I-Aspergillus maqhuqhuva
isishwankathelo
Amaqhuqhuva emiphunga ngamachokoza amancinci axineneyo abonwa kwi-X-reyi okanye kwi-CT scan. Ezinye azinabungozi, kodwa ezinye zibangelwa zizifo ezahlukeneyo ezibandakanya ukusuleleka kwebhaktheriya (umzekelo, isifo sephepha), izifo zefungal (umz. I-Aspergillus), umhlaza okanye ezinye izifo ezizimelayo. I-Aspergillus amaqhuqhuva afuna ukujongwa ixesha elide, kodwa ezinzileyo zinokungadingi naluphi na unyango
iimpawu
Iimpawu ziyahluka kwaye kunokuba nzima ukwahlula kwezinye iimeko zemiphunga eziqhelekileyo (umzekelo, i-CPA, i-COPD, i-bronchiectasis)
- Abanye abantu baba neempawu ezixhalabileyo (ukhohlokhohlo, umkhuhlane, ukwehla kobunzima, ukukhohlela igazi) kwaye baye kuvavanyo lomhlaza wemiphunga, kodwa bafumanise ukuba ‘kuphela’ lusulelo lomngundo. Eli inokuba lixesha eloyikisa kakhulu kwaye libhideke, ngoko kunokuba luncedo ukujoyina omnye wethu amaqela enkxaso yezigulane
- Amaqhuqhuva azinzileyo (angakhuliyo) awanakubangela naziphi na iimpawu kwaphela – enyanisweni, abantu abaninzi kwihlabathi liphela baphatha iqhuqhuva elinye okanye ngaphezulu bengazi.
Izizathu
Amaqhuqhuva anokukhula njengenxalenye yemeko entsonkothileyo efana neCPA, apho kunokubakho ukusilela okufihlakeleyo kumajoni omzimba okwenza umntu abe semngciphekweni ngakumbi kwiintsholongwane zokungunda.
Amaqhuqhuva anokuthi akheke kwabanye abantu abasempilweni, xa intsholongwane yomngundo itsalwa kwaye umzimba wenza umaleko okhuselayo 'wezicubu zegranulation' ukuqulatha usulelo.
Ukuqondwa
Amaqhuqhuva adla ngokubonwa kuqala kwi-CT scans. Uxilongo lunokuba luqilima ngenxa yokukhula kwesikhohlela kunye novavanyo lwegazi (umz. I-Aspergillus IgG, precipitins) ihlala ibuyisela iziphumo ezingalunganga. Izihlunu zemiphunga zinokuthathwa ngokwenza inaliti, ethi ijongwe phantsi kwemakroskopu ukujonga iimpawu zenaliti. I-Aspergillus. Nangona kunjalo, le nkqubo iyingozi kakhulu.
Ukuze ufumane inkcazelo engakumbi I-Aspergillus iimvavanyo cofa apha
impatho
Ayizizo zonke iiqhuqhuva ezifuna unyango lwe-antifungal - ugqirha wakho unokucebisa indlela yokujonga kwaye-yokulinda ukuze uthintele iziphumo ebezingalindelekanga zala mayeza anamandla. Ukuba iqhuqhuva lakho liyakhula, okanye kuvela amatsha, unokunikwa ikhosi ukubola amayeza afana nevoriconazole
Amaqhuqhuva angamanye anokususwa ngotyando ngamaxesha athile, emva koko anikwe amayeza okulwa nokungunda kangangeenyanga ezithile ukunqanda ukuphinda kuvele kwakhona.
Prognosis
Ngelishwa kunzima kakhulu ukuqikelela ukuba amaqhuqhuva aya kuziphatha njani ekuhambeni kwexesha, ngakumbi kubantu apho unobangela osisiseko ungacacanga. Amaqhuqhuva amaninzi ahlala ezinzile iminyaka emininzi kwaye abekwe esweni utshintsho. Ezinye ziyancipha, ngelixa ezinye zikhula kwaye ezintsha zinokuvela. Abanye baqhubela phambili nokuphuhlisa umngxuma ozaliswe bubutyobo befungal ('aspergilloma') kwaye ezinye izigulana ziya kuthi ekugqibeleni kufunyaniswe ukuba banazo. CPA
Inkcukacha ezithe vetshe
Ngelishwa kukho ulwazi oluncinci malunga namaqhuqhuva okungunda akhoyo ngenxa yokuba sisifo esinqabile kwaye sifundwe ngaphantsi. Lumka kakhulu malunga nolwazi olufumana kwi-intanethi - kukho ulwazi oluninzi olungeyonyani kumajelo asekuhlaleni, ngamanye amaxesha acebisa ukutya okungakhuselekanga kunye nezongezo.
I-NAC ipapashe iphepha lezenzululwazi (www.ncbi.nlm.nih.gov/pmc/articles/PMC4991006) malunga I-Aspergillus Amaqhuqhuva abonwa kweyethu iklinikhi, onokuyifunda kwi-intanethi okanye wabelane nogqirha wakho.