Fɛnɲɛnamafagalan faratilen min bɛ mɔgɔ hakili la: An ka kunnafoni sɔrɔ Cryptococcal Meningitis kan

N’a sɔrɔ aw ye ‘sɔgɔsɔgɔninjɛ’ walima ɲɛgɛnɛsiralabanaw mɛn. Nka yala aw b’a dɔn ko ɲɛgɛnɛsira fana bɛ se ka nin bana faratilen in lase mɔgɔ ma wa? Bi an bɛna kuma bana jugu dɔ kan, nka a fanba tɛ dɔn. A bɛ fɔ a ma ko Cryptococcal Meningitis (Kriptococcal Meningite). A nafa ka bon ka o dɔn, kɛrɛnkɛrɛnnenya la ni aw farikolo tangacogo fanga dɔgɔyara .

N’an y’a fɔ cogo nɔgɔman na, Cryptococcal Meningite ye mun ye?

O bɛ ɲɛ, an k’a daminɛ daminɛ na. Cryptococcus ye yezu suguya dɔ ye, o ye ɲɛgɛn suguya dɔ ye. A ka ca a la, nin wulu in tɛ kojuguba kɛ mɔgɔ la min ka kɛnɛ ani min farikolo tangacogo ka ɲi. Nka, ni mɔgɔ dɔ ka farikolo tangacogo barika dɔgɔyara, nin ɲɛgɛn in bɛ cogo ɲuman sɔrɔ.

Nin ɲɛgɛn in bɛ an ka farikoloɲɛnajɛw kanu, kɛrɛnkɛrɛnnenya la, kunsɛmɛ ni kɔkolo. O la, nin banakisɛ in bɛ nɔ bila an kunkolo lamini lakanani yɔrɔw la k’a ɲɛsin u yɛrɛ ma. An bɛ furakɛli siratigɛ la, an bɛ o ɲɛgɛnw wele ko ‘meninges’. O la, ni o fɛnɲɛnamafagalan ninnu kɛra banakisɛ ye ka funu, an b’a wele ko ɲɛgɛnɛsiralabana walima ‘sugunɛbilenni’. Ni nin bana in sababu bɔra Cryptococcus fungus fɛ, an b’a wele ko cryptococcal meningitis .

Nin bana in bɛ sɔrɔ degun dɔ farali barika la kunsɛmɛ kɔnɔ. O degunba in bɛ se ka kunsɛmɛ yɔrɔ suguya caman tiɲɛ. O dɔrɔn tɛ, nka tuma dɔw la, ɲɛw ni tulow fana bɛ se ka tiɲɛ. Ɲɛgɛn suguya fila de bɛ yen minnu bɛ nin bana in bila mɔgɔ la. Olu ye `Cryptococcus neoformans` ani `Cryptococcus gattii` ye. Olu la, suguya fɔlɔ de ka ca.

Jɔn de farati ka bon ka nin bana in sɔrɔ?

I n’a fɔ an y’a ɲɛfɔ cogo min na ka tɛmɛ, nin ɲɛgɛn in ye sababu ye. O kɔrɔ ye ko a bɛ kɔnɔni kɛ fo farikolo tangalanw, n’o ye farikolo tangalanw ye, olu ka fanga dɔgɔya ka sɔrɔ ka bin.

Ka fara sidabana kan, bana damadɔ wɛrɛw bɛ yen minnu bɛ farikolo tangacogo fanga dɔgɔya . Ni nin bana ninnu dɔ bɛ aw la, a nafa ka bon aw ka aw janto nin taamasiɲɛ ninnu na.

• Bana minnu bɛ sɔrɔ joli la (Diseases of the blood) .
• Farikolo yɔrɔw dɛsɛbana bɛ mɔgɔ minnu na, i n’a fɔ sugunɛbaralabana
• Sugunɛ, sugunɛ, a ɲɔgɔnnaw.Mɔgɔ minnu farikolo yɔrɔ dɔw cili kɛra ani minnu bɛ farikolo tangalanw ta
• Banakisɛfagalanw ka bana wɛrɛw bɛ mɔgɔ minnu na
• Mɔgɔ minnu bɛ farikolo tangalanw ta i n’a fɔ stɛroyiw ka mɛn

Nin wulu in bɛ don an fari la cogo di?

Nin Cryptococcus wulu in bɛ jɛnsɛn sigida la i n’a fɔ sɔgɔsɔgɔninjɛ. U ka ca kɛrɛnkɛrɛnnenya la bɔgɔ la, kɔnɔw ka nɔgɔ la (kɛrɛnkɛrɛnnenya la tuganin nɔgɔw), ani jiri minnu bɛ toli.

O la, n’an bɛ ninakili, o sɔgɔsɔgɔninjɛ ninnu bɛ se ka don an fogonfogon la . Nka aw kana aw hakili ɲagami, a tɛ jɛnsɛn ka bɔ mɔgɔ la ka taa mɔgɔ wɛrɛ la i n’a fɔ farigan.

Ni o sporow donna mɔgɔ fari la, farikolo tangacogo ɲuman bɛ mɔgɔ min na, fogonfogon la farikolo tangalanw (alveolar macrophages) bɛ u tiɲɛ. Nka, fɛn wɛrɛ bɛ kɛ mɔgɔ farikolo la, farikolo tangacogo barikama bɛ min na.

N’an y’a fɔ cogo nɔgɔman na, nin ye min bɛ kɛ:

1. Ɲɛgɛnɛsiraw bɛ don fogonfogon la ninakili fɛ.

2. K’a sababu kɛ farikolo tangalanw barika dɔgɔyali ye, fogonfogon la farikolo tangalanw tɛ se ka ninnu tiɲɛ.

3. Ka bɔ yen, ɲɛgɛnɛsira bɛ taa ɲɛgɛnɛsiraw la, a bɛ tila teliya la yen ka ɲɛgɛnɛsira caman bɔ.

4. O kɔ, o ɲɛgɛnw bɛ tɛmɛ joli fɛ ka se kunsɛmɛ ni kɔkolo la.

5. O yɔrɔ la, o farikolokisɛw bɛ daminɛ ka bonya ɲɛgɛnɛsiraw la minnu bɛ kunsɛmɛ lamini. Dɔɔni dɔɔni, bana taamasiɲɛw bɛ bɔ kɛnɛ kan.

Nin bana in taamasiɲɛw ye jumɛnw ye?

A ka ca a la, ɲɛgɛnɛsiralabanaw taamasiɲɛw bɛ bɔ dɔɔni dɔɔni. N’a sɔrɔ i tɛna danfaraba kɔlɔsi o yɔrɔnin bɛɛ la. O la, a nafa ka bon ka aw janto nin taamasiɲɛ ninnu na.

Bana in bɛ se ka sɛgɛsɛgɛ cogo di ka ɲɛ?

Ni nin taamasiɲɛ kelen walima caman bɛ aw la ani ni aw bɛ farati kulu minnu kofɔlen don sanfɛ, aw bɛ taa dɔgɔtɔrɔso la joona . A nafa ka bon kosɛbɛ.

Aw ka dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ ani ka sigasiga ko kunsɛmɛnasumaya. Ni farati bɛ aw la, u bɛna jateminɛ kɛ fana ko kiribi bɛ se ka kɛ ni kunsɛmɛnasumaya ye.

Walasa ka bana sɛgɛsɛgɛli dafa, dɔgɔtɔrɔ bɛ se ka kɔkolo sɔgɔ.A bɛ Weele ko kɔkolo-yɔrɔ. Aw kana aw hakili ɲagami, nin tɛ siranfɛn ye i n’a fɔ mɔgɔ caman b’a miiri cogo min na. O ye ka pikirijikɛlan finmanba dɔ don i kɔ duguma ani ka ji fitini dɔ ta min bɛ i kunkolo ni kɔkolo lamini (Cerebrospinal Fluid - CSF). Nin ji in de bɛ aw farikolo cɛmancɛ balo ani ka a ko.

O kɔfɛ, nin CSF sɛgɛsɛgɛli bɛ kɛ laboratuwari la walasa ka a dɔn ni Cryptococcus ɲɛgɛnɛsira bɛ a la.

Ka fara o kan, dɔgɔtɔrɔ bɛ se ka a fɔ fana ko aw ka CT scan walima MRI scan kɛ kunsɛmɛ na.

Yala nin bana in farati ka bon tiɲɛ na wa?

Ɔwɔ, nin ye bana juguba ye, hali a bɛ mɔgɔ ka ɲɛnamaya bila farati la. Ni a ma furakɛ, a bɛ se ka tiɲɛniba lase mɔgɔ kunkolo ma. Tiɲɛni dɔw bɛ se ka kɛ fɛn ye min tɛ se ka wuli.

Ni a ma furakɛ, kirinni, hakili bɔli, kɔma, ani hali saya bɛ se ka kɛ.

Hali ni furakɛli ɲumanw bɛ diɲɛ kɔnɔ, mɔgɔ minnu bɛ sa nin bana in fɛ, olu bɛ 15% ni 30% cɛ . O ka kan ka hakilina di aw ma bana in juguya kan.

A bɛ furakɛ cogo di?

O bɛ furakɛ ni ɲɛgɛnɛsiralabanaw ye. Nka, o furakɛli tɛ dafa tile kelen walima tile fila kɔnɔ. A bɛ se ka kalo caman ta walasa ka kɛnɛya pewu.

Furakɛli kunba fila bɛ yen:

1. Furakɛcogo jugumanba kunbɛnni : Misali la, ni sidabanakisɛ bɛ aw la, a nafa ka bon ka furakɛli ɲuman sɔrɔ (furakɛli min bɛ kɛ ni banakisɛfagalanw ye) ani ka farikolo tangacogo segin a cogo kɔrɔ la.

2. Ɲɛgɛnɛsiraw furakɛli : Fura minnu bɛ kɛ i n’a fɔ Anfoterisini B, Fluconazole, Flucytosine, ani Itraconazole, olu bɛ kɛ o la.

Aw bɛna a ɲini ka to dɔgɔtɔrɔso la furakɛli daminɛ waatiw la. Furakɛli ɲɛtaa bɛ bɔ bana in sɔrɔ joona cogo min na ani i ka bana basigilen ye min ye.

O la, ni farati bɛ aw la ka nin bana in sɔrɔ, aw ye aw janto a taamasiɲɛ fɔlɔw la tuma bɛɛ. Ni hali siga fitini bɛ aw la, aw kana siga abada ka kuma dɔgɔtɔrɔ fɛ . Ni aw ye a dɔn joona ani ka a furakɛ joona, o ye fɛɛrɛ ɲuman ye min bɛ se ka aw ka ɲɛnamaya kisi.