So woakɔ nantew wɔ kwae mu pɛn, anaasɛ wo ne w’ayɛmmoa kraman anaa ɔkraman adi agoru, na mpofirim ara wotee nka sɛ woyare na wo ho yɛɛ wo hyew kɛse nna kakraa bi akyi? Nea ɛka ho no, so wo ti yɛ wo yaw na wo nipadua mu yɛ wo yaw? Mpɛn pii no, yesusuw sɛ, ‘Eyi yɛ atiridii a ɔyare mmoawa de ba.’ Nanso, sɛ wunya adwenem naayɛ ketewaa bi sɛ aboa bi te sɛ ntontom aka wo a, ebia eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa. Ɛnnɛ yɛreka yareɛ bi a nwansena a wɔte saa de ba, a sɛ wɔansa no ntɛm na wɔansa no yie a, ɛbɛtumi de nkwa ato asiane mu ho asɛm. Ɛno ne Rocky Mountain Spotted Fever, anaasɛ RMSF tiawa.
Sɛ yɛbɛka no tiawa a, dɛn ne Rocky Mountain Spotted Fever (RMSF)?
Rocky Mountain Spotted Fever yɛ ɔyare mmoawa bi a wɔfrɛ no `(Rickettsia rickettsii)` na ɛde ba. Sɛnea dengue mmoawa no nam nwansena so hyɛn yɛn nipadua mu no, saa ara na `R. rickettsii` mmoawa nam ntontom bi a ɔwɔ ɔyare no bi a ɛka yɛn nipadua mu no so.
Ɔhaw kɛse a ɛwɔ eyi ho ne sɛ , mfiase no, sɛnkyerɛnne ahorow no te sɛ atiridiinini anaa atiridiinini a ɔyare mmoawa de ba no ara pɛ. Nnipa pii nsusuw sɛ ɛyɛ aniberesɛm esiane nneɛma te sɛ atiridiinini, tiyɛ, ne nipadua mu yaw nti. Nanso sɛ wɔtwentwɛn ayaresa no ase a, ebetumi ayɛ aniberesɛm paa.
Nnipa binom susuw sɛ eyi te sɛ yare foforo a ntontom de ba, te sɛ Lyme yare. Nanso, mmoawa ahorow abien na ɛde nyarewa abien yi ba. Ɛsono sɛnkyerɛnne ahorow no nso. Enti, mma nyarewa abien no nfrafra.
Hena na ɔwɔ asiane kɛse sɛ obenya saa yare yi?
Nokwarem no, obiara a nwansena bɛka no no betumi anya yare no. Nwansena tumi tra sare atenten, mmeae a nnua wɔ, ne yɛn afieboa a wodi agoru wɔ abɔnten so. Wɔabɔ yare no ho amanneɛ wɔ aman pii so wɔ wiase nyinaa.
Nanso, sɛ nnipa binom nya saa yare yi a, asiane kɛse wom sɛ ɛbɛyɛ den. Ma yɛnhwɛ nnipa ko a wɔyɛ.
| Asiane kuw | Nkyerɛmu |
|---|---|
| Mfeɛ | Yare no betumi ayɛ den wɔ mmofra a wonnii mfe 10 ne mpanyimfo a wɔadi boro mfe 70 so. |
| Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw | Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw esiane aduruyɛ mu tebea afoforo (e.g. kokoram) anaa nnuru nti no wɔ asiane kɛse mu. |
| Nnipa a wɔwɔ G6PD a enni hɔ | Eyi yɛ awosu mu tebea. Nnipa a wɔwɔ ``Glucose-6-phosphate dehydrogenase (G6PD) a enni wɔn mu'' nso taa nya yareɛ no. |
Sɛ yare no hyɛn nipadua no mu a, dɛn na ɛba ankasa?
Fa no sɛ ntontom bi a ɔyare no aka wo. Nwansena no nnompe de mmoawa a wɔfrɛ wɔn `R. rickettsii` kɔ wo mogya mu. Efi hɔ no, nea mmoawa no de wɔn ani si so titiriw ne yɛn mogya ntini ahorow .
Sɛ yɛbɛka no tiawa a, saa mmoawa yi sɛe yɛn mogya ntini no afasu. Sɛnea nsu paipu nya ntokuru nketenkete no, sɛ ɔyare mmoawa yi sɛe yɛn mogya ntini no a, wofi ase tu mogya ne nsu kɔ ntini a atwa yɛn ho ahyia no mu. Eyi na ɛde sɛnkyerɛnne ahorow no ba. Saa nsu a ɛtwetwe yi betumi asɛe yɛn ntini, ntini, ne akwaa a ɛho hia te sɛ amemene ne asaabo.
Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu wɔn?
Nsɛnkyerɛnne no betumi ada adi wɔ nna abien kosi adapɛn abien akyi bere a ntontom aka obi akyi. Yebetumi akyekyɛ eyinom mu ayɛ no sɛnkyerɛnne ahorow a edi kan ne sɛnkyerɛnne ahorow a ɛba akyiri yi a ɛba bere a yare no kɔ so no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nsɛm pii |
|---|---|
| Nsɛnkyerɛnne a ɛba wɔ nna a edi kan no mu | |
| Atiridiinini a emu yɛ den | Atiridii a emu yɛ den a ɛba mpofirim. |
| Tiyɛ a emu yɛ den | Ti a ɛyɛ yaw a ɛte sɛ nea ɛbɛpae. |
| Aduan ho akɔnnɔ a ɛyera, akisikuru, ne ɔfe | Ebia worente nka sɛ wubedidi, na ebia wo yafunu mu yɛ wo yaw na wofe. |
| Nipadua mu yaw | Ebia wobɛte ɛyaw a emu yɛ den nka, titiriw wɔ ntini ahorow no mu. |
| Wora a ɛyɛ mmerɛw | Bɛyɛ nnafua 3 wɔ yare no mfiase akyi no, nsensanee kɔkɔɔ nketenkete betumi apue wɔ honam ani. Eyinom taa fi ase wɔ nsa ne anan nsateaa ne anansoa so. Afei wotumi trɛw kɔ nipadua no nyinaa mu. Nanso, ɛnyɛ obiara na onya akisikuru no. |
| Nsɛnkyerɛnne a emu yɛ den a ebetumi aba bere a yare no mu ayɛ den no | |
| Adwene mu basabasayɛ | Disorientation, basabasayɛ, kasa a ɛyɛ mmerɛw. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ tiaa (dyspnea). |
| Numbness, mmerɛwyɛ wɔ nipadua no akwaa mu | Nkwa a enni nipadua akwaa mu a wɔte nka. |
| Akisikuru a ɛma obi ho kyere no | Tebea a ɛte sɛ nea ɛfata. |
Nea ɛho hia sen biara ne sɛ, ntwɛn mma akisikuru no bɛda adi. Nnipa binom nnya akisikuru no, anaasɛ ebetumi aba akyiri. Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini ne tiyɛ, na wususuw sɛ ntontom aka wo a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Ɔkwan bɛn so na oduruyɛfo no hu yare no?
Sɛ wokɔ oduruyɛfo nkyɛn a, nea odi kan yɛ ne sɛ obebisa wo nsɛm.
- Dɛn ne wo yare no ho sɛnkyerɛnne na bere tenten ahe na woanya bi?
- Nnansa yi ara na wonantew kwae bi mu, wɔ baabi a sare atenten wɔ?
- So afieboa bi wɔ fie?
- So woahu ntontom bi a ɛsensɛn wo nipadua so baabi?
Wo duruyɛfo no begyina nsɛmmisa yi ho mmuae a wode bɛma so ahwɛ wo. Sɛ wo sɛnkyerɛnne kyerɛ sɛ eyi betumi ayɛ RMSF a, wobetumi afi ase ayɛ ayaresa.
Mogya mu nhwehwɛmu wɔ hɔ na ɛtɔ mmere bi a wɔyɛ honam ani nhwehwɛmu de kyerɛ sɛ wɔahu yare no. Nanso, nea efi nhwehwɛmu ahorow yi mu ba no betumi agye nnafua 7 kosi 10 ansa na asan aba. Esiane sɛ yare no mu yɛ den nti, wo duruyɛfo rentwɛn nea ebefi mu aba no. Sɛ wo sɛnkyerɛnne ne nsɛm a wode ma no kyerɛ sɛ wowɔ RMSF a, wobefi ase ayaresa no ntɛm ara.
Dɛn ne ayaresa ahorow no? Bere tenten ahe na egye na obi ho atɔ no?
Ayaresa a eye sen biara na wɔkamfo kyerɛ sɛ wɔde sa RMSF nkutoo ne nnuru a ekum ɔyare mmoawa . Nnuru a wɔde kum ɔyare mmoawa a wɔde di dwuma titiriw ma eyi ne `( Doxycycline (
- Ɛho hia sɛ wufi ase ntɛm: Ayaresa no tu mpɔn kɛse bere a wofi ase wɔ nnafua 5 a edi kan wɔ sɛnkyerɛnne ahorow no mu no.
- Complete: Mpɛn pii no ɛsɛ sɛ wonom saa aduru yi nnafua 7-10. Sɛ wo ho tɔ wo wɔ nnansa anaa nnansa mu mpo a, ɛsɛ sɛ wonom aduru no nna dodow a oduruyɛfo no akyerɛw ama wo no nyinaa. Sɛ ɛnte saa a, ebia yare no bɛsan aba bio.
- Nsɛm a emu yɛ den: Sɛ yare no mu yɛ den a, ebia ebehia sɛ wɔde wo kɔ ayaresabea na wɔsa wo yare. Ebia ɛho behia nso sɛ wɔde nnuru a ekum ɔyare mmoawa fa ntini mu ne ayaresa afoforo (te sɛ mfiri a wɔde ma mframa).
Sɛ wufi ase sa yare no yiye a , wubefi ase ate nka wɔ nnɔnhwerew 48 ntam.
Wobɛyɛ dɛn atumi abɔ wo ho ban afi yare yi ho?
Nnuru biara nni hɔ a wɔde bɛbɔ saa yare yi ho ban, enti ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati sɛ ntontom bɛka wo. Nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de asiw eyi ano.
- Ma wo turo ne gyaade ho ntew: Sare atenten ne nnua yɛ mmeae pa a nwansena betumi atra. Enti ma wo gyaade sare no nsiesie na ɛnyɛ fɛ.
- Twe dwoodwoo bere a worekɔ kwae mu no: Sɛ worekɔ nantew kwae mu anaa wuram a, hyɛ ntade a ɛkata wo nipadua so sɛnea wubetumi biara. Hyɛ pantalon atenten, ntade a nsa tenten, mpaboa, ne sɔks. Sɛ wubetumi de wo pants ahyɛ wo sɔks mu a, eye mpo.
- Fa nnuru a wɔde pam nkoekoemmoa di dwuma: Fa nnuru a ɛpam nkoekoemmoa te sɛ ntontom di dwuma. Wɔn a DEET wom no ye sen biara. Nnuru titiriw bi nso wɔ hɔ a wubetumi de apete ntade so.
- Hwɛ wo nipadua bere a woakɔ abɔnten awie no: Sɛ wufi abɔnten ba fie, titiriw wɔ mmeae a sare wɔ a, hwɛ wo nipadua nyinaa mu sɛ ebia nwansena wɔ hɔ anaa. Hwɛ mmeae te sɛ w’abasa, w’asen, wo ti, w’aso akyi, ne wo yafunu so titiriw.
- Bɔ w’ayɛmmoa ho ban: Bɔ w’ayɛmmoa te sɛ akraman ne mpataa ho ban fi nwansena ho. Hwɛ mmoa ho ɔyaresafo na fa nnuru ne abɔso a ɛho hia di dwuma yiye. Hwɛ wɔn nipadua bere a woama wɔafi adi awie no.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? So ɛsɛ sɛ mekɔ ETU?
Eyi yɛ asɛm a ɛho hia paa, efisɛ adeyɛ a ɛba bere ano betumi agye obi nkwa.
| Gyinabea | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Misusuw sɛ ntontom aka me, na nna kakraa bi mu no, manya sɛnkyerɛnne ahorow te sɛ atiridiinini, tiyɛ, ne nipadua mu yaw. | Kɔ w’abusua oduruyɛfo nkyɛn ntɛm ara. Ntwentwɛn wo nan ase. |
| Nwansena bi kekaa me, nanso yare no ho sɛnkyerɛnne biara nni hɔ. | Ɛho nhia sɛ wobɛkɔ oduruyɛfo nkyɛn saa bere yi. Nnuru a ekum ɔyare mmoawa a wɔnom a wonni sɛnkyerɛnne biara no remmoa. Nanso, hu sɛ ebia sɛnkyerɛnne ahorow no bɛda adi wɔ adapɛn abien a edi hɔ no mu anaa. |
| Sɛ wowɔ saa sɛnkyerɛnne ahorow a emu yɛ den yi a, kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) ntɛm ara. | |
| |
Nkrasɛm a Wɔde Kɔ Fie
- Rocky Mountain Spotted Fever (RMSF) yɛ ɔyare mmoawa a ntontom de ba a sɛ wɔansa no ntɛm a, ebetumi de nkwa ato asiane mu.
- Mma nokwasɛm a ɛyɛ sɛ sɛnkyerɛnne ahorow a edi kan (atiridiinini, tiyɛ, nipadua mu yaw) te sɛ atiridii a ɔyare mmoawa de ba a ɛtaa ba no nnnaadaa wo.
- Mma ntwɛn mma honam ani akisikuru bi bɛda adi. Ebia nnipa binom rennya akisikuru.
- Sɛ atifi hɔ sɛnkyerɛnne ahorow no da adi bere a wode wo ho ahyɛ baabi a nwansena ahyɛ mu ma akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ wofi ase sa yare no ntɛm a, wobetumi asa yare no koraa.
- Ɔkwan pa a wobɛfa so akwati yare yi ne sɛ wobɛbɔ wo ho ban afi nwansena ho.
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