Aspergillosis: chimene icho chiri, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• 1. Matupi awo sagwirizana nawo
• 2. Aspergillosis m'mapapo mwanga
• 3. Aspergillosis wowopsa
• Ndani ali pachiwopsezo chachikulu
• Matenda a aspergillosis
• Momwe mankhwalawa amachitikira

Aspergillosis ndi matenda opatsirana omwe amabwera chifukwa cha bowa Aspergillus fumigatus, yomwe imapezeka m'malo angapo, monga nthaka, pantas, zinthu zowola komanso ntchito, mwachitsanzo.

Mwanjira imeneyi, popeza bowa amapezeka m'malo osiyanasiyana, anthu amalumikizana pafupipafupi ndiAspergillus fumigatus, koma si onse omwe amakhala ndi matendawa, chifukwa mafangayi amakula mosavuta ndipo amatsogolera kuwonekera kwa anthu omwe chitetezo chamthupi chimasokonezedwa kwambiri ndi matenda, monga HIV ndi lupus, akumayika kapena kugwiritsa ntchito mankhwala.

Njira yayikulu yothandizira matenda a Aspergillus amapitilira mpweya, kuwapangitsa kuti azikhala m'mapapo ndikuwongolera kuwonekera kwa zizindikilo monga kukhosomola, kupuma movutikira ndi malungo, zomwe zimatha kuvuta mwachangu ndikukhudza mbali zina za thupi, monga ubongo, mtima kapena impso, makamaka pamene chithandizo ndi antifungals sichinayambe.

Zizindikiro zazikulu

Pambuyo popumira ma spores a Aspergillus fumigatus, bowa amatha kupanga njira yopumira ndikupitilira m'thupi mopanda zisonyezo. Komabe, mwa anthu omwe ali ndi chitetezo chamthupi chovuta, zizindikilo zitha kuwonekera malinga ndi tsamba lomwe lakhudzidwa komanso kuopsa kwa matendawa, ndipo pakhoza kukhala:

1. Matupi awo sagwirizana nawo

Zimapezeka makamaka kwa anthu omwe ali ndi mbiri yamatenda am'mapapo, monga mphumu kapena cystic fibrosis ndipo imaphatikizapo zizindikilo monga:

• Malungo pamwamba 38ºC;
• Kutsokomola magazi kapena phlegm;
• Kumva kupuma movutikira;
• Mphuno yothamanga komanso kununkha kwamavuto.

Uwu ndiye mtundu wovuta kwambiri kuchitapo kanthu, ndipo nthawi zambiri, amatha kuthandizidwa ndi mankhwala omwe anali akugwiritsidwa ntchito kale pakuwombera mphumu, mwachitsanzo. Komabe, ngati zizindikiro zanu zikuipiraipira ndikofunika kwambiri kupita kuchipatala.

2. Aspergillosis m'mapapo mwanga

Milanduyi imakhalanso yofala, koma nthawi zambiri imakhudza anthu omwe alibe mbiri yamatenda am'mapapo. Zizindikiro zake ndi izi:

• Kuwonda;
• Chifuwa chosatha;
• Kutsokomola magazi;
• Kutopa kwambiri;
• Kumva kupuma pang'ono.

Ngati sanalandire chithandizo choyenera, matenda am'mapapo amatha kukula ndikufalikira kudzera magazi, kufikira mbali zina za thupi. Kuphatikiza apo, nthawi zina bowa amatha kulumikizana ndi mapapo ndikupanga bowa wambiri, wotchedwa aspergilloma, womwe ungapitilize kukula ndikutulutsa kutsokomola magazi, komanso utha kufalikira kumitsempha yamagazi ndikupangitsa aspergillosis wowopsa ..

3. Aspergillosis wowopsa

Ndi nthenda yoopsa kwambiri yomwe imachitika bowa amatha kuchulukana m'mapapu kenako ndikufalikira m'magazi. Zizindikiro zamtundu wa aspergillosis zitha kukhala:

• Malungo pamwamba 38º C;
• Kupweteka pachifuwa;
• Chifuwa chosatha;
• Ululu wophatikizana;
• Mutu;
• Kutupa kwa nkhope.

Kuphatikiza apo, bowa uyu amatha kulowa mumitsempha yamagazi, kufalikira mosavuta ndikulimbikitsa kutsekedwa kwa zotengera, zomwe zimapangitsa thrombosis.

Aspergillosis yodziwika kwambiri ndiye mtundu wofala kwambiri chitetezo chamthupi chikakhala chofooka kwambiri, chifukwa chake, zizindikilo zake zimakhala zovuta kuzizindikira, chifukwa zimatha kutanthauziridwa ngati zizindikilo za matenda kuti izi zimachokera pakuchepa kwa chitetezo chamthupi.

Ndani ali pachiwopsezo chachikulu

Kupatsirana ndi Aspergillus fumigatus zimachitika makamaka kudzera mu kutulutsa mpweya kwa zomwe zimapezeka m'chilengedwe, komabe zitha kuchitika chifukwa cha kutenthetsa kwa spores mu cornea, mwachitsanzo.

Ngakhale atha kupumira aliyense, kukula kwa matenda, makamaka amtunduwu, kumachitika kawirikawiri mwa anthu omwe ali ndi chitetezo chamthupi chocheperako chifukwa cha matenda opatsirana komanso / kapena matenda, monga HIV ndi lupus, omwe adalowetsedwa .ziwalo zaposachedwa kapena zomwe zimagwiritsa ntchito mankhwala omwe amachepetsa chitetezo cha mthupi, monga corticosteroids, chemotherapy kapena immunosuppressants.

Matenda a aspergillosis

Kuzindikira kwa aspergillosis kumayambitsidwa ndi katswiri wa matenda opatsirana, pulmonologist kapena wamkulu mwa kuwunika zizindikilo zomwe zimaperekedwa ndi munthuyo komanso mbiri yazaumoyo.

Pofuna kutsimikizira kuti kachilomboka kali ndi kachilomboka, zitha kuwonetsedwa kuti ziwone mwazi kudzera mu microscope kapena kuyesa magazi ndi serology yomwe imazindikira ma antibodies ena motsutsana ndi bowa, kapena chikhalidwe cha minofu yomwe ili ndi kachilomboka.

Chifukwa chake, malinga ndi zotsatira za mayeso, ndizotheka kutsimikizira aspergillosis ndi kuuma kwake, kukhala kothandiza kwa dokotala kuti awonetse chithandizo choyenera kwambiri.

Momwe mankhwalawa amachitikira

Chithandizo cha aspergillosis nthawi zambiri chimayambika pogwiritsa ntchito mankhwala osokoneza bongo, monga Itraconazole kapena Amphotericin B, omwe amathandiza kuthetsa bowa wochulukirapo m'thupi, kuthandiza chitetezo cha mthupi kuthana ndi matenda ndikuchepetsa zizindikilo.

Komabe, adokotala amalangizanso za kugwiritsa ntchito corticosteroids, monga Budesonide kapena Prednisone, kuti athetseretu ziwonetserozo mwachangu ndikuwonjezera mphamvu ya antifungal, makamaka kwa anthu omwe ali ndi zizindikilo zowopsa, monga omwe ali ndi mphumu, mwachitsanzo.

Milandu yovuta kwambiri, ya pulmonary kapena aspergillosis, yomwe imatha kukula kwa bowa, wotchedwa aspergilloma, adokotala amalangiza opareshoni kuti achotse ziwalo zomwe zakhudzidwa kwambiri ndikukonda zomwe zimayambitsa ma fungus.