So ɛtɔ mmere bi a, wo ho yɛ wo hyew, wo nipadua mu yɛ wo yaw, anaa wo ho fifiri a ntease biara nnim? So saa nneɛma yi kɔ nna kakraa bi akyi na ɛsan ba? Ebia wubesusuw sɛ eyi yɛ atiridiinini a ɔyare mmoawa de ba a ɛfata. Nanso ebetumi nso afi mmoa mu akɔ yɛn nkyɛn, na ebetumi nso ayɛ yare a ahintaw nipadua no mu. Ɛnnɛ yɛreka yareɛ a ɛte saa ho asɛm. Ɛno ne Brucellosis. Ɛwom sɛ eyi yɛ din a ɛyɛ nwonwa kakra de, nanso ɛho hia yiye sɛ wubehu ho asɛm.
Dɛn ankasa ne Brucellosis?
Sɛ yɛbɛka no tiawa a, brucellosis yɛ yareɛ a ɔyare mmoawa bi a wɔfrɛ no `Brucella` na ɛde ba. Ade titiriw a ɛwɔ eyi mu ne sɛ efi mmoa mu kɔ yɛn nkyɛn . Enti, yɛsan frɛ no zoonotic yare. Wɔsan frɛ saa yare yi Malta atiridii ne Mediterranea atiridii.
Wɔ saa yare yi mu no, sɛnkyerɛnne te sɛ atiridiinini, nkwaa mu yaw, ne fifiri betumi aba na akɔ, afei asan aba, na ebetumi atra hɔ asram pii, anaa mfe pii mpo.
Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?
Wohu saa yare yi wɔ aman pii so wɔ wiase nyinaa. Sɛ woyɛ wɔn a wodi so yi mu biako a, asiane kɛse wom kakra sɛ wubenya saa yare yi.
- Mmoa ho ɔyaresafo anaa obi a ɔne mmoa yɛ adwuma.
- Sɛ woyɛ adwuma wɔ nufusu afuw anaa mmoayɛn mu a.
- Sɛ woyɛ adwuma wɔ namtɔnbea, baabi a wokum mmoa, anaasɛ wodi nam a wɔannoa ho dwuma a.
- Sɛ obi bɔ mmoa abɔmmɔ a.
- Sɛ woyɛ adwuma wɔ lab a ɛyɛ nhwehwɛmu wɔ `Brucella` mmoawa no ho a.
- Sɛ wudi nam a wɔannoa no yiye anaasɛ wudi nufusu a wɔmfa pasteurized ne nufusu mu nneɛma (e.g. cheese, yogurt).
Ɛwom sɛ wɔntaa mmɔ saa yare yi ho amanneɛ wɔ Sri Lanka de, nanso afe biara wɔbɔ nnipa bɛyɛ 500,000 ho amanneɛ wɔ wiase nyinaa. Enti, ɛho hia yiye sɛ wɔn a wɔwɔ akuw a asiane wom mu no hu eyi.
Dɛn ne yare yi ho sɛnkyerɛnne?
Brucella yare no ho sɛnkyerɛnne gye adapɛn abien kosi anan anaa nea ɛboro saa ansa na ada adi. Susuw sɛnea ɛbɛyɛ abasamtu sɛ wubenya saa sɛnkyerɛnne ahorow yi aba na akɔ asram pii no ho hwɛ. Enti, hwɛ saa sɛnkyerɛnne ahorow yi yiye.
| Nsɛnkyerɛnne a ɛkyerɛ | Nsɛm pii |
|---|---|
| Huraeɛ | Atiridiinini no betumi akɔ soro anaasɛ ɛbɛtew da biara da. |
| Fifiri a ɛrefifi | Ɛtɔ mmere bi a fifiri tumi nya hua a ɛyɛ nsunsu. |
| Nkwaa mu yaw | Ɛyaw, titiriw wɔ asen, nkotodwe, anaa akyi. |
| Mu duru a ɛso tew | Mu duru a wɔtew so a ntease biara nnim. |
| Tipaeɛ | Ti a ɛtaa yɛ no yaw. |
| Nneɛma afoforo a ɛwom | Yafunu mu yaw, aduan ho akɔnnɔ a ɛyera, adwenemhaw, ntini a ɛho ahonhon na ɛyɛ yaw, ne mmerɛwyɛ ho atenka. |
Ɔkwan bɛn so na brucellosis yi trɛw kɔ yɛn mu?
Brucella mmoawa ahorow pii wɔ hɔ a wɔde yare yi ba. Saa mmoawa yi te mmoa nipadua mu titiriw. Nhwɛsoɔ:
- Nantwibaa
- Mpapo
- Mprako
- Wansane
- Odwan
- Akraman
- Yoma
Akwan titiriw pii wɔ hɔ a yebetumi afa so anya yare no afi mmoa yi mu.
| Ɔkwan a wɔfa so de nyarewa no kɔ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Nufusu a wɔmfa pasteurized nhyɛ mu a wodi | Ɛdenam nufusu a wɔannom a wɔnom a efi aboa bi a ɔyare no wom mu anaasɛ cheese, ice cream, ne nea ɛkeka ho a wɔde saa nufusu no ayɛ a wobedi so. Pasteurization yɛ ɔkwan a wɔfa so ma nufusu yɛ hyew de kum mmoawa. Nufusu a wɔde pasteurized ayɛ no yɛ nea asiane biara nni ho sɛ wɔbɛnom. |
| Sɛ ɛne aboa bi a ɔwɔ ɔyare no nipadua akwaa anaa nsu di nkitaho | Mmoawa betumi afa wo honam ani atwa anaa kuru bi so akɔ wo nipadua mu, anaasɛ w’ani, wo hwene, anaa w’ano. |
| Mmoawa a wɔhome | Ɛdenam mmoawa nketenkete a ɛwɔ mframa mu a efi mmoa nam anaa mogya a wɔanya ɔyare no mu a wɔhome so. Nnipa a wɔyɛ adwuma wɔ mfuw ne mmeae a wokum mmoa no wɔ asiane kɛse mu. |
| Nam a wɔannoa no yiye | Ɛdenam nam a wɔannoa yiye a efi aboa bi a ɔwɔ ɔyare no mu a wobedi so. |
Nea ɛho hia no, ɛntaa nsi koraa sɛ yare yi betumi afi onipa so akɔ foforo so . Nanso, ɛntaa mma koraa sɛ ɛna a onyinsɛn kɔ ne ba mu, denam nufu a wɔma no anaa nna mu. Nanso, wommu eyi sɛ ɛyɛ nna mu yare (STI).
Ɔkwan bɛn so na oduruyɛfo hu yare yi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne, sɛ ebia wo ne mmoa yɛ adwuma, anaasɛ woanom nufusu a wɔannoa. Esiane sɛ brucellosis ho sɛnkyerɛnne te sɛ nyarewa afoforo nti, ehia sɛ wɔyɛ nhwehwɛmu pii na ama wɔahu sɛ obi anya yare no.
- Mogya mu nhwehwɛmu: Wɔfa wo mogya bi de hwɛ sɛ ebia nnuru a ɛko tia Brucella mmoawa no anaa. Wobetumi nso ayɛ mogya no mu aduru wɔ aduruyɛdan mu ahwɛ sɛ mmoawa no wɔ hɔ anaa. Nanso, esiane sɛ mmoawa no nyin nkakrankakra nti, ebetumi adi adapɛn pii ansa na aba.
- Nipadua mu nsu afoforo a wɔsɔ hwɛ: Nneɛma te sɛ akyi berɛmo mu nsu ne nkwaa mu nsu a wɔsɔ hwɛ nso betumi ahwehwɛ mmoawa no.
- Tissue biopsy: Wɔfa ntini ketewaa bi fi beae bi te sɛ nnompe mu ntini mu na wɔhwehwɛ mu.
- Mfoniniyɛ mu nhwehwɛmu: Wobetumi ayɛ nhwehwɛmu te sɛ X-ray, CT scan, ne MRI de ahwɛ sɛ akwaa te sɛ nnompe, mmerɛbo, ne koma 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 nsonsonoe kakra wɔ mu.
Anyɛ yiye koraa no, wubehia nnuru ahorow abien a ekum ɔyare mmoawa abom, anyɛ yiye koraa no adapɛn 6-8.Wɔde ma bere tenten, te sɛ. Esiane sɛ saa mmoawa yi hintaw nipadua no mu nkwammoaa mu nti, ɛho hia sɛ wɔsa no bere tenten ansa na wɔasɛe no koraa.
Ebia nnuru a ekum ɔyare mmoawa a wo duruyɛfo bɛkyerɛw ama wo no bi ne:
- ` Doxycycline ( Doxycycline ( Doxycycline) ) `
- `Rifampin`
- `Streptomycin` anaa `Gentamicin`
- `Trimethoprim/sulfametoxazole (TMP/SMX)`
- `Ciprofloxacin a wɔde yɛ aduru`
Ɛho hia yiye: Ɛho hia sɛ wobɛnom aduru no bere tenten a oduruyɛfo no akyerɛw ama wo no nyinaa, a worennya da koro mpo. Sɛ wugyae aduru no nom fã, sɛ wo ho tɔ wo kakra mpo a, hokwan a ɛwɔ hɔ sɛ yare no bɛsan aba no yɛ kɛse koraa.
Bisa wo duruyɛfo no nnuru foforo a wubetumi anom de adi sɛnkyerɛnne te sɛ atiridii ne nkwaa mu yaw so.
Dɛn na ɛba wɔ ayaresa akyi? So nsɛnnennen bi wɔ hɔ?
Nnipa dodow no ara ho tɔ wɔn koraa wɔ ayaresa akyi, nanso ebinom betumi anya sɛnkyerɛnne te sɛ nkwaa mu yaw (ntini mu yare) bere tenten.
Sɛ wɔansa yare no yiye a, bere kɔ so no, nsɛnnennen a emu yɛ den betumi aba.
- Ntini mu yare a ɛkɔ so daa.
- Mmɛn a ɛho ahonhon (Hepatomegaly) anaa akyi berɛmo (Splenomegaly).
- Ɔyare mmoawa a ɛba koma no mu ntini (endocarditis).
- Nyarewa a ɛba amemene anaa amemene no mu nkataso (Encephalitis anaa Meningitis).
- Nyarewa a ɛba akyi berɛmo mu (Spondylitis) anaa nnompe afoforo (Osteomyelitis).
- Nkwammoaa ne ntini a ɛbata ho a ɛho ahonhon wɔ mmarima mu (Epididymo-orchitis).
- Ɛna a onyinsɛn nyinsɛn a wotu gu.
Ɛwom sɛ asiane ahorow yi yɛ de, nanso sɛ wohu yare no ntɛm na wɔsa no yiye a, wobetumi asiw ano . Owu a yare yi wuwu no ho yɛ na koraa.
Dɛn na ɛsɛ sɛ yɛyɛ de bɔ yɛn ho ban fi yare yi ho?
Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati brucellosis. Nneɛma nketenkete kakraa bi wɔ hɔ a wubetumi ayɛ de aboa.
- Mma nnom nufusu a wɔmfa pasteurized (a wɔannoa) nnom da. Afei nso, kwati sɛ wubedi nnuan a wɔde nufusu a wɔannoa te sɛ kyiisi ne yogurt ayɛ.
- Sɛ wo ne mmoa yɛ adwuma (okuafo, mmoa ho ɔyaresafo, namkumfo) a, hyɛ nneɛma a wode bɔ wo ho ban , te sɛ nsateaa ne ahwehwɛ bere nyinaa .
- Noa nam yiye na di.
- Bere nyinaa fa samina hohoro wo nsa yiye bere a woadi nam a wɔannoa ho dwuma awie no. Afei nso tew nnua a wɔde twa nneɛma ne nnade ho.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Mmere bɛn na ɛsɛ sɛ yɛkɔ ETU?
Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi, titiriw sɛ woyɛ obi a wo ne mmoa di nkitaho a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn .
Afei nso, sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den a edidi so yi a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no nkyɛn ntɛm ara.
- atiridii a eboro so boro Celsius 39.4 (103 Fahrenheit).
- a ewo yafunu mu yaw a emu ye den paa.
- a ɛyɛ basaa anaase adwene a ɛsesa.
Wɔ tebea a ɛte saa mu no, wobetumi asiw nsɛnnennen a emu yɛ den ano denam aduruyɛ mu afotu a wɔbɛhwehwɛ ntɛm sen sɛ wɔbɛtra fie no so.
Nkrasɛm a Wɔde Kɔ Fie
- Brucellosis yɛ ɔyare mmoawa a efi mmoa mu kɔ nnipa mu.
- Nsɛnkyerɛnne titiriw ne atiridiinini a ɛtaa ba, nkwaa mu yaw, ne fifiri.
- Saa yare yi betumi anya denam nufusu a wɔannoa a wɔnom, nam a wɔannoa yiye a wodi, ne mmoa a wɔanya ɔyare no a wɔde wɔn nsa bɛka wɔn so.
- Ayaresa no hwehwɛ sɛ wɔde nnuru a ekum ɔyare mmoawa a ɛtra hɔ kyɛ (adapɛn 6-8), na ɛho hia sɛ wɔnom aduru no bere tenten a oduruyɛfo no akyerɛw ama no no nyinaa.
- Wobetumi akwati yare yi koraa denam ahobammɔ ho nhyehyɛe ahorow a wobedi akyi (nufusu a wɔde pasteurized ayɛ a wɔnom, nam a wɔnoa no yiye, ne nneɛma a wɔde bɔ wɔn ho ban a wɔbɛhyɛ bere a woredi mmoa ho dwuma) so.
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