Ndichishanda muGreece muna 1989 ndakatanga kukosora ropa. X ray yakatorwa kuchipatara cheko ndikaudzwa kuti ndaiva neTB. Kambani yechiRungu yandaishandira yakandiendesa nendege kudzokera kuEngland uye ndakaenda kuchipatara muOxford. Ongororo uye maX rayi akawanda akatorwa ndikaudzwa kuti kunyangwe ongororo dzaive dzisina chokwadi ndaizorapwa TB kwemwedzi mitanhatu sezvo X ray yangu nezviratidzo zvairatidza kuti ndaiva neTB.
Mimwe miedzo pachipatara cheOxford yakaratidza kuti ndaiva ne mycetoma inobvira muchombo chepamusoro chemapapu angu ekurudyi uye kuti ndakanga ndine colonization neaspergillus uye yakanaka aspergillus precipitins. Ndakaudzwa (1989) kuti pakanga pasina kurapwa kweaspergillus.
Ndakanyatsonzwa muviri wangu uchigwinya uye ndakadzokera kubasa. Panguva iyoyo ndaiva nemakore 39 uye ndakanga ndisati ndambosvuta uye ndaigara ndichidya zvine utano. Muna 1990/91 ndakarega doro zvachose uye ndakaramba ndiine utano kunyange zvazvo ndaiva neapo neapo haemoptysis, kazhinji kadiki asi dzimwe nguva yakaipisisa. Hemoptysis yaigara usiku kana mangwanani-ngwanani saka yaisakanganisa zuva rangu rekushanda.
Kwemakore anoverengeka ndaiongororwa gore negore muOxford (X ray uye kuongorora ropa). Ndakaita aspergilloma mubapu rangu rekuruboshwe asi ndaiva nehupenyu hunoshingaira uye ndainzwa ndakanyatsokwana saka ndakakwanisa kuramba ndichishanda.
Muna 2001 ndakava nehemoptysis yakakomba mamwe mangwanani. Kubuda ropa kwakamira ndokuzotangazve kaviri. Ndakaenda kuchipatara chomunzvimbomo pachitsuwa cheGreece uye ndakapinzwa kwamazuva mashomanene. Ndichibuda muchipatara ndakakwira ndege kudzokera kuEngland.
Chipatara changu cheOxford chakaronga kuti ndiitwe pulmonary embolisation (ose mapapu) paHammersmith Hospital, London. Ndakadzokera kunoshanda kunze kwenyika. Ndaive ndichiri mugwiti uye ndichishanda asi zvishoma nezvishoma ndakatanga kurwadziwa neapo neapo, dikita rehusiku uye kukosora kwakanyanya. Ndakashayawo appetite zvachose, ndakatanga kuonda ndikatanga kunzwa kupera simba.
MunaGunyana 2003 ndakava nehemoptysis yakaipa kwazvo, kwemazuva mashanu, uye ndakaenda kuchipatara zvakare. Ndakawedzerwa ropa ndikapedza mazuva mashanu ndiri muchipatara. Ndakanyorerwa 200mg zuva nezuva itraconazole uye ndakaenderera mberi neitraconazole pandakadzokera kuEngland.
Itraconazole yakave nemhedzisiro shoma pahemoptysis yangu uye ndakaita imwe embolisation muHammersmith Hospital muna Kukadzi 2004.
Muna 2004 ndakapihwa mapiritsi etranexamic acid (3 x 500 mg) ekuti ndinwe zuva nezuva pandaikosora ropa. Ndakawana tranexamic acid inoshanda zvakanyanya pakumisa haemoptysis asi ndaingoishandisa pandakabuda ropa zvakanyanya.
Muna 2005 ndakakumbira kuendeswa kuWythenshawe Hospital, Manchester. Dozi rangu reitraconazole rakabva rapetwa kaviri kusvika ku400mg zuva nezuva asi harina kuita mutsauko kuhemoptysis yangu, kunyangwe yakavandudza kukosora kwangu, saka ndakakwanisa kurara zviri nani.
Scan muna 2005 yakaratidza kuti ndakanga ndagadzira cyst muchikamu chezasi chebapu rangu rekuruboshwe. Scan yakaratidzawo kuti ndine 'yakakura' bronchiectasis mumusoro mangu wekurudyi. Panguva iyi zvakaratidzwa kwandiri kuti ndaiva neminwe.
Muna Kukadzi 2006 ndakava neimwe embolisation paWythenshawe Hospital.
Ndakaonekwa kuti ndinopesana ne itraconazole uye muna August 2007 ndakatanga kutora voriconazole (400mg zuva nezuva). Pakazosvika December 2007, kuongorora kweropa kwechiropa kwakaratidza kuti voriconazole yaikanganisa chiropa changu saka chiyero chakaderedzwa kusvika 300 mg zuva nezuva. Mumwedzi mishomanana ndakatanga kusanzwa nevoriconazole. Ndakanga ndatanga kunzwa zviri nani ndiri pavoriconazole uye haemoptysis yakanga yavandudzika uye ndine urombo kurega voriconazole.
Muna Nyamavhuvhu 2008, ndakatanga posaconazole (10ml kaviri pazuva) uye ndaenderera mberi neposaconazole nanhasi. Handina kuva nemigumisiro yakaipa kubva kuposaconazole, ndakava nezvikamu zviduku zvikuru zvehemoptysis ndinotora posaconazole, handina haemoptysis zvachose kwegore rose uye ndinonzwa ndakasimba kudarika zvandakaita kwemakore. Kwemakore mashoma apfuura ndave ndichiwedzera uremu zvishoma nezvishoma.
Colin
29 September 2013