So wo ba kumaa no anya akisikuru nna kakraa bi ni? Sɛ ɛna ne agya biara hu mogya kakra wɔ wɔn nsu mu a, anka ehu bɛbɔ? Mpɛn pii no, wosusuw sɛ ɛyɛ yafunu mu yaw a ɛnyɛ den, nanso ɛtɔ mmere bi a ebetumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne a edi kan. Ɛno ne nea yɛreka ho asɛm nnɛ, Hemolytic Uremic Syndrome, anaa HUS tiawa, tebea a emu yɛ den a ebetumi aba, titiriw bere a obi anya ɔyare mmoawa E. coli akyi. Momma yensua eyi ho ade wɔ ɔkwan a ɛnyɛ den so na yɛayɛ no pɛpɛɛpɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne HUS?
Susuw mogya ntini a ɛwɔ yɛn nipadua nyinaa mu no ho sɛ akwan a atwa yɛn ho ahyia. Saa akwan yi ne baabi a yɛn mogya mu nkwammoaa kɔkɔɔ no de mframa pa kɔ nipadua no mu nyinaa. Wɔ tebea bi a wɔfrɛ no HUS mu no, mogya a ɛtɔ na esiw wɔ mogya ntini nketenkete (capillaries) no mu, titiriw wɔ asaabo mu . Ɛte sɛ nsu paipu a efĩ ne nsu ayɛ mu ma.
Sɛ mogya ntini no siw wɔ saa kwan yi so a, nneɛma atitiriw abiɛsa na ɛba:
1. Hemolytic Anemia: Mogya mu nkwammoaa kɔkɔɔ a ɛbɔ mmɔden sɛ ɛbɛfa mogya ntini a asiw mu no siw, ɛbubu, na ɛbubu. Eyi ma mogya dodow so tew wɔ nipadua no mu, na ɛkyerɛ sɛ mogya a ɛtɔ kɔ nipadua no mu.
2. Nkwammoaa mu nkwammoaa dodow a ɛso tew (Thrombocytopenia): Saa nkwammoaa nketenkete a ɛboa ma mogya tu yi sa wɔ mogya a ɛtwetwe a ɛba mogya ntini no mu no mu. Ne saa nti, mogya mu nkwammoaa a ɛwɔ mogya no mu dodow a ɛfata no so tew.
3. Asaabo a Ɛnyɛ Yiye: Esiane sɛ asaabo no nnya mogya a ɛdɔɔso na mogya ntini no asɛe nti, asaabo no ntumi nyi nwura mfi yɛn nipadua mu yiye na nyi mfi mu sɛ nsu. Eyi betumi ama asaabo asɛe mpofirim.
Ɛwom sɛ saa tebea yi betumi aba mfe biara mu de, nanso ɛtaa ba mmofra a wonnii mfe 5. Enti sɛ wo ba no refe mogya a, mmu w’ani ngu so da.
Dɛn ne ade titiriw a ɛde HUS ba?
Mpɛn pii no, bɛyɛ 90% no, ɔyare mmoawa bi a wɔfrɛ no E. coli (Escherichia coli) na ɛde HUS ba, a ɛma awuduru bi a wɔfrɛ no Shiga awuduru . Saa ɔyare mmoawa yi nam aduan a ɛho agu fĩ a wɔannoa no yiye anaa nsu a efĩ wom so na ɛkɔ yɛn nipadua mu.
Wo de susuw tebea yi ho hwɛ. Wo ne w’abusua redidi wɔ adidibea bi. Sɛ wudi nantwinam a wɔannoa no yiye (titiriw nantwinam a wɔayam), nufusu anaa kyiisi a wɔmfa nnuru nhyɛ mu, anaa lettuce anaa nhabannuru a wɔanhohoro ho a, ebetumi ayɛ E. coli mmoawa.
Sɛ saa mmoawa yi hyɛn nipadua no mu a, ɛma yafunu mu yɛ no yaw na ɛma obi nya akisikuru a nsu wom wɔ nna kakraa bi mu. Wɔ da koro anaa nnanu mu no, eyi dan akisikuru a mogya wom.Shiga awuduru a mmoawa no de ba no sɛe yɛn dwensɔtwaa afasu na ɛma mogya tu. Afei saa awuduru yi kɔ mogya mu na ɛnam nipadua no mu nyinaa, na ɛsɛe mogya ntini nketenkete a ɛwɔ asaabo no mu no. Eyi ne ɔkwan a HUS fi ase.
So HUS ahorow atitiriw bi wɔ hɔ?
Yiw, wobetumi akyekyɛ HUS mu ayɛ no ahorow atitiriw pii.
- "Typical" HUS: Eyi ne ɔkwan a yɛaka ho asɛm de besi nnɛ, nea ɛtaa fi ɔyare mmoawa te sɛ E. coli.
- Atypical HUS (aHUS): Eyi yɛ ɔkwan a ɛntaa nsi. Awosu mu sintɔ bi na ɛde ba. Eyi kyerɛ sɛ wobetumi anya afi awofo hɔ ama mmofra. Saa nkurɔfo yi betumi anya HUS mpofirim, sɛ mpo wɔwɔ biribi te sɛ atiridiinini anaa atiridiinini a.
- HUS a ɛto so abien: Eyi ba sɛ aduruyɛ tebea foforo (e.g. kokoram) anaa nnuru bi (e.g. nnuru a ekum kokoram, nnuru a ɛma nipadua no tumi ko tia nyarewa) mu nsunsuanso bɔne.
Dɛn ne HUS ho sɛnkyerɛnne ahorow? Ɔkwan bɛn so na wohu sɛ ɛwɔ hɔ?
Mpɛn pii no, HUS ho sɛnkyerɛnne ahorow no da adi wɔ akwan abien so. Nea edi kan no, sɛnkyerɛnne ahorow a ɛfa dwensɔtwaa mu yare no ho da adi. Afei, sɛnkyerɛnne ahorow a emu yɛ den kɛse a ɛfa HUS ho no da adi.
| Nsɛnkyerɛnne a ɛba mfiase (a ɛfa ɔyare mmoawa ho) . | Nsɛnkyerɛnne a ɛba akyiri (a ɛfa HUS ho) . |
|---|---|
| Yafunu mu yaw a emu yɛ den | Paleness (esiane mogya a ɛtɔ kɔ nipadua mu nti) . |
| Ɔfe ne akisikuru | Ɔbrɛ ne nna a ɛtra so |
| Nsuo a ɛyɛ dwensɔtwaa, afei mogyatɔw | Ɛnyɛ den sɛ wobɛpira (nsonsono bruu) . |
| Atiridii ne awɔw | Nsu a ɛba no so tew kɛse anaasɛ enni hɔ |
| Tipaeɛ | Mogya a ɛwɔ nsu mu (kɔla kɔkɔɔ/biribiri) . |
| Nan, anan, ne anim a ɛho ahonhon (edema). | |
| Mogya Nhyɛso a Ɛkɔ Anim | |
| Akisikuru anaasɛ n’adwene a ɛyera |
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Sɛ wo anaa wo ba wɔ saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wokɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a wontwentwɛn wo nan ase .
- Ɔyare a ɛtra hɔ boro nnansa.
- Atiridiinini a mogya wom.
- Sɛ nsu dodow a wode fa mu no so tew kɛse a.
- Sɛ abofra no ho yɛ kusuu na wabrɛ dodo a.
- Sɛ nipadua no ahonhon a.
Ɔkwan bɛn so na nnuruyɛfo si HUS tebea no so dua?
Oduruyɛfo a ɔhwɛ wo mu no betie wo yare no ho sɛnkyerɛnne no yiye na afei ahyɛ sɛ wɔnyɛ nhwehwɛmu pii mfa nkyerɛ sɛ woahu sɛ wowɔ HUS.
- Mogya mu Nhwehwɛmu: Eyinom betumi ahwɛ sɛ mogya mu nkwammoaa kɔkɔɔ ne mogya mu nkwammoaa kɔkɔɔ dodow sua, ne asaabo dwumadi (creatinine, urea, ne nea ɛkeka ho).
- Nsu mu nhwehwɛmu: Wɔhwɛ sɛ mogya anaa protein wɔ nsu mu anaa.
- Nsuo mu Sɔhwɛ: Ɛhwɛ sɛ mmoawa te sɛ E. coli O157 wɔ nsuo mu anaa.
- Asaabo mu Nhwehwɛmu: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔfa asaabo no fã ketewaa bi na wɔsɔ hwɛ de si so dua sɛ wɔahu yare no.
Dɛn ne ayaresa ahorow a wɔde sa HUS?
HUS yɛ tebea a ɛhwehwɛ sɛ wɔde obi kɔ ayaresabea . Wontumi nsa wɔ fie. Eyinom ne ayaresa atitiriw a wɔde ma wɔ ayaresabea.
1. Ma nkyene ne aduannuru: Ɔyare ne ɔfe betumi ama nsu atɔ nipadua no mu denam nsu ne nkyene a woyi fi nipadua no mu no so. Nea ɛbɛyɛ na wɔasiw eyi ano no, wɔde nkyene (IV nsu) fa ntini bi mu ma. Sɛ wuntumi nnidi a, wɔde aduannuru nam afiri bi so ma.
2. Mogya ne mogya mu nkwammoaa a wɔde ma:Sɛ mogya mu nkwammoaa kɔkɔɔ dodow sua dodo (anemia) a, wɔde mogya ma. Sɛ mogya nkwammoaa dodow sua dodo na asiane wɔ hɔ sɛ mogya bɛtu nso a, wɔde mogya mu nkwammoaa a ɛma mogya tu no ma.
3. Dialysis: Sɛ asaabo no yɛ mmerɛw dodo sɛ ebeyi nneɛma fĩ afi nipadua no mu a, ɛho hia sɛ wɔde dialysis, afiri a ɛtew mogya no ho. Eyi taa yɛ bere tiaa mu adeyɛ. Wobetumi agyae dialysis bere a asaabo no afi ase ayɛ adwuma bio no.
4. Nnuru titiriw: Wɔ nnuru ahorow a wɔntaa nhu te sɛ atypical HUS (aHUS) ho no, wɔde nnuru titiriw te sɛ eculizumab anaa ravulizumab di dwuma.
Nea ɛho hia no, nhwehwɛmu ahorow bi ada no adi sɛ nnuru a ekum ɔyare mmoawa anaa nnuru a wɔde ko tia akisikuru a wɔde ma a wɔde sa akisikuru a E. coli yare no de ba no betumi ama asiane a ɛwɔ hɔ sɛ wobenya HUS no ayɛ kɛse . Enti, nnyɛ wo ho aduru da a wonkɔ oduruyɛfo nkyɛn.
Dɛn na ɛsɛ sɛ yɛyɛ na yɛakwati HUS?
Ɔkwan pa a yɛbɛfa so asiw HUS ano ne sɛ yɛbɛhwɛ nneɛma nketenkete a ɛwɔ yɛn da biara da asetra mu no so.
- Hwɛ hu sɛ wode samina bɛhohoro wo nsa yiye ansa na woasiesie aduan ne bere a woakɔ tiafi awie no.
- Noa nam, mpataa, ne nkesua yiye. Noa nam a wɔayam, titiriw kosi sɛ ɛbɛnoa yiye wɔ mu.
- Fa nsu pa hohoro nhabannuru a wɔannoa, nnuaba, ne lettuce yiye.
- Kwati sɛ wobɛnom nufusu a wɔmfa pasteurized/raw nufusu, nufusu mu nneɛma, ne nnuaba mu anonne.
- Mfa nnua a wɔde twa, nnade, anaa nneɛma foforo a wɔde yɛ nam a wɔannoa anaa mpataa nyɛ aduan a wɔanoa nni dwuma. Hohoro na siesie wɔn yiye bere a wode adi dwuma awie no.
- Kwati sɛ wobɛguare wɔ nsukorabea, nsubɔnten, ne nsubɔnten a ɛho agu fĩ mu.
- Sɛ wowɔ atiridiinini a, kwati sɛ wobɛkɔ asuguarebea ahorow.
HUS yɛ tebea a ɛyɛ hu. Nanso sɛ wohu ntɛm, wɔsa wɔn yare na wɔsa wɔn yare ntɛm a, nnipa bɛboro 85% ho tɔ wɔn koraa . Mpɛn pii no, asaabo no sɛe bere tiaa bi. Enti nea ɛho hia sen biara ne sɛ wubehu sɛnkyerɛnne ahorow no na woahwehwɛ aduruyɛ mu afotu ntɛm ara sɛnea wubetumi.
Nkrasɛm a Wɔde Kɔ Fie
- Hemolytic Uremic Syndrome (HUS) yɛ tebea a emu yɛ den a ɛka asaabo titiriw.
- Saa tebea yi taa ba bere a ɔyare mmoawa bi a wɔfrɛ no E. coli de akisikuru aba akyi.
- Mogya a ɛma obi dwensɔtwaa, ne ho yɛ fitaa dodo, nsu a ɛba no so tew, ne ɔfeHUS ho kɔkɔbɔ nsɛnkyerɛnne atitiriw ne:
- Sɛ saa sɛnkyerɛnne yi ba a, fa abofra anaa ɔyarefo no kɔ ayaresabea ntɛm ara a ɛnkyɛ.
- Sɛ wɔde ayaresabea sa yare wɔ bere a ɛsɛ mu a, nnipa pii ho tɔ wɔn koraa.
- Aduan ne ankorankoro ahotew a wobɛhwɛ so no betumi aboa ma wɔasiw E. coli yare a ɛde HUS ba no ano.
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