Aspergillosis

Aspergillosis ndi matenda kapena vuto linalake chifukwa cha bowa wa aspergillus.

Aspergillosis imayambitsidwa ndi bowa wotchedwa aspergillus. Mafangayi amapezeka kuti amakula masamba okufa, tirigu wosungidwa, milu ya kompositi, kapena masamba ena owola. Ikhozanso kupezeka pamasamba achamba.

Ngakhale anthu ambiri amakhala ndi aspergillus, matenda omwe amabwera chifukwa cha bowa samapezeka mwa anthu omwe ali ndi chitetezo chamthupi chokwanira.

Pali mitundu ingapo ya aspergillosis:

• Matupi awo sagwirizana aspergillosis ndi matupi awo sagwirizana ndi bowa. Matendawa amayamba mwa anthu omwe ali ndi mavuto am'mapapo monga mphumu kapena cystic fibrosis.
• Aspergilloma ndikukula (fungus mpira) komwe kumachitika mdera lamatenda am'mbuyomu kapena mabala am'mapapo monga chifuwa chachikulu kapena chifuwa cham'mapapo.
• Matenda owopsa a aspergillosis ndi matenda akulu ndi chibayo. Itha kufalikira mbali zina za thupi. Matendawa amapezeka nthawi zambiri mwa anthu omwe ali ndi chitetezo chamthupi chofooka. Izi zitha kuchokera ku khansa, Edzi, leukemia, kumuika thupi, chemotherapy, kapena zinthu zina kapena mankhwala omwe amachepetsa kuchuluka kwa magwiridwe antchito am'magazi oyera kapena kufooketsa chitetezo chamthupi.

Zizindikiro zimadalira mtundu wa matenda.

Zizindikiro zamatenda am'mapapo aspergillosis atha kukhala:

• Tsokomola
• Kutsokomola magazi kapena mapulagi abulauni
• Malungo
• Kumva kudwala (malaise)
• Kutentha
• Kuchepetsa thupi

Zizindikiro zina zimadalira gawo la thupi lomwe lakhudzidwa, ndipo limatha kuphatikiza:

• Kupweteka kwa mafupa
• Kupweteka pachifuwa
• Kuzizira
• Kuchepetsa mkodzo
• Kupweteka mutu
• Kuchulukitsa kwa phlegm, komwe kumatha kukhala kwamagazi
• Kupuma pang'ono
• Zilonda za khungu (zotupa)
• Mavuto masomphenya

Wothandizira zaumoyo amayeza thupi ndikufunsa za zizindikilozo.

Kuyesera kuti mupeze matenda a aspergillus ndi awa:

• Mayeso a Aspergillus antibody
• X-ray pachifuwa
• Kuwerengera kwathunthu kwa magazi
• Kujambula kwa CT
• Galactomannan (molekyulu ya shuga yochokera ku bowa yomwe nthawi zina imapezeka m'magazi)
• Mulingo wamagazi wa Immunoglobulin E (IgE)
• Kuyesa kwa mapapo
• Sputum banga ndi chikhalidwe cha bowa (kufunafuna aspergillus)
• Zolemba zamatenda

Bowa wa fungus samachiritsidwa ndi mankhwala oletsa mafungulo pokhapokha ngati pali magazi m'mapapo. Zikatere, pamafunika opaleshoni ndi mankhwala.

Aspergillosis yovuta imachiritsidwa ndi milungu ingapo yamankhwala osokoneza bongo. Itha kuperekedwa pakamwa kapena IV (mumitsempha). Endocarditis yoyambitsidwa ndi aspergillus imachiritsidwa mwa kuchitidwa opaleshoni m'malo mwa mavavu amtima omwe ali ndi kachilombo. Mankhwala antifungal a nthawi yayitali amafunikanso.

Matenda a aspergillosis amachiritsidwa ndi mankhwala omwe amalepheretsa chitetezo cha mthupi (mankhwala osokoneza bongo), monga prednisone.

Ndi chithandizo, anthu omwe ali ndi vuto la aspergillosis nthawi zambiri amakhala bwino pakapita nthawi. Zimakhala zachilendo kuti matendawa abwerere (kubwereranso) ndipo amafunika kubwereza mankhwala.

Ngati aspergillosis siyabwino chifukwa chogwiritsa ntchito mankhwala osokoneza bongo, pamapeto pake imabweretsa imfa. Kuwona kwa aspergillosis wowopsa kumadaliranso matenda omwe amabwera ndi thanzi la chitetezo chamthupi.

Matenda aza matenda kapena mankhwalawa ndi awa:

• Amphotericin B imatha kuwononga impso ndi zovuta zina monga kutentha thupi komanso kuzizira
• Bronchiectasis (mabala okhazikika ndi kukulitsa matumba ang'ono m'mapapu)
• Matenda owopsa am'mapapo amatha kuyambitsa magazi m'mapapo
• Ntchofu mapulagi mu airways
• Kutsekeka kwampweya wokhazikika
• Kulephera kupuma

Itanani omwe akukuthandizani ngati muli ndi matenda a aspergillosis kapena ngati muli ndi chitetezo chamthupi chofooka ndikudwala malungo.

Muyenera kusamala mukamagwiritsa ntchito mankhwala omwe amaletsa chitetezo chamthupi.

Matenda a Aspergillus

• Aspergilloma
• Aspergillosis m'mapapo mwanga
• Aspergillosis - chifuwa x-ray

(Adasankhidwa) Patterson TF. Aspergillus zamoyo. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 259.

Walsh TJ. Aspergillosis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 339.