Atiridii a ɛyɛ nwonwa a mmoa de ba? Momma yɛnka Brucellosis ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ woayɛ mmerɛw a ntease biara nnim? Sɛ́ ebia wo nkwaa yɛ wo yaw, wote atiridii nka, wo ho fifiri, nanso ɛkɔ nna kakraa bi akyi na afei ɛsan ba? Sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ebetumi ayɛ yare a yɛnka ho asɛm pii, nanso ɛfata sɛ yehu ho asɛm. Yare a ɛte saa no biako ne Brucellosis.

Dɛn ne Brucellosis?

Sɛ yɛbɛka no tiawa a, brucellosis yɛ yare a mmoawa bi a wɔfrɛ no Brucella na ɛde ba. Nsɛnkyerɛnne no bi ne atiridiinini, nkwaa mu yaw, ne fifiri. Nanso, saa sɛnkyerɛnne ahorow yi mma na nkɔ prɛko pɛ, na ɛtɔ mmere bi a ɛba na ɛkɔ bere tenten mu.

Brucellosis yɛ yare a ɛde mmoawa ba, a ɛkyerɛ sɛ efi mmoa mu . Wɔde din afoforo nso frɛ no, te sɛ ‘undulant fever’, ‘Malta fever’, ne ‘Mediterranean fever’.

Hena na ɛda adi sɛ obenya brucellosis?

Wohu saa yare a wɔfrɛ no brucellosis yi wɔ aman pii mu wɔ wiase nyinaa. Wowɔ asiane kɛse mu sɛ wobɛnya saa `Brucella` mmoawa yi sɛ wo:

• Obi a ɔne mmoa yɛ adwuma , te sɛ mmoa ho ɔyaresafo.
• Sɛ woyɛ adwuma wɔ nufusu afuw anaa mmoayɛn mu a.
• Sɛ woyɛ adwuma wɔ baabi a wɔtɔn nam, baabi a wokum mmoa, anaa obi a ɔhwɛ nam a wɔannoa so a.
• Sɛ woyɛ ɔbɔmmɔfo anaasɛ wosiesie mmoa a wɔabɔ wɔn abɔmmɔ nam a.
• Sɛ woyɛ adwuma wɔ lab a ɛsɔ `Brucella` mmoawa no hwɛ a.
• Sɛ wudi nam a wɔannoa no yiye anaasɛ wode nufusu a wɔmfa pasteurized nhyɛ mu (e.g. nufusu, kyiisi, yogurt) di dwuma a .

Eyi abu so dɛn?

Sɛ wohwɛ wiase nyinaa a, wɔbɔ amanneɛ sɛ nnipa bɛyɛ 500,000 na wɔanya brucellosis afe biara. Nanso, wɔ aman te sɛ Amerika mu no, eyi sua kakra, bɛyɛ 100-200 pɛ na wɔbɔ amanneɛ afe biara. Ɛwom sɛ akontaabu pɔtee biara nni hɔ a ɛkyerɛ sɛnea ɛte wɔ yɛn man yi mu de, nanso asiane yi betumi aba wɔn a wɔne mmoa di no mu.

Dɛn na brucellosis yɛ nnipa?

Susuw ho hwɛ, saa ɔyare mmoawa a wɔfrɛ no `Brucella` yi yɛ anifere kɛse. Ɛfa w’ano, wo hwene, w’ani, anaa kuru ketewaa bi a ɛwɔ wo honam ani mpo so hyɛn wo nipadua mu . Afei, ɛkɔ wo ntini anaa ntini afoforo mu na ɛde nkakrankakra fi ase dɔɔso. Ɛkame ayɛ sɛ efi hɔ no, ɔyare mmoawa yi tumi trɛw kɔ wo nipadua no fã biara. Ebetumi akɔ mmeae te sɛ wo koma, wo mmerɛbo, w’amemene, ne wo nnompe mpo , baabi a ebetumi ahuru na afi ase asɛe.

Dɛn ne eyi ho sɛnkyerɛnne?

Ebetumi agye adapɛn abien kosi anan, anaa nea ɛboro saa mpo ansa na sɛnkyerɛnne ahorow no ada adi bere a woanya Brucella mmoawa no akyi.Saa sɛnkyerɛnne ahorow yi betumi aba na akɔ asram pii, mfe pii mpo. Nea wɔyɛ ni:

• Huraeɛ.
• Fifiri (ɛtɔ da bi a ebetumi ayɛ huam te sɛ nsunsu).
• Nkwaa mu yaw, titiriw wɔ w’asen, wo nkotodwe, anaa w’akyi ase.
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu.
• Tipaeɛ .
• Yafunu mu yaw.
• Sɛ wote nka sɛ w’ani nnye aduan ho anaasɛ wo yafunu ayɛ wo yaw.
• Adwene mu tebea horow te sɛ adwenemhaw.
• Ntini a ɛma mogya tu no yɛ kɛse na ɛyɛ yaw.
• Nkate a ɛkɔ so wɔ ɔkwan a ɛkɔ akyiri so sɛ ne ho nyɛ no dɛ na ne ho nyɛ no dɛ.

Dɛn nti na ɛte saa?

Brucellosis fi `Brucella` mmoawa ahorow pii. Wɔn titiriw ne `B. abortus`, `B., na woayɛ saa. canis`, `B., ne nea woagye atom. melitensis` (adeɛ a ɛka nnipa kɛseɛ) ne `B. suis`. Mmoa kura saa `Brucella` mmoawa yi. Ɛno kyerɛ sɛ saa mmoa yi na wɔde saa mmoawa yi kɔ. Ma yɛnhwɛ nnipa ko a saa mmoa no yɛ:

• Nantwie
• Mpapo
• Mprako
• Wansane
• Moose, Elk - Ɛwom sɛ saa mmoa yi nni Sri Lanka de, nanso wohu wɔn wɔ wiase mmeae afoforo.
• Odwan
• Akraman - Yiw, akraman nso tumi de saa yareɛ yi ba, titire no ɔkwan a ɛyɛ `B. canis`.
• Yoma

Ɔkwan bɛn so na wɔde brucellosis kɔ nnipa mu?

Brucellosis nam mmoa a wɔanya ɔyare no a wɔne wɔn di nkitaho anaasɛ nufusu a wɔmfa nnuru nhyɛ mu so na ɛtrɛw . Akwan pii wɔ hɔ a wubetumi afa so anya yare no:

• Ɛdenam nufusu a wɔmfa nnuru nhyɛ mu (a wɔannoa) a wɔnom anaasɛ nufusu a wɔmfa nnuru nhyɛ mu te sɛ kyiisi ne ice cream a wobedi so. Nufusu a efi mmoa a wɔanya ɔyare no mu betumi akura saa mmoawa yi. Nanso, ɔkwan bi a wɔfrɛ no pasteurization na ɛsɛe mmoawa no. Enti, sɛ aboa no wɔ brucellosis mpo a, asiane biara nni ho sɛ ɔbɛnom abirekyi, nantwi, nguan, anaa yoma nufusu a wɔde pasteurized ayɛ.
• Ɛdenam aboa bi a ɔwɔ ɔyare no ntini anaa nipadua mu nsu a wɔde bɛka no so. Brucella mmoawa no betumi afa wo honam ani nsensanee ketewaa bi so akɔ wo nipadua mu, anaasɛ wɔatwa wo honam ani, anaasɛ w’ani, wo hwene, anaa w’ano.
• Ɛdenam Brucella mmoawa no a wɔhome so. Wubetumi ahome Brucella nneɛma nketenkete a afi ntini a ɛda adi anaa aboa bi a ɔwɔ ɔyare no mogya mu akɔ mframa mu. Asiane yi yɛ kɛse sɛ wo ne Brucella yɛ adwuma wɔ aduruyɛdan mu, siesie wuram mmoa nam, yɛ adwuma wɔ afuw mu, baabi a wokum mmoa, anaa adwumayɛbea a wɔde nam gu mu a.
• Ɛdenam nam a wɔannoa no yiye a wobedi so.

Brucellosis a efi nnipa mu kɔ nnipa mu no ho yɛ na koraa, nanso wɔabɔ amanneɛ sɛ nnipa pii anya bi:

• Efi ɛna a onyinsɛn so kosi abofra a ɔwɔ awotwaa mu so.
• Ɛdenam nufu a wɔde ma so.
• Efi nna mu (nanso eyi ho yɛ na yiye).

So eyi yɛ nna mu yare (STI)?

Dabi, wommu brucellosis sɛ ɔyare mmoawa a wonya fi nna mu (STI). Wɔabɔ amanneɛ sɛ nnipa kakraa bi pɛ na wɔanya brucellosis a ɛnam nna mu nkitahodi so trɛw.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Oduruyɛfo bi hu brucellosis denam wo yare no ho sɛnkyerɛnne ahorow a obisa na afei ɔsɔ wo mogya, ntini, anaa nneɛma afoforo hwɛ sɛ ebia Brucella mmoawa no ho sɛnkyerɛnne bi wɔ hɔ anaa. Esiane sɛ brucellosis ho sɛnkyerɛnne te sɛ nyarewa afoforo de nti, wo duruyɛfo nso betumi ayɛ nhwehwɛmu de akyerɛ sɛ nyarewa afoforo nni hɔ.

Ɔkwan pa a wobɛfa so asi Brucella yare no so dua ne sɛ wobɛma mmoawa no afi nipadua mu nsu anaa ntini bi mu. Nanso, Brucella yɛ ɔyare mmoawa a enyin brɛoo, enti ebia ebegye adapɛn pii ansa na woahu sɛ woahu. Ebia ɛho behia sɛ woyɛ mogya mu nhwehwɛmu bɛboro pɛnkoro wɔ adapɛn pii mu na ama woahu sɛ ebia Brucella ho sɛnkyerɛnne bi wɔ hɔ anaa.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Ebia wo duruyɛfo bɛyɛ nhwehwɛmu a edidi so yi de ahu sɛ wowɔ brucellosis anaa:

• Mogya mu nhwehwɛmu: Oduruyɛfo no de ade bɛfa aduru bi a efi ntini bi a ɛwɔ wo nsa mu no mu. Lab no bɛhwɛ sɛ Brucella mmoawa (antibodies, antigens, anaa DNA) ho sɛnkyerɛnne wɔ mogya yi mu, anaasɛ ebia wobenyin bere tenten (amammerɛ).
• Nipadua mu nsu afoforo a wobɛsɔ ahwɛ: Wobetumi afa nsu a efi w’akyi berɛmo mu nsu, nkwaa mu nsu, anaa wo nipadua no afã afoforo mu de ahwehwɛ Brucella na woanyin.
• Ntini mu nhwehwɛmu: Wobetumi afa wo nnompe mu ntini anaa ntini foforo bi de ahwehwɛ Brucella ho sɛnkyerɛnne na wɔanyin.
• Mfoninitwa: Ɛdenam wo nipadua no afã horow a ɛka no so no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ X-ray, CT scan, MRI, nnompe scan, ultrasound, anaa echocardiograms. Eyinom twa wo nipadua no mu mfonini hwɛ sɛ nsakrae bi aba wo nnompe anaa wo akwaa ahorow mu anaa.

Ɔkwan bɛn so na wɔsa eyi?

Wo duruyɛfo de anyɛ yiye koraa no nnuru ahorow abien a ekum ɔyare mmoawa a wɔaka abom sa brucellosis . Anyɛ yiye koraa no, ɛho behia sɛ wonom nnuru yi adapɛn 6 kosi 8. Ɛdenam wo tebea so no, ebia ayaresa afoforo (sɛ nhwɛso no, sɛnea ɛbɛyɛ a wobeyi akisikuru afi mmeae a ɔyare no wɔ anaasɛ wɔde adi nsɛnnennen ho dwuma) nso ho behia.

Nnuru bɛn na wɔde sa brucellosis?

Nnuru a ekum ɔyare mmoawa a nnuruyɛfo kyerɛw ma de sa brucellosis ne:

• `(Streptomycin)` anaa `(Gentamicin)`
• `(Rifampin)`
• `( Doxycycline ( Doxycycline) ) ) Ɔkwan a wɔfa so yɛ aduru a ɛma obi nya apɔwmuden
• `(Trimethoprim/sulfametoxazole - TMP/SMX)`
• `(Ciprofloxacin)`

Ade a ɛho hia sen biara ne sɛ wobɛnom nnuru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata mu, bere tenten a wɔde sa yare no nyinaa. Sɛ ɛnte saa a, yare no betumi asan aba bio.

Ɔkwan bɛn so na wobedi yare no ho sɛnkyerɛnne ahorow ho dwuma?

Bere a wonom nnuru a wɔakyerɛw ama wo a ekum ɔyare mmoawa no, wubetumi nso adi brucellosis ho sɛnkyerɛnne ahorow bi te sɛ nkwaa mu yaw ne atiridiinini ho dwuma wɔ fie. Bisa wo duruyɛfo sɛ nnuru bi wɔ hɔ a wɔtɔn (OTC) anaa ayaresa foforo bi a wubetumi de adi dwuma wɔ wo yare no ho sɛnkyerɛnne ahorow ho ne sɛ ebia ɛnyɛ nea asiane biara nni ho ma wo anaa.

Ɔkwan bɛn so na wobetumi asiw eyi ano?

Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya brucellosis so denam aduan ahobammɔ ho nhyehyɛe ahorow a wubedi akyi ne ntade a ɛbɔ wo ho ban a wobɛhyɛ bere a wo ne mmoa reyɛ adwuma no so. Nhwɛsoɔ:

• Mma nnom nufusu a wɔmfa nnuru nhyɛ mu, na nni nnuan a wɔde nufusu a wɔmfa nnuru nhyɛ mu.
• Hyɛ ahobammɔ ho nneɛma a ɛfata bere a wo ne mmoa ne mmoa ntini reyɛ adwuma no. Ebia nea ɛka eyi ho ne nsateaa, apron, anaa ahobammɔ ahwehwɛ. Ɛsɛ sɛ nnipa a wɔyɛ adwuma wɔ mmeae a wɔtɔn nam, mmoa ho animdefo, abɔmmɔfo, akuafo, adwumayɛfo a wokum mmoa, ne nnuruyɛbea adwumayɛfo no hwɛ yiye titiriw.
• Noa nam wɔ ɔhyew a ahobammɔ wom mu. Afei nso, bere nyinaa hohoro wo nsa, nkuku, ne ntaaboo a wode twitwa nneɛma yiye bere a woasiesie aduan awie no. Brucella mmoawa no betumi akura mmoa nam a wɔde di agoru mu.

Kae sɛ, wɔ yɛn man yi mu mpo no, nnipa bi a wɔwɔ nkuraase nom nufusu a wɔahwie agu fie nkyɛe a wɔanhyew. Ɛno nyɛ ade pa koraa. Ɛyɛ nea asiane biara nni ho sɛ wode nufusu a wɔahyɛ no hyew yiye anaasɛ wɔde pasteurized ayɛ nkutoo bedi dwuma.

Sɛ wunya brucellosis a, dɛn na ɛba? (Nkɔmhyɛ) .

Nnipa dodow no ara a wɔwɔ brucellosis no ho tɔ wɔn koraa bere a wɔde nnuru a ekum ɔyare mmoawa sa wɔn yare no. Nanso ebetumi agye bere kakra. Ebia ebehia sɛ wonom nnuru a ekum ɔyare mmoawa adapɛn pii, anaa asram pii mpo, na ama woahwɛ ahu sɛ mmoawa a wɔwɔ wo nipadua mu nyinaa ayera.

Ɛtɔ mmere bi a, brucellosis betumi asan aba bere a wɔawie ayaresa no. Eyi te saa titiriw sɛ woannom nnuru a ekum ɔyare mmoawa no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ a. Nsɛnkyerɛnne bi te sɛ ntini mu yare betumi atra hɔ bere a wɔawie ayaresa no. Sɛ brucellosis de nsɛnnennen ba a, ebia wubehia nnuru anaa ayaresa foforo.

Dɛn ne nsɛnnennen a ebetumi afi eyi mu aba?

Sɛ wɔansa brucellosis bere tenten a, ɛda adi sɛ obenya nsɛnnennen. Saa nsɛnnennen yi bi ne:

• Ntini mu yare a ɛkɔ so .
• Mmɛn a ayɛ kɛse (Hepatomegaly) anaasɛ akyi berɛmo a ayɛ kɛse (Splenomegaly).
• Tebea bi a wɔfrɛ no `(Chronic Hepatosplenic Suppurative Brucellosis - CHSB) . Eyi ne bere a akisikuru (kotoku a akisikuru wom) ba w’akyi berɛmo ne wo mmerɛbo mu. Eyi betumi asi mfe pii wɔ `Brucella` yare no akyi.
• Nyarewa ne wo koma a ɛho ahonhon `(Endocarditis)` , amemene no mu nyarewa anaa amemene no a ɛkata so `(Encephalitis anaa Meningitis)` , akyi berɛmo mu yare `(Spondylitis)` , nnompe mu yare `(Osteomyelitis)` anaa akyi berɛmo mu yare `(Sacroiliitis)` .
• Epididymo-orchitis yɛ ɔfe a ɛba mmarima awotwaa ne ntini a ɛwɔ akyi no mu.
• Nyinsɛn a wotu gu.

So wobetumi asa Brucella a ɛwɔ nnipa mu no yare?

Yiw, wobetumi de nnuru a ekum ɔyare mmoawa asa Brucella yare a ɛwɔ nnipa mu. Nanso, nsɛnnennen bi betumi asɛe nneɛma bere tenten.

So brucellosis betumi ama obi awu?

Ɛntaa mma koraa sɛ obi bewu wɔ brucellosis ho. Nnipa dodow a wowuwu wɔ brucellosis mu no yɛ 1% kosi 2% pɛ wɔ nsɛm no nyinaa mu.

Mɛyɛ dɛn ahwɛ me ho sɛ obi a ɔwɔ brucellosis?

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ brucellosis a, sɛ wo ho ye mpo a, fa nnuru no nyinaa sɛnea wɔakyerɛ wo no ne bere tenten no nyinaa. Sɛ wugyae nnuru a ekum ɔyare mmoawa nonom ntɛm dodo a, brucellosis no betumi asan aba. Sɛ wunya sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne no mu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ brucellosis ho sɛnkyerɛnne, titiriw sɛ w’adwuma anaa w’anigyede ahorow de wo to asiane mu sɛ wubenya saa ɔyare yi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ saa sɛnkyerɛnne ahorow a emu yɛ den yi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Atiridiinini a ano yɛ den yiye (bɛboro Fahrenheit 103 / Celsius 39.4).
• Yafunu mu yaw a emu yɛ den.
• Adwene a ɛyɛ basaa anaa adwene mu nsakrae afoforo.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• Bere tenten ahe na ayaresa gye?
• Ɔkwan bɛn so na ɛsɛ sɛ menom aduru no?
• Mɛyɛ dɛn atumi adi me yare no ho sɛnkyerɛnne ahorow ho dwuma wɔ fie?
• Bere bɛn na ɛsɛ sɛ midi w’akyi akyi?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mekɔ ER kɔhwehwɛ?

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Brucellosis yɛ ɔyare mmoawa a etumi fi ase nkakrankakra, ɛkyɛ, na ɛntaa nsi koraa. Ne ho sɛnkyerɛnne te sɛ nyarewa afoforo pii, enti ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ma wohu ne yare no pɛpɛɛpɛ. Mpɛn pii no, brucellosis nyɛ nea anibere wom kɛse. Nanso ebetumi aka wo nnompe ne wo mu akwaa ahorow, enti ɛho hia sɛ wohwɛ wo sɛnkyerɛnne ahorow no yiye. Sɛ wunya yare no ho sɛnkyerɛnne foforo anaasɛ biribi a wowɔ dedaw ho asɛm haw wo a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn.

` Brucellosis, mmoa nyarewa, mmoawa a wɔde nyarewa ba, atiridiinini, nkwaa mu yaw, nufusu a wɔmfa pasteurized