Aspergilloma mama
Pulmonary aspergilloma o se vaega e mafua mai i se faʻamaʻi pipisi. E masani lava ona tupu i pu mama. E mafai foʻi ona aliali mai le faʻamaʻi i le faiʻai, fatugaʻo, poʻo isi totoga.
Aspergillosis o se faʻamaʻi mafua mai i le fungus aspergillus. Aspergillomas e fausia pe a tupu le fungus i se kulupu i totonu o le mama lung. O le ana e masani ona faia e se tulaga muamua. E ono mafua mai faʻamaʻi i le mama i faʻamaʻi pei o:
- Fomaʻi
- Coccidioidomycosis
- Fibrosis o le cystic
- Histoplasmosis
- Lolo abscess
- Kanesa o le kanesa
- Sarcoidosis
O le ituaiga taatele o fungus e mafua ai faʻamaʻi i tagata o Aspergillus fumigatus.
Aspergillus o se masani fuga. E ola i luga o laulaʻau mate, teu saito, paʻu manu, faapalaga faaputuputu, ma isi vao pala.
Atonu e te le maua ni faʻailoga. A tupu aʻe faʻailoga, e mafai ona aofia ai:
- Tiga o le fatafata
- Mama
- O le faʻamamaina o le toto, e mafai ona avea ma faʻamataʻutia le ola
- Le lavava
- Fiva
- Leiloa leiloa mamafa mamafa
Atonu e masalomia e lau fomaʻi o loʻo maua oe i se faʻamaʻi pipisi pe a maeʻa le ave o lou mama i le fula. O isi suʻega e ono faia e aofia ai:
- Biopsy o māmā tino
- Toto suʻega mo le i ai o le aspergillus i le tino (galactomannan)
- Toto suʻega e iloa puipuia tali atu i le aspergillus (tino fualaʻau mo aspergillus)
- Bronchoscopy poʻo le bronchoscopy ma le lavage
- Fatafata CT
- Aganuu Sputum
Tele o tagata e le atiaʻe faʻailoga. Tele taimi, e leai se togafitiga e manaʻomia, seʻi vagana ua e tale i le toto.
O isi taimi, antifungal vailaʻau mafai ona faʻaaogaina.
A faʻapea e iai lou toto i le māmā, e ono tuiina e lou sapalai le vali i totonu o alafau (angiography) e suʻe ai le tulaga o le puna toto. O le tafetoto e taofi e se tasi:
- Taotoga e aveese ai le aspergilloma
- Faʻagasologa e faʻaofiina mea i totonu o le toto toto e taofi ai le toto (embolization)
O le iʻuga e mafai ona lelei i le tele o tagata. Peitai, e faʻamoemoe i le ogaoga o le tulaga ma lou soifua maloloina atoa.
O taotoga e ono sili ona alualu i luma i nisi tulaga, ae e faigata ma mafai ona i ai se maualuga lamatiaga o ogaoga faigata.
Faʻafitauli o pulmonary aspergilloma ono aofia ai:
- Faigata manava e atili ai ona leaga
- Toto tele mai le māmā
- Faʻasalalau o le faʻamaʻi
Vaʻai lau tautua pe a e tale i le toto, ma ia mautinoa ia taʻua nisi faʻailoga ua atiaʻe.
Tagata na i ai faʻafesoʻotaʻiga siama papala pe ua faʻavaivaia faiga puipuia e tatau ona taumafai e aloese mai siʻosiʻomaga o loʻo maua ai le kulupu o le aspergillus.
Fungus polo; Mycetoma; Aspergilloma; Aspergillosis - aspergilloma mama
- Papa
- Pulu nifo - luma vaai fata x-ray
- Puloua nodule, nofo toʻatasi - CT scan
- Aspergilloma
- Aspergillosis pulmonary
- Aspergillosis - pusa x-ray
- Respiratory system
Horan-Saullo JL, Alexander BD. Mycoses avanoa. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray ma Nadel's Textbook of Respiratory Medicine. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 38.
Patterson TF, Thompson GR 3rd, Denning DW, et al. Faʻataʻitaʻiga faʻatonuga mo le faʻamaoniga ma le faʻatautaia o le aspergillosis: 2016 faʻafouina e le Infectious Diseases Society of America. Togafitiga pipisi Dis. 2016; 63 (4): e1-e60. PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.
Walsh TJ. Aspergillosis. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 319