Ðe teƒe ɣiwo nɔa wò ŋutilã ŋu ɣeaɖewoɣi abe ‘ ŋutigbalẽ ɣi ’ enea? Alo ɖe fu ƒe kuxi aɖe si nu meyina gbeɖe o la ti kɔ na wòa? Ðewohĩ wò asibidɛ alo afɔbidɛwo dometɔ ɖeka trɔ zu ɣie, wòzu ƒuƒlu, eye wòle gbagbãm. Nu gbagbe sue aɖe si le míaƒe ŋutilã me, si woyɔna be fungus , gbɔ ate ŋu atso nusiawo dometɔ geɖe gbɔ. Eyata egbea míaƒo nu tso nusiwo nye fungi dɔlékui siawo ŋu, kple atike siwo wonana wo, siwo nye antifungals .
Kpuie ko la, nukawoe nye dɔlékuiwutike siawo?
Atike siwo wua fungi nye atike ƒomevi aɖe si ɖɔktawo ŋlɔna na ame be woatsɔ ada fungi ƒe dɔlékuiwo. Abe alesi wonaa dɔlékuiwutikewo na dɔlékui ƒe dɔlékui ene la, nenema ke wonaa dɔlékuiwutikewo na fungi ƒe dɔlékui. Atike siawo wɔa nu eve.
1. Fungus si he dɔlélea vɛ la wuwu keŋkeŋ .
2. Ne menye nenema o la, exea mɔ na lãvi la be wòagatsi ahakaka ɖe ŋutilãa me o.
Gake nusi dona tso eme mlɔebae nye be wòakpe ɖe míaƒe ŋutilã ŋu wòaɖe fungi ƒe dɔlékui ma ɖa.
Eyata nukae nye ‘fungus’ sia?
Hafi míaƒo nu tso fungicides ŋu la, mina míase nusiwo fungi siawo nye gɔme vie. Fungiwo nye nugbagbevi suesuesue siwo woate ŋu akpɔ le nuto si ƒo xlã mí ƒe afisiafi. Woate ŋu anye amɔwɔʋãnu, aŋɔ, alo evea siaa ƒe ƒuƒoƒo. Wodzia vi to lãvi suesuesuewo wɔwɔ me. Woate ŋu akpɔ spore siawo le anyigba me alo woanɔ tsia dzi le yame.
Bu eŋu kpɔ, fungi aɖewo le míaƒe ŋutilã me le dzɔdzɔme nu. Le kpɔɖeŋu me, amɔwɔʋãnu ƒomevi aɖe si woyɔna be Candida . Amesiawo nɔa teƒewo abe míaƒe ŋutigbalẽ, nuɖuɖumeŋusẽ, kple nyɔnuwo ƒe vidzidɔ ene nuvevi aɖeke mawɔmawɔe. Gake ɣeaɖewoɣi ne míaƒe ŋutilã ƒe dɔlélenutsiŋutete mesɔ gbɔ o alo le susu bubu aɖe ta la, fungi siawo dzea dzidziɖedzi gɔme le mɔ si dzi womate ŋu aɖu o nu. Ɣemaɣie dɔlékuiwo dzɔna.
Amekawoe le afɔku gã me be woaxɔ fungi dɔlékuiwo?
Le nyateƒe me la, ame sia ame ate ŋu axɔ fungi dɔlékui aɖe. Zi geɖe la, nu siwo bɔ siwo míekpɔna ƒo xlã mí, abe ringworm, eczema , kple aɖuɖɔtoe ene, mesẽna o eye woate ŋu ada wo bɔbɔe.
Gake le ame aɖewo gome la, fungi ƒe dɔlékui siawo ate ŋu anye afɔku gã aɖe. Ame mawo nye amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ .. Esesẽna na woƒe ŋutilã be wòawɔ avu kple fungi ƒe dɔlékui sue aɖe gɔ̃ hã. Míeyɔa dɔlékui siawo ƒomevi be "mɔnukpɔkpɔ ƒe dɔlékuiwo." Eyae nye dɔlékui siwo wɔa ŋutilã ƒe gbɔdzɔgbɔdzɔ ŋudɔ eye wokakana vevie. Ame siwo le afɔku me dometɔ aɖewoe nye:
- Ame siwo ŋu AIDS le .
- Ame siwo ŋu dɔlélenutsiŋutete ƒe dɔlélewo abe lupus ene le.
- Kansadɔnɔwo (vevietɔ amesiwo le atikewo zãm).
- Ame siwo wodo ŋutinuwo na wo.
- Ame siwo wodo ƒumeŋuɖui na (stem cell transplants).
Fungi dɔlékui si le abe esia ene ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi, eyata ele be nàɖɔ ŋu ɖo vevie le eŋu.
Nukawoe nye dɔlékui siwo bɔ kple esiwo nu sẽ siwo wotsɔ atike siwo wua fungi daa dɔe?
Dɔlékui siwo woate ŋu atsɔ ada dɔlékuiwutikewoe la keke ta ŋutɔ. Wotso ŋutigbalẽ me dɔlékui suesuesuewo dzi va ɖo dɔlékui siwo gblẽa nu le ahɔhɔ̃a ŋu dzi. Mina míama esiawo ɖe hatsotso eve me.
| Fungi ƒe dɔlékui siwo bɔ ɖe mía dome | |
|---|---|
| Dɔlékui la ƒe ŋkɔ | Numeɖeɖe bɔbɔe |
| Kamedefefewɔla ƒe afɔ, Jock itch, Ringworm | Abe alesi míenyae ene la, esiae nye nusi woyɔna be "eczema". Edzɔna le gota le afɔwo, akɔta, kple ŋutigbalẽ ƒe akpa vovovowo, eye ʋuʋudedi kpena ɖe eŋu. |
| Aɖuɖɔtoe | Fungi ƒe dɔlékui aɖe si le ta ŋu gbɔe ɖaƒoƒo tsona. Le atikewɔwɔ me la, woyɔa esia be Seborrheic Dermatitis . |
| Nail fungus ƒe lãvi | Dzesiwo abe ɣi/blɔ ƒe amadede, ƒoƒo, kple gbagbã bɔbɔe ene fiana. Woxɔa ɣeyiɣi didi hafi wohayana. |
| Thrush / Nuɖuɖutome ƒe candidiasis | Amɔwɔʋãnu ƒe dɔléle si le nu, ŋɔti, alo nuɖuɖutome. Enaa nu ɣi si léna ɖe nu me la nɔa nu me. Ebɔ ɖe ɖevi suewo dome. |
| Vaginal yeast ƒe dɔléle | Dɔlékui sia ƒe dzesiwo dometɔ aɖewoe nye ʋuʋudedi, dzobibi, kple tsi ɣi aɖe si dona tso nyɔnuwo ƒe vidzidɔ me. |
Tsɔ kpe ɖe esiawo ŋu la, fungi ƒe dɔlékui aɖewo ate ŋu agblẽ nu le ŋutilã ƒe ŋutinu ememetɔwo ŋu, si ahe nɔnɔme sesẽwo vɛ.
| Fungi ƒe dɔlékui siwo nu sẽ wu eye wotsia dzi ɖe wo ŋu wu | |
|---|---|
| Ŋutilã ƒe ɖoɖo si ŋu wògblẽ nu le | Kpɔɖeŋuwo |
| Aklãdɔlélewo | Aspergillosis, Pneumocystis aklãdɔ, Bali me dzoxɔxɔ |
| Dɔlékui siwo tsoa ʋu me | Candidemia (amɔwɔʋãnu ƒe dɔléle le ʋu me) . |
| Dɔlékui siwo do ƒome kple ahɔhɔ̃ | Taɖuame (fungi hã ate ŋu ahe taɖuame) . |
| Ŋku ƒe dɔlélewo | Ŋku ƒe ʋumenugbagbeviɣidɔ ƒe dɔléle |
| Sinus ƒe dɔlékuiwo | Rhinosinusitis ƒe dɔléle |
Aleke atike sia wɔa dɔ le ŋutilãa me?
Atike siwo wua fungiwo katã mesɔ o. Woma wo ɖe hatsotso vevi geɖewo me le alesi wowɔa dɔe nu. Wò ɖɔkta atia atike si sɔ wu le dɔlékui ƒomevi si le ŋuwò, eƒe sesẽme, kple wò lãmesẽ nu. Mina míalé ŋku ɖe hatsotso vevi etɔ̃ ŋu kaba.
- Azoles: Esiawo nye fungiwutike siwo wowɔ. Wowɔa dɔ to enzyme aɖe si le vevie na fungi lãmenugbagbeviwo ƒe wɔwɔ nu. Esia fia be lãvi la mate ŋu atsi alo adzi vi o. Ele abe bass si hiã be woatu aƒe wuwu ene. Kpɔɖeŋu: `Fluconazole (Diflucan®)`.
- Echinocandins: Esiawo nye atikewo ƒe dzidzime yeye. Wowɔa dɔ to lãmenugbagbevi siwo le lãmenugbagbeviawo ŋu dzi dzedze tẽ me. Abe alesi ne ègbã gli le aƒe aɖe me ene la, mate ŋu anɔ eme o, ne gli la gblẽ la, fungi ƒe lãmenugbagbevi la gblẽna. Kpɔɖeŋu: `Micafungin (Mycamine®)`.
- Polyenes: Esiawo nye atike siwo wua fungi siwo le dzɔdzɔme nu. Wowɔa dɔ to woƒe ƒoƒo ɖe fungi ƒe lãmenugbagbevi ƒe gotagome lãkusi ŋu kple dowo wɔwɔ ɖe eme me. Esia wɔnɛ be nu vevi siwo le lãmenugbagbevi la me la dona doa goe eye lãmenugbagbevi la kuna. Kpɔɖeŋu: `Nystatin (Bio-Statin®)`.
Nu vevitɔe nye be wò ɖɔkta atso nya me le atike si sɔ na wò kple ɣeyiɣi didi si wòle be nànoe ŋu. Mègazã atike si ame bubu ƒle atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.
Mɔ kawo dzie woato akpɔ atike siwo wua fungi?
Atike siawo le ƒomevi vovovowo me, le afisi dɔlélea le kple alesi wòsẽe nu.
- Nusiwo wotsɔna ƒoa ƒui: Esiawo nyea kreme, ami, gel, atike, kple atike si wotsɔna ƒua gbe. Wozãa esiawo wu na ŋutigbalẽ kple ɖa ƒe dɔlélewo.
- Atike siwo woano: Esiawo le abe atikekui alo tsi ene. Wotsɔa wo naa ŋutigbalẽdɔlékui siwo kaka ɖe teƒe bubuwo, abe ɖa kple taɖa ene.
- Atikewo dodo/IV: Wodoa atike siawo to ʋuka me (IV) alo abe atike ene na dɔlékui sesẽ siwo le ɖoɖo nu. Wonaa nusiawo le kɔdzi ƒe nɔnɔme me.
- Vaginal suppositories: Wozãa esiawo tsɔ daa vidzidɔ me amɔwɔʋãnu ƒe dɔlékuiwo.
Togbɔ be àte ŋu aƒle nuwo abe atike aɖewo abe atike aɖewo ene le atikedzraƒe ɖɔkta ƒe atikewɔmɔnu manɔmee (Over-the-Counter - OTC) hã la, ne kuxia gakpɔtɔ li alo edzɔna enuenu la, ele be nàkpɔ ɖɔkta godoo.
Ðe eƒe nugbegblẽ le ame ŋu aɖewo lia?
Abe atike ɖesiaɖe ene la, atike siwo wua fungi ate ŋu ahe nugbegblẽ aɖewo vɛ. Ke hã, menye amesiamee xɔa wo o. Wotoa vovo le atike ƒomevi kple agbɔsɔsɔme si wozãna hã nu.
| Nusiwo wògblẽna le ame ŋu ƒomevi | Nɔnɔmewo |
|---|---|
| Nusiwo dona tso eme zi geɖe | Dɔgbo ƒe veve, lãmetutudɔ, aɖuɖɔtoe, ŋutigbalẽ ƒe ʋuʋu, dɔdzẽ le afisi wodo atikea ɖo, kple ŋutigbalẽ ƒe ʋuʋu. |
| Nusiwo mebɔ o, gake woƒe nugbegblẽ le ame ŋu vevie |
|
| Ne ele be nàyi ɖɔkta gbɔ enumake | |
| Ne èkpɔ nugbegblẽ sesẽ siwo mebɔ o siwo míeyɔ ɖe etame la dometɔ aɖe la, dzudzɔ atikeawo nono eye nàkpɔ wò ɖɔkta enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU). | |
Nukae fungiwo ƒe ‘tete ŋu nɔa te ɖe atikewo nu’ fia? (Atifungal Tsitretsitsi) .
Esia nye nyati vevitɔ kekeake siwo ŋu míele nu ƒom tsoe egbea la dometɔ ɖeka. Antifungal Resistance nye ne fungus va te ŋu nɔa te ɖe dɔlékuiwutike aɖe koŋ nu. Kpuie ko la, atike ma ‘zu numame na fungus’ la, eye ‘esẽ’ wu atike la. Ekema, atike ma megate ŋu wua lãvi la o.
Susu vevi geɖewo li siwo tae esia dzɔna ɖo:
- Atikea dzudzɔ hafi nàwu ɣeyiɣi si woŋlɔ na wò nu: Vodada gãtɔe nye be nàdzudzɔ atike nono ne ènya se le ɖokuiwò me be yeƒe lãme sẽ vie ko. Esia gblẽa fungi sesẽtɔwo kekeake siwo meku keŋkeŋ o eye wotrɔna ɖe atikeawo ŋu.
- Atikea ƒe agbɔsɔsɔme si sɔ mazãmazã: Atikea nono ɖe game dzi alo atikeawo dzi ɖeɖe kpɔtɔ ate ŋu ana atikeawo nagasɔ gbɔ ɖe ŋutilãa me o, si ana fungi ƒe dɔlélenutsiŋutete nadzi ɖe edzi.
- Atike siwo wua fungi zazã madzemadzee: Ɣeaɖewoɣi la, wotsɔa atike siwo wua fungi la dea nane si menye fungi ƒe dɔlékui o ŋu. Esia ate ŋu ana lãvi la nakpɔ atike mawo hã eye wòana wòate ŋu anɔ te ɖe wo nu.
Ne lãvi la va te ŋu nɔa te ɖe atikewo nu la, esesẽna ŋutɔ be woada dɔlékuia. Ɣeaɖewoɣi la, ele be nàna atike sesẽ siwo ƒe nugbegblẽ le ame ŋu geɖe wu. Eyata ele vevie ŋutɔ na wò lãmesẽ kple nutoa me tɔwo katã ƒe lãmesẽ be nàno atike si wò ɖɔkta ŋlɔ na wò, le agbɔsɔsɔ nyuitɔ me kple ɣeyiɣi si sɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Antifungals nye atike ƒomevi aɖe si daa fungi ƒe dɔlékuiwo. Wowua fungi alo xea mɔ na wo be woagatsi o.
- Dɔlékuiwo ate ŋu atso ŋutigbalẽ ƒe ʋuʋudedi kple aɖuɖɔtoe siwo bɔ dzi va ɖo nɔnɔme sesẽ siwo gblẽa nu le ʋu kple lãkusi ŋu dzi.
- Atike siwo wua fungiwo le nɔnɔme vovovowo me, abe kreme, atikekui, kple atike siwo wodona ɖe lãme na ame ene. Wò ɖɔkta atso nya me le nusi nyo na wò ŋu.
- Vevietɔ wu: No atike si wò ɖɔkta ŋlɔ na wò ƒe agbɔsɔsɔme bliboa hena ɣeyiɣi bliboa. Mègadzudzɔ atikeawo nono le esi wò lãme sẽ ta ko o. Esia le vevie ŋutɔ be woaxe mɔ na lãvi la be wòagate ŋu anɔ te ɖe atike la nu o (antifungal resistance).
- Ne èkpɔ nugbegblẽ sesẽ aɖe (ŋutilã ƒe ɣie, gbɔgbɔ sesẽ, ŋutigbalẽ ƒe ʋuʋudedi) esime nèle atikeawo nom la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
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