Ðe lãkusi si le ŋutilãa me va zua ‘atɔ’? Mina míaƒo nu tso Caseous Necrosis ŋu!

Èbu lãmenugbagbevi siwo le míaƒe ŋutilã me ƒe kuku ŋu kpɔa? Adze abe ɖe wòdoa vɔvɔ̃ na ame vie ene, gake ɣeaɖewoɣi la, enyea nusi sɔ le ŋutilãa me. Gake dɔléle aɖewo hã ate ŋu ana lãmenugbagbeviwo naku le mɔ si mesɔ o nu. Woyɔa nɔnɔme tɔxɛ si me lãmenugbagbevi mawo kuna le be ‘Caseous Necrosis’, si ŋu míele nu ƒom tsoe egbea. Togbɔ be ŋkɔa aɖi nya sesẽ vie hã la, mina míase egɔme bɔbɔe.

Nukae nye ‘Caseous Necrosis’?

Kpuie ko la, ‘necrosis’ fia lãmenugbagbeviwo alo lãkusi siwo le míaƒe ŋutilã me ƒe ku. Abe alesi numiemie yrɔna ne tsi bu nɛ ene la, míaƒe lãmenugbagbeviwo hã ate ŋu aku le susu vovovowo ta. Eyata ‘caseous necrosis’ nye lãmenugbagbeviwo ƒe ku ƒomevi mawo dometɔ ɖeka.

Eŋlisigbe me nya 'caseous' gɔmee nye "abe cheese ene." Abe cheese si míeɖuna ene. Ne lãkusiwo ku alea la, teƒe kukua va dzena ɣie, eye wòɖina vie, eye wòɖia cheese si wogbã . Esia tae woyɔnɛ be ‘caseous necrosis’ ɖo. Nusuekpɔmɔ̃ dzi koe woate ŋu akpɔ esia le, alo ɣeaɖewoɣi le amekoko me.

Aleke ‘ame kuku si me ame kuku le’ sia dzɔnae?

Nusi koŋ gbɔ caseous necrosis tsonae nye dɔlékui vovovo siwo gena ɖe míaƒe ŋutilã me. Zi geɖe la , dɔlékuiwo alo fungiwo gbɔe dɔlékui siawo tsona .

Tsɔe be dɔlékui aɖe ge ɖe míaƒe ŋutilã me. Emegbe míaƒe dɔlélenutsiŋutete , si nye asrafoha si kpɔa mía ta tso dɔléle me la dzea avuwɔwɔ kple amedzidzela siawo gɔme. Le avuwɔwɔ sia me la, ɣeaɖewoɣi la, mía ŋutɔwo ƒe lãmenugbagbeviwo hã ate ŋu agblẽ eye woaku. Aleae nɔnɔme sia si woyɔna be caseous necrosis dzɔnae. Ne dɔlélenutsiŋutete ƒe lãmenugbagbeviwo dze agbagba be yewoatsrɔ̃ lãmenugbagbevi siwo ŋu dɔlélea le la, lãmenugbagbevi siwo le nuto ma me kuna hetrɔna zua dzedzeme ma si le abe atɔ ene.

Ðe ‘necrosis’ ƒomevi bubuwo lia?

Ẽ, mɔ bubu geɖe li siwo dzi lãmenugbagbeviwo tona kuna, abe caseous necrosis ene. Na míasrɔ̃ nu tso wo ŋu vie. Ðewohĩ woƒe ŋkɔwo koe nènya nusiawo, elabena esiawo nye atikewɔwɔ ŋuti nyateƒenya aɖewo.

• Coagulative Necrosis: Esia nye ne lãmenugbagbeviwo kuna le ʋu ƒe anyimanɔmanɔ na ŋutinu aɖe ta. Esia ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa negbe míaƒe ahɔhɔ̃ ko. Ne lãmenugbagbeviawo ku la, woƒe wɔwɔme nɔa anyi ɖaa hena ɣeyiɣi aɖe, eye emegbe ŋutilãa ƒe ametakpɔnuawo ɖea wo ɖa.
• Fat Necrosis: Le esia me la , ami ƒe lãmenugbagbeviwo kuna. Dzɔdzɔmeŋusẽwo ƒe dɔwɔwɔ dzɔna, eye nu ɣi siwo le abe chalk ene la dzɔna.Woate ŋu akpɔ esia le nɔnɔmewo abe dɔgbo ƒe dɔléle ene me, afisi atike siwo dɔgboa ɖena dona la wua ami ƒe lãmenugbagbevi siwo le ƒodoa me. Ate ŋu adzɔ le no ƒe dɔwɔwɔ alo abixɔxɔ vɔ megbe hã.
• Fibrinoid Necrosis: Necrosis sia ƒomevi dzɔna le ʋukawo ƒe gli ememetɔwo me. Ne lãmenugbagbevi siawo gblẽ la, abiwo dona, si ate ŋu ana ame naxɔ abi eye ʋu nado le ŋutilãa me alo egodo.
• Liquefactive Necrosis: Le esia me la , lãmenugbagbeviawo ƒe wɔwɔme bu eye wozua tsi. Abe ɖe wole ʋuʋum ene. Le dɔlékui ƒe dɔléle gome la, tsi siae nye nusi míeyɔna be "pus" . Míaƒe ahɔhɔ̃ kple aklã me koŋue wokpɔa tsi ƒe kuku sia le.

Fifia ɖewohĩ èse egɔme be mɔ vovovowo li siwo dzi lãmenugbagbeviwo tona kuna. Caseous necrosis nye mɔnu tɔxɛ mawo dometɔ ɖeka.

Nukawo koŋue hea ‘caseous necrosis’ vɛ?

Nu vevitɔ si gbɔ caseous necrosis tsona eye wòbɔ wue nye yɔmekpe (TB). Anɔ eme be èse yɔmekpe ŋu nya. Enye dɔléle si dɔlékui siwo le lãkusi me (aklã me) hena vɛ. Gake yɔmekpe ate ŋu akaka ɖe ŋutinu bubuwo hã me le ŋutilãa me.

Yɔmekpe ate ŋu adzɔ le mɔ vevi eve nu:

1. yɔmekpe ɣaɣla: Le esia me la, yɔmekpe dɔlékuiawo mlɔa alɔ̃ me, alo nɔa alɔ̃ dɔm, le lãkusi me, gake womeɖea dzesi aɖeke fiana o. Ame aɖewo ate ŋu anɔ alɔ̃ dɔm le mɔ sia nu le woƒe agbemeŋkekewo katã me.

2. TB si le dɔ wɔm: Le bubuwo me la, dɔlékuiawo ate ŋu awɔ dɔ kpata, alo woate ŋu adɔ alɔ̃ eye woagawɔ dɔ le ɣeyiɣi aɖe megbe. Vidzĩwo, ɖevi suewo, kple amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ (le kpɔɖeŋu me, amesiwo ŋu HIV alo suklidɔ le) le afɔku gã aɖe me be woaxɔ yɔmekpe si le dɔ wɔm.

Tsɔ kpe ɖe yɔmekpe ŋu la, dɔléle bubu geɖewo li siwo ate ŋu ana ame ƒe kuku nadze ame ŋu:

• Histoplasmosis: Esia nye gbɔgbɔmedɔléle si lãvi aɖe si nɔa anyigba me hena vɛ. Abe yɔmekpe ene la, ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo.
• Aɖuɖɔtoedɔ: Esia nye dɔlékui si tso gbɔdɔdɔ me si ate ŋu agblẽ nu le lãmekawo ŋu.

Le dɔléle siawo me la, caseous necrosis ate ŋu adzɔ esime ŋutilãa ƒe dɔlélenutsiŋutete le avu wɔm kple dɔlékuia.

Nukae nye ‘caseous necrosis’ ƒe dzesiwo?

Le nyateƒe me la, dzesi aɖeke koŋ meli na caseous necrosis o. Dzesiawo nɔ te ɖe dɔléle si gbɔ wòtso dzi.

Le kpɔɖeŋu me, ne caseous necrosis tso lãkusi me yɔmekpe si le dɔ wɔm gbɔ la, àte ŋu akpɔ dzesiwo abe:

• Akɔtave.
• Kɔdzi si nɔa anyi wu kwasiɖa eve.
• Kɔdzidede le ʋuʋudedi alo ʋu me.
• Ɖeɖiteameŋu.
• Asrã, vuvɔ, kple fifia le zã me.
• Nuɖuɖudzroame ƒe vɔvɔ kple lolo dzi ɖeɖe kpɔtɔ.

Nu vevitɔe nye be ne dzesi siawo le ŋuwò, vevietɔ ne kɔdzidɔa xɔ wu kwasiɖa eve la, ele be nàkpɔ ɖɔkta godoo.

Aleke wokpɔa ‘caseous necrosis’ dzea sii?

Dɔléleŋutinunyalawo , siwo nye ɖɔkta siwo bi ɖe dɔlélewo didi me ye dea dzesi ame ƒe kuku si me ame aɖeke mele o. Woɖea lãkusi si ŋu dɔlélea le ƒe kpɔɖeŋu sue aɖe (biopsy) hedoa wo kpɔna le nusuekpɔmɔ̃ me.

Gake lãmenugbagbeviwo ƒe dodokpɔ sia sesẽ vie wu, elabena ebia be woaɖe lãkusi aɖe le ŋutilãa me. Eyata zi geɖe la, ɖɔktawo metoa ŋutilã ƒe akpa aɖewo ɖeɖeɖa me zi geɖe o ne mɔ bɔbɔewo li siwo dzi woato anya dɔléle si gbɔ wòtso.

Le kpɔɖeŋu me, wozãa akɔta ƒe X-ray kple aɖuɖɔ dodokpɔ tsɔ dea dzesi aklã me yɔmekpe. Fifia, esi mɔ̃ɖaŋununya yeyewo ta la, mɔ̃ɖaŋununya siwo doa molecule dodokpɔ gɔ̃ hã li siwo dia dɔlékuiawo ƒe DNA le aɖuɖɔtoewo me. Esiawo ate ŋu ade dzesi yɔmekpe kabakaba eye wòade pɛpɛpɛ.

Aleke wodaa ame kuku si woyɔna be caseous necrosis?

Nu vevitɔ kekeake le afisiae nye be woada dɔléle si gbɔ wòtso, tsɔ wu be woada dɔléle si woyɔna be caseous necrosis tẽ.

Míeƒo nu tso yɔmekpe (TB) ŋu be eya koŋ gbɔe wòtsona. Zi geɖe la, yɔmekpe dada bia be woanɔ edada dzi ɣleti geɖe . Ɣeaɖewoɣi la, wozãa atike ƒomevi vovovowo le ɣeyiɣi ɖeka me. Esia le alea elabena yɔmekpe dɔlékuiawo te ŋu nɔa te ɖe dɔlékuiwutike aɖewo nu. Wò ɖɔkta akpe ɖe ŋuwò nàtia atike si sɔ na wò eye wòakpe ɖe ŋuwò nàkpɔ atikeawo ƒe nugbegblẽ le ame ŋu gbɔ.

Eyata ele vevie be woakpɔ dɔlélea nyuie eye woaxɔ atike nyuitɔ le ɣeyiɣi nyuitɔ dzi.

Aleke woawɔ axe mɔ ɖe Yɔmekpe nu?

Yɔmekpe nye dɔléle si kakana tso ame ɖeka me yia ame bubu me to ya me. Ne amesi ŋu dɔlélea le gbɔ ya, ƒo nu, kɔ akɔta, alo le aɖuɖɔ ƒom la, yɔmekpe dɔlékuiwo dona le yame eye woate ŋu axɔ ame bubu siwo te ɖe eŋu.

Yɔmekpe bɔ ɖe dukɔ aɖewo me (e.g. India, China, Indonesia). Ne èle mɔ zɔm yina dukɔ mawo me la, ƒo asa na kadodo kplikplikpli kple amesiwo ŋu yɔmekpe le.Dze agbagba. Azɔ hã, afɔku si le yɔmekpe xɔxɔ me sɔ gbɔ wu le teƒewo abe atikewɔƒewo, kɔdziwo, kple aƒemanɔsitɔwo ƒe nɔƒewo ene.

Ne wokpɔ be yɔmekpe ƒe dɔléle ɣaɣla le ŋuwò la, ƒo nu kple wò ɖɔkta tso atike si nàzã atsɔ axe mɔ ɖe yɔmekpe si le dɔ wɔm ƒe dzɔdzɔ nu ŋu. Esia le vevie ŋutɔ.

Azɔ hã, ne èsusu be ɖewohĩ yɔmekpe dze ye dzi la, ele vevie be woado yɔmekpe kpɔ. Dodokpɔ bɔbɔe aɖe si woyɔna be Mantoux ŋutigbalẽ dodokpɔ ate ŋu anya nenye be yɔmekpe le ŋuwò kpɔ eye nenye be yɔmekpe dɔlékui ɣaɣla aɖe le ŋuwò. Bia wò ɖɔkta nenye be ele be woawɔ dodokpɔ sia.

Nukae nye ŋgɔdonya na amesi ŋu caseous necrosis le?

Esia nɔ te ɖe dɔléle si gbɔ wòtso dzi ŋutɔŋutɔ. Le yɔmekpe (TB), si ŋu míeƒo nu tsoe koŋ gome la, zi geɖe la, yɔmekpe dada kpɔa dzidzedze ŋutɔ. Ne wowɔ atike na ame akpa gãtɔ nyuie la, wohayana keŋkeŋ. Nya nyui lae nye ema.

Gake ne womewɔ atike nɛ o la, amesiwo ŋu yɔmekpe le la dometɔ siwo ade afã aku le dɔlélea ta. Eya ta atikewɔlawo ƒe aɖaŋuɖoɖo didi kaba kple atike nyuitɔ xɔxɔ ne dzesiwo dze ate ŋu axɔ ame ɖe agbe.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be ɖewohĩ yɔmekpe dze ye dzi la, ele vevie be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò. Ŋutilã dodokpɔ bɔbɔe ate ŋu ana nànya nenye be yɔmekpe ɣaɣla le ŋuwò eye nenye be ehiã be woawɔ atike na wò be nàxe mɔ ɖe dɔléle si le dɔ wɔm nu.

Azɔ hã, woate ŋu ada nɔnɔme bubu siwo ate ŋu ahe ame kuku si nye caseous necrosis (abe histoplasmosis kple syphilis ene) vɛ. Eyata ne dzesi aɖewo siwo mebɔ o le ŋuwò la, mègaŋe aɖaba ƒu wo dzi eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo o. Atikewɔlawo ƒe dodokpɔ edziedzi ate ŋu akpe ɖe ŋuwò nàda afɔku si le eme be nàxɔ nɔnɔme siawo, ade dzesi kuxi ɖesiaɖe kaba, eye nàkpɔ wò lãmesẽ bliboa dzi.

Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe egbea gɔme nyuie, ‘Caseous Necrosis’. Mina míagbugbɔ aƒo nu tso nya vevitɔwo ŋu ake:

• ‘Caseous necrosis’ nye nɔnɔme tɔxɛ aɖe si me lãmenugbagbeviwo kuna le eye teƒea va dzena abe ‘amewo le atɔ me’ ene .
• Nusi koŋ gbɔ esia tsonae nye dɔlékuiwo abe yɔmekpe (TB) ene .
• Dzesiawo nɔ te ɖe dɔléle si gbɔ wòtso dzi. Le yɔmekpe gome la, eƒe dzesiwo ate ŋu anye kɔdzidede ɣeyiɣi didi, akɔtave, kple dzoxɔxɔ .
• Menye dɔléle si nye caseous necrosis ye woatsɔ adae o, ke boŋ dɔléle si gbɔ wòtso si hee vɛ.
• Atikewɔmɔnu siwo wɔa dɔ ŋutɔ li na yɔmekpe, eyata ne dzesiwo le ŋuwò alo nèsusu be ɖewohĩ dɔlélea dze ye dzi la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Ne wodoe kpɔ nyuie hewɔ atike na wò la, àte ŋu ahaya tso nɔnɔme siawo me bliboe.

Ðo ŋku edzi be ne ède dzesi nane si mebɔ o le wò ŋutilã me la, mègatsi dzodzodzoe eye mègake ɖi o. Ame nyuitɔ si nànyae nye wò ɖɔkta. Be woanɔ agbe si me lãmesẽ le la, ele vevie ŋutɔ be woana nyanya ame eye woadi atikewɔlawo ƒe aɖaŋuɖoɖo ne ehiã.

` Necrosis, caseous necrosis, yɔmekpe, yɔmekpe, lãmekawo ƒe ku, dɔlékuiwo, lãmenugbagbeviwo ƒe ku