Atiridii a ntontom de ba! Momma yensua Rocky Mountain Spotted Fever ho ade

So woakɔ abɔnten nantew kwae mu, sare atenten so, anaasɛ wo ne w’ayɛmmoa redi agoru pɛn na woahyia abɔde ketewaa bi a ɔte sɛ ntontom? Ɛtɔ mmere bi a, saa abɔde nketewa yi betumi ahaw wɔn ankasa. Ɛnnɛ yɛrebɛka yareɛ bi a nwansena tumi de kɔ nnipa mu ho asɛm, na ɛtumi yɛ hu kakra. Wɔfrɛ no Rocky Mountain Spotted Fever. Ebia ɛbɛyɛ te sɛ nea edin no mfa Sri Lanka ho, nanso ɛho hia yiye sɛ wohu nyarewa a ntontom de ba te sɛ eyi.

Dɛn ne Rocky Mountain Spotted Fever?

Sɛ yɛbɛka no tiawa a, Rocky Mountain Spotted Fever (RMSF) yɛ yare a ɔyare mmoawa bi a wɔfrɛ no Rickettsia rickettsii na ɛde ba. Ɛnam ntontom a wɔwe so na ɛtrɛw. Nsɛnkyerɛnne a edi kan – te sɛ atiridiinini, tiyɛ, ne honam ani akisikuru – betumi ayɛ te sɛ nyarewa afoforo a ɛtaa ba. Nanso sɛ wɔansa no ntɛm a, RMSF betumi de nkwa ato asiane mu.

Saa yareɛ yi, RMSF, ka nyarewa kuo kɛseɛ bi a wɔfrɛ no `Spotted Fever Rickettsiosis (SFR)` ho.

So Rocky Mountain Spotted Fever (RMSF) ne Lyme yare yɛ ade koro?

Yiw, ɛwom sɛ abien no nyinaa yɛ nyarewa a ntontom de, nanso Rocky Mountain Spotted Fever ne Lyme yare yɛ nyarewa ahorow abien. Mmoawa soronko bi na ɛde Lyme yare no ba sen RMSF, na ɛsono sɛnkyerɛnne ahorow no. Obi a ɔwɔ RMSF rennya Lyme yare no.

Hena na obetumi anya Rocky Mountain Spotted Fever (RMSF)?

Obiara a ɔwɔ baabi a ntontom wɔ – te sɛ sare atenten, kwae mu mmeae, anaa abɔnten afieboa – betumi anya yare no. Wɔabɔ RMSF nsɛm ho amanneɛ wɔ United States, Canada, Mexico, ne Amerika Kesee Fam ne Mfinimfini. Ɛwom sɛ nsɛm no betumi aba afe no mu bere biara de, nanso wohu nnipa dodow a ɛsen biara wɔ asram a ɛhɔ yɛ hyew no mu.

Hena na ɔwɔ asiane mu kɛse?

Obiara betumi anya RMSF wɔ mfe biara mu. Nanso wɔbɔ amanneɛ sɛ ɛtaa ba mmarima ne nnipa a wɔadi boro mfe 40. Sɛ wo:

• Sɛ wunnii mfe 10 anaa boro mfe 70 a.
• Sɛ wowɔ `Glucose-6-phosphate dehydrogenase (G6PD) a enni mu` a.
• Sɛ wowɔ nipadua no mu tumi a ɛko tia nyarewa a asɛe a.

Rocky Mountain Spotted Fever (RMSF) abu so dɛn?

Wɔ United States no, wɔbɔ nnipa bɛyɛ 6,000 a wɔanya RMSF ho amanneɛ afe biara. Ɛmfa ho sɛ wɔtoo din "Rocky Mountain" no, nokwarem no, ɛtaa ba wɔ aman te sɛ North Carolina, Tennessee, Missouri, Arkansas, ne Oklahoma mu. RMSF taa ba wɔ awɔw bere mu, bere a ntontom dɔɔso na nnipa wɔ abɔnten kɛse no.

Ɔkwan bɛn so na Rocky Mountain Spotted Fever (RMSF) ka me nipadua?

Mmoawa a wɔde RMSF ba, `R. rickettsii`, fa ntontom bi so hyɛn wo mogya mu. Afei mmoawa no tow hyɛ wo mogya ntini, wo ntini mu nkwammoaa, ne wo ntini ahorow so. Eyi betumi ama mogya atu afi wo mogya ntini mu, nsu aboaboa ano wɔ wo ntini mu, na asɛe wo ntini, ntini, ne akwaa ahorow.

Dɛn ne Rocky Mountain Spotted Fever (RMSF) ho sɛnkyerɛnne?

Sɛ ntontom a ɔwɔ ɔyare no ka wo a, ebia wubefi ase anya RMSF ho sɛnkyerɛnne wɔ nna abien kosi adapɛn abien ntam. Mpɛn pii no, sɛnkyerɛnne ahorow no ba nkakrankakra wɔ nna pii mu. Ebia mfiase no nea ɛka ho ne atiridiinini, tiyɛ, akisikuru, ɔfe, ne ntini mu yaw .

Nea ɛho hia sen biara: Nnipa binom benya akisikuru wɔ nnansa ntam (bɛyɛ 50%). Nanso, ɛho hia sɛ wohwehwɛ ayaresa a wontwɛn mma akisikuru no bɛda adi.

RMSF ho sɛnkyerɛnne atitiriw ne:

• Atiridiinini a emu yɛ den
• Tipaeɛ
• Akɔnnɔ
• Ntini mu yaw anaasɛ ɛyaw
• Wora mu akisikuru – mpɛn pii no efi ase wɔ nsateaa ne anansoaa so na ɛtrɛw kɔ nipadua no afã afoforo.
• Akisikuru ne ɔfe
• Yafunu mu yaw
• Hann ho nkate (photophobia) .

Nsɛnkyerɛnne a emu yɛ den a ebetumi aba akyiri yi:

• Kesereneeyɛ
• Ɔhome a ɛyɛ den (dyspnea) .
• Adwennwene, ahomegye a enni hɔ, anaa basabasayɛ
• Akisikuru a ɛma obi ho kyere no
• Akwaa a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw

Ɔkwan bɛn so na Rocky Mountain Spotted Fever (RMSF) trɛw?

Nwansena soa RMSF na ɛtrɛw. Wɔ United States no, Amerikafo kraman ntontom ne Rocky Mountain wood ntontom ne mmoawa titiriw a wɔde nyarewa ba. Wɔ mmeae bi no, ntontom ahorow afoforo te sɛ ɔkraman a ne ho yɛ bruu nso betumi atrɛw RMSF mu.

So RMSF yɛ ɔyare mmoawa fi onipa biako so kɔ foforo so?

Dabi, Rocky Mountain Spotted Fever nyɛ ɔyare mmoawa (kyerɛ sɛ, ɛnyɛ yare a ɛde ɔyare mmoawa ba).

Wobɛyɛ dɛn ahu sɛ ntontom aka?

Sɛ wunhu ntontom wɔ wo nipadua so a, ɛtɔ mmere bi a ebetumi ayɛ den sɛ wubehu sɛ ntontom aka wo anaa. Nwansena betumi agyaw agyiraehyɛde bi wɔ baabi a ɛkaa no, ebetumi agyaw akisikuru, anaasɛ ebetumi akɔ a enni sɛnkyerɛnne biara koraa.

Ɔkwan bɛn so na wohu sɛ obi anya Rocky Mountain Spotted Fever (RMSF)?

Wo duruyɛfo no begyina nipadua mu nhwehwɛmu, wo sɛnkyerɛnne ahorow, ne sɛ ebia ntontom aka wo so ahu RMSF. Ɛwom sɛ mogya mu nhwehwɛmu ne honam ani nhwehwɛmu betumi aboa ma wɔahu RMSF de, nanso nea efi nhwehwɛmu ahorow yi mu ba no nni hɔ ntɛm a ɛbɛma wɔafi ayaresa ase.

Sɛ woatu kwan akɔ beae bi a ɛda adi sɛ nwansena wɔ hɔ wɔ adapɛn abien a atwam no mu a, sɛ wonkae mpo sɛ ntontom ka wo anaasɛ ntontom bi wɔ wo nipadua so a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Eyi ho hia yiye ma wɔn sɛ wobesi gyinae sɛ wɔbɛsa RMSF anaa.

Nhwehwɛmu bɛn na wɔde hu RMSF?

Wo duruyɛfo betumi de mogya mu nhwehwɛmu ne honam ani nhwehwɛmu ahu RMSF, nanso ebia nea ebefi mu aba no asan aba bio. Ɛda adi sɛ ɛsɛ sɛ wo duruyɛfo si gyinae sɛ ebia ɔbɛsa RMSF ansa na wo nhwehwɛmu no aba bio.

• Mogya mu nhwehwɛmu: Wɔfa wo mogya mu nhwehwɛmu de hwɛ sɛ mmoawa a wɔde RMSF ba anaa. Mpɛn pii no, wo mogya nhwehwɛ sɛ wowɔ RMSF kosi nnafua 7-10 wɔ wo yare akyi. Ebia ɛho behia sɛ wosan yɛ mogya mu nhwehwɛmu bio sɛ ​​wo yare no mu yɛ den anaasɛ wo ho atɔ wo akyi.
• Wo honam ani nhwehwɛmu: Wɔde adwinnade titiriw bi a wɔfrɛ no punch di dwuma de yi honam ani fã ketewaa bi fi akuru bi a ɛwɔ wo honam ani (eyi betumi ayɛ te sɛ nea woabɔ anaasɛ wo ho ayɛ wo yaw kakra). Afei wɔsɔ honam ani nhwɛsode no hwɛ sɛ ebia R. rickettsii mmoawa no ho sɛnkyerɛnne bi wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa Rocky Mountain Spotted Fever (RMSF)?

Wɔde nnuru a ekum ɔyare mmoawa , a wɔtaa nom no nnafua 7 kosi 10 na ɛsa RMSF.

Ayaresa no tu mpɔn kɛse sɛ wufi ase sa yare no wɔ nnanu akyi wɔ wo sɛnkyerɛnne ahorow no ase a. Sɛ wufi ase de nnuru a ekum ɔyare mmoawa di dwuma akyiri dodo a, RMSF betumi asɛe wo nipadua na ɛde nsɛnnennen a ɛde wo nkwa to asiane mu aba.

Sɛ wunya nsɛnnennen a, ebia wubehia ayaresa foforo. Eyi betumi ayɛ mogya a wɔde ma, mfiri a wɔde ma mframa, anaa ayaresa foforo.

Nnuru bɛn na wɔde yɛ RMSF?

Doxycycline nkutoo ne nnuru a ekum ɔyare mmoawa a wɔkamfo kyerɛ sɛ wɔmfa sa RMSF. Sɛ wo ho nyɛ wo den wɔ doxycycline ho a, ebia wo duruyɛfo bɛma wo chloramphenicol sɛ ɔkwan foforo. Nanso, ɛyɛ den sɛ wobenya chloramphenicol wɔ aman bi mu, na ɛnyɛ nea etu mpɔn mma RMSF te sɛ doxycycline .

Ɔkwan bɛn so na wobedi RMSF sɛnkyerɛnne ahorow ho dwuma?

Sɛ wo yare no ho sɛnkyerɛnne no mu nyɛ den a, ebia wubetumi de nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu adi ho dwuma wɔ fie. Nanso, ɛho hia sɛ wubisa wo duruyɛfo no nnuru a asiane biara nni ho sɛ wode bedi dwuma.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa RMSF aduru awie no?

Sɛ wufi ase nnuru a ekum ɔyare mmoawa bere a wo RMSF sɛnkyerɛnne no afi ase ara pɛ a, ɛsɛ sɛ wo ho tɔ wo wɔ nnɔnhwerew 48 ntam. Nanso, ebehia sɛ wonom nnuru a ekum ɔyare mmoawa nna kakraa bi bio. Sɛ wo ho tɔ wo mpo a, kɔ so nom nnuru no nyinaa sɛnea wɔakyerɛw ama wo no. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ menya Rocky Mountain Spotted Fever (RMSF) no so?

Sɛ wɔkwati sɛ ntontom bɛka wɔn a, ɛno ne ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wobenya RMSF no so.

• Twitwa wo sare no daa. Sare a ne tenten boro nsateakwaa 5 twetwe ntontom.
• Sɛ wonam mmeae a kwae wɔ a, fa akwan a wɔaprapra so nkutoo di dwuma.
• Fa nnuru a wɔde petepete mmoawa a wɔsɛe nnɔbae a nneɛma a ɛmma ntontom wom (sɛ nhwɛso no, nea DEET wom) di dwuma.
• Sɛ worekɔ kwae mu anaa mmeae a sare atenten wɔ hɔ a, hyɛ ntade a ɛkata wo nipadua no fã kɛse so sɛnea wubetumi. Ntade bi ba a wɔadi kan ayɛ ho adwuma de abɔ wɔn ho ban afi ntontom ho.
• Hwɛ sɛ ntontom wɔ wo nipadua mu bere a woafi abɔnten aba akyi no. Sɛ ɛbɛyɛ yiye a, ma obi foforo nhwɛ mmeae a wuntumi nhu (te sɛ w’akyi anaa wo ti nhwi).
• Fa ayaresa ahorow a wo mmoa ho ɔyaresafo kamfo kyerɛ no bɔ w’ayɛmmoa ho ban fi ntontom ho. Hwɛ sɛ ntontom wɔ hɔ bere nyinaa bere a wɔakɔ abɔnten awie no.

Sɛ wunya Rocky Mountain Spotted Fever (RMSF) a, dɛn na wubetumi ahwɛ kwan?

Nnipa dodow no ara ho tɔ wɔn fi RMSF mu a wonhyia ɔhaw biara a ɛtra hɔ kyɛ sɛ wonya ayaresa ntɛm bere a sɛnkyerɛnne ahorow no afi ase akyi a. Ebia nnipa binom benya nsɛnnennen a emu yɛ den araa ma ɛho behia sɛ wɔde wɔn kɔ ayaresabea ansa na wɔasa wɔn yare.

Sɛ wowɔ apɔwmuden mpo a, ɛtɔ mmere bi a akwahosan ho haw ahorow a ɛtra hɔ kyɛ betumi aba.

Nsɛnnennen a Ɛwɔ Rocky Mountain Spotted Fever (RMSF) mu .

Sɛ wɔde nnuru a ekum ɔyare mmoawa sa yare mpo a, nnipa binom a wɔwɔ RMSF betumi anya nsɛnnennen a emu yɛ den anaasɛ ɛde wɔn nkwa to asiane mu, a nea ɛka ho ne:

• Ɔhome mu haw a emu yɛ den (ARDS) .
• Asaabo mu opira a emu yɛ den
• Ahurututu mu akisikuru
• Mogya a ɛtɔ kɔ nipadua mu
• Koma mu yare
• Mogya a ɛtɔ gu nipadua no mu
• Sepsis (tebea a ɛte sɛ mogya mu awuduru) .
• Ɔfã bi a ɛyɛ obubuafo
• Ntumi nni nsu a ɛsen (`fecal incontinence`) anaa nsu (`urinary incontinence`) so.
• Gangrene a ɛhwehwɛ sɛ wotwa nipadua no
• Amemene mu yare/ɔfe (amemene mu yare) .
• Akwaa a entumi nyɛ adwuma yiye

Nsusuwii a ɛfa RMSF ahorow ho

Hokwan a ɛwɔ hɔ sɛ obi bɛsan anya ahoɔden afi RMSF mu no ye sɛ wɔsa no ntɛm a. Wɔ United States no, nnipa dodow a wowuwu fi RMSF mu, sɛ wɔsa wɔn yare mpo a, ɛyɛ 5% kosi 10%. Wɔ aman bi te sɛ Mexico ne Brazil mu no, ɔha biara mu nkyem yi dɔɔso sen saa koraa.

Sɛ woyare denneennen wɔ RMSF ho a, ebia wubenya nkɛntɛnso a ɛtra hɔ kyɛ bere a wo ho atɔ wo mpo akyi. Nhwɛsoɔ:

• Ntini a ɛsɛe anaasɛ ɛyɛ obubuafo
• Aso a ɛyɛ mmerɛw
• Ɔkasa a ɛyɛ den
• Anisoadehu a wɔhwere
• Ntini mu haw ahorow, te sɛ kari a wɔkari pɛ anaasɛ adwenemhaw (vertigo) .

So wotumi sa Rocky Mountain Spotted Fever (RMSF) koraa?

Mpɛn pii no, RMSF sa bere a wɔde sa yare no. Nanso, ebia nnipa binom bɛkɔ so anya yare no ho sɛnkyerɛnne bere a ɔyare no afi hɔ mpo, esiane ntini ne ntini a asɛe nti.

Sɛ wɔansa a, hokwan a ɛwɔ hɔ sɛ obi bewu wɔ RMSF mu no yɛ 20% kosi 30%.

So RMSF betumi aba bɛboro pɛnkoro?

Ɛnyɛ nea ɛbɛyɛ yiye koraa sɛ wubenya RMSF bɛboro pɛnkoro. Abenfo susuw sɛ sɛ wonya RMSF wie a, wunya `immunity` wɔ ho. Eyi kyerɛ sɛ wo nipadua nim sɛnea ɛbɛko atia, enti ɛrensi bio.

Sɛ mewɔ RMSF a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wo duruyɛfo resa wo yare wɔ RMSF ho a, hwɛ hu sɛ wobɛnom wo nnuru nyinaa sɛnea wɔakyerɛ wo no. Sɛ wugyae nnuru a ekum ɔyare mmoawa nom ntɛm a, ebia wobɛyare bio.

Wo duruyɛfo bɛkyerɛ wo sɛnea wubetumi adi wo sɛnkyerɛnne ahorow ho dwuma yiye wɔ fie. RMSF betumi asɛe ntɛmntɛm. Sɛ wunya sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne no mu yɛ den a, frɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn fa Rocky Mountain Spotted Fever (RMSF) ho?

Sɛ ntontom aka wo, anaasɛ woakɔ baabi a ntontom wɔ na wowɔ RMSF ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ mpo ntontom aka wo nanso wunnya sɛnkyerɛnne biara a, enhia sɛ wokɔ oduruyɛfo nkyɛn de besi nnɛ - nnuru a ekum ɔyare mmoawa a wobɛnom a wunnyare no remmoa mma wunsiw RMSF ano.

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

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ:

• Sɛ atiridiinini no boro Celsius 39.4 (Fahrenheit 103) a .
• Sɛ wofe mogya a
• Sɛ wo nsa anaa wo nan ho ahonhon a
• Sɛ wo yafunu mu yɛ wo yaw kɛse a
• Sɛ wowɔ adwene mu naayɛ anaa adwene mu nsakrae afoforo a
• Sɛ akisikuru ba a
• Sɛ wo nsa ne wo nan ase ayɛ wo yaw anaasɛ ɛyɛ mmerɛw a
• Sɛ worefe denneennen a

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Ɔkwan bɛn so na ɛsɛ sɛ menom m’aduru?
• Nsɛnkyerɛnne foforo anaa nea ɛreyɛ kɛse bɛn na ɛsɛ sɛ mehwɛ yiye?
• Me ho bɛtɔ me ntɛm dɛn?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

Nneɛma a Ɛsɛ sɛ Wokae (Take-Home Message) .

Nwansena nnyɛ ahometew kɛkɛ - wɔn ka ketewaa no betumi ama woayare kɛse. Ɔkwan pa a wobɛfa so asiw Rocky Mountain Spotted Fever (RMSF) ano ne sɛ wobɛkwati sɛ ntontom nka wo. Nanso, sɛ ntontom aka wo na wowɔ sɛnkyerɛnne ahorow a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ayaresa a wodi ntɛm ne ɔkwan a eye sen biara a wobɛfa so anya ahoɔden ntɛm. Hwɛ w’akwahosan na tra dwoodwoo!

` Nwansena, Rocky Mountain Spotted Fever, Atiridiinini, Wora mu Nsõ, Mmoawa a Wɔde Nyarewa Ba, Nwansena Ho Banbɔ, Nnuru a Ekum ɔyare mmoawa