Aspergillus fumigatus

Anter

• Hōʻike Overview
• ʻO wai ka pilikia?
• Nā maʻi i hoʻokumu ʻia e A. fumigatus
• ʻO ka aspergillosis bronchopulmonary Allergic
• Aspergillosis pulmonary maʻi
• Aspergillosis hoʻouka
• Ka mālama ʻana i kahi maʻi A. fumigatus
• Kāohi ʻana i ka maʻi
• Hōʻalo i nā hana i hiki ke hoʻopili iā ʻoe Aspergillus ʻano laha.
• E lawe i ka lāʻau antifungal prophylactic
• Ke hoʻāʻo nei no Aspergillus ʻano laha
• ʻO ka lawe lawe ʻana

Hōʻike Overview

Aspergillus fumigatus he laha holika. Hiki ke loaʻa ma nā wahi āpau, e like me ka lepo, nā mea kanu, a me ka lepo o ka home. Hiki i ka fungus ke hana i nā spores airborne i kapa ʻia ʻo conidia.

Hiki i ka hapanui o ka poʻe ke hāhau i kēia mau spore i kēlā me kēia lā. I ke kanaka olakino, hoʻomaʻemaʻe pinepine ka ʻōnaehana pale kino iā lākou mai ke kino me ka pilikia ʻole. Eia nō naʻe, no kekahi poʻe, e hanu nei A. fumigatus, spores hiki ke alakaʻi i kahi maʻi maʻi kūpikipiki loa.

ʻO wai ka pilikia?

Aia ʻoe ma ka makaʻu loa no ka lilo ʻana i maʻi mai A. fumigatus inā 'oe:

• loaʻa kahi ʻōnaehana pale nāwaliwali, hiki ke hoʻopili inā e lawe ana ʻoe i nā lāʻau pale pale pale, loaʻa kekahi mau maʻi maʻi koko, a i ʻole ma nā pae hope o ka maʻi SIDA.
• loaʻa i kahi maʻi lung, e like me ka hānō a i ʻole cystic fibrosis
• loaʻa kahi helu keʻokeʻo haʻahaʻa o ke koko keʻokeʻo, kahi hiki ke hana inā ke hele nei ʻoe i ka chemotherapy, inā loaʻa ka maʻi leukemia, a i ʻole inā he transplant ʻōnaehana ʻoe.
• ua hele ma ka lōʻihi lōʻihi corticosteroid therapy
• ke ola nei mai kahi maʻi maʻi influenza i hala iho nei

Nā maʻi i hoʻokumu ʻia e A. fumigatus

ʻO kahi maʻi i hoʻokumu ʻia e ka Aspergillus ʻae ʻia o ka fungus i kapa ʻia he aspergillosis.

A. fumigatus ʻo ia kekahi o nā kumu o ka aspergillosis. He mea nui e hoʻomaopopo i kēlā ʻē aʻe Aspergillus Hiki i nā laha ke hoʻopili i ka poʻe. Hiki ke hoʻohui i kēia ʻano A. flavus, A. niger, a A. terreus.

Aia kekahi mau ʻano like ʻole o aspergillosis, me:

ʻO ka aspergillosis bronchopulmonary Allergic

He hopena maʻi ʻaʻai kēia ma ke Aspergillus spores. Hiki i kēia hopena ke hopena i ka hōʻino i kāu mau alaloa a me kou mau māmā. ʻIke pinepine ʻia i ka poʻe i loaʻa nā kūlana e like me ka hānō a me ka cystic fibrosis.

Hiki i nā ʻōuli ke hoʻohui pū:

• fiva
• nāwaliwali
• manaʻo laulā o ka maʻi a hōʻoluʻolu ʻole paha
• e ʻū ana i nā ʻōkuhi ʻeleʻele o ka mucus a i ʻole ka mucus i loaʻa ke koko

E ʻike paha ka poʻe me ka hānō i ka hoʻomaka ʻana e hoʻonui i nā ʻōuli hānō. Hiki i kēia ke komo i ka hoʻonui ʻia o ka hanu a i ʻole ke kani ʻana.

Aspergillosis pulmonary maʻi

Hoʻolālā holomua ka aspergillosis maʻi pulmonary. Hiki iā ia ke hana i nā kānaka me nā kūlana o ka hanu mau e hiki ai i nā lewa i kapa ʻia nā ʻāwaha e hana i loko o ka māmā. ʻO nā laʻana o ia ʻano ʻano ʻo tuberculosis a me empysema.

Hiki ke hōʻike ʻia ka aspergillosis pulmonary mau i kekahi mau ʻano, i hiki ke hoʻopili ʻia:

• nā kiko liʻiliʻi o Aspergillus maʻi i loko o nā akemāmā, i kapa ʻia nodule
• pūliki ʻia nā kinipōpō o ka fungus i loko o ka lua lung, i kapa ʻia ʻo aspergillomas (hiki i kēia mau manawa ke hana i nā pilikia e like me ke kahe ʻana o ka hakahaka)
• ʻoi aku ka maʻi ākea o nā lua lung, a i ʻole loaʻa ʻole iā aspergillomas

Ke waiho maikaʻi ʻole ʻia, hiki i ka maʻi ākea ke alakaʻi i ka mānoanoa a me ka scarring o nā aʻa māmā, a hiki i ka nalo ʻana o ka hana māmā.

ʻO nā kānaka me ka aspergillosis pulmonary mau e hoʻomohala i nā hōʻailona aʻe:

• fiva
• ʻūhā, kahi e hoʻopili ai i ka huʻe ʻana i ke koko
• pokole o ka hanu
• manaʻo luhi
• manaʻo laulā o ka maʻi a hōʻoluʻolu ʻole paha
• lilo kaumaha maopopo ʻole
• puhū pō

Aspergillosis hoʻouka

ʻO ka invasive aspergillosis ke ʻano ʻoi loa o ka aspergillosis a hiki ke make inā ʻaʻole e mālama ʻia. Hana ʻia ia ke hoʻomaka kahi maʻi maʻi aspergillosis i loko o nā akemāmā a pālahalaha aku i nā ʻāpana ʻē aʻe o kou kino, e like me kou ʻili, lolo, a nā puʻupaʻa paha. ʻO ka aspergillosis invasive wale nō i ka poʻe i loaʻa ka ʻōnaehana pale maʻi nāwaliwali loa.

Hiki i nā ʻōuli o ka aspergillosis invasive ke komo pū me:

• fiva
• ʻūhā, kahi hiki ke hoʻopili ʻia i ke kaʻe ʻana i ke koko
• pokole o ka hanu
• ʻeha o ka umauma, kahi e ʻoi aku ka maikaʻi ke lawe ʻoe i nā hanu hohonu

Ke pālahalaha ka maʻi i waho o nā akemāmā, hiki i nā ʻōuli ke hilinaʻi i ka ʻāpana o ke kino e hoʻopili ʻia, akā hiki ke hoʻopili ʻia:

• ʻeha poʻo
• maka ʻehu
• ihu ihu
• ʻeha pū
• lesions ma ka ʻili
• nā pilikia me ka ʻōlelo
• huikau
• ka hopu ʻana

Ka mālama ʻana i kahi maʻi A. fumigatus

An A. fumigatus hiki i ka maʻi ke paʻakikī e ʻike pono ma muli o ke ʻano like o nā ʻōuli me nā kūlana puʻupuʻu ʻē aʻe e like me ka tuberculosis.

Hoʻohui ʻia, hiki i ka nīnaninau microscopic o sputum a i ʻole nā ​​mea kikoʻī ke hōʻoia ʻole no ka mea Aspergillus Hiki i nā laha ke kūlike i like me nā ʻano fungal ʻē aʻe ke nānā ʻia ma lalo o kahi microscope.

Nā ʻano diagnostics no Aspergillus hiki ke hoʻokomo:

• moʻomeheu o kahi hāpana sputum e ʻike ai Aspergillus ulu ana
• kahi umauma X-ray e nānā i nā hōʻailona o ka maʻi, e like me aspergillomas
• kahi hoʻokolohua koko e ʻike inā loaʻa nā mea ʻohā i Aspergillus aia i kou kahawai koko
• ka hopena polymerase chain (PCR), kahi ʻano hana mole e hiki ke hoʻohana ʻia e ʻike Aspergillus laha mai kahi sputum a i ʻole kahi mea kiko kiko
• nā hoʻāʻo e huai ae i kahi ʻāpana o ka paia nāhena fungal o Aspergillus a me nā ʻano fungal ʻē aʻe (ʻo ka galactomannan antigen test a me ka beta-d-glucan assay)
• ʻili a i ʻole nā ​​hoʻāʻo ʻana i ke koko e hōʻoia i kahi āpau i Aspergillus spores

Hiki ke mālama ʻia nā aspergillosis alergic bronchopulmonary aspergillosis me nā lāʻau liʻiliʻi. I kekahi manawa e lawe ʻoe i nā corticosteroids me nā lāʻau antifungal e like me itraconazole.

ʻO ka aspergillosis pulmonary paʻa e pili ana i nā nodule a i ʻole nā ​​aspergillomas hoʻokahi e koi ʻole i ka lāʻau. Heʻoiaʻiʻo maoli kēia inā ʻaʻohe ou hōʻailona. Pono e nānā mau i nā nodule e hōʻoia i ka holomua ʻole.

Hoʻohana ʻia nā lāʻau anttifungal e mālama i nā hihia ʻoi aku ka nui o ka aspergillosis pulmonary mau loa, a me ka aspergillosis invasive. ʻO nā laʻana o nā lāʻau e pono paha ka voriconazole, itraconazole, a me amphotericin B.

I kēia mau lā, ua ʻike nā mea noiʻi i ke kūʻē ʻana o A. fumigatus i azole lāʻau antifungal. Hoʻopili kēia i nā lāʻau e like me voriconazole a me intraconazole. I nā hihia kahi kūpaʻa i kahi maʻi i nā antifungals azole, pono e hoʻohana i nā antifungals ʻē aʻe e like me amphotericin B no ka mālama ʻana.

ʻO ka Embolization a i ʻole ka hemo ʻana i kahi ʻoki kahi koho inā aspergillomas ke kumu o nā pilikia e like me ke kahe ʻana o ka māmā.

Kāohi ʻana i ka maʻi

A. fumigatus a me nā mea ʻē aʻe Aspergillus aia nā ʻano ma loko o ke kaiapuni. No kēia kumu, hiki i ka paʻakikī ke pale aku i ka hōʻike. Eia nō naʻe, inā ʻoe i kahi hui i ka makaʻu, aia kekahi mau kaʻina e hiki ai iā ʻoe ke hana e hōʻemi i ka maʻi.

Hōʻalo i nā hana i hiki ke hoʻopili iā ʻoe Aspergillus ʻano laha.

ʻO nā laʻana me ka māla, ka hana i ka pā, a i ʻole ke kipa ʻana i nā kahua kūkulu. Inā ʻoe i loko o kēia mau wahi, e nānā pono e komo i ka lole wāwae lōʻihi a me nā lima. E komo i nā mīkina lima inā ʻoe e mālama ana i ka lepo a i ʻole ka manure. Hiki paha i kahi mea hanu N95 ke kōkua inā ʻoe e hōʻike i nā wahi lepo loa.

E lawe i ka lāʻau antifungal prophylactic

Inā ua hana hou ʻoe i kahi kaʻina hana e like me ke transplant o nā meaola, hiki i kāu kauka ke kauoha i nā lāʻau antifungal e pale i ka maʻi.

Ke hoʻāʻo nei no Aspergillus ʻano laha

Inā ʻoe i kahi hui i ka pilikia, hoʻāʻo no kēlā me kēia manawa Aspergillus hiki ke kōkua i ka ʻike ʻana i kahi maʻi i kona wā mua. Inā ʻike ʻia kahi maʻi, hiki iā ʻoe a me kāu kauka ke hana pū e hoʻomohala i kahi papa lāʻau.

ʻO ka lawe lawe ʻana

Aspergillus fumigatus hiki ke hana i nā maʻi kūpilikiʻi loa i ka poʻe me nā ʻōnaehana nawaliwali nāwaliwali a i ʻole nā ​​kūlana māmā. ʻO kahi maʻi i hoʻokumu ʻia e A. fumigatus a me nā mea ʻē aʻe Aspergillus kapa ʻia nā ʻano he aspergillosis.

Aia ka nānā no ka aspergillosis ma nā kumu he nui, e like me:

• ke ʻano o ka maʻi
• kahi o ka maʻi
• kou kūlana pale pale holoʻokoʻa

ʻO ka ʻike koke ʻana a me ka mālama ʻana o aspergillosis hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka nānā.

Inā ʻoe i kahi hui e makaʻu no ka hoʻomohala aspergillosis, e ʻōlelo i kāu kauka. Hiki iā lākou ke haʻi iā ʻoe i nā ala e pale aku ai i ka maʻi.