Aspergillosis

Aspergillosis chirwere kana hutachiona hwekupindura nekuda kweiyo aspergillus fungus.

Aspergillosis inokonzerwa nefungus inonzi aspergillus. Iyo fungus inowanzo kuwanikwa ichikura pamashizha akafa, zviyo zvakachengetwa, murwi wemanyowa, kana mune zvimwe zvinomera zviri kuora. Inogona zvakare kuwanikwa pamashizha embanje.

Kunyangwe vanhu vazhinji vachiwanzo kuvepo neaspergillus, hutachiona hunokonzerwa nefungus hazviwanzo kuitika muvanhu vane immune system.

Kune akatiwandei mafomu easpergillosis:

• Allergic pulmonary aspergillosis inokonzera kusagadzikana kune fungus. Iyi hutachiona inowanzo kukura muvanhu vanotove nematambudziko emapapu senge asthma kana cystic fibrosis.
• Aspergilloma kukura (fungus bhora) iyo inokura munzvimbo yepashure yemapapu chirwere kana kupomba kwemapapu senge tibhii kana bundu remapapu.
• Invasive pulmonary aspergillosis chirwere chakakomba nemabayo. Inogona kupararira kune dzimwe nhengo dzomuviri. Iyi hutachiona inoitika kazhinji muvanhu vane immune system isina kusimba. Izvi zvinogona kunge zvichibva pagomarara, AIDS, leukemia, kupinza nhengo, chemotherapy, kana zvimwewo mamiriro kana mishonga inoderedza huwandu kana mashandiro emasero eropa machena kana kushayisa simba immune system.

Zviratidzo zvinoenderana nerudzi rwehutachiona.

Zviratidzo zveanogadzira pulmonary aspergillosis inogona kusanganisira:

• Kukosora
• Kukosora ropa kana mapundu emapundu emapundu
• Kupindwa nechando
• Kazhinji kurwara kunzwa (malaise)
• Kushungurudza
• Kuonda

Zvimwe zviratidzo zvinoenderana nechikamu chemuviri chakakanganiswa, uye chinogona kusanganisira:

• Kurwadziwa kwepfupa
• Kurwadziwa pachifuva
• Kutonhora
• Yakaderera weti kubuda
• Kutemwa nemusoro
• Kuwedzera kwephlegm kugadzirwa, kungave kuri kweropa
• Kufema kwekufema
• Maronda eganda (maronda)
• Matambudziko ekuona

Anopa hutano anozoongorora muviri uye obvunza nezve zviratidzo.

Kuyedza kuongorora hutachiona hweaspergillus kunosanganisira:

• Aspergillus antibody bvunzo
• Chest x-ray
• Yakazara kuverenga ropa
• CT scan
• Galactomannan (shuga yemorekuru kubva mufungus iyo dzimwe nguva inowanikwa muropa)
• Immunoglobulin E (IgE) mwero weropa
• Lung basa bvunzo
• Sputum stain uye tsika yefungus (kutsvaga aspergillus)
• Tissue biopsy

Bhowa refungus kazhinji harigadziriswe nemishonga inodzivirira kunze kwekunge paine kubuda ropa mumapundu emapapu. Mumamiriro ezvinhu akadaro, kuvhiya nemishonga zvinodiwa.

Invasive aspergillosis inorapwa nemavhiki akati wandei emushonga unodzivirira. Inogona kupihwa nemuromo kana IV (kupinda mutsinga). Endocarditis inokonzerwa neaspergillus inorapwa nekuvhiya ichitsiva hutachiona hwemwoyo hune hutachiona. Yakareba antifungal zvinodhaka zvakare zvinodiwa.

Allergic aspergillosis inorapwa nemishonga inodzvinyirira immune immune (zvinodhaka zvinodzivirira muviri), senge prednisone.

Nekurapa, vanhu vane allergic aspergillosis vanowanzo kuve zvirinani nekufamba kwenguva. Zvakajairika kuti chirwere chidzoke (kudzokazve) uye chinoda kudzokorora kurapwa.

Kana aspergillosis inopesana ikasava nani nekurapwa kwezvinodhaka, inozopedzisira yaendesa kurufu. Iko kutaridzika kweanoparadza aspergillosis zvakare kunoenderana nechirwere chemunhu uye hutachiona hwemuviri.

Zvinetso zvehutano kubva kuchirwere kana kurapwa zvinosanganisira:

• Amphotericin B inogona kukonzera itsvo kukuvara uye zvisingafadzi mhedzisiro senge fivha uye kutonhora
• Bronchiectasis (inogara ichibuda uye kuwedzera kwemasaga madiki mumapapu)
• Chirwere chemapapu chinopararira chinogona kukonzera kubuda ropa kukuru kubva mumapapu
• Mucus plugs mumhepo
• Permanent yendege blockage
• Kukundikana kwekufema

Fonera mupi wako kana iwe ukava nezviratidzo zveaspergillosis kana kana uine immune system isina simba uye woita fever.

Chenjedzo dzinofanirwa kutorwa kana uchishandisa mishonga inodzvinyirira immune immune.

Aspergillus hutachiona

• Aspergilloma
• Pulmonary aspergillosis
• Aspergillosis - chifuva x-ray

Patterson TF. Aspergillus mhando. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 259.

Walsh TJ. Aspergillosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 339.