Izinhlangano ezigunyaziwe ezisekelwe kwezempilo emhlabeni wonke ngezikhathi ezithile zikhipha imihlahlandlela yodokotela ngezinkinga ezithile zempilo. Lokhu kusiza wonke umuntu ukuthi anikeze iziguli izinga elingaguquguquki lokunakekelwa okufanele, ukuxilongwa kanye nokwelashwa futhi kuyasiza kakhulu lapho inkinga yezempilo ingavamile futhi ukufinyelela embonweni wochwepheshe kunzima.
I-International Society for Human and Animal Mycology (ISHAM) ingenye yenhlangano yamazwe ngamazwe egxile ezifweni zefungal. Isebenza kakhulu 'amaqembu asebenzayo' eklanyelwe ukubhekana nokuxoxisana lonke uhla lwezifo zokukhunta, eziqhutshwa amalungu e-ISHAM avela ezizindeni ezihlukene.
Iqembu elinjalo yiqembu elisebenzayo le-ABPA, futhi leli qembu lisanda kukhipha isibuyekezo sezinkombandlela zalo zokuzijwayeza zomtholampilo ze-ABPA.
Imihlahlandlela emisha yethula uhla lwezinguquko eziklanyelwe ukuthwebula ngokuphumelelayo amacala amaningi e-ABPA, okwenza isiguli sithole ukwelashwa okufanele. Isibonelo baphakamisa ukuthi kuncishiswe imfuneko yomphumela wokuhlolwa we-IgE ophelele we-1000IU/mL ukuya ku-500. Baphinde baphakamise ukuthi bonke abantu abadala abangeniswa abadala abanesifuba somoya esinamandla bahlolelwe i-IgE ephelele, futhi izingane ezinezimpawu okunzima ukuzelapha kufanele. futhi ihlolwe. I-ABPA kufanele itholwe uma kunobufakazi be-radiological noma izimo ezifanele zokucatshangelwa kwangaphambili njengesifuba somoya, i-bronchiectasis kanye ne-IgE >500/IgG/eosinophils.
Odokotela kufanele baqikelele ukuthi bangaphuthelwa yizimo zokungezwani komzimba okubangelwa isikhunta ngaphandle kwalokho I-Aspergillus (ABPM).
Esikhundleni sokwenza i-ABPA, baphakamisa ukuthi kubekwe isiguli emaqenjini angaphakamisi ukuqhubeka kwesifo.
Iqembu liphakamisa ukuthi angelapheki njalo iziguli ze-ABPA ezingenazo izimpawu, futhi uma ziba ne-ABPA oral steroids noma i-itraconazole. Uma izimpawu zilokhu ziphindaphindeka sebenzisa inhlanganisela ye-prednisolone ne-itraconazole.
Imithi ye-Biologic ayifanele njengendlela yokuqala yokwelapha i-ABPA