Pulmonary aspergilloma

ʻO ka aspergilloma pulmonary kahi nui i hoʻokumu ʻia e kahi maʻi fungal. Hoʻonui maʻamau ia i nā lua lung. Hiki ke ʻike ʻia ka maʻi i loko o ka lolo, hakuʻala, a i ʻole nā ​​mea ʻē aʻe.

ʻO Aspergillosis kahi maʻi i hoʻokumu ʻia e ka fungus aspergillus. Hoʻokumu ʻia ʻo Aspergillomas ke ulu ka fungus i kahi ʻōpala i loko o kahi hakahaka. Hoʻokumu pinepine ʻia ka lua e kekahi kūlana ma mua. Hiki ke kumu ʻia nā ʻōpū ma ka māmā e nā maʻi e like me:

• Maʻi puʻu
• ʻO Coccidioidomycosis
• ʻO Cystic fibrosis
• Histoplasmosis
• ʻAha maloʻo
• Kanesa maʻi ʻaʻai
• ʻO Sarcoidosis

ʻO ka laha maʻamau o ka fungus e kumu i ka maʻi i loko o nā kānaka Aspergillus fumigatus.

ʻO Aspergillus kahi fungus mau. Ke ulu nei ia ma nā lau make, mālama ʻia ka palaoa, nā lepo manu, nā puʻupuʻu compost, a me nā mea kanu popopo ʻē aʻe.

ʻAʻohe paha ou mau ʻōuli. Ke hoʻomohala nā ʻōuli, hiki iā lākou ke hoʻopili:

• ʻEha ʻeha
• Cough
• Hoʻomaʻamaʻa i ke koko, kahi hiki ke lilo i hōʻailona hoʻoweliweli
• Ka luhi
• Fiva
• Ka hoʻohaʻahaʻa kaumaha ʻole

Manaʻo paha kāu mea mālama olakino loaʻa ʻoe i kahi maʻi fungal ma hope o nā kukuna x o kou mau māmā e hōʻike ai i ka pōpō o ka fungus. Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• ʻO Biopsy o kaʻiʻo māmā
• Hōʻike koko no ke kū ʻana o aspergillus i ke kino (galactomannan)
• ʻIke i ke koko e ʻike i ka pane pale ʻana i aspergillus (kikoʻī kikoʻī no aspergillus)
• ʻO Bronchoscopy a i ʻole bronchoscopy me ka lavage
• ʻO Chest CT
• Moʻomeheu Sputum

ʻAʻole nui ka poʻe e hoʻomohala i nā ʻōuli. ʻO ka manawa pinepine, ʻaʻohe pono e pono ai, ke ʻole ʻoe e ʻūlū i ke koko.

I kekahi manawa, hoʻohana ʻia nā lāʻau antifungal.

Inā loaʻa kou kahe ʻana i ka akemāmā, hiki i kāu mea hāʻawi ke kīwī i ke kala i loko o nā kīʻaha koko (angiography) e ʻike i ke kahua o ke kahe ʻana. Ua kāpae ʻia ke kahe e kekahi:

• ʻO keʻoki e wehe i ka aspergilloma
• Ke kaʻina e hoʻokomo i nā mea i loko o nā kīʻaha koko e hoʻopau i ke kahe ʻana (embolization)

Hiki ke maikaʻi ka hopena i nā poʻe he nui. Eia nō naʻe, pili ia i ka paʻakikī o ke ʻano a me kou olakino holoʻokoʻa.

E kūleʻa nui paha ke kaha ʻana ma kekahi mau hihia, akā paʻakikī a hiki i kahi pilikia nui o nā pilikia koʻikoʻi.

Komo pū kekahi nā pilikia o ka aspergilloma pulmonary:

• Hīnaʻi paʻakikī e hele a māhuahua
• Kahe nui ʻana mai ka hū
• Hoʻolahalaha i ka maʻi

E ʻike i kāu mea hāʻawi inā ʻehā ʻoe i ke koko, a e ʻike pono e ʻōlelo i nā ʻōuli ʻē aʻe i ulu.

ʻO ka poʻe i pili i nā maʻi lolo a i nāwaliwali paha i nā ʻōnaehana pale pale e hoʻāʻo e hōʻalo i nā wahi kahi i loaʻa ai ka fungus aspergillus.

Kinipōpō kuʻi; Mycetoma; Aspergilloma; Aspergillosis - pulmonary aspergilloma

• Lungs
• Pulmonary nodule - nānā mua umauma x-ray
• Pulmonary nodule, mehameha - CT scan
• Aspergilloma
• Pulmonary aspergillosis
• Aspergillosis - umauma x-ray
• ʻŌnaehana hanu

Horan-Saullo JL, Alexander BD. Mycoses kūpono. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 38.

Patterson TF, Thompson GR 3rd, Denning DW, a me al. Nā kulekele hana no ka ʻike a me ka hoʻokele o aspergillosis: Hoʻohou hou ʻo 2016 e ka Infectious Diseases Society of America. Maʻi maʻi maʻi Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 319.