I hriat angin, kan chenna boruak, chu chu boruak, lei leh thing leh mauah hian thil nung tenau maktaduai tam tak a awm a. Chung zinga ṭhenkhat chu fungi an ni. Vawiina kan sawi tur Aspergillus fumigatus hi chutiang fungus pakhat, kan chhehvela awm tam tak a ni. Mi hrisel tak, taksa hriselna tha tak nei tan chuan he fungus hian taksaah a lut a nih pawhin harsatna a thlen lo tlangpui. Kan taksa invenna (defence system) hian a thunun a ni. Amaherawhchu, mi pakhat natna emaw, damdawi emaw avanga a taksa hriselna a chak lo a nih chuan, he fungus hian natna hlauhawm tak a thlen thei a ni.
Engvangin nge he fungus hi mi thenkhat tan chauh a hlauhawm?
A awlsam zawngin sawi ila, he fungus hi hun remchang hmangtu a ni. Chu chu kan taksa invenna, a nih loh leh immune system a chak chhung chuan engmah a ti thei lo tihna a ni. Mahse, heng defense te hi a chak loh meuh chuan a lu a chawi sang a, harsatna a siam tan ta a ni.
Immunity tihchak lohna tur dinhmunte chu engte nge ni?
- Natna khirh tak, ei leh in tha lo, tar lam thil avanga taksa chak lo.
- Natna thenkhat (entir nan, AIDS) emaw damdawi (entir nan, cancer enkawlna, taksa peng thlak hnua damdawi pek) avanga immunosuppression.
- Prosthetic devices dahna tur (prosthetic devices) dah luh.
- Hun rei tak chhunga neutropenia awm ang chi dinhmun.
Chutiang dinhmun hlauhawm takah chuan mi pakhatin he fungus hi a kai a nih chuan nunna atana hlauhawm pawh a ni thei.
He fungal infection (Aspergillosis) lo awm dan leh a lan chhuah dan
He fungus spore te hi kan thawk chhuah boruak nen taksaah an lut a. Hnar, ril, sinus cavities, leh lung thlengin an thleng hmasa ber a ni. Mi hrisel immune cells te hian an thang lian thei lo. Mahse taksaah chuan immune system chak lo tak taksaah chuan heng spore te hi an lo chhuak a, fungal hyphae ah an lo thang lian a, tissue te an rawn lut tan a, thisen zam (thrombosis) a siam a, allergy a siam bawk.
He natna hrik kai avang hian natna hrang hrang a awm a. Symptoms chu organ infected leh i immune system ah a innghat a ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a. | Hetiang a nih chuan lung chhungah hian fungus hi a thang zawi zawi a. Thla tam tak chhung, a chang chuan kum tam tak chhung pawh symptoms a lang lo thei. A lan chhuah dan ber chu khuh a ni. Chu bâkah, taksa rihna a tlahniam, hah, leh thawk harsa a awm thei bawk. A pawimawh ber chu he fungus hian lung chhunga thisen kalna kawng a tihchhiat chuan thisen khuh (hemoptysis) a awm thei a ni. Hei hi symptom hlauhawm tak a ni. Hetiang a nih chuan damdawi in emaw emergency room (ETU) ah i kal nghal tur a ni. |
| Aspergillosis natna hrik kai thei | Hei hi a hlauhawm ber leh nunna atana hlauhawm ber a ni. Immune system chak lo tak takah a awm thin. Fungus hi a thang chak hle a, lung, sinus, beng, vun, mit, leh thluak thlengin a darh thei a ni. |
| Aspergilloma natna a ni | Hei hi "fungal ball" ang mai a ni a, chu chu lung chhunga cavity chhunga lo awm a ni. A tlangpuiin symptom a awm lo. Mahse, he fungal ball hi a lian a, thisen kalna kawng a tihchhiat chuan thisen i khuh mai thei. |
| Fungal Sinusitis natna a ni | Sinus cavities chhunga fungal spore lut leh lo thang lian hian a awm thin. A lan chhuah dan chu hnar hrual, thawk harsa, hmai na, lu na, leh mucus thick, green, emaw black emaw te a ni. |
Pawimawh: He fungus hian mi hrisel tan harsatna a thlen lo tlangpui. Hlauhawm a ngai lo. He thu hi hriattirna atan chauh a ni. Symptoms i rinhlelh chuan doctor rawn rawh.
Fungus avanga allergy nei
A chang chuan he fungus hian invasive infection aiin allergy a thlen thei thin. Hengte hi a tlangpuiin nunna atana hlauhawm lo mah se, natna a thlen thei a ni.
Chung zinga a tam ber chu Allergic Bronchopulmonary Aspergillosis (ABPA) a ni. Hei hi lung natna nei tawhte zingah a tam ber. Entirnan, asthma, cystic fibrosis, bronchiectasis ang chi natna nei te chu an hlauhawm zawk.
Hei hi taksain thawkna hmanga lut fungal spore a overreact hian a ni. Hei hian asthma ang chi symptoms a thlen a, chu chu thawk hah, khuh, leh thawk harsa tih te hi a ni.
I doctor chuan ABPA i neih leh neih loh hriat nan test thenkhat a order ang.
- Thisenah thisen var chi khat eosinophils an tih chu a sang em tih enfiahna atana test thin.
- Aspergillus antigen awm leh awm loh vun test.
- Thisenah Aspergillus antibodies leh IgE level awm leh awm loh test.
- Chest X-ray neih a ni.
Enkawlna kawng hrang hrangte chu engte nge ni?
He fungal infection enkawl hi a buaithlak deuh. Doctor thurawn a mamawh tak zet a ni. Mahni chauha enkawl tum ngai suh.
- Antifungal damdawi: I natna chi leh a nasat dan azirin i doctor chuan damdawi amphotericin B leh voriconazole te a pe thei ang. Heng enkawlnate hi kar engemaw zat emaw a aia rei emaw ei a ngai mai thei.
- Surgery: Fungal ball lian tak tak (aspergillomas) lung chhunga lo awm chu damdawi chauh hmanga enkawl a ni lo. Surgery hmanga lakchhuah an ngai a ni. Tin, fungal sinusitis a awm chuan sinus cavities te chu surgery hmanga tihfai a, tui chu chhuah tir a ngai thei bawk.
- Allergy enkawlna: ABPA ang chi allergy i neih chuan a enkawlna ber chu steroid (e.g. prednisolone) pek hi a ni. Chungte chuan taksain a over-reaction a control a ni. A châng chuan antifungal damdawi pawh steroid dose tihtlem nan leh side effects tih tlem nan an pe bawk.
Ruihhlo laka invenna
Vanduaithlak takin, a chang chuan he fungus hi kan hman thin antifungal damdawi, a bik takin azoles te lakah a do thei ta a ni. Hei hian enkawlna a ti buai zual hle. Damdawi hi doctor-in a sawi ang chiah chiah, leh a hun tur dik taka ei a pawimawh hle.
Take-Home Thuchah a ni
- Aspergillus fumigatus hi kan chhehvela fungus awm tam tak a ni. Mi hrisel tan harsatna a thlen lo tlangpui.
- He fungus hian immune system chak lo (e.g., cancer vei, organ transplant dawngtu, AIDS vei) te tan natna hlauhawm tak a thlen thei a ni.
- I natna lan chhuah dan, khuh reng, thawk hah, taksa rihna tlahniam, hah, leh a bik takin thisen khuh te i neih chuan doctor pan nghal rawh.
- Enkawl dan tur chu natna chi hrang hrang leh i hriselna dinhmun a zirin a innghat a ni. Hei atan hian damdawi lam thurawn i la ngei ngei tur a ni.
- Lung natna, asthma nei te hian he fungus hi an allergy an nei thei a, chuvangin i symptoms a zual chuan doctor hnenah hrilh rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh