I-Aspergillosis yesigulana kunye neNkxaso yoMkhathaleli

Ibonelelwa yi-NHS National Aspergillosis Centre

Usuku lweHlabathi lweAspergillosis ngo-2022

– Uthotho lweSemina
– Amabali isigulana
– Umbuzo & Impendulo

ISemina yeSemina yeSizwe yeAspergillosis 2022

 

Kulo nyaka kuSuku lweHlabathi lweAspergillosis, iZiko leSizwe loAspergillosis libambe uthotho lweentetho ezivela koogqirha kunye nezigulana malunga ne-aspergillosis. Lo mnyhadala ube yimpumelelo encomekayo (nokuba kukho iimpazamo ezimbalwa), nabantu abali-160 abebezimase imini yonke kwiintetho ezahlukeneyo.
 

Apha ngezantsi kukho iintetho ezirekhodiweyo kunye neenkcazo-ntetho zePowerPoint zaloo mini.

Ngexesha leentetho, sinike ithuba lokubuza imibuzo kwincoko yeZoom. Ukuba emva kokuba ubukele ividiyo erekhodiweyo yentlanganiso nawe ndinqwenela ukubuza umbuzo Nceda unxibelelane nathi ku NAC.Cares@mft.nhs.uk

 

 

Labakho njani iZiko leSizwe leAspergillosis UChris Harris, uMphathi we-NAC

Ngubani ofumana i-aspergillosis? UCaroline Baxter, iNkokeli yeKlinikhi ye-NAC

Siyifumanisa njani i-aspergillosis? ULily Novak Frazer, MRCM (uxilongo)

Siyiphatha njani i-aspergillosis? UChris Kosmidis, uMcebisi weNAC

 

Ngaba amayeza e-antifungal anzima ukusebenzisa? UFiona Lynch, iNgcali yeSokhemesti

 

Ukunceda abaguli baphila ne-aspergillosis UPhil Langridge kunye noMairead Hughes, iNgcali yeAspergillosis Physiotherapist & Jenny White, uNesi oyiNgcali yeAspergillosis

Amabali esigulana: Uphila ne-aspergillosis

Uluhlu lwamabali avela kwizigulane ezine, apho baxoxa ngokuxilongwa, impembelelo kunye nokulawula. Onke amabali ethu esigulane anokufumaneka apha. 

Uphando lweMFIG eManchester Angela Brennan

Iziko leMRC leMycology yoNyango, Uphando lweAspergillosis, Elaine Bignell

 

Isiseko semiphunga yaseYurophu Ukuthethelela izigulana, ezibandakanya izigulane kuphando kwiYurophu iphela

Iqela le-NAC CARES 

 

Amabali abaguli

I-Aspergillosis yimeko ebuthathaka kunye nobomi bonke kwaye ukuxilongwa kuguqula ubomi. Ukubaliswa kwamabali ngesigulana sisixhobo esibalulekileyo ekukhuliseni ulwazi. Akunjalo kuphela la mabali anceda abanye abanemeko ukuba bazive ngathi ababodwa, kodwa baxhobisa izigulana kwaye banike ingqiqo ebalulekileyo kumava esigulane kwiiklinikhi kunye neengcali zempilo.

Iividiyo ezingezantsi zibalisa amabali ezigulane ezine, elowo uhlala nohlobo oluthile lwe-Aspergillosis.

 

U-Ian – iAspergillosis ehlaselayo yeNkqubo yeNervous esembindini (CNS)

Ungafumana ulwazi oluthe kratya malunga ne-Invasive CNS Aspergillosis Apha.

U-Alison – I-Alergic Bronchopulmonary Aspergillosis (ABPA).

Ungafumana ulwazi oluthe kratya kwi-ABPA apha. 

Mick – Chronic Pulmonary Aspergillosis (CPA).

Ungafumana ulwazi oluthe vetshe kwi-CPA apha. 

Gwynedd – Chronic Pulmonary Aspergillosis (CPA) I-Alergic Bronchopulmonary Aspergillosis (ABPA)

 

Q&A

Q. Ngaba i-SAFS ingajika ibe yi-APBA.?

Isifuba esiMandundu esineFungal Sensitization (SAFS) ibonakala yahluke kakhulu kwi-Alergic Bronchopulmonary Aspergillosis (ABPA) kuba izigulana ze-SAFS azikhathazwa yi-mucoid impaction okanye i-bronchiectasis, kwaye izigulane ezine-ABPA akufuneki zibe ne-asthma enzima.
Ngaba ezinye ii-SAFS zinokuphuhla zibe yi-ABPA? Okwangoku asinabo ubungqina obuninzi bokuthatha isigqibo ngenye indlela okanye enye, kodwa njengoko i-SAFS iyimeko esandula ukuchongwa kungathatha iminyaka engaphezulu ukuqiniseka, ngoko ke asikwazi ukuyikhupha ngokupheleleyo.

 

UMBUZO

Ndicinga ukuba uthetha i-TB kunye neChronic Pulmonary Aspergillosis (CPA) njengoko ezi zimbini zisondelelene kakhulu? Aba babini banokuphila kunye kwaye bosulele umninimzi omnye - kukhankanywe ngexesha elinye leentetho ngale mvakwemini.
IA (Invasive aspergillosis) lusulelo lwabantu abangosulelwe yi-immunocompromised abadla ngokuba ngabantu abanamajoni omzimba asengozini umz.

 

Umbuzo

I-ATCC kuba akukho ndawo yokuphumla ye-anti fungal ye-ATCC

 

Q. Ngaba i-ABPA "inkqubela phambili" kwaye iguquke ibe yi-CPA / IA? Ukuba sisigulane se-ABPA nabo bathatha uvavanyo lwegazi lwamanqanaba am e-galactomannan.

Amanani amancinci ezigulane ze-Alergic Bronchopulmonary Aspergillosis (ABPA) ziqhubela phambili zenze imingxuma yemiphunga (Chronic Pulmonary Aspergillosis). Yinto esihlala siyijongile xa sityelela rhoqo eklinikhi kubantu esicinga ukuba basengozini.

 

UMBUZO. Ukuba i-Itraconazole ibangele i-peripheral Neuropathy….. ingaba iimpawu ziya kuncipha ixesha elingakanani emva kokuyeka i-Itraconazole?

Iimeko ezininzi (>90%) zisonjululwe xa i-itraconazole iye yanqunyanyiswa kangangenyanga. https://pubmed.ncbi.nlm.nih.gov/21685202/

 

Q. Ukusebenzisana kweLetrozole kunye ne-antifungals

Akukho nanye ephawulweyo – ngoko ke asinakumisela ngaphandle ukuba kusenokubakho okuthile kodwa akukhange kuxelwe – yabona https://antifungalinteractions.org/

 

Q. Ndikwiqela labantu abakhankanywa nguGqr Baxter abangenazo ezinye iimeko zokuphefumla okanye ezinye izinto ezaziwayo. Umcebisi wam ucebise ukuba inokuba lufuzo kwi-causation. Ngaba oku kunokwenzeka? lukhona uphando kule nto?

Ukucinga ukuba unayo i-ABPA njengoko ukhankanye i-allergies, kukho iimpawu ezimbalwa zofuzo ezichongiweyo kunye nokunye okuzayo.