So fungus na ɛde sinus haw ahorow a ɛkɔ so ba? (Fungal Sinusitis) Momma yɛnhwehwɛ mu yiye!

So wotaa nya sinus ho haw nso? So ɛyɛ ade a ɛfata sɛ obi hwene mu yɛ wo yaw, ɛyɛ yaw, ne ti yɛ wo yaw, na n’afono ne wo moma so yɛ wo yaw? Yɛn mu pii frɛ eyi "sinusitis." Nanso so wunim sɛ ɛtɔ mmere bi a nea ɛde saa sinus haw yi ba no nyɛ ɔyare mmoawa a ɛteɛ (mmoawa), na mmom fungus (fungus). Ɛno ne nea yɛfrɛ no Fungal Sinusitis, anaa Fungal Rhinosinusitis wɔ nnuruyɛ mu. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Fungal Sinusitis?

Okay, di kan ma yɛnhwɛ nea sinus yɛ. Sinus yɛ mframa a ɛda mpan a ɛwɔ w’anim nnompe mu, a atwa wo hwene ho ahyia. Eyinom na ɛbata wo hwene ho. Mpɛn pii no, mframa hyɛ saa abura yi ma.

Afei susuw ho sɛ, sɛ fungus - a ɛyɛ nsunsu bi- kɔ saa sinus cavities yi mu na ɛde ɔyare mmoawa ba a, ɛno ne nea yɛfrɛ no Fungal Sinusitis . Sɛnea nsunsu nyin wɔ abodoo asinasin so no, saa ara na fungi tumi nyin wɔ yɛn sinus cavities mu. Eyi de sɛnkyerɛnne ahorow te sɛ hwene mu yaw ne sinus mu yaw ba.

Fungal Sinusitis ahorow atitiriw abien na ɛwɔ hɔ:

Ɛho hia yiye sɛ yɛte eyi ase pɛpɛɛpɛ, efisɛ bere a mpɛn pii no ɔkwan biako nyɛ nea asiane wom no, ɔkwan foforo no betumi de nkwa ato asiane mu.

1. Noninvasive type: Eyi ne ɔkwan a ɛtaa ba. Ɛha yi, nwansena no wɔ hwene ne hwene mu ntini mu. Ɛte sɛ nsunsu a enyin wɔ ɔfasu so wɔ ofie bi mu, nanso ɛnsɛe ɔfasu no mu na ɛntrɛw nkɔ ofie no mu. Saa ɔkwan yi so nyɛ nea asiane wom kɛse.

2. Invasive type: Eyi ne ɔkwan a asiane wom sen biara. Ɛha yi, ntontom no sɛe sinus no afasu na efi ase trɛw kɔ ntini a atwa ho ahyia, aniwa, ne amemene no mpo mu. Te sɛ saa nkuku a enyinii wɔ ɔfasu no so, dii ɔfasu no ho na ɛtrɛw kɔɔ ofie no mu nyinaa no ara pɛ. Sɛ wɔansa eyi ntɛm a, ebetumi akum obi.

Afei momma yɛnhwɛ nkyekyɛmu nketewa a ɛwɔ saa ahodoɔ mmienu yi ase no mu kɔ akyiri kakra.

Ahorow a ɛnyɛ nea wɔde hyɛ nipadua mu

• Allergic Fungal Sinusitis: Eyi ne bere a wo nipadua no nya akisikuru wɔ fungus bi a ɛhyɛn wo hwene mu no ho. Eyi ma nsu a ɛyɛ den hyɛ sinus no mu ma, na ɛtɔ mmere bi a ɛma nneɛma te sɛ hwene mu polyps ba. Nnipa a wɔwɔ ayamtu anaa nneɛma te sɛ mfutuma mu ntontom (allergic rhinitis) ho adwenemhaw no taa nya saa tebea yi.
• Fungal Ball (Mycetoma): Eyi ne bere a fungi yɛ ade a ɛte sɛ bɔɔl wɔ sinus cavity mu. Bere a saa ntontom bɔɔl yi nyin no, ebetumi asiw sinus no mu, na ɛde nhyɛso ne ɛyaw aba.
• Saprophytic Fungal Sinusitis a Ɛyɛ Fɛ:Eyi ne baabi a ntontom nyin wɔ ntini a ɛyɛ dry (crusts) a ɛwɔ hwene no mu no so. Mpɛn pii no, eyi mfa ɔhaw kɛse mma.

Invasive species - weinom ne deɛ ɛyɛ hu!

• Acute Invasive Fungal Sinusitis: Eyi yɛ tebea a ɛba mpofirim na emu yɛ den yiye. Ɛha yi, nwansena no sɛe mogya ntini a ɛwɔ hwene no mu no. Ne saa nti, ntini no fi ase wuwu. Saa ɔyare mmoawa yi betumi atrɛw ntɛmntɛm yiye akɔ aniwa ne amemene no mu, na ɛde anifurae ne owu mpo aba. Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw (e.g., kokoram ayarefo, nnipa a wɔanya HIV) wɔ asiane kɛse mu sɛ wobenya saa tebea yi.
• Chronic Invasive Fungal Sinusitis: Eyi te sɛ Acute type a yɛaka ho asɛm wɔ atifi hɔ no, nanso sɛnea ɛtrɛw no yɛ brɛoo kakra. Ɛtrɛw nkakrankakra bere a bere kɔ so no. Nnipa a wɔwɔ asikreyare no taa nya saa asikreyare yi.
• Granulomatous Invasive Fungal Sinusitis (GIFS): Eyi yɛ nea ɛntaa nsi koraa. Nea ɛkɔ so wɔ ha ne sɛ nipadua no mu tumi a ɛko tia nyarewa no yɛ ade a emu yɛ den tia ntontom no, na ɛsɛe hwene no mu ntini ahorow. Wonnya nhuu nea enti a eyi ba ankasa.

Hena na ɛda adi sɛ obenya saa fungal sinus infections yi?

Mpɛn pii no, nnipa a wɔwɔ apɔwmuden ntaa nnya saa fungal nyarewa yi, titiriw nea ɛyɛ hu a ɛba wɔn so no. Nanso, nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no wɔ asiane kɛse mu. Nhwɛsoɔ:

• Wɔn a wɔanya HIV no fam
• Ayarefo a wɔwɔ kokoram (titiriw mogya mu kokoram, lymphoma) ne wɔn a wɔreyɛ nnuru a wɔde sa yare no
• Wɔn a wɔwɔ asikreyare a emu yɛ den a wontumi nni so no fam
• Nnipa a wɔnom nnuru te sɛ nnuru a ɛma nipadua no tumi ko tia nyarewa ne steroid bere tenten (e.g. ayarefo a wɔde wɔn akwaa foforo ma) .

Dɛn ne Fungal Sinusitis ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne no te sɛ nea ɛwɔ sinus haw a ɛtaa ba no ara pɛ. Nanso, sɛnkyerɛnne afoforo betumi aba a egyina ɔyare mmoawa no ko ne sɛ ebia ɛyɛ basabasa anaasɛ ɛnte saa so. Momma yɛnhwɛ eyinom wɔ pon bi so.

Wobɛyɛ dɛn ahu yare yi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne, nyarewa foforo biara a wowɔ, ne nnuru biara a wonom ho asɛm. Afei, obetumi ayɛ nhwehwɛmu pii de akyerɛ sɛ wahu yare no.

• Endoscopy: Nea ɛka eyi ho ne sɛ wɔde afiri teateaa bi a mfoninitwa afiri wom bɛhyɛ hwene no mu de ahwɛ ahurututu no mu. Eyi ma wotumi hu tebea a ɛwɔ sinus no mu wɔ monitor so.
• Biopsy: Bere a wɔreyɛ endoscopy no, oduruyɛfo no betumi afa nsu anaa ntini ketewaa bi afi hwene anaa sinus cavity no mu na ɔde akɔma lab ma wɔayɛ nhwehwɛmu. Saa sɔhwɛ yi betumi ahu sɛ ebia mmoawa, mmoawa, anaa ntontom na ɛde ɔyare no ba. Ebetumi nso ahu sɛ ɔyare mmoawa no yɛ nea ɛyɛ hu anaa.
• CT Scan: Eyi yɛ mfoninitwa sɔhwɛ a ɛte sɛ X-ray. Ebetumi ayɛ sinus no mu mfonini ahorow a ɛwɔ afã abiɛsa. Eyi betumi aboa ma wɔahu pefee faako a ɔyare no atrɛw akodu ne sɛ ebia fungal bɔɔl bi wɔ hɔ anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ɔkwan a wɔfa so sa yare no gyina fungal sinusitis ko a wowɔ ne sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no te so.

• Sinus Oprehyɛn a Wɔyɛ:Mpɛn pii no, ɛho hia sɛ wɔyɛ oprehyɛn de sa eyi. Nea ɛka oprehyɛn no ho ne sɛ woyi ntini a ɔyare no wom, fungal balls, ne mucus a ɛyɛ den nyinaa fi hɔ, na wɔhohoro sinus no mu yiye. Wɔ mmoawa a wɔtow hyɛ mu mu no, ebia ɛho behia mpo sɛ woyi ntini a atwa ho ahyia wɔ baabi a ntontom no atrɛw no.
• Nnuru a ɛko tia fungal: Wɔ nyarewa ahorow bi ho, titiriw nea ɛkɔ nipadua no mu no, wɔde nnuru a ekum fungal (a wɔnom anaa wɔde twitwiw nipadua mu) ma bere koro no ara mu bere a wɔreyɛ oprehyɛn no.
• Corticosteroids: Wobetumi de steroid (anom aduru anaa nnuru a wɔde petepete hwene mu) ama de atew ɔfe ne nhyɛso a ɛwɔ sinus no mu no so. Eyinom na wɔtaa de di dwuma kɛse ma Allergic Fungal Sinusitis.
• Anom Hohoro: Wɔ nsɛm a ɛnyɛ den te sɛ saprophytic type no mu no, woyi nsu a ayow a ɛwɔ hwene no mu no na wɔde nkyene aduru tew sinus no mu.

Dɛn na ɛba wɔ ayaresa akyi?

Ahorow a ɛnyɛ nea wɔde hyɛ nipadua mu: Eyinom taa sa koraa bere a wɔsa wɔn yare no, nanso ahorow bi (titiriw Allergic Fungal Sinusitis) betumi asan aba bio wɔ ayaresa akyi.

Nneɛma ahorow a ɛba nipadua mu: Eyinom yɛ nea asiane wom kɛse. Wɔ nyarewa a emu yɛ den te sɛ Acute Invasive Fungal Sinusitis mu no, asiane a ɛwɔ hɔ sɛ obi bewu no bɛyɛ 50% sɛ wɔsa yare ntɛm mpo a. Ɛno nti na wɔkamfo kyerɛ sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara, sɛ wowɔ sɛnkyerɛnne nketenkete mpo a. Sɛ wogye wo nkwa wɔ ayaresa akyi mpo a, nnipa binom ntini betumi asɛe na wɔn anim ayɛ basaa (esiane ntini a woyi fi hɔ nti).

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛsɛ sɛ mekɔ ETU?

• Sɛ wowɔ Fungal Sinusitis ho sɛnkyerɛnne a yɛaka ho asɛm wɔ atifi hɔ no, titiriw sɛ ɛwɔ hɔ akyɛ (Chronic Sinusitis) a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.
• Sɛ woadi kan anya fungal sinusitis anaasɛ wowɔ yare bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no so tew a, wo ne wo duruyɛfo nsusuw ho bere nyinaa.

Kɔ Emergency Treatment Unit (ETU) ntɛm ara!

Sɛ wo nipadua no tumi ko tia nyarewa (e.g., kokoram ɔyarefo, HIV a ɔwɔ HIV, aduru a ɛma nipadua no tumi ko tia nyarewa) na wunya ɔyare mmoawa a ɛba wo nipadua mu ho sɛnkyerɛnne biara (te sɛ anim a ɛyɛ mmerɛw, aniwa a ɛho ahonhon, aniwa a ɛsakra) a, kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so (ETU) a wontwentwɛn wo nan ase. Eyi betumi ayɛ nkwa anaa owu tebea.