Ènya nu tso "Valley Fever" si bɔ ɖe Amerika ƒe akpa aɖewo ŋua? Mina míaƒo nu tso eŋu!

Èyi Amerika ƒe Anyieheɣetoɖoƒe, alo Titina kple Anyiehe Amerika ƒe akpa aɖewo kpɔa? Alo ɖe nèle ɖoɖo wɔm be yeayia? Ne nenemae la, esia ate ŋu adzɔ dzi na wò. Egbea míele nu ƒom tso fungi dɔlékui wɔnuku aɖe si woyɔna be "Valley Fever" ŋu. Egblẽa nu le míaƒe lãkusiwo ŋu.

Nukae nye "Bali me Dzoxɔxɔ"? Kpuie ko la,...

Kpuie ko la, "valley fever" nye fungi dɔlékui si xɔa wò lãkusiwo. Fungi ƒomevi aɖe si woyɔna be Coccidioides gbɔe wòtsona. Akpɔkplɔ sia nɔa nutoa me, vevietɔ le United States ƒe dzigbeɣetoɖoƒe (abe California kple Arizona ene), Washington nutome ƒe akpa aɖewo, kple Titina kple Anyiehe Amerika ƒe anyigba.

Bu eŋu kpɔ, woyɔa `(Coccidioides)` fungi infection sia ƒe akpa gbãtɔ be `(Valley Fever).` Ɣeaɖewoɣi ne esia dzɔ la, dzesiwo abe dzamezã alo dzamezã ene ateŋu adze, alo ateŋu nu ayi dzesi aɖeke manɔmee. Gake ɣeaɖewoɣi la, esia ate ŋu atrɔ azu nɔnɔme si nu sẽ wu.

Wogblɔ be ame abe akpe blaeve ene xɔa ``Valley Fever`` ƒe sia ƒe. Ebɔ ɖe California kple Arizona vevietɔ. Wogayɔnae be ``Coccidioidomycosis``.

Nukae nye "asrã si bɔbɔ" ƒe dzesiwo? Kpɔe ɖa be esiawo hã le asiwò hã

Zi geɖe la, dɔlékui sia mehea dzesi aɖeke vɛ o. Ke hã, ne ``Valley Fever'' ƒe dzesiwo dze le ŋuwò la, woate ŋu anye:

• Aɖuɖɔtoe si me ʋuʋudedi le le ŋutigbalẽa ŋu si ƒe amadede trɔ (dzẽ, aŋutiɖiɖi, aŋutiɖiɖi, alo yibɔ). Ðɔktawo yɔa esia be `(Erythema Nodosum)`.
• Kpe
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ (Ðɖiteameŋu) .
• Asrã
• Ƒunukpeƒewo ƒe vevesese
• Lãmetsiwo ƒe vevesese
• Zã me fifia
• Yagbɔgbɔ sesẽ (Dyspnea) .

Ɣeaɖewoɣi la, ɖɔktawo yɔa ŋutigbalẽ ƒe ʋuʋu, dzoxɔxɔ, kple ƒunukpeƒetetedɔ sia be “dzogbenyigba ƒe ƒunukpeƒetetedɔ.”

Aleke ame aɖe wɔa xɔ "valley fever"?

Coccidioides fungi ƒomevi eve li siwo hea Valley Fever vɛ:

1. `(Coccidioides immitis)` (`C. immitis`): Akpɔkplɔ sia tsina le California ƒe anyigba me.

2. `(Coccidioides posadasii)` (`C. posadasii`): Esia le Amerika ƒe akpa mamlɛa kple Titina kple Anyiehe Amerika ƒe anyigba dzi.

Dɔlékui ƒomevi evea siaa hea dzesi ɖeka ma ke vɛ.

Azɔ na míakpɔ alesi esia gena ɖe míaƒe ŋutilã me ɖa. Ne anyigbaa tɔtɔ, si fia be ne míekue, abe alesi wòle le ya me ene la, fungi siawo gbãna. Ne wogbã la, vidzidzi ƒe akpa suesuesue siwo woyɔna be spores , dona ɖe ya me. Ne ègbɔ ya si me ʋetsuvi siawo le la, wogena ɖe wò lãkusi me henɔa anyi, afisi wodzea tsitsi gɔme le zua lãvi siwo lolo wu, siwo woyɔna be spherules.

Kplu siawo ate ŋu agbã ake, si ana dɔlékui geɖe naɖo wò lãkusi ƒe akpa bubuwo, eye ɣeaɖewoɣi la, woaɖo wò ŋutilã ƒe akpa bubuwo. Emegbe lãvi mawo ate ŋu agawɔ gogloeƒe ake, si ana lãvi la nakaka ɖe wò ŋutilã katã me.

Vevietɔ: Womekpɔa lãvi sia zi geɖe le Sri Lanka ƒe anyigba dzi o. Anyigba ƒe teƒe aɖewo koŋ koe woɖoe ɖo. Eyata mehiã be ame siwo le Sri Lanka natsi dzi ɖe esia ŋu akpa o. Ke hã, ele vevie be amesiwo le mɔ zɔm yina nuto siawo me nanya nu tso esia ŋu.

Ðe "valley fever" xɔa ame mea?

Ao, Valley Fever menye dɔléle si xɔa ame me o. Màte ŋu alée tso ame bubu gbɔ o. Ke hã, ate ŋu akaka ɣeaɖewoɣi le teƒe siwo ke geɖe le le yame, le kpɔɖeŋu me, le teƒe siwo ya sesẽ le ƒoƒom alo le xɔtutu me.

Ke hã, ƒã ŋutɔ la, àte ŋu agbɔ dɔlékui siwo tso abi si le ʋuʋu ɖi le ame aɖe si ŋu ``Bali me Dɔléle le ƒe ŋutilã ŋu.`` Gake mɔnukpɔkpɔ si li be ema nadzɔ la le sue ŋutɔ. Zi geɖe la, mɔ ɖeka kolia si dzi woato akpɔe nye be woagbɔ lãvi siwo le ya me le gota.

Amekae le afɔku me wu be wòaxɔ nusia?

Ne ame aɖe gbɔ lãvi si nye `(C. immitis)` alo `(C. posadasii)` la, ate ŋu axɔ `(Valley Fever).` Gake ne èxɔ wu ƒe 60 la, anɔ eme be esia axɔ wò.

Azɔ hã, èle afɔku gã aɖe me be nàxɔ ``Valley Fever`` ne è:

• Ne ameyibɔ alo Filipinotɔe nènye.
• Ne èle fufɔfɔ ƒe ɣleti etɔ̃lia me.
• Ne wò dɔlélenutsiŋutete gbɔdzɔ la, ke ``dɔlélenutsiŋutete me gbɔdzɔ.`` Esia ateŋu atso nɔnɔme aɖe abe ``HIV/AIDS`` gbɔ, alo ateŋu atso atike aɖewo abe ``immunosuppressants`` alo ``immunomodulators`` nono gbɔ.
• Ne suklidɔ (Diabetes Mellitus) le ŋuwò.
• Ne èzɔ mɔ alo ʋu yi nuto aɖe si me lãvi sia le nyitsɔ laa.
• Ne èwɔa dɔ kple anyigba alo ke (e.g. agbledede, xɔtutu).

Nukae nye kuxi siwo ate ŋu ado tso "valley fever" me?

Zi geɖe la, kuxi siwo dona tso Valley Fever me mebɔ o. Ame 5 va ɖo 10 le ame 100 ɖesiaɖe me koe dzesi sesẽwo dzena le. Azɔ hã, ame 1 le ame 100 ɖesiaɖe me koe axɔ dɔlékuia ɖe ŋutilã ƒe akpa bubuwo.

Gake ne kuxi sesẽwo do mo ɖa la, wo dometɔ aɖewoe nye:

• Yagbɔgbɔ ƒe Dɔléle Sesẽ (ARDS) .
• Pleural Effusion alo Empyema ƒe ʋuʋu
• Dɔlékui ƒe kaka ɖe lãkusi godo (Disseminated Coccidioidomycosis) .
• Aklãdɔléle
• Hydropneumothorax (kotoku si me tsi yɔ fũ alo ya yɔ fũ le lãkusi me) .

Le esiawo dome la, Valley Fever ƒe kuxi si me afɔku le wue nye dɔlélea ƒe kaka ɖe lãkusiwo godo. Esia ate ŋu akaka ɖe wò ŋutinuwo abe:

• Ƒu
• Hɔhɔ̃
• Junction ƒe ƒuƒoƒo
• Aklã
• Ayikuwo
• Dɔgbo ƒe dɔléle
• Ŋutigbalẽ

Ne Coccidioidomycosis kaka ɖe ahɔhɔ̃a me la, àte ŋu axɔ dɔléle aɖe si woyɔna be Coccidioidal Meningitis. Esia ate ŋu ade ame ƒe agbe afɔku me . Ate ŋu ahe ahɔhɔ̃mekawo ƒe dzesiwo abe ŋku kple nusese ƒe tɔtrɔ, taɖuame, kple kɔ ƒe sesẽ hã vɛ.

Aleke ɖɔktawo wɔa dea dzesi "valley fever"?

Ðɔkta aɖe axɔ wò atikewɔwɔ ŋutinya, abia wò dzesiwo kple mɔzɔzɔ ŋutinya, eye wòado wò ŋutilã kpɔ. Be woanya kakaɖedzitɔe ne Valley Fever le ŋuwò la, woate ŋu awɔ dodokpɔ siwo gbɔna:

• Biopsy : Ðɔkta la xɔa wò lãkusi sue aɖe heɖonɛ ɖe dodokpɔxɔ me be wòalé ŋku ɖe lãvi si nye Coccidioides ƒe dzesiwo ŋu hã.
• Ʋudodokpɔ : Zi geɖe la, wozãa ʋudodokpɔ tsɔ dea dzesi Valley Fever. Woɖoa ʋu ɖe dodokpɔxɔ aɖe me eye wodia dɔlékuiwutike alo dɔlékuiwutike siwo le Coccidioides fungus la koŋ ŋu.
• Nɔnɔmetatawo Dodokpɔwo : Wò ɖɔkta ate ŋu awɔ akɔta ƒe X-ray alo CT scan atsɔ akpɔ aklãdɔ si Valley Fever hena vɛ ƒe dzesiwo hã.

Aleke wodaa "valley fever"e?

Valley Fever dada nɔ te ɖe eƒe sesẽ dzi. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã "ŋudzɔnɔnɔ ƒe lala" ƒe mɔnu. Esia fia be mehiã be woawɔ atike na wò enumake o elabena dzesi sesẽ aɖeke mele ŋuwò o, gake woalé ŋku ɖe ŋuwò nyuie eye woado wò kpɔ edziedzi.

Ne dɔlékui sesẽ alo esi nɔa anyi ɖaa le ŋuwò, alo ne èle afɔku me be nàxɔ nɔnɔme sesẽwo (le kpɔɖeŋu me, aklãdɔléle si xea mɔ na dɔlékuiwo (COPD)) la, woate ŋu aŋlɔ atike siwo wua fungi na wò. Esiawo ate ŋu anye:

• Amphotericin B si wodona ɖe ʋuka me
• `(Fluconazole) ƒe dɔwɔwɔ
• `(Itraconazole ƒe atike)`

Ðewohĩ ahiã be nàno atike si wua fungi ɣleti etɔ̃ va ɖo ade. Gake ne Valley Fever sesẽ aɖe le ŋuwò alo kuxi aɖewo do mo ɖa la, ɣeyiɣi sia ate ŋu adidi wu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èle nuto si me lãvi `(Coccidioides)` bɔ ɖo, alo èzɔ mɔ yi nuto ma tɔgbe me nyitsɔ laa, eye dzesi siwo ɖi dzamezã si nɔa anyi wu kwasiɖa ɖeka le ŋuwò la, yi ɖɔkta gbɔ enumake .

Ne ɖɔkta aɖe kpɔe be ``Valley Fever'' le ŋuwò eye dzesi siawo dometɔ aɖe dze ŋuwò la, te ɖe wo ŋu enumake, alo yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ:

• Ʋu le aɖuɖɔ me
• Kɔ ƒe sesẽ
• Yagbɔgbɔ sesẽ
• Tɔtrɔ siwo vaa nukpɔkpɔ alo nusese me

Ne èyi wò ɖɔkta gbɔ la, àte ŋu abia nya siawo wo:

• Ðe mele afɔku me be maxɔ ``Valley Fever'' dɔlékui sesẽ aɖea?
• Fungus (Coccidioides) ka ƒomevie na mexɔ dɔa?
• Atikewɔwɔ kawoe nèkafu?
• Ðe wòle be manɔ ŋudzɔ ɖe dzesi bubuwo ŋua?
• Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ðe woate ŋu axe mɔ ɖe "valley fever" nua?

Ne èle nuto si me Coccidioides ƒe dɔlékuiwo bɔ ɖo me la, ate ŋu asesẽ be nàƒo asa na wo gbɔgbɔ.Gake àte ŋu awɔ nu siwo gbɔna atsɔ aɖe Valley Fever xɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Ƒo asa na teƒe siwo nàte ŋu ado go anyigba alo ke le.
• Le ke ƒe ahomwo me la, do fesreawo eye nànɔ xɔ me.
• Zã High-Efficiency Particulate Air (HEPA) ƒe tsilénuwo le wò aƒeme.
• Do N95 gbɔgbɔtsixetsixe ƒe ametakpɔnu ne èle abɔ wɔm, le tome kum, alo le gotadɔ bubu siwo ate ŋu ana nàkpɔ fungi ƒe dɔlékuiwo.

Nukae mateŋu akpɔ mɔ na ne "valley fever" dze dzinye?

Ame akpa gãtɔ hayana tso Valley Fever me kuxi aɖeke si nɔa anyi didi o. Gake ame ʋɛ aɖewo ate ŋu axɔ aɖuɖɔtoedɔléle siwo nɔa anyi ɖaa. Esiawo ateŋu axɔ ɣeyiɣi didi hafi ahaya tso - ɣeaɖewoɣi ƒe geɖe. Ame siwo kuna le Valley Fever me mede ame ɖeka le ame alafa ɖesiaɖe me o.

Ƒã hafi lãviawo ate ŋu akaka ɖe wò ŋutilã ƒe akpa bubuwo. Ne womewɔ atike na coccidioidomycosis le wò ahɔhɔ̃ me o la, ate ŋu awu ame.

Ɣeyiɣi didi kae "valley fever" nɔa anyi?

Zi geɖe la, coccidioidomycosis ƒe dzesiwo nu yina le wo ɖokui si le kwasiɖa alo ɣleti ʋɛ aɖewo megbe.

Gake ate ŋu anye be dɔléle si yia edzi le ame ʋɛ aɖewo ƒe lãkusi me. Ne esia nɔa anyi eteƒe didi la, ɖɔktawo yɔnɛ be dɔléle si nɔa anyi didi (ɣeyiɣi didi) ƒe lãkusi `(coccidioidomycosis). Dzesi siwo dzena le lãkusi si nɔa anyi didi `(coccidioidomycosis)` ŋue nye:

• Akɔtave
• Kɔdzidede si nɔa anyi didi
• Ʋu ƒe kɔdzidede (Hemoptysis) .
• Yagbɔgbɔ sesẽ
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee

Ðe "asrã si mebɔ o" ate ŋu adzɔ zi eveliaa?

Zi geɖe la, ne Valley Fever dze ŋuwò eye nèhaya la, mɔnukpɔkpɔ si li be nàgaxɔe ake la mebɔ o.

Aleke mawɔ aɖe fungus si hea "valley fever" vɛ le nye abɔ me ɖa?

Coccidioides spores le sue ŋutɔ - nusuekpɔmɔ̃ koe woate ŋu akpɔ wo. Mɔ bɔbɔe aɖeke meli si dzi nàto ade dzesi wo alo aɖe wo ɖa le wò abɔ me o.

Vevietɔ: Aɖaŋuɖoɖo sia ku ɖe amesiwo le nuto siwo me lãvi `(Coccidioides)` bɔ ɖo le United States ŋu. Mehiã be woavɔ̃ na lãvi sia alea gbegbe le Sri Lanka ƒe agbledeƒewo o.

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

Ne èle nuto si me lãvi si nye Coccidioides tsina le la, ate ŋu asesẽ vie be nàƒo asa na Valley Fever. Dzɔgbenyuietɔe la, nya akpa gãtɔ menye nya sesẽ o eye wokpɔa wo gbɔ le wo ɖokui si.

Gake ne èfɔ fu, èxɔ ƒe 60 kple edzivɔ, alo wò dɔlélenutsiŋutete gbɔdzɔ la, anyo be nàɖe afɔ ʋɛ aɖewo kpee atsɔ akpɔ ɖokuiwò ta. Àte ŋu ase vivi na gota gome kokoko. Gake anyo be nàdo N95 ƒe ametakpɔnu eye nànɔ xɔ me, vevietɔ le ŋkeke siwo dzi ya ƒona. Ðo dze kple wò ɖɔkta tso mɔ bubu siwo dzi nàto akpɔ wò lãmesẽ ta kple dzesi siwo ŋu wòle be nànɔ ŋudzɔ ɖo ŋu.

Ðo ŋku edzi be: Dɔléle si le United States ƒe akpa aɖewo koŋ koŋue nye esia. Ke hã, esi menye mɔzɔla le xexeame ƒe akpa ɖesiaɖe ta la, enyo ɣesiaɣi be nànɔ ŋudzɔ ɖe nusiawo ŋu. Nɔ lãmesẽ me!

` Valley Fever, Coccidioides, Fungal Infection, Aklãdɔ, Kɔdzi, Dzoxɔxɔ, Fungal Dɔléle, Aklãdɔ