Masangano ane chiremera ane chekuita nezveutano pasi rose anombopota achibudisa nhungamiro yavanachiremba pamusoro pezvinetso zvoutano zvakati. Izvi zvinobatsira munhu wese kupa varwere nhanho inowirirana yekutarisira kwakakodzera, kuongororwa uye kurapwa uye inonyanya kubatsira kana dambudziko rehutano risingawanzo kujairika uye kuwana maonero enyanzvi kwakaoma.
Sangano reInternational Society for Human and Animal Mycology (ISHAM) nderimwe sangano renyika dzese rinonyanya kubata zvirwere zvefungal. Inomhanya zvakanyanya'mapoka anoshanda' yakagadzirirwa kugadzirisa uye kukurukura huwandu hwese hwehutachiona hwehutachiona, hunotungamirwa nenhengo dzeISHAM kubva kwakasiyana siyana.
Rimwe boka rakadai iboka rinoshanda reABPA, uye boka iri richangoburitsa gadziriso kune yaro yekiriniki maitiro ekuita kweABPA.
Nhungamiro mitsva inosuma huwandu hweshanduko dzakagadzirirwa kubata zvakanyanya nyaya dzeABPA, zvichiita kuti murwere awane kurapwa kwakakodzera. Semuyenzaniso vanokurudzira kudzikisa kudiwa kwehuwandu hweIgE test result score ye1000IU/mL kusvika 500. Vanokurudzirawo kuti vese vanenge vapinda vanhu vakuru vane asthma yakaoma vagare vachiongororwa IgE yese, uye vana vane zviratidzo zvinonetsa kurapa vanofanira. zvakare uedzwe. ABPA inofanirwa kuongororwa kana paine humbowo hweradiological kana zvakakodzera predisposing mamiriro eg asthma, bronchiectasis pamwe neIgE>500/IgG/eosinophils.
Vanachiremba vanofanirwa kungwarira kuti varege kupotsa nyaya dzefungal sensitization inokonzerwa nefungi kunze Aspergillus (ABPM).
Panzvimbo pekuita ABPA, vanokurudzira kuisa murwere mumapoka asingaratidze kufambira mberi kwechirwere.
Boka rinokurudzira kusagara richirapa varwere veABPA vasina zviratidzo, uye kana vakagadzira acute ABPA oral steroids kana itraconazole. Kana zviratidzo zvichiramba zvichidzokororwa saka shandisa musanganiswa weprednisolone uye itraconazole.
Biologic mishonga haina kukodzera senzira yekutanga yekurapa ABPA