I-Aspergillosis yePulmonary engapheliyo (CPA)
isishwankathelo
I-Chronic Pulmonary Aspergillosis (CPA) lusulelo lwexesha elide lwemiphunga, oluqhelekile kodwa alubangelwa ngokukodwa yi-Aspergillus fumigatus.
I-Chronic Pulmonary Aspergillosis ineenkcazo ezintlanu zemvumelwano yangoku:
- I-Chronic Cavitary Pulmonary Aspergillosis (CCPA) yeyona ndlela ixhaphakileyo, echazwa ngumngxuma omnye okanye ngaphezulu, kunye okanye ngaphandle kwebhola lomngundo.
- I-aspergilloma elula (ibhola enye yokungunda ekhula kumngxunya).
- Amaqhuqhuva e-Aspergillus luhlobo olungaqhelekanga lwe-CPA olulinganisa ezinye iimeko, ezinjengomhlaza wemiphunga, kwaye zinokufunyaniswa ngokuqinisekileyo kusetyenziswa i-histology.
- I-Chronic Fibrosing Pulmonary Aspergillosis (CFPA) yi-CCPA yenqanaba kade.
- I-Subacute invasive aspergillosis (SAIA) ifana kakhulu ne-CCPA. Nangona kunjalo, izigulana eziphuhlisayo sele zibuthathaka ngokufanelekileyo ngenxa yeemeko esele zikhona okanye amayeza.
iimpawu
Izigulana ezine-aspergillomas zihlala zineempawu ezimbalwa, kodwa ama-50-90% afumana ukukhohlela igazi.
Kwezinye iintlobo ze-CPA, iimpawu zingezantsi kwaye zihlala zikhona ixesha elide kuneenyanga ezintathu.
- Isiqhamo
- Ukuhla ukusinda
- Ukukhathala
- Ukuphefumula
- I-Haemoptysis (ukukhohlela igazi)
Ukuqondwa
Uninzi lwezigulana ezine-CPA zinezifo zemiphunga esele zikhona okanye esele zikhona, kuquka:
- Isifuba
- Sarcoidosis
- Isifo esinganyangekiyo semiphunga (COPD)
- Isifo sephepha Cystic fibrosis (CF)
- Ingxaki engapheliyo ye-granulomatous (CGD)
- Omnye umonakalo okhoyo wemiphunga
Ukuxilongwa kunzima kwaye kaninzi kufuna indibaniselwano yezi:
- X-reyi yesifuba
- CT scans
- Ukuhlolwa kwegazi
- Isikhohlela
- Izinto eziphilayo
Ukuxilongwa kunzima kwaye kaninzi kufuna ingcali. Le yenye yeenkonzo eziphambili ezinikezelwa yi Iziko leSizwe leAspergillosis eManchester, e-UK, apho ingcebiso inokufunwa khona.
Cofa apha ukuze ufumane ulwazi oluthe kratya malunga nokuxilongwa
Izizathu
CPA ichaphazela abantu immunocompetent ngenxa yezizathu ezingekaqondwa ngokupheleleyo, kwaye ukukhula umngundo ngenxa yoko kade. I-CPA idla ngokubangela imingxuma kwizicubu zemiphunga ezineebhola zokukhula komngundo (Aspergilloma).
impatho
Unyango kunye nolawulo lwe-CPA luxhomekeke kwisigulana ngasinye, i-subtype kunye neempawu, kodwa zinokubandakanya:
- Utyando lwe-aspergillomas elula
- Antifungal amayeza (kaninzi ubomi bonke)
- I-Tranexamic acid ye-haemoptysis (ekhohlela igazi)
- I-bronchial artery embolisation ye-haemoptysis engenakulawulwa ngamayeza
- immunotherapy
Prognosis
Uninzi lwezigulana ezine-CPA zifuna ulawulo lobomi bonke bemeko, injongo yayo kukunciphisa iimpawu, ukuthintela ukulahleka komsebenzi wemiphunga kunye nokuthintela ukuqhubeka kwesi sifo.
Ngamanye amaxesha izigulane azibikho zimpawu, kwaye eso sifo asiqhubeli phambili nangaphandle konyango.
Inkcukacha ezithe vetshe
- Incwadana yoLwazi lwezigulana ye-CPA - ukufumana iinkcukacha ezithe vetshe ngokuphila ne-CPA
Kukho i iphepha echaza yonke imiba yeCPA kwi Iwebhusayithi yeAspergillus. Ibhalwe nguNjingalwazi uDavid Denning (uMlawuli we Iziko leSizwe leAspergillosis) kunye nabalingane, kujoliswe kubantu abanoqeqesho lwezonyango.
Ibali lesigulane
Kwezi vidiyo zimbini, ezenzelwe uSuku lwe-Aspergillosis lweHlabathi ngo-2022, uGwynedd noMick baxoxa ngoxilongo, iimpembelelo zesi sifo kunye nendlela abasilawula ngayo yonke imihla.
UGwynedd uphila ne-chronic pulmonary aspergillosis (CPA) kunye ne-allergic bronchopulmonary aspergillosis (ABPA).
UMick uphila ne-chronic pulmonary aspergillosis (CPA).