Nnansa yi, yɛate nyarewa ahorow a ɛfa atiridiinini ho ho asɛm pii, ɛnte saa? Wɔ nneɛma a ɛhaw adwene te sɛ dengue anaa atiridii akyi no, asɛmfua foforo aba mpɛn pii: “Scrub Typhus.” Ntease wom sɛ yɛbɛte nka sɛ ɛhaw yɛn, nanso momma yɛnbom nsɛe no. Dɛn ne no ankasa? So ɛyɛ hu? Wobɛyɛ dɛn atumi abɔ wo ho ban? Momma yɛnka ho asɛm tiawa, te sɛ nea yɛne yɛn adamfo bi rebɔ nkɔmmɔ.
Wɔ Nsɛm a Mmerewa Mu: Dɛn ne Scrub Typhus?
Ɛmfa ho sɛ wɔtaa frɛ Scrub Typhus no, ɛnyɛ nwansena na ɛtrɛw ankasa. Ɛnam larval mite a ɔwɔ ɔyareɛ no a ɛka no so na ɛba, a wɔtaa frɛ no `(chigger)`. Saa nwansena yi sua araa ma ɛkame ayɛ sɛ aniwa ntumi nhu. Yare no ankasa fi ɔyare mmoawa bi a wɔfrɛ no `Orientia tsutsugamushi` .
Susuw ho saa kwan yi so: saa nwansena nketenkete yi fa mmoawa no fi mpɔtorɔ te sɛ mpɔtorɔ ne mpɔtorɔ mu. Sɛ ntontom bi a ɔyare no bi ka wo a, ɔyare mmoawa no hyɛn wo nipadua mu. Saa nwansena yi yɛ nketewa a ɛyɛ nwonwa na ɛtaa yɛ kɔkɔɔ, kɔkɔɔ, anaa borɔdɔma.
Ɛhe na wohu yare yi?
Wohu saa yare yi titiriw wɔ mmeae a ɛwɔ Asia nyinaa, titiriw wɔ nkuraase anaa kwae mu.
- Asia Kesee Fam Apuei aman
- India
- Indonesia
- China
- Japan
- Australia Atifi fam
Saa nwansena yi nyin yiye wɔ mmeae a sare wɔ, brush, nsu, ne sunsuma wɔ hɔ . Eyi kyerɛ sɛ ebia wubehyia wɔn wɔ wo gyaade mmeae a wɔanhwɛ so yiye, kwae ano, nhaban a ɛreporɔw a wɔaboaboa ano, anaa nnua a ɛyɛ nwini. Mpɛn pii no, nwansena dwumadi kɔ soro sen biara wɔ ahohuru bere awiei ne ahohuru bere mu asram no mu.
Dɛn ne Scrub Typhus ho sɛnkyerɛnne ahorow?
Ebia worente nka mpo sɛ chigger no aka no; mpɛn pii no ɛnyɛ yaw. Nanso, nnɔnhwerew kakraa bi akyi no, ebia beae no befi ase ayɛ wo yaw, na ebia wubehu sɛ akisikuru kɔkɔɔ ketewaa bi wɔ hɔ.
Sɛ mmoawa no hyɛn wo nipadua mu wie a, bere a wɔde hyɛ wo nipadua mu bɛyɛ nnafua 6-10 wɔ hɔ a ebia wobɛte nka sɛ wo ho ye. Mpɛn pii no, sɛnkyerɛnne ahorow no da adi mpofirim bɛyɛ nnafua 10-12 wɔ bere a wɔde wɔn ho ahyɛ mu akyi. Saa nsɛnkyerɛnne yi a wubehu no ho hia yiye.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Huraeɛ | Atiridiinini a emu yɛ den mpofirim a awɔw ne ahopopo ka ho. |
| Eskar na ɔkyerɛwee | Eyi yɛ yare no ho sɛnkyerɛnne a ɛkyerɛ. Akisikuru ketewaa bi a ɛyɛ tuntum a ɛte sɛ akisikuru ba wɔ beae a chigger no keka wo no. |
| Nsawa | Ebia wubenya honam ani akisikuru kɔkɔɔ wɔ wo nipadua so. |
| Nipadua mu Ɛyaw | Tiyɛ a emu yɛ den, nipadua mu yaw, ne ntini mu yaw. |
| Nsɛnkyerɛnne Afoforo | Adwene a ɛyɛ basaa, ntini a ɛho ahonhon, aniwa a ɛyɛ kɔkɔɔ, ɔfe, akisikuru, ne ahurututu mu yare. |
Nea Ɛho Hia Sen Biara: Sɛ wɔannya saa sɛnkyerɛnne ahorow yi a, yare no betumi akɔ so ayɛ nsɛnnennen a emu yɛ den, a nea ɛka ho ne komayare anaa akwaa a entumi nyɛ adwuma yiye.
Ɔkwan bɛn so na oduruyɛfo hu sɛ ɔwɔ Scrub Typhus?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ woakɔ mmeae a nnua anaa brush wɔ nnansa yi a, kɔ w’akwahosan ho ɔyaresafo nkyɛn ntɛm ara .
Wo duruyɛfoɔ bɛyɛ nipadua mu nhwehwɛmu, titire ahwehwɛ `eschar` no. Bio nso, wobetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu na ama wɔahu nnuru a ɛko tia nyarewa a wo nipadua no yɛ de ko tia mmoawa no.
Eyi a wobehu no betumi ayɛ den efisɛ sɛnkyerɛnne ahorow no te sɛ nyarewa a ɛtaa ba te sɛ dengue, leptospirosis, anaa typhoid. Esiane eyi nti, ɛsɛ sɛ wo duruyɛfo susuw nneɛma pii a ebetumi aba ho. Ɛtɔ da bi a, sɛ mogya mu nhwehwɛmu a edi kan no ntumi nyɛ yiye a, ebia ebehia sɛ wɔyɛ nhwehwɛmu di akyi adapɛn 1-3 akyi. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo befi ase ayɛ ayaresa a egyina ayaresabea sɛnkyerɛnne ahorow so sen sɛ ɔbɛtwɛn nea ebefi lab mu aba.
Ɔkwan bɛn so na wɔsa?
Asɛmpa no ne sɛ, wɔde nnuru a ekum ɔyare mmoawa tumi sa Scrub Typhus koraa . Anamɔn a ɛho hia sen biara ne sɛ wubefi ayaresa ase ntɛm ara sɛnea wubetumi na ama wo ho atɔ no ntɛmntɛm.
Ɛda adi sɛ wo duruyɛfo bɛkyerɛw aduru bi a ekum ɔyare mmoawa a wɔfrɛ no `doxycycline` , mpɛn pii no nnafua 7 anaa nea ɛboro saa. Wɔ tebea horow a emu yɛ den mu no, wobetumi de ahyɛ ntini mu (IV). Wɔ mmofra fam no, wɔtaa kamfo kyerɛ sɛ wɔnyɛ nnafua 5 tiawa na wɔasiw nsunsuanso bɔne te sɛ sẽ kɔla a ɛsakra no ano. Wɔ mmea a wɔyem anaa wɔn a wɔn ho nyɛ wɔn den wɔ doxycycline ho no, wɔde nnuru foforo a ekum ɔyare mmoawa a ahobammɔ wom te sɛ `azithromycin` di dwuma.
Nsɛnnennen a Ebetumi aba wɔ Ɔyare mmoawa a Wɔnnsa Mu
Sɛ wɔansa Scrub Typhus yare a, ebetumi asɛe akwaa nhyehyɛe ahorow a ɛho hia:
| Nipadua Nhyehyɛe | Nsɛnnennen a Ebetumi Ayɛ |
|---|---|
| Akoma | Arrhythmias, myocarditis (koma ntini a ɛyɛ hyew). |
| Nnuan a wɔde di dwuma | Ɔfe, akisikuru, mmerɛbo mu nsɛm, dwensɔtwaa mu yare, ne mogya a ɛtɔ gu nipadua no mu. |
| Ɔhome mu nneɛma | Wɔ tebea horow a emu yɛ den mu no, Acute Respiratory Distress Syndrome (ARDS), tebea a ɛde nkwa to asiane mu a nsu boaboa ano wɔ ahurututu mu. |
| Asaabo a ɛma obi nya asaabo | Acute Kidney Injury (AKI) ne asaabo a entumi nyɛ adwuma yiye. |
| Ntini a Ɛma Ntini Ho Nhyehyɛe | Meningitis anaa meningoencephalitis, a ebetumi ama obi anya akisikuru na wasakra ne suban. |
Sɛ wuhu sɛnkyerɛnne biara a emu yɛ den a, hwehwɛ ayaresa fi wo duruyɛfo hɔ ntɛm ara anaa kɔ ayaresabea dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so.
So aduru bi wɔ hɔ a wɔde bɔ nkurɔfo ho ban? Wobɛyɛ dɛn atumi atra dwoodwoo?
Mprempren, nnuru biara nni hɔ a wɔde besiw Scrub Typhus ano.
Enti, siw ano ne ɔkwan a eye sen biara. Botae no ne sɛ wɔbɛkwati sɛ chiggers bɛka wɔn.
Sɛ wode w’ani kyerɛ mmeae a nnua anaasɛ brush wɔ a, yɛ ahwɛyiye yi:
- Hyɛ ntade a ɛbɔ wo ho ban. Hyɛ pantan atenten ne ntade a nsa tenten. Sɛ wode wo pants bɛhyɛ wo sɔks mu a, ebetumi ama woabɔ wo ho ban kɛse.
- Fa nnuru a wɔde pam nkoekoemmoa di dwuma. Fa aduru a wɔde pam mmoawa a ` DEET ` wom gu honam ani ne ntade a ɛda adi so.
- Kwati sɛ wobɛtra sare anaa nnua so tẽẽ.
- Wɔ nkokoaa ne mmofra nkumaa fam no, ma wɔn akwaa nkata so yiye. Fa asau a ɛbɔ wɔn ho ban bɔ wɔn stroller anaa wɔn a wɔde fa nneɛma ho ban.
- Mfa nnuru a ɛpam abofra honam ani tẽẽ. Di kan petepete w’ankasa wo nsa so, afei fa gu abofra no so. Kɔ wo mmofra oduruyɛfo nkyɛn ansa na wode nnuru a wɔde pam mmofra a wonnii mfe 2 adi dwuma.
- Sɛ wowɔ abɔnten wie a, hohoro wo ntade wɔ nsu a ɛyɛ hyew mu (sɛ ɛbɛyɛ yiye a, anyɛ yiye koraa no simma 30) na fa samina aguare a ɛyɛ hyew.
- Sɛ wotaa de wo ho to kwae mu a, susuw ho sɛ wubedi kan de permethrin 0.5% ayɛ wo ntade ne wo nneɛma ho adwuma . Eyi kunkum chiggers bere a wɔne wɔn di nkitaho na ɛkɔ so yɛ adwuma yiye denam ahohoro pii so. Mfa eyi nhyɛ honam ani tẽẽ. Ɛyɛ ntade ne nneɛma a wɔde yɛ adwuma nkutoo.
Nkrasɛm a Wɔde Kɔ Fie
- Scrub Typhus yɛ ɔyare mmoawa a wɔde yare mmoawa ba . Ebetumi ayɛ aniberesɛm, nanso wɔde nnuru a ekum ɔyare mmoawa tumi sa koraa .
- Ɛnam chigger nketewa a wohu wɔ sare ne mmeae a brush wɔ so no ka wɔn so na ɛtrɛw.
- Nsɛnkyerɛnne a ɛtaa ba ne atiridiinini, nipadua mu yaw, ne akisikuru tuntum (eschar) a ɛda adi wɔ baabi a wɔaka no.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, yɛ komm na kɔ oduruyɛfo nkyɛn ntɛm ara. Ayaresa a wodi ntɛm yɛ ade titiriw.
- Siw ano ye sen ayaresa bere nyinaa: kata wo honam ani na fa nnuru a wɔde pam nkoekoemmoa di dwuma bere a wowɔ abɔnten wɔ mmeae a asiane wɔ no.
Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, akwahosan ho afotu, atiridii ho sɛnkyerɛnne
