Pneumocystis jiroveci mob ntsws

Pneumocystis jiroveci mob ntsws yog ib tug mob fungal ntawm lub ntsws. Tus kab mob siv los raug hu Pneumocystis carini lossis PCP mob ntsws.

Hom mob ntsws no yog tshwm sim los ntawm cov pwm ntawd Pneumocystis jiroveciCov. Cov kab mob no yog muaj nyob hauv ib puag ncig thiab tsis tshua muaj mob rau cov neeg noj qab haus huv.

Txawm li cas los xij, nws tuaj yeem ua rau mob ntsws rau cov neeg uas lub cev tsis muaj zog tiv thaiv vim yog:

• Mob Cancer
• Kev siv tshuaj ntev ntev los ntawm corticosteroids lossis lwm yam tshuaj uas ua rau lub cev tsis muaj zog tiv thaiv kab mob
• HIV / AIDS
• Hloov cev lossis hloov hlwb pob txha

Pneumocystis jiroveci Nws yog ib tug mob uas tsis tshua muaj mob ua ntej Kev sib kis AIDS. Ua ntej siv cov tshuaj tiv thaiv kev tiv thaiv rau tus mob, feem ntau cov neeg hauv tebchaws United States nrog tus kab mob AIDS siab feem ntau tsim tus kab mob no.

Kev mob ntsws pneumocystis hauv cov neeg mob AIDS feem ntau yuav maj mam dhau hnub mus rau tsheej asthiv lossis ob peb hlis, thiab tsis tshua hnyav heev. Cov neeg mob ntsws muaj dej ntsws uas tsis muaj AIDS feem ntau yuav mob sai dua thiab yuav mob nyhav dua.

Cov tsos mob muaj xws li:

• Hnoos, feem ntau mob me thiab qhuav
• Ua npaws
• Ua pa ceev
• Ua tsis taus pa, tshwj xeeb nrog kev ua si (exertion)

Koj tus kws kho mob yuav tshuaj xyuas koj thiab nug koj tus yam ntxwv.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

• Cov roj ntsha ntshav
• Bronchoscopy (nrog lav)
• Lub ntsws me
• Xoo hluav taws xob ntawm lub hauv siab
• Tshuaj hnoos qeev kom kuaj seb puas pom cov pwm ua kom ua mob
• CBC
• Qib Beta-1,3 qib ntshav nyob hauv ntshav

Cov tshuaj tiv thaiv kev kis kab mob tuaj yeem muab los ntawm qhov ncauj (ntawm ncauj) lossis los ntawm txoj hlab ntshav (tso ntshav), nyob ntawm seb mob loj npaum li cas.

Cov neeg uas muaj pa oxygen tsawg thiab mob nyhav mus rau mob hnyav feem ntau yog corticosteroids ib yam nkaus.

Kev mob ntsws o tuaj yeem tsim kev puas tsuaj rau lub neej. Nws tuaj yeem ua rau ua pa tsis ua haujlwm uas tuaj yeem ua rau tuag taus. Cov neeg muaj tus mob no xav tau kev kho mob ntxov thiab kho tau zoo. Txog rau mob ntsws pneumocystis mob ntsws ntau rau cov neeg mob HIV / AIDS, kev siv luv luv corticosteroids tau txo qis kev tuag.

Teeb meem uas tej zaum yuav muaj xws li:

• Pleural effusion (tsis tshua muaj neeg nyiam)
• Pneumothorax (lub ntsws tsaus muag)
• Kev ua pa tsis ua haujlwm (tej zaum xav tau kev pab ua pa)

Yog tias koj muaj lub cev tsis muaj zog tiv thaiv vim tias mob AIDS, mob cancer, hloov ntshav lossis siv corticosteroid, hu rau koj tus kws kho mob yog tias koj hnoos, ua npaws, lossis ua tsis taus pa.

Kev tiv thaiv kev tiv thaiv yog pom zoo rau:

• Cov neeg muaj mob HIV / AIDS uas muaj CD4 suav qis dua 200 cell / microliter lossis 200 cell / cubic millimeter
• Cov neeg txais pob txha hloov hlwb
• Cov koom tes hloov cev cov neeg
• Cov neeg uas noj tshuaj ncua ntev corticosteroids ntev
• Cov neeg uas tau muaj mob sib kis ua ntej los ntawm tus kab mob no
• Cov neeg uas noj tshuaj ncua ntev immunomodulatory

Kev mob ntsws (pneumocystis) mob ntsws; Tshuaj mob ntsws; PCP; Pneumocystis carinii; PJP mob ntsws

• Kev mob ntsws tshwj xeeb hauv cov laus - kev tso tawm mus

• Lub ntsws
• AIDS
• Kab mob ntsws

Kovacs JA. Kab mob ntsws. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 321.

Miller RF Walzer PD, Smulian AG. Pneumocystis hom. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: tshooj 269.