Pulmonary aspergilloma

Pulmonary aspergilloma ihombe inokonzerwa nehutachiona hutachiona. Inowanzo kukura mumapapu emapapu. Utachiona hunogona zvakare kuoneka muuropi, itsvo, kana dzimwe nhengo.

Aspergillosis chirwere chinokonzerwa nefungus aspergillus. Aspergillomas inoumbwa apo fungus inokura mune clump mune yemapapu mhango. Iyo mhango inowanzo gadzirwa neye yapfuura mamiriro. Nzvimbo dzemapapu dzinogona kukonzerwa nezvirwere zvakaita se:

• Tiibhii
• Coccidioidomycosis
• Cystic fibrosis
• Histoplasmosis
• Lung abscess
• Kenza yemapapu
• Sarcoidosis

Mhando dzakajairika dzefungus dzinokonzera chirwere muvanhu ndeye Aspergillus fumigatus.

Aspergillus ndiyo yakajairika fungus. Inokura pamashizha akafa, zviyo zvakachengetwa, madonhwe eshiri, murwi wemanyowa, nezvimwe zvinomera zviri kuora.

Iwe unogona kunge usina zviratidzo. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Kukosora
• Kukosora ropa, icho chinogona kunge chiri chiratidzo chinotyisidzira hupenyu
• Kuneta
• Kupindwa nechando
• Kurasikirwa kwekurema kwemaune

Anopa hutano hwako anogona kufungidzira kuti une hutachiona hutachiona mushure maX-ray emapapu ako aratidza bhora refungus. Mimwe bvunzo inogona kuitwa inosanganisira:

• Biopsy yemapapu tishu
• Ropa bvunzo yekuvapo kweaspergillus mumuviri (galactomannan)
• Ropa bvunzo kuti uone immune immune kune aspergillus (chaiwo marwisi easpergillus)
• Bronchoscopy kana bronchoscopy ine lavage
• Chest CT
• Sputum tsika

Vanhu vazhinji havambove nezviratidzo. Kazhinji, hapana kurapwa kunodiwa, kunze kwekunge uchikosora ropa.

Dzimwe nguva, antifungal mishonga inogona kushandiswa.

Kana iwe uine kubuda ropa mumapapu, mupi wako anogona kupinza dhayi mumidziyo yeropa (angiography) kuti uwane saiti yekubuda ropa. Kubuda ropa kwakamiswa nechero:

• Kuvhiya kubvisa aspergilloma
• Maitiro anoisa zvinhu mumidziyo yeropa kumisa kubuda kweropa (embolization)

Mhedzisiro yacho inogona kuve yakanaka muvanhu vazhinji. Zvisinei, zvinoenderana nekuoma kwemamiriro acho uye hutano hwako hwese.

Kuvhiya kunogona kubudirira zvakanyanya mune zvimwe zviitiko, asi kwakaomarara uye kunogona kuve nenjodzi yakanyanya yezvinetso zvakakomba.

Matambudziko epulmonary aspergilloma anogona kusanganisira:

• Kuoma kufema kunowedzera
• Kubuda ropa kukuru kubva mumapapu
• Kupararira kwehutachiona

Ona wako mupi kana iwe uchikosora ropa, uye uve shuwa kutaura chero zvimwe zviratidzo zvakavapo.

Vanhu vakave nehukama hwehutachiona hwakabatana kana avo vakanetesa immune immune vanofanira kuyedza kudzivirira nharaunda uko aspergillus fungus inowanikwa.

Chakuvhe bhora; Mycetoma; Aspergilloma; Aspergillosis - pulmonary aspergilloma

• Mapapu
• Pulmonary nodule - pamberi pechifuva x-ray
• Pulmonary nodule, yega - CT scan
• Aspergilloma
• Pulmonary aspergillosis
• Aspergillosis - chifuva x-ray
• Kufuridzira system

Horan-Saullo JL, Alexander BD. Opportunistic mycoses. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 38.

Patterson TF, Thompson GR 3rd, Denning DW, et al. Dzidzira maitiro ekuongororwa uye manejimendi yeaspergillosis: 2016 yekugadziriswa neInfectious Diseases Society yeAmerica. Clin Infect Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 319.