Ɔkraman bi a ɔwɔ aniwa mu? Ɛkɔ, ɛnte saa? Momma yɛnka saa Loiasis yi ho asɛm!

So woasusuw ho pɛn sɛ wubehu ɔkraman ketewaa bi a ɔrekyinkyin w’ani mu? Oh, ɛma wo ho popo bere a wususuw ho ara kwa, ɛnte saa? Nanso, eyi yɛ ade ankasa. Eyi ne nea nnuruyɛfo frɛ no `Loiasis`. Nnipa binom nso frɛ no `African eyeworm.` Enti ɛnnɛ, momma yɛnka saa yareɛ yi, nwansena yareɛ yi ho asɛm kakra. Efisɛ ɛho hia yiye sɛ obiara hu nneɛma a ɛte sɛɛ.

Dɛn ne `Loiasis`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, `Loiasis` yɛ ɔyareɛ a ɛfiri ɔkraman soronko bi a wɔfrɛ no `Loa loa` mu. Eyi yɛ nwansena yare a ɛma ɔyare mmoawa ba. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛka nwansena nyarewa kuw a wɔfrɛ no `filariasis` ho. `Filariasis` yɛ yareɛ a ɛfiri `filarial worms`, kyerɛ sɛ, nwansena bi a ɛyɛ tratraa a ɛte sɛ asaawa.

Enti ɔkwan bɛn so na saa nwansena yi kɔ yɛn nipadua mu? Eyi ba bere a nwansena bi a wɔfrɛ no `deerfly` (nnipa binom nso frɛ no `mango fly` anaa `mangrove fly`) ka yɛn. Nanso nwansena yi nni baabiara. Wohu wɔn mu dodow no ara na wɔwo wɔ kwae bi a osu tɔ kɛse wom wɔ Afrika Atɔe ne Mfinimfini fam. Enti nnipa a wɔte saa mmeae no anaa wotu kwan kɔ saa mmeae no wɔ asiane mu.

Sɛ Loa loa nwansena yi hyɛn yɛn nipadua mu pɛ a, wofi ase tra ase na wɔwo. Wɔtaa pɛ sɛ wɔtra mmeae yi wɔ yɛn nipadua so:

• Wɔ wo mogya mu (`Mogya`) .
• Wɔ ahurututu mu (`Ahurututu`) .
• Lymphatic system - Eyi yɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã, na wɔyɛ mogya nkwammoaa bi wɔ ha.
• Wɔ ntini a ɛwɔ honam ani (`Subcutaneous tissues`) mu .

Hena na obetumi anya eyi kɛse?

Loiasis yɛ ɔhaw kɛse wɔ Afrika Atɔe ne Mfinimfini fam mmeae bi. Wobu akontaa sɛ nnipa bɛboro ɔpepem 29 na wɔwɔ asiane mu sɛ wobenya yare no. Ɛno yɛ nnipa pii, ɛnte saa?

Sɛ ɔkraman bi kɔ w’ani so a, n’ani befura ankasa? (Eyi yɛ biribi a nnipa pii suro)

Nokwarem no, sɛ wuhu sɛ ɔkraman bi di akɔneaba wɔ w’ani mu a, ebetumi ayɛ osuahu a ɛnyɛ anigye na ɛyɛ hu koraa. Ɛyɛ den sɛ wubesusuw ho. Nanso adeɛ a ɛho hia ne sɛ saa `Loa loa` nwansena yi (a ne tenten bɛyɛ sɛntimita 2.5 kɔsi 7.5) ntaa nfura w’ani. Na wɔntaa nsɛe aniwa no kɛse.

Nea ɛba ni: Ɔkraman no fa aniwa no mu na afei ɔsan kɔ nipadua no mu bere tiaa bi akyi. Oduruyɛfo betumi de oprehyɛn ketewaa bi ayi nwansena bi a wotumi hu wɔ aniwa no atifi. Nanso kae sɛ, sɛ wuyi nwansena te sɛ eyi fi hɔ a, ɛnsa ɔyare mmoawa no nyinaa. Ɛsɛ sɛ wɔsa no wɔ ɔkwan soronko so.

Dɛn ne Loiasis ho sɛnkyerɛnne ahorow?

Nea ɛyɛ nwonwa no, nnipa dodow no ara a wɔwɔ loiasis no nni sɛnkyerɛnne biara. Wonnim mpo sɛ wɔwɔ nwansena no wɔ wɔn nipadua mu. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Ɔbrɛ kɛse a wɔte nka (`Ɔbrɛ`).
• Ɛyɛ yaw wɔ nipadua no nyinaa so.
• Ntini a ɛyɛ yaw, ɛho ahonhon, anaasɛ ɛyɛ yaw pue wɔ nipadua no so, titiriw wɔ nkwaa te sɛ nkotodwe ne nsateaa ho. Wɔfrɛ eyi ``Calabar swellings.'' Saa ɔfe yi betumi ano abrɛ ase wɔ nna kakraa bi mu, nanso ebetumi asan aba bio wɔ nna anaa adapɛn kakraa bi akyi.
• Ɛyaw a ɛba ntini anaa nkwaa mu.
• Wubetumi ahu ɔkraman bi a ɔredi akɔneaba wɔ honam ani. Ɛte sɛ honam ani asorɔkye.
• Wotumi hu ɔkraman bi sɛ ɔrewea afa aniwa no mu (ntini a ɛyɛ tratraa a ɛkata aniwa fitaa ne aniwa no mu) no mu. Eyi ne nea ɛbɔ nnipa pii hu.

Fa no sɛ, sɛ worehwere biribi a, mpofirim ara wote nka sɛ biribi retu wɔ w’ani anim. Sɛ wohwɛ ahwehwɛ mu a, wote nka sɛ biribi te sɛ asaawa ketewaa bi di akɔneaba wɔ w’ani anim! Ɛno bɛyɛ hu dɛn?

Dɛn na ɛde Loiasis ba? Ɔkwan bɛn so na ɛtrɛw?

Sɛnea yɛadi kan aka no, Loiasis trɛw bere a nwansena a ɔwɔ ɔyare no ka wo honam ani no. Nwansena a wɔsoa Loa loa nwansena yareɛ no ne deer nwansena ne mangrove nwansena. Afrika nkutoo na wohu saa nwansena yi. Sɛ saa nwansena yi keka obi a ɔwɔ ɔyare no a, wɔnom mogya na wɔde nwansena (a wɔfrɛ no microfilariae, a wɔyɛ nwansena nketewa paa, a wotumi hu nneɛma nketenkete) gu nwansena no mu. Afei, sɛ nwansena no keka obi foforo a, nwansena no hyɛn saa onipa no nipadua mu.

Sɛ saa nwansena nketenkete yi a wɔfrɛ no ``microfilariae,'' hyɛn wo nipadua mu pɛ a, egye asram pii ansa na wɔanyin abɛyɛ nwansena a wɔanyinyin. Bere a wɔrenyin no, wotumi tu kwan kɔ wo nipadua no ntini ne akwaa ahorow te sɛ w’ahurututu mu. Ɛyɛ bere a nwansena a wɔanyinyin no wɔ wo nipadua mu nkutoo na ɛtɔ mmere bi a wubetumi ahu sɛ wɔretu wɔ wo honam ani anaa w’ani so.

Nanso ɛho hia sɛ yɛhyɛ no nsow sɛ hokwan a ɛwɔ hɔ sɛ wubenya loiasis afi akwantu tiawa bi a wobɛkɔ Afrika kɛkɛ mu no sua koraa. Ɛsɛ sɛ nwansena a wɔanya yare no keka nnipa dodow no ara a wonya yare no mpɛn pii wɔ asram pii mu. Eyi kyerɛ sɛ ɛnyɛ nwansena biako pɛ mu na wunya yare no.

So Loiasis tumi fi onipa biako so kɔ foforo so?

Eyi yɛ ɔhaw ma nnipa pii. Dabi, Loiasis ntrɛw mfi onipa biako so nkɔ foforo so tẽẽ. Wei kyerɛ sɛ worentumi nnya yareɛ no denam wo nsa a wode bɛka obi a ɔwɔ yareɛ no, wo ne no akyɛ aduane anaa anonneɛ, anaa mpopaho a ɔde dii dwuma no so. Sɛ wobɛkyere a, ɛsɛ sɛ saa nwansena pɔtee no keka wo.

Wobɛyɛ dɛn ahu Loiasis no pɛpɛɛpɛ? (Nyare a Wɔahu) .

Sɛ woakɔ anaa wote mmeae a asiane wɔ wɔ Afrika no biako mu na wowɔ loiasis ho sɛnkyerɛnne ahorow a, ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu.Saa mogya mu nhwehwɛmu yi betumi ahwɛ sɛ Loa loa microfilariae wɔ wo mogya mu anaa.

Afei nso, oduruyɛfoɔ no bɛhwɛ wo (`nipadua mu nhwehwɛmu`) ahwɛ sɛ wowɔ `loiasis` ho sɛnkyerɛnne bi, kyerɛ sɛ, nneɛma te sɛ `Calabar swellings`.

Dɛn ne ayaresa a wɔde sa Loiasis?

Nnuru bi wɔ hɔ a wɔde sa Loiasis. Nea wɔde di dwuma titiriw ne Ivermectin ne Diethylcarbamazine (DEC) .

Nsɛm a ɛho hia a ɛsɛ sɛ wususuw ho bere a wode nnuru rema no

Nanso biribi a ɛho hia paa ni. Sɛ wɔde nnuru yi (titiriw DEC) ma nnipa a Loa loa microfilariae dɔɔso yiye wɔ wɔn mogya mu a, ebetumi anya nneyɛe a emu yɛ den a ɛde wɔn nkwa to asiane mu. Enti, ansa na oduruyɛfo de Ivermectin anaa DEC bɛma wo no, ɛsɛ sɛ wɔyɛ nhwehwɛmu de susuw microfilariae dodow a ɛwɔ wo mogya mu.

Susuw sɛnea anka ɛbɛyɛ bɔne sɛ aduru a wɔkyerɛw maa wɔn sɛ wɔmfa saa yare no ankasa no de ɔhaw kɛse bi bae no ho hwɛ? Ɛno nti na sɔhwɛ ahorow yi ho hia kɛse no.

Sɛ wowɔ microfilariae bɛboro 8,000 wɔ mogya mililita biara mu a, Ivermectin ne DEC nyɛ nea asiane biara nni ho mma wo. Sɛ eyi te saa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wunni kan de aduru bi a wɔfrɛ no Albendazole anaa aduru bi a wɔde yi mogya mu di dwuma. Albendazole ne mogya a wɔde yiyi mu no bɛma microfilariae dodow a ɛwɔ wo mogya mu no so atew. Ɛno nkutoo na ɛbɛyɛ nea asiane biara nni ho sɛ wode Ivermectin anaa DEC bedi dwuma.

Loiasis yɛ yare a ɛntaa nsi koraa wɔ aman te sɛ Sri Lanka mu, enti ebia wo duruyɛfo bɛkɔ akɔhwɛ oduruyɛfo a ɔhwɛ mmeae a osu tɔ na owia bɔ kɛse bere a ɔresa no. Sɛ wowɔ ɔyare mmoawa a emu yɛ den a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo a ne ho akokwaw saa nkyɛn.

Wobɛyɛ dɛn akwati sɛ wubenya Loiasis? (Ayaresa a wɔde siw ano) .

Nea ɛyɛ awerɛhow no, wɔda so ara nni nnuru a wɔde bɔ nkurɔfo ho ban a wɔde besiw Loiasis ano.

Nanso sɛ worekɔ Afrika Atɔe fam anaa Mfinimfini fam, titiriw sɛ woayɛ nhyehyɛe sɛ wobɛtra hɔ akyɛ a, nneɛma pii wɔ hɔ a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa yi so atew:

• Diethylcarbamazine (DEC) miligram 300 a wɔnom pɛnkoro dapɛn biara. (Ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo afotu nkutoo so.)
• Nnuru a wɔde pam nkoekoemmoa a DEET (N,N-Diethyl-meta-toluamide) wom a wɔde bedi dwuma. Eyinom yɛ nneɛma a ɛyɛ nsu a wɔde gu nipadua no mu.
• Sɛ wohyɛ pantalon atenten ne ntade a nsa tenten a, ɛbɛtew hokwan a ɛwɔ hɔ sɛ nwansena bɛka wo honam ani no so.
• Sɛ wode nnuru a ekum nkoekoemmoa a wɔfrɛ no `permethrin` bɛhyɛ wo ntade mu. Eyi pam nkoekoemmoa te sɛ nwansena.

Sɛ wonya `Loiasis` a, dɛn na ɛba? So ɛsɛ sɛ wohaw wo ho?

Nokwarem no, nnipa pii a wɔwɔ loiasis no nnim mpo, na ebia ɛremma wɔn akwahosan ho haw kɛse biara. Ɛno kyerɛ sɛ ɛnyɛ obiara na obenya yare no ho sɛnkyerɛnne a emu yɛ den.

Nanso, sɛ wowɔ sɛnkyerɛnne ahorow anaasɛ wususuw mpo sɛ wowɔ loiasis a, hwɛ hu sɛ wo ne oduruyɛfo bɛkasa. Nnuru bi wɔ hɔ a wɔde sa, a ebetumi aboa ma ɔyare mmoawa no afi hɔ na asiw nsɛnnennen ano.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Wɔ nsɛm te sɛ eyinom mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn:

• Sɛ woakɔ Afrika Atɔe Fam anaa Afrika Mfinimfini na woreda Loiasis ho sɛnkyerɛnne adi (e.g., ɛyaw, Calabar a ɛho ahonhon, anaa biribi a ɛhwɛ w’ani mu).
• Sɛ woreyɛ nhyehyɛe akɔ Afrika Atɔe Fam anaa Afrika Mfinimfini na wususuw sɛ ebia wubehia DEC ayaresa na ama woatumi asiw yare no ano a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara ansa na woatu kwan, efisɛ ebetumi agye adapɛn pii ansa na woanya DEC aduru no.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya adwene pa wɔ `Loiasis` anaa `African eyeworm.` ho

Kae sɛ Loiasis yɛ ɔyare mmoawa a wɔde yare mmoawa ba. Ebetumi de yare no ho sɛnkyerɛnne ahorow aba, anaasɛ ebetumi ayɛ nea enni sɛnkyerɛnne biara.

Sɛ wuhu ɔkraman wɔ w’ani so a, ɛyɛ ade a ɛyɛ hu. Nanso mpɛn pii no, ɔkraman no bɛfa aniwa no mu na ayera wɔ nnɔnhwerew kakraa bi mu. Anaasɛ oduruyɛfo betumi de oprehyɛn ketewaa bi ayi afi hɔ.

Nea ɛho hia ne sɛ , sɛ worekɔ mmeae a asiane wɔ wɔ Afrika a, wubetumi ayɛ nneɛma bi de asiw loiasis ano. Afei nso, sɛ wunya ɔyare no a, oduruyɛfo betumi de nnuru a ekum ɔyare mmoawa asa.

Enti, nsuro eyi a ɛho nhia, nanso mmu no adewa nso. Ade a ɛho hia sen biara ne sɛ wɔbɛbɔ wo amanneɛ. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, ɛnka akyi dodo da sɛ wo ne oduruyɛfo bɛkasa.

` Loiasis, Afrika aniwa mu nwansena, nwansena yare, nwansena a wɔka, honam ani nwansena, Calabar a ɛhoa, diethylcarbamazine, filariasis, microfilariae, ivermectin, albendazole, DEET, nwansena ho sɛnkyerɛnne, Afrika nwansena