So woate atiridii a ɛyɛ nwonwa a ntontom de ba ho asɛm? - ma yensua Ehrlichiosis ho ade!

Ebia woahu ntontom ketewaa bi a ɛbata wo nipadua ho bere a wonam kwae mu anaasɛ woredi agoru wɔ sare a ɛwɔ wo turo mu no. Saa berɛ no, yɛdwene sɛ, "Oo, saa abɔdeɛ ketewa yi, dɛn na metumi ayɛ?" na yɛtow gu kɛkɛ, ɛnte saa? Nanso so wunim sɛ saa nwansena nketewa yi tumi de nyarewa a yensusuw ho mpo, ɛtɔ mmere bi mpo a ɛde nkwa to asiane mu ba ? Wiɛ, ɛnnɛ yɛbɛka yare bi a ntontom de ba a ɛwɔ din a ɛyɛ nwonwa, nanso sɛ wɔanhwɛ so yiye a ebetumi ayɛ asiane, a wɔfrɛ no Ehrlichiosis .

Dɛn ne Ehrlichiosis? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Ehrlichiosis yɛ yare a mmoawa bi na ɛde ba . Ɛyɛ mmoawa a wɔfrɛ wɔn `Ehrlichia chaffeensis`, `E. ewingii` anaa `E. muris eauclarensis` na ɔkyerɛwee. Saa mmoawa yi hyɛn nipadua no mu bere a ntontom bi a ɔwɔ ɔyare no ka no . Te sɛ nea nwansena na ɛde dengue ba no. Nwansena ahodoɔ mmienu na ɛde yei ba titire, a ɛne `nsoromma ntontom nko ara` ne `nwansena a wɔn nan tuntum`.

Ebia yare yi befi ase sɛ atiridii anaa atiridiinini a abu so kɛse . Enti ebia yɛremfa yɛn adwene nsi so kɛse. Nanso, sɛ wɔansa no ntɛm a, ebetumi abɛyɛ aniberesɛm na ɛde nkwa ato asiane mu . Ɛtɔ da bi a wɔsan frɛ saa yareɛ yi `human monocytic ehrlichiosis (HME)`.

So eyi te sɛ Lyme yare no?

Ebia woate Lyme yare ho asɛm pɛn. Ɛyɛ yare a ntontom de ba nso. Ɛwom sɛ ntontom na ɛde nyarewa abien no nyinaa ba de, nanso nsonsonoe kakra wɔ sɛnkyerɛnne ahorow no mu . Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ Ehrlichiosis betumi ayɛ nea emu yɛ den asen Lyme yare no sɛ wɔansa no ntɛm a .

So Ehrlichia mmoawa no yɛ asiane ankasa?

Yiw, sɛ wɔansa Ehrlichia yare yi a, ebetumi ayɛ asiane . Susuw ho hwɛ, nnipa 100 biara a wonya saa yare yi mu bɛyɛ 60 na ɛsɛ sɛ wɔde wɔn kɔ ayaresabea . Afei nso, sɛnea amanneɛbɔ ahorow kyerɛ no, nnipa 100 biara a wonya saa yare yi mu bɛyɛ biako betumi awu . Enti eyi nyɛ yare pa a ɛsɛ sɛ yesusuw ho brɛoo.

Hena na ɛda adi sɛ obenya Ehrlichiosis?

Nokwarem no, obiara a ntontom bɛka no no betumi anya saa yare yi. Mpɛn pii no, wohu ntontom wɔ mmeae a sare atenten, wɔ mmeae a nnua wɔ. Wobetumi ahu saa ntontom yi wɔ yɛn afieboa afunu mpo so .

Nanso, nnipa binom wɔ asiane kɛse mu sɛ sɛ wonya yare no bi a emu yɛ den sen saa. Eyinom ne:

• Nnipa a wɔadi boro mfe 50.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw. Sɛ nhwɛso no, nnipa a wɔwɔ HIV, wɔn a wɔwɔ kokoram, anaa wɔn a wɔnom nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano.
• Nnipa a wɔwɔ nyarewa a enni sabea te sɛ asikreyare, anaasɛ ntini a ɛka bom yɛ adwuma.

Ɛwom sɛ nsɛm kakraa bi na ɛwɔ hɔ a emu da hɔ a ɛkyerɛ sɛnea yare yi abu so wɔ Sri Lanka de, nanso abu so wɔ wiase aman bi mu, titiriw wɔ Amerika mmeae bi. Mpɛn pii no, wɔbɔ yare yi ho amanneɛ kɛse wɔ ahohuru bere mu asram mu, kyerɛ sɛ, wɔ asram a ɛne May, June, July ne September mu . Nea enti a ɛte saa ne sɛ saa bere no mu no, nkurɔfo de bere pii tra abɔnten, na ntontom nso dɔɔso wɔ saa bere no mu.

Ɔkwan bɛn so na Ehrlichiosis ka yɛn nipadua?

Ehrlichia mmoawa a wɔde Ehrlichiosis ba no hyɛn yɛn mogya mu bere a ntontom aka obi akyi. Afei mmoawa no tow hyɛ mogya mu nkwammoaa fitaa a ɛyɛ yɛn nipadua mu tumi a ɛko tia nyarewa no fã a ɛho hia yiye no so tẽẽ . Fa wɔn sɛ nipadua no awɛmfo. Wɔboa yɛn ma yɛko tia mmoawa na wɔbɔ yɛn ho ban fi nyarewa ho. Mmoawa no tow hyɛ mogya mu nkwammoaa fitaa yi so na awiei koraa no wɔsɛe no. Eyi ma tumi a yɛn nipadua no tumi ko tia nyarewa no so tew.

Dɛn ne Ehrlichiosis ho sɛnkyerɛnne ahorow?

Yare yi ho sɛnkyerɛnne fi ase da adi wɔ nnafua 5 kosi 14 akyi wɔ ntontom a wɔaka no akyi. Mpɛn pii no, sɛnkyerɛnne ahorow no da adi mpofirim . Nsɛnkyerɛnne te sɛ atiridiinini ne atiridiinini di kan.

Nsɛnkyerɛnne a ebetumi ada adi wɔ mfiase nna no mu:

• Atiridii reba.
• Nipadua no yɛ nwini ( awɔw a wɔte nka ).
• Me ti yɛ me yaw .
• Nipadua mu yaw, ntini ahorow yɛ yaw .
• Mete nka sɛ mabrɛ kɛse .

Nna kakraa bi akyi no, sɛnkyerɛnne afoforo betumi ada adi:

• Wora a ɛyɛ mmerɛw. Eyi betumi ada adi sɛ nsensanee kɔkɔɔ anaa nsensanee nketenkete. Saa akisikuru yi abu so wɔ mmofra nkumaa mu sen mpanyimfo.
• Ebia wobɛfefe .
• Ebia akisikuru ne ɔfe bɛba.
• Ebia wo yafunu bɛyɛ wo yaw .
• Nkae ne adwene a wɔde si biribi so ho haw, na adwene a ɛyɛ basaa betumi aba.

Nea ɛho hia: Sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa, titiriw sɛ woakɔ baabi a ebia ntontom wɔ hɔ a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi? (Nyare a Wɔahu) .

Sɛnea ɛbɛyɛ na oduruyɛfo ahu no yiye sɛ wowɔ ehrlichiosis anaa no, ɔbɛhwɛ wo. Wobebisa wo wo yare no ho sɛnkyerɛnne ne w’akwahosan ho abakɔsɛm.Ɛho hia yiye sɛ wobɛka akyerɛ wo duruyɛfo sɛ nnansa yi ara (wɔ adapɛn abiɛsa a atwam no mu) nantew wɔ baabi a kwae wɔ anaa sare atenten a ebia ntontom wɔ hɔ a. Sɛ woankae mpo sɛ ntontom aka wo a, sɛ woakɔ beae a ɛte saa a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Saa nsɛm yi, ne mogya mu nhwehwɛmu bɛboa wo duruyɛfo ma wasi gyinae sɛ ebia wuhia ehrlichiosis ayaresa anaasɛ wunhia.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Wɔyɛ mogya mu nhwehwɛmu titiriw.

• Wɔde ade ketewaa bi hyɛ ntini bi a ɛwɔ wo nsa mu mu na wogye mogya.
• Lab no bɛkan mogya a edi mũ wɔ mogya a wɔde yɛ nhwehwɛmu yi so. Wɔbɛhwehwɛ mmoawa a wɔde Ehrlichiosis ba no ho sɛnkyerɛnne nso. Ɛtɔ da bi nso a wɔbɛbɔ mmɔden sɛ wɔbɛma mmoawa no anyin (amammerɛ).
• Nanso, ebetumi adi adapɛn pii ansa na mmoawa yi anyin. Enti, ansa na lab amanneɛbɔ no bɛba mpo no, ebia wo duruyɛfo begyina wo yare no ho sɛnkyerɛnne ne nsɛm afoforo so asi gyinae sɛ obefi ayaresa ase . Mogya a wɔkan no ntɛm betumi ama woahu sɛ ebia wowɔ ɔyare mmoawa bi anaa.

Ɔkwan bɛn so na wɔsa eyi?

Wɔde nnuru a ekum ɔyare mmoawa na ɛsa Ehrlichiosis . Wɔtaa nom saa nnuru yi nnanu kosi ason. Eyi kyerɛ sɛ anyɛ yiye koraa no, ɛsɛ sɛ wonom aduru no nnansa bio bere a wo atiridiinini no so atew koraa na wo sɛnkyerɛnne afoforo no atu mpɔn akyi.

Ɛho hia sɛ wufi ase sa yare no ntɛm. Ayaresa no tu mpɔn kɛse bere a wofi ase bere a sɛnkyerɛnne ahorow no da adi ara pɛ no. Sɛ wogyaw ehrlichiosis akyiri dodo a, ebetumi ama wanya nsɛnnennen a emu yɛ den na wɔde akɔ ayaresabea mpo.

Ɔkwan bɛn so na wobedi sɛnkyerɛnne ahorow ho dwuma wɔ fie?

Sɛ wo yare no ho sɛnkyerɛnne no mu nyɛ den a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ nom nnuru a wɔtɔn wɔ aduruyɛdan mu na ama woatumi asiw wo sɛnkyerɛnne ahorow no so. Nanso, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woanom aduru biara.

Sɛ wufi ase de nnuru a ekum ɔyare mmoawa a, ɛsɛ sɛ wufi ase te nka sɛ wo ho tɔ wo wɔ nnɔnhwerew 24 kosi 48 ntam , titiriw sɛ wufi ase sa yare no ntɛm a. Nanso, nnyae aduru no nom ansa na bere a wɔahyɛ sɛ wo no adu. Saa a wobɛyɛ no betumi ama ɔyare mmoawa no asan aba bio. Sɛ wo ho nyɛ wo den wɔ nna kakraa bi akyi a, kɔ wo duruyɛfo nkyɛn bio.

Wobɛyɛ dɛn akwati Ehrlichiosis? (Sɛnea wobɛtew asiane no so) .

Ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi yare yi ho ne sɛ wobɛkwati sɛ ntontom nka wo . Nneɛma pii wɔ hɔ a wubetumi ayɛ de ayɛ eyi:

• Ma sare a ɛwɔ wo turo mu no ntwitwa tiawa , ne tenten ntra nsateakwaa 5.
• Sɛ wonam mmeae a kwae wɔ a, fa akwan a emu da hɔ nkutoo so (wɔ akwan a emu da hɔ so) .
• Aduru a wɔde petepete so a `DEET` , aduru a ɛpam nkoekoemmoa a esiw ntontom ano.Fa di dwuma. Anaasɛ fa aduru foforo a wɔde pam nkoekoemmoa a oduruyɛfo apene so di dwuma.
• Sɛ worekɔ kwae mu anaa sare atenten mu a , hyɛ ntade a ɛkata wo nipadua no fã kɛse biara so sɛnea wubetumi . Te sɛ pantan atenten ne ntade a nsa tenten. Sɛ woyɛ obi a wotaa nya bere wɔ mmeae a ntontom wɔ a, ebia wobɛpɛ sɛ wotɔ ntade soronko a ɛbɔ wo ho ban fi nwansena ho.
• Bere a woafi abɔnten aba akyi no , hwɛ wo nipadua nyinaa mu sɛ ebia ntontom nni hɔ anaa . Ma obi nhwɛ mmeae a ɛyɛ den sɛ wubehu (ti, akyi) sɛ ebia ntontom anaa.
• Bisa wo mmoa ho ɔyaresafo ɔkwan a eye sen biara a wobɛfa so abɔ w'ayɛmmoa ho ban afi ntontom ho . Hwɛ wɔn mu daa sɛ ntontom wɔ hɔ anaa, titiriw bere a woafi abɔnten aba fie no.
• Sɛ wuhu sɛ ntontom bi abata wo nipadua ho a, di akwankyerɛ ahorow yi akyi wɔ sɛnea wubeyi afi hɔ dwoodwoo ho (yɛbɛka eyi ho asɛm wɔ asɛm foforo mu).

Sɛ minya Ehrlichiosis a, dɛn na ɛba? So me ho bɛtɔ me?

Sɛ wɔsa wɔn yare ntɛmntɛm a, nnipa dodow no ara ho tɔ wɔn koraa . Ɛdenam wo tebea so no, ebia ebehia sɛ wotra ayaresabea hɔ kɔsa wo yare.

Nsɛnnennen a ebetumi aba wɔ Ehrlichiosis ho:

Sɛ wɔansa wɔn yare ntɛm a, nnipa binom betumi anya ɔhaw ahorow a emu yɛ den, a ɛde wɔn nkwa mpo to asiane mu. Eyinom bi ne:

• `Disseminated intravascular coagulation (DIC):` Eyi yɛ tebea a ɛyɛ hu yiye a mogya a ɛtɔ gu ntini no mu na bere koro no ara mu no, mogya fi ase tu wɔ mmeae bi.
• Acute respiratory distress syndrome (ARDS) anaa ahomegye a ɛyɛ den: Tebea a ahurututu no ntumi nyɛ adwuma yiye, na ɛma ɛyɛ den yiye sɛ wɔbɛhome.
• Renal failure / acute kidney injury : Asaabo no ntumi nyi nwura mfi nipadua no mu yiye.
• Mogya a ɛtɔ nipadua no mu (Mogya a ɛtɔ) .
• Sepsis : Ɔyare a emu yɛ den a mmoawa hyɛn mogya mu na ɛtrɛw kɔ nipadua no mu nyinaa.
• Amemene no ne ntini a ɛkata so no mu ɔfe (Meningoencephalitis) .
• Koma a entumi nyɛ adwuma yiye .
• Ntini a ɛma obi ho kyere no .
• Koma tebea `(Koma)` .

Saa nsɛnnennen yi yɛ hu sɛ wobɛte. Nanso kae sɛ, sɛ wɔkyɛ ayaresa no ase nkutoo a, eyinom taa ba . Ɛno nti na ayaresa a wɔde ma ntɛm ho hia kɛse no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ ntontom aka wo, anaasɛ woakɔ baabi a ntontom wɔ, na afei wunya Ehrlichiosis ho sɛnkyerɛnne te sɛ atiridiinini ne nipadua mu yaw a, kɔ oduruyɛfo nkyɛn ntɛm ara .

Ɛho nhia sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara bere a ntontom aka wo awie no, gye sɛ wowɔ sɛnkyerɛnne ahorow. Sɛ obi nom nnuru a ekum ɔyare mmoawa a onnyare a, ɛrensiw Ehrlichiosis ano. Nanso, hwɛ yare no ho sɛnkyerɛnne ahorow no yiye.

Kɔ dan bi a wɔhwɛ wɔn a wɔwɔ tebea a egye ntɛmpɛ muTebea bɛn mu na ɛsɛ sɛ wokɔ (ETU)?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara:

• Atiridiinini a ɛboro digrii F 103 (39.4 C).
• Sɛ wofefe na mogya tu a.
• Sɛ ɛyɛ den yiye sɛ wobɛhome a.
• Sɛ woreka nkwaseasɛm, sɛ wuntumi mfa w’adwene nsi biribi so, sɛ woreda adwene mu nsakrae adi a.
• Sɛ wo yafunu mu yɛ wo yaw kɛse a.
• Sɛ akisikuru bi ba a.

So yɛn afieboa nso nya saa yare yi?

Yiw, akraman betumi anya Ehrlichiosis, na sɛ wɔansa a, ebetumi ayɛ asiane ama wɔn . Ɛtɔ mmere bi a, ebetumi abɛyɛ yare a enni sabea na akowie owu mu mpo. Sɛ wowɔ w’ayɛmmoa tebea ho haw ahorow a, wo ne wo mmoa ho ɔyaresafo nkasa.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae (Take-Home Message) .

Ɛsɛ sɛ yɛn nyinaa kae sɛ ntontom nyɛ abɔde a wɔhyɛ abufuw a wɔbata yɛn nipadua ho na wɔnom yɛn mogya kɛkɛ, na mmom wotumi de nyarewa a ɛyɛ hu te sɛ Ehrlichiosis nso kɔ nnipa mu .

Sɛ wote baabi a kwae wɔ na sare wɔ hɔ a, yɛ ahwɛyiye biara na ama woabɔ wo ho ban afi ntontom ho. Sɛ wuhu sɛ ntontom bi wɔ wo nipadua so a, yi fi hɔ ntɛm ara.

• Mfa sɛnkyerɛnne te sɛ atiridiinini, nipadua mu yaw, tiyɛ a emu yɛ den, ne honam ani akisikuru nyɛ hwee , titiriw bere a wowɔ baabi a ntontom wɔ akyi no.
• Hwehwɛ aduruyɛ mu afotu ntɛm ara . Sɛ wofi ayaresa ase ntɛm a, wubetumi ho atɔ wo koraa afi yare yi mu.
• Fa nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no bere tenten no nyinaa . Nnyae aduru no nom bere a wo ho atɔ wo ara pɛ.

Hwɛ w’akwahosan ne w’abusua de so! Sɛ wuhu nyarewa yi a, ɛbɛboa kɛse ma woabɔ wo ho ban afi ho.

` Ehrlichiosis, ntontom, ntontom atiridii, mmoawa a wɔde nyarewa ba, atiridiinini, honam ani akuru, siw ano