I- aspergillosis ye- Lung yisifo esibangelwa izinhlobonhlobo ze-mold fungus aspergillus engena emzimbeni ngesikhathi sokuphefumula. Ukuqoqwa kohlobo lwe-fungal kungabangeli nje i-aspergillosis ye-pulmonary, kodwa nezifo zezinye izitho zokuphefumula:
- i-bronchitis;
- i-pneumonia;
- ukuvuvukala kwesicelo;
- i-aspergillosis ye-bronchopulmonary.
Izimpawu ze-aspergillosis ye-pulmonary
Ochwepheshe baqaphela izinhlobo ezihlukahlukene zokubonakaliswa kwemitholampilo ye-aspergillosis. Kwezinye izimo, lesi sifo sisho ngokucacile. Umuntu onjalo, ongazwa ogulayo, ngesikhathi esifanayo nguye othwala umkhombandlela we-fungi.
Nge-immunity ebuthakathaka izimpawu ze-aspergillosis zibizwa ngokuqinile. Izimpawu ezikhombisa ukuthuthukiswa kwesifo yizi:
- ubuthakathaka jikelele, umuzwa we-malaise;
- ukunciphisa ukudla, ukulahlekelwa kwesisindo;
- ubuhlungu esifubeni ;
- ukuphefumula;
- umkhuhlane kanye nezikhukhula;
- ukulala okungenalutho;
- ukunambitheka kwesibumbulu emlonyeni;
- ukukhwehlela nge-sputum emhlophe.
Ngokuvamile, isiguli esiswini se-sputum esibonakalayo esihlaza okwesibhakabhaka (ukuxubana kwe-fungi) noma imithanjeni enegazi. I-Hemoptysis ivela ngenxa yokulimala kwamasongo ngenxa yokukhula kwe-mycelium ezindongeni zamasongo kanye nokuthuthukiswa kwe-thrombosis.
Ukwelashwa kwe-pulpary aspergillosis
Ukuze ukwelashwa kwe-aspergillosis, izidakamizwa ze-antimycotic zinqunywe. Amafomu amancane amaphilisi wesifo:
- I-Mycoheptin;
- Amphoglucamine.
Umthamo wansuku zonke wemithi ungama units angama-400-600 ayizinkulungwane., Uhlukaniswe ngama-4-6 reception.
Uma ipheshana lokuphefumula elingenhla liyakuthinteka, kunconywa ukuthi ukuphulukiswa kwe-Amphotericin-B ne-2.4% isisombululo se-Euphyllin. Inkambo ye-inhalation ithatha kusukela kuma-1 kuya ku-2 amasonto. Ngemuva kwesonto, inkambo yokwelapha iphinda iphindwe.
Amphotericin B futhi
Ukuvimbela ukuvinjelwa kwesifo sokuphefumula nge-mucus ngokuthatha izifundo ezimfushane zokuthatha i-corticosteroids (i- Prednisolone , i-Itraconazole), ethathwa ngomlomo.
Iziguli ezithuthukisa ukuphuma kwegazi ku-aspergillosis ye-pulmonary zidinga i-lobectomy - ukuhlinzwa ukuze kususwe i-lobe ethintekile yamaphaphu. Ngemuva kokusebenza, imishanguzo yezokwelapha kanye nemithi yokuvikela i-antitifungal imisiwe ukuba ivimbele ukusabalalisa okuqhubekayo kokutheleleka.