Pulmonary aspergilloma

Pulmonary aspergilloma yog ib hom mob los ntawm kev kis mob fungal. Nws feem ntau loj hlob hauv lub ntsws kab noj hniav. Tus mob tseem yuav tshwm sim hauv lub hlwb, raum, lossis lwm yam hauv nrog cev.

Aspergillosis yog ib tus mob los ntawm cov pwm hu ua fungus aspergillus. Cov kab mob Aspergillomas tau tsim los thaum cov pwm siv zuj zus hauv pob av hauv cov ntsws. Cov kab noj hniav feem ntau tsim los ntawm cov xwm txheej ua ntej. Cov kab noj hniav hauv lub ntsws yuav tshwm sim los ntawm cov kab mob xws li:

• Tub Ntshaw
• Coccidioidomycosis
• Cystic fibrosis
• Histoplasmosis
• Lub ntsws ua qog
• Mob ntsws cancer
• Sarcoidosis

Qhov ntau hom kab mob fungus uas ua rau muaj mob rau tib neeg yog Aspergillus fumigatus.

Aspergillus yog ib yam muaj pwm. Nws cog rau ntawm nplooj tuag, khaws qoob loo, noog poob, av nplooj lwg, thiab lwm yam nroj tsuag lwj.

Koj yuav tsis muaj tsos mob dab tsi. Thaum cov tsos mob tshwm sim, lawv tuaj yeem suav nrog:

• Kev mob hauv siab
• Hnoos
• Kev hnoos ntshav, uas yuav yog ib qho cim txo sia
• Nkees
• Ua npaws
• Tsis yuag yuag poob

Koj tus neeg saib xyuas kev noj qab haus huv yuav xav tias koj muaj tus mob fungal tom qab xoo hluav taws xob ntawm koj lub ntsws qhia lub pob ntawm cov fungus. Lwm yam kev xeem uas yuav muaj xws li:

• Mob me ntawm lub ntsws cov ntaub so ntswg
• Kuaj ntshav rau qhov muaj aspergillus hauv lub cev (galactomannan)
• Kuaj ntshav kom paub tiv thaiv kab mob mus rau aspergillus (cov tshuaj tiv thaiv rau aspergillus)
• Bronchoscopy lossis bronchoscopy nrog lavage
• Chest CT
• Sputum kab lis kev cai

Coob leej ntau tus yeej tsis muaj mob. Feem ntau, tsis tas yuav kho dab tsi, tsuas yog koj hnoos tau ntshav.

Qee zaum, siv cov tshuaj tua kab mob los kho.

Yog tias koj muaj ntshav hauv lub ntsws, koj tus kws kho mob yuav muab cov xim tso rau hauv cov hlab ntshav (angiography) kom nrhiav tau thaj chaw uas los ntshav. Qhov ntshav los nres ntawm ib qho twg:

• Kev phais kom tshem tawm cov aspergilloma
• Cov txheej txheem uas ntxig cov khoom rau hauv cov hlab ntshav kom nres qhov ntshav (embolization)

Qhov tshwm sim tuaj yeem ua tau zoo hauv ntau tus neeg. Txawm li cas los xij, nws nyob ntawm qhov mob hnyav ntawm koj thiab koj cov kev noj qab haus huv tag nrho.

Kev phais mob tuaj yeem ua tiav tau qee qhov xwm txheej, tab sis nws yog qhov nyuaj thiab tuaj yeem muaj kev pheej hmoo siab ntawm cov kev mob nyhav.

Lwm yam mob ntsig txog mob ntsws o ntsws yuav muaj:

• Ua pa nyuaj uas tau txais ntau dua
• Loj heev los ntshav hauv lub ntsws
• Kis ntawm tus kab mob

Mus ntsib koj tus kws kho mob yog tias koj hnoos tau ntshav, thiab nco ntsoov hais txog lwm yam kev mob tshwm sim.

Cov tib neeg uas tau muaj mob ntsig txog ntsws los yog cov neeg tiv thaiv kev tiv thaiv tsis muaj zog tiv thaiv kab mob yuav tsum tau sim kom tsis txhob muaj qhov chaw ib puag ncig uas pom muaj tus kab mob ntsws.

Kooj pob; Mycetoma; Aspergilloma; Aspergillosis - mob ntsws qhuav

• Lub ntsws
• Pulmonary nodule - saib sab hauv siab xoo hluav taws xob
• Pulmonary nodule, twm-CT scan
• Aspergilloma
• Mob ntsws (Pulmonary aspergillosis)
• Aspergillosis - lub ntsej muag xoo hluav taws xob
• Kev ua pa system

Horan-Saullo JL, Alexander BD. Muaj lub sijhawm mycoses. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 38.

Patterson TF, Thompson GR 3rd, Denning DW, li al. Siv cov lus qhia rau kev kuaj mob thiab kev tswj hwm tus mob aspergillosis: 2016 hloov tshiab los ntawm Koom Haum Kab Mob Sib Kis ntawm Asmeskas. Clin Kab Mob Tsis ZooCov. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 319.