I-Aspergillosis Isiguli Nokusekelwa

Kuhlinzekwe yi-NHS National Aspergillosis Center

I-Chronic Pulmonary Aspergillosis (CPA)

- Sibutsetelo
– Izimpawu
– Ukuxilongwa
– Izimbangela
– Ukwelashwa
– Ukubikezela
- Ividiyo yesiguli

Uhlolojikelele

I-Chronic Pulmonary Aspergillosis (CPA) isifo samaphaphu esihlala isikhathi eside, ngokuvamile kodwa asibangelwa ukhunta i-Aspergillus fumigatus.

I-Chronic Pulmonary Aspergillosis iqukethe izincazelo ezinhlanu zokuvumelana kwamanje:

  • I-Chronic Cavitary Pulmonary Aspergillosis (CCPA) iyindlela evame kakhulu, echazwa imbobo eyodwa noma ngaphezulu, enebhola lokukhunta noma elingenalo.
  • I-aspergilloma elula (ibhola elilodwa lesikhunta elikhula emgodini).
  • Amaqhuqhuva e-Aspergillus awuhlobo olungajwayelekile lwe-CPA elingisa ezinye izimo, njengomdlavuza wamaphaphu, futhi angatholakala kuphela ngokuqiniseka kusetshenziswa i-histology.
  • I-Chronic Fibrosing Pulmonary Aspergillosis (CFPA) yi-CCPA yesigaba sakamuva.
  • I-Subacute invasive aspergillosis (SAIA) ifana kakhulu ne-CCPA. Kodwa-ke, iziguli eziba nawo sezivele zivikelekile kancane ngenxa yezimo ezivele zikhona noma imithi.

Izimpawu

Iziguli ezine-aspergillomas zivame ukuba nezimpawu ezithile ezimbalwa, kodwa ama-50-90% ahlangabezana nokukhwehlela kwegazi.

Kwezinye izinhlobo ze-CPA, izimpawu zingezansi futhi ngokuvamile bezilokhu zikhona isikhathi esingaphezu kwezinyanga ezintathu.

  • Isikhukhula
  • Ukwehla kwesisindo
  • Ukukhathala
  • Ukuphefumula
  • I-Hemoptysis (ukukhwehlela igazi)

Sifo

Iziguli eziningi ezine-CPA zivame ukuba nezifo zamaphaphu esezivele zikhona noma esezivele zikhona, okuhlanganisa:

  • Asthma
  • Sarcoidosis
  • Isifo esingapheliyo se-pulmonary disease (COPD)
  • I-Tuberculosis Cystic Fibrosis (CF)
  • I-Chronic granulomatous disorder (CGD)
  • Omunye umonakalo wamaphaphu osuvele ukhona

Ukuxilongwa kunzima futhi ngokuvamile kudinga inhlanganisela yalokhu:

  • Ama-X-ray esifubeni
  • CT scan
  • Ukuhlolwa kwegazi
  • I-Sputum
  • Ama-biopsies

Ukuxilongwa kunzima futhi ngokuvamile kudinga uchwepheshe. Lena enye yezinsizakalo eziyinhloko ezihlinzekwa yi- National Aspergillosis Centre eManchester, e-UK, lapho iseluleko singafunwa khona.

Chofoza lapha ukuze uthole ulwazi olwengeziwe mayelana nokuxilongwa

Izimbangela

I-CPA ithinta abantu abangenawo amandla omzimba ngenxa yezizathu ezingakaqondwa ngokugcwele, futhi ukukhula kwefungal ngenxa yalokho kuhamba kancane. I-CPA ivamise ukubangela izimbotshana ezicutshini zamaphaphu eziqukethe amabhola okukhula kwesikhunta (Aspergilloma).

Ukwelashwa

Ukwelashwa nokuphathwa kwe-CPA kuncike esigulini ngasinye, uhlobo oluncane kanye nezimpawu, kodwa kungabandakanya:

  • Ukuhlinzwa kwe-aspergillomas elula
  • Antifungal imithi (ngokuvamile impilo yonke)
  • I-Tranexamic acid ye-hemoptysis (ekhwehlela igazi)
  • I-bronchial artery embolization ye-hemoptysis engakwazi ukulawulwa ngemithi
  • immunotherapy

Isibikezelo

Iziguli eziningi ezine-CPA zidinga ukuphathwa kwalesi simo ukuphila kwakho konke, inhloso yakho okuwukunciphisa izimpawu, ukuvimbela ukulahlekelwa ukusebenza kwamaphaphu nokuvimbela ukuqhubeka kwesifo.

Kwesinye isikhathi iziguli azibi nazo izimpawu, futhi lesi sifo asiqhubeki nangaphandle kokwelashwa.

Ulwazi olunzulu

  • Ibhukwana Lemininingwane Yesiguli ye-CPA - ukuze uthole imininingwane eyengeziwe ngokuphila ne-CPA

Kukhona iphepha echaza zonke izici ze-CPA ku Iwebhusayithi ye-Aspergillus. Ibhalwe nguSolwazi David Denning (Umqondisi we National Aspergillosis Centre) kanye nozakwethu, ihloselwe abantu abanokuqeqeshwa kwezokwelashwa.

Indaba Yesineke

Kula mavidiyo amabili, aklanyelwe Usuku Lomhlaba Lwe-Aspergillosis 2022, u-Gwynedd no-Mick baxoxa ngokuxilongwa, imithelela yesifo kanye nendlela abasiphatha ngayo nsuku zonke.

U-Gwynedd uphila ne-chronic pulmonary aspergillosis (CPA) kanye ne-allergic bronchopulmonary aspergillosis (ABPA). 

U-Mick uphila ne-chronic pulmonary aspergillosis (CPA).