So ɛsɛ sɛ yesua ahurututu mu yare (Paragonimiasis) a wobetumi anya afi krak a wɔannoa ne krak a wɔde nsu pa mu adidi mu no ho ade?

So w’ani gye ho sɛ wubedi nneɛma te sɛ krak ne nsu mu krak? Titiriw wɔ yɛn man yi mu no, krak curry, krak ngo, ne nnuan a ɛyɛ nnuhwam ma w’ano yɛ nsu, ɛnte saa? Saa ara na nnipa binom nso ani gye nneɛma te sɛ krak a wɔannoa anaasɛ wɔannoa no yiye ne salad a wɔde vinegar ayɛ ho. Nanso, so wunim sɛ ɔyare mmoawa bi a ne ho yɛ hu wɔ hɔ a obetumi afa saa aduan a ɛyɛ dɛ yi so akɔ yɛn nipadua mu na asɛe yɛn ahurututu, titiriw? Wɔfrɛ yare a saa ɔyare mmoawa no de ba no Paragonimiasis. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ.

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

Sɛ yɛbɛka no tiawa a, Paragonimiasis yɛ ɔyare mmoawa a efi ɔyare mmoawa a ɛyɛ tratraa (a wɔsan frɛ no fluke) a ofi Paragonimus abusua mu de ba. Sɛ wudi krak anaa krak a wɔannoa, wɔannoa no yiye, anaa wɔayam no yiye a, wubetumi anya.

Saa `Paragonimus` mmoawa yi taa ka w'ahurututu kɛse . Nanso ɛtɔ mmere bi a, saa nwansena yi tumi tu kwan kɔ wo honam ani (cutaneous paragonimiasis) anaa w’amemene mu (cerebral paragonimiasis) na wɔde nyarewa ba hɔ nso. Nea ɛsen saa no, ɛtɔ mmere bi a ɛnyɛ den sɛ wɔde saa ɔyare mmoawa yi ho sɛnkyerɛnne – te sɛ mogya a wɔfe, koko mu yaw, ne mu duru a ɛso tew – bɛfrafra nsamanwaw (TB) anaa ahurututu mu kokoram. Ɛno nti na ɛho hia kɛse sɛ wubehu yare no pɛpɛɛpɛ no.

Ɛhe na saa ɔyare mmoawa (Paragonimus) yi abu so kɛse?

Saa `Paragonimus` nwansena yi wɔ wiase mmeae pii. Wɔbɔ amanneɛ nso sɛ wɔwɔ Amerika ne Canada mmeae bi. Nanso, wɔbɔ amanneɛ sɛ paragonimiasis dodow no ara fi aman bi a ɛwɔ Asia, Afrika, ne Latin Amerika. Enti, ɛho hia sɛ yehu eyi wɔ Asia mantam a yɛwɔ no mu.

Dɛn ne Paragonimiasis ho sɛnkyerɛnne ahorow?

Ebia sɛnkyerɛnne ahorow no befi ase ada adi wɔ adapɛn abien kosi awotwe akyi bere a woanya saa ɔyare mmoawa yi no. Ebia wubedi kan ahu yafunu mu yaw anaasɛ aduan mu yare ho sɛnkyerɛnne. Afei, ahurututu mu sɛnkyerɛnne ahorow da adi.

Nsɛnkyerɛnne a ɛtaa ba no bi ni:

• Huraeɛ.
• Koko mu yaw.
• Ɔbrɛ, ɔbrɛ.
• Ɔfe: Eyi betumi afi ase sɛ ɔfe a ɛyɛ nwunu, afei abɛyɛ den araa ma ɛbɛma nsu a ɛyɛ nwunu, anaasɛ mogya mpo aba .
• Wo mu duru a wobɛtew a wommɔ mmɔden.
• Yafunu mu yare (akisikuru).
• Yafunu mu yaw.
• Nkuruwankuruwa nketenkete a epue wɔ yafunu no were ase. Eyinom betumi ayɛ yaw sɛ wode wo nsa bɛka, na ebetumi mpo ate nka sɛ ɛrekɔ soro, akɔ moma so.

Nsɛnkyerɛnne a ɛkyerɛ sɛ amemene no aka (`Cerebral Paragonimiasis`) .

Sɛ saa `Paragonimus` mmoawa yi du wo ntini mu mpofirim, kyerɛ sɛ, w’amemene ne w’akyi berɛmo mu a, wubetumi anya sɛnkyerɛnne ahorow a edidi so yi:

• Ntini a ɛma obi ho kyere no .
• Tipaeɛ .
• Anisoadehu ho haw ahorow te sɛ anisoadehu mmɔho abien ne anisoadehu a ɛyɛ kusuu.
• Adwene a ɛyɛ basaa, atenka a ɛte sɛ nea wɔrehaw adwene.
• Ɔfe a wɔfe.
• Kɔn a ɛyɛ den, ɛyɛ den sɛ wobɛkotow.
• Ntini mu mmerɛwyɛ.

Sɛ saa sɛnkyerɛnne ahorow yi ba a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Dɛn nti na paragonimiasis yi ba? Dɛn na ɛde ba?

Sɛnea yɛadi kan aka no, eyi fi parasitic flatworm a wɔfrɛ no `Paragonimus`. Wunya fi krak a wɔannoa anaasɛ wɔannoa yiye anaa krak a wɔde nsu pa wom a wudi mu. Susuw ho hwɛ, wobetumi ahu saa nwansena yi `cysts` nketewa a ɛyɛ nwansena (i.e., mmofra) no wɔ krak nam anaa wɔn nipadua mu nsu mu.

Sɛ wudi biribi a ɛte saa a, nwansena no fi saa ntini a ɛwɔ wo dwensɔtwaa ketewa no mu yi mu . Afei, saa nwansena yi fa yafunu no fasu no mu, fa diaphragm (ntini a ɛtetew yafunu ne koko mu) no mu na ɛkɔ w’ahurututu mu. Ɛhɔ na wɔde nkakrankakra nyin na wɔbɛyɛ nwansena a wɔanyinyin.

Wo nipadua mu tumi a ɛko tia nyarewa no ko tia saa nwansena yi a ɛwɔ w’ahurututu mu, na ɛyɛ abon a ɛyɛ den a wɔfrɛ no cysts twa wɔn ho hyia. Eyi te sɛ nea worebɔ mmɔden sɛ wobɛkyere ɔtamfo afiri. Nanso, ɛtɔ mmere bi a saa akisikuru yi betumi apae, na ama mogya, akisikuru, ne nwansena nkesua akɔ w’ahurututu mu. Mpɛn pii no eyi betumi ama obi anya ɔyare mmoawa a ɛto so abien.

So paragonimiasis tumi de obi fi onipa so kɔ foforo so?

Dabi , kae eyi. Paragonimiasis nyɛ yare a wotumi de fi onipa biako mu kɔ foforo mu. Sɛ wudi aduan a ɔyare mmoawa no wom nkutoo a, wunya, sɛnea yɛadi kan aka no.

Dɛn ne nsɛnnennen a ebetumi afi yare yi mu aba?

Nsɛnnennen a efi paragonimiasis mu ba no taa fa w’ahurututu ho. Ebi ne:

• Ahurututu mu yare
• Bronchiectasis - Mframa kwan a ɛtrɛw.
• Lung abscess - Ahurututu ne ntini a awu a wɔaboaboa ano wɔ ahurututu no mu.
• Pleural effusion - Nsuo a ɛboaboa ano twa ahurututu no ho hyia.
• Empyema - Aduru a aboaboa ano atwa ahurututu ho ahyia.

Ɔkwan bɛn so na oduruyɛfo hu sɛ ɔwɔ paragonimiasis?

Oduruyɛfo bi behu yare yi denam wo nipadua mu nsu anaa wo ntini a ɔbɛhwɛ sɛ ɔyare mmoawa no nkesua wɔ hɔ anaa no so. Wɔtaa yɛ eyi denam:

• Sputum test: Wɔfa nsuo a ɛfiri w’ahurututu mu nhwɛsoɔ na wɔsɔ hwɛ.
• Nsu mu sɔhwɛ: Ɛtɔ mmere bi a, wotumi de nwansena nkesua fa nsu mu.
• Nsu a atwa ahurututu no ho ahyia (pleural fluid) a wɔbɛhwɛ.
• Wora anaa ntini afoforo nhwɛsode mu nhwehwɛmu: Ɛtɔ mmere bi a, sɛ honam ani akuru wɔ hɔ a, wɔfa honam ani fã ketewaa bi na wɔhwehwɛ mu.

Ebia wobɛyɛ mfoninitwa nhwehwɛmu titiriw nso de ahwɛ w’ahurututu ne akwaa afoforo a ebetumi aka no. Ɛdenam wo sɛnkyerɛnne ahorow so no, wubetumi nso ayɛ wo mogya mu nhwehwɛmu de ahwɛ sɛ ebia nnuru a ɛko tia ɔyare mmoawa no wɔ hɔ anaa, anaasɛ sɛ w’amemene no aka wo a, wɔbɛyɛ amemene mu nsu mu nhwehwɛmu.

Sɔhwɛ ne akwan bɛn na wɔfa so yɛ?

Ebia wo duruyɛfo de nhwehwɛmu ne akwan horow te sɛ eyinom bedi dwuma:

• Mogya mu nhwehwɛmu
• Koko so X-ray a wɔyɛ
• CT scan a wɔde yɛ adwuma
• MRI scan `(MRI)`
• Bronchoscopy: Eyi hwehwɛ sɛ wɔde afiri bi a mfoninitwa afiri ketewaa bi wom hyɛ ahurututu no mu de hwɛ ahurututu no mu na sɛ ɛho hia a, wɔfa nhwɛsode ahorow.
• Skin biopsy: Sɛ honam ani akisikuru bi wɔ hɔ a, wɔfa ketewaa bi na wɔhwehwɛ mu.

Ɔkwan bɛn so na wɔsa eyi?

Asɛmpa no ne sɛ aduru bi wɔ hɔ a wɔde sa paragonimiasis! Nnuruyɛfo de nnuru a ekum mmoawa di dwuma de sa. Nnuru a wɔtaa de di dwuma ne Praziquantel anaa Triclabendazole .

Nea ɛho hia: Ɛho hia yiye sɛ wobɛnom saa aduru yi sɛnea oduruyɛfo akyerɛw ama wo no pɛpɛɛpɛ, bere tenten a wɔakyerɛw ama wo no.

Sɛ wowɔ amemene mu paragonimiasis, tebea bi a ɛka amemene no a, nnuruyɛfo betumi ama wo aduru bi a wɔfrɛ no corticosteroids nso de atew ɔfe a ɛwɔ amemene ne akyi berɛmo mu no so. Ɛntaa mma koraa sɛ ebia ebehia sɛ wɔyɛ wo oprehyɛn de yi akisikuru a saa nwansena yi ayɛ no afi hɔ.

So wobetumi asa paragonimiasis koraa?

Yiw, eyi yɛ yare a wotumi sa. Nhwehwɛmu a wɔayɛ wɔ Japan ada no adi sɛ aduru Praziquantel tumi sa `Paragonimus` yareɛ no 86% kɔsi 100% koraa. Enti, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho, sɛ wunya ayaresa a ɛfata a, wobetumi asa wo yare.

Sɛ wunya saa yare yi a, dɛn na ɛsɛ sɛ wohwɛ kwan?

Sɛ wowɔ paragonimiasis a, mpɛn pii no wɔbɛma wo nnuru a ekum mmoawa a wɔsɛe nnɔbae bere tiaa bi, mpɛn pii no nna biako kosi nnansa. Nanso, ɛtɔ mmere bi a, sɛ aduru no annyi nwansena no mfi hɔ koraa a, wo yare no ho sɛnkyerɛnne no betumi asan aba bio. Sɛ eyi ba a, ɛho behia sɛ wɔsan sa wo yare.

Sɛ wɔansa eyi a, so asiane wom? So ebetumi akum obi?

Yiw, sɛ wɔansa wɔn yare a, ayarefo a wɔwɔ amemene mu paragonimiasis a ɛka amemene no bɛyɛ 5% betumi awuwu. Enti, sɛ sɛnkyerɛnne ahorow bi wɔ hɔ a, ɛnyɛ papa sɛ wobɛtwentwɛn ayaresa a wobɛhwehwɛ no ase.

Wobɛyɛ dɛn akwati paragonimiasis? (Ayaresa a wɔde siw ano) .

Eyi ne ɔfã a ɛho hia sen biara. Sɛnea ɛbɛyɛ a wobɛkwati ɔhaw yi no, ɛsɛ sɛ wokwati sɛ wubedi krak ne akutu a wosusuw sɛ ɛwɔ `Paragonimus` ɔyare mmoawa no. Kae sɛ aduan a wobɛnoa no yiye ne ahobammɔ a eye sen biara.

Hwɛ yiye titiriw wɔ nnuan yi ho:

• Krak a wɔannoa anaasɛ wɔannoa no yiye.
• Krak a wɔayam: Asiane wɔ hɔ sɛ wɔanhyɛ no yiye a.
• Krak a wɔde nkyene ahyɛ mu: Ebia saa kwan yi renkum ɔyare mmoawa no.
• "Drunken" crab: Krak a wɔde ahyɛ mu anaasɛ wɔde nsa ahyɛ mu, te sɛ bobesa. Mfa no sɛ nsa no bekum ɔyare mmoawa no.
• Krak nsu: Wɔde eyinom di dwuma wɔ mmeae bi. Sɛ wodi wɔn a wɔannoa a, asiane wom.

Sɛ yɛbɛka no tiawa a, sɛ wudi krak ne akutu afoforo a, noa no yiye ma ɛhɔ hyew boro digrii Celsius 63 (145 Fahrenheit). Ɛno na saa mmoawa yi wuwu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ paragonimiasis (ɔfe, koko mu yaw, ne atiridiinini a yɛadi kan aka ho asɛm) ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara. Titiriw sɛ wokae nnansa yi sɛ wudii krak anaa akutu a wɔannoa no yiye a, ka saa asɛm no kyerɛ wo duruyɛfo. Ebetumi agye adapɛn abien kosi asram abien ansa na yare no ho sɛnkyerɛnne ada adi, enti mma wo werɛ mmfi sɛ wubedi biribi a woadi bere bi a atwam.

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

Sɛ wowɔ saa sɛnkyerɛnne ahorow a emu yɛ den yi mu biako anaa nea ɛboro saa a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara:

• Atiridiinini a ano yɛ den (ɛboro digrii Fahrenheit 103/digrii Celsius 40).
• Koko mu yaw a emu yɛ den.
• Sɛ wofe mogya a.
• Sɛ wowɔ akisikuru a .
• Sɛ wote nka sɛ w’adwene atu afra anaasɛ w’adwene mu tebea sesa a.

Eyinom betumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne, enti nkyɛ.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa nsɛm yi:

• Bere tenten ahe na ebegye ansa na me ho atɔ me?
• Ɔkwan bɛn so ankasa na ɛsɛ sɛ menom saa aduru yi? (mmere a ɛsɛ sɛ wɔfa, ansa na wɔadi anaasɛ wɔadi awie, ne nea ɛkeka ho) .
• Dɛn ne sɛnkyerɛnne ahorow a anibere wom a ɛsɛ sɛ ɛhaw me? (i.e. sɛnkyerɛnne ahorow a ɛhwehwɛ sɛ wokɔ oduruyɛfo nkyɛn bio) .
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio? (Wɔde di akyi) .

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Paragonimiasis yɛ yare a ɛma mmoawa a wɔsɛe nnɔbae a wobetumi anya afi krak a wɔannoa no yiye ne nsu pa mu krak a wodi mu. Ɛtaa ka ahurututu, nanso ɛtɔ mmere bi a ebetumi aka amemene ne honam ani.

Ɔfã a eye sen biara ne sɛ, ɛnyɛ den yiye sɛ wubesiw eyi ano. Sɛ woredi nneɛma te sɛ krak ne akutu , nea ɛho hia sen biara ne sɛ wobɛnoa no yiye. Kwati sɛ wɔmfa vinegar a wɔannoa, wɔannoa no yiye, anaasɛ wɔmfa nhyɛ mu.

Sɛ wususuw sɛ wowɔ saa yare yi ho sɛnkyerɛnne a, nsuro na kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Ayaresa pa wɔ hɔ a wɔde sa eyi, na sɛ wɔsa no yiye a, wobetumi asa koraa. Enti, ɛho hia sɛ wohwɛ yiye kakra wɔ aduan a wudi no ho na wokɔ so nya apɔwmuden. So wote ase?

` Paragonimiasis, ahurututu mu yare, krak a wɔannoa, krak a ɛwɔ nsu pa mu, ɔyare mmoawa a wɔsɛe nnɔbae, mogya a wɔfefe, koko mu yaw