Ndinogona kuwana ABPA pasina asthma?

Allergic bronchopulmonary aspergillosis (ABPA) inowanzoitika kune varwere vane asthma kana cystic fibrosis. Zvishoma zvinozivikanwa nezve ABPA muvarwere vasina asthma - yakanzi "ABPA sans asthma" - kunyangwe yakatanga kutsanangurwa muma1980s. Ongororo ichangobva kuitika, yakaitwa naDr Valliappan Muthu nevamwe vaaishanda navo kuPostgraduate Institute of Medical Education and Research, Chandigarh, India, yakatarisa zvinyorwa zvevarwere veABPA vane uye vasina asthma, kuitira kuti vawane kusiyana kwekliniki pakati pezvikamu zviviri zvechirwere.

Chidzidzo ichi chaisanganisira varwere mazana mashanu nemakumi matatu, ne530% yeavo vakaonekwa vaine ABPA vasina asthma. Uku ndiko kuongorora kukuru kwechirwere ichi kusvika nhasi. Nekudaro, sezvo tsvakiridzo yakaitwa zvakadzokororwa panzvimbo yehunyanzvi, uye ABPA sans asthma idambudziko rakaoma kuongororwa, nhamba yechokwadi yevakabatwa haizivikanwe.

Zvimwe zvakafanana zvakawanikwa pakati pemhando mbiri dzezvirwere. Paive nemitengo yakafanana yekukosora ropa (hemoptysis) nekukosora maplugs. Bronchiectasis, mamiriro apo nzira dzemhepo dzinowedzerwa uye dzinopisa, dzakawanikwa kakawanda kune avo vasina asthma (97.3% vs 83.2%). Zvisinei, iyo iyo mapapu akabatwa nebronchiectasis yakanga yakafanana mumapoka ose maviri.

Lung function tests (spirometry) vakanga vari nani zvikuru kune avo vasina asthma: yakajairika spirometry yakawanikwa mu53.1% yeavo vasina asima, mukuenzanisa ne27.7% yeavo vane asima. Uyezve, varwere veABPA vasina asthma vanga vasina mukana wekuwana kuwedzera kweABPA.

Kupfupisa, chidzidzo ichi chakawana kuti avo vane ABPA sans asthma vangangove nemapapu arinani uye mashoma ekuwedzera pane avo vane ABPA neasthma. Nekudaro, zviratidzo zvekiriniki, senge mucus pugs uye haemoptysis zvakaitika pamwero wakafanana uye bronchiectasis yaive yakajairika muABPA sans asthma varwere. Ichi chaive chidzidzo chikuru kusvika parizvino pane iyi subset yeABPA; zvisinei, kumwe kutsvakurudza kunodiwa kuti unzwisise mamiriro acho zviri nani.

Pepa rakazara: Muthu et al. (2019), Allergic bronchopulmonary aspergillosis (ABPA) sans asthma: Chikamu chakasiyana cheABPA chine njodzi shoma yekuwedzera.