IAspergillosis yeBroncho-Pulmonary Aspergillosis (ABPA)
isishwankathelo
I-allergic bronchopulmonary aspergillosis (ABPA) kukuxhaphake kakhulu kwenkqubo yomzimba yokuzikhusela ekuphenduleni ekuvezweni kwezilwanyana ezibangelwa ngumngundo ezikhoyo kwiindlela zomoya okanye zezono.
iimpawu
Ngokuqhelekileyo, i-ABPA inxulumene kakhulu ne-asthma elawulwa kakubi, kodwa iimpawu zingabandakanya:
- Ukuveliswa kwe-mucus ngokugqithiseleyo
- Isikhohlela esinganyangekiyo
- Isifo seHaemoptysis
- IBronchiectasis
- Fever
- Ukuhla ukusinda
- Ukubila ebusuku
Izizathu
Nangona i-fungus e-inhaled ivame ukususwa kwi-airways yabantu abaphilileyo ngeendlela zokukhusela, ukuhlanjululwa ngokwaneleyo kwizigulane ezineemeko ezifana ne-asthma kunye ne-cystic fibrosis (CF) ivumela i-fungus ukuba iphuhlise kwaye ivelise iintambo ezide ezibizwa ngokuba yi-hyphae. Ukuphendula oku, amajoni omzimba enza izilwa-buhlungu (IgE) ukulwa nesoyikiso esibonwayo. Ukuveliswa kwee-antibodies kukhokelela kwi-cascade yokusabela kwi-immune system ejongene nokuphuhliswa kweempawu.
Ukuqondwa
Ukuxilongwa kufuna indibaniselwano:
- Ubukho bemeko ye-predisposing: I-asthma okanye i-cystic fibrosis
- Uvavanyo oluhle lwe-Aspergillus yesikhumba
- Ukuhlolwa kwegazi
- I-X-Ray yesifuba kunye / okanye i-CT scan
Ukuze ufumane inkcazelo engakumbi ngokuxilongwa nqakraza apha
impatho
- ngomlomo steroids (umz. i-prednisolone) ukunciphisa ukudumba kunye nomonakalo wemiphunga.
- Antifungal amayeza afana ne-Itraconazole.
Prognosis
Akukho unyango olupheleleyo lwe-ABPA, kodwa ukulawulwa kokuvuvukala kunye nokulimala usebenzisa i-itraconazole kunye ne-steroids ngokuqhelekileyo iphumelela ekuzinziseni iimpawu zeminyaka emininzi.
ABPA kunqabile kakhulu inkqubela ukuya CPA.
Inkcukacha ezithe vetshe
- Iphetshana lolwazi lwesigulana le-APBA – ulwazi oluthe vetshe malunga nokuhlala ne-ABPA
Ibali lesigulane
Kule vidiyo, eyenzelwe uSuku lwe-Aspergillosis lweHlabathi ngo-2022, u-Alison, ohlala ne-allergic bronchopulmonary aspergillosis (ABPA), uxoxa ngoxilongo, iimpembelelo zesi sifo kunye nendlela asilawula ngayo yonke imihla.