Sambabka sanbabada

Sambabka sambabadu waa cufka uu keeno infakshanka fungal. Waxay badanaa ku baxdaa godadka sanbabada. Infekshanku wuxuu sidoo kale ka muuqan karaa maskaxda, kilyaha, ama xubnaha kale.

Aspergillosis waa infakshan uu sababo fangaska aspergillus. Aspergillomas waxaa la sameeyaa marka fungusku ku soo baxo buro ku taal godka sanbabada. Daloolku badanaa waxaa abuuray xaalad hore. Daloolada sanbabada waxaa sababi kara cuduro ay ka mid yihiin:

• Qaaxada
• Coccidioidomycosis
• Cudurka 'Cystic fibrosis'
• Cudurka 'histoplasmosis'
• Cudurka sanbabada
• Kansarka sambabka
• Sarcoidosis

Noocyada ugu badan ee fungus-ka ee sababa cudur ku dhaca dadka waa Aspergillus fumigatus.

Aspergillus waa fungus caan ah. Waxay ku baxdaa caleemaha dhintay, hadhuudhka la kaydiyey, xaarka shimbiraha, isugeynta compost, iyo dhir kale oo qudhuntay.

Waxaa laga yaabaa inaadan lahayn astaamo. Markay astaamuhu soo baxaan, waxaa ka mid noqon kara:

• Laab xanuun
• Qufac
• Qufaca dhiigga, oo noqon kara calaamadda nafta halis gelisa
• Daal
• Qandho
• Miisaan lumis aan ula kac ahayn

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu ka shakiyo inaad qabto infekshinka fungal ka dib raajada sambabkaaga oo muujisa kubbadda fungus Tijaabooyinka kale ee laga yaabo in la sameeyo waxaa ka mid ah:

• Cad ka-qaadista unugyada sambabka
• Baadhitaanka dhiigga ee joogitaanka aspergillus ee jirka (galactomannan)
• Tijaabada dhiigga si loo ogaado jawaabta difaaca jirka ee aspergillus (unugyada difaaca jirka ee aspergillus)
• Bronchoscopy ama bronchoscopy oo leh lavage
• Laabta CT
• Dhaqanka Xaakada

Dad badan waligood calaamadaha kuma dhacaan. Badanaa, daaweyn looma baahna, ilaa aad qufacaysid dhiig.

Mararka qaarkood, daawooyinka antifungal ayaa la isticmaali karaa.

Haddii aad dhiig ku leedahay sambabada, takhtarkaaga ayaa ku duri kara dheeh xididdada dhiigga (angiography) si loo helo goobta dhiiggu ka socdo. Dhiigbaxa waxaa joojiya midkood:

• Qalliin si looga saaro aspergilloma
• Habka galiya walaxda xididdada dhiigga si loo joojiyo dhiig-baxa (embolization)

Natiijadu waxay ku fiicnaan kartaa dad badan. Si kastaba ha noqotee, waxay kuxirantahay darnaanta xaalada iyo caafimaadkaaga guud.

Qalliinka waxaa laga yaabaa inuu si aad ah ugu guuleysto xaaladaha qaarkood, laakiin waa mid adag oo wuxuu yeelan karaa khatar sare oo ah dhibaatooyin daran.

Dhibaatooyinka sambabada aspergilloma waxaa ka mid noqon kara:

• Neefsashada oo dhib ah oo ka sii dareysa
• Dhiigbax ballaaran oo ka imanaya sambabka
• Faafitaanka cudurka

U tag dhakhtarkaaga haddii aad qufacdid dhiig, oo hubi inaad sheegto astaamo kale oo soo baxay.

Dadka uu ku dhacay infekshinka sambabaha ee la xiriira ama kuwa daciifiyay hababka difaaca jirka waa inay isku dayaan inay ka fogaadaan bey'ada laga helo fangaska aspergillus.

Kubbadda fungus; Mycetoma; Aspergilloma; Aspergillosis - sambabada aspergilloma

• Sambabada
• Neefta Sambabka - aragtida hore raajada xabadka
• Nugul sambabada, kali - CT scan
• Aspergilloma
• Sambabka sanbabada
• Aspergillosis - raajo xabadka
• Nidaamka neefsashada

Horan-Saullo JL, Alexander BD. Miisaanka fursadaha. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 38.

Patterson TF, Thompson GR 3rd, Denning DW, iyo al. Tilmaamaha tababbarka ee loogu talagalay ogaanshaha iyo maaraynta aspergillosis: cusbooneysiinta 2016 ee Bulshada Cudurada faafa ee Ameerika. Clin Infect Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

Walsh TJ. Aspergillosis. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 319.