Aspergillosis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• 1. Ka hopena hoʻowali
• 2. Aspergillosis pulmonary
• 3. Aspergillosis hoʻouka
• ʻO wai ka mea ʻino loa
• Kānāwai o aspergillosis
• Pehea e hana ai i ka lāʻau

ʻO Aspergillosis kahi maʻi maʻi lele e hoʻokumu ʻia e ka fungus Aspergillus fumigatus, aia i loko o nā wahi āpau, e like me ka lepo, pantas, decomposing material and works, for example.

I kēia ala, no ka mea hiki ke loaʻa ka fungus i nā wahi like ʻole, pili pinepine ka poʻe me kaAspergillus fumigatus, akā ʻaʻole lākou āpau e hoʻomohala i ka maʻi, no ka mea, maʻalahi ka ulu ʻana o ka fungus a alakaʻi i ke ʻano o nā ʻōuli i ka poʻe i loaʻa ka ʻōnaehana paleʻea i hoʻopilikia ʻia e nā maʻi, e like me HIV a me lupus, kahi transplant a hoʻohana ʻana i nā lāʻau.

Ke ala nui o ka maʻi o nā Aspergillus ma o ka inhalation, e ʻae iā ia e noho i loko o nā akemāmā a alakaʻi i ke ʻano o nā ʻōuli e like me ka puʻu, ka hanu a me ke kuni, hiki ke hōʻino koke a hoʻopili i nā ʻāpana o ke kino, e like me ka lolo, ka puʻuwai a me nā puʻupaʻa, ʻoi aku ke hoʻomaka ʻole ʻia ka lapaʻau ʻana me nā antifungals.

Nā hōʻailona nui

Ma hope o ka honi ʻana i nā spores o ka Aspergillus fumigatus, hiki i ka fungus ke kolone i ka hanu hanu a noho i ke kino me ka ʻole o nā ʻōuli. Eia nō naʻe, i ka poʻe me ka ʻōnaehana pale pale i hoʻopilikia ʻia, ʻike ʻia nā ʻōuli e like me ka pūnaewele i hoʻopilikia ʻia a me ke koʻikoʻi o ka maʻi, a aia paha:

1. Ka hopena hoʻowali

Hana ʻia ia i ka poʻe me ka moʻolelo o nā maʻi maʻi mau, e like me ka hānō a i ʻole cystic fibrosis a me nā hōʻailona a me nā ʻōuli e like me:

• Fiva ma luna o 38ºC;
• ʻApu ʻana i ke koko a i ʻole phlegm;
• Manaʻo o ka pōkole o ka hanu;
• Holo ka ihu a me ka paʻakikī ke honi.

ʻO kēia ka ʻano hopena liʻiliʻi liʻiliʻi loa a, i ka hapanui o nā hihia, hiki ke mālama ʻia me nā lāʻau i hoʻohana mua ʻia no nā hoʻouka hānō, no ka laʻana. Eia nō naʻe, inā e ʻinoʻino kāu mau hōʻailona he mea nui ia e hele i ka haukapila.

2. Aspergillosis pulmonary

Kūleʻa pinepine kēia mau hihia, akā pili pinepine lākou i ka poʻe ʻaʻohe ona mōʻaukala o ka maʻi māmā. ʻO nā hōʻailona me:

• Kaumaha emi;
• Mū kūmau mau;
• E hoʻomake ana i ke koko;
• Luhi nui loa;
• Manaʻo o ka liʻiliʻi o ka hanu.

Inā mālama pono ʻole ʻia, hiki i ka maʻi puʻupuʻu ke ulu a hohola ma o ke koko, a hiki i nā ʻāpana ʻē aʻe o ke kino. Hoʻohui ʻia, i kekahi mau manawa hiki i ka fungus ke noho i nā lua o nā akemāmā a hana i kahi nui o ka fungus, i ʻike ʻia ʻo aspergilloma, i hiki ke hoʻomau i ka ulu a alakaʻi i ke kahe ʻana o ke koko, a hiki nō hoʻi ke hoʻolaha i nā kīʻaha koko a hopena i ka aspergillosis invasive .

3. Aspergillosis hoʻouka

ʻO ia ke ʻano nui loa o ka maʻi i hiki ke hoʻonui ka hū i loko o nā akemā a laila hohola ma o ke koko. ʻO nā hōʻailona o kēia ʻano aspergillosis hiki i:

• Fiva ma luna o 38º C;
• ʻEha o ka umauma;
• Mū kūmau mau;
• ʻEha hui;
• ʻEha poʻo poʻo;
• ʻO ka pehu o ka maka.

Hoʻohui ʻia, hiki i kēia fungus ke komo i loko o nā kīʻaha koko, hohola maʻalahi a paipai i ka pani ʻana o ka moku, a laila e loaʻa ai ka thrombosis.

ʻO ka invasive aspergillosis ka mea maʻa mau loa ke nāwaliwali loa ka ʻōnaehana immune a, no laila, hiki i nā ʻōuli ke paʻakikī e ʻike, no ka mea hiki ke unuhi ʻia ma ke ʻano he hōʻailona o ka maʻi i hoʻokumu ʻia kēia ma ka hōʻemi ʻana o nā pale o ke kino.

ʻO wai ka mea ʻino loa

Contagion na Aspergillus fumigatus hiki i ka hapanui ma o ka inhalation o nā spores i loaʻa i ke kaiapuni, akā hiki ke hana ʻia ma muli o ka inoculation o nā spores i ke kolamu.

ʻOiai hiki ke hanu ʻia e kekahi, ʻo ka hoʻomohala ʻana o ka maʻi, keu hoʻi o ka ʻano invasive, ʻoi aku ka pinepine i ka poʻe i loaʻa ka ʻōnaehana paleʻoniʻoni ʻoi aku ma muli o nā maʻi maʻi a me / a mau paha, e like me HIV a me lupus, i hana i nā transplantation. o nā lālā i hala iho nei a i ʻole hoʻohana i nā lāʻau e hoʻemi i ka hana o ka ʻōnaehana pale, e like me nā corticosteroids, chemotherapy a i ʻole nā ​​immunosuppressants.

Kānāwai o aspergillosis

ʻO ka hōʻoia o aspergillosis i hana mua ʻia e kahi loea maʻi maʻi, pulmonologist a i ʻole ka mea hana maʻamau ma o ka loiloi ʻana i nā hōʻailona a me nā hōʻailona i hōʻike ʻia e ke kanaka a me ka mōʻaukala olakino.

No ka hōʻoia ʻana i ka maʻi e ka fungus, hiki ke hōʻike ʻia e nānā i ka sputum ma o ka microscope a i ʻole ke hoʻāʻo ʻana o ke koko me ka serology e ʻike i nā mea ʻino kūʻē e kūʻē i kēlā fungus, a i ʻole ka moʻomeheu o nā mea i loaʻa i ka maʻi.

No laila, e like me nā hopena o nā hoʻokolohua, hiki ke hōʻoia i ka aspergillosis a me kona koʻikoʻi, pono no ke kauka e hōʻike i ka lapaʻau kūpono loa.

Pehea e hana ai i ka lāʻau

Hoʻomaka pinepine ʻia ka mālama ʻana no ka aspergillosis me ka hoʻohana ʻana i nā lāʻau antifungal, e like me Itraconazole a i ʻole Amphotericin B, ka mea e kōkua ai e hoʻopau i nā fungi nui mai ke kino, e kōkua ana i ka ʻōnaehana pale e kāohi i ka maʻi a hoʻopau i nā hōʻailona.

Eia nō naʻe, hiki i ke kauka ke aʻoaʻo i ka hoʻohana ʻana i nā corticosteroids, e like me Budesonide a i ʻole Prednisone, e hōʻoluʻolu koke i nā ʻōuli a hoʻomaikaʻi i ka hopena o ka antifungal, keu hoʻi i ka poʻe me nā ʻōuli ikaika loa, e like me nā mea me ka hānō, no ka laʻana.

I nā hihia ʻoi loa, o ka aspergillosis pulmonary a i ʻole invasive, kahi e ulu ai ka nui o nā fungi, i ʻike ʻia ʻo aspergilloma, hiki i ke kauka ke ʻōlelo i ke ʻoki e hemo i nā aʻa i hoʻopilikia loa ʻia a makemake i ka hopena o nā antifungals.