Momma yensua pii fa Legionnaires’ Disease ho! Momma yɛnkasa!

So woate Legionnaires yare ho asɛm pɛn? Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, ɛnte saa? Nanso nokwarem no, ɛyɛ ɔyare mmoawa a ɛka yɛn ahurututu, na ɛtɔ mmere bi a ebetumi ayɛ asiane kɛse. Ɛyɛ ɔyare mmoawa bi na ɛde ba. Ɛnnɛ, yɛbɛka Legionnaires’ Disease ho asɛm wɔ ɔkwan a ɛnyɛ den na ɛnyɛ den sɛ yɛbɛte ase so.

Dɛn ne Asraafo Asraafo Yare?

Sɛ yɛbɛka no tiawa a, Legionnaires yareɛ yɛ yareɛ a emu yɛ den a ɛba yɛn ahurututu mu a mmoawa bi a wɔfrɛ no `(Legionella)` na ɛde ba. Ɛte sɛ ahurututu mu yare. Ɛnyɛ yɛn ahurututu nko na ebetumi aka, na mmom ɛtɔ mmere bi a yɛn amemene ne yɛn yafunu mpo.

Atiridii foforo a emu nyɛ den bi wɔ hɔ a mmoawa koro no ara de ba, a wɔfrɛ no Pontiac fever. Ɛnyɛ den te sɛ Legionnaires yare no, na ɛde sɛnkyerɛnne ahorow a ɛte sɛ atiridiinini a ɛtaa ba, te sɛ atiridiinini ne nipadua mu yaw ba. Nanso, Legionnaires yare no betumi de nkwa ato asiane mu, enti ɛho hia sɛ wohu eyi.

Nsonsonoe bɛn na ɛda ahurututu mu yare ne Legionnaires yare ntam?

Seesei ebia woredwene sɛ, "Enti ahurututu mu yare ne Legionnaires yareɛ yɛ nneɛma ahodoɔ mmienu?" Yiw, wɔyɛ saa. Ahurututu mu yare yɛ din a wɔtaa frɛ ahurututu mu yare. Legionnaires yareɛ yɛ ahurututu mu yareɛ a ɛte saa ara, nanso ɛba pɔtee berɛ a mmoawa bi a wɔfrɛ no `(Legionella)` hyɛn ahurututu mu.

Nnipa dodow no ara a wonya yare no na wɔde wɔn kɔ ayaresabea no wɔ sɛnkyerɛnne te sɛ atiridiinini ne ɔfe. Nanso, ebinom nso betumi anya sɛnkyerɛnne afoforo te sɛ akisikuru ne adwene a ɛyɛ basaa (adwene a wɔhwere).

Hena na ɛda adi sɛ obenya Legionnaires yare no kɛse?

Nokwarem no, ɛnyɛ obiara a obenya `(Legionella)` mmoawa no na obenya saa yare yi. Nanso, nnipa binom wɔ asiane kɛse mu sɛ wobenya bi. Hwɛ sɛ nokwasɛm ahorow yi fa wo ho anaa:

• Sɛ woadi boro mfe 50 a.
• Sɛ woyɛ obi a ɔnom sigaret, anaasɛ woanom sigaret bere bi a atwam a.
• Sɛ wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a. Ayaresa tebea horow bi (sɛ nhwɛso no, HIV yare mmoawa, asikreyare, kokoram, asaabo anaa mmerɛbo mu yare) ne nnuru bi nso betumi ama wo nipadua mu ahoɔden a ɛko tia nyarewa no so atew.
• Sɛ wowɔ ɔhome mu yare a ɛtra hɔ kyɛ, te sɛ COPD (Chronic Obstructive Pulmonary Disease) anaa Emphysema a.
• Sɛ wote baabi a wɔhwɛ wɔn a wɔn mfe akɔ anim bere tenten, te sɛ baabi a wɔhwɛ wɔn a wɔn mfe akɔ anim a.
• Sɛ wɔde wo akɔ ayaresabea nnansa yi a.
• Sɛ wɔayɛ wo oprehyɛn nnansa yi wɔ aduru a wɔde kum nipadua no mu a.
• Sɛ wɔayɛ wo akwaa foforo nnansa yi a.

Saa nkurɔfo yi taa nya Legionnaires yare sen afoforo.

Legionnaires yare no abu so dɛn?

Wɔ ɔman te sɛ Amerika mu no, nnipa bɛyɛ 18,000 na wɔde wɔn kɔ ayaresabea afe biara esiane yare yi nti. Wɔtaa hu no fi June kosi October. Wobetumi abɔ tebea horow a ɛte saa ara ho amanneɛ wɔ Sri Lanka nso, enti eye sɛ wubehu.

Dɛn ne Legionnaires yare no ho sɛnkyerɛnne?

Legionella ho sɛnkyerɛnne fi ase da adi wɔ nna abien kosi dunan akyi bere a wɔde ɔyare mmoawa no adi dwuma no. Nsɛnkyerɛnne a ɛte sɛ ahurututu mu yare na edi kan da adi. Nea ɛka ho no, sɛnkyerɛnne ahorow a ɛfa ntini (amemene) ne yafunu mu nhyehyɛe (dwensɔtwaa) ho nso betumi aba.

Momma yɛnhwɛ sɛnkyerɛnne atitiriw no bi:

• Atiridiinini (a ɛtaa boro digrii Celsius 40 (1040 F/400 C)) .
• Ɔfe (a ɛtaa yɛ ɔfe a ɛyɛ dry) .
• Ɔhome a ɛyɛ den (Dyspnea) .
• Ayamtuo
• Ntini mu yaw
• Tipaeɛ
• Akisikuru (te nka sɛ ɔyare) .
• Adwene a ɛyɛ basaa (adwene a ɛyɛ basaa, adwene a ɛyɛ basaa) .
• Mogya a wɔfe (Hemoptysis) .
• Yafunu mu yaw

Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn na ɛde Legionnaires yare no ba?

Sɛnea yɛadi kan aka no, nea ɛde saa yare yi ba titiriw ne mmoawa `(Legionella)`. Ɛwom sɛ `(Legionella)` mmoawa ahorow bɛyɛ 60 na ɛwɔ hɔ de, nanso nea ɛtaa de Legionnaires yare ba ne `(Legionella pneumophila). Saa yare yi ba bere a saa mmoawa yi hyɛn yɛn ahurututu mu na ɛde ɔyare mmoawa ba no.

Saa `(Legionella)` mmoawa yi fi awosu mu te atare, nsubɔnten, ne asase mu. Nanso, ɛtaa fa mmeae te sɛ nsu nhyehyɛe ne mframa a wɔde yɛ adwuma wɔ adan akɛse mu so trɛw kɔ nkurɔfo mu. Sɛ nhwɛso no, sɛ wɔanhwɛ nhyehyɛe ahorow yi a ɛwɔ ahɔhodan, ayaresabea, ne adwumayɛbea akɛse mu yiye a, saa mmoawa yi betumi anyin na wɔagyae akɔ mframa mu sɛ nsu a ɛtɔ gu fam. Sɛ yɛhome saa nsu a ɛtɔ gu fam no a, etumi kɔ yɛn ahurututu mu tẽẽ. Anaasɛ, nsuo a efĩ wom a ɛwɔ yɛn anom no tumi "kɔ soro wɔ menewam" wɔ akwanhyia mu na ɛkɔ yɛn ahurututu mu (wɔfrɛ eyi `(aspiration)`).

Ɔkwan bɛn so na Legionnaires yare no trɛw kɔ yɛn so?

Saa yare yi nam nsu nketenkete (nsu nketenkete a wɔde aerosol ayɛ anaa nsuyiri) a Legionella mmoawa ayɛ mu ma a wɔhome so titiriw. Anaasɛ, denam nsu a efĩ wom a wɔhome kɔ ahurututu no mu tẽẽ (aspiration) so.

Wɔabɔ amanneɛ sɛ Legionnaires yare a ɛpae gui wɔ mmeae te sɛ ahɔhodan, ayaresabea, nkwakoraa ne mmerewa afie, ne po so ahyɛn a wɔde tu kwan. Nanso, wɔtaa bɔ eyinom ho amanneɛ sɛ nsɛm a esisi a atew ne ho.

Mmeae pii wɔ hɔ a wobetumi de yare yi akɔ:

• Nsu a ɛyɛ hyew ne jacuzzi ahorow
• Shower head (shower wɔ aguaree ahorow mu) .
• Nsuo a wɔde fa nsuo mu
• Nneɛma a ɛma nsu yɛ hyew
• Nsuo a wɔde siesie nneɛma te sɛ nsuten
• Ɔhyew ne onwini nhyehyɛe ahorow a ɛwɔ adan akɛse mu
• Intubation (tube a wɔde hyɛ mframa kwan no mu bere a wɔreyɛ oprehyɛn) .
• Asase (titiriw a efi mfutuma a wɔhome wɔ mmeae a wosisi adan) .

Nea ɛho hia: Legionnaires yare no ntrɛw mfi onipa biako so nkɔ onipa foforo so. Ɛne sɛ, ɛnyɛ yare a ɛde ɔyare mmoawa ba. Sɛ wunya mmoawa no fi nneɛma a atwa wo ho ahyia mu nkutoo a na wunya.

Ɔkwan bɛn so na wohu Legionnaires yare no?

Sɛ wowɔ Legionnaires yare no ho sɛnkyerɛnne a, sɛ wokɔ oduruyɛfo nkyɛn a, wobedi kan abisa wo wo yare no ho sɛnkyerɛnne, w’akwahosan ho abakɔsɛm, ne akwantu ho abakɔsɛm biara a woanya nnansa yi ho asɛm. Afei wɔbɛyɛ nipadua mu nhwehwɛmu.

Wobetumi ayɛ nhwehwɛmu a edidi so yi de akyerɛ sɛ yare no wɔ hɔ:

• Nsu mu nhwehwɛmu anaa ahurututu mu nhwehwɛmu: Eyinom ne nhwehwɛmu a wɔtaa yɛ. Wɔhwehwɛ Legionella mmoawa wɔ wo nsu mu nhwɛsode bi mu anaasɛ nsu a ɛyɛ fĩ a efi wo ɔfe mu ba no mu.
• Mogya mu nhwehwɛmu: Wobetumi afa wo mogya bi de ahwɛ sɛ ebia nnuru a ɛko tia nyarewa anaa mmoawa no afã horow a wo nipadua ayɛ atia Legionella mmoawa no anaa. Eyi nso betumi ahwɛ sɛnea w’akwaa afoforo no reyɛ adwuma yiye.
• Chest X-ray anaa CT scan: Saa mfonini ahorow yi betumi aboa ma woahu sɛ ɔyare bi wɔ w’ahurututu mu te sɛ ahurututu mu yare.
• Bronchoscopy: Ɛtɔ mmere bi a, ebia ebehia sɛ oduruyɛfo no de afiri a ɛyɛ tratraa a mfoninitwa afiri wom hyɛ ahurututu no mu. Eyi ma oduruyɛfo no tumi hwehwɛ ahurututu no mu tẽẽ na ɔfa nhwɛsode ahorow de yɛ nhwehwɛmu.
• Thoracentesis: Sɛ nsu wɔ ahurututu no ho a, wobetumi afa saa nsu no bi na wɔasɔ ahwɛ sɛ ebia Legionella mmoawa anaa.

Saa nhwehwɛmu ahorow yi nkutoo ne ɔkwan a wobɛfa so ahu pɛpɛɛpɛ sɛ wowɔ Legionnaires yare anaasɛ wunni bi.

Ɔkwan bɛn so na wɔsa Legionnaires yare no?

Wɔde nnuru a ekum ɔyare mmoawa sa legionnaires yare no . Wobetumi de saa nnuru a ekum ɔyare mmoawa yi ama sɛ wɔde bɛhyɛ ntini bi mu (IV - wɔde fa ntini mu) anaasɛ wɔde bɛma sɛ nnuru, a egyina sɛnea yare no mu yɛ den so.

Sɛ ɛyɛ den ma wo sɛ wobɛhome a, ebia ebehia sɛ wɔma wo mframa pa. Mpɛn pii no, tebea yi ho ayaresa hwehwɛ sɛ wɔtra ayaresabea.

Nnuru atitiriw a wɔde sa ɔyare mmoawa a wɔde sa yare no bi ne:

• Azithromycin a wɔde yɛ aduru
• Levofloxacin, Moxifloxacin anaa Ciprofloxacin a wɔde yɛ aduru
• Tetracycline, doxycycline , anaa minocycline a wɔde yɛ aduru
• Rifampin (a wɔde ka nnuru afoforo a ekum ɔyare mmoawa ho) .

Wɔ tebea horow bi a emu yɛ den mu no, sɛ w’ankasa wuntumi nhome a, ebia ɛho behia sɛ wɔde afiri (mfiri a wɔde ma mframa) boa wo ma wo home.

Dɛn na yebetumi ayɛ de abɔ yɛn ho ban afi Legionnaires yare ho?

Nneɛma bi wɔ hɔ a yɛn, ne adansi so ahwɛfo betumi ayɛ de atew asiane yi so.

• Adan akɛse so ahwɛfo: Ɛho hia sɛ wohwɛ wo dan no mu nsu ho nhama, mframa a wɔde yɛ adwuma, ne abantenten a ɛma onwini no so yiye na wokum mmoawa . Eyi betumi aboa ma wɔasiw Legionella mmoawa no nyin ano.
• Nneɛma a yebetumi ayɛ wɔ fie:
• Siesie nneɛma te sɛ shower heads, faucets, hot tubs, ne humidifiers daa.
• Mfa nsu a ɛnyɛ den nni dwuma sen sɛ wode mframa a wɔde popa mframa ahwehwɛ bedi dwuma wɔ wo kar mu, efisɛ saa mmoawa yi betumi anyin wɔ saa nsukorabea no nso mu.

Sɛ wunya Legionnaires yare a, dɛn na wubetumi ahwɛ kwan?

Legionnaires yare no betumi ama woayare kɛse, na mpɛn pii no ɛho hia sɛ wɔsa wo yare wɔ ayaresabea. Nanso asɛmpa no ne sɛ wobetumi de nnuru a ekum ɔyare mmoawa asa.

Ɛho behia sɛ wonom nnuru bere a woafi ayaresabea aba fie mpo kosi sɛ ɔyare no befi hɔ koraa. Ebia nnipa binom benya saa sɛnkyerɛnne ahorow yi asram pii bere a wɔn ho atɔ wɔn akyi:

• Ɔbrɛ kɛse a wɔte nka (Ɔbrɛ) .
• Ɔhaw ahorow a ɛfa kari pɛ anaasɛ nhyehyɛe a wɔyɛ no pɛpɛɛpɛ ho
• Ɛyɛ den sɛ wobɛnantew
• Ɔkasa a ɛyɛ mmerɛw
• Ntini mu yaw

Sɛ yare no ho sɛnkyerɛnne te sɛ eyi kɔ so a, ɛho hia sɛ wo ne wo duruyɛfo kasa.

Nsɛnnennen a ɛwɔ Legionnaires yare no mu

Ɛtɔ mmere bi a, Legionnaires yare no betumi de nsɛnnennen a emu yɛ den aba. Eyinom betumi aka yɛn akwaa ne yɛn ntini ahorow.

• Ɔhome a entumi nyɛ adwuma yiye: Sɛ ahurututu no ntumi mfa mframa pa a ɛdɔɔso mma mogya no a, wɔfrɛ no ɔhome a entumi nyɛ adwuma yiye. Wɔ eyi mu no, wɔde afiri (mfiri a wɔde ma mframa) boa ma wɔhome.
• Acute kidney injury (AKI): Sɛ asaabo no gyae adwumayɛ a, entumi nyi nneɛma fĩ mfi mogya no mu. Wɔde nnuru anaa afiri a wɔde tew mogya ho (dialysis) sa eyi yare.
• Encephalopathy: Nsɛnkyerɛnne a ɛfa ntini ahorow ho (adwene a ɛyɛ basaa, ɔhaw a ɛkari pɛ, ɛyɛ den sɛ ɔbɛkasa) betumi asɛe kɛse.
• Empyema: Ahurututu a akisikuru ahyɛ mu ma wɔ ahunmu a atwa ahurututu no ho ahyia no mu. Ebia eyi behia sɛ wɔde afiri a ɛwɔ koko mu na ama nsu a ɛwɔ akisikuru no mu no akɔ.
• Wo koma mu ɔfe: Mmoawa a ɛde ɔyare mmoawa ba koma no mu no betumi ama wo ho ayɛ wo hyew. Ɛtɔ mmere bi a, wobetumi de nnuru asa eyinom.
• Rhabdomyolysis: Tebea a ntini a ɛsɛe ne nea ɛpaapae de ba. Wɔnam awuduru a woyi fi nipadua no mu so sa eyi.

Saa nsɛnnennen yi mma obiara, nanso sɛ yare no mu yɛ den a, saa nneɛma yi betumi asi, enti ɛho hia paa sɛ wɔhwehwɛ ayaresa ntɛm.

So wubetumi anya nkwa wɔ Legionnaires yare no mu?

Ɛwom sɛ Legionnaires yare no yɛ tebea a emu yɛ den de, nanso nnipa dodow no ara ho tɔ wɔn fi mu. Sɛ wɔsa yareɛ yie a, nnipa dodoɔ a wɔwuwu wɔ ahurututu mu yareɛ a Legionella de ba mu no yɛ 5% kɔsi 10%. Nanso, sɛ wɔansa a, asiane a ɛwɔ hɔ sɛ obi bewu no betumi ayɛ kɛse akodu 30% kosi 80%. Enti, aduruyɛ mu afotu a wobɛhwehwɛ bere a yare no ho sɛnkyerɛnne da adi ara pɛ no betumi agye nkwa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Legionnaires yare no ho sɛnkyerɛnne (te sɛ atiridiinini, ɔfe, ahome a ɛyɛ tiaa, akisikuru, ne adwene a ɛyɛ basaa a yɛadi kan aka ho asɛm) a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Afei nso, sɛ wuhu sɛ Legionnaires yare a ɛpae gui wɔ baabi a woyɛ adwuma anaa wotra a, bisa wo duruyɛfo no ahwɛyiye a ɛsɛ sɛ woyɛ.

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

Sɛ wowɔ atiridiinini kɛse, ɛyɛ den ma wo kɛse sɛ wobɛhome, wofe mogya, anaa sɛnkyerɛnne ahorow a ɛfa ntini ahorow ho (nkari pɛ ho haw, kasa a ɛyɛ mmerɛw, adwene a ɛyɛ basaa) a, kɔ baabi a wɔhwɛ ntɛmpɛ a ɛbɛn wo ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wohu sɛ wowɔ Legionnaires yare a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ eyinom:

• Bere tenten ahe na ebegye ansa na me ho atɔ me?
• Ɔkwan bɛn so ankasa na ɛsɛ sɛ mede saa aduru yi di dwuma?
• Nsɛnkyerɛnne foforo anaa nea ɛkɔ so bɛn na ɛsɛ sɛ ɛhaw me?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Enti, Legionnaires’ Disease a yɛkaa ho asɛm nnɛ no yɛ tebea a ɛsɛ sɛ yɛhaw yɛn ho ankasa, na ɛtɔ mmere bi a ebetumi de nkwa ato asiane mu. Nanso, ade a ɛho hia sen biara ne sɛ ɛyɛ yare a wotumi sa na wotumi sa .

Kae:

* Sɛ wunya yare yi ho sɛnkyerɛnne a, nsɛe bere na hwehwɛ aduruyɛfo afotu ntɛm ara.

* Hwɛ yiye wɔ eyi ho titiriw sɛ woka kuw bi a asiane wom ho (te sɛ obi a wadi boro mfe 50, obi a ɔnom sigaret, anaa obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw).

* Nsu nhyehyɛe a atwa yɛn ho ahyia, titiriw nea ɛwɔ adan akɛse ne ahɔhodan mu no ho hia yiye na yɛasiw yare yi ano.

* Ma nneɛma te sɛ faucets ne shower heads ho tew wɔ fie.

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

Legionnaires ' Yare, Ahurututu mu Yare, Legionella, Ahurututu mu Yare, Mmoawa, Ɔhome a Ɛyɛ Den, Nnuru a Ekum ɔyare mmoawa