So wunim ɔtamfo ketewaa bi a ɔwɔ nneɛma a atwa yɛn ho ahyia no ho asɛm? Momma yɛnka Blastomycosis ho asɛm!

Yɛn nyinaa ani gye ho sɛ yebenya bere wɔ abɔnten, wɔ abɔde mu, ɛnte saa? Nanso ɛtɔ da bi a, sɛ yennim a, abɔde nketewa a wɔatwa yɛn ho ahyia no betumi ahaw yɛn. Blastomycosis yɛ yare a ɛnam nwansena ketewaa bi a aniwa nhu a wɔfrɛ no Blastomyces a ɛnam ɔhome so hyɛn nipadua no mu. Efi ase te sɛ atiridii na ɛtɔ mmere bi a ebetumi atrɛw afi ahurututu mu akɔ nipadua no afã afoforo. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, efisɛ nhumu ne ahobammɔ a eye sen biara.

Dɛn ne Blastomycosis? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Blastomycosis yɛ ɔyare mmoawa a ntontom bi a wɔfrɛ no Blastomyces de ba. Saa nwansena yi te asase a ɛyɛ nwini ne nnua a ɛporɔw mu kɛse , titiriw wɔ mmeae a ɛbɛn nsu. Nea ɛnte sɛ nsenia akɛse a yehu no, eyi yɛ ntontom a ɛyɛ ketewaa dodo sɛ wɔde aniwa betumi ahu. Sɛ wututu dɔte mu anaa wokanyan mfutuma wɔ beae a ɛte saa a, saa ntontom yi nkwaboaa betumi akɔ mframa mu na wɔahome. Bere bi a atwam no, na wɔsan frɛ no Gilchrist yare anaa Chicago yare.

Dɛn ne yare yi ho sɛnkyerɛnne?

Blastomycosis ho sɛnkyerɛnne betumi ayɛ soronko kakra wɔ onipa biara ho. Na, nea ɛyɛ nwonwa no, ɛnyɛ obiara a ɔwɔ saa ntontom yi na obenya yare no ho sɛnkyerɛnne. Nhwehwɛmu ahorow bi kyerɛ sɛ wɔn a wɔanya ɔyare no mu bɛyɛ fã nkyerɛ yare no ho sɛnkyerɛnne biara koraa . Nanso, sɛ sɛnkyerɛnne ahorow no ba a, mpɛn pii no, nea ɛka ho ne:

• Huraeɛ .
• Te nka sɛ worekɔ awɔw (Chills).
• Ɔbrɛ ne ɔbrɛ a wɔte nka bere nyinaa.
• Ɔfe a wɔfe . Ɛtɔ da bi a, ɔfe no tumi kyɛ.
• Ɔhome a ɛyɛ den (dyspnea) anaasɛ ɔte nka sɛ ne koko ayɛ den.
• Nipadua mu yaw, ntini mu yaw .
• Ebia nnipa binom bɛfefe mogya .
• Anadwo fifiri a ɛba .
• Honam ani akuru, akuru, akuru anaa akisikuru nso betumi aba. Momma yɛnhwɛ eyinom mu nkɔ akyiri.

Blastomyces dermatitidis te dɛn wɔ honam ani?

Ɛtɔ mmere bi a, blastomycosis tumi trɛw kɔ ahurututu no akyi, titiriw kɔ honam ani. Ɛno nti na yɛfrɛ no Blastomyces dermatitidis . Sɛ ɛba honam ani saa a, ebetumi ayɛ soronko.

• Te sɛ abon akɛse .
• Te sɛ akisikuru .
• Te sɛ akuru .
• Ebia eyinomEbetumi ayɛ akuru akɛse a abue, anaasɛ ebetumi ayɛ akuru a wɔatoto mu akuwakuw .
• Mpɛn pii no eyinom yɛ nsensanee anaasɛ ɛyɛ kurukuruwa na efi ase tew.

Sɛ wowɔ honam ani haw te sɛ eyi, titiriw sɛ sɛnkyerɛnne te sɛ atiridiinini ne ɔfe ka ho a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn nti na yenya Blastomycosis? Dɛn na ɛde ba?

Nea ɛde yare yi ba titiriw ne fungi ahorow pii a wɔfrɛ no Blastomyces . Wɔn mu no, Blastomyces dermatitidis (B. dermatitidis) ne nea ɛde nyarewa ba yɛn kɛse.

Enti, ɛhe na saa ntontom yi abu so kɛse?

Blastomyces yɛ ntontom a ɛyɛ frɔmfrɔm wɔ nsu mu nneɛma a atwa yɛn ho ahyia mu . Ɛyɛ yiye wɔ asase a ɛyɛ nwini ne nnua a ɛporɔw so, titiriw wɔ mmeae te sɛ asubɔnten ano ne atare ase. Wɔabɔ amanneɛ sɛ efi wiase mmeae pii, nanso abu so kɛse wɔ Amerika Atifi fam mmeae bi . Ne titiriw no:

• Ɛtaa ba wɔ U.S. Mfinimfini Atɔe aman mu , titiriw wɔ Wisconsin ne Minnesota.
• Wɔ U.S. Mfinimfini Kesee Fam ne Kesee Fam Apuei aman mu no .
• Canada Kesee Fam Apuei : Wɔ mmeae te sɛ Ontario, Quebec, Manitoba, ne Saskatchewan.
• Nea ɛka ho no, wɔabɔ ayarefo a wofi United States atifi fam apuei mmeae (U.S. Atifi Apuei) nso ho amanneɛ.

Ɛwom sɛ eyi ntaa nsi wɔ Sri Lanka de, nanso sɛ wutu kwan kɔ mmeae a ɛtete saa anaasɛ woyɛ adwuma wɔ tebea horow a ɛtete saa mu a, ɛho hia yiye sɛ wuhu.

Ɔkwan bɛn so na saa yare yi trɛw kɔ yɛn so?

Blastomycosis fi ntontom Blastomyces mmoawa a wɔhome fi asase a ɛyɛ nwini anaa nnua a ɛreporɔw mu no mu. Saa nkwaboaa yi fi ase nyin wɔ w’ahurututu mu. Ɛtɔ mmere bi a, ebetumi atrɛw akɔ wo nipadua no afã afoforo denam wo mogya so .

Wɔabɔ amanneɛ sɛ wɔkanyan dɔte pii bere a wɔreyɛ adansi adwuma akɛse anaa wɔretu fam, na ɛma nnipa pii nya ɔyare no prɛko pɛ.

Ade a ɛho hia sen biara ne sɛ blastomycosis nyɛ nea wɔde yare mmoawa ba. Eyi kyerɛ sɛ wuntumi nnya bi denam obi a ɔwɔ yare no a wo ne no bɛkasa, wo ne no abɔ, anaa wobɛka no ho.

Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?

Obiara a ɔte mmeae a Blastomyces abu so anaa otu kwan kɔ hɔ no wɔ asiane mu sɛ obenya yare no. Nanso, nnipa bi wɔ hɔ a asiane kɛse wom kakra. Momma yɛnhwɛ nnipa ko a wɔyɛ:

• Sɛ w’adwuma anaa w’anigyede hwehwɛ sɛ wutu dɔte anaasɛ wobɛyɛ adwuma wɔ baabi a ɛbɛn nsubɔnten anaa atare a :
• Nnipa a wɔyɛ adwuma wɔ adansi adwuma mu.
• Nnipa a wɔkɔ abɔmmɔ.
• Mpataayi.
• Nkurɔfo a wɔrekɔ nsraban mu.
• Wɔn a wɔforo mmepɔw (Hiking).
• Ɛntaa mma koraa sɛ nsɛm bi aba a mmoa ho animdefo anya yare no afi ade a efĩ wom mu bere a wɔresa aboa bi a ɔwɔ ɔyare no yare no.

Afei nso, sɛ nnipa binom nya saa yare yi a , asiane kɛse wom sɛ wobenya ɔhaw ahorow anaasɛ yare no mu ayɛ den . Eyinom ne:

• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw . Sɛ nhwɛso no, nnipa a wɔwɔ HIV anaa wɔn a wɔnom nnuru a ɛma nipadua no tumi ko tia nyarewa no wɔ asiane kɛse mu.
• Nnipa a wɔwɔ ahurututu mu nyarewa a enni sabea te sɛ COPD (Chronic Obstructive Pulmonary Disease) .
• Nnipa a wɔadi boro mfe 50 .

Nsɛnnennen bɛn na ebetumi aba esiane yare yi nti?

Nsɛnnennen atitiriw abien a ɛde blastomycosis ba ne acute respiratory distress syndrome (ARDS) ne ntontom a ɛtrɛw kɔ nipadua no afã afoforo. Efi ahurututu mu no, ntontom no tumi fa mogya no mu na ɛka akwaa te sɛ:

• Wora : Sɛnea yɛadi kan aka no, honam ani akuru ne akisikuru betumi aba.
• Nnompe : Nyarewa no betumi atrɛw akɔ nnompe no mu, na ɛde ɛyaw ne ɔfe aba.
• Central nervous system : Eyi kyerɛ sɛ sɛ ɛtrɛw kɔ mmeae a ɛho hia te sɛ amemene ne akyi berɛmo a, ebetumi ayɛ asiane kɛse.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi? (Nyare a Wɔahu) .

Sɛ wususuw sɛ wowɔ blastomycosis a, oduruyɛfo bi bebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo. Afei, ebia wɔbɛyɛ nhwehwɛmu te sɛ eyinom de akyerɛ sɛ wɔahu yare no:

• Wobetumi agye wo mogya , wo nsu , anaa wo nsu (nsu a efi ahurututu mu) bi.
• Sɛ wowɔ honam ani akuru a, wobetumi ayi ntini ketewaa bi (biopsy) afi akuru no mu na wɔde akɔma wɔakɔyɛ nhwehwɛmu.

Wɔde saa nhwɛsode ahorow yi kɔ adwumayɛbea bi na wɔsɔ nea edidi so yi hwɛ:

• Mmɔden a wɔbɔ sɛ wɔbɛma Blastomyces fungus no ayɛ amammerɛ : Eyi ne ɔkwan a eye sen biara a wɔfa so si yare no so dua. Nanso, eyi betumi agye adapɛn pii, enti ebia wo duruyɛfo no befi ase sa yare ansa na saa bere no adu.
• Sɔhwɛ a wɔde hwɛ sɛ Blastomyces mmɔkaw wɔ hɔ: Wobetumi de PCR (Polymerase Chain Reaction) mfiridwuma adi dwuma de ahu DNA a efi saa ntontom yi mu wɔ ntini nhwɛsode anaa nipadua mu nsu mu.
• Wubetumi nso asɔ wo nipadua ahwɛ sɛ ebia ɛwɔ antibodies anaa antigens a ɛko tia Blastomyces fungus no anaa .

Bio nso, wubetumi ayɛ wo koko X-ray anaa CT scan (Computed Tomography scans) nso de ahwɛ sɛnea w’ahurututu te.

Ɔkwan bɛn so na wususuw sɛ wowɔ blastomycosis?

Blastomycosis ho sɛnkyerɛnne betumi ayɛ nea ɛte sɛ nyarewa afoforo te sɛ ahurututu mu yare . Enti ɛtɔ mmere bi a ebetumi ayɛ den sɛ wubehu. Nanso, sɛ wuhyia nneɛma a edidi so yi mu biara a, hwɛ yiye:

• Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini, ɔfe, ne ahome a ɛyɛ den, na wo ho nyɛ wo den ɛmfa ho sɛ wonom nnuru a ekum ɔyare mmoawa , anaasɛ ɛte sɛ nea wo yare no reyɛ kɛse a.
• Sɛ wote beae a Blastomyces fungus abu so, anaasɛ woatu kwan akɔ beae a ɛte saa nnansa yi a .
• Sɛ w’adwuma anaa w’anigyede no fa baabi a mfutuma ne mfutuma wɔ ho a .

Sɛ biribi te sɛ eyi wɔ hɔ a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka saa nsɛm yi akyerɛ wɔn.

Dɛn ne ayaresa a wɔde sa eyi?

Nnuruyɛfo de nnuru a ekum fungal sa blastomycosis . Nnuru atitiriw abien a wɔde di dwuma ne amphotericin B (amB) ne itraconazole . Wɔ tebea horow bi a emu yɛ den mu no, wobetumi ama corticosteroids nso de atew ɔfe a ɛwɔ nipadua no mu no so.

Dɛn na ɛba wɔ ayaresa akyi? Bere tenten ahe na egye na obi ho atɔ no?

Ade a ɛho hia ne sɛ Blastomycosis nyɛ yare a ɛto ne ho ano . Akyinnye biara nni ho sɛ ebehia sɛ wonom nnuru a ekum fungal. Mpɛn pii no, ebehia sɛ wonom nnuru yi adapɛn kakraa bi. Nanso, wɔ tebea horow bi mu no, ebia ebehia sɛ wofa ayaresa afe biako anaa nea ɛboro saa mpo . Nsɛm a ɛtete saa no bi ne:

• Sɛ wowɔ yare bi a emu yɛ den a .
• Sɛ ntontom no atrɛw akɔ akyiri sen ahurututu no akɔ nipadua no afã afoforo a .
• Sɛ wowɔ ahurututu mu yare a enni sabea a .
• Sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no asɛe a .

Enti, ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ so pɛpɛɛpɛ na wonom aduru no wɔ bere ano.

Nkwa dodow ahe wɔ yare yi mu?

Asɛmpa no ne sɛ, sɛ wunya blastomycosis a, .Nnipa dodow no ara ho tɔ wɔn a wɔn ho bɛtɔ wɔn a ɛboro 90%. Nanso, sɛnea yɛadi kan aka no, nnipa a wɔwɔ ahurututu mu yare a enni sabea ne wɔn a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no wɔ asiane mu sɛ wobenya ɔhaw ahorow a emu yɛ den a ɛde wɔn nkwa to asiane mu. Enti, ɛho hia paa sɛ wohu yare no ntɛm na wofi ase sa yare.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn:

• Sɛ atiridii anaa atiridii ho sɛnkyerɛnne te sɛ atiridiinini, ɔfe, ne ahome a ɛyɛ den a, ɛnkɔ yiye wɔ dapɛn biako akyi , anaasɛ ɛte sɛ nea yare no reyɛ kɛse bere kɔ so .
• Sɛ wususuw sɛ ebia ɛnam w'adwuma anaa w'anigyede so anya fungus a ɛde blastomycosis ba no , anaasɛ woatu kwan akɔ beae bi a fungus no abu so a , ka kyerɛ wo duruyɛfo .

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Ɛtɔ da bi a, yareɛ no ho sɛnkyerɛnne tumi yɛ den. Sɛ eyi ba a, ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ ntɛm ara. Nsɛnkyerɛnne a emu yɛ den saa no bi ne:

• Atiridiinini a ano yɛ den yiye (boro 103 Fahrenheit/40 Celsius).
• Ɔhome a ɛyɛ den kɛse anaasɛ mpofirim .
• Koko mu yaw .
• Mogya a wɔfefe .
• Adwene a ɛyɛ basaa anaa adwene mu nsakrae afoforo .
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru (Akisikuru) .
• Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra bruu (cyanosis) .

Sɛ wuhu biribi te sɛ eyi a, ntwentwɛn wo nan ase, kɔ ayaresabea ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa nsɛm te sɛ eyinom:

• So asiane kɛse wom sɛ menya blastomycosis a emu yɛ den ?
• So ahwɛyiye pɔtee bi wɔ hɔ a metumi ayɛ de atew asiane a ɛwɔ hɔ sɛ menya blastomycosis no so?
• Ɔkwan bɛn so na ɛsɛ sɛ mede me nnuru di dwuma ?
• Nsɛnkyerɛnne a emu yɛ den bɛn na ɛsɛ sɛ ɛhaw me ?

Bisa nsɛm te sɛ eyinom na yi w’adwenem naayɛ no fi hɔ.

Yɛbɛyɛ dɛn abɔ yɛn ho ban afi Blastomycosis ho? (Ayaresa a wɔde siw ano) .

Sɛ wote beae a Blastomyces abu so a, ebia ɛbɛyɛ den sɛ wobɛkwati sɛ wobɛhome saa ntontom yi koraa. Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Kwati sɛ wobɛkanyan dɔte ne mfutuma pii, titiriw wɔ mmeae a ɛbɛn nsu .
• Sɛ w’adwuma anaa w’anigyede no ma wuhu dɔte a ebia Blastomyces wɔ mu a, hyɛ N95 (anaa KN95) type respirator mask . Eyi bɛboa ma mframa a wohome no akɔ mu na ama fungal spores a ɛkɔ mu no so atew.

So wobetumi ahu Blastomyces fungus wɔ dan mu?

Mpɛn pii no, hokwan a ɛwɔ hɔ sɛ wubenya Blastomyces fungus wɔ wo fie mu no sua koraa. Gye sɛ wowɔ dɔte wɔ wo ntade so wɔ abɔnten a, wowɔ asiane mu. Esiane sɛ saa ntontom yi nyin yiye wɔ nnua a ɛporɔw ne asase a ɛyɛ nwini so nti, bere a woahohoro wo ntade akyi no, ɛrentra ase.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Biribiara nni hɔ a ɛte sɛ mframa pa a wɔhome wɔ abɔnten, ɛnte saa? Nanso, te sɛ yɛn no, abɔde afoforo ani gye abɔnten so nneɛma ho. Ɛno kyerɛ sɛ ɛtɔ mmere bi a fungi te sɛ Blastomyces tumi nyin wɔ mmeae a ɛnyɛ wɔn de, te sɛ yɛn ahurututu.

Nea eye sen biara ne sɛ Blastomycosis yɛ yare a wotumi sa . Nanso, ɛsɛ sɛ oduruyɛfo tumi hu sɛ ɛwɔ hɔ na ɔyɛ nhwehwɛmu a ɛfata. Enti, sɛ woakɔ beae bi a ɛda adi sɛ Blastomyces wɔ na wowɔ sɛnkyerɛnne te sɛ atiridiinini ne atiridiinini bɛboro dapɛn biako a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Sɛ wofi ase sa yare ntɛm a, ebetumi aboa ma ntontom no asiw ntrɛwmu na asiw yare no ano. Enti, hwɛ yiye, hwɛ yiye!

` Blastomycosis, Blastomycosis, fungal yareɛ, ahurututu mu yareɛ, honam ani yareɛ, ahome a ɛyɛ den, ɔfe