Nukae nye ‘Bali me Dzoxɔxɔ’? Mɔzɔlawo, minɔ ŋudzɔ!

Ðe nèyi United States, vevietɔ United States ƒe dzigbeɣetoɖoƒe, alo Titina alo Anyiehe Amerika kpɔa? Alo ɖe nèle ɖoɖo wɔm be yeayi dukɔ sia tɔgbe mea? Ekema ele vevie ŋutɔ be nànya nya si gblɔ ge magblɔ. Tsɔe be asrã, kɔdzi, kple ŋutilã le vevem ŋkeke ʋɛ aɖewo. Ðewohĩ àsusu be esia nye dzamezã si bɔ. Gake ne èyi teƒe mawo kpɔ la, ate ŋu adzɔ be esia nye fungi ƒe dɔléle si woyɔna be ‘valley fever’ alo Valley Fever . Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nuka tututue nye ‘Bali me Dzoxɔxɔ’?

Kpuie ko la, Valley Fever nye fungi dɔlékui si gblẽa nu le wò lãkusi ŋu. Dɔlékui ƒomevi aɖe si woyɔna be Coccidioides (KOCK-SI-DE-OY-DIES) gbɔe wòtsona. Fungi sia nɔa anyigba me. Gake menye le Sri Lanka o. Wokpɔnɛ wu le United States ƒe dzigbeɣetoɖoƒekpawo (abe California kple Arizona ene), Washington nutome ƒe akpa aɖewo, kple Titina kple Anyiehe Amerika ƒe anyigba.

Eyata aleke esia gena ɖe míaƒe ŋutilã me? Bu eŋu abe ya sesẽ aɖe si le ƒoƒom ɖe mía gbɔ, si le ke ʋuʋum ene, alo ne wotsɔ tomekuku, xɔtutu, alo ya sesẽwo ʋuʋu anyigba le teƒe mawo la, lãvi sia ƒe ʋetsuvi suesuesue siwo le anyigba me la gena ɖe ya me. Ne míegbɔ ya ma la, lãvi mawo gena ɖe míaƒe lãkusi me eye wodzea tsitsi gɔme le afima. Aleae dɔlékui sia dzɔnae.

Nya nu tso dzesi siawo ŋu.

Zi geɖe la, lãvi sia meɖea dzesi aɖeke fiana ne ege ɖe ŋutilã me gɔ̃ hã o. Gake ne dzesiwo dze la, woɖi dzamezã ƒe dzesiwo ŋutɔ. Esia tae ame geɖe tɔtɔae ɖo.

Amekawoe le afɔku me wu?

Amesiame si gbɔ Coccidioides fungus la ate ŋu axɔ dɔlélea. Gake anɔ bɔbɔe be dzesi alo kuxi sesẽwo nadze ame aɖewo dzi.

• Ame siwo xɔ wu ƒe 60: Ne èle tsitsim la, dɔlélenutsiŋutete ate ŋu awɔ dɔ vie.
• Vidada siwo fɔ fu: Vevietɔ na vidada siwo le fufɔfɔ ƒe ɣleti etɔ̃lia me.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Amesiwo ŋu dɔlélewo abe HIV/AIDS ene le, amesiwo le kansa dam, alo amesiwo noa atike siwo tea dɔlélenutsiŋutete ɖe to abe dɔlélenutsiŋutete ene la le afɔku me wu.
• Ame siwo ŋu suklidɔ le.
• Ame siwo tso to aɖewo me: Numekukuwo ɖee fia be ameyibɔwo kple Filipinotɔwo le afɔku gã aɖe me be woaxɔ dɔléle sia.
• Ame siwo wɔa dɔ kple ke: Ame siwo wɔa dɔ le teƒe siwo ke le, abe blematomenukulawo kple xɔtudɔwɔlawo ene, ate ŋu adze wo dzi wu.

Ðe esia ate ŋu anye nu vevi aɖea? Nukawoe nye kuxi siwo dona tso eme?

Ame akpa gãtɔ (anɔ abe 90-95 le 100 ɖesiaɖe me) siwo xɔ Valley Fever la mexɔa dɔléle sesẽ o eye wohayana le wo ɖokui si le kwasiɖa alo ɣleti ʋɛ aɖewo me. Gake ame ʋɛ aɖewo ŋutɔ ate ŋu adze kuxiwo gɔme.

• Aɖuɖɔtoedɔléle si nɔa anyi didi: Le ame aɖewo gome la, dɔlékui sia ate ŋu anɔ lãkusi me. Esia ate ŋu ahe dzesiwo abe kɔdzidede atraɖii, akɔtave, kple lolo dzi ɖeɖe kpɔtɔ vɛ.
• Aklãdɔ: Aɖuɖɔtoedɔléle sesẽ aɖe ate ŋu adzɔ.
• Coccidioidomycosis si kaka: Esiae nye kuxi si me afɔku le wu. Le go sia me la, lãvi la ate ŋu ado le lãkusiwo me akaka to ʋukawo me ayi ŋutilã ƒe akpa bubuwo abe ƒuwo, ƒunukpeƒewo, ŋutigbalẽ, kple ahɔhɔ̃ ene .

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èyi nuto aɖe si me Valley Fever bɔ ɖo eye dzesi siwo ɖi dzamezã le ŋuwò wu kwasiɖa ɖeka la, ele vevie be nàgblɔe na wò ɖɔkta. Wò mɔzɔzɔ ŋutinya le vevie ŋutɔ le dɔléle sia didi me.

Ðɔktaa ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:

• Ʋudodokpɔ: Esiae nye mɔnu si wozãna wu. Edia dɔlékuiwutike siwo wò ŋutilã wɔna ɖe Coccidioides fungus ŋu alo dia fungus (antigens) ƒe akpa aɖewo le wò ʋu me.
• Akɔta ƒe X-ray alo CT scan: Be woakpɔe ɖa be dɔlékui ƒe dzesiwo le lãkusiwo me hã.
• Biopsy: Ƒã ŋutɔ la, woɖea lãkusi sue aɖe tso ŋutigbalẽ alo lãkusi me hedoa wo kpɔ le nusuekpɔmɔ̃ me be woakpɔe ɖa be lãvi la le eme hã.

Aleke wowɔa atike nɛ?

Alesi dɔlélea nu sẽe ye fiaa atikewɔwɔ.

• Ame akpa gãtɔ mehiã atikewɔwɔ o: Ne wò dzesiwo mesẽ o la, wò ŋutilã ƒe dɔlélenutsiŋutete ate ŋu aɖu dɔlékuia dzi le eɖokui si. Wò ɖɔkta agblɔ na wò be nàɖi ɖe eme ahalé ŋku ɖe wò dzesiwo ŋu.
• Atike siwo wua fungi: Ne dɔlékuia nu sẽ, le kakam, alo ne afɔku bubuwo le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atike siwo wua fungi na wò. Esiawo ate ŋu anye atikekuiwo abe Fluconazole, Itraconazole, alo, le nɔnɔme siwo nu sẽ wu me la, atike siwo wodona ɖe ʋuka me abe Amphotericin B ene.

Zi geɖe la, atikewɔwɔ sia xɔa ɣleti 3 va ɖo 6 alo esi wu nenema gɔ̃ hã.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake?

Ne wokpɔe be Valley Fever le ŋuwò la, yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) si te ɖe ŋuwò enumake ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò. Esiawo ate ŋu anye dzesi siwo fia be dɔlékuia le kakam.

• Ʋu le aɖuɖɔ me
• Kɔ ƒe sesẽ kple taɖuame sesẽ
• Yagbɔgbɔ sesẽna vevie
• Tɔtrɔ kpata le nukpɔkpɔ alo nusese me

Aleke nàwɔ akpɔ ɖokuiwò ta?

Ne èle nuto aɖe si me Coccidioides fungus bɔ ɖo alo zɔ mɔ yi afima la, asesẽ be nàƒo asa nɛ keŋkeŋ. Gake àte ŋu awɔ nusiawo atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Ƒo asa na teƒe siwo ke le: Ƒo asa na dodo, vevietɔ le xɔtuƒewo kple ke ƒe ahomwo me.
• Nɔ xɔ me eye nàtu fesrewo le ke ƒe ahomwo me.
• Ne èle dɔ wɔm le abɔ me alo le tome kum la, do N95 ƒe ametakpɔnu.
• Anyo wu ne àte ŋu azã `HEPA` filter si kɔ ya si le wò aƒeme ŋu.