BLACK FUNGUS is said to be secondary to severe reduction in immunity. The general talk is that the reason for this declared epidemic of Black Fungus could be due to industrial oxygen usage, unsterile humidification while giving oxygen, bad Diabetes Mellitus control, normal and abnormal usage of steroids and last but not the least, self-prescription by patients and unqualified Doctors. In reality it’s very difficult to place our finger on one cause or the other for definite confirmation.
While
covid 19 treatment protocols are varying from Doctor to Doctor and hospital to
hospital, there is one treatment by an Indian qualified General practitioner
Dr.Shankara Chetty practicing in South Africa who considered that Covid 19
viral disease is allergic in nature and advised his community to record the 1st day
of symptoms of covid 19 like fever, headaches, cold, dry cough, body aches etc
and observe the 8th day by when the disease gets better. But on
the contrary on the 8th day the patient develops breathlessness
he/she should be immediately treated with steroids and anti-histamines under
the guidance of a qualified Doctor. With this protocol he claims all 4000 of
his covid patients he treated, none of them needed hospitalization or oxygen
nor required a ventilator.
BLACK
FUNGUS, medically called as Mucormycosis (also called as Zygomycosis) is
nothing new to our country and is a serious condition that needs early
detection otherwise it can be deadly. Unlike the Covid-19 the death rate can be
more than 50%. The fungus, Mucoraceae, which causes the Black Fungus is in the
soil everywhere and also in decayed vegetables, damp places and decayed fruits
etc. and co-exists with us in the Universe. The Black Fungus in reality can be
yellow or white but when it affects our body tissues it looks black therefore it’s
called black fungus. The black fungus does not harm normal people who were
never exposed to covid because of their strong immunity and is not contagious
like the covid 19. The Black Fungus that we are seeing more after the Pandemic
is called RHINO ORBITO CEREBRAL MUCORMYCOSIS meaning Rhino is nose, Orbito is
eyes, Cerebral is the brain and it effects the above mentioned organs and if it
effects the Lungs it is called as Pulmonary Mucormycosis. After the covid
pandemic, we are seeing more of these cases in the hospitalized patients who
had oxygen, had diabetes or uncontrolled diabetes and had steroids as
treatment. Because the immunity is invariably down in these people the Black
Fungus is seen more in them. As nose is the first organ to get affected. Symptoms
are like cold, fever, headaches, nose pain and bleeding from the nostrils
which is black in color, stuffy nose block etc. And if it gets into the
eye, the eye will be swollen and protruded forward and drooping of the eye lid
with loss of vision and usually one sided and very rarely both eyes. And from
the eye if it gets in to the brain, there will be neurological symptoms.
The
treatments can be medical which is anti-fungal medicines and surgical where the
affected tissues are completely removed and managed medically. Patients who had
covid are strongly advised to see an ENT and the EYE specialist immediately
when they suspect any of the symptoms. The surgical treatment is very much like
in Diabetes when the Diabetic patient gets Gangrene of the foot, we initially
remove the Black skin called debridement and if it doesn’t respond we amputate
(remove) the foot or Leg and similarly in Black Fungus structures in the nose
are all removed, if palate in the mouth is involved that palate will be removed
and same holds true for the eye, the eye will be removed to save it from
spreading to the brain. At Maxivision Eye Hospital we took the initiative and
started black fungus early detection clinic and the consultation includes an
ENT Doctor, Eye Doctor and a Microbiologist.
The
most important preventive steps are 1. If you had Covid-19 and you get mildest
of the symptoms mentioned above you must see the Doctors immediately. 2. Wear a
clean and new mask all the time after Covid for the next six months 3. Do not
be Afraid as the Black Fungus is not contagious and you do not get it from
person to person like the Covid disease 4. If you are a Type 1 or 2 Diabetic
your sugar levels should be under control immediately after Covid-19 disease 5.
Be very very careful with Steroid usage, only under Doctor’s supervision you
are allowed to use steroids. 6. The most important advise given to you and you
should give to others is the moment you get a doubt get examined by ENT or EYE
Doctors and they will in turn take the help of other Doctors to cure you.
7.
PLEASE DONT BE AFRAID AND COME EARLY.
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