So wo ho nyɛ wo den nna kakraa bi, na wo ho yɛ wo yaw na wo ho yɛ wo yaw, na wo ho yɛ wo hyew? Ebia wo ne mmoa yɛ adwuma, anaasɛ wudi nufusu a wɔannoa anaa nufusu a wɔayam a efi akuraa bi ase. Afei ɛho hia paa sɛ wuhu saa yare yi a wɔfrɛ no Brucellosis no.
Dɛn ankasa ne Brucellosis?
Sɛ yɛbɛka no tiawa a, brucellosis yɛ yare a mmoawa bi a wɔfrɛ no Brucella na ɛde ba. Ade titiriw a ɛwɔ eyi mu ne sɛ ɛyɛ yare a efi mmoa mu kɔ nnipa mu. Wɔ nnuruyɛ mu no, yɛfrɛ eyi sɛ mmoawa yare. Saa yare yi betumi de sɛnkyerɛnne ahorow te sɛ nipadua mu yare a ɛkyɛ, atiridiinini, nkwaa mu yaw, ne fifiri a ɛboro so aba. Edin afoforo a wɔde frɛ saa yare yi bi ne Malta atiridii anaa Mediterranea atiridiinini.
Ɛwom sɛ ɛntaa nsi koraa wɔ Sri Lanka de, nanso afe biara wɔbɔ nnipa bɛyɛ 500,000 ho amanneɛ wɔ wiase nyinaa. Enti, ɛho hia paa sɛ wohu eyi.
Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?
Ɛnyɛ obiara na onya saa yare yi. Nanso nnipa binom wɔ asiane a ɛkɔ soro kakra mu a egyina wɔn adwuma anaa wɔn asetra kwan so. Hwɛ sɛ wotɔ saa kuw yi mu anaa.
| Kuw a wɔwɔ asiane mu | Nkyerɛmu |
|---|---|
| Mmoa ho animdefo ne wɔn a wɔne mmoa yɛ adwuma | Esiane sɛ wɔtaa ne mmoa a wɔanya ɔyare no nipadua mu nsu anaa wɔn ntini di nkitaho nti. |
| Nufusu mfuw ne mfuw mu adwumayɛfo | Esiane sɛ wɔne mmoa a wɔanya ɔyare no te sɛ anantwi, mpapo, ne nguan di nkitaho kɛse nti. |
| Wɔn a wokum nam ne adwumayɛfo a wokum mmoa | Esiane nam a wɔannoa ne mmoa a wɔanya ɔyare no ntini a wɔde di dwuma nti. |
| Abɔmmɔfo | Esiane sɛ wodi wuram mmoa te sɛ akraman ne akraman nam ne wɔn ntini ho dwuma nti. |
| Adwumayɛfo a wɔyɛ adwuma wɔ aduruyɛdan mu | Bere a woredi Brucella mmoawa ho dwuma de ayɛ nhwehwɛmu no. |
| Nnipa a wodi nufusu a wɔannoa ne nam a wɔannoa no yiye | Ɛdenam nufusu, kyiisi, yogurt, ne nam a wɔannoa no yiye a wobedi so. |
Dɛn ne yare yi ho sɛnkyerɛnne?
Brucella ho sɛnkyerɛnne taa da adi wɔ adapɛn abien kosi anan, anaa nea ɛboro saa mpo, bere a mmoawa no ahyɛn nipadua no mu akyi. Saa sɛnkyerɛnne ahorow yi betumi aba na akɔ asram pii, mfe pii mpo. Eyi betumi ama ayɛ den sɛ wobehu yare no.
| Nsɛnkyerɛnne atitiriw | Nkyerɛmu |
|---|---|
| Huraeɛ | Atiridiinini no betumi akɔ soro da biara da, na ebetumi ada nhwɛso bi adi te sɛ atiridii no a wobenya bere koro no ara mu wɔ da no mu nkutoo. |
| Fifiri a ɛrefifi | Wo fifiri pii, titiriw anadwo, na ɛtɔ mmere bi a, wubetumi ate hua bi a ɛyɛ nwunu. |
| Nkwaa mu yaw | Ɛyaw a emu yɛ den, titiriw wɔ asen, nkotodwe, anaa akyi. |
| Mu duru a ɛso tew | Mu duru a ɛso tew a ntease biara nni mu a ɛda adi pefee. |
| Nneɛma afoforo a ɛwom | Tiyɛ, yafunu mu yaw, aduan ho akɔnnɔ a ɛyera, adwenemhaw, ntini a ɛho ahonhon, ne adwenemhaw a ɛkɔ so wɔ baabiara. |
Yɛbɛyɛ dɛn anya saa yare yi?
Saa yare yi nam mmoa a wɔanya bi anaa nneɛma a wonya fi wɔn mu so titiriw. Ma yɛnhwɛ sɛnea ɛbɛyɛ.
- Nufusu a wɔmfa nnuru nhyɛ mu a wɔnom anaa wodi: Wobetumi ahu saa mmoawa yi wɔ nufusu a wɔannoa, kyiisi, ne ice cream a efi mmoa a wɔanya ɔyare no mu mu. Nanso kae sɛ nufusu a wɔde pasteurized a wɔnom no remma yare yi mma. Saa adeyɛ yi kunkum mmoawa no.
- Sɛ wode aboa bi a ɔwɔ ɔyare no ntini anaa nipadua mu nsu di nkitaho: Sɛ wo honam ani twa anaasɛ wo ho atɔ wo a, mmoawa no betumi afa mu akɔ wo nipadua mu, anaasɛ w’ani, wo hwene, anaa w’ano.
- Mmoawa no a wɔhome: Yare no nso betumi atrɛw denam nneɛma nketenkete a wɔhome a ɛbɛyɛ mframa mu bere a wɔde ntini anaa mogya a efi aboa bi a ɔwɔ ɔyare no mu reyɛ adwuma no so. Nnipa a wɔyɛ adwuma wɔ mfuw, mmeae a wokum mmoa, mmeae a wɔhyehyɛ nam, ne aduruyɛdan ahorow mu no wɔ asiane kɛse mu.
- Nam a wɔannoa no yiye a wobedi: Asiane nso wɔ hɔ sɛ obi benya yare no denam aboa bi a ɔwɔ yare no nam a wubedi a wonnoa no yiye so.
Nea ɛho hia no, yare no a efi nnipa mu kɔ nnipa mu no ho yɛ na koraa. Ɛwom sɛ ɛntaa mma koraa sɛ ɛna a onyinsɛn kɔ ne ba mu, bere a wɔrema nufu, anaa bere a wɔrenya nna mu kyɛfa de, nanso brucellosis nyɛ yare a wonya fi nna mu (STI).
Oduruyɛfo, wobɛyɛ dɛn ahu sɛ eyi yɛ yare?
Sɛ wokɔ wo duruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne, w’adwuma, sɛ ebia wo ne mmoa di nkitaho, ne sɛ ebia wudi nneɛma te sɛ nufusu a wɔannoa. Esiane sɛ saa sɛnkyerɛnne ahorow yi te sɛ nyarewa afoforo pii nti, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu ahorow bi na ama wɔahu yare no pɛpɛɛpɛ.
| Sɔhwɛ | Woreyɛ dɛn? |
|---|---|
| Mogya mu nhwehwɛmu | Wɔfa mogya de hwɛ sɛ nipadua no yɛ nipadua no mu nkwammoaa a ɛko tia Brucella mmoawa no, anaasɛ wɔbɔ mmɔden sɛ wɔbɛma mmoawa no ayɛ kɛse wɔ mogya no mu. |
| Nipadua mu nsu afoforo a wɔbɛsɔ ahwɛ | Wɔfa akyi berɛmo mu nsu ne nkwaa mu nsu nhwɛsode na wɔsɔ hwɛ sɛ mmoawa wɔ hɔ anaa. |
| Ntini mu nkwaadɔm mu nhwehwɛmu | Wɔfa ntini ketewaa bi te sɛ nnompe mu ntini na wɔsɔ hwɛ. |
| Mfoninitwa sɔhwɛ ahorow | Wɔde nhwehwɛmu te sɛ X-ray, CT scan, ne MRI scan di dwuma de hwɛ sɛ nnompe anaa emu akwaa te sɛ mmerɛbo ne akyi berɛmo asɛe anaa. |
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa no ne sɛ wobetumi de nnuru a ekum ɔyare mmoawa asa brucellosis koraa . Nanso, nnuru biako pɛ a ekum ɔyare mmoawa nnɔɔso. Mpɛn pii no, ɛsɛ sɛ wɔde nnuru a ekum ɔyare mmoawa ahorow abien anaa nea ɛboro saa bom di dwuma.
Bere a wɔde sa yare no ware kakra. Ɛsɛ sɛ wokɔ so nom aduru no anyɛ yiye koraa no adapɛn 6-8. Nnyae aduru no fã esiane sɛ wo ho atɔ wo kakra nti. Sɛ woyɛ saa a, hokwan a ɛwɔ hɔ sɛ yare no bɛsan aba no dɔɔso yiye. Enti, ɛho hia sɛ wonom aduru no kosi sɛ oduruyɛfo no bɛkyerɛw ama wo.
Nnuru a wɔde kum ɔyare mmoawa a wɔtaa de di dwuma no bi ne:
- Doxycycline ( Doxycycline ) .
- Rifampin na ɔkyerɛwee
- Streptomycin anaa Gentamicin a wɔde yɛ aduru
- Trimethoprim/sulfamethoxazole (TMP/SMX) a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so.
Bisa wo duruyɛfo akwan a wobɛfa so adi sɛnkyerɛnne te sɛ atiridii ne nkwaa mu yaw ho dwuma bere a worenom nnuru a ekum ɔyare mmoawa yi.
Dɛn na ɛba wɔ ayaresa akyi? So nsɛnnennen bi wɔ hɔ?
Nnipa dodow no ara ho tɔ wɔn koraa bere a wɔde nnuru a ekum ɔyare mmoawa sa wɔn yare akyi, nanso sɛnkyerɛnne ahorow bi, titiriw nkwaa mu yaw te sɛ ntini mu yare, betumi akɔ so atra hɔ bere bi wɔ ayaresa akyi.
Sɛ wɔanhu yare no bere tenten a, nsɛnnennen bi betumi aba. Eyinom yɛ aniberesɛm koraa.
- Ntini mu yare tebea horow a ɛtra hɔ kyɛ.
- mmerɛbo a ɛho ahonhon (hepatomegaly) anaa akyi berɛmo (splenomegaly).
- Ɔyare mmoawa a ɛba koma no mu ntini (endocarditis).
- Ɔyare mmoawa a ɛba amemene anaa amemene a ɛkata so (amemene mu yare anaa amemene mu yare).
- Nyarewa a ɛba akyi berɛmo anaa nnompe afoforo mu (spondylitis, osteomyelitis) .
- Nkwammoaa ne ntini a ɛbata ho a ɛyɛ hyew wɔ mmarima mu (epididymo-orchitis).
- Wɔ ɛna a onyinsɛn fam no, asiane wɔ hɔ sɛ nyinsɛn betu.
Nanso mma ɛnhaw wo, owu a efi yare yi mu no ho yɛ na koraa.
Wobɛyɛ dɛn atumi akwati yare yi?
Nneɛma bi wɔ hɔ a ɛnyɛ den, nanso ɛho hia yiye a yebetumi ayɛ de abɔ yɛn ho ban afi yare yi ho.
| Nea ɛsɛ sɛ wɔyɛ | Dɛn nti na ɛho hia? |
|---|---|
| Kwati nufusu ne nneɛma a wɔmfa nnuru nhyɛ mu. | Eyi ne ɔkwan titiriw a wɔfa so nya yare no. Kwati sɛ wobɛnom biribiara a wɔakyerɛw so sɛ "nufusu a wɔannoa." |
| Hyɛ ntade a ɛbɔ wo ho ban bere a wo ne mmoa reyɛ adwuma no. | Sɛ obi hyɛ nsateaa ne ahwehwɛ a ɛhyɛ ahwehwɛ a, ebetumi asiw mmoawa a wɔankɔ nipadua no mu no ano. |
| Noa nam no yiye na di. | Sɛ wɔnoa nam no kosi sɛ ebedu emu hyew a ɛfata a, ekum mmoawa no. |
| Hwɛ ahotew so yiye. | Fa samina hohoro nsa, nnade, ntaaboo a wɔde twitwa nneɛma, ne nnwinnade afoforo yiye bere a woadi nam a wɔannoa ho dwuma awie no. |
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wowɔ sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no bi, titiriw sɛ woka asiane akuw a yɛaka ho asɛm wɔ atifi hɔ no mu biako ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. Dodow a wohu yare no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa na wɔasiw ɔhaw ahorow ano.
Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU)?
Sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
- Atiridiinini a ano yɛ den a ɛboro digrii Celsius 39.4 (103 Fahrenheit).
- Yafunu mu yaw a emu yɛ den yiye.
- Adwene a ɛyɛ basaa anaasɛ adwene a ɛsakra.
Nkrasɛm a Wɔde Kɔ Fie
- Brucellosis yɛ ɔyare mmoawa a efi mmoa mu kɔ nnipa mu.
- Atiridiinini a ɛsan ba, nkwaa mu yaw, ne fifiri a ɛtra so ne sɛnkyerɛnne atitiriw.
- Ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban ne sɛ wobɛkwati sɛ wubedi nufusu a wɔmfa nnuru nhyɛ mu ne nam a wɔannoa no yiye.
- Wobetumi de nnuru a ekum ɔyare mmoawa asa eyi koraa, nanso ɛho hia sɛ wɔnom aduru no bere tenten a oduruyɛfo no akyerɛw ama no no nyinaa.
- Sɛ wowɔ sɛnkyerɛnne ahorow, titiriw sɛ wo ne mmoa yɛ adwuma a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
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