Dɛn ne Chagas Yare? Momma yɛnka ho asɛm tiawa.

Nyarewa bi wɔ hɔ a yɛntee ho asɛm, nanso abu so wɔ wiase aman bi mu. Ɛnnɛ yɛrebɛka yareɛ bi a ɛtrɛ wɔ ɔkwan a ɛyɛ nwonwa kakra so, titire wɔ Amerika Atifi, Mfinimfini ne Kesee Fam aman mu. Wɔfrɛ eyi Chagas Yare. Nnipa binom nso frɛ no "Amerika Trypanosomiasis". Ɛwom sɛ ebia edin no te sɛ nea ɛyɛ hu de, nanso ɛho hia paa sɛ wuhu eyi, titiriw sɛ worekɔ ɔman a ɛte saa mu a.

Sɛ yɛbɛka no tiawa a, dɛn ne Chagas yare?

Chagas yare yɛ ɔyare mmoawa ketewaa bi a wɔfrɛ no `(Trypanosoma cruzi)` na ɛde ba. Nkoekoemmoa titiriw bi na wɔde saa ɔyare mmoawa yi kɔ. Wɔfrɛ saa nkoekoemmoa yi "Triatomine bug". Nanso eyi na wonim no yiye sɛ "Kissing Bug".

Afei ebia woresusuw nea enti a wɔfrɛ saa nkoekoemmoa yi "kissing bug" no ho. Nea enti a ɛte saa ne sɛ, saa nkoekoemmoa yi taa ba anadwo bere a nkurɔfo ada na ɔka wɔn anim, titiriw mmeae a atwa ano anaa aniwa ho ahyia no. Enya ne din efisɛ ɛka wɔ ɔkwan bi so a ɛte sɛ nea ɛrema wɔn atuu.

Nanso ɛnyɛ nkoekoemmoa a wɔwe wɔn kɛkɛ na ɛtrɛw yare no. Eyi ne nea ɛba:

1. Bere a "kissing bug" no su mogya fi wo nipadua mu no, ɔde ne ho gu baabi a ɛbɛn baabi a wɔaka no.

2. Ɔkraman `(Trypanosoma cruzi)` a madi kan aka ho asɛm no wɔ nkoekoemmoa yi nsu mu.

3. Sɛ wobɔ wo ho akuturuku anaa wode wo nsa ka baabi a woaka no a, ɔyare mmoawa no nsu betumi afa kuru no, w’ani, wo hwene, anaa w’ano mu akɔ wo nipadua mu.

Ade a ɛyɛ hu paa wɔ saa yare yi ho ne sɛ nnipa pii nkyerɛ sɛnkyerɛnne biara wɔ ɔyare no mfiase. Enti wonnim mpo sɛ wɔwɔ saa yare yi. Sɛ wɔansa yare yi a, ebetumi ayɛ nea enni sabea na asɛe koma no ne aduan a wɔyam no kɛse mfe pii, mfe du du mpo.

Dɛn ne Chagas yare no ho sɛnkyerɛnne?

Chagas yare no wɔ afã atitiriw abien: ɔfã a emu yɛ den ne ɔfã a enni sabea.

Nsɛnkyerɛnne a edi kan (acute stage) .

Saa sɛnkyerɛnne ahorow yi betumi ada adi wɔ adapɛn kakraa a edi kan anaa asram abien akyi wɔ ɔyare no akyi. Nanso nnipa pii nni sɛnkyerɛnne biara koraa , anaasɛ sɛnkyerɛnne a wɔwɔ no nyɛ den koraa, te sɛ atiridiinini a ɛyɛ daa.

• Huraeɛ
• Nipadua mu yaw
• Ɔbrɛ
• Tipaeɛ
• Ɔyare a ɛma obi dwensɔtwaa ne ɔfe
• Beae a nkoekoemmoa no keka wo no yɛ kɔkɔɔ, ɛho ahonhon, na ɛtɔ mmere bi a ɛyɛ kuru (chagoma).
• Aniwa no anim a ɛho ahonhon kɛse. Wɔfrɛ eyi "Romaña sɛnkyerɛnne" wɔ aduruyɛ mu. Eyi yɛ sɛnkyerɛnne pɔtee bi.

Nsɛnkyerɛnne a ɛba bere tenten (a ɛkɔ so daa) .

Sɛ wɔansa nea edi kan no a, ɔyare no kɔ so tra nipadua no mu. Nanso ebetumi atra hɔ mfe pii a ɛnkyerɛ yare no ho sɛnkyerɛnne biara. Nnipa a wɔanya bi no mu bɛyɛ 30% - 40% na awiei koraa no wobenya nsɛnnennen a emu yɛ den. Eyinom ne sɛnkyerɛnne ahorow a ɛyɛ hu sen biara:

So ɛyɛ "kisin bug" no nkutoo na ɛtrɛw yare yi mu?

Saa yare yi nam "kissing bug" so titiriw na ɛtrɛw. Nanso, wobetumi atrɛw mu wɔ akwan foforo pii so nso.

• Efi ɛna so kɔ abofra so: Sɛ ɛna a onyinsɛn nya saa yare yi a, ebetumi afa awotwaa mu akɔ ne ba no mu, bere a ɔrewo no, anaasɛ ɛnam nufu a ɔma no so.
• Ɛdenam aduan a ɔyare mmoawa wom so: Ɛdenam aduan anaa nnuaba mu nsu (titiriw a wɔmfa pasteurized) a ɔyare mmoawa no ayɛ mu fĩ a wɔnom so.
• Mogya a wɔde ma anaa akwaa a wɔde ma obi foforo: Mogya anaa akwaa a wogye fi obi a ɔwɔ ɔyare no hɔ. Nanso, mprempren asiane yi so atew koraa wɔ aman pii mu efisɛ mprempren wɔhwehwɛ wɔn a wɔde mogya ma no mu hwɛ sɛ ebia Chagas yare bi wɔ hɔ anaa.

Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?

Saa yare yi ntaa mma Sri Lanka, nanso asiane no dɔɔso ma wɔn a wɔwɔ tebea horow a edidi so yi:

• Sɛ wote anaa woatra nkuraase wɔ Amerika Kesee Fam, Amerika Mfinimfini, anaa Mexico, titiriw afie a wɔde atɛkyɛ ayɛ afasu, wɔde sare asisi so, na wɔmfa ntama a wɔde kata mfɛnsere so nni mu a, ɛda adi sɛ "kissing bug" no bɛtra mmeae a ɛtete saa.
• Sɛ ɛna no wɔ Chagas yareɛ na wɔwo abofra no a.
• Sɛ wɔgyee mogya no ansa na wɔrenya akwan a wɔfa so yɛ mogya mu nhwehwɛmu (wɔ aman dodow no ara mu wɔ 1990-2007 ntam).

Nsɛnnennen a emu yɛ den a ebetumi aba esiane Chagas yare nti

Ɛsɛ sɛ yɛdwen yare yi ho kɛse esiane nsɛnnennen a ebetumi de aba bere tenten nti.

Nsɛnnennen atitiriw a ebetumi aba wɔ ɔfã a enni sabea no mu ne:

• Koma a ɛbɔ a ɛnteɛ (Arrhythmia): Koma a ɛbɔ a ɛnteɛ.
• Koma a ɛyɛ den: Koma no dwumadi a egyae mpofirim.
• Dilated cardiomyopathy: Koma ntini no yɛ mmerɛw, koma no mu yɛ kɛse, na entumi mfa mogya nkɔ yiye.
• Koma a entumi nyɛ adwuma yiye: Koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu.
• Esophagus a ayɛ kɛse: Ɛyɛ den sɛ wobɛmene aduan.
• Akisikuru a ɛyɛ kɛse: Akisikuru a emu yɛ den ba.

Wobɛyɛ dɛn ahu sɛ wowɔ saa yare yi anaa?

Ɔkwan titiriw a wobɛfa so akyerɛ sɛ wowɔ Chagas yare no ne sɛ wobɛyɛ wo mogya mu nhwehwɛmu . Eyi hwɛ sɛ nipadua no mu nkwammoaa a ɛko tia nyarewa wɔ mogya no mu, a ɛyɛ nipadua no nipadua no mu tumi a ɛko tia nyarewa no ahobammɔ fi T. cruzi ɔyare mmoawa no ho.

Sɛ wowɔ sɛnkyerɛnne bi a ɛfa wo koma anaa wo aduan mu a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo.

• Echocardiogram: Scan a wɔde hwɛ sɛnea koma no yɛ adwuma ne sɛnea ɛte.
• Electrocardiogram (EKG/ECG): Ɛyɛ sɔhwɛ a ɛkyerɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma.
• X-ray anaa CT scan: Koko anaa yafunu mfonini a wɔtwa.
• Upper endoscopy: Wɔde afiri a wɔde mfoninitwa afiri di dwuma de hwehwɛ aduan mu ntini no mu.
• Colonoscopy: Nhwehwɛmu a wɔyɛ wɔ dwensɔtwaa kɛse no mu.

So ayaresa bi wɔ hɔ?

Yiw, anigyesɛm ne sɛ aduru bi wɔ hɔ a wɔde sa eyi. Wɔde nnuru abien a ekum mmoawa a wɔsɛe nnɔbae di dwuma titiriw. Wɔn ne `benznidazole` ne `nifurtimox` .

Ebia nnipa binom benya nsunsuanso bɔne bere a wɔnom saa aduru yi no. Sɛ nhwɛso no, aduan ho akɔnnɔ a ɛyera, akisikuru, ɔfe, tiyɛ , ne ntini mu yaw. Sɛ biribi a ɛte sɛɛ si a, nnyae aduru no nom, na mmom wo ne wo duruyɛfo nkasa ntɛm ara. Ɔbɛma wo ano aduru.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ woatra beae bi a Chagas yare abu so anaasɛ woatu kwan akɔ hɔ a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu wɔ tebea horow a edidi so yi mu:

• Sɛ wowɔ komayare anaa aduan mu haw ahorow a.
• Sɛ wususuw sɛ wowɔ saa yare yi na wopɛ sɛ wɔyɛ nhwehwɛmu (titiriw ansa na woanyinsɛn anaa bere a woanyinsɛn).

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

Sɛ sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara ba a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no nkyɛn ntɛm ara.

• Tiyɛ a emu yɛ den yiye
• Kɔn a ɛyɛ den
• Koko mu yaw a emu yɛ den
• Ɔyare a emu yɛ den anaasɛ ɔfe
• Adwene a ɛyɛ basaa anaasɛ adwenemhaw

So wobetumi asiw yare yi ano?

Yiw, akwan bi wɔ hɔ a wobɛfa so abɔ wo ho ban, titiriw sɛ wote mmeae a asiane kɛse wɔ anaa wotu kwan kɔ hɔ a.

• Nnuru a wɔde kum nkoekoemmoa a wɔde petepete afie mu ne ne mpɔtam.
• Apon ne mfɛnsere mu ntokuru a wɔbɛtoto mu yiye sɛnea ɛbɛyɛ a "kissing bugs" rentumi nkɔ fie hɔ.
• Asau te sɛ nwansena a wɔde bedi dwuma bere a wɔada no.
• Kwati sɛ wobɛnom nnuaba mu nsu a wɔmfa pasteurized nhyɛ mu na wudi nnuan a ebia ɔyare mmoawa no ayɛ mu fĩ.

Sɛ woatu kwan akɔ baabi a asiane wɔ na wowɔ anidaso sɛ wubenyinsɛn a, wo ne wo duruyɛfo nkasa mfa sɛnea wobɛyɛ Chagas yare no mu nhwehwɛmu ho.