Allergic Broncho-Pulmonary Aspergillosis (ABPA)
Overview
Allergic bronchopulmonary aspergillosis (ABPA) ke karabelo e fetelletseng ea sesole sa 'mele ka lebaka la ho pepesehela likokoana-hloko tsa fungal tse teng moeeng kapa sinus.
matšoao a
Ka tloaelo, ABPA e amahanngoa haholo le asthma e sa laoleheng hantle, empa matšoao a ka kenyelletsa:
- Tlhahiso e feteletseng ea mamina
- Ho khohlela ho sa foleng
- Haemoptysis
- Bronchiectasis
- feberu
- boima ba 'mele
- Bosiu bosiu
Lisosa
Le hoja fungus e hemang hangata e tlosoa moeeng oa batho ba phelang hantle ka mekhoa ea ho itšireletsa, tumello e sa lekaneng ho bakuli ba nang le maemo a kang asthma le cystic fibrosis (CF) e lumella fungus ho hlahisa le ho hlahisa likhoele tse telele tsa makala tse bitsoang hyphae. Ho arabela sena, sesole sa 'mele sa 'mele se etsa li-antibodies (IgE) ho loantša tšokelo e nahanoang. Ho hlahisoa ha li-antibodies ho lebisa ho ts'ebetsong ea ts'ebetso ea sesole sa 'mele e ikarabellang bakeng sa nts'etsopele ea matšoao.
tepelletse maikutlong
Tlhahlobo e hloka motsoako oa:
- Ho ba teng ha boemo ba predisposing: Asthma kapa cystic fibrosis
- Teko e ntle ea letlalo la Aspergillus
- Liteko tsa mali
- X-Ray ea sefuba le/kapa CT scan
Ho fumana lintlha tse ling mabapi le lefu lena tlanya mona
Treatment
- nyanyana litho tsa botona steroids (mohlala, prednisolone) ho fokotsa ho ruruha le tšenyo ea matšoafo.
- Antifungal meriana, joalo ka Itraconazole.
Ho phatloha
Ha ho na pheko e feletseng bakeng sa ABPA, empa tsamaiso ea ho ruruha le maqeba ka ho sebelisa itraconazole le steroids hangata e atleha ho tsitsisa matšoao ka lilemo tse ngata.
ABPA e ka hatela pele ka seoelo ho CPA.
Boitsebiso bo Eketsehileng
- Pampitšana ea tlhahisoleseling ea mokuli ea APBA - lintlha tse felletseng mabapi le ho phela le ABPA
Pale ea Mokuli
Videong ena, e etselitsoeng Letsatsi la Lefatše la Aspergillosis 2022, Alison, ea phelang le alejiki bronchopulmonary aspergillosis (ABPA), o bua ka tlhahlobo, litlamorao tsa lefu lena le kamoo a le laolang letsatsi le letsatsi.