Ðe ʋuka me kuxiwo hã nɔa ŋuwò enuenua? Srɔ̃ nu tso fungi sinusitis sia ŋu!

Ðe wò ŋɔti hã xena ɣesiaɣia? Ðe ta le kpekpem na wò, wò ŋgonu ƒe akpa eveawo, ŋgonu, alo teƒe si le wò ŋkuwo dome le veve sema? Zi geɖe la, esiawo ate ŋu anye kuxi siwo do ƒome kple sinus. Gake ɖe nènya be menye ƒunukpeƒetetedɔ ƒe kuxiwo katãe nye ɖeka oa? Dɔlékuiwo gbɔe sinus dɔlékui aɖewo tsona, eye dɔlékuiwo gbɔe ɖewo tsona. Gake egbea míele nu ƒom tso sinusitis ƒomevi aɖe si to vovo vie si ame geɖe menya o ŋu. Ema nye ƒunukpeƒetetedɔ si fungus hena vɛ, alo ne míagblɔe tututu la, nɔnɔme aɖe si woyɔna be fungal sinusitis . Ɣeaɖewoɣi la, wogayɔa esia be fungal rhinosinusitis.

Nukae nye Fungal Sinusitis? Mina míaɖe eme bɔbɔe.

Kpuie ko la, Fungal Sinusitis nye dɔlékui si xɔa míaƒe sinus dowo me le fungi (i.e. nugbagbevi suesuewo abe yeast kple mold) gbɔ. Sinus cavities nye teƒe ƒuƒlu siwo le wò ŋgonu, ŋgonu, kple ŋkuwo dome. Fungal sinusitis ƒomevi vovovowo li. Gake zi geɖe la, dzesi siwo bɔ ɖe ƒomevi siawo katã ŋue nye ŋɔti me ʋuʋu, ʋuʋudedi, kple ʋuka me vevesese.

Zi geɖe la, ɖɔktawo tsɔa ʋuka me dɔdamɔnu daa dɔléle sia, gake le nɔnɔme sesẽ aɖewo me la, ate ŋu ahiã be woawɔ atike na fungiwo.

Nukawoe nye Fungal Sinusitis ƒomevi veviwo?

Ðɔktawo ma fungal sinusitis ɖe ƒomevi vevi eve me:

1. Ƒomevi siwo mewɔa nuvevi ame o: Esiawoe nye ƒomevi siwo bɔ wu. Le ƒomevi sia me la, ŋɔti kple ŋɔti me dowo koe dɔlélea dzena le. Ƒã hafi wòkakana ɖe ŋutilã ƒe akpa bubuwo.

2. Amedzidzedze ƒomeviwo: Esiawo nye esiwo me afɔku le vie wu, gake ƒã ŋutɔ. Le ƒomevi sia me la, fungi ƒe dɔlélea ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo, le kpɔɖeŋu me, ŋkuwo kple ahɔhɔ̃ gɔ̃ hã. Ne womedae nyuie o la, nɔnɔme sia ate ŋu ade ame ƒe agbe afɔku me.

Azɔ mina míalé ŋku ɖe ƒomevi siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

Noninvasive fungal sinusitis ƒomeviwo

• Allergic fungal sinusitis: Esia tsoa alesi ŋutilãa mewɔa nu ɖe ​​fungi siwo le ŋɔti me ŋu o gbɔ. Le esia me la, ʋuʋudedi ɣiwo yɔa sinus ƒe dowo me fũ, eye ɣeaɖewoɣi la, no me polyps ate ŋu ado. Amesiwo ŋu asrã alo nusiwo ŋu nulɔdɔ le abe hay fever ene le la ate ŋu axɔ dɔléle sia ƒomevi.
• Fungal ball / mycetoma: Esia nye ne fungiwo ƒoa ƒu ɖe sinus ƒe dowo me eye wowɔa bɔl sue alo ƒuƒoƒo. Fungi ball sia (mycetoma) ate ŋu atsi eye wòaxe mɔ na sinus ƒe mɔwo.
• Saprophytic fungal sinusitis: Esia nye ne fungiwo tsina ɖe ʋuʋudedi ƒe ƒuƒu siwo le ŋɔti me dzi.

Fungal Sinusitis Siwo Dzea Ame Ŋu Ƒomeviwo

• Acute invasive fungal sinusitis: Le go sia me la, fungus la gblẽa ʋuka siwo le ŋɔti me. Emegbe lãkusi si le teƒe ma la dzea kuku gɔme. Dɔlékui sia ate ŋu akaka kabakaba ŋutɔ ɖe ŋkuwo kple ahɔhɔ̃a me, si ana ame ƒe ŋku nagbã eye wòaku gɔ̃ hã. Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la ate ŋu axɔ nɔnɔme sia.
• Chronic invasive fungal sinusitis: Esia sɔ kple acute ƒomevi, gake ekaka blewu vie. Amesiwo ŋu suklidɔ le ate ŋu axɔ suklidɔ sia ƒomevi.
• Granulomatous invasive fungal sinusitis (GIFS): Esia nye ƒomevi si mebɔ kura o. Nusi dzɔna le esia mee nye be míaƒe ŋutilã ƒe dɔlélenutsiŋutete wɔa nu sesĩe ɖe lãvi la ŋu. Emegbe dɔlélenutsiŋutetea dzea ŋɔti ƒe lãkusi dzi, eye wògblẽa ŋɔti me lãkusia. Ðɔktawo menya nusitae esia dzɔna la nyuie haɖe o.

Aleke gbegbee fungi sinus dɔlékui siawo bɔe? Amekae xɔa wo zi geɖe wu?

Zi geɖe la, amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la ate ŋu axɔ fungi sinus dɔlékui siawo. Vevietɔ dɔlékui sesẽwo bɔ ɖe:

• Le amesiwo ŋu HIV dɔlékuia le gome.
• Ame siwo ŋu kansa le (e.g. ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ), alo amesiwo le kansa ƒe atikewo zãm.
• Na amesiwo ŋu suklidɔ si dzi womate ŋu aɖu o vevie.
• Ame siwo le dɔlélenutsiŋutete ƒe atikewo zãm, le kpɔɖeŋu me, steroids.

Nukae nye fungi sinus dɔlékui ƒe dzesiwo?

Fungal sinusitis ƒe dzesiwo ate ŋu asɔ kple sinus dɔlékui si xɔa ame edziedzi. Gake ne dzesi bubuwo adze alo madze o la nɔ te ɖe fungi ƒe dɔléle ƒomevi kple nenye be edzea ame dzi alo medzea ame dzi o dzi.

Zi geɖe la, ƒomevi siwo medzea ame dzi o ɖea nɔnɔme siwo gbɔna fiana:

• Ʋeʋẽsese dzi ɖeɖe kpɔtɔ to ŋɔti me.
• Asrã.
• No kple sinus ƒe dowo ƒe vuvu.
• Nu ɣi aɖe si léna ɖe nu ŋu si ate ŋu adze abe rababa ƒe aŋe ene, si ƒe amadede nyea sika ɣi zi geɖe, si dona tso ŋɔti me.
• No me ʋuʋu.
• Sisi le ŋɔti me (phlegm).
• Nyaƒoɖeamenu kple kpekpeme ƒe seselelãme le sinus ƒe dowo me.
• Sinus ƒe taɖuame.
• Wò koe ate ŋu ase ʋeʋẽ gbegblẽ (abe ʋeʋẽ si le bibim, nane si gblẽ ƒe ʋeʋẽ ene) si ame bubu mate ŋu ase o .

Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la le afɔku gã aɖe me be woaxɔ dzesi sesẽwo abe:

• Nuwɔna ƒe tɔtrɔ kple ahɔhɔ̃mekawo ƒe kuxiwo (nuŋububu kple tamebubu sesẽ).
• Tɔtrɔ le ŋutigbalẽ ƒe amadede ŋu (ɖewohĩ ŋutigbalẽa ƒe amadede azu ɣie ŋutɔ alo ado viviti).
• Seselelãme be mo le ʋuʋum.
• Nukpɔkpɔ trɔna, ɖewohĩ nukpɔkpɔ bu keŋkeŋ gɔ̃ hã.
• Taɖuame sesẽ.
• ŋgonu alo ŋkuwo ƒe vuvu vevie.

Nukatae fungi sinusitis sia dzɔna? Nuka gbɔe wòtso?

Fungi ƒomevi vovovowo ate ŋu ahe sinus dɔlékuiwo vɛ. Zi geɖe la, aŋɔ alo amɔwɔʋãnu gbɔe fungi sinus dɔlékui siawo tsona. Ne míele gbɔgbɔm la, fungi suesuesue siawo ate ŋu ato míaƒe ŋɔti me age ɖe míaƒe ŋɔti me.

Bu eŋu kpɔ, le nyateƒe me la, fungi siawo ƒomevi geɖe nɔa míaƒe ŋutilã dzi alo nɔa míaƒe ŋutilã me ɣesiaɣi. Gake zi geɖe la, womeɖea fu na mí o. Nusi va zua afɔku enye ne míaƒe dɔlélenutsiŋutete gbɔdzɔ. Emegbe fungi siawo ate ŋu atsi bɔbɔe eye woahe dɔlékuiwo vɛ.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?

Ne womeda fungi sinus infections siwo xɔa ame me nyuie o la, fungus la ate ŋu agblẽ lãmeka siwo le ŋɔti me eye wòakaka ɖe ŋkuwo kple ahɔhɔ̃a me. Kuxi siawo ate ŋu ana lãmekawo nagblẽ, ŋkuagbãtɔ, kple ku gɔ̃ hã . Ame siwo ŋu nɔnɔme siwo gbɔdzɔna le dɔlélenutsiŋutete ŋu (e.g., suklidɔ, ʋumenugbagbeviɣidɔ) koŋue le afɔku me na kuxi siawo.

Eyata ne fungal sinusitis ƒe dzesiwo le ŋuwò, vevietɔ ne dɔlélenutsiŋutete gbɔdzɔ la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Aleke ɖɔktawo wɔa anya dɔléle sia si woyɔna be fungal sinusitis?

Ne èyi ɖɔkta gbɔ la, ado wò kpɔ gbã (`ŋutilã dodokpɔ`). Abia nya tso wò dzesiwo, wò lãmesẽ ŋutinya, kple atike siwo nènona ŋu. Emegbe, anɔ eme be woaɖe gbe be woawɔ dodokpɔ aɖewo, abe:

• Endoscopy: Esia bia be ɖɔkta nade mɔ̃ didi aɖe si le sue (si ƒe nugbɔ le fotoɖemɔ̃ sue aɖe) me be wòalé ŋku ɖe wò ŋɔti me dowo ŋu. Woate ŋu akpɔ nɔnɔmetata siwo tso fotoɖemɔ̃a dzi le ŋkuléleɖenuŋumɔ̃ dzi. Esia nye dodokpɔ bɔbɔe aɖe si me vevesese aɖeke mele o.
• Biopsy: Le endoscopy me la, wò ɖɔkta ate ŋu aɖe ʋuʋudedi alo lãkusi sue aɖe tso wò ŋɔti me. Woɖoa kpɔɖeŋu sia ɖe dodokpɔxɔ aɖe be woakpɔ dɔlékui ƒomevi si tututu le wò sinus dɔlékui hem vɛ — eɖanye dɔlékui, dɔlékui, lãvi, alo dɔlékui o. Ate ŋu anya hã ne dɔlékuia xɔa ame me.
• CT scan (computed tomography scan): Esia le abe X-ray tɔxɛ aɖe ene. Ate ŋu alé ŋku ɖe wò lãkusiwo me nyuie ŋutɔ, ade dzesi afisi tututu dɔlékuia le, eye wòalé ŋku ɖe fungi ƒe bɔl mawo siwo ŋu míeƒo nu tsoe va yi gɔ̃ hã ŋu.

Nukawoe nye atike siwo wozãna na esia?

Atike vovovowo li na fungi sinusitis. Atikewɔwɔ si nèhiã la anɔ te ɖe wò nɔnɔmea dzi.

• Dɔlékuiwutikewo: Dɔlékui ƒomevi aɖewo hiã be woazã atike siwo wua fungi. Zi geɖe la, woŋlɔa atike siawo kpe ɖe amekoko ŋu.
• Corticosteroids: Wò ɖɔkta ate ŋu aŋlɔ steroid na wò be wòaɖe abi dzi akpɔtɔ eye wòaɖe sinus ƒe nyaƒoɖeamenu dzi akpɔtɔ.
• No me tsilele: Le nɔnɔmewo abe saprophytic fungal sinusitis ene me la, ɖɔktawo ɖea ʋuʋudedi ƒuƒu si le ŋɔti me ɖa eye wotsɔa dzetsi (si wotsɔ dze kple tsi tsakae) klɔa no me doawo nyuie.
• Sinus dɔwɔwɔ: Le dɔlékui ƒomevi si ɖɔktaa le nu la, ahiã be wòawɔ dɔ na ame bliboa. Esia bia be woaɖe lãkusi si me dɔlékuia le la ɖa eye woakɔ teƒea ŋu nyuie. Ne dɔlékuia kaka sesĩe la, amekoko sia ate ŋu aɖe akpa siwo ŋu dɔlélea le gɔ̃ hã ɖa.

Ðewohĩ fungi sinusitis ƒomevi aɖewo mahiã be woawɔ atike gã aɖeke na amesi ƒe dɔlélenutsiŋutete le lãmesẽ me o. Gake fungal sinus dɔlékui siwo xɔa ame me nye atikewɔwɔ kpata eye wòhiã be woawɔ atike na wo enumake.

Ðe woate ŋu axe mɔ ɖe fungi sinusitis ƒe nɔnɔme sia nua?

Le nyateƒe me la, esesẽna be woaxe mɔ ɖe fungi sinus dɔlékui nu keŋkeŋ elabena fungi le afisiafi le nutoa me. Gake ele vevie be nàƒo nu kple ɖɔkta ne ège ɖe afɔku ƒe hatsotso siawo dometɔ ɖeka me:

• Ne fungal sinus dɔlékui aɖe dze dziwò kpɔ.
• Ne dɔléle aɖe le ŋuwò si na wò dɔlélenutsiŋutete gbɔdzɔ.
• Ne èle dɔlélenutsiŋutete ƒe atikewo zãm alo nèle kansa ƒe atikewo zãm.

Ne dɔlélenutsiŋutete gbɔdzɔ alo nèle afɔku gã aɖe me be nàxɔ fungi sinus dɔlékuiwo la, gblɔe na wò ɖɔkta. Ate ŋu aŋlɔ atike siwo wua dɔlékuiwo nɛ be wòaxe mɔ ɖe dɔlékui aɖe xɔxɔ nu hafi wòadzɔ.

Nukae dzɔna ne fungal sinusitis le ŋunye? Ðe wòanyo ɖe edzia?

Fungal sinus dɔlékui siwo mewɔa dɔ o ƒe akpa gãtɔ, ne woda wo nyuie , nu tsona kuxi sesẽ aɖeke manɔmee. Gake dɔlékui ƒomevi aɖewo ate ŋu agadzɔ le atikewɔwɔ vɔ megbe gɔ̃ hã.

Gake fungal sinus dɔlékui siwo xɔa ame me nye atikewɔwɔ kpata eye wòhiã be woawɔ atike na wo enumake.

Le kpɔɖeŋu me, nɔnɔme si nye ``Acute invasive fungal sinusitis`` ateŋu awu ame le dɔléle siwo ade 50% me ne womewɔ atike nɛ o. Esi wònye be dɔlékui sia kakana kabakaba ŋutɔ ta la, ele vevie be woawɔ atike nɛ kaba. Le atikewɔwɔ vɔ megbe gɔ̃ hã la, ame aɖewo ate ŋu axɔ lãmekawo ƒe dɔmawɔmawɔ nyuie, woase veve ɣeyiɣi didi, alo woƒe mo nawɔ dɔ le lãmekawo ƒe gbegblẽ ta.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be fungal sinusitis ƒe dzesiwo le ye ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ be woado ye kpɔ. Ele vevie hã be nàgblɔe na wò ɖɔkta ne ʋuka me kuxi siwo nɔa anyi ɖaa, abe ƒunukpeƒetetedɔ si nu metsina o ene, le ŋuwò.

Ɣekaɣie wòle be nàdi atikewɔwɔ kpata?

Ne fungi sinus infection ƒe dzesiwo le ŋuwò, eye nège ɖe hatsotso siwo gbɔna dometɔ aɖe me la, yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake:

• Ne dɔléle aɖe le ŋuwò si na wò dɔlélenutsiŋutete gbɔdzɔ (e.g. HIV, suklidɔ si dzi womeɖu o, kansa).
• Ne èle dɔlélenutsiŋutete ƒe atikewo zãm.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ne míeƒo nu tso fungi sinus dɔlékuiwo ŋu la, woate ŋu atso esiwo mesẽ o dzi va ɖo esiwo nu sẽ dzi. Esi fungal sinusitis le ŋuwò ta la, mefia be nàtsi dzodzodzoe o. Gake ele vevie be nàkpɔ ɖɔkta ahaxɔ atike nyuitɔ.

Ðo ŋku edzi be vevietɔ ne dɔlélenutsiŋutete gbɔdzɔ eye fungi sinusitis ƒe dzesiwo dze le ŋuwò la, yi atikewɔƒe enumake kaba. Esi wònye be fungi sinus dɔlékui siwo xɔa ame me ate ŋu akaka kabakaba ŋutɔ eye woahe kuxi sesẽ bubuwo vɛ, siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Eya ta nu vevitɔ kekeakee nye be nàlé be na wò lãmesẽ.

` Fungal Sinusitis, Sinus Infection, No ƒe Ʋuʋu, Fungus, Sinus ƒe Dzesiwo, Sinus ƒe Atikewɔwɔ, Fungal Sinusitis