So wotaa nya sinus ho haw nso? Sua saa fungal sinusitis yi ho ade!

So wo nso wowɔ hwene a ɛyɛ mmerɛw bere nyinaa? So wowɔ ti a emu yɛ duru, ɛyɛ wo yaw wɔ w’afono afã abien, wo moma so, anaa baabi a ɛda w’ani ntam? Mpɛn pii no, eyinom betumi ayɛ ɔhaw ahorow a ɛfa sinus ho. Nanso so wunim sɛ ɛnyɛ sinus haw nyinaa na ɛyɛ pɛ? Nkwammoaa na ɛde sinus yare no bi ba, na ebi nso fi mmoawa. Nanso ɛnnɛ yɛrebɛka sinusitis a ɛyɛ soronko kakra a nnipa pii nnim ho asɛm. Ɛno yɛ sinus yare a fungus na ɛde ba, anaasɛ sɛ yɛbɛka no pɛpɛɛpɛ a, tebea bi a wɔfrɛ no fungal sinusitis . Ɛtɔ da bi a, wɔsan frɛ eyi sɛ fungal rhinosinusitis.

Dɛn ne Fungal Sinusitis? Momma yɛnkyerɛkyerɛ mu tiawa.

Sɛ yɛbɛka no tiawa a, Fungal Sinusitis yɛ ɔyare mmoawa a ɛba yɛn sinus cavities mu esiane fungi (i.e. mmoawa nketenkete te sɛ yeast ne mold) nti. Sinus cavities no yɛ mmeae a hwee nni w’afono, wo moma so, ne w’ani ntam. Fungal sinusitis ahorow pii wɔ hɔ. Nanso mpɛn pii no, sɛnkyerɛnne ahorow a ɛtaa ba wɔ saa ahorow yi nyinaa ho ne hwene mu a ɛyɛ den, nsu a ɛyɛ nwini, ne ahurututu mu yaw.

Mpɛn pii no, nnuruyɛfo de sinus oprehyɛn sa tebea yi, nanso wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔde sa yare a ekum fungal.

Dɛn ne Fungal Sinusitis ahorow atitiriw?

Nnuruyɛfo kyekyɛ fungal sinusitis mu atitiriw abien:

1. Ahorow a ɛnyɛ nea wɔde hyɛ nipadua mu: Eyinom ne ahorow a abu so sen biara. Wɔ saa ɔkwan yi so no, ɔyare no wɔ hwene ne hwene mu ntini mu nkutoo. Ɛntaa ntrɛw nkɔ nipadua no afã afoforo.

2. Invasive types: Eyinom yɛ nea asiane wom kakra, nanso ɛntaa nsi koraa. Wɔ saa ɔkwan yi so no, fungal yare no betumi atrɛw akɔ nipadua no afã afoforo, sɛ nhwɛso no, aniwa ne amemene mpo. Sɛ wɔansa saa tebea yi yiye a, ebetumi de ne nkwa ato asiane mu.

Afei ma yɛnhwɛ saa ahorow yi mu biara mu nkɔ akyiri kakra.

Fungal sinusitis ahorow a ɛnyɛ nea ɛkɔ nipadua no mu

• Allergic fungal sinusitis: Eyi fi sɛnea nipadua no yɛ n’ade wɔ fungi a ɛwɔ hwene mu ho no. Wɔ eyi mu no, nsu a ɛyɛ den hyɛ sinus no mu ma, na ɛtɔ mmere bi a, hwene mu polyps betumi ayɛ kɛse. Nnipa a wɔwɔ ayamtu anaa akisikuru te sɛ hay fever no taa nya saa atiridii yi.
• Fungal ball / mycetoma: Eyi ne bere a fungi boaboa ano wɔ sinus cavities no mu na ɛyɛ bɔɔl ketewaa anaa mass. Saa fungal bɔɔl (mycetoma) yi tumi nyin na esiw sinus akwan no ano.
• Saprophytic fungal sinusitis: Eyi ne bere a fungi nyin wɔ nsu a ɛyɛ nwini a ɛwɔ hwene no mu no so.

Fungal Sinusitis a Ɛba Nnipa Mu Ahorow

• Acute invasive fungal sinusitis: Wɔ eyi mu no, fungus no sɛe mogya ntini a ɛwɔ hwene no mu no. Afei ntini a ɛwɔ saa beae 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 yɛ mmerɛw no taa nya saa tebea yi.
• Fungal sinusitis a enni sabea: Eyi te sɛ nea ɛyɛ hu no, nanso ɛtrɛw brɛoo kakra. 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 eyi mu ne sɛ yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ n’ade denneennen tia ntontom no. Afei nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ hwene no mu, na ɛsɛe hwene no mu ntini no. Nnuruyɛfo da so ara nni nea enti a eyi ba no ho adwene a emu da hɔ.

Fungal sinus yareɛ yi abu so dɛn? Hena na ɔtaa nya wɔn?

Mpɛn pii no, nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no taa nya saa fungal sinus infections yi. Nyarewa a emu yɛ den titiriw abu so wɔ:

• Wɔn a wɔanya HIV no fam.
• Nnipa a wɔwɔ kokoram (e.g. leukemia, lymphoma), anaa wɔn a wɔreyɛ nnuru a wɔde sa kokoram.
• Wɔ nnipa a wɔwɔ asikreyare a wontumi nni so kɛse fam no.
• Nnipa a wɔnom nnuru a ɛma nipadua no tumi ko tia nyarewa, sɛ nhwɛso no, steroids.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya fungal sinus infection?

Ɛtɔ mmere bi a, fungal sinusitis ho sɛnkyerɛnne betumi ayɛ te sɛ nea ɛwɔ sinus yare a ɛba daa mu no. Nanso, sɛ́ ebia sɛnkyerɛnne afoforo bɛba anaasɛ ɛnte saa no gyina fungal yare no ko a obi anya ne sɛ ebia ɛyɛ hu anaasɛ ɛnte saa so.

Mpɛn pii no, ahorow a ɛnyɛ nea wɔde hyɛ nipadua mu no da su ahorow a edidi so yi adi:

• Hua a ɛnam hwene mu so tew.
• Huraeɛ.
• Hwene ne hwene mu ntini a ɛho ahonhon.
• Ade a ɛyɛ den na ɛyɛ nnam a ebia ɛte sɛ rɔba gluu, a mpɛn pii no ne kɔla yɛ sika kɔkɔɔ kɔkɔɔ, a efi hwene mu ba.
• Anom a ɛyɛ mmerɛw.
• Hwene a ɛretu (phlegm).
• Nhyɛso ne emu duru a wɔte nka wɔ sinus cavities no mu.
• Sinus ti a ɛyɛ yaw.
• Wo nkutoo na wubetumi ate hua bɔne (te sɛ hua a ɛrehyew, biribi a aporɔw hua) a obi foforo biara ntumi nte hua.

Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no wɔ asiane kɛse mu sɛ wobenya yare no ho sɛnkyerɛnne a emu yɛ den te sɛ:

• Suban mu nsakrae ne ntini mu haw ahorow (nsusuwii ne nsusuwii a ɛyɛ den).
• Nsakrae a ɛba honam ani kɔla mu (ebia honam ani kɔla no bɛyɛ mmerɛw kɛse anaasɛ ɛbɛyɛ tuntum).
• N’anim a wɔte nka sɛ ɛyɛ mmerɛw.
• Anisoadehu sesa, ebia mpo aniwa nhu ade koraa.
• Tiyɛ a emu yɛ den.
• Afono anaa aniwa a ɛho ahonhon kɛse.

Dɛn nti na fungal sinusitis yi ba? Dɛn na ɛde ba?

Sinus infections betumi afi fungi ahorow ahorow mu aba. Mpɛn pii no, saa fungal sinus infections yi fi nsunsu anaa mmɔkaw. Sɛ yɛhome a, saa fungal nketenkete yi tumi fa yɛn hwene mu kɔ yɛn hwene mu.

Susuw ho hwɛ, saa fungi ahorow yi pii te yɛn nipadua so anaa yɛn nipadua mu ankasa bere nyinaa. Nanso mpɛn pii no wɔnhaw yɛn. Nea ɛbɛyɛ asiane ne bere a yɛn nipadua mu tumi a ɛko tia nyarewa no ano yɛ den no. Afei ɛnyɛ den sɛ saa fungi yi betumi anyin na ɛde ɔyare mmoawa aba.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛ wɔansa fungal sinus infections a ɛba nipadua no mu no yiye a, fungus no betumi asɛe ntini a ɛwɔ hwene no mu no na atrɛw akɔ aniwa ne amemene no mu. Saa nsɛnnennen yi betumi ama ntini ahorow asɛe, ani afura, na wawu mpo . Nnipa a wɔwɔ tebea horow a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw (e.g., asikreyare, mogya mu kokoram) titiriw na wɔwɔ asiane mu sɛ wobenya saa nsɛnnennen yi.

Enti, sɛ wowɔ fungal sinusitis ho sɛnkyerɛnne, titiriw sɛ wo nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Ɔkwan bɛn so na nnuruyɛfo hu tebea a wɔfrɛ no fungal sinusitis yi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo (`physical exam`). Obebisa wo yare no ho sɛnkyerɛnne, w’akwahosan ho abakɔsɛm, ne nnuru a wonom ho asɛm. Afei, ɛda adi sɛ wɔbɛkra sɛ wɔnyɛ sɔhwɛ ahorow bi te sɛ:

• Endoscopy: Eyi hwehwɛ sɛ oduruyɛfo no de afiri tenten bi a ɛyɛ tratraa (a mfoninitwa afiri ketewaa bi wɔ n’awiei) bɛhyɛ wo hwene mu de ahwɛ wo hwene mu. Wobetumi ahwɛ mfonini ahorow a efi mfoninitwa afiri no mu no wɔ monitor so. Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛnyɛ yaw.
• Biopsy: Bere a wɔreyɛ endoscopy no, wo duruyɛfo betumi ayi nsu anaa ntini ketewaa bi afi wo hwene mu. Wɔde saa nhwɛsoɔ yi kɔ lab sɛ wɔbɛhunu ɔyareɛ a ɛde wo sinus yareɛ no reba no pɛpɛɛpɛ — sɛ ɛyɛ mmoawa, mmoawa, fungus, anaa parasite. Ebetumi akyerɛ nso sɛ ɔyare mmoawa no yɛ nea ɛyɛ hu anaa.
• CT scan (computed tomography scan): Eyi te sɛ X-ray soronko bi. Ebetumi ahwɛ wo sinus cavities no mu pefee, akyerɛ beae pɔtee a ɔyare no wɔ, na mpo ahwɛ sɛ saa fungal bɔɔl a yɛadi kan aka ho asɛm no wɔ hɔ anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa ahorow pii wɔ hɔ a wɔde sa fungal sinusitis. Ayaresa a wuhia no begyina wo tebea no so.

• Nnuru a ekum fungal: Nyarewa ahorow bi hwehwɛ sɛ wɔde nnuru a ekum fungal di dwuma. Wɔtaa kyerɛw nnuru yi de ka oprehyɛn ho.
• Corticosteroids: Ebia wo duruyɛfo bɛkyerɛw wo steroid na ama wo ho a ɛhoa no so atew na ama sinus nhyɛso so atew.
• Anom hohoro: Wɔ tebea horow te sɛ saprophytic fungal sinusitis mu no, nnuruyɛfo yi nsu a ayow no fi hwene no mu na wɔde nkyene aduru (nkyene ne nsu a wɔde afra) hohoro hwene no mu yiye.
• Sinus oprehyɛn: Ebia ɛho behia sɛ oduruyɛfo no yɛ oprehyɛn a ɛfa ɔyare mmoawa no ho no so. Nea ɛka eyi ho ne sɛ wobeyi ntini a ɔyare no wom no na wɔahohoro baabi a ɛwɔ no yiye. Sɛ ɔyare no atrɛw denneennen a, oprehyɛn yi betumi ayi afã horow a ɛka no mpo afi hɔ.

Ebia fungal sinusitis ahorow bi renhia ayaresa kɛse mma obi a ɔwɔ nipadua no mu tumi a ɛko tia nyarewa a ɛyɛ papa. Nanso, fungal sinus infections a ɛba nipadua mu no yɛ aduruyɛ mu asɛm a egye ntɛmpɛ na ehia sɛ wɔsa no ntɛm ara.

So wobetumi asiw fungal sinusitis tebea yi ano?

Nokwarem no, ɛyɛ den sɛ wobesiw fungal sinus infection ano koraa efisɛ fungi wɔ baabiara wɔ nneɛma a atwa yɛn ho ahyia no mu. Nanso, ɛho hia sɛ wo ne oduruyɛfo kasa sɛ wotɔ asiane akuw yi mu biako mu a:

• Sɛ woanya fungal sinus infection pɛn a.
• Sɛ wowɔ aduruyɛ mu tebea bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a.
• Sɛ worenom nnuru a ɛma nipadua no tumi ko tia nyarewa anaasɛ worenya kokoram ho nnuru a.

Sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw anaasɛ wowɔ asiane kɛse mu sɛ wubenya fungal sinus infections a, ka kyerɛ wo duruyɛfo. Ebia ɔbɛkyerɛw nnuru a ekum fungal ama obi de asiw ɔyare mmoawa bi ano ansa na aba.

Sɛ mewɔ fungal sinusitis a, dɛn na ɛba? So ɛbɛyɛ yiye?

Fungal sinus yare dodow no ara a ɛnyɛ nea wɔde hyɛ nipadua mu no, sɛ wɔsa no yiye a , ɛgyae a ɔhaw biara nni ho. Nanso, nyarewa ahorow bi betumi asan aba bio bere a wɔasa no yare akyi mpo.

Nanso, fungal sinus infections a ɛba nipadua mu no yɛ aduruyɛ mu asɛm a egye ntɛmpɛ na ehia sɛ wɔsa no ntɛm ara.

Sɛ nhwɛso no, tebea ``Acute invasive fungal sinusitis`` betumi adi awu wɔ bɛyɛ 50% mu sɛ wɔansa a. Esiane sɛ ɔyare mmoawa yi trɛw ntɛmntɛm nti, ɛho hia sɛ wonya ayaresa ntɛm ara sɛnea wobetumi. Wɔ ayaresa akyi mpo no, nnipa binom betumi anya ntini a asɛe, wɔate ɛyaw bere tenten, anaasɛ wɔn anim asɛe esiane ntini a asɛe nti.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ fungal sinusitis ho sɛnkyerɛnne a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo. Ɛho hia nso sɛ woka kyerɛ wo duruyɛfo sɛ wowɔ sinus haw ahorow a ɛkɔ so tra hɔ, te sɛ sinusitis a enni sabea a ɛnkɔ a.

Bere bɛn na ɛsɛ sɛ wohwehwɛ ayaresa a egye ntɛmpɛ?

Sɛ wowɔ fungal sinus infection ho sɛnkyerɛnne, na wotɔ akuw a edidi so yi mu biara mu a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Sɛ wowɔ ayaresa tebea bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw (e.g. HIV, asikreyare a wontumi nni so, kokoram).
• Sɛ worenom nnuru a ɛma nipadua no tumi ko tia nyarewa a.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ ɛba fungal sinus infections so a, ebetumi afi nea emu nyɛ den so kosi nea emu yɛ den so. Esiane sɛ wowɔ fungal sinusitis nti, ɛnkyerɛ sɛ ɛsɛ sɛ wobɔ hu. Nanso ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na wonya ayaresa a ɛfata.

Kae sɛ, titiriw sɛ wo nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw na wunya fungal sinusitis ho sɛnkyerɛnne a, kɔ oduruyɛfo ntɛm ara a wontwentwɛn wo nan ase. Sɛnea fungal sinus infections a ɛba nipadua no mu betumi atrɛw ntɛmntɛm yiye na ɛde ɔhaw afoforo a emu yɛ den, a ɛde nkwa to asiane mu mpo aba.

Enti, nea ehia paa ne sɛ wobɛhwɛ w’akwahosan so.

` Fungal Sinusitis, Sinus Infection, Anom a Ɛyɛ Fɛ, Fungus, Sinus Nsɛnkyerɛnne, Sinus Ayaresa, Fungal Sinusitis