ko te Itraconazole te rongoā antifungal waha tino tūtohu
• Ka taea te whakamahi i te Amphotericin B mō ngā keehi kino, te hunga rānei he pūnaha ārai ngoikore
• Ka taea pea te whakamahi i te Fluconazole hei whiringa atu mō ētahi manuhiri
• Ko te roa o te maimoatanga te tikanga mai i te 6 ki te 12 wiki mō te nuinga o ngā keehi

Ki te pangia koe e te histoplasmosis manawa roa, ka hiahia pea koe ki te maimoatanga antifungal mō te tau kotahi hei whakau i te ngaro katoa o te mate. Ka tirotirohia e tō taakuta tō whakawhānui mā ngā whakamātautau toto me ngā rangahau whakaahua.

Mō te histoplasmosis horapa, he nui ake te kaha o te maimoatanga, ā, te tikanga ka tīmata ki te amphotericin B intravenous i te hōhipera, ka whai ake te itraconazole waha mō te wā roa. Ka hiahia pea te hunga he pūnaha ārai tino ngoikore ki te rongoā ārai ora hei aukati i te hokinga mai o te mate.

Me pēhea te whakahaere i te histoplasmosis i te kāinga?

Ko te whakahaere i te histoplasmosis i te kāinga e arotahi ana ki te tautoko i te tukanga ora taiao o tō tinana i te wā e tirotiro ana mō ngā tohu kino. Ko te nuinga o te hunga he keehi ngāwari ka taea te ora pai i te kāinga mā te tiaki whaiaro tika.

He mea nui te okioki mō tō ora, na kaua e whakama i te tango i te wā i te mahi, te whakaiti rānei i ō mahi noa. Ka mahi pai ake tō pūnaha ārai ina kaore koe e whakawhirinaki tinana, ā, ko te pēhi i a koe ka roa ake ai tō wā ora.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Inuhia te wai nui hei pupuri i te makuku, hei āwhina i te whakaiti i te mucus
• Whakamahia he humidifier, te manawa rānei i te kohu mai i te kaukau wera hei whakaora i te manawa
• Tangohia ngā kaiwhakaora mamae kore-tūtohu mō te mamae o te tinana me te kirika
• Kai ngā kai kai pai hei tautoko i tō pūnaha ārai
• Karohia te wāhine me te paowa tuarua, ka taea te whakaohooho i ō manawa

Tirohia ō tohu me te pupuri i ngā huringa. Ahakoa ka pai ake te nuinga o te hunga i roto i ngā wiki maha, me whakapiri atu koe ki tō kaiwhakarato hauora ki te kino ake ō tohu, ki te puta mai rānei ngā tohu āwangawanga hou.

Ki te kua whakaritea e tō taakuta te rongoā antifungal, tangohia tika i te ara i whakaritea, ā, whakaotihia te akoranga katoa ahakoa ka tīmata te pai ake o tō ahua. Ko te mutu o te rongoā i mua i te wā ka taea te whakaae i te mate ki te hokinga mai, ki te ārai rānei ki te maimoatanga.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite pai mō tō hui taakuta ka āwhina i te whakau i te whiwhi i te whakamātautau tika me te mahere maimoatanga tika. Ko te kohikohi i ngā mōhiohio tika i mua ka pai ake ai te haerenga mōu me tō kaiwhakarato hauora.

I mua i tō hui, tuhia ō tohu me te wā i tīmata ai. Whakauruhia ngā taipitopito mō te kaha o rātou, me te pai ake, te kino ake rānei, te noho rite rānei. Tātaihia ngā mahi e pai ake ana, e kino ake ana rānei ngā tohu.

He mea nui rawa tō hītori whakaatu mō te whakamātautau i te histoplasmosis:

• Te haere tata nei ki ngā wāhi e noho ana te histoplasmosis
• Te mahi, te mahi rānei i ngā ana, ngā whare tawhito, ngā wāhi rānei he paru manu
• Te hononga ki te oneone, te komupōti, ngā wāhi rānei e huihui ana ngā manu, ngā popoki rānei
• Te wa i puta mai ai te whakaatu

Mau mai he rārangi o ngā rongoā katoa e inu ana koe i tēnei wā, tae atu ki ngā rongoā kore-tūtohu me ngā tāpiri. Āwhina hoki, whakamōhiotia tō taakuta mō ētahi atu āhuatanga hauora kei a koe, ina koa ngā mea e pā ana ki tō pūnaha ārai.

Whakaritea ngā pātai e hiahia ana koe ki te ui, penei i te roa o te ora te tikanga, ngā tohu hei whakatenatena i a koe ki te karanga, me te hiahia rānei koe ki te tango i ētahi whakarite motuhake hei tiaki i ngā mema o te whānau.

He aha te mea nui mō te histoplasmosis?

Ko te histoplasmosis he mate harore noa e taea e te nuinga o te hunga hauora te whakahaere pai, i te nuinga o te wā kaore e mohio kua pangia rātou. Ina puta mai ngā tohu, ka rite tonu ki te mate huka ngāwari, ka ngaro noa iho i roto i ngā wiki torutoru.

Ko te mea nui hei mahara ko te histoplasmosis he tino taea te whakaora ina hiahiatia te tiaki hauora. Ahakoa ka taea e te mate te nui ake te kino mō te hunga he pūnaha ārai ngoikore, ko te mohiotanga wawe me te maimoatanga tika ka arahi ki ngā hua pai i te nuinga o ngā keehi.

Ko te aukati tonu tō rautaki pai, ina koa ki te noho koe, ki te toro atu rānei ki ngā wāhi e noho ana te harore. Ko ngā whakarite ngāwari penei i te kakahu i ngā taputapu tiaki ina mahi ana koe i ngā wāhi morearea nui ka taea te whakaiti i ō tūmanako o te whakaatu.

Ki te puta mai ngā tohu rite ki te mate huka tonu i muri i te whakaatu pea, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora. Ko te whiwhi whakamātautau hauora tika ka hoatu i te rangimarie o te ngākau, ka whakau hoki i te whiwhi i te tiaki tika ina hiahiatia.

Ngā pātai uiui noa mō te histoplasmosis

Ka taea te hokinga mai o te histoplasmosis i muri i te maimoatanga?

Ka taea te hokinga mai o te histoplasmosis, engari he iti tenei i te hunga hauora e whakaoti ana i te maimoatanga tika. He nui ake te tūmanako o te hokinga mai i te hunga he pūnaha ārai tino ngoikore, koia te take e hiahia ana ētahi manuhiri ki te rongoā antifungal ārai roa. Ki te pangia koe e te histoplasmosis i mua, he mea nui tonu te tango i ngā whakarite hei karo i te whakaatu a muri ake nei.

He mate pūkoro te histoplasmosis i waenga i ngā tāngata?

Kāo, kaore e taea te horapa o te histoplasmosis mai i te tangata ki te tangata mā te mare, te tī, te hononga tata rānei. Ka taea noa e koe te pangia mā te manawa i ngā pūngāwerewere mai i te oneone kua whakapokea, i ngā taiao rānei. Ko te tikanga kaore koe e manukanuka ki te hopu mai i te tangata kei te pangia e te mate, kaore hoki e taea e koe te hoatu ki ngā mema o te whānau, ki ngā hoa rānei.

E hia te wā hei ora mai i te histoplasmosis?

Ka rerekē te wā ora i runga i te kaha o tō mate, me tō hauora whānui. Ko te nuinga o te hunga hauora he tohu ngāwari ka pai ake i roto i ngā wiki 2 ki te 4 kaore he maimoatanga. Ki te hiahia koe ki te rongoā antifungal, ka tīmata pea te pai ake o tō ahua i roto i ngā rā torutoru ki te wiki i te tīmatanga o te maimoatanga, ahakoa ka hiahia koe ki te whakaoti i te akoranga katoa o te rongoā, e 6 ki te 12 wiki te roa.

Ka taea e ngā kararehe te whiwhi histoplasmosis?

Ae, ka taea e ngā kuri me ngā ngeru te whanake i te histoplasmosis mai i te whakaatu taiao kotahi e pā ana ki ngā tāngata. Ka whakaatu pea ngā kararehe i ngā tohu penei i te mare mare, te uaua ki te manawa, te ngaro o te hiahia kai, te ngenge rānei. Ki te whakaaro koe kua whakaatu tō kararehe ki ngā wāhi he paru manu, he paru popoki rānei, ā, ka puta mai ēnei tohu, whakapiri atu ki tō tākuta kararehe mō te whakamātautau me te maimoatanga pea.

Ka tiaki mai rā te histoplasmosis i te whiwhi ano?

Ko te whiwhi histoplasmosis kotahi ka hoatu ētahi ārai ki ngā mate a muri ake nei, engari kāore tenei tiaki i te katoa, te roa rānei. Ka taea te pangia koe ano ki te whakaatu ki ngā pūngāwerewere nui, ahakoa ngā mate a muri ake nei he ngāwari ake. Ko te hunga he pūnaha ārai ngoikore he iti ake te tiaki pono mai i ngā mate o mua, ā, he nui ake te morearea mō te mate hou.