Ka manawa tātou katoa i ia rā. Engari kāore tātou e mōhio e hia ngā mea kei roto i te hau e manawahia ana e tātou, kāore e kitea. I mōhio koe he momo harore kei reira ko 'Aspergillus' te ingoa, ā, kei te rere haere ōna pua i ngā wāhi katoa o tēnei hau? I te nuinga o te wā, kāore tēnei e raru i te tangata hauora, nā te mea kāore te pūnaha ārai o tō tātou tinana e tuku kia uru mai. Engari mō ētahi tāngata, inā koa ko te hunga he mate pūkahukahu, he ngoikore rānei ō rātou pūnaha ārai mate, he raru nui tēnei. Koinei te āhua e kōrerohia ana i tēnei rā, ko 'Aspergillosis' te ingoa.
He aha te Aspergillosis?
Ko te 'Aspergillosis' he mate i roto i te tinana i puta mai i tētahi momo pokepokea ai e kiia nei ko te 'Aspergillus'. He mate harore tēnei. He maha ngā wāhi e kitea ai tēnei momo pokepokea ai i roto i tō tātou taiao, inā koa i ngā wāhi pēnei i te oneone, te paru rau maroke, me ngā puranga wairākau. I ētahi wā, ka tupu tēnei momo pokepokea ai i roto i ngā wāhi haukū i roto i ngā whare, tae atu ki ngā tātari o ngā hauhautanga (AC) kāore anō kia horoia tika.
Ina manawa tātou, ka uru ngā pua o tēnei harore ki roto i ō tātou pukahukahu mā roto i ō tātou ihu. Ka mōhio te pūnaha ārai mate o te tangata hauora ki ēnei huaketo, ā, ka whakangaromia. Engari kāore e taea e te tinana o ētahi tāngata te mahi i tēnei. Koinei te wā ka puta ai te mate e kiia nei ko te 'Aspergillosis'. He maha ngā momo matua o tēnei. Ko ētahi o ēnei he rite ki te mate pāwera, ko ētahi ka pā ki ngā pukahukahu anake. Engari ko te momo tino morearea ko te 'Aspergillosis' whakaeke, e horapa ana puta noa i te tinana.
He tokomaha te hunga e whakaaro ana mēnā he "pōrearea pango" tēnei. Kāore, he momo pōrearea rerekē (Stachybotrys chartarum). Engari he momo pōrearea e rua e kitea ana i te taiao, ā, ka pāngia ētahi tāngata e te mate.
Ko wai te hunga tino tūpono ka pāngia e tēnei mate? Ko wai kei te mōrearea?
Kāore te katoa e pāngia e te Aspergillosis. Tērā ētahi rōpū mōrearea mō tēnei. Arā, ko te hunga ka nui ake te tūponotanga ka pāngia e te mate mēnā ka pāngia e tēnei harore. Mēnā kei roto koe i tētahi o ēnei rōpū, he mea tino nui kia tino tupato koe ki tēnei.
| Rōpū mōrearea | He whakamārama māmā |
|---|---|
| Ngā tāngata whai mate huango, mate pāwera rānei | He tino tairongo ngā pukahukahu me ngā ara manawa. Ina uru mai ngā pua Aspergillus, ka nui rawa te tauhohenga a te tinana. Ka taea e tēnei te arahi ki tētahi mate pāwera e kiia nei ko te Allergic Bronchopulmonary Aspergillosis (ABPA) . |
| Ngā tāngata e pāngia ana e te mate pūkahukahu mau tonu | Ko te hunga kua pāngia e te mate kohi (TB) i mua, ā, he poka kei roto i ō rātou pukahukahu, ko te hunga rānei he mate pēnei i te COPD (Chronic Obstructive Pulmonary Disease), te Sarcoidosis rānei, he wāhi pakaru kei roto i ō rātou pukahukahu. Ka taea e te harore Aspergillus te noho ki roto i ēnei poka ka hanga he pōro harore. Ko te Aspergilloma te ingoa o tēnei. |
| Ngā tāngata he ngoikore rawa ō rātou pūnaha ārai mate | Koinei te rōpū tino morearea, tino mōrearea hoki. Nā te ngoikore o te pūnaha parepare o te tinana (ngā hōia), ka taea e te harore te uru ngāwari ki roto i te tinana, te toto mai i ngā pukahukahu, ka horapa ki ētahi atu okana pērā i te roro, ngā whatukuhu, me te ngākau. Ka kiia tēnei ko te Invasive Aspergillosis . Ko ētahi tauira o tēnei ko:
|
He aha ngā tohu o tēnei mate?
He rerekē ngā tohu o te aspergillosis i runga i te momo mate me te wāhanga o te tinana e pāngia ana. He rite tonu ki ngā tohu o tētahi mate manawa noa, ā, he uaua ki te tautuhi.
| Momo aspergillosis | Ngā tohu noa |
|---|---|
| Momo mate pāwera (ABPA) |
|
| Haehae (Aspergilloma) | |
| Te Aspergillosis Whakaeke |
He mate hopuhopu tēnei?
Kāo. Ehara te 'Aspergillosis' i te mate e taea te horapa mai i tētahi tangata ki tētahi atu. Ka puta mai i te manawa i ngā pua harore kei roto i te taiao. Nō reira, kāore e taea te hopu i tēnei mate mā te noho tata noa ki tētahi tangata mate.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ka whakapae tō tākuta i tēnei i runga i ō tohu me tō hītori hauora (hei tauira, he mate huango tōu, kei te rongoatia rānei koe e te mate pukupuku?). Ka whakahaerehia e rātou ētahi whakamātautau hei whakaū i te mate.
- Ko te hihi-X o te uma, ko te matawai CT rānei: Ka taea e tēnei te rapu i ngā tohu rerekē, i ngā pokanga, i tētahi puku rānei e kiia nei ko te "Aspergilloma" i roto i ngā pukahukahu.
- Te Ahurea Huware: Ka tangohia he tauira o tō huware, ka whakamatautauria i roto i te taiwhanga hei tirotiro mēnā kei roto te harore Aspergillus. Ka tirohia hoki i raro i te karu hiko hei tirotiro mēnā he matūriki miro kei roto i te huware.
- Ngā whakamātautau toto: Mena e whakapaetia ana he momo whakaeke, ka whakamatautauria te toto mō ngā paturopi, ngā antigen rānei e pā ana ki te harore Aspergillus. Mā tēnei ka āwhina i te tautuhi tere i te mate.
- Kohikohi pūtau: Ka tangohia he wahi iti o te kiko mai i te pukahukahu, i te wāhi rānei e whakapaetia ana kua pangia, ā, ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūkahukahu kei roto.
- Ngā Whakamātautau Mate Pāwera: Mā te whakamātautau kiri, te whakamātautau toto rānei ka taea te whakatau mēnā he mate pāwera tō tinana ki te Aspergillus.
He aha ngā maimoatanga? Ka taea te whakaora i tēnei?
Ko te maimoatanga mō te aspergillosis e whakawhirinaki ana ki te momo mate kei a koe, tōna kaha, me tō hauora whānui.
1. Ngā Rongoā Ārai Harore
Koinei te maimoatanga matua. Ko te mahi a ēnei rongoā mā te whakangaro i te harore i roto i te tinana. Ko ngā rongoā pēnei i te `Voriconazole`, `Isavuconazole`, `Amphotericin B` e whakamahia whānuitia ana mō tēnei. Ko ētahi o ēnei ka hoatu hei pire hei tango, ko ētahi ka hoatu hei werohanga ki roto i te uaua me te tote. Ka roa pea te wā maimoatanga mai i ētahi wiki ki ētahi marama, tae atu ki te oranga katoa.
2. Ngā rongoā steroids (Corticosteroids)
Ka whakamahia ēnei hei rongoā i te mate pāwera rhinitis (ABPA) . Engari i te whakamate i te harore, ka whakahaere ēnei rongoā i te mumura nui me te urupare mate pāwera i puta mai i te harore i roto i te tinana. Ka hoatu ngā pire pēnei i te 'Prednisolone' mō tēnei.
3. Pokanga
Mena he kotahi te puranga pokepoke (`Aspergilloma`) kei roto i te pukahukahu, ā, kei te puta he raruraru pēnei i te toto tonu, ka mahia he pokanga hei tango i te pukahukahu katoa kei roto te puranga. Ka taea e tēnei te whakaora katoa i te mate.
Ko te mea nui ko te tango i te rongoā e tohua ana e tō tākuta kia tika mō te wā kua tohua. Ki te mutu te tango i te rongoā i waenganui, tera pea ka hoki mai te mate.
Me pēhea e taea ai e koe te tiaki i a koe mai i tēnei mate?
He whānui te poke o te Aspergillus i roto i te taiao, nō reira kāore e taea te karo i te 100% o te wā. Engari ki te mea kei roto koe i tētahi rōpū mōrearea nui, he mea ka taea e koe te mahi hei whakaiti i tō pānga:
- Āta karohia ngā wāhi puehu: Kia kaua e haere ki ngā papa hangahanga, ki ngā papa whakahoro, me ngā rori puehu i ngā wā katoa e taea ana.
- Kia tūpato ki te māra: Ka taea e ngā mahi pēnei i te keri oneone, te hanga puranga wairākau, me te tapahi tarutaru te tuku i ngā pua harore ki te rangi. Ki te mahi koe i ēnei momo mahi, kia mau koe i tētahi kopare N95 kounga pai .
- Whakahaerehia te haumākū i roto i tō whare: Mena he wāhi haumākū kei roto i tō whare, he wāhi rānei kei te tupu te harore i runga i ngā pakitara, whakatikahia tonutia. Me whakarite kia pai te hauhautanga o ngā wāhi pēnei i te kaukau me te kīhini.
- Kia ma tonu ngā hauhautanga (AC) me ngā tātari hau: Ka tupu ngāwari ēnei tātari ki te harore, nō reira horoia i ia wā, i ia wā, kia rite ki ngā tohutohu a te kaihanga.
Āhea ahau me toro atu ki te tākuta? Āhea ahau me haere ki te ETU?
Mena kei roto koe i tētahi o ngā rōpū mōrearea kua whakahuatia i runga ake nei, ā, ka pāngia koe e ngā tohu e pā ana ki te pukahukahu (mare, uaua ki te manawa, kirika),Me toro atu ki tō tākuta tonu.
Mena kei a koe tētahi o ngā tohu whakatūpato e whai ake nei, me haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera e tata ana.
- Te kirika tino teitei (neke atu i te 40 Celsius)
- Te poto o te manawa
- Te toto nui i te wā e maremare ana
- Te pōhēhē, te rangirua , ngā huringa whanonga rānei
- Ngā mate hopuhopu
- Te tae kikorangi o ngā ngutu, o te kiri rānei (he tohu tēnei o te korenga o te hāora i roto i te toto - 'Cyanosis')
Karere Tangohia ki te Kāinga
- He momo harore noa te 'Aspergillus' i roto i tō tātou taiao. Kāore e pā kino ki te hunga hauora.
- Ko te mōrearea nui rawa atu ko te hunga kua pāngia e ngā mate pūkahukahu (te mate huango, te COPD) me te hunga kua ngoikore te pūnaha ārai mate (ngā tūroro matepukupuku, ngā kaiwhiwhi whakawhitinga okana).
- He rite tonu ngā tohu ki ērā o te mate manawa noa, nō reira, ki te mea kei roto koe i te rōpū mōrearea, kia tūpato ki ngā tohu.
- Kāore tēnei mate e horapa mai i tētahi tangata ki tētahi atu.
- He maimoatanga whai hua kei reira. Mā te tautuhi wawe me te maimoatanga tika e ai ki ngā tohutohu a te tākuta ka āwhina i te whakahaere me te whakaora i te mate.
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