I-Alergic Broncho-Pulmonary Aspergillosis (ABPA)
Uhlolojikelele
I-allergic bronchopulmonary aspergillosis (ABPA) wukusabela okweqile kwesimiso somzimba sokuzivikela ezifweni ngenxa yokuchayeka ezinto ezingezwani nefungal ezikhona emigudwini yomoya noma ezonweni.
Izimpawu
Ngokuvamile, i-ABPA ihlotshaniswa kakhulu ne-asthma engalawulwa kahle, kodwa izimpawu zingabandakanya:
- Ukukhiqizwa kwamafinyila ngokweqile
- Ukukhwehlela okungapheli
- I-Hemoptysis
- I-Bronchiectasis
- Fever
- Ukwehla kwesisindo
- Izithukuthuku Zasebusuku
Izimbangela
Nakuba isikhunta esihogelwe ngokuvamile sisuswa emigwaqweni yomoya yabantu abanempilo ngezindlela zokuzivikela, ukuvunyelwa okunganele ezigulini ezinezimo ezifana nesifuba somoya kanye ne-cystic fibrosis (CF) kuvumela ukhunta ukuthi lukhule futhi lukhiqize imicu emide ebizwa ngokuthi i-hyphae. Ukusabela kulokhu, amasosha omzimba enza amasosha omzimba (IgE) ukulwa nosongo olucatshangwayo. Ukukhiqizwa kwamasosha omzimba kuholela ekulandeleni kokusabela okuvela kumasosha omzimba abangela ukuthuthukiswa kwezimpawu.
Sifo
Ukuxilongwa kudinga inhlanganisela yalokhu:
- Ukuba khona kwesimo se-predisposing: I-asthma noma i-cystic fibrosis
- Ukuhlolwa kwe-Positive Aspergillus skin prick
- Ukuhlolwa kwegazi
- I-X-Ray yesifuba kanye/noma i-CT scan
Ukuze uthole ulwazi olwengeziwe mayelana nokuxilongwa chofoza lapha
Ukwelashwa
- Oral i-steroids (isb. i-prednisolone) ukunciphisa ukuvuvukala nokulimala kwamaphaphu.
- Antifungal izidakamizwa ezifana ne-Itraconazole.
Isibikezelo
Alikho ikhambi eliphelele le-ABPA, kodwa ukuphathwa kokuvuvukala nezibazi kusetshenziswa i-itraconazole nama-steroid ngokuvamile kuphumelela ekuqiniseni izimpawu iminyaka eminingi.
I-ABPA ayikwazi ukuqhubekela phambili kuyaqabukela CPA.
Ulwazi olunzulu
- Ipheshana lemininingwane yesiguli le-APBA - imininingwane enemininingwane eminingi ngokuphila ne-ABPA
Indaba Yesineke
Kule vidiyo, edalelwe Usuku Lomhlaba Lwe-Aspergillosis 2022, u-Alison, ophila ne-allergic bronchopulmonary aspergillosis (ABPA), uxoxa ngokuxilonga, imithelela yesifo nendlela asiphatha ngayo nsuku zonke.