tsananguro
Mapundu emumapapu madiki madiki anoonekwa paX-ray kana CT scan. Zvimwe hazvikuvadzi, asi zvimwe zvinokonzerwa nezvirwere zvakasiyana-siyana zvinosanganisira zvirwere zvebhakitiriya (eg tuberculosis), fungal infections (eg. Aspergillus), kenza kana zvimwe zvirwere zve autoimmune. Aspergillus mapfundo anoda kutariswa kwenguva refu, asi akatsiga anogona kunge asingade chero kurapwa
zviratidzo
Zviratidzo zvakasiyana uye zvinogona kunetsa kusiyanisa kubva kune mamwe mamiriro akajairika emapapu (semuenzaniso CPA, COPD, bronchiectasis)
- Vamwe vanhu vanosangana nezviratidzo zvisiri izvo (sekukosora, kupisa muviri, kuonda, kukosora ropa) uye vanoongororwa gomarara remapapu, asi vozoona kuti 'chete' chirwere chefungal. Iyi inogona kuva nguva inotyisa uye inovhiringidza, saka zvingave zvinobatsira kubatana nemumwe wedu mapoka ekutsigira varwere
- Manodule akatsiga (asingakure) anogona kusakonzeresa chero zviratidzo zvachose - kutaura zvazviri, vanhu vazhinji pasirese vanotakura pfumbu rimwe chete kana anopfuura vasingazive.
Zvinokonzera
Manodule anogona kukura sechikamu chechimiro chakanyanya kuomarara senge CPA, uko panogona kunge paine kushomeka kwakadzikama mune immune system inoita kuti munhu awedzere panjodzi yefungal pathogens.
Manodule anogona zvakare kuumba mune vamwe vanhu vane hutano, kana fungal spores ikafemerwa uye muviri unogadzira danda rekudzivirira re 'granulation tissue' kuti rive nehutachiona.
kuongorora chirwere
Manodule anowanzoonekwa paCT scans. Kuongororwa kunogona kuve kwakaoma nekuti tsika dzesputum uye kuongororwa ropa (semuenzaniso Aspergillus IgG, precipitins) kazhinji inodzorera mhedzisiro yakaipa. Matishu emapapu anogona kutorwa sample nekuita tsono biopsy, inozoongororwa pasi pemaikorosikopu kutsvaga zviratidzo zve Aspergillus. Zvisinei, iyi nzira inotyisa zvikuru.
Kuti uwane mamwe mashoko pamusoro Aspergillus miedzo tinya pano
mabatiro
Haasi ese ma nodule anoda antifungal kurapwa - chiremba wako anogona kukurudzira nzira yekurinda-uye-kumirira kuitira kuti urege iwe mhedzisiro yemishonga iyi yakasimba. Kana nodule yako iri kukura, kana itsva ikaonekwa, ipapo unogona kupihwa kosi ye antifungal mishonga yakadai sevoriconazole
Mapundu mamwechete anogona kubviswa nguva nenguva achivhiyiwa, uyezve antifungals anopiwa kwemwedzi yakati kudzivirira kudzokazve.
Prognosis
Zvinosuruvarisa kuti zvakaoma zvikuru kufanotaura kuti mapfumo achazvibata sei nekufamba kwenguva, kunyanya muvanhu umo chikonzero chechikonzero chisina kujeka. Manodule mazhinji anoramba akagadzikana kwemakore mazhinji uye anongotariswa kuti achinje. Vamwe vanoderera, asi vamwe vachikura uye zvitsva zvingaonekwa. Vamwe vanoenderera mberi nekugadzira gomba rakazara nefungal tsvina ('aspergilloma') uye vamwe varwere vanozopedzisira vaonekwa kuti vane CPA
Zvimwe Zvinyorwa
Nehurombo kune ruzivo rushoma nezve fungal nodules iripo nekuti ichirwere chisingawanikwe uye chisina kudzidza. Ngwarira zvakanyanya nezveruzivo rwaunowana pamhepo - pane zvakawanda zvisirizvo pasocial media, izvo dzimwe nguva zvinokurudzira chikafu chisina kuchengetedzeka uye chekuwedzera.
NAC yakaburitsa bepa resainzi (www.ncbi.nlm.nih.gov/pmc/articles/PMC4991006) nezve Aspergillus nodules anoonekwa mukiriniki yedu, iyo iwe yaunogona kuverenga online kana kugovera nachiremba wako.