Aspergillosis

ʻO Aspergillosis kahi maʻi a i ʻole ka pane maʻi hānai ma muli o ka fungus aspergillus.

Hoʻokumu ʻia ʻo Aspergillosis e kahi fungus i kapa ʻia ʻo aspergillus. ʻIke pinepine ʻia ka fungus e ulu ana ma nā lau make, mālama ʻia ka palaoa, nā puʻupuʻu compost, a i ʻole nā ​​mea ulu popopo. Hiki ke loaʻa ma nā lau mariuana.

ʻOiai ʻo ka hapanui o ka poʻe e hōʻike pinepine ʻia i ka aspergillus, ʻaʻole hiki pinepine nā maʻi ma ka fungus i nā poʻe i loaʻa kahi ʻōnaehana pale ola olakino.

Nui a hewahewa nā ʻano aspergillosis:

• ʻO ka aspergillosis pulmonary Allergic kahi hopena hopena i ka fungus. Kūkulu maʻamau kēia maʻi i nā poʻe i loaʻa i nā pilikia māmā e like me ka hānō a i ʻole cystic fibrosis.
• He ulu ʻo Aspergilloma (popo fungus) e ulu ma kahi o nā maʻi o ka maʻi i hala a i ʻole nā ​​scarring o ka lolo e like me tuberculosis a i ʻole abscess lung.
• ʻO ka aspergillosis pulmonary invasive kahi maʻi maikaʻi loa me ka maʻi ponia. Hiki ke pālahalaha i nā ʻāpana ʻē aʻe o ke kino. Kū pinepine kēia maʻi i nā poʻe me ka ʻōnaehana pale nawaliwali. Hiki i kēia mai ka maʻi ʻaʻai, AIDS, leukemia, kahi transplant organ, chemotherapy, a i ʻole nā ​​kūlana ʻē aʻe a i ʻole nā ​​lāʻau e hoʻohaʻahaʻa i ka helu a i ʻole ka hana o nā hunaola keokeo a hoʻonāwaliwali paha i ka ʻōnaehana pale

Pili nā ʻōuli i ke ʻano o ka maʻi.

ʻO nā ʻōuli o ka aspergillosis maʻi pulmonary āpau:

• Cough
• ʻO ka hōʻino ʻana i ke koko a i ʻole nā ​​plugina mucus brownish
• Fiva
• ʻO ka manaʻo maʻi maʻamau (malaise)
• ʻUhihi
• Kaumaha emi

Aia nā ʻōuli ʻē aʻe i ka ʻāpana o ke kino e pili ana, a e hoʻopili pū ʻia paha:

• ʻEha iwi
• ʻEha ʻeha
• ʻO Chills
• Hoʻoemi i ka puka mimi
• Poʻo poʻo poʻo
• Hoʻonui i ka hana phlegm, a he koko paha
• Pokole o ka hanu
• ʻEha ʻili (lesions)
• Nā pilikia ʻike

E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i nā hōʻailona.

ʻO nā hoʻokolohua e kuhikuhi ai i ka maʻi aspergillus i loko:

• Hōʻaʻo antibody Aspergillus
• Pākuʻi x-ray
• Helu piha koko
• CT scan
• Galactomannan (kahi mole mole mai ka fungus i loaʻa i kekahi manawa i ke koko)
• Pae koko Immunoglobulin E (IgE)
• Nā hoʻāʻo hana lung
• Pākuʻi Sputum a me ka moʻomeheu no ka fungus (e nānā ana i ka aspergillus)
• ʻO ka biopsy kope

ʻAʻole mālama pinepine ʻia kahi pōpō fungus me nā lāʻau antifungal ke ʻole ke kahe ʻana o ke kahe i loko o kaʻiʻo māmā. I kēlā hihia, pono ke ʻoki a me nā lāʻau.

Mālama ʻia ʻo aspergillosis invasive me kekahi mau pule he lāʻau antifungal. Hiki ke hāʻawi ʻia e ka waha a i ʻole IV (i loko o kahi aa koko). Hana ʻia ʻo Endocarditis e aspergillus e ka hoʻololi ʻana i nā kiwikā puʻuwai i loaʻa. Pono ʻia nā lāʻau antifungal lōʻihi.

Mālama ʻia ka maʻi āpau me ka lāʻau e kāohi i ka ʻōnaehana pale (nā lāʻau immunosuppressive), e like me ka prednisone.

Me ka mālama ʻana, ʻoi aku ka maikaʻi o ka poʻe me ka aspergillosis maʻi āpau ma mua o ka manawa. He mea maʻamau ia no ka maʻi e hoʻi ai (hoʻi hou) a pono hou i ka lāʻau.

Inā ʻaʻole ʻoi aku ka maikaʻi o ka aspergillosis invasive me ka lāʻau lapaʻau, e hopena ia i ka make. ʻO ka nānā aku no ka aspergillosis invasive pū kekahi i ka maʻi o ke kanaka a me ka olakino immune system.

ʻO nā pilikia olakino mai ka maʻi a i ʻole ka mālama ʻana:

• Hiki i ka Amphotericin B hiki ke hōʻeha i nā puʻupaʻa a me nā hopena ʻoluʻolu ʻole e like me ke kuni a me nā haʻalulu
• Bronchiectasis (scarring mau a me ka hoʻonui ʻana o nā ʻeke liʻiliʻi i nā akemāmā)
• Hiki i ka maʻi maʻi invasive ke kumu i ke kahe nui mai ka akemāmā
• Pākuʻi ka mucus i nā alaloa
• Pā paʻa paʻa paʻa paʻa mau
• Hoʻoikaika hanu ʻole

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o aspergillosis a i ʻole inā loaʻa ʻoe i kahi ʻōnaehana pale nāwaliwali a ulu i kahi fiva.

Pono e mālama i ka wā e hoʻohana ana i nā lāʻau e kaomi i ka ʻōnaehana pale.

Maʻi maʻi Aspergillus

• Aspergilloma
• Pulmonary aspergillosis
• Aspergillosis - umauma x-ray

Patterson TF. Aspergillus ʻano laha. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 259.

Walsh TJ. Aspergillosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 339.