Ɔkraman a ɔyɛ komm a ɔwea fi asase mu kɔ nipadua no mu: So wunim Strongyloidiasis?

So woasusuw pɛn sɛ sɛ woda mpaboa nantew fam, titiriw wɔ asase a ɛho agu fĩ so a, ebetumi ama ɔyare mmoawa bi a ne ho yɛ hu aba wo nipadua mu? Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra, nanso ebia worennwen ho. Ɛnnɛ yɛbɛka nwansena yareɛ bi a ɛtumi hyɛn wo nipadua mu komm na ɛtra wo nipadua mu mfeɛ pii a enni sɛnkyerɛnne biara, nanso ɛtɔ da bi a ɛbɛtumi de nkwa ato asiane mu ho asɛm. Wɔfrɛ eyi sɛ Strongyloidiasis.

Sɛ yɛbɛka no tiawa a, dɛn ne Strongyloidiasis?

Strongyloidiasis yɛ ɔyare mmoawa a ɔyare mmoawa bi a wɔfrɛ no `(Strongyloides)` na ɛde ba. Saa ɔkraman yi nam honam ani kuru bi so hyɛn yɛn nipadua mu . Fa no sɛ, sɛ kuru biara nni wo honam ani mpo a, saa nwansena yi betumi afa tokuru bi a ɛwɔ honam ani no mu akɔ nipadua no mu. Sɛ wɔhyɛn nipadua no mu wie a, wɔkɔ yɛn ahurututu ne yɛn dwensɔtwaa mu tẽẽ. Ɛhɔ na saa nwansena yi nyin, to nkesua, na wɔwo.

Ade soronko a ɛwɔ ɔyare mmoawa yi mu ne sɛ nnipa binom tumi kɔ mfe pii a wɔrenkyerɛ yare no ho sɛnkyerɛnne biara . Ebia afoforo nso benya honam ani akisikuru, akisikuru, anaa yafunu a ɛyɛ yaw a ɛba na ɛkɔ bere ne bere mu. Nanso, sɛ obi nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a , saa nwansena yare a ɛnyɛ den yi betumi ayɛ kɛse na ɛde ne nkwa mpo ato asiane mu.

Ɛhe na ɔkraman yi abu so kɛse? Hena na ɔwɔ asiane mu kɛse?

Ɛwom sɛ wobetumi ahu Strongyloides nwansena wɔ wiase baabiara de, nanso abu so kɛse wɔ aman a wim yɛ hyew (a ɛhɔ yɛ hyew ne mmeae a osu tɔ na owia bɔ kɛse) ne nkuraase mmeae a ahotew nni hɔ.

Obiara betumi anya saa yare yi, nanso nnipa binom wɔ asiane kɛse mu sɛ wobenya bi.

Dɛn na saa nwansena yi yɛ bere a wahyɛn nipadua no mu awie no?

Eyi te sɛ sini. Fa no sɛ, nwansena nketenkete (nwansena) a ɛwɔ asase no mu fa wo honam ani hyɛn wo nipadua mu.

1. Wora a ɛkɔ honam ani: Sɛ saa nwansena yi di kan hyɛn honam ani a, ebetumi ama akisikuru ayɛ kɔkɔɔ, ahonhon, na ayɛ wo yaw kɛse .

2. Akwantuo kɔ ahurututu mu: Afei, wɔhyɛn mogya no mu na wɔne mogya no tu kwan kɔ ahurututu mu. Ɛhɔ na wɔyɛ kɛse kakra. Saa bere yi mu no, ebia nnipa binom bɛte ɔfe a ano yɛ den anaasɛ wɔn menewa mu ayɛ wɔn yaw .

3. Dwotwaa mu a yɛbɛkɔ: Sɛ yɛfefe nwansena fi ahurututu mu a, wɔhyɛn menewa mu na yɛmene wɔn a yennim. Afei wɔfa yafunu no mu kɔhyɛn dwensɔtwaa no mu.

4. Nyarewa: Saa tapeworms yi to wɔn nkesua wɔ dwensɔtwaa mu. Nkesua no tow yɛ nwansena, na wɔtow gu nsu mu. Sɛ wɔma wɔn ho to wɔn so a, wɔde efĩ gu asase no mu na etumi nya afoforo.

Hyperinfection: Tebea a emu yɛ den a ɛde nkwa to asiane mu

Mpɛn pii no, obi a ɔwɔ apɔwmuden a ɔwɔ nipadua mu ahoɔden a ɛko tia nyarewa pa no nipadua tumi ma nwansena yi tumi di so, enti yare no ho sɛnkyerɛnne a emu yɛ den mma.

Nanso, sɛ obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw nya saa yare yi a, nwansena no ntumi nni ɔyare no so bio. Nwansena no dɔɔso ntɛmntɛm paa, na wofi dwensɔtwaa no mu na wɔtrɛw kɔ akwaa afoforo te sɛ amemene, mmerɛbo, ne koma mu. Wɔfrɛ eyi ``hyperinfection`` anaa ``strongyloidiasis a ɛtrɛw``.

Saa bere yi, bere a nwansena no fi dwensɔtwaa no mu no, wɔde mmoawa a wofi dwensɔtwaa no mu nso ka mogya no mu. Eyi betumi de ɔhaw ahorow a emu yɛ den yiye, a ɛde nkwa to asiane mu te sɛ ``sepsis`` (mogya mu awuduru) ne ``ahurututu mu yare`` (ahurututu mu yare) aba.

Hena na ɔwɔ asiane kɛse sɛ obenya ɔyare mmoawa a emu yɛ den (hyperinfection)?

• Wɔn a wɔnom corticosteroids bere tenten no fam
• Wɔn a wɔanya HTLV-1 no fam no
• Wɔ nnipa a wɔwɔ kokoram a efi mogya mu te sɛ mogya mu kokoram anaa lymphoma fam
• Wɔn a wɔde akwaa foforo anaa nnompe mu ntini foforo ama wɔn no fam

Dɛn ne yare yi ho sɛnkyerɛnne?

Ebia nnipa pii rennya yare no ho sɛnkyerɛnne biara, anaasɛ wobetumi aba na wɔakɔ bere ne bere mu. Sɛ sɛnkyerɛnne ahorow no ba ampa a, ebia nea ɛka ho ne:

• Honam ani akuru: Akuru kɔkɔɔ, ɛkɔ soro, ɛyɛ yaw a ɛte sɛ nea ɛkɔ ntɛmntɛm yiye (larva currens). Wɔtaa hu eyinom wɔ asen ntam, wɔ asen so, anaa nsateaa no fã.
• Yafunu mu yaw: Yafunu atifi yaw (te sɛ yafunu mu yare), ahurututu, akisikuru, ne akisikuru.
• Ɔfe: Ɔfe a ɛyɛ kusuu anaa ne menewa a ɛyɛ mmerɛw.

Yare no a wobehu na wɔasa

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi anaasɛ wowɔ kuw bi a asiane wom mu a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn . Oduruyɛfo no bebisa wo nsɛm, ahwehwɛ wo mu, na wahyɛ sɛ wɔnyɛ nhwehwɛmu pii mfa nsi wo yare no so dua.

• Nsu mu nhwehwɛmu: Hwɛ sɛ nwansena anaa wɔn nwansena anaa.
• Sputum test: Sɛnea ɛbɛyɛ a wobehu sɛ nwansena wɔ ahurututu mu anaa.
• Mogya mu nhwehwɛmu: Ɛhwɛ sɛ nipadua no yɛ nipadua no mu nkwammoaa a ɛko tia ɔyare mmoawa no anaa.

Sɛ́ ayaresa no, oduruyɛfo no bɛkyerɛw nnuru a ekum mmoawa a wɔsɛe nnɔbae. Ivermectin ne Albendazole ne nnuru a wɔtaa de di dwuma ma eyi. Mpɛn pii no, ɛsɛ sɛ wɔnom aduru no nna kakraa bi kosi adapɛn abien.

Wobɛyɛ dɛn atumi abɔ wo ho ban afi yare yi ho?

Wo ho ban a wobɛbɔ afi yare yi ho no yɛ mmerɛw yiye ankasa.

• Hyɛ mpaboa bere nyinaa: Hyɛ mpaboa anaa mpaboa, titiriw wɔ turo mu, afuw mu, anaa baabiara a wubehyia asase no.
• Hwɛ w’ahotew so: Hohoro wo nsa yiye bere a wode tiafi adi dwuma awie no. Kwati sɛ wode dɔte bɛka mmeae a ahotew nyɛ papa.
• Ka kyerɛ wo duruyɛfo: Sɛ worenom nnuru a ɛma nipadua no tumi ko tia nyarewa esiane biribi nti, woreyɛ kokoram ayaresa, anaasɛ woresiesie wo ho ama wo akwaa foforo a, ka kyerɛ wo duruyɛfo. Sɛ ɛho hia a, wobetumi asɔ wo ahwɛ sɛ wowɔ tapeworm ansa na wɔafi ayaresa ase.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ tebea a edidi so yi mu a, hwɛ hu sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn.

• Sɛ wowɔ Strongyloidiasis ho sɛnkyerɛnne (titiriw honam ani akuru a ɛyɛ nwonwa, yafunu a ɛyɛ yaw).
• Sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ mmerɛw na wusuro sɛ wubenya nyarewa te sɛ eyi a.
• Sɛ woretu kwan akɔ beae bi a saa yare yi abu so a.
• Ansa na wubefi ayaresa biara a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw ase.

Bere a ɛsɛ sɛ wokɔ ETU (Emergency Treatment Unit) ntɛm ara

Sɛ wususuw sɛ wowɔ Strongyloidiasis na wunya sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara.

• Atiridiinini a ano yɛ den (bɛboro Celsius 39.4 / Fahrenheit 103) .
• Abasamtu anaasɛ adwene a ɛsakra
• Mogya mmoroso a ɛba fam yiye
• Ɔhome a ɛyɛ den
• Koko mu yaw
• Nsu kakraa bi pɛ na ɛba anaasɛ enni bi koraa