Yala ɲɛgɛnɛsira ye sinji gɛlɛya basigilenw sababu ye wa? (Fungal Sinusitis) An k’a dɔn tiɲɛ na!

Yala aw fana ka teli ka sinji gɛlɛyaw sɔrɔ wa? Yala a bɛnnen don ni nugu bɛ datugu, ka datugu, ka kungolodimi, ani ka ɲɛda ni ɲɛda dimi wa? An caman bɛ o wele ko "sinusitis". Nka yala aw b’a dɔn ko tuma dɔw la, nin sinji gɛlɛya in sababu tɛ tumu (banakisɛ) gansan ye, nka ɲɛgɛnɛsira (fungus) de don. An bɛ o de wele ko Fungal Sinusitis, walima Fungal Rhinosinusitis furakɛli la. Bi, an bɛna kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

N’an y’a fɔ cogo nɔgɔman na, Fungal Sinusitis ye mun ye?

O bɛ ɲɛ, fɔlɔ an k’a lajɛ sinus ye min ye. Sinsinnanw ye fiɲɛbɔlan lankolonw ye minnu bɛ i ɲɛda kolotugudaw kɔnɔ, i nugu lamini na. Olu bɛ siri i nugu la. A ka c’a la, o dingɛw bɛ fa fiɲɛ na.

Sisan, aw k’a filɛ, ni ɲɛgɛnɛsira dɔ - nɔgɔ sugu dɔ- donna o sinjiw kɔnɔ ka banakisɛ bila mɔgɔ la, an bɛ o de wele ko Fungal Sinusitis . I n’a fɔ nɔgɔ bɛ falen buruburu kan cogo min na, ɲɛgɛnw bɛ se ka falen an ka sinji kɔnɔ. O bɛ na ni bana taamasiɲɛw ye i n’a fɔ nugutigɛ ani sinjidimi.

Funbanakisɛ suguya fila de bɛ yen:

A nafa ka bon kosɛbɛ ka o faamuya tigitigi, barisa hali ni a ka c’a la, suguya kelen tɛ farati ye, suguya tɔ kelen bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la.

1. Suguda min tɛ mɔgɔ minɛ: Nin ye suguya ye min ka teli ka kɛ. Yan, ɲɛgɛnɛsira bɛ dan nugu ni nuguw la. A bɛ i n’a fɔ nɔgɔ bɛ falen so kogo kan, nka a tɛ kogo kari ka jɛnsɛn so kɔnɔ. Nin suguya in farati ka dɔgɔn.

2. Invasive type: Nin ye suguya ye min farati ka bon kosɛbɛ. Yan, ɲɛgɛnɛsira bɛ sinjiw kogow tiɲɛ ka daminɛ ka jɛnsɛn ka taa a lamini yɔrɔw la, ɲɛw la, ani hali kunsɛmɛ na. I n’a fɔ o nɔgɔ min falenna kogo kan, o ye kogo dun ka jɛnsɛn so bɛɛ kɔnɔ cogo min na. O bɛ se ka mɔgɔ faga ni a ma furakɛ joona.

Sisan an ka dakun fitinin minnu bɛ nin sugu fla in 'kɔnɔ, an k'olu Lajɛ dɔɔnin dɔɔnin.

Sugu minnu tɛ mɔgɔ minɛ

• Ɲɛgɛnɛsiraw ka faritanabana : O ye ni faritanabana bɛ aw fari la ɲɛgɛnɛsira dɔ la min bɛ don aw nu na. O bɛ kɛ sababu ye ka sinjiw fa ni nɔgɔmugumugu ye, wa tuma dɔw la, a bɛ kɛ sababu ye ka fɛnw bɔ i n’a fɔ nugulatumuw. Sɔgɔsɔgɔninjɛ bɛ mɔgɔ minnu na walima faritanabana bɛ mɔgɔ minnu na i n’a fɔ bugurijɛ (alɛriji) olu ka teli ka nin bana in sɔrɔ.
• Fungal Ball (Mycetoma): O ye ni ɲɛgɛnw bɛ kɛ i n’a fɔ bololanɛgɛ, sinji kɔnɔ. Ni nin ɲɛgɛnɛsira in bɛ ka bonya, a bɛ se ka sinkɔrɔkɛrɛdimi datugu, ka degun ni dimi bila mɔgɔ la.
• Sinusitis saprophytique (banakisɛfagalanw) :O yɔrɔ de la, ɲɛgɛnɛsiraw bɛ falen nugu jalenw kan (kuruw) nugu kɔnɔ. A ka ca a la, o tɛ kojuguba lase mɔgɔ ma.

Binkanni suguya - ninnu de ye farati ye !

• Sinusitis acute Invasive Fungal: Nin ye bana ye min bɛ barika sɔrɔ kosɛbɛ ani min ka jugu kosɛbɛ. Yan, ntumu bɛ joli siraw tiɲɛ nugu kɔnɔ. O de kosɔn, farikolo yɔrɔ bɛ daminɛ ka sa. Nin bana in bɛ se ka jɛnsɛn joona kosɛbɛ ɲɛw ni kunsɛmɛ na, ka fiyentɔya bila mɔgɔ la ani ka mɔgɔ faga yɛrɛ. Mɔgɔ minnu farikolo tangacogo barika ka dɔgɔn (misali la, kansɛribanatɔw, sidabanakisɛ bɛ mɔgɔ minnu na) farati ka bon ka nin bana in sɔrɔ.
• Sinusitis chronic Invasive Fungal: Nin ni Acute suguya min kofɔlen don sanfɛ, o bɛ tali kɛ ɲɔgɔn na, nka a jɛnsɛnni hakɛ bɛ dɔɔni dɔɔni. A bɛ jɛnsɛn dɔɔni dɔɔni waati kɔnɔ. Sukarodunbana bɛ mɔgɔ minnu na, olu ka teli ka nin suguya in sɔrɔ.
• Granulomatous Invasive Fungal Sinusitis (GIFS): Nin ye suguya ye min man ca kosɛbɛ. Min bɛ kɛ yan, o ye ko farikolo tangalanw bɛ jaabi jugumanba dɔ lawuli ɲɛgɛnɛsiraw kama, ka nugu yɔrɔw tiɲɛ. A ma dɔn fɔlɔ mun na o bɛ kɛ tigitigi.

Jɔn de ka teli ka nin ɲɛgɛnɛsiralabanaw sɔrɔ?

A ka ca a la, mɔgɔ kɛnɛmanw man teli ka nin ɲɛgɛnɛsiralabanaw sɔrɔ, kɛrɛnkɛrɛnnenya la banakisɛ suguya faratilenw minnu bɛ don mɔgɔ kɔnɔ. Nka, farikolo tangacogo fanga dɔgɔyalen bɛ mɔgɔ minnu na, olu farati ka bon kosɛbɛ. I n'a fo:

• Sidabanakisɛ bɛ mɔgɔ minnu na
• Kansɛribanatɔw (kɛrɛnkɛrɛnnenya la jolidɛsɛ, jolidɛsɛ) ani minnu bɛ chimiothérapie kɛ
• Sukarodunbana jugumanba bɛ minnu na, a tɛ se ka kunbɛn
• Mɔgɔ minnu bɛ furaw ta ka mɛn i n’a fɔ farikolo tangalanw ni furakisɛw (misali la farikolo yɔrɔw cili banabagatɔw) .

Fungal Sinusitis taamasiɲɛw ye jumɛnw ye?

A taamasiɲɛw ni sinji gɛlɛya min bɛ sɔrɔ tuma caman na, o taamasiɲɛw bɔlen don ɲɔgɔn fɛ kosɛbɛ. Nka, taamasiɲɛ wɛrɛw bɛ se ka kɛ ka kɛɲɛ ni banakisɛ suguya ye ani ni a bɛ juguya walima ni a tɛ juguya. An ka ninnu lajɛ tabali dɔ kɔnɔ.

Aw bɛ nin bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Ni aw taara dɔgɔtɔrɔso la, a bɛ fɔlɔ ka aw ɲininka aw ka bana taamasiɲɛw la, bana wɛrɛ minnu bɛ aw la, ani aw bɛ fura minnu ta. O kɔ, a bɛ se ka sɛgɛsɛgɛli caman kɛ walasa ka bana in sɛgɛsɛgɛ.

• Endoskopi : O ye ka tubabukan finman dɔ don nugu la ni kamera ye walasa ka sinji kɔnɔna sɛgɛsɛgɛ. O bɛ a to bana min bɛ sinji kɔnɔ, o bɛ se ka ye monitor (kɔlɔsilikɛlan) kan.
• Biopsie : Endoskopi kɛtuma na, dɔgɔtɔrɔ bɛ se ka nɔgɔ walima farikolo yɔrɔ fitinin dɔ ta ka bɔ nugu kɔnɔ walima nugu kɔnɔ ka a bila laboratuwari la walasa ka a sɛgɛsɛgɛ. Nin sɛgɛsɛgɛli in bɛ se k’a dɔn tiɲɛ na ni banakisɛ in sababu bɔra banakisɛ, banakisɛ walima ɲɛgɛnɛsira la. A bɛ se ka a dɔn fana ni bana in bɛ don mɔgɔ la.
• CT Scan: Nin ye ja sɛgɛsɛgɛli ye min ni X-ray bɛ tali kɛ ɲɔgɔn na. A bɛ se ka ja saba bɔ sinji kɔnɔna na. O bɛ se ka dɛmɛ ka a dɔn ka jɛya bana in jɛnsɛnna yɔrɔ min na ani ni ɲɛgɛnɛsira dɔw bɛ yen.

O furakɛcogo jumɛnw bɛ yen?

Furakɛli kɛcogo bɛ bɔ ɲɛgɛnɛsiralabana suguya la min bɛ aw la ani aw farikolo tangacogo.

• Sinus opereli:A ka ca a la, opereli de ka kan ka kɛ walasa ka o furakɛ. Opereli bɛ kɛ ni banakisɛfagalan bɛɛ bɔli ye, ɲɛgɛnɛsiraw, ani nɔgɔmugumuguma, ani ka sinjiw saniya ka ɲɛ. Ni banakisɛ suguya minnu bɛ don mɔgɔ la, a bɛ se ka kɛ hali a ka kan ka lamini yɔrɔw bɔ, ɲɛgɛnɛsira jɛnsɛnna yɔrɔ minnu na.
• Ɲɛgɛnɛsiraw : Banakisɛ suguya dɔw la, kɛrɛnkɛrɛnnenya la banakisɛ suguya minnu bɛ don mɔgɔ la, funufura (da la walima pikiri la) bɛ di opereli waati kelen na.
• Kɔritikositɛriw : Stɛroyidi (nugulafura walima furakisɛw) bɛ se ka di walasa ka funu ni degun dɔgɔya sinjiw la. Olu ka teli ka kɛ faritanabana ɲɛgɛnɛsiralabanaw la.
• Nu ko : Ni a ka nɔgɔn, i n’a fɔ saporofiti suguya, nugu kɔnɔ nɔgɔ jalen bɛ bɔ ka sɔrɔ ka sinjiw saniya ni kɔgɔji ye.

Mun bɛ kɛ furakɛli kɔfɛ?

A suguya minnu tɛ mɔgɔ minɛ: A ka ca a la, olu bɛ ban pewu ni furakɛli kɛra, nka a suguya dɔw (kɛrɛnkɛrɛnnenya la, faritanabana min bɛ kɛ ni ɲɛgɛnɛsira ye) bɛ se ka segin furakɛli kɔfɛ.

A suguya minnu bɛ don mɔgɔ la: Olu farati ka bon kosɛbɛ. Banakisɛ jugumanw na i n’a fɔ Sinusitis invasive Fungal Acute, saya farati bɛ se 50% ɲɔgɔn ma hali ni a furakɛra joona. O de kama a ka ɲi aw ka taa dɔgɔtɔrɔso la joona, hali ni taamasiɲɛ misɛnniw bɛ aw la. Hali ni aw ka ɲɛnamaya kisi furakɛli kɔfɛ, mɔgɔ dɔw bɛ se ka farikolojidɛsɛ sɔrɔ ani ka ɲɛda sɔgɔsɔgɔ (ka a sababu kɛ farikolo yɔrɔw bɔli ye).

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la? Tuma jumɛn na ne ka kan ka taa ETU la?

• Ni ɲɛgɛnɛsiralabanaw taamasiɲɛ minnu kofɔlen don sanfɛ, olu bɛ aw la, kɛrɛnkɛrɛnnenya la ni u bɛ yen kabini waati jan (Sinusitis basigilen), aw ye aw jija ka taa dɔgɔtɔrɔso la walasa ka a lajɛ.
• Ni aw ye ɲɛgɛnɛsiralabanaw sɔrɔ ka kɔrɔ walima ni bana dɔ bɛ aw la min bɛ aw farikolo tangacogo dɔgɔya, aw bɛ baro kɛ o kan ni aw ka dɔgɔtɔrɔ ye tuma bɛɛ.

Aw bɛ taa furakɛli kɔrɔtɔlenw yɔrɔ la (ETU) joona!

Ni aw farikolo tangacogo ka dɔgɔn (misali la, kansɛribanatɔ, sidabanakisɛ bɛ min na, farikolo tangalan) ani ni banakisɛ min bɛ don aw la, o taamasiɲɛ dɔ bɛ aw la (i n’a fɔ ɲɛda sɔgɔsɔgɔli, ɲɛ funu, yelikɛcogo caman), aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la kɔrɔtɔko la (ETU) k’a sɔrɔ aw ma mɛn. O bɛ se ka kɛ ɲɛnamaya walima saya ko ye.