Ðe lãvi sia kpɔa ŋusẽ ɖe wò ŋkuwo hã dzia? Mina míasrɔ̃ nu tso (Presumed Ocular Histoplasmosis Syndrome - POHS) ŋu!

Èsusui kpɔ be ʋetsuvi sue aɖe si le anyigba me ate ŋu akpɔ ŋusẽ ɖe wò ŋku dzia? Egbea míele nu ƒom tso nane si ŋu ƒã hafi wosea nu tsoe, gake wòle vevie ŋutɔ be woanya ŋu. Woyɔa esia be Presumed Ocular Histoplasmosis Syndrome , alo POHS kpuie. Togbɔ be enye ŋkɔ didi vie hã la, mina míana wòanɔ bɔbɔe.

Gbã la, nukae nye Histoplasmosis?

Kpuie ko la, histoplasmosis nye dɔlékui si tsoa lãkusi me si lãvi aɖe si woyɔna be Histoplasma capsulatum hena vɛ. Zi geɖe la, anyigba mee wokpɔa lãvi sia le. Ebɔ ɖe anyigba si dzi xeviwo alo ʋetsuviwo ƒe aɖuɖɔ (si woyɔna be aɖuɖɔ) sɔ gbɔ ɖo la dzi wu. Ebɔ wu le United States ƒe akpa aɖewo, abe Ohio kple Mississippi Tɔsisi ƒe baliwo ene. Gake woate ŋu akpɔ ʋetsuvi sia le xexeame ƒe akpa bubuwo hã, vevietɔ le teƒe siwo xeviwo alo ʋetsuviwo ƒe aɖuɖɔ bɔ ɖo.

Eyata nukae nye ŋku ƒe dɔléle si nye ocular histoplasmosis syndrome (POHS)?

Nɔnɔme sia si woyɔna be POHS gblẽa nu le ŋkuwo ŋu abe histoplasmosis ma ke si xɔa lãkusiwo ƒe kekeɖenudɔ, alo kuxi ene. Nusi dzɔna enye be lãvi la toa ʋua me le mɔ aɖe nu eye wòwua enu ɖe ​​ŋkuawo ƒe megbe. Ɣemaɣie kuxia dzea egɔme.

Aleke ŋku ƒe ʋumenugbagbeviɣidɔ kpɔa ŋusẽ ɖe ŋkuwo dzii?

Zi geɖe la, lãvi `(Histoplasma capsulatum)` menaa amesiame dzea dɔ ne wogbɔe o. Le ame aɖewo gome la, eyia ŋutilã me eye wòbuna dzesi aɖeke manɔmee. Gake nublanuitɔe la, ne lãvi sia ge ɖe ŋkuwo me la, kuxi eve ate ŋu ado mo ɖa:

• Choroidal Neovascularization nye ʋukawo ƒe tsitsi si mesɔ o si ate ŋu akpɔ ŋusẽ ɖe ŋkua ƒe dɔwɔwɔ dzi. Togbɔ be esia aɖi nya sesẽ vie hã la, ne míagblɔe bɔbɔe la, ʋuka yeyewo ƒe wɔwɔme le ŋkua me ye mehiã o.
• Abi ate ŋu adzɔ le ŋkua me.

Esiawo evea siaa ate ŋu akpɔ ŋusẽ ɖe wò nukpɔkpɔ dzi vevie.

Amekawoe le afɔku gã me be woaxɔ POHS?

Na míakpɔ amesiwo ate ŋu axɔ dɔléle sia wu ɖa:

• Abe alesi míegblɔe va yi ene la, amesiwo le Ohio alo Mississippi Tɔsisi ƒe baliwo me le United States la le afɔku gã aɖe me. Gake le Sri Lanka gɔ̃ hã la, anyo be woanya esia na amesiwo le nuto siwo me xeviwo kple ʋetsuviwo ƒe aɖuɖɔ bɔ ɖo.
• Le amesiwo léa xeviwo abe koklozi ene gome, na amesiwo wɔa dɔ le kokloxɔwo ŋu. Wonyia koklowo le aƒe geɖe me le Sri Lanka.
• Amesiwo wɔa dɔ kple anyigba, abe teƒe siwo ke le le agblewo kple xɔtuƒewo ene , ate ŋu anye be fungi mawo tɔgbe le wo ŋu.
• Amesiwo noa atama alo amesiwo zãnɛ kpɔ hã le afɔku gã aɖe me.

Afɔku bubue nye dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ. Ate ŋu atso:

• Le dɔléle aɖewo ta, le kpɔɖeŋu me, ƒunukpeƒetetedɔ , .Le amesiwo ŋu dɔlélewo abe multiple sclerosis ene le gome.
• Le funɔwo gome.
• Le ame tsitsiwo kple ɖevi suewo gome.
• Ne èle atike aɖewo zãm, vevietɔ esiwo le dɔlélenutsiŋutete ƒe atikewo zãm.

Nukatae histoplasmosis va doa mo ɖa le ŋku siawo me?

Míegblɔe va yi be, edzea egɔme tso anyigba si dzi lãvi `(Histoplasma capsulatum)` le. Bu eŋu kpɔ, ne èku agble, do do, alo kɔ koklozi ƒe xɔ me la, ʋuʋudedi si le anyigba ma me la ʋuʋuna hetsɔna dea ya me. Emegbe míate ŋu agbɔe. Aleae lãkusiwo va xɔa dɔlékuiwoe. Gake, numekulawo mekpɔ nya alesi tututu wòwɔna tso lãkusi me yia ŋkuwo ƒe megbe o.

Nukae nye POHS ƒe dzesiwo?

Le nɔnɔme sia ƒe gɔmedzedze la, dzesi aɖeke menɔa eŋu o. Emae nye nusi me afɔku le wu. Ke hã, ne lãvi si nye `(Histoplasma capsulatum)` gblẽ nu le ŋkuwo ŋu eye wòdze ʋuka yeye siwo woyɔna be `(Choroidal Neovascularization)` wɔwɔ gɔme la, wò nukpɔkpɔ dzea ŋusẽkpɔkpɔ gɔme.

Ðewohĩ àse nanewo abe esia ene:

• Vovototo si le nu ɖeka ma ke ƒe lolome me si ŋku eveawo kpɔna. Abe ɖe ŋku ɖeka kpɔnɛ be ele sue wu eye evelia hã lolo wu ene.
• Teƒe siwo ŋkuagbãtɔ le nukpɔkpɔ me.
• Nukpɔkpɔ si me kɔ o alo nukpɔkpɔ ƒe bublu vevesese manɔmee.
• Ðewohĩ amadedewo madze abe alesi wòle be woadze ene o (amadedewo ate ŋu adze abe ɖe wofa ene).
• Klẽ alo flitete le ŋkume.
• Fli dzɔdzɔewo, abe mɔ ƒe dzesiwo, fesrewo, kple fli siwo le agbalẽ me ene, dzena abe ɖe wokeke eye wole ƒutsotsoewo me ene.

Ne nane si le abe esia ene dzɔ ɖe dziwò la, ele be nàyi ŋkudɔdala gbɔ kaba ale si nàte ŋui godoo .

Aleke nàwɔ anya ne POHS le ŋuwò?

Ne èyi ŋkudɔdala gbɔ la, nu gbãtɔ si wowɔnae nye be woado wò ŋkuwo kpɔ nyuie, vevietɔ ŋkua ƒe megbe, be woakpɔe ɖa be nu siawo dometɔ aɖe le ŋuwò hã:

• Abi ƒe lãkusi
• Tete

Nukae dzɔna ne histoplasmosis syndrome ƒe dzesiwo le ŋkuwo me?

Ne dzesi siawo le ŋuwò la, ahiã be woado ŋku ɖe enu wòakeke , si bia be nàtsɔ atike akeke wò ŋkuwo ɖe enu . Esia wɔnɛ be nète ŋu kpɔa nusiwo le wò ŋku me nyuie wu. Emegbe ɖɔktaa ate ŋu adi:

• Ʋuka siwo mesɔ o
• Ðe tsi ƒo ƒua?
• Nutete
• Teƒe ɣi suesuesuewo

Tsɔ kpe ɖe eŋu la, woawɔ fluorescein angiography na wò.Ðewohĩ ahiã hã be woawɔ dodokpɔ aɖe si woyɔna be Fluorescein Angiography. Esia bia be nàdo amadede tɔxɛ aɖe ɖe ʋuka aɖe si le wò alɔnu me. Amadede sia zɔa mɔ kple wò ʋu yia ʋuka siwo le wò ŋku me. Emegbe fotoɖemɔ̃ tɔxɛ aɖe ɖea foto. Esia ate ŋu akpe ɖe ŋuwò nànya ne ʋuka yeye aɖewo siwo mesɔ o (Choroidal Neovascularization) le ŋuwò.

Ðe amesiame hiã atikewɔwɔ na POHSa?

Ao, menye amesiamee ahiã atikewɔwɔ o. Negbe ɖe Histoplasma capsulatum fungus la kpɔ ŋusẽ ɖe wò ŋku dzi le mɔ aɖe nu ko la, ɖewohĩ ɖeko wòahiã be woalé ŋku ɖe ŋuwò edziedzi.

Aleke wodaa ŋkuwo ƒe histoplasmosis?

Esia nye nu tɔxɛ aɖe vie. Zi geɖe la, womenaa atike siwo wua fungi ɖe esia ta o. Elabena, togbɔ be lãvi aɖe gbɔe wòtso hã la, menye fungi ƒe dɔlékui si le ŋkua me o, ke boŋ enye nuwɔna ɖe eŋu.

Ke boŋ atikewɔwɔae nye be woatɔ te ʋuka yeye siwo mesɔ o la be woagawɔ o (Choroidal Neovascularization). Mɔ vevi eve li siwo dzi míato awɔ esia:

1. Anti-vascular endothelial growth factor (anti-VEGF) dɔdamɔnu: Esia bia be woado nusi woyɔna be anti-VEGF ɖe ŋku si ŋu dɔlélea le la me tẽ. Atike sia xea mɔ na ʋuka siwo mesɔ o la ƒe tsitsi. Esia ate ŋu akpe ɖe ame ŋu be woaɖe dzesiawo dzi akpɔtɔ. Gake ate ŋu abia be woado atike na ame zi geɖe hafi woakpɔ emetsonuwo.

2. Fotoŋusẽ ƒe atikewɔwɔ: Le esia me la, wodoa atike si sea kekeli si woyɔna be verteporfin ɖe ʋuka aɖe si le wò alɔnu me. Atikea blana ɖe ʋuka siwo mesɔ o siwo le ŋkua me ŋu. Emegbe wozãa laser-ya siwo me ŋusẽ boo mele o tsɔ naa atike la wɔa dɔ. Ʋuka siwo mesɔ o la gblẽna.

Nu vevitɔe nye be ele be woawɔ atikewɔwɔ siawo evea siaa le ŋkudɔdala bibi aɖe ƒe dzikpɔkpɔ te.

Nukae etsɔme ahe vɛ na amesiwo ŋu POHS le? (Metsonu)

Ŋkuwo ƒe histoplasmosis dada ate ŋu axe mɔ ɖe ŋku ƒe nukpɔkpɔ bubu nu. Ema nye nu nyui aɖe. Ke hã, ate ŋu adzɔ be ame aɖewo magate ŋu akpɔ nu siwo nɔ wo si tsã la ake bliboe o.

Ðe POHS ate ŋu akpɔ ŋusẽ ɖe etsɔme lãmesẽ dzia?

Ẽ, le atikewɔwɔ dzidzedzetɔe megbe gɔ̃ hã la, POHS ƒe dzesiwo ate ŋu agadze. Gake ne wogadzɔ ake la, ɖewohĩ womasẽ abe tsã ene o. Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ koŋue le afɔku me be woagadze dɔ sia ƒomevi ake.

Aleke nàwɔ akpɔ ɖokuiwò ta tso POHS me?

Míete ŋu kpɔa lãvi (Histoplasma capsulatum) ne ele yame o. Eyata esesẽna ŋutɔ be nàƒo asa na gbɔgbɔ ɖe eme Gake ne èle afɔku gã aɖe me be nàxɔ histoplasmosis la, anyo wu be nànɔ adzɔge tso nu aɖewo gbɔ.

Ƒo asa na nu siawo:

• Tsaɖiɖi yi teƒewo abe agadowo ene.Elabena ate ŋu anye be ʋetsuviwo anɔ afima, eye ya boo aɖeke megena ɖe eme o.
• Koklozixɔa me yiyi kple eƒe xɔxlɔ̃.
• Dɔwɔwɔ kple anyigba si me xeviwo alo ʋetsuviwo ƒe aɖu ate ŋu anɔ.

Nukae magate ŋu awɔ be manɔ dedie?

Ne lãvi `(Histoplasma capsulatum)` ge ɖe wò lãkusi me la, ate ŋu asesẽ be nàxe mɔ nɛ be wòagakaka ɖe wò ŋkuwo me o. Nu nyuitɔ si nàwɔe nye be nàdo wò ŋkuwo kpɔ edziedzi. To mɔ sia dzi la, ne kuxi aɖe le wò ŋkuwo ŋu la, àte ŋu ade dzesii le gɔmedzedzea me.

Aleke wòle be woanɔ agbe kple POHS?

Ne ŋku ƒe kuxi siwo yia edzi le ŋuwò la, àte ŋu axɔ kpekpeɖeŋu tso dɔwɔƒe aɖe si woyɔna be ŋkuléle ɖe nu ŋu ƒe ɖɔɖɔɖo . Atikewɔla afia mɔ siwo dzi nàto awɔ gbesiagbedɔwo dedie wò. Le kpɔɖeŋu me, woate ŋu aɖo aɖaŋu na wò le alesi nàɖe afɔku si ate ŋu adze anyi alo adze anyi le aƒeme dzi akpɔtɔ ŋu.

Ðo ŋku edzi abe kpukpui ene (Take-Home Message) .

Enyo, eyata mele mɔ kpɔm be àte ŋu aɖo ŋku nya vevi aɖewo dzi tso nusiwo ŋu míeƒo nu tsoe me.

• POHS nye nɔnɔme si tsoa fungus si woyɔna be `(Histoplasma capsulatum)` si gblẽa nu le ŋkuwo ŋu gbɔ.
• Fungus sia bɔ ɖe anyigba si dzi xeviwo kple ʋetsuviwo ƒe aɖuɖɔ sɔ gbɔ ɖo wu dzi .
• Afɔku gã aɖe le ŋuwò ne èle dɔ wɔm le kokloziwo ƒe xɔwo me, nèwɔa dɔ kple anyigba, zãa atama, alo dɔlélenutsiŋutete gbɔdzɔ .
• Ne èkpɔ dzesiwo abe ŋku ƒe nukpɔkpɔ nyuie, teƒe yibɔwo kpɔkpɔ, alo fli dzɔdzɔewo kpɔkpɔ , yi ŋkudɔdala gbɔ enumake.
• Ne wodae ɖe game dzi la, woate ŋu axe mɔ na nukpɔkpɔ be wòagagblẽ ɖe edzi o.
• Togbɔ be esesẽna be nàkpɔ ɖokuiwò ta keŋkeŋ tso POHS me hã la, ele vevie ŋutɔ be nàƒo asa na nɔnɔme siwo me afɔku le eye woado wò ŋkuwo kpɔ edziedzi.

Eyata, lé be na wò ŋkuwo. Elabena, ŋkuwoe nye nunɔamesi xɔasitɔ kekeake si le mía si!

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` histoplasmosis, POHS, ŋkudɔ, fungi dɔlékuiwo, ŋku ƒe dɔmawɔmawɔ nyuie, choroidal neovascularization, ŋku ƒe lãmesẽ