So wo kɔn ahonhon te sɛ akisikuru? Momma yensua scrofula ho ade!

So woahyɛ no nsow pɛn sɛ nnipa binom wɔ akisikuru ketewaa bi wɔ wɔn kɔn fã biako? Ɛtɔ mmere bi a, ebetumi ayɛ kɛse, te sɛ akuru akuwakuw a abata ho. Mpɛn pii no ɛnyɛ yaw, anaasɛ ɛyaw kakraa bi pɛ na ɛwɔ hɔ. Ɛtɔ mmere bi a, ebetumi ayɛ kɔkɔɔ anaasɛ ne kɔla te sɛ honam ani mpo. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, na ɛno ne scrofula.

Dɛn ne Scrofula? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, scrofula yɛ bere a ntini a ɛwɔ wo kɔn mu a yɛfrɛ no nodes , hohoro esiane ɔyare mmoawa bi nti. Nea ɛba ne sɛ ntini biako anaa nea ɛboro saa bom yɛ ade kɛse a ɛyɛ tratraa wɔ wo kɔn mu.

Bere bi a atwam no, na wɔfrɛ no "ɔhene bɔne" efisɛ na nkurɔfo susuw sɛ ɔhene no betumi asa. Nanso mprempren nnuruyɛfo frɛ no mycobacterial cervical lymphadenitis . Edin tenten kakra, ɛnte saa? Nanso saa pɛpɛɛpɛ na wɔfrɛ tebea yi.

Nokwarem no, Scrofula yɛ Nsanyare bi . Nanso, ɛnyɛ ahurututu mu nko, na mmom ɛka ntini a ɛwɔ kɔn mu no nso.

Scrofula abu so dɛn?

Sɛ yɛbɛka nokware a, scrofula yɛ tebea a ɛntaa nsi koraa . Nnipa a wɔda nsamanwaw ho sɛnkyerɛnne adi no mu bɛyɛ 5% pɛ na wohu sɛ wɔwɔ scrofula. Enti wontaa nte ho asɛm.

Dɛn ne Scrofula ho sɛnkyerɛnne ahorow?

Wɔ nnipa pii fam no, scrofula ho sɛnkyerɛnne titiriw ne kɔn mu akisikuru, a ebetumi ayɛ te sɛ akuru wɔ kɔn no afã biako anaa abien no nyinaa. Nanso, nnipa binom nso betumi anya sɛnkyerɛnne ahorow a ɛtaa ba sɛ ɔyare mmoawa de ba, te sɛ:

• Huraeɛ.
• Fifiri a ɛba anadwo.
• Mu duru a wɔtew so a wɔanhyɛ da .
• Ɔbrɛ a wɔte nka bere nyinaa. (Ɔbrɛ)

Fa no sɛ, da bi, Nilanthi Akka nyaa akisikuru ketewaa bi wɔ ne kɔn mu. Mfiase no, osusuwii sɛ ɛyɛ ade a ɛfata. Nanso bere bi akyi no, ɛyɛɛ kɛse, na ofii ase nyaa atiridii anadwo. Ɛno na ɔkɔɔ oduruyɛfo nkyɛn.

Dɛn na ɛde scrofula ba?

Ade titiriw a ɛde scrofula ba mpanyimfo mu ne ɔyare mmoawa bi a wɔfrɛ no Mycobacterium tuberculosis . Eyi ne ɔyare mmoawa a wɔde nsamanwaw (TB) ba. Sɛ wohome saa mmoawa yi a, ɛkɔ w’ahurututu mu na ɛkɔ ntini a ɛwɔ wo kɔn mu no mu, na ɛde tebea no ba.

Nanso, Mycobacterium yare afoforo nso betumi ama mmofra nkumaa anya scrofula, enti ebia nea ɛde ba no bɛyɛ soronko kakra wɔ mmofra mu.

Hena na ɔwɔ asiane kɛse ma eyi?

Asiane titiriw a ɛma obi nya scrofula ne HIV a ɔbɛtra ase, efisɛ HIV ma nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw.

Bio:

• Aduan pa a wonnya nni
• Tebea afoforo a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw (sɛ nhwɛso no, nnuru a ɛmma nipadua no tumi ko tia nyarewa a wode bedi dwuma, tebea horow bi a ɛma nipadua no tumi ko tia nyarewa, anaa kokoram ahorow bi a wowɔ) betumi ama asiane yi ayɛ kɛse.

Sɛ yɛbɛka no tiawa a, sɛ wo nipadua no tumi ko tia nyarewa no so tew a, ɛda adi sɛ ɔyare mmoawa ahorow yi betumi atɔ wo.

Dɛn ne nsɛnnennen a ebetumi afi scrofula mu aba?

Ɛtɔ mmere bi a, ɔfe a scrofula de ba no betumi apae na ayɛ akisikuru. Eyi betumi ama sinus , anaa tunnel, ayɛ wo honam ani. Saa opira yi nso betumi ama obi anya akuru . Ebia akuru no bɛtra hɔ daa.

Ɔkwan bɛn so na wobetumi ahu scrofula?

Esiane sɛ nneɛma afoforo pii wɔ hɔ a ebetumi ama kɔn mu ntini ahonhon nti, wo duruyɛfo betumi ayɛ nhwehwɛmu pii anaasɛ akamfo akyerɛ sɛ wobɛyɛ nhwehwɛmu pii de ahu sɛ wowɔ scrofula anaa. Eyinom ne nea wɔtaa yɛ:

• Biopsy: Wɔ sɔhwɛ yi mu no , oduruyɛfo no de ade bi yi akisikuru anaa ntini bi. Afei wɔde nhwɛsode no yɛ amammerɛ de hwɛ sɛ mycobacteria wɔ hɔ anaa, na wɔde nkekae soronko bi hwehwɛ mmoawa no.
• Mogya mu nhwehwɛmu: Wobetumi afa wo mogya bi de ahwɛ sɛ ebia mycobacteria ne nyarewa afoforo wɔ hɔ anaa.
• Mfonini mu nhwehwɛmu: Ebia wo duruyɛfo bɛyɛ wo koko X-ray , CT scan , anaa ultrasound scan na ama wanya w’ahurututu anaa wo kɔn ho mfonini a emu da hɔ.
• Nsanyare mu nhwehwɛmu: PPD honam ani nhwehwɛmu anaa mogya mu nhwehwɛmu betumi ahu sɛ wowɔ nsamanwaw anaa.
• Acid-fast bacilli test: Eyi hwehwɛ sɛ wugye ntini anaa nsu a ɛyɛ nwini bi fi w’ahurututu mu na wohwehwɛ mycobacteria.

Wɔyɛ nhwehwɛmu ahorow yi nyinaa de si sɛnea yare no te ankasa so dua.

Ɔkwan bɛn so na wɔsa scrofula?

Nnuruyɛfo de nnuru a ekum ɔyare mmoawa a ɛyɛ mycobacterial nyarewa pɔtee bi sa scrofula.(Sɛ nhwɛso no, macrolide bi). Mpɛn pii no ebehia sɛ wonom nnuru yi asram pii kosi afe biako . Nnuru ahorow bi a ekum ɔyare mmoawa a wɔde ma wɔ mycobacterial yare mmoawa ho ni:

• Ethambutol a wɔfrɛ no Ethambutol
• Isoniazid (INH) a ɛwɔ nipadua no mu.
• Pyrazinamide a wɔde yɛ aduru
• Rifampin na ɔkyerɛwee
• Clarithromycin a wɔde yɛ aduru

Ade a ɛho hia sen biara ne sɛ wobɛnom saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere tenten a aduru no bedi dwuma no nyinaa. Sɛ wugyae nom fã a, ebia yare no bɛsan aba bio.

Ɛtɔ mmere bi a wo duruyɛfo betumi akamfo akyerɛ sɛ fa oprehyɛn yi akisikuru a ɔyare no wom no. Ebia wɔbɛkamfo ɔkwan bi a wɔfrɛ no DOT (Directly Observed Therapy) nso akyerɛ . Eyi hwehwɛ sɛ obi foforo a ɔnyɛ w’abusua muni a ɔbɛma wo aduru no na ɔne wo atra kosi sɛ wobɛnom. Saa kwan yi so no, ɛnsɛ sɛ wohaw wo ho sɛ wobɛhwere w’aduru no.

Sɛ mewɔ scrofula a, dɛn na metumi ahwɛ kwan?

Sɛ wofa ayaresa a ɛfata a , wubetumi ho atɔ wo koraa afi scrofula ho. Nanso sɛnea oduruyɛfo no ka no, ɛho hia sɛ wɔnom aduru no pɛpɛɛpɛ wɔ bere a wɔde sa yare no nyinaa mu. Kae sɛ eyi betumi agye asram kakraa bi kosi afe biako. Ebia akuru a akuru no de ba no bɛtra hɔ daa.

So Scrofula tumi di awu?

Sɛ wɔsa scrofula yare a, ɛntaa nkum obi. Nanso, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wowuwu efisɛ nnipa a wowuwu ho nhwehwɛmu taa twe adwene si mycobacterial yare mmoawa a ɛwɔ ahurututu mu so. Nea efi mu ba no betumi ayɛ soronko koraa.

So wobetumi asiw scrofula ano?

Yiw, kodu baabi. Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya scrofula so denam nhwehwɛmu a wobɛyɛ sɛ wowɔ TB a ahintaw anaa . TB a ahintaw yɛ tebea a wunhu sɛnkyerɛnne biara, nanso ebetumi atrɛw akɔ wo nipadua no afã afoforo na ɛde ɔyare mmoawa te sɛ scrofula aba. Sɛ wohu sɛ wowɔ TB yareɛ a, wobɛtumi anya ayaresa ansa na atrɛ.

Wubetumi nso anya Bacillus Calmette-Guérin (BCG) aduru a wɔde bɔ nsamanwaw, nanso wɔtaa de BCG aduru no ma wɔ mmeae a nsamanwaw abu so nkutoo.

Mɛyɛ dɛn ahwɛ me ho?

Ade a eye sen biara a wubetumi ayɛ ne sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho kɛse na woanom wo nnuru sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ.Bere a wowɔ nsamanwaw (TB) anaa mycobacteria a ɛnyɛ nsamanwaw no, wubetumi nso aboa ma wɔasiw mmoawa no trɛw ano denam wo ne nnipa afoforo a wobɛtew so no so.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• Ɔkwan bɛn so na ɛsɛ sɛ menom aduru no?
• Sɛ mepa nnuru dodow bi a, dɛn na meyɛ?
• Bere tenten ahe na ɛsɛ sɛ meyɛ ayaresa?
• Bere tenten ahe na ebegye ansa na me ho atɔ me?
• Nsɛnkyerɛnne foforo anaa nea ɛreyɛ kɛse bɛn na ɛsɛ sɛ mehwɛ yiye?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

Awiei koraa no, kae (Take-Home Message) .

Scrofula yɛ tebea a ɛntaa nsi nanso mpɛn pii no wotumi sa. Ayaresa betumi agye bere kakra – ebia ɛho behia sɛ wunya abotare kakra kosi sɛ wo ho bɛtɔ wo. Kɔ wo duruyɛfo nkyɛn daa, titiriw sɛ wowɔ tebea bi a ɛhyɛ wo ase te sɛ HIV a. Wo duruyɛfo betumi ahwɛ wo nkɔso, ayɛ nsakrae wɔ w’aduru mu sɛ ɛho hia a, na wadi ɔhaw biara a ɛbɛsɔre bere a wɔreyɛ ayaresa no ho dwuma. Enti mma wo ho nnyɛ wo hu, nya ayaresa a wuhia, na nya apɔwmuden!

` Scrofula, kɔn mu ntini, erysipelas, nsamanwaw, mycobacteria, ɔyare mmoawa, ntini a ɛma mogya tu