So ɛtɔ mmere bi a, wo honam ani yɛ kurukuruwa nketenkete, wo ho yɛ wo yaw, anaasɛ wo nnadewa dan tuntum na ɛyɛ fĩ? Ebia woanom nnuru ama tebea bi a wɔfrɛ no "thrush." Nea ɛde eyinom nyinaa ba ne mmoawa nketenkete bi a wɔfrɛ wɔn fungus. Enti ɛnnɛ, momma yɛnka nnuru a nnuruyɛfo kyerɛw ma saa fungal infections yi, a ɛyɛ antifungals no ho asɛm.
Nea edi kan no, ma yɛnhwɛ, dɛn ne saa fungi yi?
Sɛ yɛbɛka no tiawa a, fungi yɛ mmoawa nketenkete kuw bi a wobetumi ahu wɔn wɔ baabiara wɔ yɛn nneɛma a atwa yɛn ho ahyia no mu. Te sɛ "pus" a ɛba abodoo asinasin so no, saa fungi yi nso ba ahorow te sɛ `yeast` ne `mold`. Wobetumi ahu wɔn nkwaboaa nketenkete no wɔ asase no mu ne mframa mu mpo.
Susuw ho hwɛ, ɛwom sɛ eyi yɛ nwonwa de, nanso fungi ahorow bi te yɛn nipadua mu fi awosu mu. Sɛ nhwɛso no, mmɔkaw bi a wɔfrɛ no `Candida` tra ase a ɔhaw biara nni yɛn honam ani, yɛn aduan mu, ne mmea awotwaa mu. Nanso, sɛ eyinom nyin dodo esiane biribi nti a, nyarewa ba.
Nnuru a ekum fungal yɛ nnuru a wɔde siw fungal yare ano, sɛe fungal nkwammoaa, anaasɛ wogyae wɔn nyin.
Hena na ɔwɔ asiane kɛse sɛ obenya fungal yare?
Nokwarem no, obiara betumi anya fungal yare. Honam ani tebea horow a yehu no mu dodow no ara yɛ fungal yare a ɛnyɛ den. Mpɛn pii no, ɛnyɛ den sɛ wɔbɛsa wɔn yare.
Nanso, sɛ obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no nya fungal yare a, ebetumi ayɛ aniberesɛm kɛse. Yɛfrɛ saa nyarewa ahorow yi `hokwan mu nyarewa`. Ɛne sɛ, saa nyarewa yi de nipadua a ayɛ mmerɛw di dwuma. Saa tebea yi yɛ nea asiane wom titiriw:
- Wɔn a wɔwɔ AIDS no fam
- Wɔ nnipa a wɔwɔ nyarewa a nipadua no tumi ko tia nyarewa te sɛ lupus fam no
- Wɔn a wɔreyɛ kokoram ayaresa no fam
- Wɔn a wɔayɛ wɔn akwaa foforo no fam
- Wɔ wɔn a wɔde nnompe mu ntini a wɔde ma wɔn (stem cell transplants) fam no .
Nyarewa bɛn na wɔde nnuru a ekum fungal sa?
Nnuru a ekum fungal sa tebea horow pii, efi honam ani yare a ɛtaa ba so kosi nyarewa a emu yɛ den a ɛde nkwa to asiane mu so. Momma yɛnkyekyɛ eyinom mu abien.
| Ɔyare mmoawa no su | Nhwɛso ahorow |
|---|---|
| Nyarewa a ɛtaa ba honam ani ne akyi |
|
| Nhyehyɛe mu nyarewa a emu yɛ den kɛse |
Ɔkwan bɛn so na saa aduru yi yɛ adwuma?
Akwan pii wɔ hɔ a nnuru a ekum fungal fa so yɛ adwuma. Wo duruyɛfo no bɛpaw aduru a ɛfata sen biara a egyina sɛnea yare no te so. Titiriw no:
- Fungal nkwammoaa a wɔsɛe no: Nnuru bi (e.g., Nystatin a efi Polyenes kuw no mu) sɛe fungal nkwammoaa no fasu na ɛsɛe no.
- Fungi nyin a wogyae: Nnuru afoforo (e.g., Fluconazole a efi azoles kuw no mu) siw fungal nkwammoaa kwan sɛ ɛbɛpaapae, annyin, na antrɛw.
- Fungal nkwammoaa fasu a wɔtow hyɛ so: Nnuru foforo (e.g. Micafungin a efi Echinocandins kuw no mu) siw fungal nkwammoaa fasu no kwan na ɛma ɛyɛ mmerɛw.
Sɛnea wɔde nnuru a ekum fungi di dwuma
Saa nnuru yi wɔ ahorow ahorow. Wo duruyɛfo bɛkyerɛ wo ɔkwan a ɛfata sen biara a egyina wo tebea no so.
- Topical: Wɔde gu honam ani sɛ cream, gel, aduru a wɔde petepete so, ne nnuru a wɔde petepete honam ani.
- Nnuru a wɔnom: Wɔde eyinom ma sɛ nnuru anaa nsu.
- Injections/IV: Wɔ ɔyare mmoawa a emu yɛ den mu no, wɔde fa ntini mu (IV) anaasɛ sɛ injection.
- Suppositories: Wɔde eyinom hyɛ ɔbea no awotwaa mu ma awotwaa mu nyarewa.
So nnuru a ekum fungi no wɔ nsunsuanso bɔne?
Te sɛ nnuru biara no, nnuru a ekum fungal betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi. Afei nso, eyinom gu ahorow gyina aduru ko ne dodow a wɔde ma so.
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Nneɛma bɔne a ɛtaa ba | - yafunu mu yaw, yafunu mu yaw ne akisikuru - a ɛyɛ yaw, ɛhyew, anaasɛ ɛyɛ yaw wɔ honam ani |
| Nneɛma bɔne a ɛntaa nsi nanso anibere wom a ɛsɛ sɛ wɔhwɛ so ntɛm ara | - mmerɛbo a ɛsɛe (aniwa ne honam ani yɛ kɔkɔɔ - Jaundice) . - a ɛma obi ho yɛ no yaw (a ɛyɛ den sɛ ɔbɛhome, anim a ɛho ahonhon - Anaphylaxis) . - honam ani akisikuru a emu ye den a ema honam ani akisikuru ne honam ani a etutu |
Nea ɛho hia: Sɛ wunya saa nsunsuanso bɔne yi bi a, gyae aduru no nom ntɛm ara na kɔ wo duruyɛfo nkyɛn. Sɛ ɛnte saa a, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Asɛm bi a ɛho hia yiye: Antifungal Resistance
Eyi yɛ biribi a ɛsɛ sɛ yɛn nyinaa te ase. Fa no sɛ fungus bi a wabɛyɛ "onyansafo" na wanya ɔkwan bi a ɔbɛfa so akwati aduru a yɛde ma no no nkɛntɛnso. Ɛte sɛ ɔtamfo bi a ɔhyɛ akode a ebetumi agyina yɛn akode ano. Sɛ yɛbɛka no tiawa a, yɛfrɛ ‘resistance’ sɛ aduru no a entumi nni fungus no so.
Nneɛma atitiriw pii nti na eyi ba:
- Bere a wɔakyerɛw ama wo no a wonwie: Sɛ oduruyɛfo no ka kyerɛ wo sɛ fa aduru no nnafua 7 a, gyae aduru no bere a yare no ho sɛnkyerɛnne no ano brɛ ase wɔ bɛyɛ nnafua 3 mu no.
- Dose a wɔannye: Nnuru a wɔmfa nni dwuma bere ano.
- Underdosing: Fa dodow a ɛba fam sen nea wɔakyerɛw ama no.
- Wɔde di dwuma bere tenten a ɛho nhia.
Saa ahoɔden a ɛko tia yi kyerɛ sɛ sɛ wo anaa obi foforo nya saa fungal yare yi daakye a, wɔrentumi mfa nnuru a wɔtaa de di dwuma no nsa. Enti, ɛho behia sɛ wode nnuru a ano yɛ den na ne bo yɛ den a ɛde ɔhaw ahorow pii ba di dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Mfa nnuru a ekum fungal nni dwuma da a wonkɔ oduruyɛfo nkyɛn. Ntɔ wɔ nnurutɔnbea.
- Fa aduru no bere tenten a wo duruyɛfo akyerɛw ama wo no nyinaa, wɔ dodow a wɔakyerɛw ama wo no mu. Sɛ wo yare no ho sɛnkyerɛnne no tu mpɔn mpo a, nom aduru no bere tenten a wɔakyerɛw ama wo no nyinaa.
- Mfa nnuru a wɔakyerɛw ama wo mma obi foforo da, sɛ mpo saa onipa no yare no ho sɛnkyerɛnne te sɛ wo de a.
- Sɛ wunya ɔhaw biara a emu yɛ den bere a worenom aduru no a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Nnuru a ekum fungi a wɔko tia no yɛ akwahosan ho haw a emu yɛ den. Yebetumi aboa ma asiw ano denam nnuru a ɛfata a yɛde bedi dwuma so.
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