Mea Kākau: Peter Berry
Lā O Ka Hana: 12 Iulai 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Diagnosis and treatment of chronic pulmonary aspergillosis
Wikiō: Diagnosis and treatment of chronic pulmonary aspergillosis

Anter

He aha kahi hōʻike aspergillus precipitin?

ʻO Aspergillus precipitin kahi hōʻike hoʻokolohua i hana ʻia i kou koko. Kauoha ʻia ke kuhi ke kauka he maʻi kou na ka fungus Aspergillus.

Kāhea ʻia ka hoʻāʻo:

  • aspergillus fumigatus 1 hoʻāʻo pae pae
  • hoʻāʻo antibody aspergillus
  • hōʻike hoʻāʻo aspergillus immunodiffusion
  • hoʻāʻo no ka hoʻohaunaele i nā mea ʻino

Ka hoʻomaopopo ʻana i ka maʻi aspergillus

ʻO Aspergillosis kahi maʻi fungal i hoʻokumu ʻia e Aspergillus, kahi fungus i loaʻa i nā hale a me waho. ʻIke pinepine ʻia ia i nā hua kanu i mālama ʻia, a me nā mea ulu popopo e like me nā lau make, nā hua pala i mālama ʻia, a me nā paila compost. E loaʻa nō paha ia ma nā lau o ka lāʻau.

Hanu ka hapa nui o ka poʻe i kēia spores i kēlā me kēia lā me ka maʻi ʻole. Eia nō naʻe, ʻo ka poʻe i nāwaliwali i nā ʻōnaehana pale e maʻalahi i nā maʻi fungus.

Hoʻopili kēia i ka poʻe me ka maʻi a me ka maʻi ʻaʻai a me nā mea e mālama ana i nā lāʻau pale pale pale e like me chemotherapy a i ʻole transplant anti-rejection lāʻau.


ʻElua mau ʻano aspergillosis i hiki i nā kānaka ke loaʻa mai i kēia fungus.

Allergic bronchopulmonary aspergillosis (ABPA)

ʻO kēia kumu ke kumu o nā hopena āpau e like me ka wheezing a me ke kaʻe, ʻoi aku i ka poʻe i loaʻa i ka hānō a i ʻole cystic fibrosis. Hoʻopili ka ABPA a hiki i ka 19 pākēneka o ka poʻe i loaʻa ka cystic fibrosis.

Aspergillosis hoʻouka

Kāhea ʻia hoʻi ka aspergillosis pulmonary, hiki ke laha i kēia maʻi i loko o ke kino ma o ke kahe o ke koko. Hiki iā ia ke hōʻino i nā akemāmā, nā puʻupaʻa, ka puʻuwai, ka lolo, a me nā ʻōnaehana, keu hoʻi i ka poʻe me nā ʻōnaehana pale nawaliwali.

Hiki ke loli nā ʻōuli o aspergillosis. ʻO kahi laʻana, loaʻa i kahi kanaka i ka ʻūhū maloʻo. Hiki i kekahi ke hoʻoulu i ka nui o ke koko, e pono ai ka mālama olakino wikiwiki.

Ma ka laulā, aspergillosis hōʻailona me:

  • pokole o ka hanu
  • ʻūhū i ka umauma
  • fiva
  • ʻūhū maloʻo
  • e kahe ana ke koko
  • nāwaliwali, nāwaliwali, a me ka manaʻo nui o ka malaise
  • lilo kaumaha kaumaha ʻole

Kū like nā ʻōuli o aspergillosis me nā cystic fibrosis a me ka hānō. Eia nō naʻe, ʻo ka poʻe me ka hānō a me ka cystic fibrosis e hoʻomōhala pinepine i ka aspergillosis e maʻi pinepine lākou ma mua o ka poʻe me ka ʻole o kēia mau ʻano. Hiki iā lākou ke ʻike i nā hōʻailona hōʻino, e like me:


  • hoʻonui i ka mumū
  • hāʻule i ka hana māmā
  • hoʻonui phlegm, a i ʻole sputum, hana
  • mahuahua wheezing a me ka puʻe
  • hoʻonui i nā hōʻailona hānō me ka hoʻoikaika kino

Pehea e hana ai ka hōʻike

ʻIke ʻo Aspergillus precipitin i ke ʻano a me ka nui o kahi kikoʻī Aspergillus nā mea ʻino i loko o ke koko. ʻO nā Antibodies nā proteins immunoglobulin i hana ʻia e ka ʻōnaehana pale i ka pane ʻana i nā mea ʻino i kapa ʻia he antigens.

ʻO kahi antigenis kahi mea a kou kino e ʻike ai he mea hoʻoweliweli. Hoʻokahi laʻana he microorganism hoʻouka e like me Aspergillus.

Hoʻonohonoho kūikawā ʻia kēlā me kēia antibody a ka ʻōnaehana pale e pale aku ai i ke kino i ka antigen kikoʻī. ʻAʻohe palena i ka helu o nā antibodies ʻokoʻa i hiki i kahi ʻōnaehana pale olakino ke hana.

I kēlā me kēia manawa ke hālāwai ke kino me kahi antigen hou, hana ia i ka mea ʻalike e kūʻē iā ia.

Aia he ʻelima papa o ka immunoglobulin (Ig) antibodies:

  • IgM
  • ʻO IgG
  • IgE
  • IgA
  • IgD

ʻO IgM a me IgG ka mea i ho'āʻo pinepine ʻia. Hana pū kēia mau mea ʻino e pale i ke kino i nā maʻi. Pili mau nā mea pākuʻi IgE me nā maʻi āpau.


Nānā ka hōʻike aspergillus precipitin no IgM, IgG, a me IgE i nā mea ʻino i loko o ke koko. Kōkua kēia i ka hoʻoholo ʻana i ke alo o Aspergillus a pehea ke ʻano o ka fungus i ke kino.

Nā kaʻina hana: Lawe i kahi laʻana koko

E aʻo aku kāu kauka iā ʻoe inā pono ʻoe e hoʻokē ʻai ma mua o ka hōʻoia o ke koko. Inā ʻole, ʻaʻole pono kahi hoʻomākaukau.

E huki ke kauka i ke koko mai kahi aa, maʻa mau o ka kuʻe lima. E hoʻomaʻemaʻe mua lākou i ka pūnaewele me kahi antiseptic pepehi kanaka germ a laila hoʻopili i kahi kaula ʻula a puni ka lima, e pehu ana ke aʻa me ke koko.

E hoʻokomo mālie lākou i kahi syringe i ka aa. E hōʻiliʻili ke koko i ka pahu syringe. Ke piha ka paipu, hemo ka nila.

Lawe ʻia ke kāʻei elastis, a uhi ʻia ka pūnaewele kui kele me ka gauze sterile e hoʻōki i ke kahe ʻana o ke kahe.

Nā pilikia kūpono e pili ana i kahi huki koko

ʻO ka maʻamau ke ʻike i kekahi ʻeha ke kauo ke koko. He ʻū iki paha kēia a i ʻole ʻeha ʻeha kaulike paha me kahi ʻōpala ma hope o ka hemo ʻana o ka nila.

ʻO nā pilikia maʻamau o nā hoʻāʻo ʻana i ke koko:

  • kahe nui ke koko
  • maule ana
  • ʻālohilohi
  • hoʻohuihui koko ma lalo o ka ʻili, a i ʻole hematoma
  • maʻi maʻi

Inā ʻoe e ʻike i ke kahe ʻana ma hope o ka hemo ʻana o ka nila, hiki iā ʻoe ke hoʻohana i nā manamana ʻekolu e kau i ka kaomi i ka pūnaewele no 2 mau minuke. Pono kēia e hoʻoliʻiliʻi i ke kahe ʻana a me ka palapū.

Ka wehewehe ʻana i nā hopena hōʻike

Loaʻa nā hopena hōʻike Aspergillus precipitin ma waena o 1 a 2 mau lā.

ʻO kahi hopena hōʻoia "maʻamau" ʻo ia hoʻi ʻaʻole Aspergillus ua loaʻa nā mea pale mūhā i kou koko.

Eia naʻe, ʻaʻole kēia manaʻo Aspergillus pau loa i kou kino. Inā ua loaʻa iā ʻoe kahi hopena hoʻokolohua maʻamau akā ke kānalua nei kāu kauka i kāu maʻi i hoʻokumu ʻia e kēia fungus, pono i kahi moʻomeheu hoʻāʻo i ka kuha a i kahi biopsy kiko.

ʻO kahi hopena hōʻoia "ʻokoʻa" ʻo ia hoʻi Aspergillus Ua loaʻa nā huakō fungus i kou koko. Hiki paha i kēia ke ʻano ua ʻike ʻia ʻoe i ka fungus, akā ʻaʻole paha ʻoe i loaʻa i kahi maʻi o kēia wā.

E hōʻoia me kāu kauka e pili ana i kāu mau hopena hōʻike ke loaʻa iā ʻoe.

Ke ukali nei ma hope o ka hoʻāʻo

Hiki iā ʻoe ke hoʻomaikaʻi iā ʻoe iho me ka ʻole o ka lāʻau inā loaʻa iā ʻoe kahi ʻōnaehana pale ola olakino.

Pono paha ka poʻe me nā ʻōnaehana pale nawaliwali e lawe i nā lāʻau antifungal no 3 mau mahina i kekahi mau makahiki. E kōkua kēia i ka hemo ʻana i kou kino i ka fungus.

Pono e hehi ʻia i lalo a i ʻole hoʻopau ʻia kekahi lāʻau ʻino e lawe ana i nā lāʻau pale maʻi e lawe ʻoe i ka maʻi. E noʻonoʻo e kūkākūkā i kēia me kāu kauka.

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