Yare bi a ɛyɛ nwonwa a ɛba bere a wɔakɔ kwae mu akwantu akyi? So ebetumi aba sɛ ɛyɛ Lyme Yare?

Ebia woahu mmoa nketewa a wɔbata wo nipadua ho bere a wonam kwae mu anaa afuw bi a sare atenten wɔ so mu no. Eyinom mu no, ntontom yɛ aboa bi a ɛsɛ sɛ wohwɛ yiye kakra wɔ ne ho. Efisɛ, ntontom bi tumi de nyarewa ba. Yare a ɛte saa a ntontom de ba a yɛbɛka ho asɛm nnɛ ne Lyme Yare.

Dɛn ne Lyme Yare?

Sɛ yɛbɛka no tiawa a, Lyme yare yɛ ɔyare mmoawa (yare mmoawa bi a wɔfrɛ no Borrelia burgdorferi) na ɛde ba. Ɛde kɔ yɛn nkyɛn, sɛ yɛbɛka no pɛpɛɛpɛ a, bere a ntontom pɔtee bi a okura saa ɔyare mmoawa yi – a wɔsan frɛ no deer tick anaa black-legged tick – ka yɛn no. Ɛnyɛ ntontom a yehu nyinaa na wɔtaa de yare no kɔ. Nnua mu nwansena anaa akraman nwansena binom nkura mmoawa no.

Ɛtɔ da bi a wɔfrɛ saa yareɛ yi ``borreliosis.`` Wɔdii kan huu Lyme yareɛ wɔ afe 1975 mu wɔ Lyme kuro mu, U.S.A. Ɛhɔ no, mmofra pii nyaa sɛnkyerɛnne ahorow a ɛte sɛ ``mmofra ntini mu yare mpofirim.`` Akyiri yi nhwehwɛmufo hui sɛ nea ɛde bae ne akraman nwansena a wɔanya ɔyare no a na wɔwɔ mpɔtam hɔ a wɔka wɔn.

Dɛn ne Lyme Yare no fã ahorow?

Lyme yare no betumi aba nkakrankakra. Ɛtɔ mmere bi a, saa afã horow yi tumi ka bom na ɛka bom. Nsɛnkyerɛnne no betumi aka honam ani, nkwaa, koma, anaa ntini ahorow. Nneɛma atitiriw abiɛsa na ɛwɔ hɔ:

• Lyme yare a ɛba baabiara a ɛba ntɛm: Eyi taa di bɛyɛ adapɛn biako kosi anan wɔ ntontom a wɔaka no akyi.
• Lyme yare a ɛtrɛw ntɛm: Eyi betumi aka nkurɔfo wɔ asram biako kosi anan akyi wɔ ɔyare no akyi.
• Lyme yare a ɛkɔ so akyiri, ɛtrɛw akyiri anaasɛ ɛkɔ akyiri ara: Eyi betumi aka asram anan, ɛtɔ mmere bi mpo a mfe pii, wɔ bere a obi anya bi akyi.

Lyme Yare no abu so dɛn?

Wɔ aman te sɛ Amerika mu no, wɔka sɛ wɔbɔ amanneɛ sɛ ayarefo bɛyɛ 30,000 na wɔwɔ Lyme Yare afe biara. Nanso, ebia ayarefo a wɔmmɔ wɔn amanneɛ na wonhu sɛ wɔwɔ yare no pii bɛba. Ɛwom sɛ wonni akontaabu pɔtee biara a ɛfa tebea a ɛwɔ Sri Lanka ho de, nanso sɛ wote baabi a ntontom wɔ a, ɛho hia yiye sɛ wuhu eyi. Efisɛ, wɔ yɛn man yi mu nso, ntontom wɔ mmeae te sɛ kwae mu mmeae, tii mfuw, ne sare.

Dɛn ne Lyme Yare no ho sɛnkyerɛnne?

Okay, afei momma yɛnhwɛ nea Lyme Yare no ho sɛnkyerɛnne yɛ. Eyinom nso betumi ayɛ soronko a egyina ɔfã a yɛadi kan aka ho asɛm no so.

Nsɛnkyerɛnne a ɛba ntɛm a ɛba wɔ baabi (adapɛn 1-4) .

Saa bere yi mu no, mpɛn pii no wubetumi ahu nneɛma te sɛ eyi:

• Honam ani hwɛbea kɔkɔɔ anaa baabi: Nnuruyɛfo frɛ eyi `erythema migrans` (EM) .Eyi ne sɛnkyerɛnne a ɛtaa ba. Nwansena no fi ase sɛ baabi ketewaa bi a ɛyɛ kɔkɔɔ wɔ dapɛn biako anaa anan mu. Wɔ nna anaa adapɛn kakraa bi mu no, saa beae yi sõ na ebetumi ayɛ kurukuruwa, ahinanan, anaa kurukuruwa. Ɛtaa yɛ te sɛ ‘nantwi aniwa’. Ɛne sɛ, baabi a emu da hɔ wɔ mfinimfini a wɔde nkaa kɔkɔɔ atwa ho ahyia. Saa beae yi betumi afi sika kɛse te sɛ nea ɛkata obi akyi nyinaa so. Bere a ɔyare no trɛw no, `(EM)` nsensanee pii betumi apue wɔ nipadua no afã horow.
• Huraeɛ
• Tipaeɛ
• Kɔn a ɛyɛ den
• Nipadua mu yaw ne nkwaa mu yaw
• Ɔbrɛ
• Ntini a ɛma mogya tu a ahonhon

Nsɛnkyerɛnne a ɛtrɛw ntɛm (asram 1-4) .

Wɔ ɔfã a ɛto so abien yi mu no, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi:

• Nsonsonoe (akisikuru) a ɛda adi sɛnea yɛadi kan aka ho asɛm wɔ nipadua no afã horow pii.
• Anim a ɛyɛ mmerɛw (Bell’s palsy). Eyi kyerɛ sɛ ɛte sɛ nea anim no fã biako ahwe ase.
• Koma no nnyigyei a ɛnkɔ so pɛpɛɛpɛ, te sɛ koma no anyinam ahoɔden nhyehyɛe a ɛsɛe (koma no siw).
• Ntini a ɛyɛ mmerɛw anaasɛ nkate a ɛnteɛ wɔ mmeae bi (neuropathy).

Nsɛnkyerɛnne a ɛba akyiri (asram anaa mfe bi akyi) a sɛ wɔansa a, ebetumi aba

Sɛ wɔansa yare no yiye a, nea edidi so yi betumi asi wɔ asram pii akyi:

• Nkwaa a ɛsan hohoro (ntini mu yare), titiriw a ɛka nkwaa akɛse te sɛ nkotodwe.
• Ɛyɛ den sɛ wode w’adwene besi biribi so, te sɛ nea sum akata w’amemene so. Wɔsan frɛ eyi `amemene mu sum` . Eyi betumi afi amemene a ɛsɛe (`encephalopathy`) mu aba.
• Polyneuropathy yɛ tebea a ɛka ntini a ɛwɔ nipadua no nyinaa mu, na ɛka honam ani, ntini, ne nipadua no mu akwaa ahorow.

Ɔkwan bɛn so na wohu sɛ obi anya Lyme Yare?

Wiɛ, ɛnde ɔkwan bɛn so ankasa na wohu Lyme Yare no?

Oduruyɛfo bi begyina wo sɛnkyerɛnne ahorow, nea wohu bere a wɔreyɛ nipadua mu nhwehwɛmu (te sɛ nea wɔfrɛ no ``(EM)'' beae no), ne sɛ ebia woakɔ beae bi a ebia ntontom a wɔanya ɔyare no wɔ hɔ no so ahu yare yi.

Susuw ho hwɛ, nnipa pii nkae mpo anaasɛ wonnim sɛ ntontom aka wɔn. Nea enti a ɛte saa ne sɛ saa nwansena yi sua araa ma mpɛn pii no, sɛ wɔwe a, wɔnte ɛyaw biara.

Oduruyɛfo no bɛyɛ mogya mu nhwehwɛmu de akyerɛ sɛ wɔahu yare no. Sɛ wo mogya mu nhwehwɛmu a edi kan no kyerɛ sɛ wowɔ Lyme yare a, ɛho renhia sɛ woyɛ nhwehwɛmu foforo. Nanso, sɛ nhwehwɛmu a edi kan no yɛ nea ɛyɛ papa anaasɛ ɛyɛ nea ɛyɛ adwenem naayɛ a, wo duruyɛfo no bɛyɛ nhwehwɛmu foforo. Sɛ wubenya awerɛhyem sɛ wowɔ Lyme yare , a, wuhia nneɛma pa abien a efi mu ba (ebia biako yɛ papa na biako nso ntumi nkyerɛ yiye).

Ɔkwan bɛn so na wɔsa Lyme Yare?

Wɔde nnuru a ekum ɔyare mmoawa sa Lyme yare no . Mpɛn pii no, wɔde doxycycline anaa amoxicillin na edi dwuma. Saa nnuru yi tu mpɔn yiye ma Lyme yare.

Bere tenten a ɛsɛ sɛ wonom nnuru no gyina yare no fã a wowɔ mu so.Wɔtaa ka sɛ dodow a wufi ase sa yare no ntɛm no, dodow no ara na wo ho bɛtɔ wo ntɛmntɛm na edi mũ.

Ɛsɛ sɛ mmea a wɔyem nso hwehwɛ ayaresa sɛ wonya Lyme yare a. Nanso, adanse biara nni hɔ a ɛkyerɛ sɛ ɔyare no betumi afi ɛna mu akɔ awotwaa mu. Adanse a emu yɛ den biara nso nni hɔ a ɛkyerɛ sɛ Lyme yare no ma asiane a ɛwɔ hɔ sɛ nyinsɛn bɛtu no yɛ kɛse. Enti mma wo ho nnyɛ wo hu, di wo duruyɛfo afotu akyi kɛkɛ.

Sɛ ntontom ka wo a, dɛn na wobɛyɛ?

Fa no sɛ ntontom aka wo. Deɛn na woyɛ? Mma wo ho nnyɛ wo hu. Sɛnea wobɛyi ntontom no ni:

• Fa tweezers a ɛyɛ mmerɛw fa ntontom no ‘ti’, kyerɛ sɛ, baabi a ɛbata wo honam ani, na twe no brɛoo nanso denneennen kɔ soro kosi sɛ ebefi wo honam ani.
• Mmɔ mmɔden sɛ wobɛpiapia ntontom no nipadua. Mfa wo nsa a ɛda hɔ kwa mpo nka no. Saa a wobɛyɛ no betumi ama woanya mmoawa a wɔwɔ ntontom no nipadua so no.
• Fa samina ne nsu hohoro baabi a ntontom ka no yiye.
• Mfa kerosene anaa petroleum jelly (te sɛ Vaseline®) nni dwuma mfa nyi nwansena mfi hɔ. Mfa sigaret a ɛyɛ hyew nni dwuma mfa nyi nwansena mfi hɔ. Eyinom yɛ akwan a ɛnteɛ.
• Mfa wo nsateaa anaa wo pliers npiapia ntontom no nipadua.

So wobetumi asiw Lyme Yare ano?

So wobetumi asiw Lyme yare ano ankasa ansa na aba? Yiw, ebetumi aba kɛse.

Nnipa dodow no ara nya Lyme yare wɔ ahohuru bere awiei, ahohuru bere, ne osutɔbere mfiase. Eyi ne bere a ɛda adi kɛse sɛ ntontom a wonnyinii no bepue abɛdidi. Wɔ mmeae a ɛhɔ yɛ hyew no, ntontom ntaa ka wɔn wɔ awɔw bere mu.

Saa nea wɔfrɛ no ``deer ticks`` yi abu so kɛse wɔ kwae mu ne wuram a ɛbɛn wɔn. Titiriw wɔ kwae ne wuram yi anoano no, ɛtɔ mmere bi a wotumi hu saa nwansena yi wɔ turo ahorow a akraman kyinkyin wom mu. Nanso, wɔ mmeae a sare wɔ hɔ a owia bɔ kɛse no, ntontom ntra ase nkyɛ. Wɔyow ntɛmntɛm na wowuwu.

Mpɛn pii no, akraman ntontom nyinaa mu bɛyɛ 1% pɛ na wɔde mmoawa a wɔde Lyme yare ba no kɔ. Nanso, wɔ mmeae bi no, ntontom bɛboro 50% na wɔde mmoawa no kɔ. Nwansena a wɔde yare no kɔ no abu so kɛse wɔ United States Atifi Apuei ne Atifi Mfinimfini Atɔe, ne mpoano mmeae nso.

Ɛnyɛ akraman nko na ntontom a wɔn nan tuntum tumi de ɔyare yi ba, na mmom mpɔtorɔ, akraman, ne akraman ahorow bi nso.

Dɛn na ɛsɛ sɛ woyɛ na ama wo ho atɔ wo wɔ ntontom ho?

Sɛnea ɛbɛyɛ a ntontom bɛbɔ wo ho ban no, ma nneɛma yi ntra w’adwenem:

• Pam ntontom, gu wo ntade soWubetumi apete nnuru a wɔde kum nkoekoemmoa a wɔfrɛ no `(permethrin)` . Wobetumi anya eyi wɔ sotɔɔ ahorow a wɔtɔn nneɛma a wɔde yɛ turo mu nneɛma. Wobetumi de nnuru a wɔde pam nkoekoemmoa a nnuru `(DEET)` wom ahyɛ ntade mu anaasɛ wɔde ahyɛ honam ani tẽẽ. Nanso kenkan nea wɔakyerɛw so no yiye. Mfa nni dwuma pii. Sɛ wode gu so dodo a, ebetumi apira wo.
• Hyɛ pantan atenten ne ntade a nsa tenten. Sɛ wɔhyɛ ntade a ɛyɛ den wɔ nansoaa ne nsateaa ho a, ɛtew hokwan a ɛwɔ hɔ sɛ ntontom bɛkɔ honam ani, na ɛtew nnuru a wɔde pam nkoekoemmoa nso so.
• Hyɛ kyɛw, fa wo pants hyɛ wo sɔks mu, na hyɛ mpaboa a ɛkata wo nan so koraa.
• Hyɛ ntade a ɛyɛ hare sɛnea ɛbɛyɛ a sɛ ɛwɔ wo so a, ɛnyɛ den sɛ wubehu ntontom.
• Sɛ wonam kwae mu akwan ne akwan so a, nantew mfinimfini. Saa kwan no so no, ɛnyɛ den koraa sɛ ntontom a wofi sare ne nnua a ɛsensɛn hɔ a ɛwɔ afã abien no nyinaa mu bɛka wo.
• Sɛ wodi bere wɔ abɔnten wɔ beae a wususuw sɛ ebia ntontom wɔ hɔ wie a, hwɛ hu sɛ wobɛhwɛ wo nipadua mu sɛ ntontom anaa (wɔsan frɛ no `nwansena nhwehwɛmu`). Ɛho hia nso sɛ wobɛhohoro na woaguare yiye wɔ ɛno akyi, na wode ntama anaa biribi a ɛpete wo nipadua petepete wo ho yiye.
• Sɛ ntontom wɔ wo ntade so a, fa gu dryer mu bɛyɛ simma 15. Nwansena no bɛyow na wɔawuwu.
• Nwansena nso betumi afi afieboa mu aba wo fie , enti wo ne wo mmoa ho ɔyaresafo nka akwan a wobɛfa so abɔ w’ayɛmmoa ho ban afi ntontom ho.

Dɛn ne obi a ɔwɔ Lyme Yare no daakye?

Mpɛn pii no, sɛ wɔsa Lyme yare no ntɛm a, wobetumi asa. Ayaresa betumi asa Lyme yare no. Nanso, ɛtɔ mmere bi a, nneɛma bi betumi aba bere tenten. Sɛ wɔansa Lyme yare no yare a, ebetumi de ɔhaw afoforo a emu yɛ den aba, nanso ɛntaa nkum obi.

Lyme yare a wɔde sa yare akyi (PTLDS) .

Ɛtɔ da bi a, wɔ ayaresa akyi mpo no, nnipa binom (nnipa 5% kosi 15%) betumi akɔ so anya ɔbrɛ, nipadua mu yaw, ne tiyɛ. Wɔfrɛ eyi Lyme yare a wɔde sa yare akyi (PTLDS) .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛnkyerɛ sɛ woda so ara wɔ ɔyare no. PTLDS ntumi nyɛ wɔn ade wɔ nnuru a ekum ɔyare mmoawa pii ho. Wɔ nnipa dodow no ara a wɔwɔ kuw yi mu fam no, saa sɛnkyerɛnne ahorow yi brɛ ase nkakrankakra wɔ bɛyɛ asram asia akyi.

Lyme yare a enni sabea

Nnipa binom de asɛmfua ``Chronic Lyme disease'' di dwuma de kyerɛ obi a wanya Lyme yare na ɔwɔ ``PTLDS'' ho sɛnkyerɛnne. Nnipa binom susuw sɛ Lyme yare a enni sabea ne ``PTLDS'' yɛ ade koro. Nanso, mmerɛ bi wɔ hɔ a wɔhunu sɛ nnipa binom wɔ ``Chronic Lyme disease'' a wɔdii kan nhunuu sɛ wɔwɔ Lyme yareɛ. Ɛtɔ mmere bi a, wɔka sɛ nnuru a ekum ɔyare mmoawa a wɔbɛkɔ so de adi dwuma no bɛboa.

Ebia saa asɛmfua yi nti na nnipa binom susuw sɛ wubetumi anya Lyme yare a ntontom nka wo. Adanse a ɛdɔɔso da so ara nni hɔ a ɛkyerɛ sɛ nwansena de Lyme yare no ba. Nhwehwɛmufo pii mpɛ sɛ wɔde asɛmfua ‘Lyme yare a enni sabea’ bedi dwuma efisɛ ɛyɛ nea ɛyɛ basaa kakra na ɛyɛ akyinnyegye.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Enti, bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

• Sɛ wote nka sɛ woyare bere a woakɔ baabi a ebia ntontom wɔ akyi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
• Sɛ wɔahu sɛ wowɔ Lyme yare na woda so ara ho nyɛ wo den ɛmfa ho sɛ wonom nnuru a wɔde kum ɔyare mmoawa a wɔakyerɛw ama wo no nyinaa a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ. Eyi ho hia titiriw sɛ wowɔ sɛnkyerɛnne ahorow te sɛ kɔn a ɛyɛ den anaa adwene a ɛyɛ basaa a.

So wobetumi asa Lyme Yare no koraa?

Aane! Mpɛn pii no, Lyme yare no fi hɔ bere a wɔde nnuru a ekum ɔyare mmoawa a wɔnom nom adapɛn abien kosi anan akyi. Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔde nnuru a ekum ɔyare mmoawa fa ntini mu kɔ adapɛn anan bio. Nanso, biribiara nni hɔ a enti ɛsɛ sɛ wususuw sɛ Lyme yare no bɛtra wo nipadua mu daa wɔ ayaresa akyi.

Nneɛma a ɛsɛ sɛ wokae fi asɛm yi mu (Take-Home Message) .

Okay, enti momma yɛnkae wo nneɛma kakraa bi a yɛkaa ho asɛm nnɛ fa Lyme Yare ho a yesusuw sɛ ɛho hia:

• Hyɛ ntade a ɛbɔ wo ho ban bere a worekɔ mmeae a ebia ntontom wɔ (kwae, wuram) no. Nneɛma te sɛ pantan atenten, ntade a nsa tenten, ne mpaboa.
• Fa nnuru a wɔde pam nkoekoemmoa di dwuma, nanso hwɛ yiye.
• Sɛ wugye bere wɔ abɔnten wie a , hwɛ wo nipadua mu yiye sɛ ebia ntontom nni hɔ anaa.
• Sɛ ntontom bi wɔ hɔ a, yi fi hɔ yiye. Mma wo ho nnyɛ wo hu.
• Sɛ wunya atiridiinini, wo nipadua mu yaw, anaa baabi a ɛyɛ nwonwa wɔ wo honam ani (titiriw nea ɛte sɛ nea wɔde wɔn ani asi so), bere a ntontom aka wo anaa bere a woakɔ baabi a ntontom wɔ akyi no, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ wɔsa Lyme yare no ntɛm a, wobetumi asa. Fa nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ na fa bere a wɔakyerɛw ama wo no.

Saa nneɛma yi a wobɛma atra w’adwenem no bɛboa wo kɛse wɔ Lyme yare a ntontom na ɛde ba no ho. Kɔ so nya apɔwmuden!

` Lyme Yareɛ, ntontom, ntontom a wɔka wɔn, Borrelia burgdorferi, erythema migrans, sɛnkyerɛnne, ayaresa, siw ano