Cryptococcosis ho Likatse - Matšoao le Phekolo

Sengoli: Laura McKinney
Letsatsi La Creation: 3 April 2021
Ntlafatsa Letsatsi: 1 Phupu 2024
Anonim
Cryptococcosis ho Likatse - Matšoao le Phekolo - Liphoofolo Tse Ruuoang Lapeng
Cryptococcosis ho Likatse - Matšoao le Phekolo - Liphoofolo Tse Ruuoang Lapeng

Litaba

Feline cryptococcosis ke systemic lefu le bakoang ke li-fungus e tloaelehileng haholo likatseng, leha ho le joalo, keketseho ea eona ho baahi ba feline e tlase. Cryptococcosis e hlaha khafetsa sebakeng sa nasal, e hlahisa edema eo ka linako tse ling e ka tsebahalang haholo ka lebaka la nts'etsopele ea granuloma ea fungal. Ka linako tse ling, cryptococcosis e ama matšoafo, mahlo, tsamaiso ea methapo kapa e na le sebopeho sa sistimi, ha e hlaha libakeng tse fapaneng tsa 'mele ha e ajoa ka tsela ea hematogenous kapa lymphatic. Kalafo e ipapisitse le ts'ebeliso ea kalafo e etselitsoeng ho bolaea tomoso mme, ka linako tse ling, resection ea fungal granuloma ka kateng le eona e ka etsoa.


Sengoliloeng sena sa PeritoAnimal, re tla bua ka sona cryptococcosis likatse, matšoao a eona le kalafo, e le hore u utloisise hantle lefu lena le tloaelehileng haholo 'me u ithute ho le khetholla.

feline cryptococcosis ke eng

Feline cryptococcosis ke lefu le tšoaetsanoang le amang likatse mme le bakoa ke li-fungus. Ka ho khetheha, moemeli oa fungal ea atisang ho ikarola ke Cryptococcus neoformans, ho ba lefu le amanang le libaka tsa bolulo moo ho nang le linonyana, haholo-holo maeba, hobane a fumanoa mantle a ona. E ka boela ea bakoa ke Kryptococcus gattii, hangata libakeng tsa maemo a leholimo a tropike kapa a tropike, mme mohloli oa ts'oaetso ke taba ea semela sa lifate tse itseng.

Ke tomoso ea boholo bo nyane e ajoang lefatšeng ka bophara. E na le komiki eo, ntle le ho e sireletsa khahlanong le ho oma, e thatafalletsang sesole sa 'mele oa katse ho e elelloa e le ho qholotsa karabelo ea' mele ea ho itšireletsa mafung e hlokahalang hore e felisoe. Leha ho le joalo, ke lefu le tlase la ts'oaetso.


Lebaka la kotsi bakeng sa nts'etsopele ea cryptococcosis ho likatse tse bakiloeng ke C. neoformans ke boteng ba mafu a itšireletsang mafung a kang lefu la kankere ea mali kapa feline immunodeficiency. Leha ho le joalo, tšoaetso ka C. gattii e ka hlaha ho batho ba se nang sesole sa 'mele se sekisetseng. Leha ho le joalo, ho batho ba sa itšireletsang, tšoaetso hangata e ba matla le ho feta, athe ho batho ba nang le sesole sa 'mele se matla, tšoaetso hangata e lula sebakeng seo. nko, ntle le ho hasana.

Pathogenesis ea cryptococcosis e joang?

Mohloli o ka sehloohong oa ts'oaetso ea cryptococcosis likatseng ke ka pululo ea tomoso, tse bolokiloeng ka holimo moeeng, moo li hlahisang li-granulomas tsa nko. Haeba li fihla moeeng o ka tlase oa moea, li baka li-granuloma ka matšoafong.


O fungus e ka namela libakeng tse ling, joalo ka sistimi e bohareng ea methapo, ka mali, lymphatic kapa tlhaselo ea lehae ka lera la cribriform la lesapo la ethmoid, le hokahanyang bokong le lesoba la nko. Li ka fihla le libakeng tse ling joalo ka mahlo, sefahleho le letlalo. Haeba mofuta o matla oa lefu lena o hlaha, tomoso e ka namela lithong tse kang spleen, pelo, liphio, litho tsa tšilo ea lijo, mesifa kapa li-lymph node.

Matšoao a cryptococcosis likatse

Cryptococcosis e ka baka matšoao a fapaneng haholo a bongaka ho latela sebaka sa tomoso le boemo ba eona ba ho hasana. Ho na le mefuta e 'maloa ea cryptococcosis likatse: nko, pulmonary, methapo, mahlo le tsamaiso.

nko cryptococcosis

Ka nko cryptococcosis likatseng, matšoao a atileng haholo ke ho hema, ka matšoao a holimo a phefumoloho:

  • Ho tsoa madi ka hanong kapa madi a mangata.
  • Rhinitis.
  • Ho ruruha ha nko.
  • Li-Granulomas.
  • Ho thimola.
  • Mekhoa ea phefumoloho.
  • Ache.
  • Bothata ba ho hema.

Cryptococcosis ea pulmonary

Mofuta ona oa cryptococcosis likatseng o hlaha ha tomoso e ama matšoafo le li-granulomas, pneumonia foci, 'me e kenella ho potoloha bronchi. matšoao a tlase a sefofane, joalo ka:

  • Khohlela.
  • Bothata ba ho hema.
  • Feberu.
  • Lerata la pulmonary.

Nervous cryptococcosis

Cryptococcosis e ka boela ea ama tsamaiso ea methapo, moo e ka bonoang. matšoaoho tshoha e ka bang ka lebaka la encephalitis kapa meningitis ka lebaka la ho ba teng ha tomoso tsamaisong ea methapo e bohareng, e kang:

  • Ho fokola ha bana (mydriasis).
  • Phetoho ea likere.
  • Ho se hlophisehe.
  • Ho se tsotelle.
  • Bofofu bo felletseng kapa bo sa fellang.

mahlo a cryptococcosis

Ha tomoso e kena ka leihlong, matšoao a latelang a etsahala:

  • Optic neuritis.
  • Chorioretinitis.
  • Mydriasis.

systemic cryptococcosis

Ha cryptococcosis e ama libaka tse fapaneng tsa 'mele oa kat, a matšoao a fapaneng e ka hlaha, ona e le mofuta o matla ka ho fetisisa oa lefu lena. Har'a matšoao ana, ho hlahella tse latelang:

  • Feberu.
  • Khohlela.
  • Ho kokobela ha methapo.
  • Ho ipolaisa tlala.
  • Ho fokotsa boima ba 'mele.
  • Bofokoli.
  • Ataxia.
  • Liso tsa mucosal.
  • Ho thata ho tsamaea.
  • Ho hlatsa.
  • Letšollo.
  • Li-granulomas tse fokolang.
  • Lymph nodes tse atolositsoeng.

Tlhahlobo ea cryptococcosis likatse

Tlhahlobo e etsoa ho nahanngoa, ntle le matšoao a bongaka le nalane ea phoofolo, laboratori le litlhahlobo tse tlatsetsang, ho kenyelletsa ho itšehla thajana le ho khetholla kokoana-hloko ka cytology le setso, hammoho le boikemisetso ba tomoso ea capsule antigen. Litlhahlobo tsena ke tse latelang:

  • THE cytology e etsoa ka ho phunya libaka tse amehileng, joalo ka li-lymph node, matšoele a nko kapa letlalo. Kamora moo, e bonoa ka microscope e nang le 'mala, joalo ka Gram, methylene blue, Wright le enke ea China, ho bona setšoantšo sa' mele. Ke sebopuoa se fumanehang habonolo ka lebaka la "capsule" ea sona ea "polysaccharide".
  • THE setso e etsoa ka lisampole tsa cerebrospinal fluid kapa li-exudates. Mehlala e lokela ho kenella ho Sabouraud agar kapa agar ea mali mocheso o pakeng tsa 25 le 35 ºC. Kamora lihora tse 36-72, haeba li le ntle, ho tla hlaha likolone tse tšoeu tse bosoeu bo bosoeu. likolone tsa C. neoformans li na le mamina hanyane ho feta tsa C. gattii. Ho lemoha tomoso, ho hlokahala hore o bone capsule ka leihlo le ho netefatsa litšobotsi tsa eona tsa biochemical, joalo ka bokhoni ba eona ba ho fokotsa nitrate ho nitrites le hydrolyze urea.
  • Ho fumana capsule antigen, the Teko ea latex agglutination, kapa ELISA, e etsoa ka mehlala ea serum ea mali, mokelikeli oa cerebrospinal kapa moroto. Teko ena e na le kutlo e phahameng le ho ikhethang ho kat.

Radiography ea sefubeng e ka ba molemo ho bona liphetoho tsa pulmonary le bronchial maemong a pulmonary cryptococcosis.

Kalafo ea feline cryptococcosis

Protocol ea kalafo ea cryptococcosis ho likatse e kenyelletsa kalafo ka antifungal ho bolaea tomoso le resection ea ho buoa ea li-granuloma. THE resection ea ho buoa e etsoa ka likatse tse nang le li-granulomas ka mokokotlong oa nko e le tlatsetso ea kalafo e nang le li-antifungal agents.

Li-antifungal tse sebelisoang ka ho fetisisa kalafong ea cryptococcosis likatse ke:

  • Fluconazole: ke sethethefatsi se atileng ka ho fetesisa kajeno hobane se sebetsa hantle ebile se bolokehile ka ho fetisisa. Tekanyo ea lihora tse 50 mg / 12 e sebelisoa ka molomo. E boetse e sebetsa hantle bakeng sa ho phekola tšoaetso ea methapo ka ho tšela tšitiso ea mali le bokong.
  • itraconazole: itraconazole bakeng sa likatse e sebetsa hantle joalo ka fluconazole, empa e ka ba chefo sebeteng, ka hona, e hloka tlhokomelo tlhokomelong ea eona.
  • Ketoconazole: E sebetsa hantle empa ha e na thuso bakeng sa cryptococcosis nervosa, mme e ka baka litla-morao tse kang ho hlatsa le ho lahleheloa ke takatso ea lijo likatseng.
  • Amphotericin B e nang le 5-fluorocytosine: ke kalafo e thusang haholo ha ho na le matšoao a methapo. E kile ea sebelisoa haholo lilemong tse 'maloa tse fetileng.

Leha ho le joalo, ho bohlokoa ho ea tleliniking ea bongaka ba liphoofolo e le hore setsebi se ka netefatsa lefu lena le ho theha kalafo e nepahetseng. Ha ua lokela ho phekola katse u le mong.

Kaha joale u tseba tsohle ka cryptococcosis likatseRe u mema hore u itsebise ka video e latelang mabapi le mafu a atileng haholo har'a likatse:

Sengoloa sena se reretsoe ho fana ka tlhaiso-leseling feela, ho PeritoAnimal.com.br ha re khone ho fana ka kalafo ea bongaka ba liphoofolo kapa ho etsa mofuta ofe kapa ofe oa tlhahlobo. Re fana ka maikutlo a hore o ise phoofolo ea lapeng ho ngaka ea liphoofolo haeba e ka ba le boemo bofe kapa bofe bo sa thabiseng.

Haeba u batla ho bala lingoliloeng tse ling tse tšoanang le Cryptococcosis ho Likatse - Matšoao le Phekolo, re khothaletsa hore o kenye karolo ea rona ea Mafu a tšoaetsanoang.