Aspergillosis wa mapapo

Matumbo a aspergillosis ndi matenda omwe amachititsa nkhungu zosiyanasiyana monga fungi aspergillus yomwe imalowa m'thupi panthawi yopuma. Kuwonjezeka kwa abwenzi a fungaloni kumayambitsa osati ma pulmonary aspergillosis, komanso matenda a ziwalo zina zopuma:

• chitsulo;
• chibayo;
• kutentha kwa pleura;
• bronchopulmonary aspergillosis.

Zizindikiro za pulmonary aspergillosis

Akatswiri amadziwa zochitika zosiyanasiyana zachipatala za aspergillosis. Nthawi zina, matendawa amakhala osokonezeka. Munthu woteroyo, osamva kudwala, nthawi yomweyo ndi wonyamulira nkhungu.

Chifukwa chofooka chitetezo cha zizindikiro za aspergillosis zimatchulidwa kwambiri. Zizindikiro zosonyeza kukula kwa matenda ndi:

• kufooka kwakukulu, kumverera kwa malaise;
• kuchepetsa chilakolako, kulemera kwa kulemera;
• ululu m'chifuwa ;
• mpweya wochepa;
• malungo ndi kuzizira;
• kugona mopanda phokoso;
• kukoma kwa nkhungu pakamwa;
• chifuwa chokhala ndi chifuwa chachikulu.

Kawirikawiri, wodwalayo ali ndi ziphuphu zooneka ngati zobiriwira (msanganizo wa bowa) kapena mitsempha yamagazi. Hemoptysis imapezeka chifukwa cha kuwonongeka kwapadera chifukwa cha kukula kwa mycelium m'makoma a mitsempha ndi chitukuko cha thrombosis.

Kuchiza kwa pulmonary aspergillosis

Kuchiza mankhwala a aspergillosis, mankhwala osokoneza bongo amauzidwa. Mitundu yochepa ya mapiritsi a matenda:

• Mycoheptin;
• Amphoglucamine.

Mlingo wa mankhwala tsiku ndi tsiku ndi magulu 400-600,000., Wagawidwa mu 4-6 zokalandira.

Pamene tsamba lopuma limakhudzidwa, kuyamwa ndi kukonzekera Amphotericin-B ndi 2.4% yothetsera Euphyllin akulimbikitsidwa. Njira yotsegula imatenga kuyambira masabata 1 mpaka 2. Pambuyo pa sabata, njira yoperekera mankhwala imabwerezedwa kachiwiri.

Amphotericin B komanso akhoza kuperekedwa mwachindunji. Njira yopangira mankhwala ndi njira 16-20 ndifupipafupi kawiri pa mlungu. Mankhwalawa amajambulidwa pang'onopang'ono, amawongolera, pamene kuchuluka kwa mankhwala ojambulidwa kumadalira kulemera kwa thupi ndi kuopsa kwa matendawa.

Kuthana ndi kupuma kwa mphuno pochita masewera ochepa a kutenga corticosteroids ( Prednisolone , Itraconazole), yomwe imatengedwa pamlomo.

Odwala omwe amayamba kutuluka m'magazi a aspirin aspergillosis amafuna lobectomy - opaleshoni kuchotsa chotupa cha mapapo. Pambuyo pa opaleshoniyi, mankhwala opha tizilombo ndi ma antitifungal amalembedwa kuti athe kupezeka kufalikira kwa kachilomboka.