So woate ‘fungus tuntum’ yi ho asɛm pɛn? Ebia wotee wɔ atesɛm krataa mu anaa TV so amanneɛbɔ mu. Nokwarem no, ɛyɛ yare a ɛyɛ hu na ebetumi ayɛ hu. Ɛnnɛ, momma yɛnka saa fungal yare yi a wɔfrɛ no Mucormycosis wɔ aduruyɛ mu no ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Dɛn ne Mucormycosis?
Sɛ yɛbɛka no tiawa a, Mucormycosis yɛ fungal yare a emu yɛ den yiye . Nwansena kuw bi a wɔfrɛ wɔn mucormycetes na ɛde ba. Saa nwansena yi tumi ka yɛn nipadua no afã horow pii. Sɛ nhwɛso no, ebetumi aka w’ani, w’aniwa (nkwaa a ɛwɔ wo moma so ne w’afono mu), amemene, w’ahurututu, yafunu ne wo dwensɔtwaa (yafunu mu kwan), anaa wo honam ani.
Wɔ eyi mu no, ɛsono sɛnkyerɛnne ahorow no gyina wo nipadua no fã a ntontom no aka no so. Ɛtɔ mmere bi a wɔfrɛ no zygomycosis.
Afei susuw ho hwɛ, saa nwansena a wɔfrɛ no mucomycetes yi te nneɛma a atwa yɛn ho ahyia no mu, titiriw wɔ asase, compost, nhaban nwura a ɛreporɔw, ne nnua a wɔayam mu. Nanso nea ɛyɛ nwonwa no, yɛn mu dodow no ara nnyare mfi saa nwansena yi mu. Nanso, nnipa a wɔwɔ asikreyare, kokoram ahorow bi, anaa tebea afoforo a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw no wɔ asiane kɛse mu sɛ wobenya mucomycosis.
Nea ɛho hia sen biara ne sɛ mucormycosis yɛ yare a ɛtaa tumi kum nnipa . Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ ayaresabea anaasɛ wokɔhwehwɛ aduruyɛfo afotu ntɛm ara.
Dɛn ne Mucormycosis ahorow atitiriw?
Mucormycosis ahorow atitiriw pii wɔ hɔ. Wɔne:
- Ɔkwan a ɛka hwene, aniwa, ne amemene (Rhino-orbital-cerebral anaa Rhinocerebral mucormycosis) .
- Ahurututu mu ntini a ɛyɛ mmerɛw
- Honam ani mucormycosis a ɛma obi ho yɛ hyew
- Ɔkwan a ɛka aduan mu nneɛma (Gastrointestinal mucormycosis) .
- Mucormycosis a ɛtrɛw
Dɛn ne yare yi ho sɛnkyerɛnne?
Mucormycosis ho sɛnkyerɛnne gyina wo nipadua no fã a ɔyare no wɔ so so. Ebia wubehu sɛnkyerɛnne ahorow wɔ wo hwene, w’ahurututu, w’adidi mu, w’ani ho atwa ho ahyia, anaa wo honam ani.
Ɔkwan a ɛka hwene, aniwa, ne amemene (Rhino-orbital-cerebral Mucormycosis) .
Eyi ne mucormycosis a abu so sen biara . Sɛ ɛba saa a, ntontom no di kan nya wo ntini mu na ebetumi atrɛw akɔ kyinhyia ne amemene no mu. Ɛtaa ba nnipa a wɔwɔ asikreyare a emu yɛ den a wontumi nni so (sɛ nhwɛso no, A1C bɛboro 8% ɛmfa ho sɛ wɔasa wɔn yare daa bɛboro afe biako) ne nnipa a wɔde akwaa foforo ahyɛ wɔn ananmu no mu.
Nsɛnkyerɛnne a ɛte sɛɛ ne:
- Huraeɛ
- Tipaeɛ
- Sinus pain (ɛyaw a ɛba wɔ moma so, afono mu) .
- Anom a ɛyɛ mmerɛw
- Akuru anaa akuru a ɛwɔ ano atifi
- Anisoadehu a ɛyera anaasɛ aniwa abien
- Ɛyɛ den sɛ wobɛdan aniwa na woaserew (wɔfrɛ eyi `cranial nerve palsy`) .
- Aniwa a ɛpuepue (proptosis) .
- Aniwa no ho a ɛho ahonhon
- Nusu tuntum anaasɛ akisikuru a efi aniwa mu
- Adwene a ɛyɛ basaa anaa adwene mu nsakrae afoforo
Ahurututu mu Nsuo Mucormycosis
Saa fungal yare a ɛba ahurututu mu yi ne nea ɛto so abien a ɛtaa ba. Ɛtaa ba wɔ:
- Nnipa a wɔwɔ kokoram a efi mogya mu (sɛ nhwɛso no, mogya mu kokoram, lymphoma, anaa myeloma), titiriw wɔn a mogya mu nkwammoaa fitaa bi sua (neutropenia) .
- Wɔn a wɔayɛ wɔn nnompe mu ntini foforo no fam
- Wɔn a wɔde akwaa a ɛyɛ den ahyɛ wɔn ananmu no fam
Nsɛnkyerɛnne a ɛte sɛɛ:
- Huraeɛ
- Koko mu yaw
- Ɔhome a ɛyɛ den (dyspnea) .
- Mogya a wɔfe (hemoptysis) .
Ntini a Ɛma Honam ani Mucormycosis
Saa ɔyare mmoawa yi ba bere a ntontom bi fa nea wɔatwa anaa nea wɔabɔ so hyɛn wo honam ani no. Fa no sɛ wowɔ kuru ketewaa bi na biribi te sɛ efĩ akɔ kuru no so. Eyi betumi ama saa ntontom yi akɔ mu. Nea ɛyɛ nwonwa no, saa ɔkwan yi abu so wɔ nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa a ɛyɛ papa nso mu.
Honam ani sɛnkyerɛnne ahorow:
- Akisikuru a ɛyɛ yaw, akuru, anaa akuru a ɛyɛ den wɔ honam ani
- Wora a ɛyɛ kɔkɔɔ, kɔla bɛsakra, anaasɛ ɛho ahon
Saa honam ani nsakrae yi mu yɛ den bere a bere kɔ so no. Wɔdan tuntum, ɛtrɛw kɔ mmeae akɛse, na ɛtɔ mmere bi a wotumi trɛw kɔ ntini anaa nnompe mu.
Ɔkwan a ɛka aduan mu nneɛma (Gastrointestinal Mucormycosis) .
Eyi yɛ ɔyare mmoawa a ɛba yafunu anaa dwensɔtwaa mu. Ɛtaa ba nkokoaa a wɔawo wɔn ntɛm so. Nanso nnansa yi, akɔ soro nso wɔ mpanyimfo a wɔn nipadua no tumi ko tia nyarewa (neutropenia), nnipa a wɔnom corticosteroid nnuru a ɛkyɛ, ne nnipa a wɔwɔ nyarewa afoforo a ɛma nipadua no tumi ko tia nyarewa no mu.
Mpopoeɛ:
- Yafunu mu yaw
- Akisikuru ne ɔfe
- Mogya a ɛba yafunu mu
Mucormycosis a ɛtrɛw
Wɔ saa tebea yi mu no, ɔyare mmoawa no fa mogya no mu trɛw kɔ nipadua no afã horow. Ɛtaa ka amemene no, nanso ebetumi aka koma, akyi berɛmo, anaa honam ani nso. Eyi ne mucormycosis a emu yɛ den na edi awu sen biara. Wɔtaa hu no kɛse wɔ:
- Nnipa a wɔwɔ kokoram a efi mogya mu, titiriw wɔn a wɔwɔ neutropenia
- Nnipa a wɔayɛ wɔn nnompe mu ntini foforo
- Nnipa a wɔde akwaa a ɛyɛ den ahyɛ wɔn ananmu
Esiane sɛ saa ɔkwan yi ka nipadua no afã horow pii nti, ahorow afoforo a yɛaka ho asɛm wɔ atifi hɔ no ho sɛnkyerɛnne nso betumi ada adi, ne aduruyɛ mu tebea biara a ɛhyɛ ase a ebia wowɔ no ho sɛnkyerɛnne nso.
Dɛn nti na Mucormycosis ba?
Fungi ahorow na ɛde mucomycosis ba. Nea ɛtaa ba ne Rhizopus oryzae ne Rhizopus delemar. (Eyinom ye fungi ahodoɔ pɔtee bi.) Saa fungi yi te nneɛma a atwa yɛn ho ahyia mu - titire wɔ asase, compost, nhaban nwura a ɛporɔw ne nnua a wɔayam mu. Wobetumi ahu wɔn nso wɔ nnuan a wɔanhohoro no yiye mu. Yɛn mu dodow no ara nnyare esiane sɛ yɛhome anaa yɛde yɛn nsa ka saa nwansena yi nti. Nanso sɛ wowɔ akwahosan tebea horow bi a, ebia wo nipadua mu tumi a ɛko tia nyarewa no rentumi nko ntia ɔyare mmoawa no.
Ɔkwan bɛn so na eyi ba yɛn nkyɛn?
Wubetumi anya mucormycosis denam saa fungi yi spores (fungus no awo afã horow) a wobɛhome, biribi a ɛwɔ bi a wubedi, anaasɛ wobɛma wɔafa honam ani ahomegye mu no so. Saa spores yi sua araa ma yentumi nhu wɔn anaasɛ yenkwati wɔn.
Ɛntaa mma sɛ wɔanya afi ayaresabea ahorow, denam nnuruyɛ nnwinnade a efĩ wom so, ne abɔde mu asiane ahorow akyi. Sɛ nhwɛso no, ahum a ano yɛ den betumi akanyan dɔte pii na ama nwansena no akɔ mframa mu.
So eyi yɛ ɔyare mmoawa fi onipa biako so kɔ foforo so?
No. Mucormycosis is not spread from one person to another. Wubetumi anya saa nwansena yi afi nneɛma a atwa yɛn ho ahyia nkutoo mu.
Hena na ɔwɔ asiane kɛse sɛ obenya mucormycosis?
Nnipa a wɔwɔ asikreyare ne aduruyɛ mu tebea horow bi a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw na wɔwɔ asiane kɛse mu sɛ wobenya saa tebea yi. Afei nso, sɛ dade pii wɔ nipadua no mu a, ebetumi aboa ma eyi aba. Nneɛma a ɛde asiane ba no bi ne:
- Asikreyare, titiriw wɔ tebea horow te sɛ asikreyare a ɛboro so ne ketoacidosis ho.
- Esiane sɛ wɔde akwaa a ɛyɛ den ama no nti.
- Esiane sɛ wɔde mogya mu nkwammoaa a ɛma mogya tu (nnompe mu ntini a wɔde si ananmu) maa no nti.
- Neutropenia yɛ mogya mu nkwammoaa fitaa a wɔfrɛ no neutrophils a ɛso tew.
- Kokoram, titiriw mogya mu kokoram, lymphoma, anaa myeloma.
- Nnuru a wɔde corticosteroid di dwuma bere tenten.
- Nnuru a wɔde twitwiw nipadua mu a wonnya nnuruyɛfo afotu.
- Tebea bi a wɔfrɛ no hemochromatosis (a ɛma dade dodow a ɛwɔ nipadua no mu kɔ soro - `dade a ɛboro so`).
- Ɔhyew anaa honam ani apirakuru a emu yɛ den a ɛma efĩ ne mmoawa kɔ kuru no mu.
- Wɔwoo no ntɛm anaasɛ awo mu duru a ɛba fam.
Sɛ yɛbɛka no tiawa a, sɛ wo nipadua no tumi a ɛko tia nyarewa (nkwammoaa a ɛko tia nyarewa) no yɛ mmerɛw a, ɛda adi sɛ wubenya eyi.
Dɛn ne nsɛnnennen a ebetumi afi yare yi mu aba?
Mucormycosis betumi de nsɛnnennen a ɛyɛ hu na ɛde nkwa to asiane mu aba, a nea ɛka ho ne:
- Cavernous sinus thrombosis: Eyi yɛ mogya a ɛkɔ wo sinus mu. Ebetumi akum obi.
- Fasciitis a ɛma obi ho yɛ hyew:Eyi yɛ ɔyare mmoawa a emu yɛ den, ɛtrɛw ntɛmntɛm (wɔsan frɛ no "mmoawa a wodi honam"). Ebetumi akum obi.
- Osteomyelitis: Eyi yɛ ɔyare mmoawa a ɛba wo nnompe mu. Wobetumi asɛe nnompe no.
Eyinom yɛ tebea horow a asiane wom ankasa, na ɛno nti na ɛho hia sɛ wonya ayaresa ntɛm no.
Wobɛyɛ dɛn ahu yare yi pɛpɛɛpɛ? (Nyare a Wɔahu) .
Oduruyɛfo betumi agyina wo sɛnkyerɛnne ne ayaresa tebea afoforo a wowɔ so asusuw sɛ mucormycosis. Sɛnea ɛbɛyɛ a wobesi eyi so dua no, wɔbɛtwa nipadua akwaa a ɛka ho no mfonini (mfonini) na wɔahwɛ wo nipadua mu ntini mu sɛ ebia fungi wɔ hɔ anaa.
Sɔhwɛ ahorow a wɔde yɛ eyi:
- Mfoninitwa: Wobetumi ayɛ koko mu X-ray, CT mfonini (computed tomography scans), anaa MRI (magnetic resonance imaging) mfonini.
- Endobronchial ultrasound: Eyi yɛ ahurututu mu nhwehwɛmu bi. Eyi kyerɛ sɛ wɔde afiri bi a ɛma nnyigyei yɛ kɛse a wɔde abata afiri a ɛyɛ tratraa a kanea wom ho di dwuma de twa ahurututu no mu mfonini.
- Ntini mu nhwehwɛmu: Oduruyɛfo betumi de afiri a wɔde hwɛ nneɛma nketenkete ahwɛ wo ntini mu anaasɛ denam nhwehwɛmu a wɔyɛ wɔ aduruyɛdan mu so ahwɛ sɛ mucormycosis fungi wɔ hɔ anaa.
Ɔkwan bɛn so na wɔsa Mucormycosis?
Nnuruyɛfo de nnuru a ekum fungal sa mucormycosis. Ebia ɛho behia nso sɛ wɔyɛ oprehyɛn de yi ntini a ɔyare no wɔ anaa awuwu no fi hɔ. Nnuru a wɔde ko tia fungal a wɔde yɛ eyi ne:
- Amphotericin a wɔfrɛ no B.
- Posaconazole `(Posaconazole)`
- Isavuconazole a wɔde ma
Ɛho behia sɛ wofa saa aduru a ekum fungal yi adapɛn pii, ebia asram pii.
So wobetumi asa yare yi koraa?
Yiw, ebetumi aba. Nanso ɛsɛ sɛ wɔsa no ntɛm. Sɛ wɔtwentwɛn ayaresa no ase nna kakraa bi mpo a, hokwan a ɛwɔ hɔ sɛ obi benya nkwa no betumi atew kɛse. Sɛ wofi ayaresa ase ntɛm mpo a, ebetumi ayɛ den sɛ wɔbɛsa.
Ayaresa a wɔyɛ no ntɛmntɛm ne hokwan a eye sen biara a wobetumi agye obi nkwa!
Nnipa dodow a wowuwu esiane Mucormycosis nti ne dɛn?
Esiane sɛ ɛyɛ den sɛ wɔbɛsa na esiane sɛ nnipa pii a wɔwɔ mucormycosis nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw nti, nnipa dodow a wowuwu no dɔɔso. Nnipa dodow a wowuwu wɔ mucormycosis ahorow nyinaa mu no bɛyɛ 54%. Mucormycosis a ɛka sinus nkutoo no wɔ owu dodow a ɛba fam kakra (bɛyɛ 46%). Nanso, mucormycosis a atrɛw a atrɛw akɔ nipadua no afã afoforo no taa di awu.
Eyi yɛ asɛm a anibere wom kakra. Esiane sɛ ɛyɛ den sɛ wɔbɛsa yare yi, na esiane sɛ nnipa dodow no ara a wonya bi no tumi ko tia nyarewa no sua nti, nnipa dodow a wowuwu no dɔɔso. Nanso mma anidasoɔ nnyae, hokwan wɔ hɔ sɛ wo ho bɛtɔ wo denam ayaresa a wɔde ma ntɛm so.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ tebea horow a edidi so yi mu biara a, bisa oduruyɛfo sɛnea wubesiw fungal yare ano ne sɛnea wubehu ntɛm:
- Sɛ wowɔ asikreyare anaa kokoram a.
- Sɛ wɔayɛ wo akwaa foforo anaasɛ wɔde stem cell foforo ama wo a.
- Sɛ wowɔ aduruyɛ bi anaasɛ worenom nnuru a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a.
Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?
Sɛ wɔansa mucormycosis ntɛm a, ebetumi akum obi. Sɛ wowɔ mucormycosis ho sɛnkyerɛnne, titiriw sɛ wo nipadua no mu tumi a ɛko tia nyarewa ayɛ mmerɛw anaa asikreyare a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara. Bere nyinaa hwehwɛ ɔhwɛ a egye ntɛmpɛ sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a:
- Atiridiinini a ano yɛ den (bɛboro Fahrenheit 103/Celsius 40).
- Ɔhome a ɛyɛ den.
- Mogya a wɔfefe.
- Aniwa a ɛrehuruhuruw anaasɛ ɛho ahonhon wɔ aniwa no ho.
- Anisoadehu sesa, te sɛ anisoadehu abien.
- Adwene a ɛyɛ basaa anaa adwene mu nsakrae afoforo.
- Nneɛma a ɛma obi ho popo.
- Nsu tuntum anaa nusu.
- Kuru a ɛnsa, ɛkɔ so trɛw, anaa ɛdan tuntum.
Sɛ wowɔ saa nsɛnkyerɛnne yi bi a, kɔ ayaresabea a ntwentwɛn wo nan ase!
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm yi:
- So mewɔ asiane kɛse mu sɛ menya fungal yare?
- Dɛn na metumi ayɛ de atew asiane a ɛwɔ hɔ no so?
- Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye na bere bɛn na ɛsɛ sɛ mehwehwɛ aduruyɛfo afotu?
- Ayaresa ahorow bɛn na mewɔ?
- Dɛn na metumi ahwɛ kwan wɔ saa yare a wɔahu yi ho?
So akwan bi wɔ hɔ a wɔfa so siw Mucormycosis ano? (Ayaresa a wɔde siw ano) .
Fungi a ɛde mucormycosis ba no atwa yɛn ho ahyia, enti ɛyɛ den sɛ yɛbɛkwati koraa. Nanso nneɛma bi a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya fungal yare no so ni:
- Sɛ wowɔ aduruyɛ mu tebea bi a ɛde wo to asiane mu sɛ wubenya fungal yare a emu yɛ den a, wo ne wo duruyɛfo nyɛ adwuma mfa nni ho dwuma.
- Sɛ wowɔ asiane kɛse mu sɛ wubenya fungal yare a, ebia wo duruyɛfo bɛkyerɛw wo nnuru a ekum fungal na aboa ma woasiw yare ano.
- Sɛ w’adwuma no de wo to asiane mu sɛ wubenya fungi a, bisa wo duruyɛfo sɛ ebia asiane kɛse wom sɛ wubenya ɔyare mmoawa anaa.
- Kwati mmeae a mfutuma wɔ te sɛ mmeae a wosisi adan. Sɛ ɛsɛ sɛ wowɔ mmeae a ɛte saa koraa a, hyɛ ``N95`` akataso (anaasɛ nneɛma foforo a ɛbɔ wo ho ban) a ɛboa ma woyi fungal spores fi mframa a wohome no mu.
- Kwati dwumadi ahorow a ebetumi ama woanya fungal spores, te sɛ turoyɛ ne fam tutu. Hyɛ nsateaa ne ntade a ɛkata honam ani sɛnea wubetumi bere a woreyɛ adwuma wɔ abɔnten no.
- Fa samina ne nsu hohoro nea wɔatwitwa ne nea wɔayam no yiye.
So COVID-19 ma asiane a ɛwɔ hɔ sɛ obi benya Mucormycosis no yɛ kɛse?
Wɔ afe 2021 mu no, nnipa a wɔwɔ COVID-19 no mucormycosis nyaa nkɔanim. Nanso abenfo nnim nea ɛyɛ abusuabɔ no ankasa. Wɔn nso nnim sɛ ebia COVID-19 a wobenya no ankasa dɔɔso sɛ ɛbɛma asiane no akɔ soro, efisɛ:
- Wɔbɔɔ nnipa dodow no ara ho amanneɛ fii wiase mmeae a mucormycosis abu so no. Wɔ COVID-19 ɔyaredɔm no mu no, nnipa 3 biara mu 1 a wɔwɔ mucormycosis wɔ saa mpɔtam yi nni COVID-19.
- Wɔ ɔyaredɔm no mu no, wɔbɔɔ amanneɛ sɛ nnipa pii anya COVID-19 ne mucormycosis nyinaa wɔ wiase mmeae afoforo (beae a mpɛn pii no mucormycosis ntaa mma), nanso fungal yare no amma wɔ mmeae a mucormycosis ntaa ntaa mma.
- Nnipa pii a na wɔwɔ mucormycosis ne COVID-19 nyinaa no, na wontumi nni asikreyare so yiye anaasɛ na wɔrenom nnuru a wɔfrɛ no corticosteroid. Eyinom yɛ nneɛma a ɛde mucormycosis ba.
- Nnipa pii a na wɔwɔ COVID-19 ne mucormycosis nyinaa wɔ nea ɛka hwene, aniwa, ne amemene (rhino-orbital-cerebral mucormycosis) – ɛnyɛ ahurututu mu yare a ɛtaa ba a ebia wobɛhwɛ kwan no. Eyi nso kyerɛ sɛ tebea afoforo a ɛhyɛ ase, ɛnyɛ COVID-19 nko, na ɛde ɔyare mmoawa yi ba.
Enti, ɛyɛ den sɛ yɛbɛka ntɛm ara sɛ Covid-19 na ɛde eyi ba. Nneɛma afoforo betumi aba a ɛde ba.
Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae
Mucormycosis yɛ yare a ɛntaa nsi . Ɛka nnipa bɛyɛ biako anaa baanu wɔ ɔpepem biako mu afe biara. Nanso sɛ wowɔ akwahosan tebea biara a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a, asiane kɛse wom. Ɛsɛ sɛ nnipa a wɔwɔ asikreyare ne A1C a ɛkɔ soro no hwɛ yiye titiriw.
W’akwahosan tebea horow a ɛwɔ ase no a wubedi ho dwuma no ne ɔkwan a eye sen biara a wobɛfa so anya apɔwmuden. Nanso wo ne wo duruyɛfo nka akwan foforo a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so. Obetumi asusuw nneɛma biara a ɛhaw wo ho na waka sɛnkyerɛnne ahorow a ɛsɛ sɛ wohwɛ yiye akyerɛ wo.
Eyi nyɛ yare a ɛka obiara. Nanso, sɛ wowɔ yare bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw te sɛ asikreyare a, hwɛ yiye paa. Nea ɛho hia sen biara ne sɛ, sɛ wowɔ mucormycosis ho sɛnkyerɛnne a, kɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu ntɛm ara. Efisɛ ayaresa a wɔyɛ no ntɛm betumi agye nnipa nkwa!
` mucormycosis, fungus tuntum, fungal yare mmoawa, asikreyare, nipadua mu ahoɔden a ɛko tia nyarewa, sinus, ahurututu, honam ani, amemene, fungus











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