So woasusuw pɛn sɛ mmoawa ketewaa bi a wohu wɔ asase mu anaa nsu a atwa yɛn ho ahyia no mu betumi akɔ yɛn nipadua mu na ɛde yare a emu yɛ den aba? Ɛnnɛ yɛrebɛka yareɛ bi a wɔntaa nte ho asɛm, nanso ɛho hia paa sɛ yɛbɛhunu ho asɛm. Yɛfrɛ eyi "Nocardiosis". Ɛwom sɛ ebia edin no te sɛ nea ɛyɛ nwonwa de, nanso sɛ wote ase kɛkɛ a, biribiara nni hɔ a ɛsɛ sɛ wusuro.
Dɛn ankasa ne Nocardiosis?
Sɛ yɛbɛka no tiawa a, nocardiosis yɛ ɔyare mmoawa bi a wɔfrɛ no *Nocardia* a ɛkɔ yɛn nipadua mu na ɛde ba. Mpɛn pii no, saa mmoawa yi tra nneɛma a atwa yɛn ho ahyia mu, titiriw wɔ dɔte ne nsu a enhinhim mu.
Saa ɔyare mmoawa yi di kan fi ase wɔ yɛn ahurututu anaa yɛn honam ani. Nanso sɛ wɔansa saa mmoawa yi yiye a, wobetumi afa mogya no mu na wɔatrɛw akɔ nipadua no afã afoforo, titiriw amemene no, na ɛde tebea horow a emu yɛ den aba . Ɛno nti na ɛho hia paa sɛ wohu eyi no.
Ɔkwan bɛn so na wɔhyehyɛ eyi? Nneɛma atitiriw abien na ɛwɔ hɔ.
Akwan titiriw abien na ɛwɔ hɔ a nocardiosis tumi fa so hyɛn yɛn nipadua mu. Nea ɛne eyi hyia no, ɛwɔ ahorow abien.
1. Pulmonary Nocardiosis: Eyi ne nea abu so sen biara. Saa mmoawa yi nam mfutuma a efi asase mu anaa nsu a ɛyɛ fĩ a wɔhome so na ɛkɔ yɛn ahurututu mu. Ɛte sɛ nea worehome mfutuma.
2. Primary Cutaneous Nocardiosis: Eyi ba bere a mmoawa no fa kuru bi a abue anaasɛ ɛyɛ mmerɛw wɔ honam ani no mu hyɛn nipadua no mu. Sɛ nhwɛso no, sɛ wo ho yɛ wo yaw ketewaa bi bere a woreyɛ turo na efĩ gu so a, ɛnyɛ den sɛ mmoawa no bɛkɔ nipadua no mu.
Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?
Ɛwom sɛ saa mmoawa yi wɔ nneɛma a atwa yɛn ho ahyia mu de, nanso ɛnyɛ obiara na onya saa yare yi. Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no ko tia mmoawa yi na ɛbɔ yɛn ho ban. Nanso, nnipa binom wɔ asiane kɛse mu sɛ wobenya saa yare yi.
- Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw: Nnipa a wɔwɔ nyarewa te sɛ asikreyare, HIV, ne kokoram no nipadua no tumi ko tia nyarewa no sua, enti ɛnyɛ den sɛ wobenya saa yare yi.
- Wɔn a wɔde akwaa foforo ma wɔn: Nnipa a wɔde akwaa anaa nnompe mu ntini foforo ama wɔn no wɔ asiane kɛse mu esiane nnuru a wɔde ma de siw nipadua no mu tumi a ɛko tia nyarewa ano nti.
- Nnipa a wɔnom nnuru bi: Nnipa a wɔnom nnuru a ano yɛ den te sɛ steroid dodow a ɛdɔɔso bere tenten nso wɔ asiane mu.
- Mmarima: Nea ɛyɛ nwonwa no, mmarima betumi anya saa yare yi bɛyɛ mprɛnsa sen mmea. Mmarima a wɔadi mfe mfinimfini a wɔyɛ adwuma wɔ abɔnten (sɛ nhwɛso no, turoyɛfo, akuafo, adansi adwumayɛfo) na wɔwɔ asiane mu titiriw.
Ade a ɛho hia ne sɛ obi a ɔwɔ apɔwmuden a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ basaa mpo wɔ hokwan ketewaa bi sɛ obenya ɔyare mmoawa yi. Enti, ɛho hia sɛ obiara hu yare no ho sɛnkyerɛnne.
Dɛn ne yare yi ho sɛnkyerɛnne?
Nsɛnkyerɛnne no gyina nocardiosis ko a wowɔ so. Momma yɛnhwɛ pon a ɛwɔ ase ha no na yɛnte eyi ase yiye.
| Ɔyare mmoawa no su | Ɔfã a ɛka ne sɛnkyerɛnne ahorow |
|---|---|
| Ahurututu mu yare (Pulmonary) . | Mpɛn pii no, eyi ho sɛnkyerɛnne te sɛ ahurututu anaa nsamanwaw de no.
|
| Wora mu yare (Cutaneous) . | Nsɛnkyerɛnne titiriw ne honam ani akisikuru a ɛba.
|
| Hwɛ yie! Sɛ ɔyare no trɛw a... (Disseminated Nocardiosis) . | |
| Sɛ ɛtrɛw kɔ amemene no mu a | Eyi yɛ tebea a anibere wom paa.
|
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, nsɛe bere na kɔ oduruyɛfo nkyɛn ntɛm ara .
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Ebetumi ayɛ den sɛ wobehu nsonsonoe a ɛda nocardiosis ntam wɔ nyarewa afoforo ho efisɛ ahurututu mu yare no ho sɛnkyerɛnne te sɛ ahurututu mu yare, na honam ani yare no ho sɛnkyerɛnne te sɛ honam ani nyarewa afoforo a ɛtaa ba.
Enti, sɛnea ɛbɛyɛ na woahu yare no pɛpɛɛpɛ no, wo duruyɛfo no bɛyɛ nhwehwɛmu ahorow bi.
- Nhwɛsode mu sɔhwɛ: Wɔfa ntini anaa nsu ketewaa bi fi baabi a ɔyare no wɔ no na wɔde kɔ aduruyɛdan mu kɔhwɛ. Wɔ ahurututu no fam no, wobetumi afa nsu a ɛyɛ nwini bi, anaasɛ wɔ honam ani no, wobetumi afa akisikuru no fã ketewaa bi.
- Chest X-ray anaa CT scan: Sɛ ɔyare no wɔ ahurututu mu a, wɔbɛyɛ chest X-ray. Ebia wubehia CT scan nso, a ebetumi ama woanya mfonini a emu da hɔ na ɛkɔ akyiri.
So ayaresa bi wɔ hɔ? Nha wo ho!
Aane! Asɛmpa no ne sɛ wobetumi de nnuru a ekum ɔyare mmoawa asa nocardiosis koraa .
Nanso ade no ni. Ɛnyɛ nnuru a ekum ɔyare mmoawa nyinaa na ɛyɛ adwuma wɔ ɔyare mmoawa yi so. Enti, ɛho behia sɛ wo duruyɛfo no yɛ lab nhwehwɛmu pii wɔ wo nhwɛsode no so na ama wahu nnuru a ekum ɔyare mmoawa a eye ma wo ankasa.
Bere tenten a wɔde sa yare no betumi ayɛ soronko a egyina sɛnea ɔyare no mu yɛ den so. Ɛtɔ mmere bi a wobetumi asa no yare wɔ adapɛn 6 pɛ mu. Wɔ nyarewa a emu yɛ den mu no, ebia ebehia sɛ wonom nnuru kosi afe biako.
Ade a ɛho hia sen biara ne sɛ wobɛnom aduru no sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ, a worenhwere da koro mpo. Mma nnyae aduru no nom fã esiane sɛ wo ho atɔ wo kakra nti.
Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn nketenkete de yi honam ani akisikuru akɛse anaasɛ wɔayi akisikuru no afi mu.
Nkrasɛm a Wɔde Kɔ Fie
- Nocardiosis yɛ ɔyare mmoawa a mmoawa a wɔwɔ asase ne nsu mu na ɛde ba.
- Eyi ka ahurututu ne honam ani titiriw.
- Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw (asikreyarefo, wɔn a wɔwɔ kokoram) ne mmarima a wɔyɛ adwuma wɔ abɔnten no wɔ asiane kɛse mu.
- Hwɛ yiye wɔ ahurututu mu sɛnkyerɛnne a ɛte sɛ ahurututu mu yare anaa honam ani akisikuru ho.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Nnuru a ekum ɔyare mmoawa betumi asa yare yi koraa. Ɛho hia sɛ wobɛnom nnuru a oduruyɛfo no akyerɛw ama wo no bere nyinaa.
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