Tonsefe timapuma tsiku lililonse. Koma kodi munayamba mwaganizapo za zinthu zingati zomwe timapuma zomwe sitingathe kuziona? Mofananamo, lero tikulankhula za mtundu wa bowa womwe umapezeka mozungulira ife, m'nthaka, pakati pa zinyalala za masamba ouma, koma nthawi zambiri sutivutitsa. Timapuma bowa uwu tsiku lililonse, koma chitetezo cha mthupi lathu chimaulamulira mosavuta. Komabe, kwa anthu ena, makamaka omwe ali ndi chitetezo chofooka cha mthupi, bowa uwu ukhoza kukhala woopsa kwambiri. Izi ndi zomwe madokotala amati Aspergillosis.
Mwachidule, kodi Aspergillosis ndi chiyani?
Aspergillosis ndi dzina lofala la matenda angapo omwe amayamba chifukwa cha bowa wotchedwa Aspergillus. Bowa uwu ndi wofala kwambiri m'malo athu, makamaka panja, m'malo monga masamba ouma, makungwa a mitengo, dothi, ndi manyowa. Nthawi zina umapezekanso m'nyumba m'malo onyowa.
Tangoganizirani, timapuma ma spores ambirimbiri a bowa uwu tsiku lililonse. Koma chitetezo cha mthupi lathu, chitetezo cha mthupi, ndi champhamvu kwambiri kotero kuti sichilola bowa uwu kuyambitsa matenda m'thupi lathu. Komabe, matupi a anthu ena sangathe kulimbana ndi bowa uwu. Pamenepo ndi pomwe mavuto amayamba. Bowa uwu ukhoza kuyambitsa ziwengo, matenda osatha a m'mapapo, kapena matenda opatsirana omwe amafalikira ku ziwalo zazikulu monga ubongo, impso, ndi mapapo.
Chofunika ndichakuti zomwe anthu ena amaganiza kuti ndi "chikungu chakuda" ndi bowa uwu wotchedwa Aspergillus ndi zinthu ziwiri zosiyana. Chikungu chakuda ndi mtundu wina wa bowa. Koma zonsezi ndi mitundu ya bowa yomwe ingayambitse matenda kwa anthu ena.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Si aliyense amene amadwala aspergillosis. Koma anthu ena amakhala ndi mwayi waukulu wopeza matendawa. Chiwopsezo chake chimasiyana malinga ndi mtundu wa matenda. Tiyeni tiwone yemwe ali pachiwopsezo chachikulu.
| Mtundu wa aspergillosis | Amene angakhudzidwe kwambiri |
|---|---|
| Matenda a Aspergillosis | Anthu omwe ali kale ndi matenda opuma monga mphumu, bronchiectasis, kapena cystic fibrosis. |
| Matenda a Aspergillosis Osatha | Anthu omwe ali ndi matenda a m'mapapo a nthawi yayitali monga COPD, sarcoidosis, ndi chifuwa chachikulu. |
| Aspergillosis Yofala | Anthu omwe ali ndi chitetezo chamthupi chofooka kwambiri . Mwachitsanzo:
|
Kodi bowa uyu amalowa bwanji m'thupi mwathu?
Mwachidule, tikamapuma, tizilombo toyambitsa matenda a Aspergillus mumlengalenga timadutsa m'mphuno mwathu ndikulowa m'mapapo mwathu. Pamenepo ndi pomwe vuto la ziwengo kapena matenda limayambira. Ngati chitetezo chanu cha mthupi chili chofooka, bowa uwu ukhozanso kuyenda kuchokera pamenepo kupita ku ziwalo zina za thupi. Komanso, bowa uwu ukhoza kulowa m'thupi ngakhale kudzera pabala pakhungu.
Kumbukirani, aspergillosis si matenda opatsirana. Izi zikutanthauza kuti singathe kufalikira kuchokera kwa munthu mmodzi kupita kwa wina.
Kodi zizindikiro za aspergillosis ndi ziti?
Zizindikiro za matendawa zimasiyana malinga ndi mtundu wa matendawa omwe muli nawo komanso komwe kachilomboka kali. Zizindikiro zodziwika kwambiri ndi zomwe zimakhudzana ndi mapapo.
- Chifuwa: Nthawi zina magazi pang'ono angatuluke ndi phlegm.
- Kuvuta kupuma: Mungamve kupuma movutikira ngakhale mutachita masewera olimbitsa thupi pang'ono.
- Kupuma movutikira: Izi zimachitika kawirikawiri pakati pa odwala mphumu.
- Kupweteka pachifuwa: Kumva kupweteka pachifuwa popuma.
- Malungo: Chizindikiro chodziwika bwino cha matenda m'thupi.
Anthu omwe ali ndi vuto la aspergillosis ya m'mapapo nthawi yayitali amathanso kukhala ndi zizindikiro monga kutopa ndi kuchepa thupi .
Ngati matendawa afalikira ku ziwalo zina za thupi, zizindikiro zina zingawonekere zokhudzana ndi chiwalo chimenecho.
Kodi mumazindikira bwanji matendawa molondola?
Popeza zizindikiro za aspergillosis zimafanana ndi za matenda ena ambiri, kuzindikira matendawa kungakhale kovuta pang'ono. Dokotala wanu adzayang'ana mosamala zizindikiro zanu, mbiri yanu yachipatala, ndi zoopsa zanu. Akhozanso kuchita mayeso ena kuti atsimikizire matendawa.
- Mayeso ojambulira: X-ray ya pachifuwa kapena CT scan ingayang'ane mipira ya bowa kapena zizindikiro zina za matenda m'mapapo.
- Kuyezetsa ziwengo: Kuyezetsa magazi kapena khungu kungakuthandizeni kudziwa ngati muli ndi vuto la ziwengo.
- Kufufuza za bowa: Chitsanzo chaching'ono cha minofu yochokera m'mapapo kapena malo omwe ali ndi kachilomboka chimatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti zitsimikizire kupezeka kwa bowa.
- Chikhalidwe: Chitsanzo cha makoswe anu, magazi, kapena madzi ena amthupi chimatengedwa ndikuyesedwa mu labotale kuti chione ngati bowa wa Aspergillus umamera pamenepo.
- Kuyezetsa magazi: Kuyezetsa kumeneku kumathandiza kuzindikira msanga mtundu wa matenda opatsirana, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka kwambiri.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira mtundu wa aspergillosis yomwe muli nayo, kuopsa kwa matendawa, komanso thanzi lanu lonse. Pali njira zitatu zazikulu zochiritsira.
1. Mankhwala oletsa bowa
Mitundu yambiri ya aspergillosis imachiritsidwa ndi mankhwalawa. Ndikofunikira kumwa mankhwala omwe dokotala wanu wakupatsani (monga Voriconazole, Itraconazole) kwa nthawi yonse ya mankhwalawa. Nthawi zina, ngati mankhwala ena sagwira ntchito, dokotala wanu angakupatseni mankhwala ena.
2. Opaleshoni
Ngati pali bowa limodzi (aspergilloma) lomwe limapangika m'mapapo, kuchotsa bowa mwa opaleshoni nthawi zambiri kumatha kuchiritsa matendawa kwathunthu. Nthawi zina matenda oopsa amatha, opaleshoni ingafunikenso.
3. Mankhwala a Corticosteroids
Mankhwalawa amagwiritsidwa ntchito makamaka pa matenda a aspergillosis (ABPA) omwe ali ndi vuto la ziwengo. Mankhwalawa amagwira ntchito poletsa kutupa kwambiri m'thupi. Amabwera m'njira zosiyanasiyana monga mapiritsi, zopumira, ndi zopopera m'mphuno.
Kodi muyenera kupita kuchipatala nthawi yomweyo liti kapena kupita kuchipatala nthawi yomweyo?
Ngati muli m'gulu la anthu omwe ali pachiwopsezo omwe atchulidwa pamwambapa (monga omwe amapatsidwa chiwalo chowonjezera, omwe amalandira chithandizo cha khansa, komanso omwe ali ndi matenda ashuga), onetsetsani kuti mwalankhula ndi dokotala wanu za momwe mungapewere ndikuzindikira matenda a bowa msanga.
Komanso, ngati mukudziwa kuti chitetezo chanu cha mthupi ndi chofooka ndipo mukuyamba zizindikiro za matenda, funsani upangiri wa dokotala nthawi yomweyo. Ngati muli ndi zizindikiro zoopsa izi, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nthawi yomweyo.
| Zizindikiro zochenjeza zomwe zimafunika chisamaliro chachangu | |
|---|---|
| 🌡️ Malungo aakulu | Kukhala ndi kutentha kwa madigiri opitilira 40 Celsius (103 Fahrenheit). |
| 😮💨 Kupuma movutikira | Kuvuta kupuma. |
| 🩸 Kutsokomola magazi | Kutuluka magazi kosakanikirana ndi mamina kapena kutuluka magazi ambiri. |
| 🧠 Kusokonezeka | Kusintha kwa kukumbukira, matenda amisala. |
| ⚫ Khungu limakhala lakuda | Kuda khungu, minofu, kapena ntchofu kuchokera m'mphuno. |
| 🔵 Buluu (Cyanosis) | Kusanduka kwa buluu kwa khungu, milomo, kapena misomali (ichi ndi chizindikiro choopsa cha kusowa kwa mpweya m'magazi). |
Uthenga Wopita Nawo Kunyumba
- Aspergillosis ndi matenda omwe amayamba chifukwa cha bowa omwe amapezeka kwambiri m'chilengedwe chathu.
- Bowa uwu suvulaza kwambiri anthu athanzi omwe ali ndi chitetezo chamthupi chabwino.
- Anthu omwe ali ndi chitetezo chamthupi chofooka, omwe ali ndi matenda a m'mapapo monga mphumu, ndi omwe ali ndi matenda monga matenda a shuga ali pachiwopsezo chachikulu.
- Zizindikiro zodziwika bwino monga chifuwa, kutentha thupi, ndi kupuma movutikira ndi zizindikiro zazikulu. Chifukwa chake, ngati muli m'gulu lomwe lili pachiwopsezo, dziwani zizindikirozi.
- Njira zochiritsira zimasiyana malinga ndi mtundu wa matenda. Opaleshoni, mankhwala ophera tizilombo toyambitsa matenda, ndi mankhwala opangidwa ndi steroid ndi omwe amagwiritsidwa ntchito kwambiri.
- Ngati muli m'gulu la anthu omwe ali pachiwopsezo ndipo muli ndi zizindikiro zoopsa, funsani upangiri wa dokotala nthawi yomweyo.
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