Fivha Yegomo

Fivha yemuGungwa ndeye chirwere chinokonzerwa nehutachiona hwemhando yeCoccidioides (kok-sid-e-OY-deze). Inogona kukonzera zviratidzo nezvikonzero zvakaita sefiva, kukosora nekuneta.

Marudzi maviri emhando yeCoccidioides ndiwo anoita kuti pave neFivha yemuGungwa. Aya mahuchiona anowanikwa kazhinji muvhu munzvimbo dzakatarwa. Spores dzehutachiona idzi dzinogona kukandwa mumhepo nezvinhu zvinokanganisa ivhu, zvakaita sekurima, kuvaka uye mhepo.

Vanhu vanogona kubva vapfeke hutachiona uhwu kuenda kumapapu avo. Hutachiona uhwu hunogona kukonzera Fivha yemuGungwa, inozivikanwawo seCoccidioidomycosis (kok-sid-e-oy-doh-my-KOH-sis) yakaoma. Zviitiko zvisinganyanyi kuoma zveFivha yemuGungwa kazhinji zvinozvigadzirisa zvega. Muzviitiko zvakanyanya kuoma, vanachiremba vanorapira chirwere ichi nemishonga inorwisa hutachiona.

Fivha yemuGwaicho ndicho chimiro chekutanga chechirwere checoccidioidomycosis. Ichi chirwere chekutanga, chakapinza chingakurira kuva chirwere chakakomba zvikuru, kusanganisira coccidioidomycosis yakareba uye yakapararira.

Tsvaka kurapwa kana uine makore anopfuura makumi matanhatu, uine sisitimu yekudzivirira muviri yakasimba, uri nepamuviri, kana uri wechitendero cheFilipino kana cheAfrica, uye wakawana zviratidzo zvechirwere chevalley fever, kunyanya kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge 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uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge 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Fivha yeValley inokonzerwa nemunhu paanofema spores yemhando dzakati fungi. Fungi anokonzeresa fivha yeValley — Coccidioides immitis kana Coccidioides posadasii — anogara muvhu munzvimbo dzeArizona, Nevada, Utah, New Mexico, California, Texas neWashington. Yakapihwa zita racho nekuda kweSan Joaquin Valley muCalifornia. Fungi aya anowanikwawo kazhinji kuchamhembe kweMexico neCentral neSouth America.

Sekunge fungi dzakawanda, marudzi eCoccidioides ane hupenyu hunopindirana. Muvhu, anokura semucheka une filaments refu anopwanya kuva spores dzinofamba nemhepo kana vhu rakarwadziswa. Munhu anogona ipapo kufema spores.

Spores idzodzo diki kwazvo uye dzinogona kutakurwa kure nemhepo. Kana dziri mumapapu, spores dzinobereka, dzichienderera mberi nechirwere.

Zvinokonzera ngozi ye valley fever zvinosanganisira:

• Kuonekwa kwemhepo yepasi rose. Munhu wese anofema spores inokonzera valley fever ari pangozi yekutapukirwa. Vanhu vanogara munzvimbo umo howa huwanda — kunyanya avo vanopedza nguva yakawanda vachigara kunze — vane njodzi yakakura.

  Uyewo, vanhu vane mabasa anovavhura kune guruva vari pangozi yakanyanya — vashandi vekuvakwa, vashandi vemumigwagwa nevezvekurima, varimi, vanachera matongo, uye vashandi vemauto vari mumaekisesaizi emunda.

• Rudzi. Nezvikonzero zvisinganzwisisike zvakanaka, vanhu vekuFilipino neAfrica vane njodzi yakakura yekuwana hutachiona hwakakomba hwemhando yehowa.

• Kukura kwepamuviri. Vakadzi vane pamuviri vanogona kutapukirwa zvakanyanya kana vakawana hutachiona panguva yechitatu trimester. Madzimai matsva ane njodzi mushure mekuberekwa kwevana vavo.

• Sisitimu yekudzivirira muviri yakasimba. Munhu wese ane sisitimu yekudzivirira muviri yakasimba ari pangozi yakakura yematambudziko akakomba. Izvi zvinosanganisira vanhu vanorarama ne acquired immunodeficiency syndrome (AIDS) kana avo vari kurapwa ne steroids, chemotherapy uye mishonga inorwisa kurambwa mushure mekuvhiya kwekusimudza. Vanhu vane zvirwere zvekudzivirira muviri, senge rheumatoid arthritis kana Crohn's disease, vari kurapwa nemishonga ye anti-tumor necrosis factor (TNF) vane njodzi yakakura yekutapukirwa.

• Chirwere cheshuga. Vanhu vane chirwere cheshuga vanogona kunge vane njodzi yakakura yekutapukirwa kwepfupa kwakakomba.

• Zera. Vakuru vakuru vanowanzo kuwana valley fever. Izvi zvinogona kunge zviri nekuda kwekuti sisitimu yavo yekudzivirira muviri haina simba kana kuti vane zvimwe zvirwere zvinotapukira hutano hwavo hwese.

Vanhu vamwe, kunyanya vakadzi vane pamuviri, vanhu vane masisitimu ekuzvidzivirira akaora — sekunge avo vanorarama nehutachiona hweHIV/AIDS — uye avo vane chimiro chekuFilipino kana chekuAfrica vane njodzi yekuwana chirwere chakakomba checoccidioidomycosis.

Matambudziko eCoccidioidomycosis anogona kusanganisira:

• Pneumonia yakakomba. Vanhu vakawanda vanodzoka kubva kuCoccidioidomycosis-pneumonia pasina matambudziko. Vamwe, sekunge vanhu vane chimiro chekuFilipino nechekuAfrica, uye avo vane masisitimu ekuzvidzivirira akaora, vanogona kurwara zvakanyanya.
• Ruptured lung nodules. Chikamu chidiki chevanhu chinowana nodules dzine masvingo akapfava (makomba) mumapapu avo. Mazhinji eaya anopera pakupedzisira asina kukonzera matambudziko, asi mamwe anogona kuputika, achikonzera kurwadziwa kwepfupa uye kuoma kufema. Nodule yepfupa yakaputika inogona kuda kuiswa kwechubhu munzvimbo iri pedyo nemapapu kubvisa mweya kana kuvhiya kugadzirisa kukuvara.
• Chirwere chakapararira. Iri ndiro dambudziko rakakomba zvikuru reCoccidioidomycosis asi harisi kazhinji. Kana fungus ikapararira (ikapararira) mumuviri wose, inogona kukonzera matambudziko anosanganisira maronda eganda, abscesses, kukuvara kwemapfupa, kurwadziwa kwakanyanya kwemashure, kuzvimba kwemoyo, matambudziko emukati wekutambira uye meningitis — chirwere chinogona kuuraya chemamembranes nemvura inofukidza uropi nemutadzi wemutsipa.

Hapana jekiseni rinodzivirira valley fever. Kana iwe uchigara kana kushanyira nzvimbo dzinowanikwa valley fever, tenga matanho ekudzivirira, kunyanya panguva yemwaka wakaoma unotevera mwaka wemvura apo mukana wekuzara uri wakanyanya. Funga nezvemazano aya:

• Pfukidza chiso nemasiki.
• Dzivisa nzvimbo dzine guruva rakawanda, dzakadai sezvivako zviri kuvakiwa.
• Gara mukati panguva yemhepo ine guruva.
• Nyorovesa ivhu usati wachimhanya, kana kudzivisa ivhu kana uri panjodzi yakakwira yekuzara.
• Chengeta mahwindo nemagedhi akavharwa zvakasimba.
• Geza maronda eganda neshampo nemvura.

Kuti aone chirwere che valley fever, chiremba wenyu angatarisa nhoroondo yenyu yezvokurapa uye aongorore zviratidzo zvenyu nezvimwe zvinoratidza chirwere. Valley fever inoomerwa kuonekwa zvichienderana nezviratidzo nezvimwe zvinoratidza chirwere, nekuti kazhinji zviratidzo hazvina kunyatsojeka uye zvakafanana nezvinoitika mune dzimwe hosha. Kunyange X-ray yechipfuva haigoni kubatsira vanachiremba kuona musiyano uri pakati pe valley fever nedzimwe mhando dzehutachiona hwemapapu sekupisa mapapu.

Kuti aone valley fever, vanachiremba vangarayira bvunzo imwe kana kupfuura inotevera:

Kana vanachiremba vachifunga kuti ungave une kupisa mapapu nekuda kwe valley fever, vangarayirawo bvunzo dzekuona mifananidzo, senge computed tomography (CT) scan, Magnetic resonance imaging (MRI) kana X-ray yechipfuva.

Kana zvichidiwa, vanachiremba vangabvisa sampuli yetsinga kubva mapapu kuti vaione.

Muimwe nguva, vanachiremba vangaita bvunzo yeganda kuti vaone kana wakamborwara ne valley fever kare uye wakawana kudzivirira.

• Sputum smear kana culture. Idzi bvunzo dzinotarisa sampuli yechinhu chinobuda pakukaha (sputum) kuti chione kana mune coccidioides organisms.
• Bvunzo dzeropa. Kuburikidza nebvunzo yeropa, chiremba wenyu anogona kutarisa kuti kune antibodies here anorwisa howa hunokonzera valley fever.

Kazhinji, chirwere cheValley fever chinoitwa nekutarisirwa kwakanaka uye dzimwe nguva mishonga. Vanhu vakawanda vane chirwere cheValley fever chakanyanya havadzoreki kurapwa. Zvisinei, vanachiremba vanoongorora vanhu vane chirwere cheValley fever. Kana zviratidzo zvisina kuvanduka, zvichienderera kwenguva yakareba kana kuwedzera kuipa, kana uri panjodzi yakawedzera yekukanganisa, chiremba wako anogona kunyora mushonga unorwisa hutachiona, sefuconazole. Mishonga inorwisa hutachiona inoshandiswawo kune vanhu vane chirwere chekuenderera mberi kana chakapararira. Mishonga inorwisa hutachiona ye fluconazole (Diflucan) kana itraconazole (Sporanox, Tolsura) inoshandiswa kazhinji kune zvimwe zvese kunze kwezvirwere zvakakomba zve coccidioidomycosis. Mishonga yese inorwisa hutachiona inogona kuva nemigumisiro yakakomba. Asi iyi migumisiro inowanzopera kana mushonga wabviswa. Migumisiro inogona kuva kurutsa, kurutsa, kurwadziwa kwemudumbu uye manyoka. Migumisiro ye fluconazole inogona kuva kurasikirwa nevhudzi, ganda rakaoma, muromo wakaoma uye miromo yakapwanya. Hutachiona hwakakomba hunogona kutanga kurapwa nemushonga unorwisa hutachiona unopihwa muchipatara se amphotericin B (Abelcet, Ambisome, nezvimwewo). Mishonga mitatu mitsva — voriconazole (Vfend), posaconazole (Noxafil) isavuconazonium sulfate (Cresemba) — inogona kushandiswawo kurapa hutachiona hwakakomba. Kune vanhu vakawanda, chirwere chimwe cheValley fever chinoita kuti uve nehuchenjeri hwehupenyu hwese. Asi chirwere ichi chinogona kudzorerwa, kana iwe uchigona kuzvirwara zvakare kana sisitimu yako yekudzivirira yakasimba zvakanyanya.