Ènya nu tso fungi ƒe dɔlékui sia si me afɔku le ŋua? (Mucormycosis) Mina míaƒo nu!

Èse ‘fungus yibɔ’ sia ŋkɔ kpɔa? Ðewohĩ èsee le nyadzɔdzɔgbalẽ me alo le television dzi nyadzɔdzɔwo me. Le nyateƒe me la, enye dɔléle dziŋɔ aɖe si ate ŋu anye dɔléle sesẽ aɖe. Egbea, mina míaƒo nu tso fungi ƒe dɔlékui sia si woyɔna le atikewɔwɔ me be Mucormycosis ŋu le nya bɔbɔewo me.

Nukae nye Mucormycosis?

Kpuie ko la, Mucormycosis nye fungi ƒe dɔléle si nu sẽ ŋutɔ . Fungiwo ƒe ƒuƒoƒo aɖe si woyɔna be mucormycetes gbɔe wòtsona. Fungi siawo ate ŋu akpɔ ŋusẽ ɖe míaƒe ŋutilã ƒe akpa vovovo geɖe dzi. Le kpɔɖeŋu me, ate ŋu agblẽ nu le wò ŋkuwo, tsinyegoewo (teƒe siwo le wò ŋgonu kple ŋgonu), ahɔhɔ̃, lãkusi, dɔgbo kple dɔgbo (dɔgbome), alo ŋutigbalẽ ŋu.

Le go sia me la, dzesiawo toa vovo le wò ŋutilã ƒe akpa si ŋu lãvi la gblẽ nu le nu. Woyɔa esia ɣeaɖewoɣi be zygomycosis.

Azɔ bu eŋu kpɔ, fungi siawo siwo woyɔna be mucomycetes la nɔa nuto si ƒo xlã mí me, vevietɔ le anyigba, gbeɖuɖɔ, aŋgba ƒe gbeɖuɖɔ siwo le gbegblẽm, kple atikutsetsewo me. Gake nukutɔe la, mía dometɔ akpa gãtɔ medzea dɔ le fungi siawo ta o. Gake amesiwo ŋu suklidɔ le, kansa ƒomevi aɖewo, alo nɔnɔme bubu siwo nana dɔlélenutsiŋutete gbɔdzɔ la le afɔku gã aɖe me be woaxɔ mucomycosis.

Nu vevitɔ kekeakee nye be mucormycosis nye dɔléle si ate ŋu awu ame zi geɖe . Eyata ne dzesi siawo le ŋuwò la, ele be nàyi kɔdzi godoo alo nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nukawoe nye Mucormycosis ƒomevi veviwo?

Mucormycosis ƒomevi vevi geɖewo li. Woawoe nye:

• Ƒomevi si gblẽa nu le ŋɔti, ŋku, kple ahɔhɔ̃ ŋu (Rhino-orbital-cerebral alo Rhinocerebral mucormycosis) .
• Aklã me ʋumenugbagbeviɣidɔ
• Lãmetsiŋusẽ si nye mucormycosis
• Ƒomevi si gblẽa nu le nuɖuɖumeŋusẽ ŋu (Gastrointestinal mucormycosis) .
• Mucormycosis si kaka ɖe teƒeteƒewo

Nukae nye dɔléle sia ƒe dzesiwo?

Mucormycosis ƒe dzesiwo nɔ te ɖe wò ŋutilã ƒe akpa si ŋu dɔlélea le dzi. Àte ŋu akpɔ dzesiwo le wò ŋɔti, lãkusi, nuɖuɖumeŋusẽ, wò ŋkuwo ŋu, alo wò ŋutigbalẽ ŋu.

Ƒomevi si gblẽa nu le ŋɔti, ŋku, kple ahɔhɔ̃ ŋu (Rhino-orbital-cerebral Mucormycosis) .

Esiae nye mucormycosis ƒomevi si bɔ wu . Le go sia me la, lãvi la xɔa wò lãkusiwo gbã eye ate ŋu akaka ɖe ɣletinyigba kple ahɔhɔ̃a me. Ebɔ vevietɔ le amesiwo ŋu suklidɔ sesẽ si dzi womate ŋu aɖu o le (le kpɔɖeŋu me, A1C si wu 8% togbɔ be wowɔ atike nɛ edziedzi wu ƒe ɖeka hã) kple amesiwo wodo ŋutinuwo na wo.

Dzesi sia ƒomevie nye:

• Asrã
• Taɖuame
• Sinus pain (vevesese le ŋgonu, ŋgonu) .
• No me ʋuʋu
• Abi alo abi siwo le nu me
• Nukpɔkpɔ ƒe bu alo nukpɔkpɔ eve
• Ŋkuwo tɔtrɔ kple alɔgbɔnukoko sesẽ (woyɔa esia be `cranial nerve palsy`) .
• Ŋku siwo do ɖe gota (proptosis) .
• Ŋkuwo ƒe vuvu ƒo xlãe
• Aɖatsi yibɔ alo ʋuʋudedi tso ŋkuwo me
• Tɔtɔ alo susu me tɔtrɔ bubuwo

Aklã me Ʋumenugbagbeviɣidɔ

Fungi ƒe dɔlékui sia si le lãkusiwo me ye nye ƒomevi evelia si bɔ wu. Ebɔ wu le:

• Ame siwo ŋu kansa siwo do ƒome kple ʋu (e.g., ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, alo myeloma), vevietɔ amesiwo ƒe ʋumenugbagbevi ɣi aɖewo mesɔ gbɔ o (neutropenia) .
• Le amesiwo wodo ƒumeŋuɖui na gome
• Le amesiwo wodo ŋutinu sesẽwo na gome

Dzesi sia ƒomevi:

• Asrã
• Akɔtave
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Ʋu ƒe kɔdzidede (heoptysis) .

Lãmetsiŋusẽ si woyɔna be Mucormycosis

Dɔlékui sia ƒomevi dzɔna ne lãvi aɖe ge ɖe wò ŋutigbalẽ me to lãɖeɖe alo ʋuʋudedi me. Tsɔe be abi sue aɖe le ŋuwò eye nane abe ɖiƒoƒo ene ge ɖe abi la dzi. Esia ate ŋu ana lãvi sia nage ɖe eme. Nukutɔe la, esia ƒomevi bɔ ɖe amesiwo ƒe dɔlélenutsiŋutete le lãmesẽ me hã me.

Ŋutilã ƒe dzesiwo:

• Aɖuɖɔtoe, abi, alo ƒu sesẽ siwo le veve sem le ŋutigbalẽa ŋu
• Ŋutilã ƒe biã, amadede ƒe tɔtrɔ, alo vuvu

Ŋutilã ƒe tɔtrɔ siawo va gblẽna ɖe edzi le ɣeyiɣi aɖe megbe. Wotrɔna yia, wokakana ɖe teƒe gãwo, eye ɣeaɖewoɣi wote ŋu kekena yia lãmekawo alo ƒuwo me.

Ƒomevi si gblẽa nu le nuɖuɖumeŋusẽ ŋu (Gastrointestinal Mucormycosis) .

Esia nye dɔlékui si le dɔgboa alo dɔgbowo me. Ebɔ ɖe vidzĩ siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo na wo me wu. Gake nyitsɔ laa la, edzi ɖe edzi le ame tsitsi siwo ƒe dɔlélenutsiŋutete mede o (neutropenia), amesiwo noa corticosteroid-tike siwo wozãna ɣeyiɣi didi, kple amesiwo ŋu dɔléle bubu siwo nana dɔlélenutsiŋutete gbɔdzɔna le hã me.

Dɔléle dzesi:

• Dɔgbo ƒe vevesese
• Aɖuɖɔtoe kple ʋuʋudedi
• Ʋu si dona le dɔgboa me

Mucormycosis si kaka

Le go sia me la, dɔlékuia kakana to ʋua me yia ŋutilã ƒe akpa vovovowo. Edzea ahɔhɔ̃a dzi zi geɖe, gake ate ŋu agblẽ nu le dzi, dɔgbo, alo ŋutigbalẽ hã ŋu. Esiae nye mucormycosis ƒomevi si nu sẽ wu eye wòwua ame wu. Wokpɔnɛ zi geɖe le:

• Ame siwo ŋu kansa siwo tso ʋu me le, vevietɔ amesiwo ŋu neutropenia le
• Ame siwo wodo ƒumeŋuɖui na
• Ame siwo wodo ŋutinu sesẽ aɖe na

Esi wònye be ƒomevi sia gblẽa nu le ŋutilã ƒe akpa geɖe ŋu ta la, ƒomevi bubu siwo míeyɔ ɖe etame ƒe dzesiwo hã ate ŋu adze, kpakple atikewɔwɔ me nɔnɔme ɖesiaɖe si ate ŋu anɔ ŋuwò ƒe dzesiwo.

Nukatae Mucormycosis dzɔna?

Fungi vovovowo gbɔe mucomycosis tsona. Wo dometɔ siwo bɔ wue nye Rhizopus oryzae kple Rhizopus delemar. (Esiawo nye fungi ƒomevi aɖewo koŋ.) Fungi siawo nɔa nutoa me - vevietɔ le anyigba, gbeɖuɖɔ, aŋgba ƒe gbeɖuɖɔ siwo le gbegblẽm kple atikutsetsewo me. Woate ŋu akpɔ wo le nuɖuɖu siwo womeklɔ nyuie o hã me. Mía dometɔ akpa gãtɔ medzea dɔ le fungi siawo gbɔgbɔ alo asikaka wo ŋu me o. Gake ne lãmesẽkuxi aɖewo le ŋuwò la, ɖewohĩ wò dɔlélenutsiŋutete mate ŋu awɔ avu kple dɔlékuia o.

Aleke esia va ɖo mía gbɔe?

Àte ŋu axɔ mucormycosis ne ègbɔ fungi siawo ƒe spores (fungus ƒe vidzidzi akpawo), nane si me wole ɖuɖu, alo nèna woto ɖiɖiɖeme le ŋutigbalẽa me me. Sporo siawo le sue ale gbegbe be míete ŋu kpɔa wo alo ƒoa asa na wo o.

Ƒã hafi woxɔe tso kɔdziwo, to atikewɔnu siwo me dɔlékuiwo le dzi, kple le dzɔdzɔmefɔkuwo megbe. Le kpɔɖeŋu me, ahom sesẽwo ate ŋu aʋuʋu anyigba gbogbo aɖe eye wòana lãviawo nado ɖe yame.

Ðe esia xɔa ame me yi ame bubu gbɔa?

Ao , mekakana tso ame ɖeka me yia ame bubu me o. Nutoa me koe nàte ŋu akpɔ lãvi sia tsoe.

Amekawoe le afɔku gã me be woaxɔ mucormycosis?

Amesiwo ŋu suklidɔ le kple atikewɔwɔ me nɔnɔme aɖewo siwo nana dɔlélenutsiŋutete gbɔdzɔna lae le afɔku gãtɔ me be woaxɔ dɔléle sia. Azɔ hã, ne iron sɔ gbɔ ɖe ŋutilãa me akpa ate ŋu awɔ akpa aɖe le esia me. Nusiwo ate ŋu ahe afɔku vɛ dometɔ aɖewoe nye:

• Suklidɔ, vevietɔ le nɔnɔmewo abe suklidɔ kple ketoacidosis ene me.
• Esi wodo ŋutinu sesẽ aɖe na wo ta.
• Esi wodo ʋumenugbagbeviɣidɔ na ame (ƒumeŋuɖui dodo na ame) ta.
• Neutropenia nye ʋumenugbagbevi ɣi siwo woyɔna be neutrophils ƒe ɖiɖi.
• Kansa, vevietɔ ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, alo ʋumenugbagbeviɣidɔ.
• Corticosteroid-tikewo zazã ɣeyiɣi didi.
• Atikewo dodo ɖe lãme na ame atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee.
• Nɔnɔme aɖe si woyɔna be hemochromatosis (si dzia iron ƒe agbɔsɔsɔ ɖe ŋutilã me ɖe edzi - `iron overload`).
• Dzobibi alo abi sesẽ siwo xɔa ŋutigbalẽ si na ɖiƒoƒo kple dɔlékuiwo gena ɖe abi la me.
• Vidzidzi kaba alo vidzidzi ƒe kpekpeme sue.

Kpuie ko la, ne wò ŋutilã ƒe dɔlélenutsiŋutete (dɔlélenutsiŋutete) gbɔdzɔ la, anɔ eme be esia adze dziwò.

Nukawoe nye kuxi siwo ate ŋu ado tso dɔléle sia me?

Mucormycosis ate ŋu ahe kuxi sesẽwo kple esiwo ate ŋu ade ame ƒe agbe afɔku me vɛ, siwo dometɔ aɖewoe nye:

• Cavernous sinus thrombosis: Esia nye ʋu ƒe sisi si dzɔna le wò sinus ƒe dowo me. Ate ŋu awu ame.
• Necrotizing fasciitis ƒe dɔléle si nye necrotizing fasciitis:Esia nye dɔlékui ƒe dɔléle sesẽ aɖe si kaka kabakaba (si woyɔna hã be "dɔlékui siwo ɖua ŋutilã"). Ate ŋu awu ame.
• Ƒumeŋuɖui: Esia nye dɔlékui si le wò ƒuwo ŋu. Woate ŋu atsrɔ̃ ƒuawo.

Esiawo nye nɔnɔme siwo me afɔku le ŋutɔŋutɔ, si tae wòle vevie be woawɔ atike na ame kaba ɖo.

Aleke nèwɔna dea dzesi dɔléle sia pɛpɛpɛ? (Dɔléle ƒe dzesi) .

Ðɔkta ate ŋu asusu be mucormycosis le ŋuwò le wò dzesiwo kple atikewɔwɔ me nɔnɔme bubu siwo le ŋuwò ta. Be woaɖo kpe esia dzi la, woaɖe foto (nɔnɔmetata) na ŋutilã ƒe akpa siwo ŋu dɔlélea le eye woado wò ŋutilã ƒe lãkusiwo kpɔ be fungiwo le wo me hã.

Dodokpɔ siwo woawɔ na esia:

• Nɔnɔmetatawo ɖeɖe: Woate ŋu awɔ akɔta ƒe X-ray, CT scan (computed tomography scans), alo MRI (magnetic resonance imaging) scan.
• Endobronchial ultrasound: Esia nye aɖuɖɔtoe me dodokpɔ ƒomevi aɖe. Esia fia be wozãa ultrasound-mɔ̃ aɖe si wotsɔ bla ɖe mɔ̃ tsɛ aɖe si me akaɖi le ŋu tsɔ ɖea foto siwo le lãkusia me.
• Lãmetsiŋusẽ ƒe dɔwɔwɔ: Ðɔkta ate ŋu alé ŋku ɖe wò lãkusi ŋu le nusuekpɔmɔ̃ me alo to dodokpɔ siwo wowɔna le dodokpɔxɔ me dzi akpɔe ɖa be mucormycosis fungiwo le eme hã.

Aleke wodaa Mucormycosis ƒe dɔléleae?

Ðɔktawo tsɔa atike siwo wua fungi daa dɔ na mucormycosis. Ðewohĩ ahiã hã be woawɔ dɔ na wo be woaɖe lãmenugbagbevi siwo ŋu dɔlékui le alo esiwo ku la ɖa. Atike siwo wozãna tsɔ wua fungi siwo wozãna na esiae nye:

• Amphotericin B. ƒe dɔlékuiwo
• Posaconazole `(Posaconazole)`
• Isavuconazole ƒe atike

Ahiã be nàno dɔlékuiwutike sia kwasiɖa geɖe, ɖewohĩ ɣleti geɖe.

Ðe woate ŋu ada dɔléle sia keŋkeŋua?

Ẽ, anya wɔ. Gake ehiã be woadae kaba. Ne wohe atikewɔwɔ ɖe megbe ŋkeke ʋɛ aɖewo gɔ̃ hã la, ate ŋu aɖe agbetsitsi ƒe mɔnukpɔkpɔa dzi akpɔtɔ ŋutɔ. Ne wodze atikewɔwɔ gɔme kaba hã la, ate ŋu asesẽ be woadae.

Atikewɔwɔ kabakabae nye mɔnukpɔkpɔ nyuitɔ kekeake si ana woaɖe ame ƒe agbe!

Nukae nye ame siwo kuna le Mucormycosis ta?

Esi wònye be edada sesẽ eye esi dɔlélenutsiŋutete gbɔdzɔ na ame geɖe siwo ŋu mucormycosis le ta la, ame siwo kuna la sɔ gbɔ ŋutɔ. Ku ƒe agbɔsɔsɔme le mucormycosis ƒomevi ɖesiaɖe me anɔ abe 54% ene. Mucormycosis si gblẽa nu le lãkusiwo ko ŋu la ƒe ku ƒe agbɔsɔsɔme ɖiɖi vie (anɔ abe 46%). Gake zi geɖe la, mucormycosis si kaka si kaka ɖe ŋutilã ƒe akpa bubuwo la wua ame.

Esia nye nya vevi aɖe vie. Esi dɔléle sia dada sesẽ, eye esi wònye be dɔlélenutsiŋutete medea ame akpa gãtɔ siwo ŋu dɔlélea le o ta la, ame siwo kuna la sɔa gbɔ. Gake mègana mɔkpɔkpɔ o, mɔnukpɔkpɔ li be nàhaya ne wowɔ atike nɛ kaba.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dɔléle siawo dometɔ aɖe le ŋuwò la, bia ɖɔkta alesi nàwɔ axe mɔ ɖe fungi ƒe dɔlékuiwo nu kple alesi nàwɔ ade dzesii kaba:

• Ne suklidɔ alo kansa le ŋuwò.
• Ne wodo ŋutinuwo na wò alo wodo lãmenugbagbeviwo na wò kpɔ.
• Ne dɔléle aɖe le ŋuwò alo nèle atike siwo nana wò dɔlélenutsiŋutete gbɔdzɔna zãm.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Mucormycosis ate ŋu awu ame ne womedae kaba o. Ne mucormycosis ƒe dzesiwo le ŋuwò, vevietɔ ne dɔlélenutsiŋutete gbɔdzɔ alo suklidɔ le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake. Di beléle kpata ɣesiaɣi ne dzesi sesẽ siwo gbɔna dometɔ aɖe le ŋuwò:

• Asrã sesẽ (si wu Fahrenheit 103/Celsius 40).
• Yagbɔgbɔ sesẽ.
• Ʋu ƒe kɔdzidede.
• Ŋkuwo ƒe ʋuʋu alo vuvu ƒo xlã ŋkuwo.
• Nukpɔkpɔ trɔna, abe nukpɔkpɔ eve ene.
• Tɔtɔ alo susu me tɔtrɔ bubuwo.
• Ʋuʋudedi.
• Mucus yibɔ alo aɖatsiwo.
• Abi si mehaya o, yi edzi le kakam, alo trɔ zu yibɔ.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi kɔdzi kaba!

Nya kawoe wòle be mabia nye ɖɔkta?

Anyo be nàbia nya siawo wò ɖɔkta:

• Ðe fungi ƒe dɔlékuiwo xɔxɔ le afɔku me wua?
• Nukae mate ŋu awɔ be nye afɔkua dzi naɖe akpɔtɔ?
• Dzesi kawoe wòle be malé ŋku ɖo eye ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo?
• Atikewɔwɔmɔnu kawoe le asinye?
• Nukae mate ŋu akpɔ mɔ na le dɔléle sia didi me?

Ðe mɔ aɖewo li siwo dzi woato axe mɔ ɖe Mucormycosis nua? (Mɔxexe ɖe enu) .

Fungi siwo hea mucormycosis vɛ la ƒo xlã mí katã, eyata esesẽna be míaƒo asa na wo keŋkeŋ. Gake afɔɖeɖe aɖewo siwo nàte ŋu aɖe atsɔ aɖe fungi ƒe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔe nye esi:

• Ne atikewɔwɔ me dɔléle aɖe le ŋuwò si na nèle afɔku me be nàxɔ fungi dɔlékui sesẽwo la, wɔ dɔ kple wò ɖɔkta be nàkpɔ egbɔ.
• Ne èle afɔku gã aɖe me be nàxɔ fungi ƒe dɔlékuiwo la, wò ɖɔkta ate ŋu aŋlɔ atike siwo wua fungi na wò be wòakpe ɖe ŋuwò be màgadze dɔ o.
• Ne wò dɔa na nèle afɔku me be fungiwo ate ŋu adze ŋuwò la, bia wò ɖɔkta nenye be dɔlékuiwo xɔxɔ ƒe afɔkua le ŋuwò wu.
• Ƒo asa na teƒe siwo ke le, abe xɔtuƒewo ene. Ne ele be nànɔ teƒe mawo tɔgbe godoo la, do ``N95`` mask (alo ametakpɔnu bubu) si kpena ɖe ŋuwò nèɖea fungi spores ɖa le ya si nègbɔna me.
• Ƒo asa na nuwɔna siwo ate ŋu ana nàkpɔ fungi ƒe lãmenugbagbeviwo, abe abɔdzikpɔkpɔ kple tomenukuku ene. Do asigɛwo kple awu siwo atsyɔ ŋutigbalẽ dzi alesi nàte ŋui ne èle dɔ wɔm le gota.
• Klɔ nusiwo wotso kple esiwo woƒo nyuie kple adzalẽ kple tsi.

Ðe COVID-19 dzia Mucormycosis ƒe afɔkua ɖe edzia?

Le ƒe 2021 me la, mucormycosis dɔlélewo dzi ɖe edzi le amesiwo ŋu COVID-19 le dome. Gake eŋutinunyalawo meka ɖe nusi tututu kadodoa nye dzi o. Womeka ɖe edzi hã be COVID-19 ƒe amedzidzedze ŋutɔ sɔ gbɔ be wòana afɔkua nadzi ɖe edzi o, elabena:

• Woka nya ta tso dɔléle akpa gãtɔ ŋu tso xexeame ƒe nuto siwo me mucormycosis bɔ ɖo me. Le COVID-19 dɔvɔ̃a me la, COVID-19 mexɔ ame abe 1 le 3 ɖesiaɖe me si ŋu mucormycosis le le nuto siawo me o.
• Le dɔvɔ̃a me la, wogblɔ COVID-19 kple mucormycosis siaa ƒe dɔléle geɖewo le xexeame ƒe akpa bubuwo (afisi mucormycosis mebɔ ɖo zi geɖe o), gake fungi dɔlékuia ƒe dɔvɔ̃ aɖeke medze le nuto siwo me mucormycosis mebɔ ɖo zi geɖe o.
• Ame geɖe siwo ŋu mucormycosis kple COVID-19 siaa nɔ la ƒe suklidɔ mete ŋu ɖu wo dzi nyuie o alo wonɔ corticosteroid-tikewo zãm. Esiawo nye nusiwo ate ŋu ana woaxɔ mucormycosis.
• Ame geɖe siwo ŋu COVID-19 kple mucormycosis siaa nɔ la ƒe ƒomevi si gblẽa nu le ŋɔti, ŋku, kple ahɔhɔ̃ ŋu (rhino-orbital-cerebral mucormycosis) nɔ wo ŋu – menye lãkusidɔléle si bɔ si nàkpɔ mɔ na o. Esia hã ɖee fia be nɔnɔme bubu siwo le ete, menye COVID-19 ɖeɖeko o, ye nana dɔléle sia dzea ame dzi.

Eyata, esesẽ be woagblɔ enumake be Covid-19 gbɔe esia tso. Nu bubuwo ate ŋu anɔ anyi siwo gbɔ wòtso.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Mucormycosis nye dɔléle si mebɔ o . Edzea ame abe ame ɖeka alo eve ene le miliɔn ɖeka me ƒe sia ƒe. Gake ne lãmesẽkuxi aɖewo le ŋuwò si na wò dɔlélenutsiŋutete gbɔdzɔ la, ke èle afɔku gã aɖe me. Ele be amesiwo ŋu suklidɔ le eye A1C sɔ gbɔ la naɖɔ ŋu ɖo vevietɔ.

Wò lãmesẽnyawo gbɔ kpɔkpɔe nye mɔ nyuitɔ si dzi nàto anɔ lãmesẽ me. Gake ƒo nu kple wò ɖɔkta tso mɔ bubu siwo dzi nàto aɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ ŋu. Ate ŋu adzro nu ɖesiaɖe si ŋu nètsi dzi ɖo me eye wòagblɔ dzesi siwo ŋu wòle be nàlé ŋku ɖo na wò.

Esia menye dɔléle si dzea amesiame dzi o. Gake ne dɔléle aɖe si nana wò dɔlélenutsiŋutete gbɔdzɔna, abe suklidɔ ene, le ŋuwò la, kpɔ nyuie ŋutɔ. Nu vevitɔe nye be ne mucormycosis ƒe dzesiwo le ŋuwò la, yi kɔdzi si te ɖe ŋuwò ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le me enumake. Elabena atikewɔwɔ kabakaba ate ŋu axɔ amewo ɖe agbe!

` mucormycosis, lãvi yibɔ, fungi ƒe dɔléle, suklidɔ, dɔlélenutsiŋutete, sinus, lãkusi, ŋutigbalẽ, ahɔhɔ̃, fungus