Aspergillosis Murwere & Muchengeti Tsigiro

Yakapihwa neNHS National Aspergillosis Center

Hemoptysis

Kana ukauya neropa rinodarika chipunu chizere, enda kuA&E nekukasika.

Hemoptysis zvinoreva kukosora ropa kubva mumapapu. Inogona kutaridzika senge sputum ine mitsetse yeropa, kana huwandu hukuru hwehutsvuku hwakatsvuka hwakajeka.

Ichi chiratidzo chinowanzoitika pakati pevarwere veCPA, uye vamwe varwere veABPA. Zvinogona kunge zvichishungurudza nguva shoma dzekutanga pazvinoitika asi varwere vazhinji vanosvika pakunzwisisa zvakajairwa kwavari. Kana chimwe chinhu chachinja muhuwandu kana patani yehemoptysis yako (kana kuti ukasangana nayo kekutanga) unofanira kuudza chiremba wako, nekuti chinogona kunge chiri chiratidzo chekuti chirwere chako chinogona kuenderera mberi.

Massive haemoptysis inotsanangurwa se600ml (inopfuura papindi) yeropa mukati memaawa makumi maviri nemana, kana 24ml (hafu yegaba reCoke) mukati meawa. Nekudaro, kunyangwe zvidiki zvidiki zvinogona kukanganisa kufema kwako. Kana izvi zvikaitika unofanira kufonera 999 nekukasika.

Kana uchibuda ropa rakawanda saka unogona kunyorerwa tranexamic acid (Cyclo-F/Cyclokapron), inobatsira kumisa kubuda ropa. Ipfungwa yakanaka kuchengeta iyo yekurongedza kuitira kuti iwe ugone kuratidza nyore paramedic izvo chaizvo zvawatora.

Dzimwe nguva varwere vedu vanoona zvakaoma kutaurira kuipa kwemamiriro ezvinhu aya kune varapi uye mamwe makiriniki, kunyanya kana vasina kujairana neaspergillosis. Varwere vane mapapu akakuvadzwa neaspergillosis uye / kana bronchiectasis inogona kuparara nokukurumidza, saka zvakakosha kuti usimbise uye usimbise kuti vakuendese kuchipatara.NAC inogona kukupa chikwama chekucherechedza kadhi rinosanganisira chinyorwa pamusoro peizvi kune varapi vehutano.

Kana ukapinzwa muchipatara nokuda kwehemoptysis, unogona kuisirwa ropa kana kuti mvura. Iwe unogona kuda bronchoscopy kuti uwane kunobva kubuda ropa kana kuiswa intubated kuti ikubatsire kufema zviri nani. Iwe unogona kunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchira mumudziyo weropa muropa rako. Chekutanga scan inozotsvaga tsinga yakakuvara, uyezve twunhu tudiki twuchabaiwa kuita kugwamba. Munhamba shoma yezviitiko zvinogona kutaurwa kuvhiyiwa kana radiotherapy.

Kuwedzera kuverenga nezve haemoptysis:

  •  Tranexamic acid inogona kubatsira kuderedza huwandu uye nguva yekubuda ropa muhemoptysis, ine njodzi yakaderera yematambudziko. (Moen et al (2013))

Sezvineiwo, mapapu ane maviri akaparadzana eropa: iyo bronchial arteries (kushumira bronchi) uye pulmonary arteries (kushumira alveoli). Chikamu che90% chehemoptysis kubuda ropa kunobva mutsinga dzebronchial, dzinenge dziri pasi pekumanikidzwa kwakanyanya nekuti dzinobva paaorta.