Aspergilloma ea methapo

Aspergilloma ea pulmonary ke boima bo bakoang ke tšoaetso ea fungal. Hangata e hola ka masoba a matšoafo. Tšoaetso e ka hlaha bokong, liphio kapa litho tse ling.

Aspergillosis ke tšoaetso e bakoang ke fungus aspergillus. Aspergillomas e thehoa ha fungus e hola ka har'a lekhalo la matšoafo. Lehare hangata le hlahisoa ke boemo bo fetileng. Meno a matšoafong a ka bakoa ke mafu a kang:

• Lefuba
• Coccidioidomycosis
• Cystic fibrosis
• Histoplasmosis
• Lethopa la matšoafo
• Kankere ea matšoafo
• Sarcoidosis

Mefuta e tloaelehileng haholo ea fungus e bakang maloetse bathong ke Aspergillus fumigatus.

Aspergillus ke fungus e tloaelehileng. E mela makhasi a shoeleng, lijo-thollo tse bolokiloeng, mantle a linonyana, liqubu tsa manyolo ka litlama le limela tse ling tse bolang.

Mohlomong ha u na matšoao. Ha matšoao a hlaha, a ka kenyelletsa:

• Bohloko ba sefuba
• Khohlela
• Ho kgohlola mali, e ka bang sesupo sa ho beha bophelo kotsing
• Mokhathala
• Feberu
• Ho theola boima ba 'mele ka boomo

Mofani oa hao oa tlhokomelo ea bophelo a ka belaela hore o na le ts'oaetso ea fungal kamora x-ray ea matšoafo a hau a bonts'a bolo ea fungus. Liteko tse ling tse ka etsoang li kenyelletsa:

• Biopsy ea lisele tsa matšoafo
• Teko ea mali bakeng sa boteng ba aspergillus 'meleng (galactomannan)
• Teko ea mali ho fumana karabelo ea 'mele ea ho itšireletsa mafung ho aspergillus (lithibela-mafu tse khethehileng tsa aspergillus)
• Bronchoscopy kapa bronchoscopy ka ho hlatsoa
• Sefuba CT
• Tloaelo ea sekhohlela

Batho ba bangata ha ho mohla ba hlahisang matšoao. Hangata, ha ho hlokahale kalafo, ntle le haeba u khohlela mali.

Ka linako tse ling ho ka sebelisoa meriana e loantšang mafu.

Haeba u tsoa mali matšoafong, mofani oa hau a ka kenya dae methapong ea mali (angiography) ho fumana sebaka sa ho tsoa mali. Ho tsoa mali ho emisoa ke:

• Ho buoa ho tlosa aspergilloma
• Tsamaiso e kenyang lisebelisoa ka har'a methapo ea mali ho emisa ho tsoa mali (embolization)

Phello e ka ba ntle ho batho ba bangata. Leha ho le joalo, ho latela boima ba boemo le bophelo ba hau ka kakaretso.

Phekolo e ka atleha haholo maemong a mang, empa e thata ebile e ka ba le kotsi e kholo ea mathata a tebileng.

Mathata a aspergilloma ea pulmonary a ka kenyelletsa:

• Ho phefumoloha ho thata ho mpefalang
• Ho tsoa mali a mangata matšoafong
• Ho hasana ha tšoaetso

Bona mofani oa hau haeba u khohlela mali, 'me u netefatse hore u bua ka matšoao a mang a hlahileng.

Batho ba nang le tšoaetso e amanang le matšoafo kapa ba fokolisitseng sesole sa 'mele ba lokela ho leka ho qoba libaka tseo fungus ea aspergillus e fumanoang ho eona.

Bolo ea fungus; Mycetoma; Aspergilloma; Aspergillosis - pulmonary aspergilloma

• Matšoafo
• Nodule Pulmonary - pono ea pele sefubeng x-ray
• Nodule ea pulmonary, e le mong - CT scan
• Aspergilloma
• Aspergillosis ea pulmonary
• Aspergillosis - sefuba x-ray
• Tsamaiso ea phefumoloho

Horan-Saullo JL, Alexander BD. Mycoses ea monyetla. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 38.

Patterson TF, Thompson GR 3rd, Denning DW, le al. Itloaetse litataiso tsa tlhahlobo le taolo ea aspergillosis: ntjhafatso ea 2016 ke Infectious Diseases Society of America. Kliniki ea tšoaetso Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 319.