Yu kin gɛt prɔblɛm wit yu sayn ɔltɛm bak? Lan bɔt dis fɛns saynayz!

Yu kin gɛt nos bak we kin stɔp ɔltɛm? Yu gɛt ebi ebi ed, yu gɛt pen na yu tu say dɛn na yu chɛst, yu fɔrɛst, ɔ di say we de bitwin yu yay? Bɔrku tɛm, dis kin bi prɔblɛm wae gɛt fɔ du wit sayn. Bɔt yu no se nɔto ɔl di sayn prɔblɛm dɛn na di sem? Sɔm sayn infɛkshɔn kin kɔmɔt frɔm baktri dɛm, sɔm na vayrɔs. Bɔt tide wi go tɔk bɔt wan kayn sayn we difrɛn smɔl we bɔku pipul dɛn nɔ no bɔt. Dat na sayn infεkshכn we fכns de kכz, כ fכ fכ tru, wan kכndyushכn we dεn kכl fכn saynsaytis . Sɔntɛnde, dɛn kin kɔl dis bak fɔngal raynosinusitis.

Wetin na Fɔngal Saynaytis? Lɛ wi ɛksplen am simpul wan.

Fɔ tɔk am simpul wan, Fɔngal Saynsaytis na infεkshכn na wi sayn kεviti dεm bikoz fכ fכn (i.e. maykro כganism dεm lεk yist εn mold). di sayn dεm na di ɛmti ples dεm bitwin yu chεk, fכs, εn yu yay. Bɔku kayn fɔngal saynayz de. Bɔt bɔku tɛm, di kɔmɔn sayn dɛm fɔ ɔl dɛn kayn tin ya na we yu nos kin rɔtin, yu gɛt mɔkus, ɛn yu kin gɛt pen na yu sayn.

Bɔku tɛm, dɔktɔ dɛn kin trit dis sik wit sayn ɔpreshɔn, bɔt insay sɔm bad bad kes dɛn, i kin nid fɔ gɛt tritmɛnt fɔ antifungal.

Wetin na di men kayn Fungal Sinusitis?

Dɔktɔ dɛn kin sheb di fɛns saynayz to tu men kayn:

1. Noninvasive types: Dis na di kayn dεm we dεn kin kכmכn pas כl. pan dis kayn, di infεkshכn de limited to di nos εn di sayn kכva dεm. I nɔ kin bɔku to ɔda pat dɛn na di bɔdi.

2. Invasive types: Dɛn wan ya kin denja smɔl, bɔt dɛn nɔ kin bɔku. pan dis kayn fכn infεkshכn kin spre to כda pat dεm na di bכdi, fכ egzampl, di yay dεm εn ivin di bren. If dɛn nɔ trit dis sik fayn, i kin mek pɔsin in layf de pan denja.

Naw lɛ wi luk ɛni wan pan dɛn kayn dɛn ya smɔl mɔ.

Noninvasive fεnshכn saynayz tכyp dεm

• Alɛji fεn saynsaytis: Dis kin kam bikɔs di bɔdi in alɛrgik rεspכns to fεnshכn na di nos. insay dis, di sayn kכva dεm de fulכp wit tik mכkus, εn sכmtεm di nos polip dεm kin divεlכp. Pipul wae gɛt asma ɔr alɛji lɛk hay fiva kin gɛt dis kayn sik.
• fכn bכl / mycetoma: Dis na we fכn dεm de kכmכt insay di sayn kכva dεm εn fכm sכm sכm bכl כ mas. dis fכn bכl (mycetoma) kin gro εn blok di sayn dεm we de pas.
• Saprophytic fungal sinusitis: Dis na we fכn dεm de gro pan krכst dεm fכ mכkus insay di nos.

Tayp dɛm fɔ Invasive Fungal Sinusitis

• Akyu invasiv fכngal saynsaytis: Insay dis kes, di fכns de pwεl di bכdi we de insay di nos. Dɔn di tisu we de na da say de kin bigin fɔ day. Dis infεkshכn kin spre kwik kwik wan na di yay εn di bren, we kin mek yu blayn εn ivin day. Pipul wae gɛt wik imyun sistɛm kin gɛt dis sik.
• Chronic invasive fungal sinusitis: Dis kin fiba di akyu tayp, bɔt i kin skata smɔl. Pipul wae gɛt dis kayn sik kin gɛt dis kayn sik.
• Granulomatous invasive fungal sinusitis (GIFS): Dis na wan kayn we we nɔ kin apin so ɔltɛm. wetin kin apin pan dis na we wi bכdi in imyun sistεm de riak strכng wan agens di fכns. Dɔn di imyun sistɛm kin atak di layn na di nos, ɛn pwɛl di nos tisu. Dɔktɔ dɛn stil nɔ gɛt klia aidia bɔt wetin mek dis kin apin.

Aw kɔmɔn dis fεnshכn sayn infεkshכn ya? Udat kin gɛt dɛn mɔ?

Pipul dεm wae gεt wik imyun sistεm kin jεnarali kin gεt dεn fכngal sayn infεkshכn ya. Patikul bad bad infεkshכn dεm kin kכmכn mכr pan:

• Fɔ di wan dɛn we gɛt HIV.
• Pipul wae gɛt kansa (e.g. lukimiya, lymphoma), ɔr dɛm wae de gɛt kemotɛrapi fɔ kansa.
• Fɔ pipul dɛm wae gɛt siriɔs sik wae nɔr kin ebul fɔ kɔntrol.
• Pipul dεm wae de tek immunosuppressant, fכ egzampl stεroyd.

Wetin na di sayn dɛm fɔ fungal sayn infɛkshɔn?

Sɔntɛnde, di sayn dɛm fɔ fɛns saynayz kin tan lɛk di wan dɛm we pɔsin kin gɛt we i gɛt sayn infɛkshɔn ɔltɛm. Bɔt if ɔda sayn dɛn kin apin ɔ nɔ kin apin, i kin dipen pan di kayn fɛns infɛkshɔn ɛn if i kin kam insay ɔ nɔ kin kam insay.

Tipikli, noninvasive tכp dεm de sho dεn kכntribyushכn dεm ya:

• Di sɛns fɔ smɛl we de go dɔŋ tru di nos.
• Fiva.
• Swel na di nos ɛn di sayn dɛn we de na di sayn.
• Wan tik tin we kin stika we kin tan lɛk rɔba glu, we kin gɛt gold yɔlɔ kɔlɔ, we kin kɔmɔt na di nos.
• Nasal kɔnjɛshɔn.
• Nɔs we de rɔn (fhlegm).
• Filin fɔ prɛshɔn ɛn ebi na di sayn dɛn we de na di sayn.
• Sayn ed we de at.
• Na yu nɔmɔ kin smɛl bad smel (lɛk smel we de bɔn, di smel fɔ sɔntin we dɔn rɔtin) we nɔbɔdi nɔ go ebul fɔ smɛl.

Pipul wae gɛt wik imyun sistɛm kin gɛt bɔrku risk fɔ gɛt siriɔs sik lɛk:

• di chenj dεm na di bihayvya εn nyurolכjik prכblεm dεm (difεlεns fכ tink εn rizin).
• di kכla we di skin kin chenj (sכmtεm di skin kכla kin bכku bכku כ dak).
• Fɔ fil se yu fes nɔ gɛt bɛtɛ trɛnk.
• Di vishɔn kin chenj, sɔntɛm i kin ivin lɔs di vishɔn kpatakpata.
• Di ed we de at bad bad wan.
• Di chɛst ɔ di yay kin swel bad bad wan.

Wetin mek dis fεnshכn saynsaytis kin apin? Wetin na di kɔz?

Sayn infεkshכn kin kכz difrεn kayn fכn dεm. Bɔrku tɛm, dɛn fεnshכn sayn infεkshכn ya kin kכz fכ mold כ yist. we wi de blo, dεn sכm sכm fכn dεm ya kin go insay wi sayn kכva tru wi nos.

Tink bɔt am, bɔku pan dɛn kayn fɛns ya kin rili liv pan ɔ insay wi bɔdi ɔltɛm. Bɔt bɔku tɛm dɛn nɔ kin mɔna wi. Wetin kin bi denja na we wi imyun sistɛm wik. Dɔn dɛn fɛns ya kin gro izi wan ɛn mek pɔsin gɛt infɛkshɔn.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

if dεn nכ trit di invasiv fכngal sayn infεkshכn dεm fayn fayn wan, di fכn kin pwεl di tisu dεm we de insay di nos εn i kin spre to di yay εn di bren. Dɛn prɔblɛm ya kin mek di tisu dɛn pwɛl, blaynd, ɛn ivin day . Pipul wae gɛt kɔndishɔn wae de wik di imyun sistɛm (e.g., dayabitis, lukimiya) kin gɛt dɛn prɔblɛm ya mɔ.

So, if yu gɛt sayn dɛn fɔ fɛns saynayz, mɔ if yu gɛt wik imyun sistɛm, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw dɔktɔ dɛn kin no dis sik we dɛn kɔl fɔngal saynsaytis?

We yu go si dɔktɔ, i go fɔs chɛk yu (`physical exam`). I go aks bɔt yu sik, yu wɛl bɔdi istri, ɛn di mɛrɛsin dɛm wae yu de tek. Dɔn, i go mɔs bi se dɛn go ɔda sɔm tɛst dɛn, lɛk:

• Ɛndoskopi: Dis kin min se di dɔktɔ kin put wan lɔng, tin tiub (we gɛt smɔl kamɛra na di ɛnd) insay yu nos fɔ chɛk yu sayn dɛn. Yu kin si di pikchɔ dɛn we de na di kamɛra na wan monita. Dis na simpul tɛst we nɔ de mek pɔsin fil pen.
• Bayɔpsi: We dɛn de du di ɛndoskopi, yu dɔktɔ kin tek smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dɛn kin sɛn dis sampul to lab fɔ no uskayn patɔjɛns de mek yu gɛt yu sayn — if na vayrɔs, baktri, fɛns, ɔ parasayt. I kin no bak if di infεkshכn de invayv.
• CT skan (kɔmpyuta tomografi skan): Dis tan lɛk spɛshal ɛkstrem rayt. I kin tek wan rili klia luk insay yu sayn cavities, pinpoint di ekzak ples we di infεkshכn de, εn ivin chεk fכ dεn fכn bכl dεm we wi bin tכk bכt.

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku tritmɛnt dɛn de fɔ di fɛns saynayz. Di tritmɛnt we yu nid go dipen pan yu kɔndishɔn.

• Antifungals: Sɔm kayn infekshɔn kin nid fɔ gɛt antifungal mɛrɛsin. Bɔku tɛm, dɛn kin gi dɛn mɛrɛsin ya we dɛn de du ɔpreshɔn.
• Kɔtikosterɔyd: Yu dɔktɔ kin gi yu stɛroyd fɔ mek yu nɔ swel ɛn fɔ mek yu sayn prɛshɔn go dɔŋ.
• Wash di nos: Insay kɔndishɔn lɛk saprophytic fungal sinusitis, dɔktɔ dɛn kin pul di dray mכkus na di nos ɛn rins di sayn kכva dεm fayn fayn wan wit salin sכlushכn (we miks sɔl ɛn wata).
• Sayn ɔpreshɔn: I kin dipen pan di kayn infekshɔn, di dɔktɔ kin nid fɔ du wan jenɛral ɔpreshɔn. Dis min se dɛn fɔ pul di tisu we gɛt di sik ɛn klin di say fayn fayn wan. If di infekshɔn dɔn skata bad bad wan, dis ɔpreshɔn kin ivin pul di pat dɛn we gɛt di sik.

Sɔm kayn fɔngal saynayz nɔr kin nid big tritmɛnt fɔ pɔrsin wae gɛt wɛl bɔdi imyun sistɛm. Bɔt, invasive fungal sinus infection na mɛdikal imejensi ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.

Yu tink se dɛn kin ebul fɔ avɔyd dis fεnshכn saynayz kכndishכn?

infakt, i at fכ mek yu nכ gεt fכn sayn infεkshכn kכmplit biכs fכn de כlsay na di envayroment. Bɔt i impɔtant fɔ tɔk to dɔktɔ if yu fɔdɔm pan wan pan dɛn risk grup ya:

• If yu dɔn ɛva gɛt fungal sayn infɛkshɔn.
• If yu gɛt mɛrɛsin we de mek yu imyun sistɛm wik.
• If yu de tek mɛrɛsin wae de mek yu nɔr de fil fayn ɔ yu de gɛt kemotɛrapi fɔ kansa.

If yu gɛt wik imyun sistɛm ɔ yu de pan ay risk fɔ gɛt fungal sayn infɛkshɔn, tɛl yu dɔktɔ. I kin gi am mɛrɛsin fɔ mek i nɔ gɛt di sik bifo i kam.

Wetin kin apin if a gɛt fɛns sayɛns? Yu tink se i go bɛtɛ?

Mɔs pan di nɔ-invasive fungal sinus infɛkshɔn, if dɛn trit am fayn , kin sɔlv witout ɛni siriɔs kɔmplikeshɔn. Bɔt sɔm kayn infɛkshɔn kin kam bak ivin afta dɛn dɔn trit am.

Bɔt, invasive fungal sinus infection na mɛdikal imejensi ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.

fכ egzampl, di kכndyushכn ``Acute invasive fungal sinusitis`` kin kil insay lεk 50% pan di kes dεm if dεn nכ trit am. Bikɔs dis infekshɔn kin skata kwik kwik wan, i impɔtant fɔ gɛt tritmɛnt kwik kwik wan. Ivin afta dɛn dɔn trit sɔm pipul dɛn, dɛn kin gɛt prɔblɛm wit dɛn nerv, dɛn kin fil pen fɔ lɔng tɛm, ɔ dɛn kin gɛt prɔblɛm wit dɛn fes bikɔs ɔf di tisu dɛn we dɔn pwɛl.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu gɛt sayn dɛn fɔ fɛns saynayz, mek shɔ se yu go to dɔktɔ fɔ mek dɛn chɛk yu. I impɔtant bak fɔ tɛl yu dɔktɔ if yu gɛt prɔblɛm wit yu sayn we nɔ de dɔn, lɛk saynsaytis we nɔ de dɔn, we nɔ de go.

Ustɛm yu fɔ go to tritmɛnt kwik kwik wan?

If yu gɛt sayn dɛm fɔ fɛns sayn infɛkshɔn, ɛn yu fɔdɔm pan ɛni wan pan dɛn kayn tin ya, go na imejensi rum wantɛm wantɛm:

• If yu gɛt mɛrɛsin we de mek yu imyun sistɛm wik (e.g. HIV, dayabitis we yu nɔ ebul fɔ kɔntrol, kansa).
• If yu de tek mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

We i kam pan fɔngal sayn infɛkshɔn, dɛn kin kɔmɔt frɔm smɔl to siriɔs. Jɔs bikɔs yu gɛt fɔngal saynayz nɔ min se yu fɔ panik. Bɔt i impɔtant fɔ go to dɔktɔ ɛn gɛt di rayt tritmɛnt.

Mɛmba se, mɔ if yu gɛt wikɛd imyun sistɛm ɛn yu gɛt sayn dɛn fɔ fɛns saynayz, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te. As invasive fεnshכn sayn infεkshכn kin spre kwik kwik wan εn kin mek כda siriכs, ivin layf-threatεn, kכmplikεshכn dεm.

So, di tin we impɔtant pas ɔl na fɔ tek kia ɔf yu wɛlbɔdi.

` Fɔngal Saynaytis, Sayn Infɛkshɔn, Nasal Kɔnjɛshɔn, Fɔngs, Sayn Simptom, Sayn Tritmɛnt, Fɔngal Saynaytis