Aspergillosis Murwere & Muchengeti Tsigiro

Yakapihwa neNHS National Aspergillosis Center

Chronic Pulmonary Aspergillosis (CPA)

- Kuratidzira
– Zviratidzo
– Kuongororwa
– Zvikonzero
– Kurapa
– Prognosis
- Vhidhiyo yemurwere

tsananguro

Chronic Pulmonary Aspergillosis (CPA) chirwere chemapapu chenguva refu, kazhinji asi kwete chete chinokonzerwa nefungus Aspergillus fumigatus.

Chronic Pulmonary Aspergillosis ine shanu dzazvino kubvumirana tsananguro:

  • Chronic Cavitary Pulmonary Aspergillosis (CCPA) ndiyo yakajairika fomu, inotsanangurwa negomba rimwechete kana anopfuura, ine kana isina fungal bhora.
  • Nyore aspergilloma (imwe fungal bhora rinokura mugomba).
  • Aspergillus nodules imhando isina kujairika yeCPA inoteedzera mamwe mamiriro, akadai sekenza yemapapu, uye inogona chete kunyatsoongororwa uchishandisa histology.
  • Chronic Fibrosing Pulmonary Aspergillosis (CFPA) inononoka-nhanho CCPA.
  • Subacute invasive aspergillosis (SAIA) yakafanana neCCPA. Nekudaro, varwere vanochigadzira vatove zvinyoro immunocompromised nekuda kwe pre-ivapo mamiriro kana mishonga.

zviratidzo

Varwere vane aspergillomas vanowanzova nezviratidzo zvishoma, asi 50-90% vanoona kumwe kukosora kweropa.

Kune mamwe marudzi eCPA, zviratidzo zviri pazasi uye kazhinji zvave zviripo kwenguva yakareba kupfuura mwedzi mitatu.

  • Kukosora
  • Kuonda
  • Kuneta
  • Kufuridzira
  • Hemoptysis (kukosora ropa)

kuongorora chirwere

Vazhinji varwere vane CPA vanowanzove nezvirwere zvemapapu zvakagara zviripo kana kuti zviripo, kusanganisira:

  • Asthma
  • Sarcoidosis
  • Chronic obstructive pulmonary disease (COPD)
  • Tuberculosis Cystic fibrosis (CF)
  • Chronic granulomatous disorder (CGD)
  • Kumwe kukuvara kwemapapu kwagara kuripo

Kuongororwa kwakaoma uye kazhinji kunoda musanganiswa we:

  • Chifuva X-rays
  • CT inoongorora
  • Kuyera ropa
  • Sputum
  • Biopsy

Kuongororwa kwakaoma uye kazhinji kunoda nyanzvi. Iyi ndeimwe yemasevhisi makuru anopihwa neiyo National Aspergillosis Center muManchester, UK, uko mazano anogona kutsvakwa.

Dzvanya pano kuti uwane rumwe ruzivo nezve Diagnosis

Zvinokonzera

CPA inokanganisa immunocompetent vanhu nekuda kwezvikonzero zvisati zvanyatsonzwisiswa, uye fungal kukura kunononoka. CPA inowanzokonzera makomba mumapapu tishu ane mabhora ekukura kwefungal (Aspergilloma).

mabatiro

Kurapa uye manejimendi eCPA zvinoenderana nemurwere wega, subtype uye zviratidzo, asi zvinogona kusanganisira:

  • Kuvhiya kweaspergillomas nyore
  • Antifungal mishonga (kazhinji kwoupenyu hwose)
  • Tranexamic acid yehemoptysis (kukosora ropa)
  • Bronchial artery embolisation yehemoptysis isingagoni kudzorwa nemishonga
  • immunotherapy

Prognosis

Varwere vazhinji vane CPA vanoda kutarisirwa kwehupenyu hwese kwemamiriro ezvinhu, chinangwa chiri chekudzikisa zviratidzo, kudzivirira kurasikirwa kwemapapu uye kudzivirira kufambira mberi kwechirwere.

Dzimwe nguva varwere havana zviratidzo, uye chirwere hachifambire mberi kunyange pasina kurapwa.

Zvimwe Zvinyorwa

  • CPA Patient Information Booklet - kuti uwane rumwe ruzivo nezvekugara neCPA

Pane bepa inotsanangura ese maficha eCPA pa Aspergillus Webhusaiti. Yakanyorwa naProfessor David Denning (Director we National Aspergillosis Center) uye vaunoshanda navo, inoitirwa vanhu vane kudzidziswa kwekurapa.

Murwere Nyaya

Mumavhidhiyo maviri aya, akagadzirirwa World Aspergillosis Day 2022, Gwynedd naMick vanokurukura nezvekuongororwa, kukanganisa kwechirwere uye mabatiro avanoita zuva nezuva.

Gwynedd anorarama nechirwere chepulmonary aspergillosis (CPA) uye allergic bronchopulmonary aspergillosis (ABPA). 

Mick anorarama nechirwere chepulmonary aspergillosis (CPA).