Ðe ʋuʋudedi le wò to mea? (Fungal Ear Infection - Otomycosis) Mina míaƒo nu tso esia ŋu!

Ðe wò to me ʋuʋu si womate ŋu ado dzi atsɔ o, alo ɖeko nèse le ɖokuiwò me be nane ge ɖe to me, alo tsi aɖe le dodom le to mea? Esiawo menye dzesi siwo wòle be woabu nu tsɛe o. Esiawo ateŋu anye dzesi siwo fia be fungi ƒe dɔléle le wò to me, nɔnɔme si míeyɔna le atikewɔwɔ me be `(Otomycosis)` alo `(Fungal Otitis Externa)`. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito egbea.

Nukae nye Otomycosis?

Kpuie ko la, enye dɔlékui si le wò to ƒe akpa si le eme, vevietɔ to ƒe mɔ̃ (akpa si le abe mɔ̃ ene si tso wò to gota va ɖo wò to (tympanic membrane) gbɔ. Bu eŋu ale, abe alesi aŋɔ tsina ɖe abolo kakɛ dzi ene la, fungi ƒomevi aɖewo ate ŋu atsi ɖe míaƒe to me. Fungi ƒomevi vevi eve siwo hea esia vɛe nye Aspergillus kple Candida. Most ƒe ɣeyiɣia me la, dɔlékui sia dzɔna ɖe wò to gota gome gake ate ŋu adze titinato dzi ɣeaɖewoɣi, gake esia mebɔ vie o.

Tomedɔ sia ƒomevi bɔ wu le yame ƒe dzoxɔxɔ kple fafa me . Esia fia be ate ŋu abɔ ŋutɔ le dukɔwo abe mía tɔ ene me. Afɔku sia lolo ŋutɔ le dzomeŋɔli, alo ne ènye tsiƒula enuenu, le tsi le atsiaƒu me, alo ƒoa tsi me kamedefefewo.

Aleke gbegbee fungi ƒe dɔlélewo bɔ ɖe to me?

Le nyateƒe me la, fungi ƒe dɔlékuiwo mebɔ abe dɔlékuiwo ƒe to me dɔlékuiwo ene o. Ke hã, woawoe nyea gotagome dɔlékuiwo katã ƒe 10% (Otitis Externa). Eyata, menye xexlẽme sue aɖekee nye ema o, alo?

Nukae nye fungi ƒe dɔléle sia ƒe dzesiwo?

To me dɔlékui si nye fungi ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ate ŋu anɔ to ɖeka ko me, alo ate ŋu akpɔ ŋusẽ ɖe to eveawo siaa dzi. Kpɔe ɖa be dzesi siawo dometɔ aɖe le ŋuwò hã:

• To ƒe vevesese: Ate ŋu ase le eɖokui me abe dzobibi le to me ene, eye ɣeaɖewoɣi la, vevesese sesẽ aɖe kpena ɖe eŋu.
• To alo to ƒe akpa si le gota ƒe amadede ƒe tɔtrɔ: Ate ŋu anye dzĩ, ɣi, aŋutiɖiɖi, alo aŋutiɖiɖi.
• Ʋuʋudedi sesẽ: Esiae nye dzesi vevitɔ na ame geɖe. Eʋẽna ale gbegbe be wòwɔna na wò abe ɖe nèle to me ƒom ene.
• Ŋutilã si le ʋuʋum ƒo xlã to ƒe mɔ̃ (ŋɔsisi): abe ʋuʋudedi ene.
• Tomeve alo vevesese.
• Taɖuame: Ame aɖewo hã ate ŋu ase taɖuame kple esia.
• Dzoxɔxɔ: To ate ŋu adze abe ɖe wòbiã eye wòavuvu ene.
• To me tsi si dona: Esia ate ŋu anye ɣi, amadede dzẽ, yibɔ, ɣi, alo aŋutiɖiɖi. Amadede kple nɔnɔme si le tsi si dona me ate ŋu afia ɣeaɖewoɣi be lãvi si ƒomevi hea dɔlélea vɛ.
• Tome ƒe ʋuʋu: Ele abe "ɖiɖi" sese le wò to me ene, alo toɣliɖeɖe wɔnuku bubuwo.
• To ƒe ʋuʋu ƒe seselelãme: abe ɖe nane le to me yɔm ene.
• Tosese ƒe dɔmawɔmawɔ nyuie: Ðewohĩ àse le ɖokuiwò me be yeƒe tosese ƒe akpa aɖe megale ye ŋu o.

Ame aɖewo hã ate ŋu akpɔ dzesiwo abe taɖuame, dzoxɔxɔ, kple to ƒe vevesese sesẽ ene .

Ne dɔlékui aɖe le ŋuwò, vevietɔ le lãvi aɖe si woyɔna be Aspergillus ŋu la, àte ŋu ade dzesi teƒe suesuesue siwo le ɣie alo yibɔ alo teƒe ɣi siwo le abe kotoklobo ene le wò to me. Ne lãvi la gbɔe wòtso la, àte ŋu akpɔ tsi ɣi aɖe si le abe kreme ene si le dodom tso wò to me.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Ƒã hafi fungi ƒe dɔlékui siawo nyona ne womewɔ atike na wo o.

Nukae hea to me dɔlékui siwo nye fungi vɛ?

Abe alesi míegblɔe va yi ene la, dɔlékui siawo ate ŋu atso fungi ƒomevi vovovowo gbɔ. Gake fɔɖila vevi evee li. Wonye fungi siwo woyɔna be `(Aspergillus)` kple `(Candida)`. Fungi ƒe dɔlékui siwo ade 90 le alafa me tso `(Aspergillus)` gbɔ, gake `(Candida)` gbɔe susɔeawo tsona.

Amekawoe le afɔku gã me be woaxɔ fungi to me dɔlékuiwo?

Ènya be wax si dzɔna le dzɔdzɔme nu le míaƒe to me, si woyɔna be "Cerumen" la wɔa akpa gã aɖea? Wax sia kpɔa míaƒe to ƒe mɔ̃ ta eye wòkpɔa tsi ƒe gege ɖe eme hã dzi vaseɖe afi aɖe. Eyata ne le susu aɖe ta la, wax sia ƒe agbɔsɔsɔ si le wò to me dzi ɖe kpɔtɔ la, mɔnukpɔkpɔ si li be fungi dɔlékuiwo hã nasɔ gbɔ wu.

Anɔ eme be fungi to me dɔlékui aɖe adze dziwò le nɔnɔme siawo me:

• Ne ènye amesi wɔa nuwo abe SCUBA diving ene .
• Ne èƒoa ɖokuiwò ɖe nuwɔna siwo do ƒome kple tsi me enuenu , abe tsiƒuƒu, fefe le tsia me, alo ƒutsotsoewo ƒe ƒuƒu ene .
• Ne èdze agbagba be yeaɖe tomeka ɖa to nuwo abe kotoku, ɖaƒoƒo, alo safuiwo dede wò to me me. (Esia nye numame si me afɔku le ŋutɔ!)
• Ne wò dɔlélenutsiŋutete gbɔdzɔ (le kpɔɖeŋu me, amesiwo ŋu suklidɔ alo atikewɔwɔ me dɔléle bubu siwo ɖea dɔlélenutsiŋutete dzi kpɔtɔna).
• Ne to me ʋu ƒe sisi alo ŋutigbalẽ ƒe dɔléle bubu aɖe si do ƒome kple to la le ŋuwò.
• Ne abi alo afɔku aɖe dzɔ le toa ŋu.

Ðe fungi ƒe dɔlékui siwo le to me xɔa ame mea?

Ao, esia menye dɔléle si ate ŋu akaka tso ame ɖeka me ayi ame bubu gbɔ tẽ o. Ema fia be màxɔe tso nuƒoƒo kple amesi ŋu fungi dɔlékui le alo eƒe egbɔ nɔnɔ me o. Ke hã, nu sue aɖe koe li. Ne èƒu tsi le tsi si me dɔlékuiwo le me (abe tsiƒuƒe ƒoɖi ene) la, woate ŋu atsɔ lãvi si le tsi ma me la ayi na ame bubuwo.

Togbɔ be mexɔa ame o hã la, ne èsusu be dzesi siawo le ye ŋu la, yi ɖɔkta gbɔ enumake . Ne èdze atikewɔwɔ gɔme kaba la, ate ŋu axe mɔ na dɔlékuia be wòagakaka ɖe wò ŋutilã ƒe akpa bubuwo o.

Aleke wowɔa dea dzesi fungi ƒe dɔlékui siawo?

Ne èyi ɖɔkta gbɔ la, ado wò to kpɔ gbã. Wowɔa esia to dɔwɔnu si woyɔna be ``Otoscope'' zazã me. Enye dɔwɔnu si wotsɔ asi wɔe si nàte ŋu azã atsɔ adzi wò to ƒe akpa si le eme ɖe edzi. Emegbe, woabia nya wò tso wò dzesiwo kple atikewɔwɔ me nɔnɔme bubu ɖesiaɖe si ate ŋu anɔ ŋuwò ŋu.

Tsɔ kpe ɖe eŋu la, ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ siwo wowɔna le dodokpɔxɔ me atsɔ aɖo kpe edzi nenye be fungi ƒe dɔlélee. Esia bia be nàɖe tsi si le wò to me eye nàɖoe ɖe dodokpɔxɔ me be nàkpɔ dɔlékui ƒomevi si wònye.

Aleke nèdaa fungi to me dɔlékuiwoe?

Nya nyuiae nye be atike vovovowo li na esia. Wò ɖɔkta atso nya me le atikewɔwɔ si anyo na wò ŋu.

Dɔdamɔnu vevitɔwoe nye esiawo:

Towo me kɔklɔ

Ðɔktaa azã atike tɔxɛwo atsɔ akɔ wò to ƒe ememe nyuie. Esia aɖe tsi, gbeɖuɖɔ, alo lãvi ɖesiaɖe si ƒo ƒu si ate ŋu anɔ toa me la ɖa.

Vevietɔ wu: Mele be wò ŋutɔ nàdze agbagba be yeakɔ yeƒe to ŋu le aƒeme gbeɖe o. Ne èzãa kotoklobowo la, to gotagome koe wòle be nàzã wo. Mele be woatsɔ wo ade tomeka me o.

Atike ƒomeviwo

Woŋlɔa atike siwo woano na dɔlékui siawo na ame geɖe, abe Itraconazole ene. Wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàno vevesesenutsitike siwo womeƒlena o (abe paracetamol ene) hena to ƒe vevesese kple vevesese.

Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Mègadzudzɔ wò atikewo nono le esi nèsusu be yeƒe lãme sẽ vie ta ko o. Esia wɔwɔ ate ŋu ana dɔlékuia nagatrɔ ava, si ana be edada nasesẽ.

To ƒe Tsitsetse

Tomeka siwo tsia fungi nu ƒomevi geɖe li. Kpɔɖeŋu aɖewoe nye Fluconazole kple Clotrimazole. Wozãa esiawo tsɔ daa fungi ƒe dɔlékui geɖe. Azɔ hã, woate ŋu akafu tomeka siwo me Aluminum Acetate alo Acetic Acid le be woatsɔ aɖe tome ƒe dɔdzẽ dzi akpɔtɔ. Ne wole tomeka siawo zãm la, ele be woazã wo abe alesi wogblɔe ene pɛpɛpɛ, le agbɔsɔsɔ si woɖo ɖi nu, kple ɣeyiɣi didi si woɖo ɖi.

Kremewo Kple Amisisiwo

Ne fungi ƒe dɔlélea gblẽ nu le wò to ƒe gota hã ŋu la, wò ɖɔkta ate ŋu aŋlɔ atike alo ami si nàtsɔ asisi ɖe eŋu. Le kpɔɖeŋu me, Clotrimazole, Ketoconazole, kple Econazole. Wotsɔa nusiawo dea to ƒe gota gome, ke menye to ƒe akpa si le eme o.

Aƒeme Atikewɔwɔwo

Nu bɔbɔe aɖewo siwo nàte ŋu awɔ le aƒeme ate ŋu akpe ɖe ŋuwò nàɖe dzesiawo dzi akpɔtɔ. Gake ele be nàƒo nu kple wò ɖɔkta godoo hafi awɔ nusiawo dometɔ aɖe.

Mɔnu ɖeka si bɔ enye be woazã haidrodzin peroxide si woɖe tso tsi me. Esia kpena ɖe ame ŋu wòɖea gbeɖuɖɔ kple nusiwo ƒo ƒu ɖe toa me la dometɔ aɖewo ɖa. Tometsi siwo me carbamide peroxide le hã li. Ame bubuwo zãa aha sesẽ si wotsɔ tutu kple vinegar ɣi si ƒe didime nye 1:1. Ke hã, mègawɔ esia atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.

Nukae nàte ŋu akpɔ mɔ na ne fungi to me dɔlékui aɖe le ŋuwò?

Zi geɖe la, dɔlékui siawo wɔa dɔ nyuie ne wozã atike siwo wua fungi. Gake ne dɔlélenutsiŋutete gbɔdzɔ le ŋuwò la, dɔlékuia ate ŋu anɔ anyi hena ɣeyiɣi aɖe alo agava.

Anyo wu be nàƒo asa na tsidzifefewo le atikewɔwɔ ƒe ɣeyiɣia me. Ne ègayi tsi ƒum kaba akpa la, dɔlékuia ate ŋu agadze egɔme ake.

Ne woda dɔ na fungi siawo kaba la, zi geɖe la, womehea kuxi siwo nɔa anyi didi vɛ o.

Ɣeyiɣi didi kae to me dɔlékui si nye fungi ate ŋu anɔ anyi?

Fungi ƒe dɔlékui akpa gãtɔ nɔa anyi abe kwasiɖa etɔ̃ ene . Ðewohĩ ahiã be nàno atike siwo wua fungi alo azã tomeka vaseɖe esime dɔlékuia nu nayi keŋkeŋ.

Ɣekaɣie mate ŋu atrɔ ayi dɔme alo suku?

Abe alesi míegblɔe va yi ene la, tomedɔ sia mexɔa ame o. Eyata, àte ŋu atrɔ ayi wò dɔwɔna siwo nèwɔna ɖaa, dɔwɔƒe, alo suku gbɔ ne ènya se le ɖokuiwò me ko.

Ðe woate ŋu axe mɔ ɖe fungi ƒe to me dɔlékuiwo nua?

Togbɔ be womate ŋu axe mɔ ɖe enu keŋkeŋ o hã la, nu geɖe li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Zã tomeka ne èle tsi ƒum, le ƒutsotsoewo ƒom, alo le fefem le tsia me. Esiawo aɖe tsi ƒe gege ɖe to me ƒe afɔkua dzi akpɔtɔ.
• Mègade kotoklobo tomeka me o. Esia aɖe tomeka la ɖa, si ana toa makpɔ ta o, eye ate ŋu ana tomeka gɔ̃ hã naxɔ abi.
• Ne èɖe tsi vɔ la, tsɔ wò towo ƒu nyuie. Tsɔ afɔkpa ƒo wo blewuu woaƒu, alo àte ŋu aƒu wo ne èlé wo ɖe adzɔge eye nèzã ɖadzraɖoƒe le teƒe si bɔbɔ wu.
• Dzudzɔ asikaka wò to me kple eƒoƒo ɣesiaɣi. Esia ate ŋu agblẽ ŋutigbalẽ si le to me eye wòana dɔlékuiwo xɔxɔ ƒe afɔkua nadzi ɖe edzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Zi geɖe la, fungi to me dɔlékuiwo mehayana ne womewɔ atike na wo o. Eyata ne èkpɔ dzesiwo abe to ƒe veve, ƒoƒo, alo tsi si le dodom ene la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ne wole fungi dɔlékui aɖe dam na wò xoxo la, yɔ wò ɖɔkta enumake ne èse veve vevie, taɖuame, alo asrã .

Ðe tomeʋuʋu nye nu vevi aɖea?

Zi geɖe la, fungi ƒe dɔlékui siwo le to me mesẽna o. Ke hã, le go aɖewo me – vevietɔ le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ alo amesiwo ƒe ŋutigbalẽ ƒe nɔnɔmewo nɔa anyi didi gome la – woateŋu akaka eye nɔnɔmea nagblẽ ɖe edzi.

Gake to me dɔlékui si me fungi le ate ŋu ave ame ŋutɔ eye wòaɖe dzi ɖi. Eyata nu nyuitɔ si nàwɔe nye be nàkpɔ ɖɔkta le kuxi ƒe dzesi gbãtɔ me.

Nukae dzɔna ne womekpɔ fungi to ƒe dɔléle aɖe ɖi o?

Zi geɖe la, dɔlékui siawo mehayana ne womewɔ atike na wo o. Ne enyo wu la, fungi ƒe dɔlékui si womekpɔ o la anɔ anyi alo agagadzɔ ake gɔ̃ hã. Ne evɔ̃ɖi wu la, ate ŋu akaka ɖe lãkusi siwo te ɖe eŋu kple ta kple kɔ ƒe akpa bubuwo. Ne edzɔ alea la, nɔnɔme sesẽwo ate ŋu ado mo ɖa, abe:

• Meningitis (lãmenugbagbevi siwo tsyɔ ahɔhɔ̃a ƒe dɔdzẽ) .
• Mastoiditis (ƒu si le to megbe ƒe dɔléle) .
• Fungal Osteomyelitis (fungi ƒe dɔléle si le ƒuwo me – esia nye nɔnɔme si mebɔ kura o, gake ate ŋu ade ame ƒe agbe afɔku me) .

Aleke mawɔ anya ne fungi alo dɔlékui aɖe le nye to me?

Ɣeaɖewoɣi la, ɖɔktawo te ŋu dea dzesi vovototo si le wo ame evea dome ne wolé ŋku ɖe to me ko. Ke hã, be míaka ɖe edzi la, ehiã be woawɔ dodokpɔwo. Woɖea tsi si le to me ƒe kpɔɖeŋu aɖe hekpɔnɛ le nusuekpɔmɔ̃ me. To mɔ sia dzi la, woate ŋu anyae kple kakaɖedzi nenye be fungi alo dɔlékui ƒe dɔlélee.

Nukatae nye to me lãvi la gatrɔna gbɔna?

Susu geɖewo li siwo tae fungi ƒe dɔléle si le to me ate ŋu anɔ anyi alo agadzɔ ake ɖo:

• Wò dɔlélenutsiŋutete gbɔdzɔ.
• To ƒe tosese ƒe bu alo dzi ɖeɖe kpɔtɔ ŋutɔ .
• Nuwo abe kotoku ene dede to me.
• Yame ƒe dzoxɔxɔ kple fafa nɔnɔ (abe míaƒe dukɔa ene!) .

Zi geɖe la, fungi ƒe to me dɔlékui mesẽna o, gake ate ŋu ana ame ƒe dzi nadze eme ŋutɔ. Zi geɖe la, dɔlékui siawo mehayana le wo ɖokui si o. Eyata ne èsusu be fungi to me dɔléle le ye ŋu la, yi ɖɔkta gbɔ enumake. Woate ŋu anya wò dɔlélea ahaŋlɔ atike nyuitɔ na wò.

Nusiwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me (Take-Home Message) .

Enyo, eyata nu vevi aɖewo siwo ŋu wòle be míabu tso nusiwo ŋu míeƒo nu tsoe egbea me lae nye esi:

• Ne dzesiwo abe ʋuʋudedi, vevesese, tsi si le dodom, kple to ƒe ʋuʋu ene le ŋuwò la, ate ŋu anye fungi ƒe dɔléle si woyɔna be Otomycosis.
• Esia menye dɔléle si xɔa ame me o, gake ʋetsuvi la te ŋu toa tsi ƒoɖi me gena ɖe eme.
• Mègadze agbagba be yeatsɔ kotoklobo akɔ yeƒe to ŋu o. Ema agblẽ nu geɖe wu viɖe.
• Ne èle tsi ƒum la, wɔ dedienɔnɔ ŋuti ɖoɖowo be tsi nagage ɖe wò to me o.
• Ne èkpɔ dzesi siawo la, ele be nàkpɔ ɖɔkta godoo ahaxɔ atike. Elabena ne womewɔ atike nɛ o la, ƒã hafi esia anyo, eye ate ŋu agblẽ ɖe edzi gɔ̃ hã.
• Naneke meli woavɔ̃ o, woate ŋu ada nɔnɔme sia ne wodae nyuie.

Eyata, wò agbanɔamedzie wònye be nàlé be na wò towo. Ne èdo go kuxi aɖewo la, mègaŋlɔ be be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake o.

` otomycosis, fungi to infection, to fungus, to ƒe ʋuʋudedi, to ƒe ʋuʋu, to ƒe vevesese, aspergillus, candida