I-Aspergillosis Isiguli Nokusekelwa

Kuhlinzekwe yi-NHS National Aspergillosis Center

Uhlolojikelele

I-Aspergillus i-bronchitis (AB) yisifo esingalapheki lapho I-Aspergillus ukhunta kubangela ukutheleleka emigwaqweni emikhulu yomoya (bronchi). I-Aspergillus 
Izinhlamvu zitholakala yonke indawo kodwa ungaphefumula kakhulu uma unesikhunta ekhaya lakho, noma uchithe isikhathi esiningi ulima. Abantu abanemigudu yokuphefumula engavamile (isb. ku-cystic fibrosis noma i-bronchiectasis) basengozini enkulu yokuthola I-Aspergillus i-bronchitis ngemuva kokuphefumula ku-fungus. Kuphinde kuthinte abantu abanamasosha omzimba abuthaka kancane, okungabangelwa eminye imithi oyiphuzayo - njengama-steroid inhalers. Angeke idluliselwe komunye umuntu; awukwazi ukunikeza abanye abantu lesi sifo. Ngokungafani ne-allergic bronchopulmonary aspergillosis (ABPA), ayikho impendulo eguquguqukayo nayo I-Aspergillus ukucinana kwemigudu yokuphefumula. Iziguli ezinezimpawu zamaphaphu ezingapheli kanye nobufakazi bokuthi I-Aspergillus emigwaqweni yomoya, kodwa abangayifezi indlela yokuxilonga ye-chronic pulmonary aspergillosis (CPA), i-allergic bronchopulmonary aspergillosis (ABPA) noma i-aspergillosis ehlaselayo (IA), ingaba ne-AB.

    Izimpawu

    Abantu bavame ukuba nesifo sesifuba esihlala isikhathi eside esingathuthuki ngama-antibiotics ngaphambi kokuba bathole ukuthi banaso I-Aspergillus i-bronchitis.

    Sifo

    Kuzoxilongwa I-Aspergillus I-bronchitis kufanele ibe:

    • Izimpawu zesifo somoya omncane isikhathi esingaphezu kwenyanga eyodwa
    • I-Phlegm equkethe i- I-Aspergillus ukhunta
    • Amasosha omzimba abuthaka kancane

    Okulandelayo nakho kuyasikisela ukuthi unakho I-Aspergillus i-bronchitis:

    • Amazinga aphezulu omaka we I-Aspergillus egazini lakho (elibizwa nge-IgG)
    • Ifilimu elimhlophe lesikhunta elimboza imigudu yakho yokuphefumula, noma amapulaki amafinyila abonwa ekuhlolweni kwekhamera (i-bronchoscopy) uma kwenziwa.
    • Impendulo enhle emithini ye-antifungal ngemva kwamasonto ayisishiyagalombili yokwelashwa

    The I-Aspergillus ukhunta kubangela izifo ezahlukene, ngakho kungaba nzima ukwazi ukuthi kuphi I-Aspergillus i-bronchitis ingena esithombeni esikhulu. 

    Ukwelashwa

    Umuthi we-antifungal, i-itraconazole (Ekuqaleni i-Sporanox® kodwa manje amanye amagama okuhweba ambalwa), ingase igcinwe. I-Aspergillus ukucinana kwemigudu yokuphefumula. Izimpawu zakho kufanele ziqale ukuba ngcono ngemva kokuthatha i-itraconazole amasonto amane. Abantu abasebenzisa i-itraconazole kudingeka bathathwe umfutho wegazi labo, kanye nokuhlolwa kwegazi njalo. Lokhu okokuhlola ukuthi udle umthamo ofanele nokuthi umuthi owanele uyangena egazini lakho. Abanye abantu bangase badinge eminye imithi udokotela wabo azoxoxa ngayo nabo ngabanye. I-physiotherapist ingakufundisa nokuzivocavoca ukuze kube lula ukususa i-phlegm emaphashini akho, okungasiza ukuthuthukisa ukuphefumula kwakho. Kubaluleke kakhulu futhi ukuqhubeka nokuthatha eminye imithi ukuze ulawule ezinye izinkinga zempilo onazo.