Ukuthi yini i-Histoplasmosis? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Histoplasmosis iwukutheleleka kwamaphaphu okubangelwa ukuphefumula ama-spores evela kubukhakhukhakhukha elibizwa ngokuthi i-Histoplasma capsulatum. Lobu bukhakhukhakhukha buhlala emadolweni acebile ngezinhlanzi zezinyoni noma zezingulube, ikakhulukazi ezingxenyeni ezithile zase-United States njengamalwandle e-Ohio ne-Mississippi.

Abantu abaningi abaphefumula la ma-spores abazange babe nezimpawu noma babe nezifo ezilula nje ezifana ne-influenza. Isistimu yakho yokuzikhusela ngokuvamile ilawula ukutheleleka ngaphandle kokuba wazi ukuthi kwenzeke. Noma kunjalo, abanye abantu bangaba nezimpawu ezinzima kakhulu ezihlasela amaphaphu abo noma, ezimweni ezingavamile, zisakazeke kwezinye izingxenye zomzimba wabo.

Ziyini izimpawu ze-histoplasmosis?

Abantu abaningi abane-histoplasmosis abanawo nhlobo izimpawu, ikakhulukazi uma benesistimu yokuzikhusela enempilo. Uma izimpawu zivele, ngokuvamile ziqala ezinsukwini eziyi-3 kuya kweziyi-17 ngemuva kokuphefumula ama-spores e-fungal futhi ngokuvamile zizizwa njengokulimala okulula kwe-influenza.

Nazi izimpawu ezivamile ongaziqaphela:

• Ukuqabuka nokuthandaza okuza futhi kuhambe
• Ukuhlanza okwomile okungase kuqhubeke amasonto
• Ubuhlungu noma ukungakhululeki esifubeni
• Ubuhlungu ekhanda nasemzimbeni
• Ukukhathala okuzwakala kunzima kunokujwayelekile
• Ubuhlungu bemisipha kulo lonke umzimba wakho
• Ukwehluleka ukudla

Kwezinye izimo, ungase uphinde uthuthukise isikhumba esinomkhuhlane ngama-bumps abomvu, ikakhulukazi emilenzeni yakho. Lokhu kwenzeka uma isistimu yakho yokuzikhusela isabela ngamandla ekuthelelekeni. Izindaba ezinhle ukuthi lezi zimpawu ngokuvamile ziyaphela zodwa phakathi kwamasonto ambalwa kuya kwenye inyanga kubantu abaningi abaphilile.

Ziyini izinhlobo ze-histoplasmosis?

I-Histoplasmosis ivela ngezindlela ezintathu eziyinhloko, ngayinye ihlasela umzimba wakho ngokuhlukile. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqonde ukuthi yini ongahlangabezana nayo nokuthi nini kufanele ufune ukunakekelwa kwezokwelapha.

I-acute pulmonary histoplasmosis iyindlela evamile kakhulu futhi ihlasela amaphaphu akho ngokuqondile. Lolu hlobo ngokuvamile lubangela izimpawu ezifana ne-influenza esixoxe ngazo ngaphambili futhi ngokuvamile liyaphela lodwa phakathi kwamasonto ambalwa. Abantu abaningi abaphilile bahlangabezana nolu hlobo oluthambile uma bethuthukisa izimpawu nhlobo.

I-chronic pulmonary histoplasmosis ithuthuka uma ukutheleleka kuqhubeka emaphaphwini akho izinyanga noma iminyaka. Lolu hlobo lubaluleke kakhulu futhi ngokuvamile luhlasela abantu abasenesimo samaphupha njenge-emphysema noma i-COPD. Ungase uhlangabezane nokuhlanza okuqhubekayo, ukwehluleka kwesisindo, nobunzima bokuqeda okubi kakhulu ngokuhamba kwesikhathi.

I-Disseminated histoplasmosis iyindlela enzima kakhulu kodwa engavamile, lapho ukutheleleka kusakazeka ngaphandle kwamaphaphu akho kuya kwezinye izitho. Lokhu ngokuvamile kwenzeka kubantu abanesistimu yokuzikhusela ebuthakathaka kakhulu, njengalabo abane-HIV / AIDS, abamukelayo bezihlobo, noma abantu abamukelayo ukwelashwa okukhethekile komdlavuza. Izimpawu zingafaka ukuqabuka okuphezulu, ukukhathala okukhulu, nezingqinamba ngezinhlelo zezitho eziningi.

Yini ebangela i-histoplasmosis?

I-Histoplasmosis ithuthuka uma uphefumula ama-spores amancane evela kubukhakhukhakhukha be-Histoplasma capsulatum. La ma-spores aba yi-airborne lapho umhlabathi ongaphansi uhlupheka, udala ifu elingabonakali ongaliphefumula ngephutha.

Ubukhakhukhakhukha bukhula ezindaweni ezithile lapho bunokudla okufanele khona:

• Umlatho ocebile ngezinhlanzi zezinyoni, ikakhulukazi ezivela ezikhukheni, ezi-starlings, noma ezi-blackbirds
• Izindawo ezinamazinga amakhulu e-bat guano, ikakhulukazi emaphahweni noma ezakhiweni ezindala
• Ama-compost piles nezinto eziphilayo ezihlanganiswe nezinto zezilwane
• Izindlu zezinkomo ezindala, izindlu zezikhukhu, noma izakhiwo ezishiywe lapho izinyoni zihlala khona
• Izindawo ezizungezile izibhuloho noma izakhiwo lapho izingulube zihlangana khona

Imisebenzi evamile engase ikudalule kula ma-spores ihlanganisa ukuhlanza izindlu zezikhukhu, ukuhlola amaphahla, ukuphahlazeka kwezakhiwo ezindala, noma ukusebenza ezindaweni ezinamazinga aphezulu ezinyoni. Ngisho nokuthile okulula njengokukhipha amaqabunga endaweni lapho izinyoni zihlangana khona ngokuvamile kungase kukudalule kuma-spores.

Kubalulekile ukwazi ukuthi i-histoplasmosis ayisakazeki umuntu komunye. Awukwazi ukuyibamba kumuntu onayo, futhi awukwazi ukuyinika kwabanye uma uyithuthukisa.

Nini kufanele ubheke udokotela nge-histoplasmosis?

Kufanele uxhumane nodokotela wakho uma uthuthukisa izimpawu ezifana ne-influenza ezihlala isikhathi esingaphezu kweviki, ikakhulukazi uma usanda ukuba ezindaweni lapho i-histoplasmosis ivamile khona. Nakuba izimo eziningi ziyaphela zodwa, kuhlale kungcono ukuhlolwa ngokwelapha okufanele.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu ezinkulu kakhulu:

• Ubunzima bokuqeda noma ukuphefumula okufushane ngesikhathi semisebenzi evamile
• Ubuhlungu esifubeni obukhulu noma obungaphuli
• Ukuqabuka okuphezulu (ngaphezu kwe-101 ° F) okuqhubeka izinsuku ezimbalwa
• Ukuhlanza okukhipha igazi noma okubi kakhulu
• Ukukhathala okukhulu okukuvimbela emisebenzini yansuku zonke
• Ukwehluleka kwesisindo okungachazeki

Uma unesimiso sokuzikhusela esibuthakathaka ngenxa ye-HIV, ukwelashwa komdlavuza, ukwamukelwa kwezihlobo, noma imithi ethile, xhumana nodokotela wakho ngokushesha uma ucinga ukuthi ukhombiswe i-histoplasmosis. Udokotela wakho uzofuna ukukugcina uqaphile futhi angaqala ukwelashwa ngisho nangaphambi kokuba izimpawu zivele.

Ziyini izici ezingaholela e-histoplasmosis?

Izici eziningi zingandisa amathuba akho okuba ne-histoplasmosis noma ukuhlangabezana nezimpawu ezinzima kakhulu. Ukuqonda lezi zici ezingaholela kusiza ukuthi uthathe izinyathelo ezifanele futhi ufune ukunakekelwa kwezokwelapha uma kudingeka.

Indawo yendawo idlala indima ebalulekile emazingeni akho engcupheni:

• Ukuphila noma ukuvakashela amalwandle e-Ohio ne-Mississippi
• Ukuchitha isikhathi ezindaweni zase-central nase-eastern United States
• Ukuya ezingxenyeni zase-Central nase-South America lapho ubukhakhukhakhukha buvamile khona
• Ukusebenza noma ukuzijabulisa ezindaweni zasemakhaya ezinamazinga aphezulu ezinyoni noma izingulube

Imisebenzi ethile nemisebenzi iphinde yandisa ingozi yakho yokudalulwa. Abalimi, abasebenzi bokuklama, abahloli bama-spelunkers (abahloli bama-cave), nabasebenzi bokugcina abaphatha izakhiwo ezindala babhekene namachansini aphezulu okuhlangana nama-spores. Abalima izitshalo nabalimi abasebenza ezindaweni ezinamazinga aphezulu ezinyoni kufanele baqaphe ukudalulwa okungenzeka.

Isimo sakho sesistimu yokuzikhusela siwathinta kakhulu kokubili ingozi yakho yokutheleleka nokuqina kwezimpawu ongazihlangabezana nazo. Abantu abane-HIV / AIDS, labo abamukelayo i-chemotherapy, abamukelayo bezihlobo abathinteka imithi yokucindezela isistimu yokuzikhusela, nabantu abanesimo esithile sokuzikhusela babhekene nezingozi eziphezulu zokuthuthukisa ubunzima obukhulu.

Ubudala bungathinta futhi ingozi yakho, ngamawele nabantu abadala abangaphezu kuka-55 abathinteka kakhulu ezinhlotsheni ezinzima zokutheleleka. Noma kunjalo, abantu abaphilile banoma yiliphi iminyaka bangaba ne-histoplasmosis uma bekhombiswe ama-spores aphezulu.

Ziyini izinhlanganisela ezingaba khona ze-histoplasmosis?

Abantu abaningi abane-histoplasmosis baphila ngokuphelele ngaphandle kwemiphumela ehlala njalo. Noma kunjalo, ukuqonda izinhlanganisela ezingaba khona kusiza ukuthi uqonde ukuthi nini ukunakekelwa kwezokwelapha kuba yingqopha-mlando nokuthi yini okufanele uyilinde ngesikhathi sokuphulukisa kwakho.

Kubantu abaphilile, izinhlanganisela azivamile kodwa zingafaka:

• I-Pericarditis (ukuvuvukala oluzungezile inhliziyo)
• I-Rheumatologic syndrome ebangela ubuhlungu nokuqina kwamalunga
• Ukukhathala okuqhubekayo okuhlala izinyanga
• Ukubola emaphaphwini okungase kuthonye ukuqeda isikhathi eside

Izinhlanganisela ezinzima kakhulu ngokuvamile zenzeka kubantu abanesistimu yokuzikhusela ebuthakathaka noma labo abathuthukisa izinhlobo ezingapheli zokutheleleka. I-Disseminated histoplasmosis ingathinta izitho eziningi kufaka phakathi isibindi sakho, ispleen, u-bone marrow, kanye nesistimu yakho yezinzwa ezingaphakathi.

Kwezinye izimo ezingavamile, i-chronic pulmonary histoplasmosis ingabangela ukonakala kwamaphaphu okuqhubekayo okufana ne-tuberculosis. Lokhu kungase kubangele ukungakhululeki okuqhubekayo, ukuhlanza okuqhubekayo, nokwehluleka kwesisindo ngokuhamba kwesikhathi izinyanga noma iminyaka.

Izindaba ezikhuthazayo ukuthi ngisho nalapho izinhlanganisela zenzeka, ngokuvamile zilawuleka ngokunakekelwa kwezokwelapha okufanele. Ukuqaphela nokwelashwa kwasekuqaleni kuthuthukisa kakhulu imiphumela yazo zonke izinhlobo ze-histoplasmosis.

I-histoplasmosis ingavikeleka kanjani?

Ukuphepha i-histoplasmosis kugxile ekugwemeni ukudalulwa ezindaweni lapho ubukhakhukhakhukha bukhula khona nokuthatha izinyathelo zokuvikela uma ungakwazi ukugwema lezi zindawo. Izinyathelo ezilula zinganciphisa kakhulu ingozi yakho yokuphefumula ama-spores.

Uma usebenza ezindaweni ezingcolile, imishini yokuvikela yenza umehluko omkhulu:

• Gqoka i-N95 respirator mask noma engcono uma uhlupha umhlabathi ezindaweni ezingozi
• Sebenzisa izingubo zokuvikela ezimboza izandla nezinyawo zakho
• Faka amanzi ezindawo ezinobukhulu ngamanzi ngaphambi kokuhlanza ukuze unciphise ama-spores e-airborne
• Gwema imisebenzi edala amafu olukhulu ezindaweni lapho izinyoni zihlala khona

Ezindlini zakho nasezindaweni zakho, ungathatha izinyathelo eziningana zokuvikela. Gcina izindawo ezizungezile izidlo zezinyoni zihlanzekile futhi zigcinwe kahle. Uma udinga ukuhlanza izindawo lapho izinyoni noma izingulube zihlangana khona, yenza kanjalo ngezinsuku ezithulile lapho umoya ungasakaza ama-spores.

Kwabantu abanesimiso sokuzikhusela esibuthakathaka, ukunakekela okwengeziwe kubaluleke kakhulu. Cabanga ukugwema ukuhlola amaphahla, ukulungiswa kwezakhiwo ezindala, noma imisebenzi ezindaweni ezaziwayo ngama-concentrations aphezulu ezinyoni noma izingulube. Udokotela wakho angakunika isiqondiso esithile esisekelwe esimweni sakho sempilo.

Uma uhlala ezindaweni lapho i-histoplasmosis ivamile khona, ukuhlala unolwazi ngokuqhuma kwendawo nokuthatha izinyathelo ezilula ngesikhathi semisebenzi yangaphandle kusiza ukuvikela wena nomndeni wakho.

I-histoplasmosis ihlonishwa kanjani?

Ukuhlonishwa kwe-histoplasmosis kudinga udokotela wakho ukuhlanganisa izimpawu zakho, umlando wokudalulwa, nezivivinyo zezokwelapha ezithile. Inqubo ngokuvamile iqala ngengxoxo eningiliziwe ngemisebenzi yakho yakamuva nomlando wokuhamba.

Udokotela wakho uzobabuza ngokudalulwa okungenzeka ezindaweni lapho ubukhakhukhakhukha buhlala khona, njengama-caves, izakhiwo ezindala, noma izindawo ezinazinhlanzi zezinyoni. Bazofuna futhi ukwazi ngezimpawu zakho, ukuthi zaqala nini, nokuthi ziye zathuthuka kanjani ngokuhamba kwesikhathi.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukuhlonishwa:

• Izivivinyo zegazi ezibheka ama-antibodies noma ama-fungal proteins (ama-antigens)
• Izivivinyo zomgogodla ezingathola ama-antigens e-fungal
• Ama-sputum cultures evela e-phlegm ehlanzwe
• I-Chest X-rays ukubuka izinguquko zamaphaphu
• I-CT scans yokuthola izithombe ezingcono zamaphaphu

Ivivinyo le-antigen ngokuvamile liwusizo kakhulu ngoba lingathola ukutheleleka okusebenzayo ngokushesha. Noma kunjalo, udokotela wakho angase asebenzise izivivinyo eziningi ezahlukene ukuze athole isithombe esiphelele, ikakhulukazi uma izimpawu zakho zilula noma uma unesimo sempilo esikhethekile.

Ngezinye izikhathi ukuhlonishwa kuthatha isikhathi ngoba izimpawu zingabonakala njengezinye izifo eziningi zokuphefumula. Udokotela wakho angaqala ngezimbangela ezivamile kakhulu futhi asebenze ngezinye izinto uma ukwelashwa kokuqala kungasizi.

Yini ukwelashwa kwe-histoplasmosis?

Ukwelashwa kwe-histoplasmosis kuncike ekuqineni kwezimpawu zakho nesimo sakho sempilo jikelele. Abantu abaningi abanezibonakaliso ezilula abadingi ukwelashwa okukhethekile futhi baphila ngokuphelele bodwa ngokuphumula nokunakekelwa okusekayo.

Ngezimpawu ezilula kuya ezimaphakathi, udokotela wakho angase akukhuthaze ukunakekelwa okusekayo ngenkathi isistimu yakho yokuzikhusela ilula ukutheleleka. Lokhu kuhlanganisa ukuphumula okuningi, ukuhlala unamanzi, nokuthatha imithi yokuthengisa ngaphandle kokubhalwa komtholampilo ngenxa yokushisa nobuhlungu bomzimba uma kudingeka.

Imithi ye-antifungal iba yingqopha-mlando uma unezimpawu ezinzima kakhulu noma izici ezingaholela ezinhlanganiseni:

• I-Itraconazole iyimithi evamile kakhulu ebhaliwe yomlomo ye-antifungal
• I-Amphotericin B ingase isetshenziswe ezimweni ezinzima noma kubantu abanesistimu yokuzikhusela ebuthakathaka
• I-Fluconazole ingase ibe yindlela ehlukile kwabanye abantu
• Isikhathi sokwelashwa ngokuvamile sihlala kusuka emavikini angu-6 kuya kwangu-12 ezimweni eziningi

Uma une-chronic pulmonary histoplasmosis, cishe uzodinga ukwelashwa kwe-antifungal okungenani unyaka ukuze uqinisekise ukuthi ukutheleleka kuhlanzekile ngokuphelele. Udokotela wakho uzolandelela intuthuko yakho ngezivivinyo zegazi eziqondile nezifundo zokuthola izithombe.

Nge-disseminated histoplasmosis, ukwelashwa kunzima kakhulu futhi ngokuvamile kuqala nge-intravenous amphotericin B esibhedlela, kulandele i-oral itraconazole isikhathi eside. Abantu abanesimiso sokuzikhusela esibuthakathaka kakhulu bangadinga ukwelashwa okuqhubekayo kokucindezela ukuvimbela ukutheleleka ukubuya.

Indlela yokuphatha i-histoplasmosis ekhaya?

Ukuphatha i-histoplasmosis ekhaya kugxile ekusekeleni inqubo yokuphulukisa yemvelo yomzimba wakho ngenkathi uqapha noma yiziphi izimpawu ezibi kakhulu. Abantu abaningi abanezimo ezilula bangaphila ngokunethezeka ekhaya ngokunakekelwa okuqondile.

Ukuphumula kubalulekile ekuphulukiseni kwakho, ngakho ungazizwa unecala ngokuthatha isikhathi emsebenzini noma ukunciphisa imisebenzi yakho ejwayelekile. Isistimu yakho yokuzikhusela isebenza kahle uma ungacindezelekile ngokomzimba, futhi ukuzithwala kakhulu kungandisa isikhathi sakho sokuphulukisa.

Nazi izindlela eziwusizo zokuphatha ekhaya:

• Phuza amanzi amaningi ukuze uhlale unamanzi futhi usize ukunciphisa i-mucus
• Sebenzisa i-humidifier noma uphefumule ushaka oluvela eshawa elifudumele ukuze ukhulule ukuqeda
• Thatha imithi yokunciphisa ubuhlungu yokuthengisa ngaphandle kokubhalwa komtholampilo ngenxa yobuningi bomzimba nokushisa
• Dla ukudla okunomsoco ukuze usekele isistimu yakho yokuzikhusela
• Gwema ukubhema nokubhema okusecondhand, okungathukuthelisa amaphaphu akho

Qapha izimpawu zakho ngokucophelela futhi ugcine umbhalo wanoma yiziphi izinguquko. Nakuba abantu abaningi bathuthuka kancane kancane emavikini ambalwa, kufanele uxhumane nodokotela wakho uma izimpawu zakho zibe zimbi kakhulu noma izimpawu ezintsha ezinkulu zithuthuka.

Uma udokotela wakho ebhale imithi ye-antifungal, yithathe ngokuqondile njengoba kuqondiswe futhi uqedele inkambo ephelele ngisho noma uqale ukuzizwa kangcono. Ukumisa imithi ngokushesha kungavumela ukutheleleka ukubuya noma kube nokumelana nokwelashwa.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela kahle i-appointment yakho yodokotela kusiza ukuqinisekisa ukuthi uthola ukuhlonishwa okuqondile kanye nenqubo yokwelashwa efanele. Ukuqoqa ulwazi olufanele kusengaphambili kwenza ukuvakasha kuzuzise kakhulu kokubili wena nodokotela wakho.

Ngaphambi kwe-appointment yakho, bhala izimpawu zakho nokuthi zaqala nini. Faka imininingwane mayelana nokuthi ziqine kangakanani nokuthi ziyathuthuka, zibe zimbi, noma zihlala zifana. Qaphela noma yimiphi imisebenzi eyenza izimpawu zibe ngcono noma zibe zimbi.

Umlando wakho wokudalulwa ubalulekile kakhulu ekuhlonishweni kwe-histoplasmosis:

• Ukuhamba kwakamuva ezindaweni lapho i-histoplasmosis ivamile khona
• Ukusebenza noma imisebenzi emaphahweni, izakhiwo ezindala, noma izindawo ezinazinhlanzi zezinyoni
• Ukuthintana nomhlabathi, i-compost, noma izindawo lapho izinyoni noma izingulube zihlangana khona
• Isikhathi lapho ukudalulwa okungenzeka kwenzeke khona

Letha uhlu lwemithi yonke oyithatha njengamanje, kufaka phakathi imithi yokuthengisa ngaphandle kokubhalwa komtholampilo kanye nezinhlanganisela. Futhi, xelela udokotela wakho nganoma yiziphi ezinye izimo zempilo onazo, ikakhulukazi lezo ezithinta isistimu yakho yokuzikhusela.

Lungisa imibuzo ofuna ukuyibuza, njengokuthi isikhathi sokuphulukisa sivame ukuba yikuphi, yiziphi izimpawu okufanele zikukhuthaze ukubiza, nokuthi udinga yini ukuthatha izinyathelo zokuvikela ezikhethekile ukuvikela amalungu omndeni.

Yini okufanele uyikhumbule mayelana ne-histoplasmosis?

I-Histoplasmosis iwukutheleleka okuvamile kwe-fungal okuphathwa kahle abantu abaningi abaphilile, ngokuvamile ngaphandle kokwazi ukuthi baye batheleleka. Uma izimpawu zivele, ngokuvamile zifana ne-influenza elula futhi ziyaphela zodwa phakathi kwamasonto ambalwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-histoplasmosis iyakwelashwa uma ukunakekelwa kwezokwelapha kudingeka. Nakuba ukutheleleka kungaba nzima kakhulu kubantu abanesistimu yokuzikhusela ebuthakathaka, ukuqaphela kwasekuqaleni nokwelashwa okufanele kuholela kwimiphumela emihle kakhulu ezimweni eziningi.

Ukuphepha kuhlala kuyindlela yakho engcono kakhulu, ikakhulukazi uma uhlala noma uvakashela ezindaweni lapho ubukhakhukhakhukha buvamile khona. Izinyathelo ezilula njengokugqoka imishini yokuvikela uma usebenza ezindaweni ezingozi zinganciphisa kakhulu amathuba akho wokudalulwa.

Uma uthuthukisa izimpawu ezilula ezifana ne-influenza ngemuva kokudalulwa okungenzeka, ungangabazi ukuxhumana nodokotela wakho. Ukuthola ukuhlolwa kwezokwelapha okufanele kukunika ukuthula kwengqondo futhi kuqinisekise ukuthi uthola ukunakekelwa okufanele uma kudingeka.

Imibuzo evamile ebuzwa mayelana ne-histoplasmosis

Ingabuya yini i-histoplasmosis ngemuva kokwelashwa?

I-Histoplasmosis ingabuya, kodwa lokhu akuvamile kubantu abaphilile abaqede ukwelashwa okufanele. Ukubuya kuvame kakhulu kubantu abanesistimu yokuzikhusela ebuthakathaka kakhulu, kungakho abanye abantu bedinga ukwelashwa okuqhubekayo kwe-antifungal. Uma uke waba ne-histoplasmosis ngaphambili, ukuthatha izinyathelo zokuvikela ukugwema ukudalulwa kwesikhathi esizayo kubalulekile.

Ingabe i-histoplasmosis iyadlulisela phakathi kwabantu?

Cha, i-histoplasmosis ayikwazi ukusakazeka umuntu komunye ngokukhokha, ukuhlanza, noma ukuthintana eduze. Ungatheleleka kuphela ngokuphefumula ama-spores evela emhlabeni ongaphansi noma ezindaweni. Lokhu kusho ukuthi awudingi ukukhathazeka ngokuyibamba kumuntu onayo, futhi awukwazi ukuyinika amalungu omndeni noma abangane.

Kuthatha isikhathi esingakanani ukuphulukisa i-histoplasmosis?

Isikhathi sokuphulukisa sihluka kuye ngokuqina kokutheleleka kwakho nesimo sakho sempilo jikelele. Abantu abaningi abaphilile abanezibonakaliso ezilula bazizwa kangcono phakathi kwamasonto angu-2 kuya kwangu-4 ngaphandle kokwelashwa. Uma udinga imithi ye-antifungal, ungase uqale ukuzizwa kangcono phakathi kwezinsuku ezimbalwa kuya kweviki lokuqala ukwelashwa, nakuba uzodinga ukuqeda inkambo ephelele yemithi, evame ukuba amasonto angu-6 kuya kwangu-12.

Ingabe izilwane ezifuywayo zingaba ne-histoplasmosis?

Yebo, izinja nekathi zingaba ne-histoplasmosis evela ekudalulweni okufanayo kwendawo okubangela abantu. Izilwane ezifuywayo zingase zibonise izimpawu ezifana nokuhlanza, ubunzima bokuqeda, ukwehluleka ukudla, noma ukukhathala. Uma ucinga ukuthi isilwane sakho sifuywayo siye sadalulwa ezindaweni ezinazinhlanzi zezinyoni noma izingulube futhi sithuthukisa lezi zimpawu, xhumana nodokotela wezilwane zakho ukuze uhlolwe nokwenza ukwelashwa okungenzeka.

Ingabe ukuba ne-histoplasmosis kuzongivikela ekuyitholeni futhi?

Ukuba ne-histoplasmosis kanye kunikeza ukuvikelwa okuthile ekutholakaleni kokutheleleka kwesikhathi esizayo, kodwa lokuvikelwa akuqediwe noma kuhlale njalo. Ungatheleleka futhi uma udalulwe ama-spores amaningi, nakuba ukutheleleka okulandelayo kuvame ukuba lula. Abantu abanesimiso sokuzikhusela esibuthakathaka banokuvikelwa okuthembekile okuncane ekutholakaleni kwangaphambili futhi bahlala bengozini enkulu yokutheleleka kabusha.