Nga bw’omanyi, waliwo obukadde n’obukadde bw’ebiramu ebitonotono mu butonde bwe tubeera, kwe kugamba, mu mpewo, mu ttaka, ne mu bimera. Ebimu ku bino bya ffene. Ensigo ya Aspergillus fumigatus gye tugenda okwogerako leero y’emu ku ffene ng’ezo ezitera ennyo mu butonde bwaffe. Ku muntu omulamu obulungi ng’abaserikale b’omubiri abalungi, ebiseera ebisinga ffene ono takola bulabe bwonna ne bw’ayingira mu mubiri. Enkola y’omubiri gwaffe ey’okwekuuma y’egifuga. Wabula singa abaserikale b’omubiri banafuwa olw’obulwadde oba eddagala erimu, enkwaso eno esobola okuleeta yinfekisoni ez’obulabe.
Lwaki ffene ono wa bulabe eri abantu abamu bokka?
Mu ngeri ennyangu, ffene ono alina emikisa. Kwe kugamba, tekisobola kukola kintu kyonna kasita abaserikale b’omubiri gwaffe, oba abaserikale b’omubiri, baba ba maanyi. Kyokka amangu ddala ng’ebiziyiza bino binafuye, esitula omutwe n’etandika okuleeta obuzibu.
Embeera ki eziyinza okunafuwa obutafaali obuziyiza endwadde?
- Okunafuwa kw’omubiri olw’ensonga ng’obulwadde obw’amaanyi, endya embi, oba okukaddiwa.
- Okuziyiza obusimu obuziyiza endwadde olw’endwadde ezimu (okugeza, mukenenya) oba eddagala (okugeza, obujjanjabi bwa kookolo, eddagala eriweebwa oluvannyuma lw’okusimbuliza ebitundu by’omubiri).
- Okuteekebwamu ebyuma ebikozesebwa mu kukola ebitundu by’omubiri.
- Embeera nga neutropenia okumala ebbanga eddene.
Singa omuntu ali mu mbeera embi bwetyo akwatibwa enkwaso eno, eyinza n’okuteeka obulamu bwe mu matigga.
Engeri obulwadde buno obwa ffene (Aspergillosis) gye bukulaakulana n’obubonero bwabwo
Obuwuuka bwa ffene ono buyingira mu mubiri n’empewo gye tussa. Zisooka kutuuka mu nnyindo, mu mumiro, mu bifo ebiyitibwa sinus cavities, n’amawuggwe. Obutoffaali bw’abaserikale b’omubiri gw’omuntu omulamu tebumukkiriza kukula. Naye mu mubiri gw’omuntu alina abaserikale b’omubiri abanafu, obuwuka buno bumera, ne bukula ne bufuuka ebiwuka ebiyitibwa ‘fungal hyphae’, ne butandika okuyingira mu bitundu by’omubiri, ne buleeta okuzimba omusaayi (thrombosis), ne buleeta alergy.
Waliwo embeera eziwerako ezireetebwa obulwadde buno. Obubonero businziira ku kitundu ekirimu akawuka n’abaserikale b’omubiri gwo.
| Embeera y’obujjanjabi | Ennyinyonnyola ennyangu |
|---|---|
| Obulwadde bw’amawuggwe obutawona (CPA) . | Mu mbeera eno, ffene akula mpola munda mu mawuggwe. Obubonero buyinza obutalabika okumala emyezi, oluusi n’emyaka. Akabonero akakulu kwe kusesema. Okugatta ku ekyo, okugejja, okukoowa, n’okukaluubirirwa okussa biyinza okubaawo. Ekisinga obukulu, singa enkwaso eno eyonoona omusuwa mu mawuggwe, okusesema omusaayi (hemoptysis) kuyinza okubaawo. Kano kabonero ka bulabe nnyo. Kino bwe kibaawo, olina okugenda amangu mu ddwaaliro oba mu kisenge ky’abalwadde ab’amangu (ETU). |
| Obulwadde bwa Aspergillosis obuyingira mu mubiri | Eno y’embeera esinga okuba ey’akabi era eyinza okutta omuntu. Bubeera mu bantu abalina abaserikale b’omubiri abanafu ennyo. Enkwaso eno esobola okukula amangu ennyo n’esaasaana mu mawuggwe, mu nnyindo, mu matu, olususu, amaaso, n’okutuuka ku bwongo. |
| Obulwadde bwa Aspergilloma | Kino kiringa "omupiira gwa ffene" ogukola munda mu kisenge mu mawuggwe. Ebiseera ebisinga tewabaawo bubonero bwonna. Wabula singa omupiira guno ogwa ffene gukula ne gwonoona omusuwa, oyinza okusesema omusaayi. |
| Obulwadde bwa Fungal Sinusitis | Kibaawo nga obuwuka bwa ffene buyingira ne bukula mu bifo ebiyitibwa sinus cavities. Obubonero buno mulimu okuzimba ennyindo, okukaluubirirwa okussa, okulumwa mu maaso, okulumwa omutwe, n’omusulo omunene, ogwa kiragala oba omuddugavu. |
Ekikulu: Enkwaso eno ebiseera ebisinga tereetera muntu mulamu buzibu. Tekyetaagisa kusattira. Amawulire gano ga kuwa mawulire gokka. Bw’oba obuusabuusa obubonero bwonna, weebuuze ku musawo.
Allergy eri ffene
Oluusi ffene ono asobola okuleeta alergy okusinga yinfekisoni eziyingira mu mubiri. Bino ebiseera ebisinga tebiba bya bulabe eri obulamu, naye bisobola okuleeta endwadde.
Ekisinga okumanyibwa ku bino ye Allergic Bronchopulmonary Aspergillosis (ABPA) . Kino kisinga kubeera mu bantu abalina obulwadde bw’amawuggwe obwaliwo edda. Okugeza, abantu abalina embeera nga asima, cystic fibrosis, oba bronchiectasis bali mu bulabe bwa maanyi.
Kino omubiri bwe gusukkiridde okukola ku buwuka obuyitibwa fungal spores obuyingira nga buyita mu kussa. Kino kireeta obubonero obufaananako n’obulwadde bwa asima, gamba ng’okuwunya, okusesema, n’okukaluubirirwa okussa.
Omusawo ajja kulagira okukeberebwa ebimu okuzuula oba olina ABPA.
- Okukebera okukebera ekika ky’obutoffaali obweru obuyitibwa eosinophils mu musaayi buli waggulu.
- Okukebera olususu okuzuula antigen ya Aspergillus.
- Okukebera emiwendo gy’obutoffaali obuziyiza obulwadde bwa Aspergillus ne IgE mu musaayi.
- X-ray y’ekifuba.
Bujjanjabi ki bw’oyinza okukozesa?
Okujjanjaba obulwadde buno obwa ffene kizibu katono. Mazima ddala kyetaagisa amagezi g’omusawo. Togezaako kugijjanjaba ku bubwo.
- Eddagala eritta obuwuka: Okusinziira ku kika n’obuzibu bw’obulwadde, omusawo ayinza okukuwa eddagala nga amphotericin B ne voriconazole. Obujjanjabi buno buyinza okwetaaga okumira okumala wiiki eziwera oba okusingawo.
- Okulongoosa: Emipiira eminene egya ffene (aspergillomas) egikolebwa mu mawuggwe tegijjanjabwa na ddagala lyokka. Zeetaaga okuggyibwamu nga balongoosebwa. Ate era mu mbeera z’obulwadde bwa ffene, kiyinza okwetaagisa okulongoosa ebituli by’omusuwa n’okuleka amazzi okufuluma.
- Obujjanjabi bwa alergy: Bw’oba olina embeera ya allergy nga ABPA, obujjanjabi obukulu kwe kuwa steroids (e.g. prednisolone). Bino bifuga engeri omubiri gye gusukkiridde okukola. Oluusi n’eddagala eritta obuwuka liweebwa okukendeeza ku ddoozi y’eddagala eriweweeza ku bulwadde bwa steroids n’okukendeeza ku buzibu obuvaamu.
Okuziyiza eddagala
Ebyembi oluusi ffene ono afuuka agumira eddagala eriweweeza ku ffene lye tukozesa naddala erya azoles. Kino kyongera okukaluubiriza obujjanjabi. N’olwekyo, kikulu nnyo okumira eddagala nga bwe likulagidde ddala omusawo, era okumala ekiseera ekituufu.
Obubaka Obutwala Awaka
- Aspergillus fumigatus ffene atera nnyo mu butonde bwaffe. Ebiseera ebisinga tekireeta bulabe ku bantu balamu.
- Enkwaso eno esobola okuleeta yinfekisoni ez’obulabe mu bantu abalina abaserikale b’omubiri abanafuye (e.g., abalwadde ba kookolo, abasimbibwa ebitundu by’omubiri, abalwadde ba mukenenya).
- Bw’oba olina obubonero ng’okusesema obutasalako, okussa obubi, okugejja, okukoowa n’okusingira ddala okusesema omusaayi, laba omusawo mu bwangu.
- Enkola y’obujjanjabi esalibwawo okusinziira ku kika ky’obulwadde n’embeera y’obulamu bwo. Ku kino, ddala wandibadde onoonya amagezi g’abasawo.
- Abantu abalina endwadde z’amawuggwe nga asima bayinza okuba nga tebalina allergy ku ffene ono, kale tegeeza omusawo wo singa obubonero bwo bweyongera.
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