kuongorora chirwere

Mufananidzo wekuongororwa kwemurwere

Kuongororwa kwakarurama hakuna kumbove kwakananga kune aspergillosis, asi zvishandiso zvemazuva ano zviri kugadzirwa nekukurumidza uye zvino zviri kuvandudza kukurumidza uye kurongeka kwekuongororwa. Murwere anenge aripo pakiriniki anozotanga akumbirwa kuti ape nhoroondo yezviratidzo zvaanenge aona. Zvichienderana nenhoroondo iyi nhamba yebvunzo inogona kukumbirwa kubva pane inotevera runyorwa:

  • Kuongororwa ropa
  • X-rays kana CT scan yechipfuva
  • Muedzo weganda kuyera kunzwa kune Aspergillus allergens
  • Tsika uye kuongororwa kwesputum (mucus) sampuli
  • Tsika dzemvura yetishu eg lung fluid (inonzi BAL)
  • A bronchoscopy - uko chubhu inochinjika inopfuudzwa mumapapu ichiri pasi pekunyaradza.
  • Sample kana biopsy yematishu mass (kana iripo) mumhango yemapapu

Miedzo yacho inoratidzei?

Kuyera ropa: Masoja ekudzivirira chirwere Aspergillus mapuroteni anogona kuyerwa muropa remurwere uye izvi zvinoratidza kana murwere angave aine Aspergillus utachiona - izvi zvinoitwa uchishandisa an enzyme-yakabatana immunosorbent assay (ELISA), zvakadai seImmunoCAP® Yakananga IgE Ropa Muedzo.. Mhedzisiro yakanaka inoreva kuti masoja ekudzivirira chirwere kufungus aonekwa. Mhedzisiro yakanaka yebvunzo zvakare inobatsira mucherechedzo wepashure wekuenzanisa kuongorora kugona kwekurapa. Dzimwe nguva mhedzisiro yenhema inogona kuitika ndosaka nhamba yebvunzo dzakasiyana-siyana inoshandiswa pakuongorora aspergillosis. Dzimwe nguva zviratidzo zvekusawirirana nazvo Aspergillus zvakanaka muropa. Muedzo weimwe fungal molecule dzimwe nguva inowanikwa muropa - inonzi iyo galactomannan bvunzo inogonawo kuitwa pasampuli yeropa.

Mimwe miedzo inosanganisira kuwanda kweropaplasma viscosity uye C-inoshanda mapuroteni, iyo inogona kuratidza kuzvimba - zviratidzo zvakadaro zvinowanzovandudza pakurapa kuitira kuti nheyo yekutanga inobatsira. Chiropa uye itsvo bvunzo dzekushanda kwakakosha sezvo kushanda kwechiropa kunogona kuve kwakajairika pamishonga inorwisa fungal. Zvakare, vamwe varwere veaspergillosis vanogona kunge vaine mwero wakaderera wechinhu chinonzi mannose kusunga lectin (MBL) uye kuratidza majini asina kujairika epuroteni iyi.

X-ray yechipfuva inobvumira kuonekwa kwemukati memapapu uye inogona kuona kusagadzikana senge chero mapapu emapapu - akaumbwa nekuda kwechimwe chirwere chinokonzera kana utachiona, kana fungal ball (aspergilloma) aripo. Mumwe mufananidzo wepamusoro wepamuchinjiko wemapapu ungangodiwa, kana zvakadaro komputa tomography (CT) zvingave zvakakodzera. Iyo nzira inotsamira paX-rays kugadzira mufananidzo wakadzama. Unozofanira kurara patafura nhete, inotsvedza ichipinda pakati peCT scanner panotenderera X-rays yakakupoteredza. Kuongorora kazhinji kunotora maminetsi mashoma.

Muedzo weganda apo tsono diki inoshandiswa kukwenya pamusoro peganda inogona kushandiswa kuona kana murwere aine masoja ekudzivirira chirwere eIgE anotenderera. Aspergillus. Uyu ndiwo muyedzo wakajairika kana uine asthma kana ABPA. Mhedzisiro yakanaka inoratidza kuti murwere anonzwisiswa AspergillusOna immune system.

Sample yesputum, mamwe matishu emvura kana matissue biopsies anogona kutumirwa kurabhoritari kuti agadziriswe, kuitira kuona kana zvichiita kukura. Aspergillus kubva pamuenzaniso. Vesainzi vanoshandisa ndiro yakakosha yetsika kumera mold, uye kana paine ikakura vanowanzoshandisa maikorosikopu kuratidza rudzi rweforoma. Imwe nzira yekuziva Aspergillus iri neinesensitive molecular test method.

Bronchoscopy inzira iyo chubhu inochinjika inopfuudzwa mumapapu kuti itarise mapapu nemhepo - murwere anoradzikwa panguva yekuitwa. Mienzaniso yetishu yemapapu kana zvinwiwa zvinogona kuitwa biopsied kuburikidza nebronchoscope kuti iongororwe murabhoritari netsika uye mamorekuru bvunzo, kana zvichidikanwa. Ona zvimwe.

Biopsy masampuli madiki ematishu akatorwa kubva munzvimbo dzine utachiona (semumapapu, sinus) ayo akachekwa zvitete, akasvibiswa uye akaongororwa pasi pemaikorosikopu, kana anoiswa pane zvinovaka muviri izvo zvinobvumira chero fungus iripo kuti ikure - fungus rinobva raonekwa.

Migumisiro yezviedzo zviri pamusoro zvino inotariswa pamwe chete uye kana aspergillosis yakasimbiswa chirongwa chakakodzera chekurapa chichatangwa.

Hurukuro pamisangano yevarwere nevanochengeta paNAC

Chii chinonzi IgE? Pfupiso yemunhu ari pasi Tanga pa 0′ 55′ 43 secs

Chii chinonzi IgG? Pfupiso yemunhu ari pasi Tanga pa 0′ 29′ 14 secs

Kuongorora chipfuva X-ray Mazano mashoma! Tanga pa 0 51′ 22”secs

Zviratidzo:

Zviratidzo zvinogona kusiyana zvakanyanya zvichienderana nerudzi rweaspergillosis iyo murwere angave nayo. Semuenzaniso mumwe murwere ane aspergilloma anogona kunge aine zviratidzo zvishoma kana chikosoro, mumwe anogona kukosora ropa rakawanda (heemoptysis) uye anoda kurapwa nekukurumidza. pane musiyano mukuru pakati pevarwere.

  • kuonda
  • manyaro
  • fever
  • kukosora
  • kukosora ropa (hemoptysis)
  • kufema

Murwere ane zvimwe zvezviratidzo izvi angasava neaspergillosis - chaizvoizvo hazvigoneki, kunze kwekuti munhu wacho ane urombo husina simba hwekudzivirira zvirwere (semuenzaniso kutevera kenza yekurapa, kuchinjwa kwenhengo). Kana munhu asina kupindura kune akati wandei emishonga inorwisa mabhakitiriya uye aine immune system isina simba saka kuongororwa kweaspergillosis kunofanirwa kutariswa. 

Kuti uwane rumwe ruzivo nezve marudzi e aspergillosis uye zviratidzo zvavo uye kurapwa shanyira zvinotevera zvinongedzo:

Yakapedzisira Kuvandudzwa munaNovember 1, 2020 na Megan