Aspergilloma m'mapapo mwanga

Aspergilloma ya m'mapapo ndiyambiri yomwe imayambitsidwa ndi matenda a fungal. Nthawi zambiri imamera m'mapapu. Matendawa amathanso kupezeka muubongo, impso, kapena ziwalo zina.

Aspergillosis ndi matenda omwe amayamba ndi fungus aspergillus. Aspergillomas amapangidwa bowa akamakula mulu wam'mapapo. Mimbayo nthawi zambiri imapangidwa ndimikhalidwe yapita. Miphika yam'mapapo imatha kubwera chifukwa cha matenda monga:

• Matenda a chifuwa chachikulu
• Coccidioidomycosis
• Cystic fibrosis
• Histoplasmosis
• Kutupa m'mapapo
• Khansa ya m'mapapo
• Sarcoidosis

Mitundu yambiri ya bowa yomwe imayambitsa matenda mwa anthu ndi Aspergillus fumigatus.

Aspergillus ndi bowa wamba. Amamera pamasamba okufa, tirigu wosungidwa, ndowe za mbalame, milu ya kompositi, ndi zomera zina zowola.

Simungakhale ndi zizindikilo. Zizindikiro zikayamba, zimatha kuphatikiza:

• Kupweteka pachifuwa
• Tsokomola
• Kukhosometsa magazi, chomwe chingakhale chizindikiro chowopseza moyo
• Kutopa
• Malungo
• Kuchepetsa mwangozi

Wopereka chithandizo chamankhwala angaganize kuti muli ndi matenda a fungal pambuyo pa x-ray yamapapu anu akuwonetsa mpira wa bowa. Mayesero ena omwe angachitike ndi awa:

• Chidutswa cha minofu yamapapu
• Kuyezetsa magazi kupezeka kwa aspergillus m'thupi (galactomannan)
• Kuyesa magazi kuti muzindikire kuyankha kwa chitetezo cha mthupi ku aspergillus (ma antibodies enieni a aspergillus)
• Bronchoscopy kapena bronchoscopy ndikutsuka
• Chifuwa CT
• Chikhalidwe cha Sputum

Anthu ambiri samakhala ndi zizindikilo. Nthawi zambiri, palibe chithandizo chofunikira, pokhapokha ngati mukutsokomola magazi.

Nthawi zina, mankhwala antifungal atha kugwiritsidwa ntchito.

Ngati mwatuluka magazi m'mapapu, omwe amakupatsani akhoza kulowetsa utoto m'mitsempha yamagazi (angiography) kuti mupeze komwe kumatuluka magazi. Kutaya magazi kumayimitsidwa ndi mwina:

• Opaleshoni kuti achotse aspergilloma
• Ndondomeko yomwe imayika zinthu m'mitsempha yamagazi kuti ithetse magazi (kuphatikiza)

Zotsatira zake zitha kukhala zabwino kwa anthu ambiri. Komabe, zimatengera kukula kwa vutoli komanso thanzi lanu lonse.

Opaleshoni itha kukhala yothandiza kwambiri nthawi zina, koma ndi yovuta ndipo imatha kukhala pachiwopsezo chachikulu chazovuta zazikulu.

Zovuta za pulmonary aspergilloma zitha kuphatikizira izi:

• Kuvuta kupuma komwe kumakulirakulira
• Kutulutsa magazi kwakukulu m'mapapu
• Kufalikira kwa matendawa

Onani omwe akukuthandizani ngati mukutsokomola magazi, ndipo onetsetsani kuti mwatchulanso zina zomwe zachitika.

Anthu omwe ali ndi matenda am'mapapo kapena omwe afooketsa chitetezo cha mthupi ayenera kuyesetsa kupewa malo omwe bowa wa aspergillus umapezeka.

Mafangayi mpira; Mycetoma; Aspergilloma; Aspergillosis - aspergilloma m'mapapo mwanga

• Mapapo
• Pulmonary nodule - kutsogolo kwa chifuwa x-ray
• Pulmonary nodule, payekha - CT scan
• Aspergilloma
• Aspergillosis m'mapapo mwanga
• Aspergillosis - chifuwa x-ray
• Dongosolo kupuma

Horan-Saullo JL, Alexander BD. Mycoses yopanga mwayi. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 38.

Patterson TF, Thompson GR 3, Denning DW, ndi al. Chitani zitsogozo zakuwunika ndi kuwunika kwa aspergillosis: Kusintha kwa 2016 ndi Infectious Diseases Society of America. Clin Infect Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 319.