Allergic Broncho-Pulmonary Aspergillosis (ABPA)
tsananguro
Allergic bronchopulmonary aspergillosis (ABPA) ndeyekuwedzeredza kwesimba rekudzivirira muviri mukupindura kuratidzwa kune fungal allergens iripo mumhepo kana sinuses.
zviratidzo
Kazhinji, ABPA inonyanya kusanganiswa neasma isingadzoreki zvakanaka, asi zviratidzo zvinogona kusanganisira:
- Kunyanya kugadzirwa kwemachuru
- Chisingaperi chikosoro
- Hemoptysis
- Bronchiectasis
- chimhepo
- Kuonda
- Manheru Anodikitira
Zvinokonzera
Kunyange zvazvo fungus inhaled inowanzobviswa kubva mumhepo yevanhu vane hutano nenzira dzekudzivirira, kubvumirwa kusina kukwana kune varwere vane mamiriro akaita se asthma uye cystic fibrosis (CF) inobvumira fungus kukura uye kubereka tambo refu dzebazi dzinonzi hyphae. Mukupindura kune izvi, immune system yemuviri inoita masoja ekudzivirira chirwere (IgE) kurwisa kutyisidzira kunofungidzirwa. Kugadzirwa kwemasoja ekudzivirira chirwere kunotungamira kune kuwanda kwemaitiro kubva kune immune system ayo anokonzera kukura kwezviratidzo.
kuongorora chirwere
Kuongororwa kunoda kusanganiswa kwe:
- Kuvapo kwechimiro chepredisposing: Asthma kana cystic fibrosis
- Positive Aspergillus skin prick test
- Kuyera ropa
- Chest X-Ray uye/kana CT scan
Kuti uwane rumwe ruzivo nezve diagnostic tinya pano
mabatiro
- Oral steroids (semuenzaniso prednisolone) kuderedza kuzvimba uye kukuvara kwemapapu.
- Antifungal mishonga yakadai seItraconazole.
Prognosis
Iko hakuna mushonga wakakwana weABPA, asi kutonga kwekuzvimba uye mavanga uchishandisa itraconazole uye steroids kazhinji inobudirira mukudzikamisa zviratidzo kwemakore mazhinji.
ABPA haigone kufambira mberi kusvika CPA.
Zvimwe Zvinyorwa
- Tsamba yeruzivo rwemurwere weAPBA - rumwe ruzivo rwakadzama nezvekugara neABPA
Murwere Nyaya
Muvhidhiyo iyi, yakagadzirirwa World Aspergillosis Day 2022, Alison, anogara neallergic bronchopulmonary aspergillosis (ABPA), anokurukura nezvekuongororwa, kukanganisa kwechirwere uye mabatiro aanozviita zuva nezuva.