Aspergillosis waa caabuq ka dhasha fangaska Aspergillus. Caabuqa noocan ahi wuxuu inta badan ku dhacaa sambabbada, iyo inta badan dadka nugul iyo / ama dadka aan tallaalka lahayn. Dhowr daaweyn oo fangas ah ayaa la tixgelin karaa iyadoo ku xiran kiiska.

Qeexidda aspergillosis

Aspergillosis waa eray caafimaad oo isku keena dhammaan cudurada ay keenaan fangaska Aspergillus. Waxay sabab u yihiin neefsashada xuubabka fangaskaan (kuwaas oo hab u ah miraha fangaska). Sababtaas awgeed aspergillosis badanaa wuxuu ku dhacaa marinka neefsashada, gaar ahaan sambabada.

Sababta aspergillosis

Aspergillosis waa infakshan leh fungus ka mid ah Aspergillus. 80% kiisaska, waxaa sabab u ah noocyada Aspergillus fumigatus. Noocyo kale, oo ay ku jiraan a. nijeer, A. nidulans, A. flavus, iyo A. versicolor, sidoo kale waxay sababi kartaa aspergillosis.

Noocyada d'aspergilloses

Waxaan kala saari karnaa noocyada kala duwan ee aspergillosis:

• Aspergillosis oo xasaasiyad leh oo xasaasiyad leh taas oo ah dareen -celin dareen -celin ah oo ku dhacda noocyada Aspergillus, oo inta badan ku dhacda xiiqda iyo dadka qaba cystic fibrosis;
• aspergilloma, aspergillosis sambab kaas oo ka dhasha samaynta kubad fangas ah oo ku jirta godka sambabada oo soo raaca cudur hore sida qaaxada ama sarcoidosis;
• aspergillary sinusitis oo ah nooc dhif ah oo aspergillosis ah ee sinuses -ka;
• aspergillosis faafa marka infekshanka Aspergillus fumigatus wuxuu ku fidaa marinka neef -mareenka ilaa xubnaha kale (maskaxda, wadnaha, beerka, kelyaha, iwm.) isagoo maraya dhiigga.

Baadhitaanka aspergillosis

Waxay ku salaysan tahay baadhitaan caafimaad oo lagu kabi karo baadhitaano qoto dheer:

• falanqaynta muunadda bayoolojiga ah ee ka timaadda aagga cudurka qaba si loo garto cilladda fungal;
• raajo ama CT scan ee aagga cudurka qaba.

Dadka qaba aspergillosis

Inta badan kiisaska, jidhku wuxuu awoodaa inuu la dagaallamo noocyada Aspergillus wuxuuna ka hortagi karaa aspergillosis. Caabuqani wuxuu dhacaa oo kaliya haddii xuubabka xuubka ah la beddelo ama haddii difaaca jirku daciifo.

Khatarta ah inuu ku dhaco aspergillosis ayaa si gaar ah ugu sareysa xaaladaha soo socda:

• neefta;
• cystic fibrosis;
• taariikhda qaaxada ama sarcoidosis;
• ku -beddelidda xubnaha, oo ay ku jiraan ku -tallaalidda dhuuxa lafta;
• daaweynta kansarka;
• qadar sare iyo daaweynta corticosteroid oo dheer;
• neutropenia oo dheeraaday.

Calaamadaha neefsashada

Aspergillosis waxaa sababa faddaraynta marinka mareenka. Waxay badanaa ka samaysataa sambabbada waxaana ka muuqda calaamado neefsasho oo kala duwan:

• qufac ;
• foodhida;
• neefsashada oo adkaata

Calaamadaha kale

Iyada oo ku xidhan qaabka aspergillosis iyo koorsadiisa, astaamo kale ayaa soo bixi kara:

• qandho ;
• sinusitis;
• rhinitis;
• madax xanuun;
• dhacdooyinka xanuunka;
• daal;
• miisaanka oo yaraada;
• laab xanuun;
• xaako dhiig leh (hemoptysis).

Infekshankan Aspergillus waxaa inta badan lagu daweeyaa daawaynta fangasyada (tusaale voriconazole, amphotericin B, itraconazole, posaconazole, echinocandins, iwm).

Waxaa jira waxyaabo ka reeban. Tusaale ahaan, daawaynta antifungal ma aha mid waxtar u leh aspergilloma. Xaaladdan, daaweynta qalliinka ayaa laga yaabaa inay lagama maarmaan noqoto si looga saaro kubbadda fangaska. Marka laga hadlayo aspergillosis bronchopulmonary xasaasiyad, daaweyntu waxay ku saleysan tahay isticmaalka corticosteroids aerosols ama afka.

Ka -hortaggu wuxuu ka koobnaan karaa taageeridda difaaca jirka ee dadka jilicsan iyo xaddididda u -soo -baxooda fangaska Aspergillus. Bukaanada halista badan leh, go'doominta qol nadiif ah ayaa loo hirgelin karaa si looga hortago in ay dhacdo aspergillosis duufaan leh oo leh cawaaqib xun.