Nhoroondo yangu neAspergillosis inotanga makore gumi apfuura muna 2000, pandakanga ndichigara kunze muDiablo Valley muContra Costa, California. Ndakatanga kusawirirana nemwaka kusingawirirani nekume kwemuti. Handikwanise kutsanangura kuti sei zvitsinga izvi zvakatanga, apo ndakanga ndagara munzvimbo imwe chete kwemakore gumi, asi ndinofungidzira kuti inogona kunge yakakonzerwa nekuti ndakanga ndiri pasi pekunetseka mupfungwa. Ndiani anoziva. Kusawirirana uku kwaikonzera kukosora kwakanyanya uye kukosora mapulagi emukosoro. Kukosora kwacho kwaizoenderera mberi kusvika zvaita mabayo. Mabayo acho akarapwa nemishonga yakawanda inorwisa mabhakitiriya. Mamiriro acho akaenderera mberi gore negore kusvika ndabuda mubani kuenda kumahombekombe muzhizha ra2009.
Imba yangu itsva yakauya nebindu diki rakazadzwa nesora rine miti miviri yemichero yakakura - muti wemuapuro nemuti wepersimmon - waidonhedza michero nekusiya matsutso uye muchando chainaya. Umwe musi weMugovera kwainge kwachena 2010 ndakabuda muraki nebhini ndokutanga kutsvaira. Mangwana acho ndakatanga kukosora uye ndakatanga kurwadziwa nepleuritic mumapapu angu ekuruboshwe. Ndakanga ndasangana nekanguva kapfupi (awa kana pasi) ekurwadziwa kwepleuritic pano neapo muhupenyu hwangu hwose [amai vangu vakandiudza kuti vakambosangana nezviratidzo izvi, uye mwanasikana wangu mudiki anazvo, zvakare. Chiremba wangu wepulmonologist anovhiringika neizvi!] saka ndanga ndisingazivi nezvechiratidzo. Zvisinei, ndakanga ndisati ndambonzwa kurwadziwa kwepleuritic kwakasimba seizvi. Izvo zvakatanga sehasha isina kujeka zvakazokura zvekuti zvaive zvichikanganisa hupenyu hwangu hwezuva nezuva. Ndakaenda kunoona chiremba wangu uye akarayira x-ray ndokundiisira mishonga inorwisa mabhakitiriya. Chiremba wangu akabvunzurudza nedhipatimendi repulmonology, uye ndakapfuudzwa kune anonyanya kutarisira pulmonologist, uyo akabva arayira CT scan uye bronchoscopy. Iyo CT scan yakaratidza vanga mubapu rangu rekuruboshwe izvo zvingangove zvakakonzerwa nemakore ekudzokororwa mabayo, uye mhedzisiro yebronchoscopy yakaburitsa nyaya yakaoma yemhando mbiri dzehutachiona hweaspergillus, pamwe nehutachiona hwakawanda hwehutachiona. Chiremba wepulmonologist akabvunza nyanzvi dzechirwere chinotapukira uye akaraira bhatiri rebvunzo kuyedza kuona kuti chii chiri pasi pesimba rekudzivirira muviri chingave chakonzera hutachiona hweaspergillus. Muedzo hauna kupa chero mhinduro. Ndakaiswa pachirongwa chemazuva makumi matatu nemishonga miviri yakasimba uye ndakatanga chirongwa che 30 mg / zuva reItraconazole. Ndakaramba ndiri pamushonga wepamusoro weItraconazole kwegore rose. Nekufamba kwenguva kurwadziwa kwepleuritic kwakadzikira, uye x-rays yakatevera uye imwe bronchoscopy yakaratidza kuvandudzwa zvishoma nezvishoma.
Mukutanga kwegore rino (2011) ndakazviwana zvakare ndanhonga muchero wakaora mubindu - uye zvinosuruvarisa kuti ndisina mask yechiso chiremba wangu akakurudzira kuti ndipfeke pese pandinochenesa gadheni. Kukanganisa kukuru. Zuva rakatevera ndakatanga kunzwa kurwadziwa kwepleuritic zvakare, asi panguva ino kudivi rekurudyi. Ndakatumirwa email nachiremba ndikatsanangura zviratidzo zvangu. Akanga asina chokwadi. Izvo hazvigoneke zvakanyanya, akadaro, kuti hutachiona hweaspergillus hwaizomera mune imwe nzvimbo. Akaraira imwe x-ray uye, chokwadi, bapu rekurudyi rairatidza nzvimbo dzekuvhara. Panguva ino akarayira kuongororwa kweropa kwakasiyana achitsvaga maantigen chaiwo kune aspergillus, uye zvimwe zvinhu zvandisingayeuki. Mhedzisiro yacho yakaratidza kuti ndine masoja ekudzivirira chirwere kuAspergillus fumigatus. Anofungidzira kuti ndakasangana nehuwandu hweAspergillus spores pandakanonga muchero wakaora uye mashizha mubindu, uye kuti ndakava nechirwere chakasimba cheA. fumigatus (uyewo A. niger). Ndakaramba ndiri pamushonga wepamusoro weantifungal kwemwedzi yakati wandei kudzamara x-rays yaratidza kuti hapana imwe nzvimbo yekuvharika mumapapu. Chiremba wangu akabva anditi ndisiye mushonga zvachose.
Ndinoshamisika kana iri zano rakanaka rakapihwa ruzivo rwangu makore matatu apfuura. Ndinopfeka chifukidziro chero nguva yandinoshanda mubindu, uye ndinongwarira kuti ndisazvifumure kune zvinozivikanwa manyuko efungal spores akadai semupfudze, dzimba dzepasi dzakanyorova, nezvimwewo. Kunyange chiremba wangu achinzwa kuti nyaya yangu yagadziriswa, chero nguva yandinonzwa kuti ndapererwa kana kunzwa. dzihwa richiuya, ndinonzwa kurwadziwa kwemapapu zvakare. Izvi hazvisi kundipa chivimbo chakanyanya chekuti zvese zvapera. Ini ndinofungidzira kuti ndichave ndichibata nekurwa uku naAspergillus zvachose.
Kwidziridzo 12/25/2013: Ndakazvitora kuER Svondo rapfuura ndine 'kurwadziwa kwechipfuva' pakati chaipo pechipfuva changu uye nekurwadziwa pabendekete rangu rekuruboshwe. Pazera rangu (53) uye nebasa rainetsa, handina kuda kutora mukana wekufungidzira kuti aive mapapu, paigona kunge kuri kurova kwemoyo kwakapfava. Asi moyo wangu wakanaka, uye ndine imwe mabayo. Mhedzisiro yerabhu yekutanga yakava 'rare mold kukura' uye 'inoreva mycology'. Ndichitarisa kumashure pamarekodhi angu ezvekurapa ndakaona kuti ndakarapwa mabayo kamwechete pagore kubvira 2010 (apo marekodhi angu naKaiser akatanga).
Ndinoziva kuti vamwe vazhinji pano uye kune mamwe mapoka ekutsigira vane mamiriro akakomba uye vanogara vaine hutano hwakakomba mazuva ese. Ndinonzwa rombo rakanaka kuti ndinonzwa hutano nguva zhinji, uye ndinorarama hupenyu hwekumhanya, hwekumhanya. Ini ndinoshamisika zvakadaro nezve mamiriro emapapu angu, uye zvikonzero zvekudzokororwa kwehutachiona hwemapapu. Chiumbwa chinogara mumapapu angu uye chichiputika apo neapo? Ndiyo imba yandinogara here? Vanachiremba vanovhiringidzika.