Ðe wò kɔ vuvu abe ƒuƒu enea? Mina míasrɔ̃ nu tso scrofula ŋu!

Ède dzesii kpɔ be ƒuƒu sue aɖe le ame aɖewo ƒe kɔ ƒe axa ɖeka? Ɣeaɖewoɣi la, ate ŋu alolo, abe ƒuƒu gbogbo aɖewo siwo lé ɖe wo nɔewo ŋu ene. Zi geɖe la, vevesese aɖeke menɔa eŋu o, alo vevesese sue aɖe koe nɔa eme. Ɣeaɖewoɣi la, ate ŋu anye aɖabɛ alo amadede ɖeka kple ŋutigbalẽa gɔ̃ hã. Emae nye nɔnɔme si ŋu míele nu ƒom tsoe egbea, eye eyae nye scrofula.

Nukae nye Scrofula? Kpuie ko la,...

Kpuie ko la, scrofula nye ne ʋuka siwo le wò kɔ me, siwo míeyɔna be nodes , vuvu le dɔlékui aɖe ƒe dɔléle ta. Nusi dzɔnae nye be lãkusi ɖeka alo esi wu nenema ƒoa ƒu wɔa nu gã aɖe si le gbadzaa le wò kɔ me.

Tsã la, woyɔnɛ be "fia ƒe vɔ̃ɖinyenye" ​​elabena amewo susuna be fia ate ŋu adae. Gake fifia ɖɔktawo yɔe be mycobacterial cervical lymphadenitis . Ŋkɔ didi aɖe vie, alo? Gake nenema tututue woyɔna be nɔnɔme sia.

Le nyateƒe me la, Scrofula nye Yɔmekpe ƒomevi aɖe . Ke hã, menye lãkusiwo me koe wòku ɖo o, ke egblẽa nu le lãkusi siwo le kɔ me hã ŋu.

Aleke gbegbee scrofula bɔe?

Ne míagblɔe tututu la, scrofula nye dɔléle si mebɔ kura o . Ame siwo ɖea yɔmekpe ƒe dzesiwo fiana la dometɔ siwo ade 5% koe wokpɔna be scrofula le wo ŋu. Eyata mèsea nu tso eŋu zi geɖe o.

Nukae nye Scrofula ƒe dzesiwo?

Le ame geɖe gome la, scrofula ƒe dzesi vevitɔe nye ƒoƒoe le kɔ me, si ate ŋu ase le eɖokui me abe ƒunukpeƒetetedɔ le kɔ ƒe akpa ɖeka alo evea siaa ene. Gake ame aɖewo hã ate ŋu akpɔ dzesi siwo bɔ ɖe dɔlékui ƒe dɔléle aɖe gbɔ, abe:

• Asrã.
• Fifia le zã me.
• Lolo dzi ɖeɖe kpɔtɔ le manyamanya me.
• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi. (Ɖeɖiteameŋu)

Bu eŋu kpɔ be gbeɖeka la, Nilanthi Akka va xɔ ƒuƒu sue aɖe ɖe eƒe kɔ dzi. Gbã la, esusu be esɔ. Gake le ɣeyiɣi aɖe megbe la, eva lolo ɖe edzi, eye wòte dzoxɔxɔ xɔxɔ le zã me. Ɣemaɣie wòyi ɖɔkta gbɔ.

Nukae hea scrofula vɛ?

Nusi koŋ gbɔ scrofula tsona le ame tsitsiwo ŋue nye dɔlékui aɖe si woyɔna be Mycobacterium tuberculosis . Esiae nye dɔlékui si hea yɔmekpe (TB) vɛ. Ne ègbɔ dɔlékui sia la, egena ɖe wò lãkusi me eye wòzɔa mɔ yia lãkusi siwo le wò kɔ me gbɔ, si hea nɔnɔmea vɛ.

Gake Mycobacterium dɔlékui ƒomevi bubuwo hã ate ŋu ahe scrofula vɛ na ɖevi suewo, eyata nusi gbɔ wòtso ate ŋu ato vovo vie le ɖeviwo gome.

Amekae le afɔku me wu le esia ta?

Afɔku vevitɔ si ate ŋu ana woaxɔ scrofula enye agbenɔnɔ kple HIV, elabena HIV gbɔdzɔa ŋutilã ƒe dɔlélenutsiŋutete.

Kpeɖe eŋu la:

• Nunyuimakpɔɖui
• Nɔnɔme bubu siwo nana wò dɔlélenutsiŋutete gbɔdzɔna (le kpɔɖeŋu me, dɔlélenutsiŋutete ƒe atikewo zazã, dɔlélenutsiŋutete ƒe dɔléle aɖewo ƒe amesinɔnɔ, alo kansa aɖewo ƒe amesinɔnɔ) ate ŋu ana afɔku sia nadzi ɖe edzi.

Kpuie ko la, ne wò ŋutilã ƒe ŋutete be wòawɔ avu kple dɔléle dzi ɖe kpɔtɔ la, anɔ eme be dɔlékui siawo ƒomevi ate ŋu axɔ wò bɔbɔe.

Nukawoe nye kuxi siwo ate ŋu ado tso scrofula me?

Ɣeaɖewoɣi la, ʋuʋudedi si scrofula hena vɛ ate ŋu agbã eye wòaɖe ʋuʋudedi. Esia ate ŋu ana be sinus , alo mɔ̃ aɖe nado le wò ŋutigbalẽ me. Nuveviwɔame sia ate ŋu ana abi hã nadze ame dzi . Ðewohĩ abi si le eŋu la anɔ anyi ɖaa.

Aleke woawɔ anya scrofula ƒe dɔlélea?

Esi wònye be nu bubu geɖe li siwo ate ŋu ana kɔ ƒe lãkusiwo navuvu ta la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe alo aɖo aɖaŋu na wò be nànya ne scrofula le ŋuwò. Esiawoe nye esiwo wowɔna zi geɖe:

• Biopsy: Le dodokpɔ sia me la , ɖɔktaa zãa aŋe tsɔ ɖea ƒu alo lãkusi aɖe ɖa. Emegbe wodea agble ɖe kpɔɖeŋua ŋu be woakpɔe ɖa be mycobacteria le eme hã, eye wozãa ɖi tɔxɛ aɖe tsɔ dia dɔlékuiawo.
• Ʋudodokpɔ: Woate ŋu axɔ wò ʋu aɖe atsɔ akpɔe ɖa be mycobacteria kple dɔlékui bubuwo le ŋuwò hã.
• Nɔnɔmetatawo dodokpɔ: Wò ɖɔkta ate ŋu awɔ akɔta ƒe X-ray , CT scan , alo ultrasound scan be wòakpɔ wò lãkusi alo kɔ ƒe nɔnɔmetata siwo me kɔ.
• Yɔmekpe dodokpɔwo: PPD ŋutigbalẽ dodokpɔ alo ʋudodokpɔ ate ŋu anya ne yɔmekpe le ŋuwò.
• Acid-fast bacilli dodokpɔ: Esia bia be woaɖe lãkusi alo ʋuʋudedi ƒe kpɔɖeŋu aɖe tso wò lãkusi me eye nàdi mycobacteria.

Wowɔa dodokpɔ siawo katã tsɔ ɖoa ​​kpe dɔlélea ƒe nɔnɔme tututu dzi.

Aleke wowɔa atike na scrofula?

Ðɔktawo tsɔa dɔlékuiwutike siwo sɔ na mycobacterial dɔlékuiwo koŋ daa scrofula.(Le kpɔɖeŋu me, macrolide aɖe). Zi geɖe la , ahiã be nàno atike siawo ɣleti geɖe va ɖo ƒe ɖeka . Dɔlékuiwutike ƒomevi aɖewo siwo wonana na mycobacterial dɔlékuiwoe nye esi:

• Ethambutol si woyɔna be Ethambutol
• Isoniazid (INH) ƒe atike .
• Pyrazinamide ƒe atike
• Rifampin ƒe ŋkɔ
• Clarithromycin si nye atike si woyɔna be clarithromycin

Nu vevitɔe nye be nàno atike sia abe alesi tututu wò ɖɔkta gblɔe ene, le atikeawo ƒe ɣeyiɣi bliboa katã me. Ne èdzudzɔ enono le afã me la, dɔlélea ate ŋu atrɔ ava.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dɔ na wò be nàɖe aɖuɖɔ si me dɔlékuia le la ɖa. Woate ŋu akafu mɔnu aɖe si woyɔna be DOT (Directly Observed Therapy) hã . Esia bia be ame bubu si menye wò ƒomea me tɔ o nana atike la wò eye wòanɔ gbɔwò vaseɖe esime nànoe. To mɔ sia dzi la, mehiã be nàtsi dzi be yeƒe atikewo ato ye ŋu o.

Nukae mate ŋu akpɔ mɔ na ne scrofula le ŋunye?

Ne èno atike nyuitɔ , àte ŋu ahaya keŋkeŋ tso scrofula me. Gake abe alesi ɖɔktaa gblɔe ene la, ele vevie be woano atike la pɛpɛpɛ le atikewɔwɔ ƒe ɣeyiɣi bliboa me. Ðo ŋku edzi be esia ate ŋu axɔ tso ɣleti ʋɛ aɖewo va ɖo ƒe ɖeka. Abi siwo abiawo hena vɛ ate ŋu anɔ anyi ɖaa.

Ðe Scrofula wua amea?

Ƒã hafi scrofula wua ame ne wodae. Gake esesẽ be woagblɔ amesiwo kuna ƒe agbɔsɔsɔme tututu elabena zi geɖe la, ku ŋuti numekukuwo ku ɖe mycobacterial dɔlékui siwo le lãkusi me ŋu. Nusiwo dona tso eme ate ŋu ato vovo ŋutɔ.

Ðe woate ŋu axe mɔ ɖe scrofula nua?

Ẽ, vaseɖe afi aɖe. Àte ŋu aɖe scrofula xɔxɔ ƒe afɔkua dzi akpɔtɔ ne wodo yɔmekpe ƒe dɔléle ɣaɣla aɖe kpɔ hã . TB ɣaɣla nye nɔnɔme si me mèɖea dzesi aɖeke fiana o, gake ate ŋu akaka ɖe wò ŋutilã ƒe akpa bubuwo eye wòahe dɔlékui abe scrofula ene vɛ. Ne èkpɔ be yɔmekpe dɔlékui le ye ŋu la, àte ŋu axɔ atike hafi wòakaka.

Àte ŋu axɔ Bacillus Calmette-Guérin (BCG) ƒe atike na yɔmekpe hã, gake zi geɖe la, teƒe siwo yɔmekpe bɔ ɖo koe wonaa BCG ƒe atike.

Aleke malé be na ɖokuinye?

Nu nyuitɔ si nàte ŋu awɔe nye be nànɔ kadodo kplikplikpli me kple wò ɖɔkta eye nàno wò atikewo abe alesi wogblɔe ene pɛpɛpɛ.Togbɔ be yɔmekpe (TB) alo mycobacteria dɔlékui si menye yɔmekpe o le ŋuwò hã la, àte ŋu akpe asi ɖe dɔlékuiawo ƒe kaka nu hã to wò kadodo kple ame bubuwo dzi ɖeɖe kpɔtɔ me.

Nya kawoe wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Aleke wòle be mano atike lae?
• Nukae mawɔ ne atike ƒe agbɔsɔsɔme aɖe to ŋunye?
• Ɣeyiɣi didi kae wòahiã be mawɔ atike nam?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?
• Dzesi yeye alo esiwo le gbegblẽm ɖe edzi kawo ŋue wòle be malé ŋku ɖo?
• Ɣekaɣie magava kpɔ wò ake?

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Scrofula nye dɔléle si mebɔ o gake zi geɖe la, woate ŋu adae. Atikewɔwɔ ateŋu axɔ ɣeyiɣi aɖe – ateŋu ahiã be nàgbɔ dzi ɖi hena ɣeyiɣi aɖe vaseɖe esime nàhaya. Kpɔ wò ɖɔkta edziedzi, vevietɔ ne dɔléle aɖe si le ŋuwò abe HIV ene le ŋuwò. Wò ɖɔkta ate ŋu alé ŋku ɖe wò ŋgɔyiyi ŋu, atrɔ asi le wò atikewo ŋu ne ehiã, eye wòakpɔ kuxi ɖesiaɖe si ado mo ɖa le atikewɔwɔ me gbɔ. Eyata mègatsi dzodzodzoe o, xɔ atike si nèhiã, eye nàdze agbagba anɔ lãmesẽ me!

` Scrofula, kɔ me ʋukawo, erysipelas, yɔmekpe, mycobacteria, dɔlékuiwo ƒe dɔléle, ʋukawo