Fa no sɛ wo ho ayɛ wo hyew kɛse nna kakraa bi. Afei atiridiinini no fi ne ho. Wosusu sɛ wo ho ye. Nanso bɛyɛ dapɛn biako akyi, a ntease biara nnim no, wunya atiridiinini kɛse bio. Saa atiridiinini yi ba na ɛkɔ... Ɛnyɛ nwonwa kakra? Eyi ne Tick-Borne Relapsing Fever (TBRF) ho sɛnkyerɛnne titiriw . Eyi nyɛ yare a ɛtaa ba, nanso ɛho hia paa sɛ yɛma yɛn ani da hɔ.
Ɔkwan bɛn so na saa yare yi sɔre?
Sɛ yɛbɛka no tiawa a, ɔyare mmoawa bi na ɛde yare yi ba . Saa mmoawa yi nam ntontom soronko bi a wɔka so hyɛn yɛn nipadua mu . Yɛfrɛ saa nwansena yi ‘nwansena a ɛyɛ mmerɛw’.
Nea ɛnte sɛ nwansena a wɔn ho yɛ den a yenim wɔn yiye no, saa nwansena a ɛyɛ mmerɛw yi ntra yɛn nipadua ho nna pii. Wɔnom mogya wɔ bere tiaa bi mu, bɛyɛ simma 15 kosi 30, na afei wɔsan kɔ baabi a wofi bae no. Nea ɛho hia paa ne sɛ, sɛ saa nwansena yi keka yɛn a, yɛnte ɛyaw biara. Enti ɛtɔ da bi mpo a, yennim sɛ ntontom aka yɛn anaa.
Saa nwansena yi te mmoa nketewa te sɛ mpɔtorɔ ne akraman berebuw mu. Ɛno nti na yare yi ne nkuraase adan a ɛwɔ mmepɔw so no wɔ abusuabɔ titiriw no. Efisɛ wɔ mmeae a ɛtete saa no, mmoa te sɛ mpɔtorɔ yɛ berebuw wɔ afasu ne ɔdan atifi. Anadwo, sɛ yɛda a, nwansena a wɔwɔ saa berebuw yi mu no fi adi na wɔnom yɛn mogya.
Ɛwom sɛ wɔntaa mmɔ saa yare yi ho amanneɛ wɔ Sri Lanka de, nanso sɛ woretu kwan akɔ mmeae a mmepɔw wɔ wɔ amannɔne, titiriw wɔ aman te sɛ United States, Canada, ne Mexico a, ɛho hia yiye sɛ wuhu eyi.
Dɛn ne eyi ho sɛnkyerɛnne?
Mpɛn pii no, egye bɛyɛ dapɛn biako ansa na sɛnkyerɛnne ahorow no ada adi bere a ntontom aka obi akyi. Nsɛnkyerɛnne titiriw ne sɛnea madi kan aka no, atiridiinini kɛse a ɛba na ɛkɔ.
Atiridiinini no taa di bɛyɛ nnafua 3 kosi 5. Afei, bere a atiridii nni hɔ bɛyɛ nnafua 5 kosi 7 akyi no, atiridii no san ba bio. Sɛ wɔansa a, saa kyinhyia yi kɔ so.
Sɛ atiridiinini biara ba awiei a, wo nipadua mu hyew betumi akɔ soro mpofirim akodu baabi a ɛkorɔn yiye (ebia ɛbɛkɔ soro akodu 106.7 F). Eyi betumi akɔ so bɛyɛ simma 10-30. Afei atiridiinini no so tew mpofirim, na wo ho fifiri betumi ayɛ wo kɛse.
Wɔ sɛnkyerɛnne titiriw yi akyi no, wobetumi ahu sɛnkyerɛnne afoforo pii.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Tipaeɛ | Tiyɛ a emu yɛ den. |
| Ntini ne nkwaa mu yaw | Nipadua mu yaw ne nkwaa mu yaw. |
| Awɔw ne ahopopo | Atiridiinini a emu yɛ den a ɛde atiridii ba. |
| Ɔfe ne yafunu mu yaw | Akisikuru, ɔfe, ne yafunu mu yaw. |
| Nneɛma afoforo a ɛwom | Wobetumi ahu sɛnkyerɛnne te sɛ ɔfe, menewa mu yaw, aniwa mu yaw, akisikuru, honam ani akisikuru, ne adwene a ɛyɛ basaa nso. |
Ɔkwan bɛn so na wohu yare no?
Sɛ woreda saa sɛnkyerɛnne ahorow yi adi a, wo duruyɛfo no bedi kan ahwɛ wo yiye. Obebisa akwantu a wɔatu nnansa yi nso ho asɛm, titiriw wɔ mmeae a mmepɔw wɔ ne afie dedaw a wɔde nnua ayɛ a saa nwansena a ɛyɛ mmerɛw yi tumi tra mu no.
Nea ɛbɛyɛ na wɔakyerɛ sɛ wɔahu yare no, wɔfa wo mogya. Wɔtaa fa mogya yi bere a woanya atiridiinini no. Wɔ aduruyɛdan mu no, nyansahufo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ wo mogya ketewaa bi mu. Wei bɛkyerɛ wo pɛpɛɛpɛ sɛ mmoawa a wɔde yareɛ no ba a wɔfrɛ no *Borrelia* no wɔ wo mogya mu anaa. Wɔ microscope mu no, saa mmoawa yi te sɛ corkscrew ketewaa bi.
Dɛn ne ayaresa ahorow no?
Mpɛn pii no, wobetumi asa yare yi a wonnya ayaresa. Nanso, sɛ wohu sɛ yare no wɔ hɔ a, wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa . Eyinom kunkum mmoawa a wɔde yare no ba no. Nnuru a wɔtaa de di dwuma ne tetracycline ne doxycycline. Wɔtaa kyerɛw nnuru afoforo te sɛ erythromycin ma mmea a wɔyem ne mmofra nkumaa.Wɔde aduru bi a ekum ɔyare mmoawa ma. Nnipa dodow no ara te nka sɛ wɔn ho tɔ wɔn wɔ nna kakraa bi akyi bere a wɔafi aduru no ase no.
Biribi titiriw a ɛsɛ sɛ yɛkae!
Biribi titiriw a ɛsɛ sɛ wuhu ni: Nnipa bɛboro fã a wɔsa wɔn yare no betumi anya yare no ho sɛnkyerɛnne (atiridiinini a ano yɛ den, atiridiinini) akɔ soro bere tiaa bi wɔ nnɔnhwerew kakraa a edi kan bere a wɔafi nnuru a ekum ɔyare mmoawa ase akyi no mu.
Mma wo ho nnyɛ wo hu! Nnuruyɛfo frɛ tebea yi sɛ Jarisch-Herxheimer adeyɛ . Ɛba bere a nnuru a ekum ɔyare mmoawa kunkum mmoawa, na awuduru fi saa mmoawa a wɔawuwu no mu no.
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi ankasa befi hɔ wɔ nnɔnhwerew kakraa bi mu. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ tra ayaresabea hɔ nkɔhwɛ no nnɔnhwerew kakraa a edi kan bere a woafi aduru no ase akyi no. Ɛntaa mma koraa sɛ ebia ɛbɛyɛ den ama nnipa binom sɛ wɔbɛhome. Sɛ eyi ba a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu anaa wokɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) hɔ ntɛm ara.
So nsɛnnennen betumi aba?
Sɛ wɔde nnuru a ekum ɔyare mmoawa sa yare a ɛfata a, ɔyare mmoawa yi befi hɔ koraa wɔ nna kakraa bi mu. Nsɛnnennen ntaa mma.
Nanso, wɔ tebea horow a ɛntaa nsi mu no, TBRF betumi asɛe ntini a ɛka w’ani anaa w’aso bom no. Eyi betumi ama obi aso aso anaa wahu ade yiye. Ebetumi nso ama anim ntini ahorow no abubu bere tiaa bi, a wɔfrɛ no Bell’s palsy . Wɔ tebea horow a ɛntaa nsi mu no, koma no mu ɔfe betumi aba.
Sɛ wunya saa yare yi bere a wonyinsɛn a, asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen te sɛ awo a wodi ntɛm anaa awo mu duru a ɛba fam no betumi ayɛ kɛse kakra. Enti, ɛsɛ sɛ ɛna a onyinsɛn hwɛ yiye titiriw wɔ eyi ho.
Wobɛyɛ dɛn atumi abɔ wo ho ban afi yare yi ho?
Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati sɛ ntontom bɛka wo.
- Sɛ worekɔ baabi a ɛda adi sɛ ntontom wɔ a, fa nnuru a ɛpam mmoawa di dwuma bere a wowɔ abɔnten no. Wubetumi de nsu a permethrin wom adi dwuma wɔ ntade so, anaasɛ wode ade a DEET wom adi dwuma wɔ honam ani ne ntade so.
- Sɛ wote ahomegyebea dedaw bi a wɔde nnua ayɛ mu a, hwɛ sɛ mpɔtorɔ bi wɔ hɔ anaa. Hwɛ sɛ nneɛma te sɛ ntɛtea akuw anaa. Sɛ wuhu bi a, fa obi a onim mmoawa a wɔsɛe nnɔbae mmoa yi mpɔtorɔ ne wɔn berebuw no fi hɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Tick-Borne Relapsing Fever (TBRF) yɛ yare a ntontom de ba a ɛma atiridii ba, brɛ ase, na afei ɛsan ba.
- Eyi fi ‘nwansena a ɛyɛ mmerɛw’ a wɔte mmoa te sɛ mpɔtorɔ amena mu. Asiane yi yɛ kɛse titiriw wɔ nnua adan dedaw (nkuraa ase adan) a ɛwɔ mmeae a mmepɔw wɔ no mu.
- Sɛ wuhu saa sɛnkyerɛnne ahorow yi, titiriw bere a woatu kwan a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Wobetumi de nnuru a ekum ɔyare mmoawa asa yare yi koraa.
- Nsɛnkyerɛnne no betumi akɔ soro bere tiaa bi wɔ nnɔnhwerew kakraa a edi kan a wɔde sa yare no mu (Jarisch-Herxheimer reaction). Nsuro eyi na di nnuruyɛfo afotu akyi.
- Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubesiw yare no ano. Fa nneɛma a ɛho hia na bɔ wo ho ban fi ntontom ho.
Atiridiinini, Nwansena, TBRF, Atiridii a Ɛsan Ba, Borrelia, Ayaresa, Nsɛnkyerɛnne, Nyarewa
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