I-aspergilloma yemiphunga

I-aspergilloma yepulmonary bubunzima obubangelwa yintsholongwane yokungunda. Ihlala ikhula kwimingxunya yemiphunga. Usulelo lunokuvela kwingqondo, kwizintso, okanye kwamanye amalungu.

I-Aspergillosis sisifo esibangelwa yi-fungus aspergillus. I-Aspergillomas yenziwa xa i-fungus ikhula kwi-clump kwi-lung cavity. Umqala uhlala wenziwa yimeko yangaphambili. Imingxunya emiphungeni inokubangelwa zizifo ezifana:

• Isifo sephepha
• ICoccidioidomycosis
• Icystic fibrosis
• Imbali
• Ithumba lemiphunga
• Umhlaza wemiphunga
• I-Sarcoidosis

Ezona ntlobo zixhaphakileyo zokungunda ezibangela isifo ebantwini zezi I-Aspergillus fumigatus.

I-Aspergillus ngundo oqhelekileyo. Ikhula kumagqabi afileyo, ingqolowa egciniweyo, ilindle leentaka, iimfumba zomgquba kunye nolunye uhlaza olubolayo.

Ungeke ube neempawu. Xa iimpawu zikhula, zinokubandakanya:

• Iintlungu zesifuba
• Khohlela
• Ukukhohlela igazi, elinokuba luphawu olusongela ubomi
• Ukudinwa
• Ifiva
• Ukuphulukana nobunzima ngabom

Umboneleli wakho wokhathalelo lwempilo unokukrokrela ukuba unosulelo lomngundo emva kwe-x-ray yemiphunga yakho ibonisa ibhola yefungus. Olunye uvavanyo olunokwenziwa lunokubandakanya:

• I-Biopsy yamathambo emiphunga
• Uvavanyo lwegazi lobukho be-aspergillus emzimbeni (galactomannan)
• Uvavanyo lwegazi ukufumana impendulo yomzimba kwi-aspergillus (ii-antibodies ezithile ze-aspergillus)
• I-Bronchoscopy okanye i-bronchoscopy ngokuhlamba
• Isifuba CT
• Inkcubeko yesikhohlela

Abantu abaninzi abaze bahlakulele iimpawu. Rhoqo, alufuneki unyango, ngaphandle kokuba ukhohlela igazi.

Ngamanye amaxesha, amayeza okubola anokusetyenziswa.

Ukuba ukopha kwimiphunga, umboneleli wakho unokufaka idayi kwimithambo yegazi (i-angiography) ukufumana indawo yokopha. Ukopha kumisiwe nokuba:

• Utyando ukususa i-aspergilloma
• Inkqubo efaka izinto kwimithambo yegazi ukunqanda ukopha (ukudibanisa)

Isiphumo sinokulunga kubantu abaninzi. Nangona kunjalo, kuxhomekeke kubukhali bemeko nakwimpilo yakho iyonke.

Ugqirha lunokuphumelela kakhulu kwezinye iimeko, kodwa luyinkimbinkimbi kwaye lunokuba semngciphekweni omkhulu weengxaki ezinzulu.

Iingxaki ze-pulpary aspergilloma zingabandakanya:

• Kunzima ukuphefumla okuya kusiba mandundu
• Ukopha okukhulu kumphunga
• Ukusasazeka kwesifo

Jonga umboneleli wakho ukuba ukhohlela igazi, kwaye uqiniseke ngokukhankanya naziphi na ezinye iimpawu ezivelileyo.

Abantu abaye banxulumene nokusuleleka kwimiphunga okanye abaye banciphisa amajoni omzimba kufuneka bazame ukuphepha imimandla apho i-aspergillus fungus ifumaneka khona.

Ibhola yomngundo; Unyango; Aspergilloma; Aspergillosis - aspergilloma yemiphunga

• Amaphaphu
• I-pululemon nodule - umbono wangaphambili wesifuba x-ray
• I-pululemon nodule, yedwa-i-CT scan
• Aspergilloma
• I-aspergillosis yemiphunga
• Aspergillosis - esifubeni X-reyi
• Inkqubo yokuphefumla

UHoran-Saullo JL, uAlexander BD. I-mycoses yamathuba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 38.

IPatterson TF, Thompson GR 3rd, iDenning DW, et al. Izikhokelo zokuziqhelanisa nokuchongwa kunye nokulawulwa kwe-aspergillosis: Uhlaziyo luka-2016 nguMbutho wezifo ezosulelayo eMelika. KwiKlinikhi yosulelo lweDis. Ngo-2016; 63 (4): e1-e60. IINKCUKACHA: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

UWalsh TJ. I-Aspergillosis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 319.