So woasiesie beae dedaw bi a mfutuma wɔ te sɛ abansoro dan dedaw, ɔbodan, anaa akokɔ dan pɛn? Anaasɛ woayɛ adwuma wɔ ɔdan dedaw bi a wɔrebubu ho? Wɔ mmere a ɛte sɛɛ mu no, nyarewa a yensusuw ho mpo betumi afa mframa a yɛhome no mu akɔ yɛn nipadua mu. Ɛno ne tebea a ɛyɛ hu a yɛreka ho asɛm wɔ asɛm yi mu nnɛ, nanso wɔanka ho asɛm pii wɔ yɛn man yi mu.
Sɛ yɛbɛka no tiawa a, dɛn ne Histoplasmosis?
Histoplasmosis yɛ ɔyare mmoawa a ntontom de ba. Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔfrɛ ntontom a ɛde ba no `(Histoplasma capsulatum)`. Saa nwansena yi taa tra asase mu. Nanso ɛnyɛ asase nyinaa so. Saa ntontom yi nyin yiye wɔ asase a akraman anaa nnomaa nsu pii wom so .
Susuw dɔte a ɛwɔ ɔdan dedaw bi mu, ɔbodan bi a nwansena wom, beae bi a nkokɔ atrae, anaa abɔntenban bi ase a nnomaa te sɛ mmorɔnoma taa kɔ hɔ no ho hwɛ. Sɛ wotutu dɔte no, woprapra mu, anaasɛ wɔhaw no wɔ ɔkwan foforo so wɔ mmeae yi a, saa fungal spores a ɛwɔ asase no mu yi betumi agyae akɔ mframa mu. Afei, sɛ yɛhome saa mframa no a, saa fungal spores no betumi akɔ yɛn ahurututu mu na ɛde ɔyare mmoawa aba .
Nea ɛho hia sen biara ne sɛ histoplasmosis nyɛ yare a wobetumi de afi onipa biako mu akɔ foforo mu. Eyi kyerɛ sɛ worennya yare no mfi obi a ɔwɔ yare no a wo ne no bɛkasa, wo ne no adidi, anaa wo ne no bɛka ho. Enti ɛho nhia sɛ wohaw wo ho wɔ ho.
Hena na ɔwɔ asiane kɛse sɛ obenya saa yare yi?
Nokwarem no, nnipa dodow no ara a wɔanya saa ntontom yi no nnya yare no ho sɛnkyerɛnne biara. Obi a ɔwɔ nipadua mu ahoɔden a ɛko tia nyarewa no betumi ako atia saa ntontom yi na wadi so a ɔhaw biara nni ho. Nanso, wɔ nnipa binom fam, titiriw akuw bi fam no, yare no betumi de nsɛnnennen a emu yɛ den aba.
Wɔn a wɔwɔ asiane kɛse mu ne:
- Nkokoaa nkumaa paa ne wɔn a wɔn mfe akɔ anim: Efisɛ saa nnipa baanu yi nyinaa nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw kakra .
- Nnipa a wɔwɔ ahurututu mu nyarewa a enni sabea : Saa ɔyare mmoawa yi betumi ama nnipa a wɔwɔ ahurututu mu nyarewa te sɛ ayamtu ne COPD tebea no asɛe kɛse .
- Nnipa a wɔahyɛ da atew wɔn nipadua mu ahoɔden a ɛko tia nyarewa no so:Ayaresa tebea horow bi hwehwɛ sɛ wɔde nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano sa yare. Sɛ nhwɛso no, nnipa a wɔama wɔn akwaa foforo anaa wɔn a wɔnom nnuru a esiw TNF ano (e.g. infliximab (Remicade)).
- Nnipa a wɔwɔ nyarewa a ɛma nipadua no tumi a ɛko tia nyarewa no yɛ mmerɛw: Wɔn a wɔwɔ kokoram (titiriw wɔn a wɔreyɛ nnuru a wɔde sa yare), wɔn a wɔwɔ AIDS, ne wɔn a wɔnom nnuru te sɛ steroid bere tenten no wɔ asiane kɛse mu.
Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu eyi?
Sɛnea yɛadi kan aka no, nnipa dodow no ara nnya yare no ho sɛnkyerɛnne. Nanso, sɛ sɛnkyerɛnne ahorow no da adi a, ebetumi afi ase wɔ nnafua 3 kosi 17 bere a wɔde wɔn ho ahyɛ ntontom no mu akyi (mpɛn pii no bɛyɛ nnafua 10). Ɛsono sɛnkyerɛnne ahorow a egyina sɛnea yare no te so. Momma yɛnhwɛ pon a ɛwɔ ase ha no na yɛnte eyi ase yiye.
| Sɛnea yare no te | Nsɛnkyerɛnne atitiriw | Nsɛntitiriw a ɛho hia |
|---|---|---|
| Ɔhome mu Yare a Ɛyɛ Hu (Acute Histoplasmosis) . | Atiridiinini, nipadua mu yaw, tiyɛ, koko mu yaw, ɔfe a ɛyɛ dry, ɔbrɛ. | Ɛte sɛ awɔw. Wɔ obi a ɔwɔ apɔwmuden mu no, ɛtaa kɔ a wonnya ayaresa. |
| Ahurututu mu yare a enni sabea (Chronic Histoplasmosis) . | Ɔfe a ɛkyɛ (ɛtɔ mmere bi a nsu a ɛtɔ), mu duru a ɛso tew, atiridiinini, koko mu yaw, ɛyɛ den sɛ ɔbɛhome. | Eyi te sɛ nsamanwaw kakra. Ebetumi atra hɔ asram pii, mfe pii mpo. Sɛ wɔansa a, tebea no mu yɛ den. |
| Histoplasmosis a Ɛtrɛw Nkɔso | Ɛtrɛw fi ahurututu mu kɔ akwaa afoforo te sɛ ahurututu, amemene, mmerɛbo, akyi berɛmo, ne honam ani. Atiridiinini a ano yɛ den, mu duru a ɛso tew, ne honam ani akuru betumi aba. | Eyi ne ade a emu yɛ den na asiane wom sen biara. Sɛ wɔansa a, ebetumi akum obi. Ɛtaa ba nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw yiye so. |
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini ne ɔfe na woasiesie baabi dedaw a mfutuma wɔ hɔ nnansa yi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
Oduruyɛfo no bɛhwɛ wo, atie w’ahurututu, na sɛ wosusuw sɛ yare no wɔ hɔ a, ɔhyɛ sɛ wɔnyɛ nhwehwɛmu bi.
- Chest X-ray: Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ ɔyare mmoawa ho sɛnkyerɛnne bi wɔ ahurututu mu anaa.
- Mogya anaa nsu mu nhwehwɛmu: Hwɛ sɛ ebia antibodies anaa antigens a ɛfa fungus no ho anaa.
- Sputum anaa tissue sample tests: Wɔde microscope hwehwɛ sputum sample anaa, sɛ ɛho hia a, ntini ketewaa bi a wɔayi afi ahurututu no mu de si so dua sɛ fungus no wɔ hɔ.
Ɔkwan bɛn so na wɔsa?
Ɔkwan a wɔfa so sa yare no gyina sɛnea wo yare no te ne sɛnea emu yɛ den so.
- Mild Acute Histoplasmosis: Mpɛn pii no, ɔyare mmoawa a emu nyɛ den a ɛba obi a ɔwɔ apɔwmuden mu no nhia ayaresa titiriw. Te sɛ atiridii no, ebefi hɔ wɔ adapɛn kakraa bi mu bere a wogye w’ahome na wonom nsu pii .
- Nyarewa a emu yɛ den, enni sabea, anaa ɛtrɛw: Akyinnye biara nni ho sɛ nsɛm yi hia ayaresa. Wo duruyɛfo bɛkyerɛw nnuru a ekum fungal . Saa ayaresa yi tumi di adapɛn kakraa bi kosi asram pii. Sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, ebia ebehia sɛ wonom nnuru yi wɔ dodow a ɛba fam mu wo nkwa nna nyinaa. Nnyae nnuru a wo duruyɛfo akyerɛw ama wo no nom da.
Dɛn na yebetumi ayɛ de abɔ yɛn ho ban afi yare yi ho?
Sɛnea ɛbɛyɛ na woakwati saa ɔyare mmoawa yi no, ɛsɛ sɛ wokwati sɛ wobɛhome fungal spores. Saa nneɛma yi betumi aboa.
- Sɛ woresiesie mmeae a akraman anaa nnomaa nsu wɔ (adansi dedaw, abodan, nkokɔ atrae) a, hyɛ akataso pa. Sɛ ɛbɛyɛ yiye a, ɛbɛyɛ papa sɛ wode akataso a ɛtumi yiyi mu kɛseɛ te sɛ N95 bedi dwuma.
- Sɛnea ɛbɛyɛ a mfutuma so bɛtew no, fa nsu kakra petepete so ansa na woayi dɔte anaa nneɛma a asɛe no afi hɔ. Sɛ ɛyɛ nwini a, ɛtew mfutuma a ɛkɔ mframa mu no so.
- Sɛ wowɔ kuw bi a asiane wom mu (a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw) a, twe wo ho fi saa dwumadi ahorow yi ho sɛnea wubetumi biara.
- Sɛ woyɛ adwuma wɔ beae a ɛte sɛɛ wie a, fa samina hohoro wo nsa yiye.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, .Hwehwɛ ayaresa ntɛm ara. Sɛ ɛyɛ den ma wo sɛ wobɛhome denneennen anaasɛ wo ho yɛ wo hyew kɛse a, ntwentwɛn wo nan ase sɛ wobɛkɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) no.
Nkrasɛm a Wɔde Kɔ Fie
- Histoplasmosis yɛ ahurututu mu yare a efi ntontom bi a wohu wɔ asase a akraman/nnomaa nsu wom mu na ɛde ba.
- Eyi ntrɛw mfi onipa so nkɔ onipa foforo so, enti nsuro sɛ wobɛka obi a ɔwɔ ɔyare no ho.
- Nnipa pii a wɔwɔ apɔwmuden nnya yare no ho sɛnkyerɛnne biara sɛ wɔanya saa ntontom yi mpo a.
- Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw, mmofra nkumaa, wɔn a wɔn mfe akɔ anim, ne wɔn a wɔwɔ ahurututu mu nyarewa a enni sabea no wɔ asiane kɛse mu.
- Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, ɔfe, anaa wo koko mu yaw bere a woasiesie baabi dedaw a mfutuma ayɛ no akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa yare a emu yɛ den, enti ɛho hia yiye sɛ wubedi nnuruyɛfo afotu akyi pɛpɛɛpɛ.
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