Ndine makore 71 uye ndave ndiine zvinetso nemapapu angu kubvira ndiine makore 15. Chiitiko changu chokutanga, pandaiva nemakore 15, chakanga chiri pneumothorax yaingoerekana yavapo. Ndakapunzika kakati wandei, kazhinji bapu rangu rekurudyi. Pazera ramakore 18 ndakarapwa kupfurikidza nokuiswa mafuta omuorivhi mumhango yepleural yemapapu ose ari maviri. Pandakanga ndava nemakore makumi mashanu ndakaudzwa kuti kurapwa uku kwakashandiswa pazviuru zvevarwere, asi hakuna kumboshanda.
Pazera ramakore anenge 28 ndakabatwa neTB ndichishanda muHong Kong. Zvakaenda kwemakore maviri zvisati zvaonekwa. Pazvakaonekwa kuti mamiriro akanga aita zvakanaka. Ndainzwa kurwara zvakanyanya uye ndaikosora ropa nguva dzose. Hazvina kubatsira kuti ndaiva mungarava yaienda kuSouth Africa nachiremba wengarava akanga apedza upenyu hwake hwose ari mumishinari muSurinam uye akanga asingadaviri mishonga inorwisa mabhakitiriya. Akanditi ndidye liquorice nemaoranges akawanda. Pandakasvika kuSouth Africa ndakarwara zvekuti handina kukwanisa kupedzisa rwendo rwangu rwekuBotswana, asi ndakaiswa muchipatara kuCape Town. Iri rakanga riri Gore Idzva ra1970. Ndakanga ndiriko kwemwedzi mishanu ndisati ndakwana zvokukwanisa kuenda kumusha.
Kurapa kweTB kusati kwapedzwa, muna Nyamavhuvhu 1971, ndakaita haemoptysis yakaipisisa uye chikamu chepamusoro chemapapu angu ekurudyi chakabviswa.
Kwemakore akawanda mushure meizvi ndakanga ndanyatsogwinya uye ndakanyatsokwana, kunyange zvazvo mapapu angu akanga asina kunaka zvakakwana kundibvumira kukwira pamusoro pe8000 ft muAlps.
Muna 1986 kana kuti 1987 ndakatanga kunzwa kuneta ndichiita zvinhu zvakanga zvave nyore kusvika panguva iyoyo, asi 1988 ndipo pandakatanga kukosora ropa ndokuenda kunoona chiremba. Ndakaendeswa kuQMC muNottingham uko ongororo dzakaratidza kuti ndaiva nebronchiectasis, asi kuongororwa ropa kwakaratidza kuti ndakanga ndasangana neaspergillus. Zvakanzi ndaifanira kuita kuti robe repakati rakawedzerwa, rava chikamu chepamusoro chemapapu angu ekurudyi, chibviswe sechirapa. Kuvhiya kwacho kwakakundikana nekuda kwekuverengwa kwepleura. Ndakabva ndatendeukira kukurapa zvinodhaka uye manejimendi yebronchiectasis. Izvi zvakaitika kwemakore akawanda. Mishonga inorwisa mabhakitiriya yakasiyana-siyana yakaedzwa, asi hapana yakachinja urwere hwangu. Kazhinji ndaive ndakaneta nguva zhinji, ndaive ndisina simba uye kusimba kushoma. Kuedza kuita maekisesaizi kuti nditangezve kusimba kwakanditora nokukurumidza kusvika pakuneta uye kwakandisiya ndichirwara kwemazuva.
Muna 1991 CT scan yakaratidza aspergilloma duku pabapu rangu rokurudyi, asi mwedzi mitanhatu gare gare yakanga yapera.
Mushure meizvozvo mamiriro akave asina kunaka, kunyangwe simba rangu rakaramba rakaderera uye ndaigara ndiine chikosoro chinobereka uye haemoptysis nguva nenguva. Kaviri chete kana katatu mumakore akati kuti hemoptysis iri pakati nepakati kusvika kune yakanyanya, asi kwemaawa mashoma chete. Mushonga wangu waiva nyore. Ndakatora Serevent inhaler kaviri zuva nezuva uye mishonga inorwisa mabhakitiriya kana paine utachiona hwaida kurapwa. Nguva dzangu dzekuona consultant dzakava dzegore.
Nekukura kwezera kunounza kudzikira kwezvandinotarisira pakugona kwangu kwemuviri ndingadai ndakararama zvakanyanya kana zvishoma kugutsikana seizvi, asi muna 2004 mamiriro angu akachinja zvakanyanya. Chikosoro chacho chakawedzera, sputum yakatanga kuravira uye ndakava nyore kubatwa nehosha dzakakomba, dzimwe dzichitora mavhiki akati kuti. Chiremba wechipfuva wandakaona muNottingham akandiisa paAzithromycin katatu pavhiki uye akaedza mamwe maantibioti akasiyana-siyana kurapa chirwere ichi, zvese pasina kubudirira.
Muna 2006 CT scan uye bronchoscopy yakawana aspergilloma hombe yakagara mugomba muchikamu chepamusoro chemapapu angu ekurudyi. Hapana marapirwo akaitwa. Zvino muna Ndira 2008 yekutevera CT scan yakarongwa nachiremba mudiki yakaratidza kuti aspergilloma, inoyera 68 mm kureba, yaive pedyo zvakanyanya neiyo huru pulmonary artery. Akapinda mukuvhunduka ndokundiudza kuti yakanga iri mungozi yokudzvokora tsinga, izvo zvaizoita kuti ndibude ropa kusvikira ndafa. Kubva pakakundikana kushanda muna 1971 ndaionekwa sendaisashanda. Akanyora kuti Itraconazole, asi ndakapiwa mirayiridzo isiriyo pakuitora. Zvakandirwarisa zvekuti ndakashaya appetite uye kuonda zvakanyanya.
Handina kufara zvakanyanya, saka ndakaenda paInternet kutsvaga ndikawana iyo Aspergillus webhusaiti. Ndakakumbira Chiremba weChiremba wangu kuti aronge kuti ndiendeswe kuWythenshawe, izvo zvaakaita uye ndave ndiri murwere ikoko kubva muna Kubvumbi 2008. Kutanga ndakaudzwa kuti aspergillomas haina kukonzera haemoptysis sezvaifungwa nachiremba muNottingham uye kuti ndakanga ndisiri. mungozi yokubuda ropa kusvikira afa nenzira yaakanga arondedzera. Zvadaro ndakaiswa pavoriconazole. Ini ndakanga ndamisa itraconazole nekuti ndainzwa kurwara nayo. Ndakapihwawo bhokisi retranexamic acid kana yabuda ropa. Ndakatora Vfend kwemwedzi inoverengeka, asi ipapo ndakatanga kurasikirwa nemanzwiro muzvigunwe zvangu. Prof Denning vakamisa mushonga uye vakandiisa paposaconazole.
Pakanga pane kunyarara kwemwedzi mitatu pakati peVfend naNoxafil, panguva iyo mamiriro angu akava akaipa zvikuru. Chikosoro changu chainge chanyanya uye ndaiburitsa chikosoro nemapupu akawanda. Dzimwe nguva ndaigona kuzadza kapu yezai panguva imwe chete yekukosora. Muna Nyamavhuvhu 2009, pandakanga zvino ndiri paposaconazole, ndakaita CT scan ndikaona kuti aspergilloma yakanga yadzikira. Zvandainge ndave kudaidza kuti mucus plug pamwe aive matumbu efungus rakafa. Kuparara kweaspergilloma kwakatanga pandakanga ndiri pavoriconazole kana panguva yekuzorora mushure. Yakaenderera mberi kusvika muna Ndira 2010 apo yaiita senge yaenda ichisiya gomba rakakura risina fungus mukati maro, asi iro raive chikamu chakazadzwa nemvura.
Musi wa29 Ndira 2010 ndakaita haemoptysis yakaipisisa. Zvakapindirana nokugadzwa kwangu kuWythenshawe. Mudzimai wangu akandiendesa kuchipatara kubva kuNottingham nendiro, matauro uye roll yekubikira yekambani. Dr Felton vakandiona uye vakandibvuma kuti ndiite embolizations yechimbichimbi. Ndakarapwa musi weMuvhuro wakatevera mushure mekubuda ropa kwakanyanya. Ndakakosora ropa rinenge hafu yerita mumaminetsi makumi maviri. Tsinga dzeropa dzinoverengeka dzakamiswa kuburikidza netsinga yemukadzi, asi kubuda ropa hakuna kumira kutozosvikira mudziyo wekupedzisira wamiswa kubva kumusoro kweruoko. Mushure meizvi Prof Denning vakandiudza kuti ndaigona kurega kutora posaconazole, asi muna Chivabvu 20 ndakapinzwa muchipatara kwemavhiki matatu kosi yeIV amphoterycin-B netazacin.
Mamiriro angu akange akanyatsogadzikana mushure meizvozvo kusvika munaNovember 2010 pandakatanga kukosora ropa zvakare zvine mwero, asi kubuda ropa kwenguva refu kamwechete pamwedzi. CT scan yakaratidza kushanduka kudiki kwechimiro chegomba uye muna Kubvumbi 2011 Prof Denning vakasarudza kuti ndidzokere paposaconazole. Akafunga kuti kundirega ndichiimisa kwakanga kwabvumira kuti aspergillus idzorezve mbiru yegomba uye kuita kuti kubuda ropa kutangezve. Kubuda ropa kwakabva kwapera, asi muna Nyamavhuvhu 2011 ndakava neimwezve haemoptysis yakareba. Mushure memazuva mashanu ndakafonera kuchipatara ndikaiswa muchipatara. Midziyo mishanu yakavharwa kubva patsinga yemukadzi. Imwe, yaisvikika kubva paruoko, yakanga yasara. Kubva ipapo ndave neropa rimwechete kana maviri ari pakati nepakati, saka ndinofungidzira vachazofunga kuita mudziyo mumwe wakasara, asi kana zvisina kudaro handisi kunzwa zvakanyanya.
Peter Allen
November 2011