Aspergillosis chirwere chisingawanzo uye chinopedza simba chinokonzerwa neaspergillus mold. Chiumbwa ichi chinowanikwa munzvimbo dzakawanda, kusanganisira ivhu, mashizha ari kuora, manyowa, huruva, uye zvivakwa zvinyoro. Kune akati wandei echirwere ichi, anonyanya kukanganisa mapapu, uye kuongororwa kwakaoma nekuti zviratidzo zvakaita semamwe mamiriro emapapu.
Gwynedd Mitchell ane makore 62. Ane vana vaviri vakura uye anogara nemurume wake muWales. Gwynedd anoziva nezvezvinetso zvoutano; ane allergies zvakanyanya, akatambura kufema kubva pamasvondo matanhatu, uye achiri mwana, akaonekwa kuti ane asima uye aigara achirwiswa. Asi muna 2012, akasiiwa akavhunduka paakaonekwa aine matatu aspergillosis akasiyana, allergic bronchopulmonary aspergillosis (ABPA), chronic pulmonary aspergillosis (CPA) uye matatu aspergillomas (bhora remukuvhu mumapapu).
Ichi ndicho chiitiko chake cheaspergillosis yekuongorora rwendo.
Gwynedd akatanga kuona chinjo muzviratidzo zvake zveasima zvenguva dzose muna 1992. Asima yake yakanga isingadzoreki zvakanaka nguva dzose, asi akawana nhambo dzokuwedzera kuoma kufema, hosha dzechipfuva dzinogara dzichiitika, uye mukati meimwe nhambo yokukosora, akaona ropa mumakosi ake.
“Chaive chishoma kana chichienzaniswa nechandakasangana nacho mumakore achangopfuura, asi ndiko kaive kekutanga kusangana nehemoptysis,” anodaro Gwynedd.
Gwynedd akaita nguva yekuonana naChiremba wezvirwere zvese, uyo akaisa kubuda ropa kusvika pakukosora zvakanyanya. Kunyange zvazvo akazovhenekwa chirwere cheTuberculosis (TB), icho iye akanga asina, zviratidzo zvake hazvina kuzoongororwa zvakare.
Muna 1998, mushure mekushanyazve kwaGP, Gwynedd akaendeswa kune nyanzvi iyo yakamuwana aine bronchiectasis ndokumuudza kuti airwara neaspergillus.
Gwynedd anoyeuka nzvero yacho, “vakangoitumidza kuti pigeon fancier lung (chimiro chinozivikanwa zvikurusa che hypersensitivity pneumonitis). Ndakafunga kuti handipfudzi shiri, saka zvakanaka. I allergy isingaite pandiri. Hapana akatsanangura kuti aspergillus chii. Havana kuti ifovhoro, uye iri kwose kwose.”
Mushure mekutanga kuongororwa, Gwynedd akaenderera mberi nekudzokorora kutenderera kwehutachiona hwechipfuva, kunetseka kufema, kushanya kweGP, uye mishonga inorwisa mabhakitiriya uye steroid mishonga yakanga yave yakajairika. Asi mamiriro ake ezvinhu akaramba asina kuvandudzwa.
“Kwemakore akati wandei, ndaidzokera nekudzoka kunaChiremba wangu ndichinetseka nekufema, ndichikosora phlegm yebrown, haemoptysis uye zvirwere zvechipfuva. Kazhinji, hapana kupfuura 8-vhiki dzaizopfuura pakati pekushanya. Masamples emucus aigara achiendeswa, asi haana kupa mhinduro. Handina kudzoserwa kunana mazvikokota kana kupihwa kudzokorora Xray,” anodaro Gwynedd. “Ndakanzwa kuti Chiremba wangu akanga asiri kunditeerera pandakanga ndichimuudza kusanzwa zvakanaka kwandaiita.
Muna 2012, zviratidzo zvaGwynedd zvakawedzera kuipa. Chipfuva chake chakaramba kugadzikana, ainetsekana kuti ambotura befu, akanga atanga kurwadziwa nemusana, uye mishonga yaaigara nayo yaisamubatsira.
Kutevera kusangana nechimbichimbi naGP wenzvimbo, Gwynedd akaendeswa kuchipatara chekwavo, uko Xray yakaratidza mumvuri pamapapu ake. Mushure mekubuda, CT yekutevera yakaratidza chirwere chemapapu chakakura uye 'misa' pamapapu ese ari maviri.
Mumwedzi mitatu yakatevera, Gwynedd akaona nyanzvi dzakati wandei dzinosanganisira oncologist (aspergillosis inowanzokanganisika negomarara), uye akaita ongororo dzakawanda dzisati dzaonekwa kuti ane aspergillosis.
Pakugadzwa kwake kekutanga naProfessor David Denning kuNational Aspergillosis Center (NAC) kuManchester, muvambi uyu akasiya basa akaudza Gwynedd kuti dai chirwere chake chakaramba chichizivikanwa, angadai asina kurarama kupfuura makore mashanu.
“Sezvaungafungidzira, ndakagumbuka zvikuru. Ndakanga ndagara ndichitenda kuti chipfuva changu chaizondiwana pakupedzisira - asi mukupera kwangu makumi manomwe kana makumi masere. Mufungo wokufa nokukurumidza wakanga wakaoma kunzwisisa,” anodaro Gwynedd.
Pakuongororwa kweaspergillosis Gwynedd akatanga pamusanganiswa weimmunotherapy uye antifungal mushonga. Zvisinei, nekuda kwekuoma kwechirwere chake, ndipo pakazongove mushure memwedzi mitatu yekurapa kwakanyanya kwemazuva ese kwezuva nezuva kuisirwa mushonga weantifungal apo Gwynedd akanzwa zviri nani, asi zvakaonekwa paakazviita.
“Ndakanga, kwenguva yakareba sezvandinogona kuyeuka, ndaigara ndichiziva nezvemapapu angu uye marwadzo ari maari. Asi ndinoyeuka rimwe zuva ndichifamba-famba uye kamwe kamwe ndakaona kuti ndakanga ndisiri kunzwa zvakanaka uye ndakanga ndisingarwadziwi. Ndakanzwa semunhuwo zvake! Ndakanga ndisina kuziva kuti zvakanga zvamboipa kwenguva yakareba sei; Ndakanga ndichangozvijaira,” anodaro Gwynedd.
Pave nemakore mapfumbamwe kubva Gwynedd aongororwa, uye, kuburikidza nemazano kubva kuvarapi, rutsigiro kubva kune vamwe varwere nemhuri yake, uye kumwe kuedza uye kukanganisa, akadzidza kurarama nechirwere. Akagadzira kunzwisisa kwezvinoita kuti zviratidzo zvake zviwedzere uye zvekudzivisa. Iyi 'ziva muvengi wako' maitiro, pamwe chete nemishonga yakawanda, inomubvumira kuti arambe achishanda uye achitonga chirwere. Zvisinei, upenyu hahusi hwenguva dzose.
“Ndinonzvenga zvinhu zvizhinji kwazvo; mashizha akadonha, nzvimbo dzine matanda, zvivakwa zvekare, zvinosanganisira National Trust zvivakwa, marquees (ndaona mold pamadziro canvas of a marquee). Iniwo ndinonzvenga nzvimbo dzine vanhu vakawanda semabhaisikopo, mabhaisikopo nemamiziyamu mumwaka wavo wakabatikana,” anodaro Gwynedd.
Pasinei nekudzikamisa kuratidzwa kunobvira kuaspergillus mold, kuwedzera kuchiri kuitika, uye Gwynedd anogara achitya kuti chero kushata kunozoita kuti nzira dzake dzekurapa dzipere; Utachiona hwake hahugadziriki kumishonga yakawanda yeantifungal uye anotambura zvakanyanya nemigumisiro kune vamwe, nyaya dzinosangana nevarwere vakawanda dzinogona kuderedza zvakanyanya nzira dzekurapa. Kudiwa kwekumboongororwa chirwere ndicho chimwe chikonzero nei Gwynedd achifarira kusimudzira ruzivo nezve aspergillosis, kuitira kuti vamwe vari kurwara nechirwere ichi vagone kuwana kurapwa nekukurumidza uye kunonotsa kukura kwechirwere.
"Kana uine chirwere chisingaperi chemapapu, icho chisiri kudzorwa nemishonga yako, kana uri kusangana nechirwere chechipfuva chinodzokororwa kana chero mamwe matambudziko anoramba achifemera pakufema kwako - sundira kuti utumirwe kune nyanzvi. Udza Chiremba wezvirwere zvese kuti unoda kuti zviongororwe. Usatya kutaura. Kukurumidza kuongororwa kwakakosha kudzivirira kuparara uye kuvandudza mararamiro ehupenyu, "anodaro Gwynedd.
Kana iwe uchida kuziva zvakawanda nezve aspergillosis, zviratidzo uye ndiani ari panjodzi, tinya pano.
Unogonawo kushanyira webhusaiti yeNHS pano.
Kuti uwane rumwe ruzivo nezve National Aspergillosis Center tinya pano.