Ukuhlolwa kwe-Aspergillosis Precipitin

-Delile

• Kuyini ukuhlolwa kwe-aspergillus precipitin?
• Ukuqonda ukutheleleka kwe-aspergillus
• I-allergen bronchopulmonary aspergillosis (ABPA)
• I-aspergillosis ehlaselayo
• Ukuthi isivivinyo sisebenza kanjani
• Inqubo: Ukuthatha isampuli yegazi
• Izingozi ezingaba khona ezihambisana nokudonsa igazi
• Ukuhumusha imiphumela yokuhlolwa
• Ukulandela ngemuva kokuhlolwa

Kuyini ukuhlolwa kwe-aspergillus precipitin?

I-Aspergillus precipitin ukuhlolwa kwelabhorethri okwenziwa egazini lakho. Kuyala lapho udokotela esola ukuthi unesifo esibangelwa yi-fungus Aspergillus.

Isivivinyo singabizwa futhi:

• i-aspergillus fumigatus 1 isivivinyo sezinga le-precipitin
• ukuhlolwa kwe-aspergillus antibody
• ukuhlolwa kwe-aspergillus immunodiffusion
• ukuhlolwa kokunqanda amasosha omzimba

Ukuqonda ukutheleleka kwe-aspergillus

I-Aspergillosis ukutheleleka kwefungal okubangelwa Aspergillus, ukhunta otholakala emakhaya nangaphandle. Kutholakala kakhulu ezinhlamvwini ezigciniwe, nasezimileni ezibolayo njengamaqabunga afile, okusanhlamvu okugciniwe, nezinqwaba zomquba. Ingatholakala futhi emaqabungeni e-cannabis.

Iningi labantu liphefumula lezi zinhlamvu nsuku zonke ngaphandle kokugula. Kodwa-ke, abantu abanamasosha omzimba abuthakathaka basengozini yokutheleleka ngezifo.

Lokhu kufaka phakathi abantu abane-HIV noma umdlavuza nalabo abathatha imishanguzo yokuvikela imishanguzo efana ne-chemotherapy noma ukufakelwa imishanguzo yokulwa nokwaliwa.

Kunezinhlobo ezimbili ze-aspergillosis abantu abangayithola kule fungus.

I-allergen bronchopulmonary aspergillosis (ABPA)

Lesi simo sibangela ukusabela okweqile njengokuphefumula nokukhwehlela, ikakhulukazi kubantu abane-asthma noma i-cystic fibrosis. I-ABPA ithinta abantu abangafika kumaphesenti ayi-19 abane-cystic fibrosis.

I-aspergillosis ehlaselayo

Ebizwa nangokuthi i-pulmonary aspergillosis, lesi sifo singasakazeka kuwo wonke umzimba ngegazi. Kungalimaza amaphaphu, izinso, inhliziyo, ubuchopho, nesistimu yezinzwa, ikakhulukazi kubantu abanamasosha omzimba abuthakathaka.

Izimpawu ze-aspergillosis zingahluka. Isibonelo, umuntu oyedwa angaba nokukhwehlela okomile. Omunye angase akhwehlele igazi eliningi, elidinga ukunakekelwa okuphuthumayo kwezokwelapha.

Ngokuvamile, izimpawu ze-aspergillosis zifaka:

• ukuphelelwa umoya
• isifuba esifubeni
• imfiva
• ukukhwehlela okomile
• ekhwehlela igazi
• ubuthakathaka, ukukhathala, kanye nomuzwa ojwayelekile we-malaise
• ukuncipha kwesisindo ngokungenhloso

Izimpawu ze-aspergillosis ziyefana ne-cystic fibrosis ne-asthma. Kodwa-ke, abantu abane-asthma ne-cystic fibrosis abahlakulela i-aspergillosis bavame ukugula kakhulu kunabantu abangenazo lezi zimo. Bangathola izimpawu eziba nzima, njenge:

• ukwanda kwamaphaphu ukuvuvukala
• ukwehla kokusebenza kwamaphaphu
• ukukhiqizwa kwephlegm, noma isikhwehlela
• ukukhuphuka kwesibindi nokukhwehlela
• izimpawu ezandayo zesifuba somoya ngokuzivocavoca umzimba

Ukuthi isivivinyo sisebenza kanjani

I-Aspergillus precipitin ithola uhlobo nobungako bento ethile Aspergillus amasosha omzimba egazini. Ama-antibody amaprotheni e-immunoglobulin enziwe amasosha omzimba ekuphenduleni izinto eziyingozi ezibizwa ngama-antigen.

I-antigenis into umzimba wakho oyibona njengengozi. Isibonelo esisodwa yi-microorganism ehlaselayo njenge Aspergillus.

Igciwane lomzimba ngalinye elenziwa amasosha omzimba lenzelwe ngokukhethekile ukuvikela umzimba ku-antigen ethile. Akukho mkhawulo enanini lama-antibodies ahlukene amasosha omzimba anempilo angawenza.

Ngaso sonke isikhathi lapho umzimba uhlangabezana ne-antigen entsha, wenza i-antibody ehambisanayo ukuyilwa nayo.

Kunezigaba ezinhlanu zamasosha omzimba we-immunoglobulin (Ig):

• IgM
• IgG
• IgE
• IgA
• IgD

I-IgM ne-IgG yizona ezivivinywa kakhulu. La masosha omzimba asebenza ndawonye ukuvikela umzimba ezifweni. Ama-antibodies e-IgE avame ukuhlotshaniswa nokungezwani komzimba.

Ukuhlolwa kwe-aspergillus precipitin kubheka ama-antibody e-IgM, IgG, ne-IgE egazini. Lokhu kusiza ukunquma ubukhona be- Aspergillus nokuthi isikhunta singathinta kanjani umzimba.

Inqubo: Ukuthatha isampuli yegazi

Udokotela wakho uzokuyalela uma udinga ukuzila ukudla ngaphambi kokuhlolwa kwegazi. Ngaphandle kwalokho, akukho ukulungiselela okudingekayo.

Umhlinzeki wezempilo uzokhipha igazi emthanjeni, imvamisa kusuka ngaphakathi kwendololwane. Bazoqala bahlanze isiza ngesibulali magciwane esibulala amagciwane bese besonga ibhande lokunwebeka engalweni, kwenze umthambo uvuvukele igazi.

Bazofaka kahle umjovo emthanjeni. Igazi lizoqoqa kushubhu lesirinji. Lapho ishubhu ligcwele, inaliti iyasuswa.

Ibhande lokunwebeka liyasuswa, bese kuthi indawo yokubhoboza inaliti imbozwe nge-gauze oyinyumba ukumisa ukopha.

Izingozi ezingaba khona ezihambisana nokudonsa igazi

Kuvamile ukuzwa ezinye izinhlungu lapho kudonswa igazi. Lokhu kungaba ukuluma okuncane noma mhlawumbe ubuhlungu obulinganiselayo ngokushaya okuthile ngemuva kokuba inaliti isusiwe.

Izingozi ezingajwayelekile zokuhlolwa kwegazi yilezi:

• ukopha ngokweqile
• ukuquleka
• ngizizwe nginekhanda elincane
• ukuhlanganiswa kwegazi ngaphansi kwesikhumba, noma i-hematoma
• ukutheleleka

Uma ubona ukopha ngemuva kokuthi inaliti isusiwe, ungasebenzisa iminwe emithathu ukufaka ingcindezi esizeni imizuzu emibili. Lokhu kufanele kunciphise ukopha nokulimala.

Ukuhumusha imiphumela yokuhlolwa

Imiphumela yokuhlolwa kwe-Aspergillus precipitin ivame ukutholakala kungakapheli izinsuku ezi-1 kuye kwezi-2.

Umphumela wokuhlolwa “ojwayelekile” usho ukuthi cha Aspergillus amasosha omzimba atholakele egazini lakho.

Kodwa-ke, lokhu akusho lokho Aspergillus engekho emzimbeni wakho. Uma uthole imiphumela ejwayelekile yokuhlolwa kepha udokotela wakho usasola ukuthi ukutheleleka kwakho kubangelwa yile fungus, isiko lokuhlola ekukhafuleni noma i-biopsy yezicubu kungadingeka.

Umphumela wokuhlolwa “ongajwayelekile” usho ukuthi Aspergillus Ama-antibody fungus atholakala egazini lakho. Lokhu kungasho ukuthi uvezwe ku-fungus, kepha ungahle ungabi nesifo samanje.

Buza udokotela wakho ngemiphumela yakho yokuhlolwa lapho uyithola.

Ukulandela ngemuva kokuhlolwa

Ungathuthuka wedwa ngaphandle kokwelashwa uma unesistimu yomzimba yokuzivikela.

Abantu abanamasosha omzimba abuthakathaka bangadinga ukuphuza imishanguzo yokulwa nezikhunta izinyanga ezintathu kuya eminyakeni eminingana. Lokhu kuzosiza ukususa umzimba wakho wefungus.

Noma imiphi imishanguzo yokuzivikela oyithathayo ingadinga ukwehliswa noma iyekwe ngesikhathi sokwelashwa ukusiza umzimba wakho ukulwa nokutheleleka. Qiniseka ukuthi uxoxa ngalokhu nodokotela wakho.