taleromycosis

taleromycosis haah eka burshijanya sansarg aahe jyamadhye chehara aanee manechya tvachevar vedanarahit jakhama, taap, raktakshay, mothya lasika granthi aanee yakrut yancha samavesh hoto.
heey 'taleromysis marnefei' yaa burshimule hote, jee matimadhye aadhalate aanee sendriya padarthanche vighatan karate. paryavaranatun burashimadhye shwas ghetalyane sansarg jhalyache manale jaate, tathapi, jivancha paryavaraniy srot dnyat nahee. heey samanyatah asha lokanmadhye aadhalate jeey aadhich aajari aahet aanee etch. aay. vhee./eds, karkarog, avyav pratyaropan, dirghakalin steroidcha vapar, vruddhatva, kuposhan kinwa svayampratikar rog yasarkhya sansargashi ladhanyas asamarth aahet. heey samanyatah nirogi lokanvar parinam karat nahee aanee eka vyaktikadoon vyaktikadoon vyaktimadhye pasarat nahee. nidan sahasa sukshmadarshakadvare kinwa sanvardhanadvare vaidyakeey namunyanmadhun burashichi olakh karoon dile jaate. tvachechya jakhama, lasika granthi aanee asthimajjanchya biopsymadhye hystopathologiver jivanchi upasthiti disun yete. vaidyakeey pratimanmadhun fuffusatil chhaya disu shakate. haah rog kshayrog aanee histoplasmosissarkha disu shakato.
uchch dhoka asalelya lokanmadhye, itraconazole heey burshivirodhi aushadh vaparoon, talaromycosis rokhala jaau shakato aanee amphotericin bii aanee tyanantar itraconazole kinwa voriconazole vaparoon tyavar upchar karata yetat. upchar naan midalelya 75 takke lokanmadhye haah rog pranghatak aahe.
taleromycosis haah keval aagney ashiyamadhye (dakshin chean aanee purv bharatasah) aanee visheshtah tarun tarun sthanik aahe. jagatil badhit lokanchi nemki sankhya maheet nahee. mahilanpeksha purushanna jaast tras hoto. 1973 madhye aagney ashiyamadhye ashiyamadhye hodgkins rog asalelya eka american mantryamadhye taleromycosische pahile naisargik manvi prakaran nondavale gele.
chinhe aanee lakshane.
konatihi lakshane asoo shakat naheet kinwa tvachechya lahan vedanarahit jakhmansah taleromycosis disu shakato. doke aanee maan bahutek vela prabhavit hote. itar vaishishtyanmadhye taap, samanya aswasthata, vajan qamee hone, khokala, shwas ghenyas tras hone, atisar, otipotat dukhane, pleeha soojane (pleeha), yakrut sooj (hepatomegally), soojalelya lasika granthi (lymphadenopathy) aanee raktakshay yancha samavesh hoto. kadachit konatihi lakshane nastil.
etch. aay. vhee. sansarg nasalelya lokanmadhye, fuffuse, yakrut aanee tondavar sahasa parinam hoto, jyamadhye pranaligat sansarg kvachitach hoto. tvachevaril jakhama dekhil anekada gulgulit asatat. etch. aay. vhee. sansarg asalelyanmadhye haah rog vegalya prakare disun yeto; tyanna vyapak sansarg honyachi shakyata jaast asate. tathapi, tyanchya tvachechya jakhama sahasa madhyabhagi chhedalya jaatat aanee molaskam contagiosamsarkhya disu shakatat.
kaaran.
taleromycosis haah samanyatah 'tii' mule hoto. marneffi, tathapi, "taleromyces" vanshatil itar prajati dekhil durmil prakarananmadhye yaa rogas karanibhoot tharatat.
jokhim ghatak.
taleromycosis kvachitach nirogi lokanvar parinam karato aanee samanyatah jeey lock aadhich aajari aahet aanee etch. aay. vhee./eds, karkarog, avyav pratyaropan, dirghakalin steroidcha vapar, vruddhatva, kuposhan kinwa svayampratikar rog yasarkhya sansargashi ladhanyas asamarth aahet asha lokanmadhye hoto.
yantrana.
paryavaranatun jivanmadhye shwas ghetalyane haah sansarg hoto asey manale jaate. matra, sansargacha achook srot maheet nahee. sansarg haah vyakti-darr-vyakti pasarat nahee. thayalandmadhye, pavsalyat taleromycosis adhik samanya aahe; paus vatavaranat burashichya prasarala chalana deu shakato.
nidan.
konatihi achook jalad raktarsashastriy chachani nahee. thunki, rakt, tvacheche scrapping, lasika node aanee asthimajja yasarkhya vaidyakeey namunyanmadhun kalcharsmadhye 'taleromyces marnefei' olakhanyavar nidan avalambun asate, toparyant rog shevatchya tappyat asato. ardhyahun adhik prakarananmadhye raktatil burshi aadhaltat.
asthimajjechya ghuskhorimule qamee platelets aanee yakrutachya sahbhagamule vadhalelya transaminesesarkhya burashichya aakraman qamee uutinche purave prayogshaletil vishisht nasalelya nishkarshanvarun disu shakatat.
tvachechya jakhama, lasika granthi aanee asthimajjanchya biopsymadhye hystopathologiver jivanchi upasthiti disun yete. antahkoshikiy aanee bahyakoshikiy rupe andakar asatat aanee tyanchi vaishishtyapurn aadvya bhagachi rachana asate. sanskratimadhye, vasahati pivalya rangachya asatat aanee laal rangdravya tayar karatat; tathapi, sanskruti lakshaniy prakarananmadhye nakaratmak asatat.
vaidyakeey pratimanmadhun fuffusatil chhaya disu shakate.
vibhedak nidan.
haah rog kshayrog aanee histoplasmosissarkha disu shakato.
upchar.
uchch dhoka asalelya lokanmadhye, itraconazole heey burshivirodhi aushadh vaparoon, talaromycosis rokhala jaau shakato aanee amphotericin bii aanee tyanantar itraconazole kinwa voriconazole vaparoon tyavar upchar karata yetat.
parinam.
upcharanantar, 25 takkyanhun qamee badhit lock martat. upchar naan kelyas 75 takkyanhun adhik lock martil.
mahamarishastra.
jagatil badhit lokanchi nemki sankhya maheet nahee. ekekali durmil manalya manalya etch. aay. vhee./edsamule aagney aashiyatil sthanik bhagat etch. aay. vhee.-positive vyaktinmadhye etch. aay. vhee./edsamule honara tisra sarvat samanya sandhisadhu sansarg (extrapulmonary tuberculosis aanee cryptococcis nantar) jhaala. antiretroviral upcharanmule etch. aay. vhee. asalelya lokanmadhye pradurbhav qamee houu lagla, tarr 1990 chya dashakachya madhyapasoon kahee sthanik bhagat etch. aay. vhee. nasalelya rugnanmadhye prakarananchi sankhya vadhu lagali, bahudha sudharit nidan aanee rogpratikarak shakti qamee qamee itar paristhitinmadhye vaadh jhalyamule. tarun tarun haah rog adhik samanya asalyache aadhalun aale aahe. mahilanpeksha purushanna jaast tras hoto.
itihas.
"tii. 1956 madhye vhietanammadhil bambuchya undarapasoon 'marneffi' pahilyanda vegale karnyat aale. teen varshannantar, gabriel segretenne rogachi kshamata asaleli eka naveen prajati mhanoon tyache varnan kele. 1973 madhye aagney ashiyamadhye ashiyamadhye hodgkins rog asalelya eka american mantryamadhye taleromycosische pahile naisargik manvi prakaran nondavale gele.
sanshodhan.
taleromysis marnefisathi uchch vishishtata asalyache darshavilele eka pramukh vishanu ghatak emm. pii. 1. pii. shodhanyasathi pratijan parikshan vikasit kele gele aahe.

