So yɛbɛka Hydatid Yare a ɛma akisikuru ba mmerɛbo mu no ho asɛm nnɛ?

Ɛnnɛ yɛrebɛka yareɛ bi a ɛnyini wɔ yɛn nipadua mu ho asɛm, nanso yɛnka ho asɛm pii. Wɔfrɛ eyi hydatid yare. Ebia woante din yi da. Nanso sɛ yenim ho asɛm yiye a, ɛbɛboa yɛne yɛn mmusua ma yɛakwati ɔhaw pii. Enti, momma yɛnka ho asɛm nkɔ akyiri kakra, ɛnte saa?

Okay, nea edi kan no ma yɛnhwɛ nea hydatid yare yi yɛ?

Sɛ yɛbɛka no tiawa a, hydatid yare yɛ yare a ɔyare mmoawa bi na ɛde ba. Susuw ho hwɛ, ɔyare mmoawa yɛ abɔde ketewaa bi a ɔte yɛn nipadua mu, odi yɛn, na ɔma yɛyare. Hydatid yare no fi tepeworm nkesua mu . Yiw, woate saa no yiye, tapeworm! Saa tapeworms yi taa tra mmoa te sɛ nguan ne mpapo mu ne akraman dwensɔtwaa mu.

Enti yɛbɛyɛ dɛn anya eyi? Saa yare yi ba bere a yɛwe saa nwansena a wɔsɛe nnɔbae yi nkesua a yennim no. Sɛ saa nkesua yi hyɛn yɛn nipadua mu a, nwansena a efi mu ba no tu kwan kɔ akwaa ahorow te sɛ yɛn mmerɛbo, yɛn ahurututu, ne amemene mu na wɔyɛ akisikuru , a ɛte sɛ nsu mu ahurututu. Saa akisikuru yi tumi nyin nkakrankakra. Wɔsan frɛ saa tebea yi `(Cystic Echinococcosis)` wɔ aduruyɛ ho nyansahu mu.

So wunim nea ɛda adi sɛ obenya saa yare yi? Hena na ɔwɔ asiane mu kɛse?

Saa hydatid yare yi abu so kɛse wɔ nkuraase anaa mmeae a ɛyɛ den kakra, a ahotew nni hɔ yiye. Titiriw no, nnipa a wɔyɛn nguan anaa mmoa afoforo, ne wɔn a wɔtete akraman nso wɔ asiane kɛse mu sɛ wobenya saa yare yi. Susuw ho hwɛ, nguan ne mmoawa a wɔsɛe nnɔbae yi titiriw. Ɛno kyerɛ sɛ ɔyare mmoawa no te nguan nipadua mu yiye. Afei, sɛ ɔkraman bi di oguan a ɔyare saa no nam a, ɔkraman no nso benya saa ɔyare mmoawa yi.

Ebia wowɔ asiane kɛse mu sɛ wubenya saa yare yi esiane nneɛma te sɛ:

• Sɛ wode nnuru a wɔde yi nwansena ma akraman a wɔanya ɔyare no wɔ fie anaasɛ wodi wɔn ho dwuma bere nyinaa a.
• Sɛ wotra ase didi wɔ mmeae a akraman a wɔanya ɔyare no sɛn hɔ a.
• Sɛ wote baabi a ahotew nyɛ papa a.
• Sɛ wokum nguan anaa mmoa afoforo na wosiesie wɔn ma wodi wɔ fie a.

Susuw ho saa kwan yi so. Wɔ yɛn nkuraa bi ase no, wɔde akraman gu afie mu. Ɛtɔ da bi a, saa akraman yi nantew kɔ abɔnten na wodi nneɛma ahorow. Wobetumi de saa mmoawa nkesua yi aka nneɛma a atwa yɛn ho ahyia no ho ne wɔn nsu. Sɛ yɛanhwɛ yiye wɔ ho a, ɛda adi kɛse sɛ saa nkesua no bɛfa yɛn nsa so akɔ yɛn anom ɔkwan bi so.

So hydatid yare no tumi de obi fi obi so kɔ foforo so?

Dabi, eyi ne asɛm a ɛho hia sen biara . Hydatid yare no nnya mfi onipa biako hɔ nkɔ foforo mu tẽẽ. Ɛno kyerɛ sɛ, wuntumi nnya saa yare yi denam obi a ɔwɔ saa yare yi a wobɛka no ara kwa so, sɛ wobɛn wɔn kɛkɛ. Sɛ obi benya saa yare yi a, ɛsɛ sɛ ɔwe saa mmoawa nkesua a madi kan aka ho asɛm no.

Echinococcosis ahorow abien na ɛwɔ hɔ, ɛnte saa? Dɛn ne wɔn?

Yiw, yare foforo bi wɔ hɔ a ɛyɛ mmoawa a wɔsɛe nnɔbae a tapeworms a wɔka abusua `(Echinocococcus)` mu na ɛde ba. Wɔfrɛ noWɔfrɛ no `Alveolar Echinococcosis (AE). Nanso, saa `(AE)` yi taa fi mmoa te sɛ akraman ne akraman mu kɔ nnipa mu, na ɛnyɛ nguan mu.

Yɛreka `(Cystic Echinococcosis - CE)` ho asɛm, kyerɛ sɛ, `(AE)` yɛ tebea a emu yɛ den kakra sen hydatid yare. `(AE)` betumi ama akisikuru ayɛ wɔ mmeae te sɛ mmerɛbo, ahurututu, ne amemene. Saa akisikuru yi nyɛ kokoram, nanso ɛtrɛw ntɛmntɛm te sɛ kokoram.

Nsonsonoe bɛn na ɛda hydatid cyst ne mmerɛbo mu cyst a ɛnyɛ den ntam?

Eyi nso yɛ biribi a nnipa pii adwene tu fra. Hydatid cyst yɛ nea efi ɔyare mmoawa a wɔde ɔyare mmoawa ba mu ba. Ɛne sɛ, ɛyɛ biribi a ɛba bere a saa tapeworm nkesua no hyɛn nipadua no mu no.

Nanso, mmerɛbo mu ntini a ɛnyɛ den taa wɔ hɔ bere a wɔawo no. Wɔntaa nyɛ kɛse koraa anaasɛ ɛka mmerɛbo no dwumadi. Nanso, hydatid cysts nte saa, na ebetumi ayɛ kɛse araa ma ebesiw mmerɛbo no dwumadi kwan. Afei nso, ɛsono ayaresa a wɔde sa akisikuru ahorow abien yi koraa.

Hydatid yare abu so dɛn wɔ wiase ne yɛn mpɔtam hɔ?

Saa yare yi ntaa nkɔ aman a wɔanya nkɔso te sɛ Amerika Atifi fam mu kɛse. Nanso, ɛyɛ ɔmanfo akwahosan ho haw a ɛrenya nkɔanim wɔ Afrika mmeae a wodi hia ne nkuraase, Europa, Asia, Mfinimfini Apuei, ne Amerika Mfinimfini ne Kesee Fam mmeae bi. Wɔ wiase nyinaa no, nnipa bɛyɛ ɔpepem abien kosi abiɛsa nya saa `(Echinococcal)` yare yi afe biara. Eyinom mu 95% yɛ hydatid yareɛ a yɛreka ho asɛm no, kyerɛ sɛ, `(Cystic Echinococcosis).` Ɛyɛ papa sɛ yɛbɛhunu yei wɔ Sri Lanka, titire wɔ mmeaeɛ a wɔde mmoa sie.

Nsɛnkyerɛnne bɛn na yehu bere a yɛanya saa yare yi?

Ebetumi adi mfe pii ansa na hydatid yare ho sɛnkyerɛnne ada adi . Ɛno na ɛma ɛyɛ hu saa. Ebia worenhu biribiara kosi sɛ akisikuru no bɛyɛ kɛse wɔ mmerɛbo, ahurututu, anaa akwaa afoforo mu. Nanso, bere a akisikuru no nyin kɛse no, wubetumi ahu sɛnkyerɛnne ahorow te sɛ:

• Mogya a ɛwɔ nsu mu.
• Ɛwa.
• Sɛ obi te nka sɛ ne ho nyɛ no dɛ anaasɛ ɔte yaw wɔ yafunu anaa ne moma so.
• Hives anaa honam ani akisikuru.
• Aniwa ne honam ani yɛ kɔkɔɔ (Jaundice).
• Sɛ wote nka sɛ kɔndua bi wɔ yafunu no mu.
• Akisikuru ne ɔfe.
• Ɔhome a ɛyɛ den.
• Sɛ́ wobɛyɛ teateaa a ntease biara nnim.

Nsuro saa yare yi esiane sɛ wowɔ saa sɛnkyerɛnne yi biako anaa abien nti. Nanso sɛ saa nneɛma yi kɔ so a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn ne nsɛnnennen a asiane wom a ebetumi aba esiane hydatid yare nti?

Sɛ saa akisikuru yi yɛ kɛse sɛnea ɛsɛ a, ebetumi ama akwaa a ɛka no (te sɛ mmerɛbo anaa ahurututu) no anyɛ adwuma yiye. Nea ɛyɛ hu kɛse mpo ne sɛ saa cysts yi betumi apae mpofirim (apaapae).Sɛ eyi ba a, nsɛnnennen a ɛde nkwa to asiane mu betumi aba. Hydatid cyst a apaapae ho sɛnkyerɛnne ahorow betumi ayɛ:

• Anaphylaxis yɛ akisikuru a emu yɛ den a ebetumi ama ayɛ den sɛ ɔbɛhome mpofirim, mogya mmoroso akɔ fam, na mpo n’adwene atu afra.
• Yafunu mu yaw a emu yɛ den.
• Owu mpofirim mpo betumi aba.

Ɛno nti na yɛka sɛ ɛho hia paa sɛ yɛbɛhunu saa nsɛnkyerɛnneɛ yi na yɛhwehwɛ ayaresa ntɛm.

Ɔkwan bɛn so na saa ɔyare mmoawa yi hyɛn yɛn nipadua mu? Momma yensua akwan a wɔfa so nya yare no ho ade.

Ade titiriw nti a nkurɔfo nya hydatid yare ne sɛ wɔne akraman nsu a mmoawa a wɔsɛe nkesua wom no di nkitaho . Bere kɔ so no, saa mmoawa yi nyin wɔ nipadua no mu na wɔyɛ akisikuru. Yare no betumi afa akwan a edidi so yi so:

• Nsu a wɔnom a mmoawa a wɔsɛe nkesua ayɛ mu ma.
• Wubetumi anya denam asase a mmoawa a wɔsɛe nkesua ayɛ mu ma a wunnim , a wobetumi ahu wɔ nneɛma te sɛ nhabannuru, nhabannuru, anaa nnuaba mu no so. (Ɛno nti na ɛho hia sɛ wohohoro wo nhabannuru ne wo nnuaba yiye ansa na woadi!)
• Ɛdenam ɔkraman a ɔwɔ ɔyare no a wobɛbɔ no akuturuku anaasɛ wobɛka no (na afei woadi aduan a worenhohoro wo nsa yiye) so.

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

Mfonini nhwehwɛmu ne mogya mu nhwehwɛmu ne akwan titiriw a wɔfa so hu hydatid yare. Mogya mu nhwehwɛmu betumi ahwɛ sɛ nnuru a ɛko tia Echinococcal yare no dodow akɔ soro anaa. Mfoninitwa nhwehwɛmu betumi akyerɛ sɛnea akisikuru no kɛse te, sɛnea ɛte, ne baabi a ɛwɔ.

Ebia wo duruyɛfo de X-ray, CT scan, anaa ultrasound bedi dwuma de ahwɛ akisikuru no. Hydatid cysts wɔ nneɛma pii a ɛsono nea ɛwɔ mmerɛbo mu cyst a ɛteɛ no ho. Nhwɛsoɔ:

• Nea ɛte sɛ akisikuru foforo a abubu wɔ akisikuru no fasu no mu.
• Aduaba no fasu no yɛ ntoatoaso pii.
• Nkwammoaa no fasu yɛ den na ebia ɛyɛ calcified.

Dɛn ne nnuru a wɔde sa hydatid yare? Yɛbɛyɛ dɛn asan anya ahoɔden?

Hydatid yare no ayaresa gyina sɛnea akisikuru no kɛse te ne baabi a ɛwɔ so . Ayaresa a wɔtaa de di dwuma ne:

So nnuru bi wɔ hɔ?

Yiw, sɛ akisikuru no yɛ nketewa, ɛwɔ soro, na ɛwɔ beae biako pɛ a, wobetumi de nnuru a ekum mmoawa a wɔfrɛ no benzimidazoles . Saa nnuru yi kunkum mmoawa a wɔsɛe nnɔbae no na ɛma akisikuru no so tew. Ɛtɔ mmere bi a, wo duruyɛfo nso betumi asi gyinae sɛ ɔbɛyɛ oprehyɛn bi de ayi akisikuru no mu anaasɛ ɔbɛyɛ oprehyɛn de ayi nsu afi akisikuru no mu.

So PAIR kwan no yɛ ayaresa titiriw?

Yiw, `PAIR` (Puncture, Aspiration, Injection, Re-aspiration) yɛ ɔkwan titiriw bi. Wɔ eyi mu no, wɔde ade anaa afiri ketewaa bi (catheter) yi nsu a ɛwɔ akisikuru no mu no nkakrankakra. Afei, wɔde nnuru bi a ɛyɛ adwuma tia mmoawa a wɔsɛe nnɔbae gu akisikuru no mu. Afei wɔsan yi nsu no fi mu bio. Wɔsan yɛ saa adeyɛ yi mpɛn pii kosi sɛ akisikuru no bɛda mpan koraa. Wɔtaa yɛ eyi wɔ scan te sɛ ultrasound akwankyerɛ ase.

So ɛsɛ sɛ wɔyɛ obiara oprehyɛn?

Ebia ɛho behia sɛ wɔyɛ oprehyɛn yi akisikuru akɛse a emu dɔ . Ebia eyi bɛhwehwɛ sɛ woyi akisikuru no nyinaa anaa ne fã bi, anaa mmerɛbo no fã bi mpo. Nanso, asiane wɔ hɔ sɛ mmoawa a wɔwɔ akisikuru no mu no bɛtrɛw akɔ yafunu no afã afoforo. Enti, oduruyɛfo a ne ho akokwaw yiye nkutoo na ɛsɛ sɛ ɔyɛ oprehyɛn a ɛte sɛɛ.

Yɛbɛyɛ dɛn atumi abɔ yɛn ho ban afi hydatid yare a ɛyɛ hu yi ho? (Ayaresa a wɔde siw ano) .

Ɔkwan biako pɛ a wobetumi afa so asiw hydatid yare ano ne sɛ wobesiw saa mmoawa yi trɛw ano. Ɛsɛ sɛ nnipa a asiane wɔ hɔ sɛ wobenya saa yare yi no hwɛ yiye paa wɔ nea edidi so yi ho:

• Mma nnwe aduan anaa anonne biara a ebia ɛne akraman nsu dii nkitaho.
• Sɛ wode nnuru a wɔde yi nwansena rema wo kraman a, nnyɛ w’ankasa wɔ fie, na mmom ma mmoa ho oduruyɛfo a wɔatete no nyɛ .
• Kwati sɛ wo ne akraman a wususuw sɛ ebia wɔanya ɔyare no bɛbɔ kɛse .
• Nkum nguan anaa mmoa afoforo mfa nyɛ aduan wɔ fie na nsiesie wɔn mma di (ɛyɛ papa sɛ wubenya afi namtɔnbea a wɔyɛ adwumaden).
• Siw akraman kwan sɛ wonni nguan nam a ɔyare no wom.
• Hohoro nnuaba ne nhabannuru yiye ansa na woadi.
• Fa samina ne nsu hohoro wo nsa yiye mpɛn pii, titiriw ansa na woasiesie aduan ne bere a woadi akraman ho dwuma awie no. Eyi yɛ ade a ɛnyɛ den koraa, nanso ɛyɛ ahobammɔ kɛse.

Sɛ wunya hydatid yare a, dɛn na ɛba? So wobetumi asa no yare? (Nkɔmhyɛ/Nsusuwii) .

Sɛ wɔansa a, hydatid yare no betumi akum obi . Nkwammoaa no betumi anyin ayɛ kɛse na ama akwaa ahorow no adi huammɔ. Afei nso, sɛ cysts no pae a, allergy a ɛde nkwa to asiane mu a wɔfrɛ no ``Anaphylaxis'' betumi aba. Enti, ɛho hia sɛ wohu yare no ntɛm na wonya ayaresa a ɛfata. Sɛ woyɛ saa a, hokwan a wowɔ sɛ wo ho bɛtɔ wo no yɛ kɛse.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn wɔ saa sɛnkyerɛnne ahorow yi ho?

Sɛ wowɔ sɛnkyerɛnne bi a wususuw sɛ ebetumi ayɛ hydatid yare (sɛ nhwɛso no, yafunu mu yaw a ɛkɔ so, aniwa a ɛyɛ kɔkɔɔ, ɛyɛ den sɛ wobɛhome) a, kɔ oduruyɛfo nkyɛn ntɛm ara .Sɛ woakɔ tebea a asiane kɛse wom mu (sɛ nhwɛso no, wo ne nguan anaa akraman reyɛ adwuma) bere tiaa bi a, ka kyerɛ wo duruyɛfo. Saa nsɛm yi bɛboa wo duruyɛfo ma wahu nsonsonoe a ɛda hydatid cyst ne cyst a ɛteɛ ntam.

Kae sɛ, sɛ wohu yare no ntɛm na wɔsa yare a, ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya akwahosan ho haw a emu yɛ den anaa owu no so kɛse.

Enti, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae fi ɔkasa yi nyinaa mu (Take-Home Message) .

Okay, yɛaka hydatid yareɛ ho asɛm pii. Ne tiaatwa mu no, ɛyɛ yare a mmoawa a wɔsɛe nnɔbae a tapeworm nkesua na ɛde ba . Yare no ba bere a saa nkesua yi a ɛwɔ akraman nsu mu no hyɛn yɛn nipadua mu a yennim no. Eyi ma akisikuru ba akwaa ahorow te sɛ yɛn mmerɛbo mu.

• Ahotew ho hia paa! Mma wo werɛ mmfi sɛ wobɛhohoro wo nsa yiye na woahohoro nnuaba ne nhabannuru ansa na woadi.
• Sɛ wowɔ akraman a, hwɛ wɔn akwahosan so. Ma wɔn nnuru a wɔde yi nwansena yiye, sɛnea mmoa ho oduruyɛfo kyerɛ no.
• Sɛ wode wo ho hyɛ mmoayɛn mu, titiriw adwuma a wo ne nguan yɛ a, hwɛ yiye kɛse.
• Sɛ yare no ho sɛnkyerɛnne da adi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Hydatid Yare, Parasitic Infections, Mmerɛbo mu Ntini, Tapeworm, Nyarewa a Akraman de ba, Mmoa Akwahosan