So wunim "Valley Fever" a abu so wɔ Amerika mmeae bi no? Momma yɛnka ho asɛm!

So woakɔ Amerika Kesee Fam Atɔe, anaa Amerika Mfinimfini ne Kesee Fam mmeae bi pɛn? Anaasɛ woreyɛ nhyehyɛe akɔ? Sɛ saa a, ebia eyi bɛyɛ w’anigye. Ɛnnɛ yɛbɛka fungal infection bi a ɛyɛ nwonwa a wɔfrɛ no "Valley Fever" ho asɛm. Ɛka yɛn ahurututu.

Dɛn ne "Valley Fever"? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, "valley fever" yɛ fungal infection a ɛwɔ w'ahurututu mu. Ɛyɛ ntontom bi a wɔfrɛ no Coccidioides na ɛde ba. Saa ntontom yi te nneɛma a atwa yɛn ho ahyia mu, titiriw wɔ United States anafo fam atɔe (te sɛ California ne Arizona), Washington mantam no afã horow, ne Amerika Mfinimfini ne Kesee Fam asase mu.

Fa no sɛ, wɔfrɛ saa `(Coccidioides)` fungal infection yi fã a edi kan no `(Valley Fever).` Ɛtɔ da bi a sɛ eyi ba a, sɛnkyerɛnne te sɛ atiridii anaa atiridii betumi ada adi, anaasɛ ebetumi akɔ a enni sɛnkyerɛnne biara. Nanso, ɛtɔ mmere bi a eyi betumi adan tebea a emu yɛ den kɛse.

Wɔka sɛ nnipa bɛyɛ mpem aduonu nya ``Valley Fever`` afe biara. Ɛtaa ba California ne Arizona titiriw. Wɔsan frɛ no ``Coccidioidomycosis``.

Dɛn ne "atiridiinini a ɛba fam" ho sɛnkyerɛnne? Hwɛ sɛ wo nso wowɔ eyinom anaa

Mpɛn pii no, saa ɔyare mmoawa yi mfa sɛnkyerɛnne biara mma. Nanso, sɛ wo nya ``Valley Fever'' ho sɛnkyerɛnne a, ebia nea ɛka ho ne:

• Akisikuru a ɛwɔ honam ani a ɛyɛ kurukuruwa a ne kɔla asesa (kɔkɔɔ, kɔkɔɔ, bruu, anaa tuntum). Nnuruyɛfo frɛ eyi `(Erythema Nodosum)`.
• Ɛwa
• Ɔbrɛ kɛse a wɔte nka (Ɔbrɛ) .
• Huraeɛ
• Nkwaa mu yaw
• Ntini mu yaw
• Anadwo fifiri a ɛba
• Ɔhome a ɛyɛ den (Dyspnea) .

Ɛtɔ mmere bi a nnuruyɛfo frɛ honam ani akisikuru, atiridiinini, ne nkwaa a ɛyɛ den yi sɛ “anhweatam so akisikuru.”

Ɔkwan bɛn so na obi nya "valley fever"?

Coccidioides fungi ahorow abien na ɛde Valley Fever ba:

1. `(Coccidioides immitis)` (`C. immitis`): Saa nwansena yi nyin wɔ California asase mu.

2. `(Coccidioides posadasii)` (`C. posadasii`): Eyi wɔ Amerika mmeae afoforo ne Amerika Mfinimfini ne Kesee Fam asase mu.

Ahorow abien no nyinaa de sɛnkyerɛnne koro na ɛba.

Afei ma yɛnhwɛ sɛnea eyi kɔ yɛn nipadua mu. Sɛ wɔhaw asase no, kyerɛ sɛ, sɛ yɛtutu no, te sɛ mframa mu a, saa nwansena yi mu paapae. Sɛ wɔpaapae a, awo akwaa nketenkete a wɔfrɛ no spores , no fi hɔ kɔ mframa mu. Sɛ wohome mframa a saa nkwaboaa yi wom no a, ɛkɔ w’ahurututu mu na ɛkɔtra hɔ, na ɛhɔ na wofi ase nyin bɛyɛ nkwaboaa akuwakuw akɛse, a wɔfrɛ no kurukuruwa.

Saa kurukuruwa yi betumi abubu bio, na ɛde nkwaboaa pii akɔ w’ahurututu no afã afoforo, na ɛtɔ mmere bi a ɛkɔ wo nipadua no afã afoforo. Afei saa nkwaboaa no betumi ayɛ kurukuruwa bio, na atrɛw ntontom no mu wɔ wo nipadua nyinaa mu.

Nea ɛho hia: Wɔntaa nhu saa ntontom yi wɔ Sri Lanka asase so. Ɛyɛ mmeae pɔtee bi a ɛwɔ hɔ nkutoo. Enti, ɛho nhia sɛ nnipa a wɔte Sri Lanka no dwen eyi ho dodo. Nanso, ɛho hia sɛ wɔn a wɔretu kwan akɔ mmeae yi no hu eyi.

So "bon mu atiridii" yɛ ɔyare mmoawa?

Dabi, Valley Fever nyɛ yare a ɛde ɔyare mmoawa ba. Worentumi nnye mfi onipa foforo hɔ. Nanso, ɛtɔ mmere bi a ebetumi atrɛw wɔ mmeae a mfutuma pii wɔ mframa mu, sɛ nhwɛso no, mmeae a mframa a ano yɛ den bɔ anaa bere a wɔresi adan no.

Nanso, ɛntaa nsi koraa sɛ wubetumi ahome nkwaboaa a efi akuru a abue mu wɔ obi a ɔwɔ ``Valley Fever.`` nipadua so no mu. Nanso hokwan a ɛwɔ hɔ sɛ ɛno bɛba no sua koraa. Mpɛn pii no, ɔkwan biako pɛ a wobɛfa so anya ne sɛ wobɛhome spores a ɛwɔ mframa mu wɔ abɔnten no.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Sɛ obi home fungus `(C. immitis)` anaa `(C. posadasii)` a, obetumi anya `(Valley Fever).` Nanso, sɛ woadi boro mfe 60 a, ɛda adi sɛ wubenya eyi.

Afei nso, wowɔ asiane kɛseɛ mu sɛ wobɛnya ``Valley Fever`` sɛ wo:

• Sɛ woyɛ abibifo anaa Filipini a.
• Sɛ wowɔ nyinsɛn no fã a ɛto so abiɛsa mu a.
• Sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ mmerɛw a, wo ``immunocompromised.`` Eyi betumi afi tebea bi te sɛ ``HIV/AIDS``, anaasɛ ebetumi afi nnuru bi te sɛ ``immunosuppressants`` anaa ``immunomodulators`` a wonom.
• Sɛ wowɔ asikreyare (Diabetes Mellitus) a.
• Sɛ woatu kwan nnansa yi ara anaasɛ woatu akɔ beae bi a saa ntontom yi te a.
• Sɛ wode dɔte anaa mfutuma yɛ adwuma (e.g. kuayɛ, adansi).

Dɛn ne nsɛnnennen a ebetumi afi "bon mu atiridii" mu aba?

Mpɛn pii no, nsɛnnennen a efi Valley Fever mu ba no ntaa mma. Nnipa 100 biara mu 5 kosi 10 pɛ na wonya yare no ho sɛnkyerɛnne a emu yɛ den. Afei nso, nnipa 100 biara mu bɛyɛ 1 pɛ na obenya ɔyare no akɔ nipadua no afã afoforo.

Nanso, sɛ wuhyia nsɛnnennen a emu yɛ den a, nea ɛka ho ne:

• Ɔhome mu Ahokyere a Ɛyɛ Hu (ARDS) .
• Pleural Effusion anaa Empyema a Ɛyɛ Fɛ
• Ɔyare mmoawa a ɛtrɛw wɔ ahurututu no akyi (Disseminated Coccidioidomycosis) .
• Ahurututu mu yare
• Hydropneumothorax (kotoku a nsu ahyɛ mu ma anaa mframa ahyɛ mu ma wɔ ahurututu mu) .

Eyinom mu no, ɔhaw a ɛyɛ hu sen biara a ɛde Valley Fever ba ne ɔyare mmoawa no a ɛtrɛw kɔ akyiri sen ahurututu no. Eyi betumi atrɛw akɔ w’akwaa te sɛ:

• Dompe
• Adwene
• Junction a ɛwɔ hɔ
• Brɛboɔ
• Asaabo a ɛma obi nya asaabo
• Pancreas a ɛwɔ nipadua no mu
• Wedeɛ

Sɛ Coccidioidomycosis trɛw kɔ amemene no mu a, wubetumi anya tebea bi a wɔfrɛ no Coccidioidal Meningitis. Eyi betumi de nkwa ato asiane mu . Ebetumi nso de ntini mu sɛnkyerɛnne te sɛ nsakrae a ɛba aniwa ne aso mu, tiyɛ, ne kɔn a ɛyɛ den aba.

Ɔkwan bɛn so na nnuruyɛfo hu "valley fever"?

Oduruyɛfo bi bɛfa w’ayaresa ho abakɔsɛm, abisa wo yare no ho sɛnkyerɛnne ne w’akwantu ho abakɔsɛm, na wayɛ wo nipadua mu nhwehwɛmu. Sɛ wopɛ sɛ wuhu yiye sɛ wowɔ Valley Fever a, ebia wɔbɛyɛ nhwehwɛmu ahorow a edidi so yi:

• Biopsy : Oduruyɛfo no fa wo ntini ketewaa bi na ɔde kɔ lab kɔhwɛ sɛ ebia ntontom Coccidioides no ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Mogya mu Nhwehwɛmu : Wɔtaa de mogya mu nhwehwɛmu di dwuma de hu Valley Fever. Wɔde mogya kɔ aduruyɛdan mu na wɔhwehwɛ nnuru a ɛko tia nyarewa anaa nnuru a ɛko tia nyarewa a ɛfa Coccidioides fungus no ho pɔtee.
• Mfoniniyɛ mu Nhwehwɛmu : Ebia wo duruyɛfo bɛyɛ wo koko X-ray anaa CT scan de ahwɛ sɛ ebia ahurututu mu yare a Valley Fever de ba no ho sɛnkyerɛnne bi wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa "bonley fever"?

Valley Fever ayaresa gyina sɛnea emu yɛ den so. Ebia wo duruyɛfo bɛkamfo "ahwɛyiye twɛn" kwan akyerɛ. Eyi kyerɛ sɛ wunhia ayaresa ntɛm ara efisɛ wunni yare no ho sɛnkyerɛnne a emu yɛ den, nanso wɔbɛhwɛ wo yiye na wɔayɛ nhwehwɛmu daa.

Sɛ wowɔ ɔyare mmoawa a emu yɛ den anaasɛ ɛkɔ so, anaasɛ wowɔ asiane mu sɛ wubenya tebea horow a emu yɛ den (sɛ nhwɛso no, ahurututu mu yare a enni sabea (COPD)) a, wobetumi akyerɛw wo nnuru a ekum fungal. Ebia eyinom bi ne:

• Amphotericin B a wɔde fa ntini mu
• `(Fluconazole)`
• `(Itraconazole) a wɔde di dwuma

Ebia ebehia sɛ wofa nnuru a ekum fungal asram abiɛsa kosi asia. Nanso, sɛ wowɔ Valley Fever a emu yɛ den anaa nsɛnnennen bi a, saa bere yi betumi akyɛ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote beae a fungus `(Coccidioides)` abu so, anaasɛ woatu kwan akɔ beae a ɛte saa nnansa yi, na wowɔ sɛnkyerɛnne ahorow a ɛte sɛ atiridii a ɛtra hɔ bɛboro dapɛn biako a, kɔ oduruyɛfo nkyɛn ntɛm ara .

Sɛ oduruyɛfoɔ bi hu sɛ wowɔ ``Valley Fever'' na wo nya saa nsɛnkyerɛnneɛ yi bi a, di wɔn ho nkɔmmɔ ntɛm ara, anaa kɔ dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yareɛ a egye ntɛmpɛ mu:

• Mogya a ɛwɔ nnompe mu
• Kɔn a ɛyɛ den
• Ɔhome a ɛyɛ den
• Nsakrae a ɛba wɔ anisoadehu anaa aso mu

Sɛ wokɔ wo duruyɛfo nkyɛn a, ebia wobɛpɛ sɛ wubisa wɔn nsɛm yi:

• So mewɔ asiane kɛse mu sɛ menya ``Valley Fever'' yare a emu yɛ den?
• Fungus (Coccidioides) bɛn na ɛde ɔyare no bae?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• So ɛsɛ sɛ mehwɛ yiye wɔ sɛnkyerɛnne afoforo ho?
• Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

So wobetumi asiw "bon mu atiridii" ano?

Sɛ wote beae a Coccidioides spores abu so a, ebetumi ayɛ den sɛ wobɛkwati sɛ wobɛhome Nanso, wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ sɛ wubenya Valley Fever no so:

• Kwati mmeae a ebia wubehyia dɔte anaa mfutuma.
• Sɛ mfutuma retu a, to mfɛnsere no mu na tra dan mu.
• Fa High-Efficiency Particulate Air (HEPA) afiri a wɔde yiyi mu di dwuma wɔ wo fie.
• Hyɛ N95 ahomegye akataso bere a woreyɛ turo, woretutu fam, anaa woreyɛ abɔnten adwuma foforo a ebetumi ama woanya fungal spores no.

Sɛ minya "valley fever" a, dɛn na metumi ahwɛ kwan?

Nnipa dodow no ara ho tɔ wɔn wɔ Valley Fever mu a wonhyia ɔhaw biara a ɛtra hɔ kyɛ. Nanso, nnipa kakraa bi betumi anya ahurututu mu yare a ɛkɔ so daa. Weinom tumi gye bere tenten ansa na asan asan afiri - ɛtɔ da bi a mfe pii. Nnipa dodow a Valley Fever kunkum wɔn no nnu nnipa ɔha biara mu biako.

Ɛntaa mma sɛ ntontom no betumi atrɛw akɔ wo nipadua no afã afoforo. Sɛ wɔansa a, coccidioidomycosis a ɛwɔ w’amemene mu no betumi akum obi.

"valley fever" di bere tenten ahe?

Mpɛn pii no, coccidioidomycosis ho sɛnkyerɛnne no ankasa fi hɔ wɔ adapɛn anaa asram kakraa bi mu.

Nanso, nnipa kakraa bi betumi anya yare a ɛkɔ so wɔ wɔn ahurututu mu. Sɛ eyi kyɛ a, nnuruyɛfo frɛ no ahurututu mu yare a enni sabea (bere tenten) `(coccidioidomycosis). Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ahurututu mu `(coccidioidomycosis)` a enni sabea ne:

• Koko mu yaw
• Ɔfe a enni sabea
• Mogya a wɔfe (Hemoptysis) .
• Ɔhome a ɛyɛ den
• Mu duru a wɔtew so a ntease biara nnim

So "atiridiinini a ɛba fam" betumi aba ne mprenu so?

Mpɛn pii no, sɛ wunya Valley Fever na wo ho tɔ wo a, hokwan a ɛwɔ hɔ sɛ wobɛsan anya bio no sua.

Mɛyɛ dɛn ayi fungus a ɛde "valley fever" ba me turo mu no afi hɔ?

Coccidioides spores ye nketewa paa - wotumi de microscope nkoaa hu. Ɔkwan biara nni hɔ a ɛyɛ mmerɛw a wobɛfa so ahu wɔn anaasɛ woayi wɔn afi wo turo mu.

Nea ɛho hia: Saa afotu yi fa wɔn a wɔte mmeae a ntontom `(Coccidioides)` abu so wɔ United States no ho. Ɛho nhia sɛ yesuro saa ntontom yi saa wɔ Sri Lanka mfuw mu.

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

Sɛ wote beae a ntontom Coccidioides nyin a, ebetumi ayɛ den kakra sɛ wobɛkwati Valley Fever. Nea eye ne sɛ, nsɛm dodow no ara nyɛ aniberesɛm na ɛno ankasa siesie.

Nanso, sɛ woanyinsɛn, woadi boro mfe 60, anaasɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, ɛbɛyɛ papa sɛ wobɛyɛ nneɛma kakraa bi foforo de abɔ wo ho ban. Wubetumi akɔ so anya abɔnten so anigye. Nanso, ɛyɛ papa sɛ wobɛhyɛ N95 akatawia na woatra dan mu, titiriw nna a mframa bɔ kɛse no. Wo ne wo duruyɛfo nkasa mfa akwan foforo a wobɛfa so abɔ w’akwahosan ho ban ne sɛnkyerɛnne ahorow a ɛsɛ sɛ wohwɛ yiye wɔ ho.

Kae: Eyi yɛ yare a ɛkɔ so wɔ United States mmeae bi titiriw. Nanso, sɛ́ akwantufo a wowɔ wiase baabiara no, ɛfata sɛ wohu saa nneɛma yi bere nyinaa. Kɔ so nya apɔwmuden!

` Bon mu Atiridii, Coccidioides, Fungal Yare, Ahurututu Yare, Ɔfe, Atiridii, Fungal Yare, Ahurututu Yare