Aspergillosis wemapapu

Chireve aspergillosis chirwere chinokonzerwa nemhando dzakasiyana dze mold fungi aspergillus inopinda mumuviri panguva yekufema. Kuunganidza shamwari dzefungal kunokonzera kwete chete maperembudzi aspergillosis, asiwo zvirwere zvevamwe nhengo dzokufema:

Zviratidzo zvepermonary aspergillosis

Nyanzvi dzinocherechedza zvakasiyana-siyana zvekurapa zviratidzo zveaspergillosis. Mune zvimwe zviitiko, chirwere chacho chinenge chisingaiti. Munhu akadaro, asinganzwi achirwara, panguva imwechete ndiye mutakuri wekoloni yefungi fungi.

Nehutachiona husina simba zviratidzo zveAspergillosis zvine simba. Zviratidzo zvinoratidza kukura kwechirwere ndezvi:

Kakawanda, murwere ari munharaunda inowanikwa yakasvibirira (kubatana kwefungi) kana maronda ane ropa. Hemoptysis inoitika semugumisiro wezvisikwa zvevascula nekuda kwekukura kwemacelium mumasvingo evascula uye nekugadzirwa kweprombosi.

Kurapa kwepermonary aspergillosis

Kurapa kweAspergillosis, antimycotic mishonga inorayirwa. Nezvinyoro zvinyoro zvepiritsi yezvirwere:

Nhamba yezuva nezuva yemishonga ndeye 400-600 mamiriyoni mashoma., Yakakamurwa kuva 4-6 kugamuchira.

Apo iyo yepamusoro yepamusoro inoputika, inhalations pamwe nekugadzirira Amphotericin-B uye 2.4% solution yeEuphyllin inokurudzirwa. Nzira yekudzivirira inotora kubva pa1 kusvika kuvhiki mbiri. Mushure mevhiki, nzira yekurapa inodzokorora zvakare.

Amphotericin B zvakare rinogona kutarisirwa mukati. Nzira yekurapa ndeye 16-20 maitiro ane nguva inowanikwa kaviri pavhiki. Chirwere ichi chinoshandiswa zvishoma nezvishoma, kunyura, asi chiyero chemishonga inopinda inobva pauremu hwemuviri uye kuoma kwechirwere chacho.

Bvisa chigadziro chemapfupa ekufema nemucheka nekutora mapfupi madzimai ekutora corticosteroids ( Prednisolone , Itraconazole), iyo inotorwa nemuromo.

Varwere vanobudirira kubuda ropa mumapurmonary aspergillosis vanoda kuti lobectomy - kuvhiyiwa kubvisa lobe yakakanganiswa yemapapu. Mushure mokuvhiyiwa, mishonga inorwisa mabhakitiriya nemishonga inogadziriswa inorayirwa kuti irege kudzivirira kupararira kwehutachiona.