Imibutho esemthethweni esekwe kwezempilo kulo lonke ihlabathi ngamaxesha athile ikhupha izikhokelo zoogqirha kwiingxaki ezithile zempilo. Oku kunceda wonke umntu anike izigulane umgangatho ohambelanayo wokhathalelo olufanelekileyo, ukuxilongwa kunye nonyango kwaye luncedo ngakumbi xa ingxaki yempilo ingaqhelekanga kwaye ukufikelela kumbono weengcali kunzima.
I-International Society for Human and Animal Mycology (ISHAM) ngomnye umbutho wamazwe ngamazwe osebenza ngokukhethekileyo kwizifo zokungunda. Ibaleka kakhulu 'amaqela asebenzayo'yenzelwe ukujongana nokuxoxa ngoluhlu olupheleleyo lwezifo zefungal, eziqhutywa ngamalungu e-ISHAM avela kuluhlu olubanzi lweemvelaphi.
Elinye iqela elinjalo liqela elisebenzayo le-ABPA, kwaye eli qela lisanda kukhupha uhlaziyo kwizikhokelo zalo zeklinikhi ze-ABPA.
Izikhokelo ezitsha zizisa uluhlu lweenguqu ezenzelwe ukubamba ngokufanelekileyo iimeko ezininzi ze-ABPA, okwenza ukuba isigulane sifumane unyango olufanelekileyo. Umzekelo bacebisa ukunciphisa imfuneko yovavanyo olupheleleyo lwesiphumo sesiphumo se-IgE ye-1000IU/mL ukuya kuma-500. Kwakhona bacebisa ukuba bonke abangeniswayo abatsha abanesifo sesifuba esibukhali bavavanyelwa rhoqo i-IgE iyonke, kwaye abantwana abaneempawu ekunzima ukunyanga kufuneka. nazo zivavanywe. I-ABPA kufuneka ifunyaniswe xa kukho ubungqina bemitha okanye iimeko ezifanelekileyo zokuxilonga umz. isifuba, i-bronchiectasis kunye ne-IgE>500/IgG/eosinophils.
Oogqirha kufuneka balumke bangaphoswa ziimeko zokungunda okubangelwa kukungunda ngaphandle I-Aspergillus (ABPM).
Endaweni yokubeka i-ABPA, bacebisa ukuba babeke isigulana sibe ngamaqela angacebisi ukuqhubela phambili kwesi sifo.
Iqela liphakamisa ukunyanga izigulane ze-ABPA ezingenazo iimpawu, kwaye ukuba ziphuhlisa i-ABPA oral steroids okanye itraconazole. Ukuba iimpawu zihlala ziphindaphindeka sebenzisa indibaniselwano yeprednisolone kunye ne-itraconazole.
Amayeza e-Biologic ayifanelekanga njengendlela yokuqala yokunyanga i-ABPA