I- aspergillosis ye- Lung isifo esibangelwa iintlobo ezahlukeneyo zefungi ze-fungus aspergillus ezingena emzimbeni ngexesha lokuphefumla. Ukuqokelela abahlobo befungal kubangela ukuba i-pulperary aspergillosis kuphela, kodwa nezifo zenye izitho zokuphefumula:
- bronchitis;
- pneumonia;
- ukuvuvukala kwesicelo;
- bronchopulmonary aspergillosis.
Iimpawu ze-pulmonary aspergillosis
Iingcali ziqaphela iintlobo zeembonakalo zekliniki ze-aspergillosis. Kwezinye iimeko, lesi sifo sinobuchule obunzima. Umntu onjalo, engaguliyo, ngexesha elifanayo nguye ophethe umkhombe wefungi.
Ngokuzikhusela komzimba ezinobuthakathaka iimpawu ze-aspergillosis zithethwa ngamandla. Iimpawu ezibonakalisa ukuphuhliswa kwesi sifo zi:
- Ubuthakathaka ngokubanzi, umvakalelo we-malaise;
- kunciphise ukutya, ukulahleka kwesisindo;
- intlungu esifuba ;
- ukuphefumula okufutshane;
- umkhuhlane kunye nezikhukhula;
- kulala;
- umtya wokubumba emlonyeni;
- ukukhwehlela nge-sputum emhlophe.
Ngokuqhelekileyo, isigulane kwisiputum ebonakalayo eluhlaza (ukudibanisa kweefungi) okanye iintsholongwane zamanzi. I-Hemoptysis ivela ngenxa yesiphumo se-vascular ngenxa yokukhula kwe-mycelium kwiindonga ze-vascular kunye nophuhliso lwe-thrombosis.
Unyango lwe-pulmonary aspergillosis
Ukunyangwa kwe-aspergillosis, izidakamizwa ze-antimycotic zisiwe. Kwiifom ezintle zezipilisi zezifo:
- Mycoheptin;
- Amphoglucamine.
Umthamo wemihla yonyango iinqununu ezingama-400-600 zamawaka., Ukwahlula kwi-4-6 reception.
Xa iphepheni ephezulu yokuphefumula ichaphazelekayo, inhalation kunye nokulungiswa kwe-Amphotericin-B kunye ne-2.4% isisombululo se-Euphyllin sinconywa. Inkqubo yokuphalaza ithatha kwiiveki ezi-1 ukuya kwezi-2. Emva kweveki, inkambo yokonyango iphinda iphindwe kwakhona.
Amphotericin B nayo
Ukuphelisa umqobo wokuphefumula nge-mucus ngokuthatha iikhosi ezimfutshane zokuthatha i-corticosteroids ( iPrednisolone , Itraconazole), ezithathwa ngomlomo.
Izigulane eziphucula igazi kwi-pulmonary aspergillosis zifuna i-lobectomy - ukuhlinzwa ukuze kususwe i-lobe echaphazelekayo yomphunga. Emva kokusebenza, amayeza okulwa namagciwane antifungal anqunyelwe ukukhusela ukusabalala kokusasazeka.