Ndakaonekwa kuti ndine asthma makore anopfuura makumi matatu uye ndakatora inhaled steroids kubva kuma'30s. Muchirimo cha80, ndakatanga kurwiswa kakawanda neasthma pamwe nekugara kwenguva refu, kutadza kufema, kuneta kwakanyanya, uye kurwadziwa kwechipfuva. Sezvo ndanwa mishonga inorwisa mabhakitiriya uye steroid kweinoda kusvika mwedzi pasina kuvandudzwa, ndakaiswa muchipatara nokuda kwemishonga yeIV nemishonga yekufema. Ndakatambura nekuneta kwakanyanya, kuona zvinhu zvisingaoneki (zvichida kubva pamhepo yakaderera yeokisijeni) uye kutonhora kwakaita kuti mubhedha wose uzununguke. Ndakazodzoserwa kumba kwapera mavhiki maviri ndichirapwa asi zvainge zvisina kunaka kupfuura pandakaiswa muchipatara. Kwemwedzi mitanhatu yakatevera ndakaramba ndichinwa masteroid uye ndakawana nebulizer yokushandisa pamba. Ndakatora makosi gumi neshanu emishonga 2004 akasiyana pasina kuvandudzwa. Shamwari dzakandiudza kuti ganda rangu rakanga rachena uye pakanga pasina hupenyu mumaziso angu.
Ndakapinzwa muchipatara zvakare. Panguva ino, kuwedzera kune Pulmonologist ndakaonekwa naChirwere Chirwere Chirwere (ID). Mushure memazuva masere pasina kuvandudzwa, tsika ye sputum yakadzoka yakanaka kune aspergillus. Ndakaudzwa kuti ndisazvinetse nezvazvo nekuti yaiwanzowanikwa mumuromo mako uye inogona kungosvibisa sampuli. Chiremba wepulmonologist akanditora kuti ndinovhenekwa nebronchoscopy ndokuti akabvisa ingangoita 8cc (60 ounces) yegreen pus iyo yakazadza ese 2 lobes emapapu angu uye nyama yemapapu yakaita senyama mbishi yehamburger. Pandakadzokera mukamuri mangu ndakaona kuti ndakanga ndine simba rakawanda kudarika randakanga ndave naro munguva refu. Ndakanzwa kuda kumuka uye shamwari dzakati kupenya kwadzoka mumaziso angu! Zvakatora mavhiki masere kuti uwane mhinduro dzekupedzisira. Chinhu chimwe chete chakakura mumuenzaniso uyu yaive aspergillus niger.
Chitupa chacho chaiti zvaiva nengozi zvikuru kundiisa paitraconazole nemhaka yengozi yokuparara kwechiropa. Ndakamuudza kuti kana ndakanga ndafa ndaisazoda chiropa changu zvakadaro, ndakanga ndagadzirira kuzviisa pangozi; chero chinhu chaive chakakodzera kuwana nzira yekuva nani. Pulmonologist akandiendesa kuInfectious Disease Clinic paWashington University paBarnes Hospital muSt. Louis, MO, chinhambwe chemaminitsi makumi matatu kubva kumba. Naivowo vakazeza kundipa gwaro remushonga. Vakatsanangura kuti itra yakanyorwa kurapa ABPA inokonzerwa neaspergillus fumigatus. Vaisaziva kuti zvaizondibatsira here. Ndakasiya ipapo ne script uye iyi mirairo "edza iyo kwemwedzi kana maviri uye ona kana iwe uchinzwa zviri nani".
Kuva nechirwere ichi hazvirevi kuti une mushonga. Ndakaramba ndichishanda kusvika muna 2007, ndichitora zororo kuti ndirapwe uye ndichishanda hafu yemazuva apo ndakanga ndisingakwanisi kupedza maawa masere. Hazvidi kuti nditaure kunaka kwekuita kwangu kwakadzikira uye ndakadzika kubva pakuva mukoti anochaja mune yakabatikana yemoyo cath lab. Ndakatora zororo ndokushanda maawa mashoma pavhiki kuti ndibatsire nemabasa okuwedzera uye pakupedzisira ndakadzingwa.
Ndakawana iyo aspergillus webhusaiti makore akati wandei apfuura uye ndakadzidza zvakawanda nezvechirwere chefungal kubva pane saiti. Nekudaro, ruzivo rwakawanda harwushande zvakananga kumamiriro angu sezvo zvidzidzo zvakawanda zvichiratidza chirwere chinokonzerwa neaspergillus fumigatus. Kunyange zviratidzo zvangu uye dambudziko rakanyanya kufanana neABPA, ini handikodzeri maitiro ekuongorora chirwere. Ini ndinobatwa neadvair, singulair, nebulized albuterol, xopenex, itraconazole, uye dzimwe nguva, mishonga inorwisa mabhakitiriya uye oral steroids. Kazhinji mushure me3 mo yeitra (200mg kaviri zuva nezuva) ma enzymes angu echiropa anokwira uye ndaizofanira kumisa med kuti ndipe chiropa changu kuzorora, saka ini munguva pfupi yapfuura ndakaderedza dose kusvika ku100mg pazuva uye kuwedzera kana ndine dambudziko. Oral steroids inoita kuti shuga yangu yeropa iwedzere zvakanyanya saka ndinoshandisa metformin uye insulin pandinotora prednisone. Iniwo ndinotora D3 uye calcium kudzivirira kurasikirwa kwemapfupa.
Muna Zvita wa2011, ndakaudzwa kuti ndine mazinga akaderera eIgG neIgE uye ndatanga kugamuchira IGIV (intra-venous immunoglobulin replacement therapy). Zvinondinakidza nekuti vanhu vane ABPA vandakasangana navo pane fungal rutsigiro boka webhusaiti vanoratidza maIg avo akakwira zvakanyanya. Chiremba anotarisira kuti kurapwa uku kuchaderedza huwandu hwezvirwere zvakakomba zvandinosangana nazvo. Zvino ini ndinoshamisika kuti ndeipi yakatanga fungus kana yakanganisa immune system.
Iri rave riri dambudziko rinoshungurudza uye rinoshungurudza kutaura zvishoma. Hupenyu hwangu hwachinja zvakanyanya. Chirwere chisingaperi chinosemesa! Ini ndinoedza kutevedzera zvakanyanya uye ndinotarisisa kuyerera kwangu kwepamusoro uye shuga yeropa zuva nezuva kuti ndinzwe senge ndine kudzora. Ini ndave akanyatso kujaira kune dzakapfava shanduko uye ndinoedza kuwana mishonga nekukurumidza izvo zvinobatsira asi ini kazhinji ndinorwara zvine chisimba zvisinei. Ndinonzwa kukomborerwa kuti ndinogona kubva pamuromo steroids nguva nenguva kuti ndipe muviri wangu kuzorora, kunyangwe kwenguva pfupi. Chokwadi chiremba wangu wepulmonologist haarapi vazhinji/chero varwere vane dambudziko randinaro, saka ndamupa ruzivo rwekurapa, nezvimwewo uye tinoedza zvinhu zvakasiyana kuti tione mashandiro avanoita - ndinonzwa senge kuyedza kwesainzi. Ndinongovimba kuti chidzidzo chenguva refu.