So wo nsa ayɛ wo yaw na ayɛ kɔkɔɔ? Eyi betumi ayɛ Tinea Manuum!

So ɛtɔ mmere bi a wo nsa yɛ wo yaw a wuntumi nnyina ano? Anaasɛ ɛte sɛ nea ɛyɛ kɔkɔɔ na ɛyɛ mmerɛw? Wɔ nnipa binom fam no, wɔn nsateaa betumi ayow paa, wɔn honam ani betumi ayɛ mmerɛw, na wɔ mmeae bi mpo apaapae. Sɛ yenya yare no ho sɛnkyerɛnne te sɛ eyi a, yesusuw sɛ ɛyɛ honam ani haw ketewaa bi kɛkɛ. Nanso, eyi betumi ayɛ fungal yare ankasa. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no `Tinea Manuum`. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne Tinea Manuum? Momma yɛnhwehwɛ mu pɛpɛɛpɛ!

Sɛ yɛbɛka no tiawa a, Tinea Manuum yɛ fungal yareɛ a ɛbɛtumi aba wo nsa baako anaa mmienu nyinaa so. Ɛka wo honam ani fã a ɛwɔ soro no. Nnipa binom nso frɛ no ``Ringworm''. Nanso, ɛwom sɛ edin ``Ringworm'' no ka de, nanso enni nwansena biara a ɛbata ho. Ɛte saa efisɛ sɛ ɔyare mmoawa yi ba a, ɛtɔ mmere bi a ɛte sɛ mpɛtea, te sɛ mpɛtea. Ebia baabi a ɛkorɔn kakra wɔ saa ring no ho, te sɛ akisikuru.

Saa tebea yi a wɔfrɛ no Tinea Manuum no betumi aka wo nsa mmeae a edidi so yi:

• Wo nsa.
• Wɔ nsa no akyi.
• Wɔ honam ani mpopaho a ɛwɔ nsateaa ntam no ho.

Wɔtaa de Tinea Manuum frafra Tinea Pedis (a wɔsan frɛ no Athlete’s Foot), a ɛyɛ fungal yare a ɛwɔ nan no mu. Nanso, ebetumi aba nsa nso so.

Hena na ɔtaa nya eyi? Ɛtaa ba dɛn?

Tinea manuum betumi aka obiara a wadi mfe biara, ɛmfa ho sɛ ɔyɛ ɔbarima anaa ɔbea. Nanso, wɔtaa hu wɔ mmarimaa nkumaa ne mmarima mpanyimfo mu.

Wobu akontaa sɛ wiase nnipa bɛyɛ 25% na fungal yare mmoawa. Wɔn mu bi ne Tinea Manuum ne Tinea Pedis ne nyarewa abien a nnuruyɛfo taa hu. Wɔ aman bi mu no, Tinea Manuum yɛ bɛyɛ 13% wɔ fungal yareɛ nyinaa mu.

Tinea Manuum tumi ba nsa abien no nyinaa so, nanso mpɛn pii no ɛba nsa biako pɛ so. Wɔsan frɛ eyi sɛ "Anamɔn abien, nsa biako syndrome" wɔ nnuruyɛfo mu. Wei kyerɛ sɛ, sɛ wowɔ Tinea Pedis wɔ nan mmienu so a, wo nso wowɔ Tinea Manuum wɔ wo nsa baako so. Eyi ba wɔ bɛyɛ 65% mu. Fungal yareɛ a ɛwɔ nsa ne anan nyinaa so no ba bɛyɛ 20% mu, Tinea Manuum a ɛwɔ nsa baako pɛ so no ba bɛyɛ 12% mu, na Tinea Manuum a ɛwɔ nsa mmienu nyinaa so no ba bɛyɛ 4% mu.

Dɛn ne Tinea Manuum ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw ne nsa no akyi a ɛyɛ kurukuruwa. Wɔ obi a ne honam ani yɛ hare mu no, saa nsensanee yi betumi ayɛ kɔkɔɔ anaa pink. Wɔ obi a ne honam ani yɛ tuntum mu no, ebia ɛbɛyɛ bruu anaa fitaa. Ɛtɔ mmere bi a, saa nsensanee yi betumi ayɛ pefee wɔ mfinimfini na ebetumi ayɛ kurukuruwa pii atwa ho ahyia. Ɛtɔ mmere bi a, nkuruwankuruwa no betumi akɔ soro na ayɛ sɛ nsensanee.

Wo nsateaa ho were a ɛwɔ wo nsateaa soEbetumi ayɛ den. Ebetumi nso ayɛ nwunu kɛse . Ebia wubehu mpaapaemu a emu dɔ wɔ nsateaa no mu. Ebia mpaapaemu no bɛyɛ te sɛ fitaa a ɛrepaapae mu. Ebia nsateaa no bɛbɔ anaasɛ ɛrenyɛ saa. Ɛtɔ mmere bi a ebia ɛyaw ne ɔfe bɛba .

Ebia wubehu nsensanee kɔkɔɔ wɔ honam ani wɔ wo nsateaa ho, ne akisikuru ne akisikuru. Mpɛn pii no, ɔyare mmoawa yi betumi atrɛw akɔ wo nnadewa nso mu .

Dɛn nti na tinea manuum ba? Dɛn na ɛde ba?

Tinea Manuum yɛ ntontom bi na ɛde ba. Saa fungi yi nyin yiye wɔ mmeae a ɛhɔ yɛ hyew na ɛhɔ yɛ nwini. Wɔtaa ba mmeae a osu tɔ na owia bɔ kɛse te sɛ yɛn de no. Wɔsan nso di yiye wɔ mmeae a ɛhɔ yɛ nwini te sɛ ɔmanfo aguaree ne adan a wɔde nneɛma gu mu wɔ apɔw-mu-teɛteɛ adan mu.

Tinea Manuum yɛ yareɛ a ɛtumi kɔ nnipa mu paa. Sɛ wode wo nsa ka obi a ɔwɔ yare no, aboa bi a ɔyare no wɔ no, anaa asase a nwansena no wɔ mu a, wubetumi anya bi. Wubetumi nso anya sɛ wode nneɛma a ntontom wɔ mu anaasɛ woka mmeae a ntontom no wɔ di dwuma a. Nwansena no tumi tra nneɛma ne nneɛma a ɔyare no wɔ so so bere tenten.

Nnipa pii nya Tinea Pedis (Agumadifo nan) wɔ wɔn nan so ansa na wɔanya Tinea Manuum. Saa nwansena yi yɛ ɔyare mmoawa paa, enti sɛ wobɔ wo nan a, nwansena no tumi trɛw kɔ wo nsa mu na ɛde Tinea Manuum aba.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Yɛaka dedaw sɛ fungus a ɛde Tinea Manuum ba no ani gye mmeae a ɛhɔ yɛ hyew na ɛhɔ yɛ nwini. Enti, nneɛma bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi yɛ kɛse ni:

• Tebea a osu tɔ na owia bɔ kɛse: Te sɛ yɛn Sri Lanka no ara pɛ.
• Akwantu a wɔde kɔ mmeae a ɛhɔ yɛ hyew na ɛhɔ yɛ nwini.
• Ɔmanfo aguaree, adan a wɔde nneɛma gu mu, asuguarebea a ɛwɔ dan mu, ne apɔw-mu-teɛteɛ dan a wɔde bedi dwuma.
• Nnipa pii bom tra mmeae te sɛ adan a wɔtra mu.
• Honam fam agumadi te sɛ akuturukubɔ ne bɔɔlbɔ a wɔbɔ.
• Nneɛma te sɛ ntade, mpopaho, mpa, ntama, ne agumadi nneɛma a wɔde bɛkyɛ afoforo.

Afei nso, nnipa binom a wɔde wɔn nsa yɛ adwuma no taa nya bi. Nhwɛsoɔ:

• Nnipa a wɔne afoforo di nkitaho yiye, te sɛ wɔn a wɔyɛ aduru a wɔde twitwiw wɔn ti nhwi ne wɔn a wɔyɛ ti nhwi.
• Nnipa a wɔne mmoa yɛ adwuma yiye, te sɛ mfuw mu adwumayɛfo ne mmoa ho animdefo.
• Kar mfiridwumayɛfo, mfiri a wɔde yɛ adwuma, nnipa a wɔde nnuru yɛ adwuma.

Asiane afoforo pii wɔ hɔ:

• Sɛ́ ɔyɛ ɔbarima.
• Mogya mmoroso (Hypertension).
• Nkwammoaa a ɛko tia nyarewa a ayɛ mmerɛw (e.g. esiane tebea horow te sɛ HIV/AIDS, kokoram, asikreyare nti).
• Ntini mu ntini a ɛyɛ den.
• Obolo.
• Fifiri a ɛboro so (Hyperhidrosis).

Ɔkwan bɛn so na wɔde eyi kɔ nnipa mu?

Tinea Manuum yɛ yareɛ a ɛtumi kɔ nnipa mu. Wobetumi afa akwan atitiriw abiɛsa so de akɔ nnipa mu.

Efi nnipa hɔ

Wubetumi nso anya bi sɛ wo ne obi a ɔwɔ ɔyare no di nkitaho tẽẽ a. Ebia saa onipa no benya yare no ho sɛnkyerɛnne anaasɛ onni bi. Nanso sɛ wɔyɛ wɔn a wɔde ɔyare mmoawa no kɔ a, wobetumi atrɛw ɔyare no mu.

Efi mmoa mu

Sɛ wode wo nsa ka aboa bi a ɔyare no wɔ no nso a, wubetumi anya bi. Ebetumi afi afieboa te sɛ akraman ne mpataa (titiriw mmoa nketewa ne mpataa), ne afuw mu mmoa te sɛ anantwi, apɔnkɔ, mprako, ne mpapo mu nso.

Efi nneɛma a nkwa nnim mu (Fomites) .

Fomites yɛ nneɛma anaa nneɛma a ebetumi de ɔyare mmoawa bi akɔ. Wobetumi atrɛw saa fungi yi mu denam nneɛma te sɛ ntade, mpopaho, ne mpa a wɔkyɛ so. Wobetumi nso atra mmeae a ɛyɛ den wɔ mmeae a ɛhɔ yɛ nwini (e.g., adan a wɔde nneɛma gu mu, ɔmanfo aguaree).

Ebetumi atrɛw afi wo nipadua no fã biako akɔ foforo, ne afei nso sɛ ɛbɛka ntontom a ɛwɔ asase no mu, nneɛma a ɔyare mmoawa wom wɔ nneɛma a atwa yɛn ho ahyia no mu.

Ɔkwan bɛn so na oduruyɛfo hu tinea manuum?

Sɛ wokɔ oduruyɛfo nkyɛn a, wobebisa wo wo yare no ho sɛnkyerɛnne na wɔahwɛ wo. Wɔbɛhwɛ wo nsateaa, wo nsa akyi, ne wo nsateaa. Wɔbɛtaa ahwɛ wo nan nso, ɛfiri sɛ nnipa pii a wɔwɔ Tinea Manuum nso wɔ Tinea Pedis (fungal infection a ɛwɔ nan mu).

Ebia oduruyɛfo no bɛpɛ sɛ ɔfa baabi a ɔyare no wɔ no mu kakraa bi na ɔyɛ nhwehwɛmu foforo de si so dua sɛ ɛyɛ Tinea Manuum.

Sɔhwɛ ahorow bɛn na wɔreyɛ?

Sɛnea ɛbɛyɛ na wɔahu Tinea Manuum no pɛpɛɛpɛ no, wobetumi ayɛ nhwehwɛmu ahorow a edidi so yi:

KOH sɔhwɛ (KOH stain) .

Wɔ eyi mu no, oduruyɛfo no de brɛoo twitwiw wo honam ani fã ketewaa bi fi wo nsa no fã a ɔyare no wɔ no mu. Wɔ afiri a wɔde yɛ nhwehwɛmu no mu no, wɔde honam ani aduru no gu afiri a wɔde hwɛ nneɛma nketenkete so, wɔde potassium hydroxide (KOH) a ɛtɔ gu mu ka ho, na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nhwɛsode no mu. KOH no ma ɛyɛ mmerɛw sɛ wubehu sɛ ebia ntontom no wɔ hɔ anaa. Mpɛn pii no, wonya nea efi mu ba no wɔ nnɔnhwerew 24 ntam.

Fungi a wɔdua (Amammerɛ) .

Sɛ `KOH` sɔhwɛ no nyɛ nea ɛyɛ pintinn a, wo duruyɛfo betumi akra `Amammerɛ`. `Amammerɛ` yɛ ade a ɛma fungi nyin. Afei mfiridwumayɛfo no betumi ahu ntontom ko a ɛde wo yare no reba no pɛpɛɛpɛ. Eyi yɛ pɛpɛɛpɛ sen `KOH` sɔhwɛ no, nanso ebetumi agye adapɛn pii ansa na nea efi mu ba no asan aba.

Dermoscopy a wɔde hwɛ nipadua no mu

Ɛtɔ mmere bi a, wo duruyɛfo betumi de ɔkwan bi a wɔfrɛ no dermoscopy adi dwuma de ahwɛ sɛ fungal yare bi wɔ wo nsa so anaa. Nea ɛka eyi ho ne afiri bi a wɔde nsa a wɔfrɛ no dermoscope a wɔde di dwuma. Ɛwɔ ahwehwɛ a ɛma nneɛma kɛse yɛ kɛse ne hann nhyehyɛe. Etumi hu nsɛm nketenkete a aniwa ntumi nhu. Sɛ wowɔ tinea manuum a, wobɛtaa ahu nsensanee fitaa a ɛyɛ nsensanee wɔ wo nsa mu mpaapaemu no mu.

Dɛn ne ayaresa ahorow a wɔde sa Tinea Manuum?

Wo duruyɛfo bɛkyerɛw nnuru a ekum fungal de asa tinea manuum. Mpɛn pii no, wubetumi de aduru a wɔtɔn a wɔmfa nnuru nhyɛ mu asa ɔyare no wɔ fie. Ɛsɛ sɛ wɔde saa aduru a ekum fungal yi gu baabi a ayɛ no pɛnkoro anaa mprenu da biara bɛyɛ adapɛn asia. Saa nnuru yi ho nhwɛso ne Miconazole (e.g. Monistat 7®) ne Clotrimazole (e.g. Lotrimin®).

Nanso wɔ tebea horow bi mu no, wo duruyɛfo betumi akyerɛw wo aduru bi a wɔnom a ekum fungal. Sɛ wo yare no atrɛw akɔ wo nnadewa mu anaa wo nipadua no fã kɛse bi a, ebia wubehia nnuru a wɔnom. Ebia wubehia nnuru a wɔnom nso wɔ nsɛm a edidi so yi mu:

• Sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ mmerɛw a.
• Sɛ nnuru no nyinaa ntumi nyɛ adwuma a.
• Sɛ wotaa nya saa ɔyare mmoawa yi a.

Nnuru a wɔnom ho nhwɛso ne `(Terbinafine)` (e.g. `Lamisil®`) ne `(Itraconazole)` (e.g. `ONMEL®`).

Mɛyɛ dɛn atumi atew eyi a ɛba no so? Akwan a wɔfa so siw ano

Nneɛma pii wɔ hɔ a wobɛtumi ayɛ de asiw Tinea Manuum ano. Nneɛma bi a wubetumi ayɛ ni:

• Kura ahotew mu yiye: Hohoro wo nsa mpɛn pii, hohoro na ma ɛyow yiye. Ma wo nnadewa nyɛ tiaa na ɛho tew.
• Kwati sɛ wobɛtwetwe wo nan: Sɛ wobɔ wo nan a, ɛyɛ mmerɛw sɛ wubenya ntontom no wɔ wo nsa so.
• Sa Agumadifo Nan Ntɛmntɛm: Sɛ wowɔ agumadifo nan a, ɛsɛ sɛ wosa no ntɛm na edi mũ na amma antrɛw ankɔ nipadua no afã afoforo, a wo nsa ka ho.
• Mfa steroid cream a wɔde gu nipadua no so nni dwuma: Ebia corticosteroids bɛma ɛyaw no afi hɔ bere tiaa bi, nanso ɛrensa fungal yare no na ebetumi akyɛ sɛnea wobehu yare no.
• Mfa w’ankasa nneɛma nkyɛ afoforo: Mfa nneɛma a ebia ntontom wom te sɛ ntade, mpopaho, ne mpa so ntama nkyɛ.
• Hwɛ yiye bere a woatwa mmoa ho ahyia: Hohoro wo nsa yiye bere a woadi afieboa anaa mmoa afoforo ho dwuma anaa wo ne wɔn adi agoru awie no. Sɛ wususuw sɛ w’ayɛmmoa no anya fungal yare a, fa kɔ mmoa ho oduruyɛfo nkyɛn.
• Sɛ woyɛ obi a ɔbɔ bɔɔl a, susuw eyi ho:Sɛ woredi agumadi bi a ɛfa wo nipadua ho a, guare ntɛm ara bere a woayɛ adesua ne akansi awie no. Mfa agumadi ho nneɛma nkyɛ afoforo, na ma wo ntade ne nneɛma afoforo ho ntew.

Sɛ wonya tinea manuum a, dɛn na ɛba? Bere tenten ahe na egye ansa na asa?

Tinea Manuum betumi ama wo nsa ho were no ayɛ nwunu na ayɛ wo yaw. Wubetumi de aduru a wɔde kum fungal a wɔtɔn a wɔmfa nnuru nhyɛ mu ayɛ ho adwuma wɔ fie. Nanso, ɛtɔ mmere bi a, tinea manuum betumi ayɛ den sɛ wɔbɛsa. Te sɛ nea wɔnom aduru a ekum ɔyare mmoawa no, ɛho hia sɛ wonom nnuru a ekum fungal no nyinaa. Ebia wubehu sɛ nsensanee no reyɛ nketewa, nanso sɛ woanwie ayaresa no a, ebetumi asan aba.

Kae sɛ, ɛsɛ sɛ wonom aduru no bere tenten a oduruyɛfo no akyerɛw ama wo no nyinaa. Ɛno ansa na wobɛsa wo yare koraa.

Sɛ ɔyare no kɔ so a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Obetumi ahu wo tebea no na wakamfo ayaresa a eye sen biara akyerɛ. Sɛ ɔyare mmoawa no ankɔ yiye a, ebia ebehia sɛ wonom aduru bi a ekum fungal a wo duruyɛfo akyerɛw ama wo. Ebia ebegye bere kakra, nanso awiei koraa no, tinea manuum yare no bɛtew.

Ebetumi ayɛ den sɛ wɔbɛsa fungal yare mmoawa. Enti ɛho hia sɛ wode nnuru biara a ekum fungal di dwuma sɛnea wɔakyerɛ no pɛpɛɛpɛ. Sɛ ɛte sɛ nea wo yare no retew mpo a, sɛ wɔansa no koraa a, ebetumi asan aba. Ebia ebehia sɛ wokɔ so de aduru a ekum fungal no di dwuma akosi adapɛn asia , sɛnea akwankyerɛ a ɛwɔ nnuru a wɔde ahyɛ mu no kyerɛ no. Sɛ wo yareɛ no nnyae wɔ adapɛn asia akyi a, kɔ oduruyɛfoɔ nkyɛn.

Nea etwa to no, ade a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka Tinea Manuum ho asɛm pii, ɛnte saa? Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ni:

• Tinea Manuum yɛ fungal yareɛ, ɛnyɛ nwansena yareɛ.
• Eyi tumi de ɔyare mmoawa ba, enti ɛho hia paa sɛ wohwɛ ahotew so.
• Wobetumi de aduru a ɛfata asa eyi. Nanso, ɛsɛ sɛ wɔde aduru no di dwuma wɔ bere a oduruyɛfo no akyerɛw ama no no nyinaa mu.
• Sɛ ofie ayaresa mmoa a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.
• Nneɛma a wɔde siw ano a wɔbɛyɛ no ne ɔkwan a eye sen biara a wɔbɛfa so atew asiane a ɛwɔ hɔ sɛ wobenya saa tebea yi so. Titiriw sɛ wowɔ fungus wɔ wo nan so a, hwɛ hu sɛ worentrɛw nkɔ wo nsam.

Tinea manuum yɛ ɔyare mmoawa a ɛyɛ yaw na ɛnyɛ dɛ. Nanso, wubetumi de nnuru a ekum fungal ayɛ ho adwuma wɔ fie. Nanso egye bere kakra. Ɛho hia yiye sɛ wubedi akwankyerɛ a ɛwɔ ade a wɔde ahyɛ mu no akyi na woawie ayaresa no. Sɛ ɛyɛ den ma wo sɛ w’ankasa wobɛsa a, hwehwɛ mmoa fi oduruyɛfo hɔ. Wɔwɔ hɔ sɛ wɔbɛboa wo. Ɛho nhia sɛ wugyina ɛyaw ne ɛyaw yi ano.

`Tinea Manuum, Fungal Infection, Fungus a ɛwɔ Nsa so, Honam ani Nyarewa, Ringworm, Tinea Manuum, Antifungal