Ðe lãvi ye hea sinus ƒe kuxi siwo nɔa anyi ɖaa vɛa? (Fungal Sinusitis) Mina míakpɔe ɖa godoo!

Ðe sinus ƒe kuxiwo hã nɔa ŋuwò zi geɖea? Ðe wòsɔ be ŋɔti natsi, atɔ, ta naɖui, eye ŋgonu kple ŋgonu navea? Mía dometɔ geɖe yɔa esia be "sinusitis." Gake ènya be ɣeaɖewoɣi la, menye dɔlékui (dɔlékui) si sɔ gbɔe wòtsona be ʋuka me kuxi sia tsona o, ke boŋ lãvi (fungus) ye. Emae míeyɔna be Fungal Sinusitis, alo Fungal Rhinosinusitis le atikewɔwɔ me. Egbea, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Kpuie ko la, nukae nye Fungal Sinusitis?

Enyo, gbã la, mina míalé ŋku ɖe nusiwo nye sinus ŋu. Sinus nye ya ƒuƒlu siwo le wò mo ƒe ƒuwo me, siwo ƒo xlã wò ŋɔti. Esiawo do ƒome kple wò ŋɔti. Zi geɖe la, ya yɔa do siawo me fũ.

Azɔ bu eŋu kpɔ, ne lãvi aɖe - si nye aŋɔ ƒomevi aɖe- ge ɖe lãkusi siawo me eye wòhe dɔlékui vɛ la, emae míeyɔna be Fungal Sinusitis . Abe alesi ko aŋɔ tsina ɖe abolo kakɛ dzi ene la, fungi ate ŋu atsi le míaƒe sinus dowo me. Esia hea dzesiwo abe ŋɔti ƒe ʋuʋu kple ʋuka me vevesese ene vɛ.

Fungal Sinusitis ƒomevi vevi eve li:

Ele vevie ŋutɔ be míase nya sia gɔme pɛpɛpɛ, elabena togbɔ be zi geɖe la, afɔku mele ƒomevi ɖeka me o hã la, ƒomevi evelia ate ŋu ade ame ƒe agbe afɔku me.

1. Noninvasive type: Esiae nye ƒomevi si bɔ wu. Le afisia la, ŋɔti kple ŋɔti me dowo koe lãvi la le. Ele abe aŋɔ si le tsitsim ɖe gli ŋu le aƒe aɖe me ene, gake meto glia me hekaka ɖe aƒea me o. Afɔku mele esia ƒomevi me boo o.

2. Invasive type: Esiae nye ƒomevi si me afɔku le wu. Le afisia la, ʋetsuvi la gblẽa gli siwo le lãkusiwo me eye wòdzea kaka gɔme ɖe lãkusi siwo ƒo xlãe, ŋkuwo, kple ahɔhɔ̃a gɔ̃ hã me. Abe alesi ko aŋɔ ma si tsi ɖe gli ŋu, ɖua gli la eye wòkaka ɖe aƒea me katã ene. Esia ate ŋu awu ame ne womewɔ atike nɛ kaba o.

Azɔ mina míalé ŋku ɖe mama sue siwo le ƒomevi eve siawo te ŋu tsitotsito vie.

Ƒomevi siwo medzea ame dzi o

• Allergic Fungal Sinusitis: Esia nye ne wò ŋutilã ƒe nulɔdɔ le fungus si ge ɖe wò ŋɔti me ŋu. Esia nana be ʋuʋudedi ɣiwo yɔa sinus ƒe dowo me fũ, eye ɣeaɖewoɣi la, enaa nuwo abe no me ʋuʋudediwo ene dzɔna. Amesiwo ŋu asrã alo nusiwo ŋu nulɔdɔ le le nusiwo le abe ke ƒe ʋetsuviwo (allergic rhinitis) ene ŋu la ate ŋu axɔ nɔnɔme sia.
• Fungal Ball (Mycetoma): Esiae nye ne fungiwo wɔa nusi le abe bɔl ene le sinus ƒe do aɖe me. Ne lãvi ƒe bɔl sia le tsitsim la, ate ŋu axe mɔ na ʋuka si me ʋu sina tona, si ana wòate ŋu aƒoe eye wòase veve.
• Saprophytic Fungal Sinusitis ƒe Dɔléle:Afi siae fungus tsina le le ŋɔti me lãkusi ƒuƒu (crusts) siwo le ŋɔti me la dzi. Zi geɖe la, esia megblẽa nu boo aɖeke o.

Lã ƒomevi siwo va dzea wo dzi - esiawoe nye esiwo me afɔku le!

• Acute Invasive Fungal Sinusitis: Esia nye nɔnɔme si dzɔna kpata ŋutɔ eye wòsẽna ŋutɔ. Le afisia la, ʋetsuvi la gblẽa ʋuka siwo le ŋɔti me la dome. Esia wɔnɛ be lãkusia tea kuku. Dɔlékui sia ate ŋu akaka kabakaba ŋutɔ ɖe ŋkuwo kple ahɔhɔ̃a me, si ana ame ƒe ŋku nagbã eye wòaku gɔ̃ hã. Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ (e.g., kansadɔnɔwo, amesiwo ŋu HIV dɔlékuia le) le afɔku gã aɖe me be woaxɔ nɔnɔme sia.
• Chronic Invasive Fungal Sinusitis: Esia sɔ kple Acute ƒomevi si míeyɔ ɖe etame, gake eƒe kaka ƒe agbɔsɔsɔme le blewu vie. Ekaka vivivi le ɣeyiɣi aɖe megbe. Amesiwo ŋu suklidɔ le ate ŋu axɔ esia ƒomevi.
• Granulomatous Invasive Fungal Sinusitis (GIFS): Esia nye ƒomevi si mebɔ kura o. Nusi dzɔna le afisiae nye be ŋutilãa ƒe dɔlélenutsiŋutete wɔa nu ɖe ​​lãvi la ŋu vevie, si gblẽa ŋɔti ƒe lãkusiwo. Womenya nusita tututu nusia dzɔna haɖe o.

Amekae ate ŋu axɔ fungi sinus dɔlékui siawo wu?

Zi geɖe la, ƒã hafi fungi ƒe dɔlékui siawo xɔa ame siwo le lãmesẽ me, vevietɔ esiwo me afɔku le siwo xɔa ame me. Gake amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la le afɔku si lolo wu me. Le kpɔɖeŋu me:

• Le amesiwo ŋu HIV dɔlékuia le gome
• Kansadɔnɔwo (vevietɔ ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ) kple amesiwo le atikewo zãm
• Le amesiwo ŋu suklidɔ sesẽ si dzi womate ŋu aɖu o le gome
• Ame siwo noa atikewo abe dɔlélenutsiŋutete kple steroid ene ɣeyiɣi didi aɖe (e.g. dɔnɔ siwo wodo ŋutinuwo na) .

Nukae nye Fungal Sinusitis ƒe dzesiwo?

Dzesiawo ɖi esiwo dzena le ʋuka me kuxi si bɔ ŋu ŋutɔ. Gake dzesi bubuwo ate ŋu ado mo ɖa le dɔlékui si ƒomevi wòxɔ kple nenye be ewɔa adã alo mesẽ o nu. Na míalé ŋku ɖe esiawo ŋu le kplɔ̃ dzi.

Aleke nèwɔna dea dzesi dɔléle sia pɛpɛpɛ?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo, dɔléle bubu ɖe sia ɖe si le ŋuwò, kple atike ɖe sia ɖe si nèzãna ŋu. Emegbe, ate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

• Endoscopy: Esia bia be woatsɔ mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le ade ŋɔti me be woatsɔ ado ŋɔti ƒe do siwo le eme la akpɔ. Esia wɔnɛ be woate ŋu akpɔ nɔnɔme si le lãkusiawo me le ŋkuléleɖenuŋumɔ̃ dzi.
• Biopsy: Le endoscopy me la, ɖɔkta ate ŋu axɔ ʋuʋudedi alo lãkusi sue aɖe tso ŋɔti alo sinus ƒe do me atsɔe ayi dodokpɔxɔ me be woadoe kpɔ. Dodokpɔ sia ate ŋu anyae kple kakaɖedzi nenye be dɔlékui, dɔlékui, alo lãvi aɖe gbɔe dɔlélea tso. Ate ŋu anya hã nenye be dɔlékuia xɔa ame me.
• CT Scan: Esia nye nɔnɔmetatawo dodokpɔ si sɔ kple X-ray. Ate ŋu awɔ nɔnɔmetata siwo le akpa etɔ̃ me le sinus ƒe doawo ƒe eme. Esia ate ŋu akpe ɖe ame ŋu wòakpɔ afisi dɔlékuia kaka ɖo kple nenye be fungi ƒe bɔl aɖewo li hã nyuie.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔmɔnu nɔ te ɖe fungi sinusitis ƒomevi si le ŋuwò kple wò dɔlélenutsiŋutete ƒe nɔnɔme dzi.

• Sinus ƒe Amekoko:Zi geɖe la, ehiãna be woawɔ dɔ na ame be woatsɔ ada esia. Amekokoa bia be woaɖe lãkusi siwo katã ŋu dɔlékuia le, fungi ƒe bɔlwo, kple ʋuʋudedi ɣiwo ɖa, eye woakɔ sinus ƒe dowo ŋu nyuie. Le ƒomevi siwo xɔa ame me la, ate ŋu ahiã gɔ̃ hã be woaɖe lãkusi siwo ƒo xlãe le afisiwo lãviawo kaka ɖo.
• Dɔlékuiwutikewo: Le dɔlékui ƒomevi aɖewo gome, vevietɔ esiwo xɔa dɔlékuiwo la, wonaa fungiwutikewo (siwo woano alo wodona ɖe lãme na ame) le ɣeyiɣi ɖeka me kple amekoko.
• Corticosteroids: Woate ŋu ana steroid (no me atikewo alo atikekuiwo) be wòaɖe abi kple nyaƒoɖeamenu si le sinus ƒe dowo me dzi akpɔtɔ. Wozãa esiawo wu na Allergic Fungal Sinusitis.
• No Klɔ: Le nɔnɔme bɔbɔewo abe saprophytic ƒomevi ene me la, woɖea ʋuʋudedi ƒuƒu si le ŋɔti me la ɖa eye wotsɔa dzetsi kɔa sinus ƒe dowo ŋu.

Nukae dzɔna le atikewɔwɔ vɔ megbe?

Ƒomevi siwo mewɔa dɔ o: Zi geɖe la, esiawo nu tsona keŋkeŋ ne woda dɔ na wo, gake ƒomevi aɖewo (vevietɔ Allergic Fungal Sinusitis) ate ŋu agava le atikewɔwɔ vɔ megbe.

Afɔku ƒomevi siwo xɔa ame dzi: Afɔku le esiawo me ŋutɔ. Le dɔlékui sesẽwo abe Acute Invasive Fungal Sinusitis ene me la, ku ƒe afɔkua anɔ abe 50% ene ne wowɔ atike nɛ kaba gɔ̃ hã. Esia tae wokafui be nàyi ɖɔkta gbɔ kaba, ne dzesi suesuesuewo le ŋuwò gɔ̃ hã. Ne woɖe wò agbe le atikewɔwɔ vɔ megbe gɔ̃ hã la, ame aɖewo ate ŋu agblẽ nu le ame aɖewo ƒe lãmekawo ŋu eye woƒe mo nawɔ dɔ nyuie (le lãkusiwo ɖeɖeɖa ta).

Ɣekaɣie wòle be makpɔ ɖɔkta? Ɣekaɣie wòle be mayi ETU?

• Ne Fungal Sinusitis ƒe dzesi siwo míeyɔ ɖe etame la le ŋuwò, vevietɔ ne wole afima ɣeyiɣi didi aɖe (Chronic Sinusitis) la, kpɔ egbɔ be yeyi ɖɔkta gbɔ be woado ye kpɔ.
• Ne fungal sinusitis nɔ ŋuwò tsã alo dɔléle aɖe si ɖea wò dɔlélenutsiŋutete dzi kpɔtɔna le ŋuwò la, dzro eme kple wò ɖɔkta ɣesiaɣi.

Yi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake!

Ne dɔlélenutsiŋutete megale ŋuwò o (e.g., kansadɔnɔ, HIV dɔlékui le ŋuwò, dɔlélenutsiŋutete ƒe atike) eye nèdze dɔlékui si gena ɖe ame dzi ƒe dzesiwo dometɔ aɖe gɔme (abe mo ƒe ʋuʋu, ŋku ƒe vuvu, ŋku ƒe tɔtrɔ ene) la, yi kɔdzi ƒe xɔ si te ɖe ŋuwò kpata (ETU) me kaba. Esia ate ŋu anye agbe alo ku ƒe nɔnɔme.