So ntini a ɛwɔ nipadua no mu no dan ‘caged’? Momma yɛnka Caseous Necrosis ho asɛm!

So woasusuw yɛn nipadua mu nkwammoaa a ɛrewuwu ho pɛn? Ebia ɛbɛyɛ te sɛ nea ɛyɛ hu kakra, nanso ɛtɔ mmere bi a ɛyɛ adeyɛ a ɛfata wɔ nipadua no mu. Nanso, nyarewa bi nso tumi ma nkwammoaa wuwu wɔ ɔkwan a ɛnteɛ so. Tebea pɔtee a nkwammoaa a ɛtete saa wuwu wom no, wɔfrɛ no ‘Caseous Necrosis’, a yɛrebɛka ho asɛm nnɛ. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ne ‘Caseous Necrosis’?

Sɛ yɛbɛka no tiawa a, ‘necrosis’ kyerɛ nkwammoaa anaa ntini ahorow a ɛwɔ yɛn nipadua mu a ewuwu. Sɛnea afifide bi wuwu bere a nsu ayera no, saa ara na yɛn nkwammoaa no nso tumi wuwu esiane nneɛma ahorow nti. Enti, ‘caseous necrosis’ yɛ nkwammoaa a wowuwu a ɛte saa no mu biako.

Borɔfo asɛmfua 'caseous' kyerɛ "te sɛ kyiisi." Te sɛ kyiisi a yedi no ara pɛ. Sɛ ntini wuwu wɔ saa kwan yi so a, baabi a awu no yɛ fitaa a ɛyɛ kurukuruwa kakra, na ɛte sɛ kyiisi a wɔabubu . Ɛno nti na wɔfrɛ no ‘caseous necrosis’ no. Wotumi hu eyi wɔ afiri a wɔde hwɛ nneɛma nketenkete mu nkutoo, anaasɛ ɛtɔ mmere bi a bere a wɔreyɛ oprehyɛn no.

Ɔkwan bɛn so na ‘caseous necrosis’ yi ba?

Nea ɛde caseous necrosis ba titiriw ne nyarewa ahorow a ɛhyɛn yɛn nipadua mu. Mpɛn pii no mmoawa anaa fungi na ɛde nyarewa yi ba .

Fa no sɛ ɔyare mmoawa bi ahyɛ yɛn nipadua mu. Afei yɛn nipadua mu tumi a ɛko tia nyarewa , asraafo a wɔbɔ yɛn ho ban fi nyarewa ho no fi ase ko tia saa ntuafo yi. Wɔ saa ɔko yi mu no, ɛtɔ mmere bi a yɛn ankasa nkwammoaa nso betumi asɛe na awuwu. Saa na tebea a wɔfrɛ no caseous necrosis yi ba. Sɛ nkwammoaa a ɛko tia nyarewa no bɔ mmɔden sɛ wɔbɛsɛe nkwammoaa a wɔanya ɔyare no a, nkwammoaa a ɛwɔ saa beae no wuwu na ɛdan saa te sɛ afiri no.

So ‘necrosis’ ahorow afoforo wɔ hɔ?

Yiw, akwan foforo pii wɔ hɔ a nkwammoaa fa so wuwu, te sɛ caseous necrosis. Momma yensua wɔn ho ade kakra. Ebia wunim eyinom din nkutoo, efisɛ eyinom yɛ aduruyɛ mu nokwasɛm ahorow bi.

• Coagulative Necrosis: Eyi ne bere a nkwammoaa wuwu esiane mogya a entumi nkɔ akwaa bi mu nti. Eyi betumi asi nipadua no mu baabiara gye yɛn amemene no nkutoo. Sɛ nkwammoaa no wuwu wie a, wɔn nhyehyɛe kɔ so yɛ adwuma bere tiaa bi, na afei nipadua no ahobammɔ mfiri no yi fi hɔ.
• Fat Necrosis: Wɔ eyi mu no , srade nkwammoaa wuwu. Nnuru a ɛyɛ adwuma ba, na nneɛma fitaa a ɛte sɛ chalky ba.Yebetumi ahu eyi wɔ tebea horow te sɛ dwensɔtwaa mu yare, baabi a nnuru a dwensɔtwaa no ma ekum srade nkwammoaa a ɛwɔ yafunu no mu no. Ebetumi aba nso wɔ nufu oprehyɛn anaa opira akyi.
• Fibrinoid Necrosis: This type of necrosis occurs in the inner walls of blood vessels. Sɛ saa nkwammoaa yi sɛe a, akuru sisi, na ebia ɛde akuru ne mogya tu wɔ nipadua no mu anaa akyi.
• Liquefactive Necrosis: Wɔ eyi mu no , nkwammoaa no hwere wɔn nhyehyɛe na ɛbɛyɛ nsu. Te sɛ nea wɔrewosow. Sɛ yare mmoawa bi ba a, saa nsuo adeɛ yi ne nea yɛfrɛ no "pus" . Wohu saa liquefactive necrosis yi titiriw wɔ yɛn amemene ne yɛn akyi berɛmo mu.

Afei ebia wobɛte ase sɛ akwan horow wɔ hɔ a nkwammoaa fa so wuwu. Caseous necrosis yɛ ɔkwan pɔtee a ɛte saa no mu biako.

Dɛn ne nneɛma atitiriw a ɛde ‘caseous necrosis’ ba?

Ade titiriw a ɛde caseous necrosis ba na ɛtaa ba ne nsamanwaw (TB). Ɛbɛyɛ sɛ woate nsamanwaw ho asɛm. Ɛyɛ yare a mmoawa a wɔwɔ ahurututu mu (ahurututu mu) na ɛde ba. Nanso, nsamanwaw tumi trɛw kɔ nipadua no akwaa nhyehyɛe afoforo nso mu.

Nsamanwaw betumi aba wɔ akwan titiriw abien so:

1. TB a ahintaw: Wɔ eyi mu no, TB mmoawa no da hɔ, anaasɛ wɔada, wɔ ahurututu mu, nanso wɔnda sɛnkyerɛnne biara adi. Nnipa binom betumi akɔ so ada wɔ saa kwan yi so wɔ wɔn nkwa nna nyinaa mu.

2. TB a ɛyɛ adwuma: Wɔ afoforo mu no, mmoawa no tumi yɛ adwuma mpofirim, anaasɛ wobetumi ada na wɔasan ayɛ adwuma bio wɔ bere bi akyi. Nkokoaa, mmofra nkumaa, ne nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw (sɛ nhwɛso no, nnipa a wɔwɔ HIV anaa asikreyare) wɔ asiane kɛse mu sɛ wobenya TB a ɛyɛ nnam.

Wɔ nsamanwaw akyi no, nyarewa afoforo pii wɔ hɔ a ebetumi ama obi awu:

• Histoplasmosis: This is a respiratory disease caused by a fungus that lives in the soil. Te sɛ nsamanwaw no, ebetumi atrɛw akɔ nipadua no afã afoforo.
• Syphilis: Eyi yɛ ɔyare a efi ɔbarima ne ɔbea nna mu a ebetumi asɛe ntini a ɛma nipadua no yɛ adwuma no.

Wɔ saa nyarewa yi mu no, caseous necrosis betumi aba bere a nipadua no mu tumi a ɛko tia nyarewa no ko tia ɔyare mmoawa no.

Dɛn ne ‘caseous necrosis’ ho sɛnkyerɛnne?

Nokwarem no, sɛnkyerɛnne pɔtee biara nni hɔ a ɛkyerɛ sɛ obi anya obi awu. Nsɛnkyerɛnne no gyina yare a ɛde bae a ɛde bae no so.

Sɛ nhwɛso no, sɛ caseous necrosis fi ahurututu mu TB a ɛyɛ nnam a, wubetumi anya sɛnkyerɛnne ahorow te sɛ:

• Koko mu yaw.
• Ɔfe a ɛtra hɔ bɛboro adapɛn abien.
• Nsõ anaa mogya a wɔdefefe.
• Ɔbrɛ.
• Atiridiinini, awɔw, ne fifiri a ɛba anadwo.
• Aduan ho akɔnnɔ a ɛyera na ne mu duru so tew.

Nea ɛho hia sen biara ne sɛ, sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ ɔfe no kyɛ bɛboro adapɛn abien a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na wohu ‘caseous necrosis’?

Nyarewa ho animdefo , a wɔyɛ nnuruyɛfo a wɔn ho akokwaw wɔ nyarewa a wohu mu na wohu sɛ obi anya ɔyare a ɛma obi wuwu no. Wɔfa ntini a ɛka no no mu nhwɛsode ketewaa bi (biopsy) na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.

Nanso, biopsy nhwehwɛmu yi yɛ nea ɛyɛ den kakra, efisɛ ɛhwehwɛ sɛ woyi ntini bi fi nipadua no mu. Enti, sɛ akwan a ɛyɛ mmerɛw wɔ hɔ a wɔfa so hu yare a ɛde ba no a, nnuruyɛfo ntaa mfa wɔn ho nhyɛ biopsy mu.

Sɛ nhwɛso no, wɔde koko X-ray ne ahurututu mu nhwehwɛmu di dwuma de hu ahurututu mu TB. Mprempren, ɛdenam mfiridwuma foforo so no, mfiridwuma a wɔde sɔ molecule mu nhwehwɛmu mpo wɔ hɔ a ɛhwehwɛ mmoawa no DNA wɔ ahurututu mu nhwɛsode ahorow mu. Eyinom tumi hu TB ntɛmntɛm na ɛyɛ pɛpɛɛpɛ.

Ɔkwan bɛn so na wɔsa caseous necrosis?

Ade a ɛho hia sen biara wɔ ha ne sɛ wɔbɛsa yare a ɛde bae no, sen sɛ wɔbɛsa tebea a wɔfrɛ no caseous necrosis no tẽẽ.

Yɛkaa nsamanwaw (TB) ho asɛm sɛ nea ɛde ba titiriw. Mpɛn pii no, nsamanwaw ayaresa hwehwɛ sɛ wɔkɔ so sa yare asram pii . Ɛtɔ mmere bi a, wɔde nnuru ahorow pii di dwuma bere koro mu. Nea enti a ɛte saa ne sɛ nsamanwaw mmoawa no tumi ko tia nnuru bi a ekum ɔyare mmoawa. Wo duruyɛfo bɛboa wo ma woapaw ayaresa a ɛfata ama wo na waboa wo ma woadi nnuru no ho nsunsuanso bɔne ho dwuma.

Enti, ɛho hia sɛ wohu yare no pɛpɛɛpɛ na wonya ayaresa a ɛfata wɔ bere a ɛfata mu.

Ɔkwan bɛn so na wobetumi asiw nsamanwaw ano?

Nsamanwaw yɛ yare a ɛnam mframa mu trɛw fi onipa so kɔ onipa foforo so. Sɛ obi a ɔwɔ yare no home, ɔkasa, ɔfe, anaa ɔfefe a, TB mmoawa no pue kɔ mframa mu na ebetumi akɔfa afoforo a wɔbɛn no.

Nsamanwaw abu so wɔ aman bi mu (e.g. India, China, Indonesia). Sɛ woretu kwan akɔ aman a ɛtete saa mu a, kwati sɛ wo ne nnipa a wɔwɔ nsamanwaw bɛbɔ.Bɔ mmɔden. Afei nso, asiane a ɛwɔ hɔ sɛ obi benya nsamanwaw no dɔɔso wɔ mmeae te sɛ ayaresabea ahorow, ayaresabea ahorow, ne mmeae a wɔhwɛ wɔn a wonni afie.

Sɛ wohu sɛ wowɔ TB a ahintaw a, wo ne wo duruyɛfo nkasa mfa ayaresa a wode besiw TB a ɛyɛ nnam a ɛbɛba no ano ho. Eyi ho hia paa.

Afei nso, sɛ wususuw sɛ ebia woanya TB a, ɛho hia sɛ woyɛ TB nhwehwɛmu. Sɔhwɛ tiawa bi a wɔfrɛ no Mantoux honam ani nhwehwɛmu betumi ahu sɛ ebia woanya TB ne sɛ ebia wowɔ TB yare a ahintaw anaa. Bisa wo duruyɛfo sɛ ɛsɛ sɛ woyɛ nhwehwɛmu yi anaa.

Dɛn ne nkɔmhyɛ a ɛwɔ hɔ ma obi a ɔwɔ caseous necrosis?

Eyi gyina yare a ɛde ba no so ankasa. Wɔ nsamanwaw (TB) a yɛaka ho asɛm titiriw no ho no, mpɛn pii no, TB ayaresa di yiye kɛse. Sɛ wɔsa wɔn yare yiye a, nnipa dodow no ara ho tɔ wɔn koraa. Ɛno ne asɛmpa no.

Nanso, sɛ wɔansa wɔn yare a, nnipa a wɔwɔ nsamanwaw no mu bɛyɛ fã bewuwu wɔ yare no ho. Enti, sɛ obi hwehwɛ aduruyɛ mu afotu ntɛm na sɛ yare no ho sɛnkyerɛnne bi ba a, obenya ayaresa a ɛfata a, ebetumi agye obi nkwa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ ebia woanya TB a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Wo honam ani nhwehwɛmu a ɛnyɛ den betumi akyerɛ wo sɛ ebia wowɔ TB a ahintaw ne sɛ ebia wuhia ayaresa na ama woatumi asiw yare a ɛyɛ nnam ano anaa.

Afei nso, wotumi sa tebea afoforo a ebetumi de caseous necrosis (te sɛ histoplasmosis ne syphilis) adi. Enti, sɛ wowɔ sɛnkyerɛnne ahorow bi a ɛyɛ soronko a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu. Aduruyɛ mu nhwehwɛmu a wobɛyɛ daa no betumi aboa wo ma woahu asiane a ɛwɔ hɔ sɛ wubenya saa tebea horow yi, ahu ɔhaw biara ntɛm, na woadi w’akwahosan nyinaa ho dwuma.

Nneɛma a ɛho hia a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛkaa ho asɛm nnɛ no ho, ‘Caseous Necrosis’. Momma yɛnsan nsusuw nsɛntitiriw a ɛho hia sen biara no ho:

• ‘Caseous necrosis’ yɛ tebea pɔtee bi a nkwammoaa wuwu na beae no yɛ ‘caseous’ .
• Nea ɛde eyi ba titiriw ne nyarewa te sɛ nsamanwaw (TB) .
• Nsɛnkyerɛnne no gyina yare a ɛde ba no so. Wɔ nsamanwaw fam no, ne sɛnkyerɛnne ahorow betumi ayɛ ɔfe a ɛkyɛ, ne koko mu yaw, ne atiridiinini .
• Ɛnyɛ caseous necrosis a wɔde sa yare no, na mmom yare a ɛda adi a ɛde bae no.
• Ayaresa a etu mpɔn paa wɔ hɔ a wɔde sa nsamanwaw, enti sɛ wowɔ sɛnkyerɛnne bi anaa wususuw sɛ ebia woanya yare no a, hwehwɛ aduruyɛfo afotu ntɛm ara.
• Sɛ wosɔ wo hwɛ yiye na wosa wo yare a, wubetumi anya ahoɔden afi tebea horow yi mu koraa.

Kae sɛ, sɛ wuhu biribi a ɛyɛ soronko wɔ wo nipadua mu a, mma wo ho nnpopo na mma w’adwene mu nyɛ wo naa. Onipa a oye sen biara a ɛsɛ sɛ wuhu ne wo duruyɛfo. Sɛ wobɛtra ase a ahoɔden wom a, ɛho hia paa sɛ wobɛbɔ wo amanneɛ na wohwehwɛ aduruyɛ mu afotu bere a ɛho hia.

` Necrosis, caseous necrosis, nsamanwaw, TB, ntini mu owu, ɔyare mmoawa, nkwammoaa a wowuwu