So wunya akisikuru bere a woretu kwan no? Momma yɛnka Traveller’s Diarrhea ho asɛm!

Fa no sɛ worekɔ baabi a ɛyɛ fɛ na mpofirim ara wote nka sɛ woyare, ɛsɛ sɛ wokɔ tiafi mpɛn pii da biara... Ebia mpo wofe a atiridii ka ho. Akwantu no nyinaa betumi ayɛ mfonoe kakra, ɛnte saa? Mpɛn pii no, eyi te saa efisɛ yedi anaa yɛnom biribi a ɛho ntew a yennim. Wɔfrɛ saa tebea yi ‘Traveler’s Diarrhea’. Sɛnea edin no kyerɛ no, ɛyɛ ade a ɛtaa ba wɔ akwantufo mu.

Dɛn ne Akwantufo a Wɔyɛ Ɔyare?

Sɛ yɛbɛka no tiawa a, saa ‘Traveler’s Diarrhea’ yi yɛ ɔyare mmoawa a ɛba yafunu mu bere a yɛretu kwan, titiriw bere a yɛkɔ ɔmantam anaa ɔman foforo mu, esiane aduan anaa anonne a ɛho ntew nti. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ ɔhaw ketewaa bi a ɛka yɛn aduan mu nneɛma (yafunu mu ntini) . Ɛne sɛ, ɔyare mmoawa a ɛba wo dwensɔtwaa mu. Ɛwom sɛ eyi taa yɛ yiye wɔ nna kakraa bi mu de, nanso ɛyɛ osuahu a ɛhyɛ abufuw kɛse wɔ saa nna kakraa no mu. Wo yafunu fi ase yɛ wo yaw, ɛsɛ sɛ wotaa kɔ tiafi, na ɛtɔ mmere bi a wofe na wote nka sɛ woayɛ mmerɛw. Susuw sɛnea sɛ wokɔ baabi a w’ani gye ho, kɔsɔ nnuan bi hwɛ wɔ hɔ, na biribi a ɛte sɛɛ si a, ɛbɛhaw wo!

Mpɛn pii no, mmoawa na ɛde eyi ba . Nanso, ɛtɔ mmere bi a mmoawa anaa dwensɔtwaa mu mmoawa nso betumi ayɛ saa. Saa asiane yi kɔ soro bere a yetu kwan kɔ mmeae a ɛsono baabi a yɛtaa yɛ na ahotew tebea nyɛ papa no.

Eyi abu so dɛn?

Nokwarem no, ‘Traveler’s Diarrhea’ yɛ akwahosan ho haw a abu so kɛse wɔ akwantufo mu. Sɛnea nhwehwɛmu kyerɛ no, saa tebea yi betumi aba akwantufo 30% kosi 70% mu , a egyina baabi a wɔrekɔ ne afe no mu bere so. Ɛno kyerɛ sɛ nnipa du a wotu kwan no mu no, ɛda adi sɛ baasa kosi baason benya bi.

Asiane yi yɛ kɛse titiriw wɔ aman a wim yɛ hyew na ɛhɔ yɛ nwini no mu . Nea enti a ɛte saa ne sɛ mmoawa taa nyin wɔ mmeae a ɛtete saa. Sɛ nhwɛso no, wɔ Asia, Mfinimfini Apuei, Afrika, Mexico, ne Amerika Mfinimfini ne Kesee Fam mmeae bi no, nnipa a wotu kwan kɔ mmeae yi no taa nya ‘akwantufo akisikuru’.

Dɛn ne sɛnkyerɛnne ahorow no?

Sɛ wususuw sɛ wowɔ Traveler’s Diarrhea a, hwɛ yiye wɔ saa sɛnkyerɛnne ahorow yi ho:

• Nsu a ɛho ayɛ hare (te sɛ nsu) a wɔde bɛfa mu bɛboro mprɛnsa wɔ nnɔnhwerew 24 mu .
• Ɛho hia sɛ wɔkɔ tiafi mpɛn pii, mpofirim.
• Yafunu mu akisikuru ne ɔfe.
• Akisikuru ne ɔfe.
• Huraeɛ.

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi nyɛ nea emu yɛ den. Sɛ ɛyɛ ɔyare mmoawa anaa ɔyare mmoawa a, ebia sɛnkyerɛnne ahorow no befi ase ada adi wɔ nnɔnhwerew 6 kosi 24 akyi bere a wɔanya ɔyare no . Nanso, sɛ ɔyare mmoawa bi na ɛde ba a, ebetumi agye dapɛn biako kosi adapɛn abiɛsa ansa na yare no ho sɛnkyerɛnne ada adi. Eyi nti na nnipa binom kɔ so nya saa sɛnkyerɛnne ahorow yi bere a wɔafi akwantu bi mu asan aba fie mpo no.

Nsɛnkyerɛnne no kyɛ bere tenten ahe?

Ɛno gyina nea enti a ɛte saa so.

• Sɛ ɛyɛ ɔyare mmoawa , sɛ wo ho bɛtɔ wo wɔ nna abien kosi abiɛsa mu, sɛ woannom aduru biara mpo a. Nanso, ebetumi adi dapɛn biako ansa na yare no ho sɛnkyerɛnne no ayera koraa.
• Sɛ ɛyɛ ɔyare mmoawa , ɛbɛyɛ yiye wɔ nna kakraa bi mu.
• Nanso, sɛ ɔyare mmoawa bi na ɛde akwantufo dwensɔtwaa ba a, sɛnkyerɛnne no betumi atra hɔ adapɛn pii, asram pii mpo. Sɛ ɛba saa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Dɛn nti na Traveler’s Diarrhea ba?

Akwantufo a wɔyare no yɛ sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade wɔ ahɔho bi a wahyɛn wo aduan mu no ho ankasa. Saa ntuafo yi betumi ayɛ mmoawa, mmoawa, anaa mmoawa a wɔsɛe nnɔbae. Ɛmfa ho nea ɛyɛ biara no, wo nipadua mu tumi a ɛko tia nyarewa no bɔ mmɔden sɛ ɛbɛsɛe wɔn na atu wɔn afi wo nipadua mu. Ɔfe ho mmuae a ɛba wɔ mmɔdenbɔ yi mu no ne nea ɛde sɛnkyerɛnne te sɛ akisikuru ne yafunu mu akisikuru ba.

Sɛ yɛbɛka no tiawa a, nea ɛrekɔ so wɔ ha no te sɛ wo nipadua no asraafo (nkwammoaa a ɛko tia nyarewa) a wɔreko atia ɔtamfo (ɔyare mmoawa) a wahyɛn wo nipadua mu. Saa sɛnkyerɛnne ahorow yi yɛ nea efi saa ɔko no mu ba.

Mmoawa bɛn na ɛde eyi ba?

Sɛnea yɛadi kan aka no, mmoawa, mmoawa, ne mmoawa a wɔsɛe nnɔbae betumi de tebea yi aba.

• Mmoawa: Mmoawa a wɔde nyarewa ba no na ɛtaa ba. Wɔn mu no , E. coli ne nea odi fɔ titiriw. Bio:
• Salmonella a wɔfrɛ no Salmonella
• Kɔlera yare mmoawa
• Nnuru a wɔfrɛ no Campylobacter jejuni
• Mmoawa te sɛ Shigella nso betumi de aba.

• Mmoawa a wɔde nyarewa ba:
• Norovirus a ɛwɔ nipadua no mu
• Rotavirus a ɛyɛ ɔyare mmoawa
• Virus te sɛ Astrovirus nso ka eyi.

• Nkwammoaa a wɔsɛe nnɔbae:
• Giardia na ɔkyerɛwee
• Nnuru a wɔfrɛ no Cryptosporidium
• Nwansena te sɛ Cyclospora nso betumi de tebea yi aba.

So eyi yɛ ɔyare mmoawa?

Yiw, Traveler’s Diarrhea betumi ayɛ obi a ɔyare. Mmoawa a ɛwɔ wo aduan mu no betumi afa nneɛma nketenkete a ɛwɔ wo nsu mu anaa wo fe mu so akɔ obi foforo nkyɛn. Sɛ nhwɛso no, sɛ wo ho yɛ wo yaw na wokɔ tiafi na wode wo nsa ka sink no ansa na woahohoro wo nsa a, sɛ woanhohoro mu a, mmoawa no betumi akɔ wo nsa so. Sɛ onipa a odi hɔ no de di dwuma na ɔde ne nsa ka sink no a, wobetumi anya mmoawa no. Sɛ afei wɔde wɔn nsa ka wɔn ano a wɔhohoro wɔn nsa a, wobetumi anya mmoawa no afi wo hɔ. Enti, ɛsɛ sɛ wohwɛ yiye kɛse wɔ w’ankasa ahotew ho .

Hena na ɛda adi sɛ obenya eyi?

Aduan a efĩ wom a wobedi ne nsu a wɔnom ne ade titiriw a ɛde asiane ba, nanso akuw binom betumi anya bi sen afoforo.

• Mmabun a wɔadu mpanyin afe so: Ɛwom sɛ abenfo nnim nea enti ankasa de, nanso mmerante ne mmabaa taa nya akwantufo akisikuru sen wɔn a wɔn mfe akɔ anim. Ebia eyi te saa efisɛ mmerante ne mmabaa taa sɔ nneɛma foforo hwɛ, titiriw mmɔnten so nnuan.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw: Te sɛ ɔyare mmoawa foforo biara no, ɛnyɛ den sɛ akwantufo dwensɔtwaa betumi aba obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw dedaw no mu.
• Nnipa a wɔwɔ aduan mu nyarewa a enni sabea: Sɛ nhwɛso no, nnipa a wɔwɔ tebea horow te sɛ Crohn yare , GERD (Gastroesophageal Reflux Disease) , anaa Irritable Bowel Syndrome (IBS) no wɔ asiane kɛse mu.

Nsɛnnennen bɛn na eyi betumi de aba?

Nsu a ɛho ntew ne ɔhaw a ɛtaa ba. Eyi kyerɛ sɛ nsu ne nkyene dodow a ɛwɔ nipadua no mu no so tew. Nsu a ɛho ayɛ fĩ a emu yɛ den betumi ayɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

Bio nso, ɛwom sɛ ɛntaa nsi de, nanso akwantufo a wɔyare no betumi ama aduan mu yare bi a ɛda adi no asɛe kɛse. Sɛ nhwɛso no, ebia wubenya tebea bi a wɔfrɛ no post-infectious irritable bowel syndrome (PI-IBS) . Sɛ wowɔ awosu mu su a ɛma wunya inflammatory bowel disease (IBD) , wo IBD ho sɛnkyerɛnne a edi kan no betumi aba bere a woanya akwantufo akisikuru akyi. Sɛ w’akwantufo no akisikuru no mu yɛ den na ɔyare mmoawa na ɛde ba a, wubetumi nso ahu sɛnkyerɛnne te sɛ mogya anaa nsu a ɛwɔ wo nsu mu ne atiridiinini.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Mpɛn pii no, oduruyɛfo betumi ahu sɛ wowɔ akwantufo akisikuru denam wo yare no ho sɛnkyerɛnne ne baabi a woakɔ a obebisa so. Nanso ɛtɔ mmere bi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo nsu mu nhwehwɛmu na ama woahu ɔyare mmoawa ko pɔtee a wowɔ. Eyi betumi aboa ma wɔahu ayaresa a ɛfata, titiriw sɛ wosusuw sɛ ɔyare mmoawa bi wɔ hɔ a. Ebia ɛho behia sɛ wɔsɔ nhwɛsode bɛboro biako hwɛ de si ɔyare no so dua.

Dɛn ne ayaresa ahorow no?

Wo duruyɛfo bɛka akyerɛ wo sɛ gye w'ahome pii na nom nsu pii . Agumadi mu anonne bi ne agumadi mu nsu a wɔde ma a wɔtɔn a wɔmfa nnuru nhyɛ mu betumi aboa ma wɔde anyinam ahoɔden a ayera asi ananmu .

Nanso, sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den na ɛnkɔ yiye wɔ nna kakraa bi mu a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.Ebia wɔbɛma wo nnuru a ekum akisikuru anaa nnuru a ekum ɔyare mmoawa .

Nnuru a wɔde ko tia akisikuru

Saa nnuru yi di wo dwensɔtwaa so nko, ɛnsa ɔyare mmoawa no. Wɔbrɛ wo dwensɔtwaa (motility) ase kɛkɛ – ntini a ɛpia nsuo fa wo dwensɔtwaa mu no a ɛtwetwe – kakra. Eyi ma wo dwensɔtwaa nya bere pii de twe nsu fi wo nsu mu san kɔ wo nipadua mu.

Nea enye wɔ ho ne sɛ mmoawa no da so ara wɔ wo nipadua mu. Woda so ara yare, na woda so ara betumi atrɛw yare no mu akɔ afoforo mu. Enti ɛsɛ sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere a wode nnuru yi redi dwuma no. Nyansa wom sɛ wode nnuru yi mu kakraa bi bɛkɔ bere a woretu kwan no:

• Atropine diphenoxylate (sɛ nhwɛso no, Lomotil® ) .
• Bismuth (sɛ nhwɛso no, Pepto-Bismol® ) .
• Loperamide (sɛ nhwɛso no, Imodium® ) .

Nnuru a ekum ɔyare mmoawa

Sɛ wowɔ ɔyare mmoawa a emu yɛ den, anaasɛ sɛ wo dwensɔtwaa no ankɔ yiye wɔ nna kakraa bi akyi a, ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa ama wo. Nnuru a wɔde kum ɔyare mmoawa a wɔtaa de di dwuma no bi ne:

• Ciprofloxacin (sɛ nhwɛso no, Cipro® ) .
• Levofloxacin (sɛ nhwɛso no, Levaquin® ) .
• Azithromycin (sɛ nhwɛso no, Zmax® ) .
• Rifaximin (sɛ nhwɛso no, Xifaxan® ) .
• Metronidazole (e.g. Flagyl® ) (titiriw ma ɔyare mmoawa a wɔde nyarewa ba) .
• Nitazoxanide (e.g. Alinia® ) (ma ɔyare mmoawa a wɔsɛe nnɔbae) .

Nea ɛho hia: Mma w’ankasa nnom nnuru a ekum ɔyare mmoawa da a wonkɔ oduruyɛfo nkyɛn. Saa a wobɛyɛ no betumi de ɔhaw afoforo aba.

So abɔde mu ayaresa ahorow bi wɔ hɔ?

Wɔkyerɛ sɛ abɔde mu nnuru bi te sɛ oregano ngo anaa echinacea a wɔayi afi mu no boa ma wosiw nyarewa a ɛde akwantufo akisikuru ba no ano. Nanso, ɛsɛ sɛ wo ne wo duruyɛfo hwehwɛ bere nyinaa hwɛ sɛ eyinom yɛ nea asiane biara nni ho sɛ wode bedi dwuma anaa.

Sɛ wunya Traveler’s Diarrhea a, dɛn na wobɛhwɛ kwan?

Te sɛ nnipa dodow no ara no, wo ho bɛtɔ wo wɔ nna kakraa bi mu. Sɛ wowɔ sɛnkyerɛnne a emu yɛ den, anaasɛ sɛ sɛnkyerɛnne no kɔ so, na woda so ara retu kwan a, bisa wo aban ananmusifo dwumadibea a ɛwɔ wo man mu, obi a wugye no di, anaa oduruyɛfo pa a ɔwɔ mpɔtam hɔ.

Wobɛyɛ dɛn atumi atra ase wɔ eyi mu?

Ɛrentumi nyɛ yiye sɛ wobɛkwati mmoawa a ɛma akwantufo nya atiridiinini no nyinaa, nanso wubetumi atew asiane a ɛwɔ hɔ no so kɛse denam anammɔn yi a wubedi akyi no so:

• Hohoro wo nsa yiye , titiriw ansa na woadi. Fa samina gu so na fa petepete wo nsa anyɛ yiye koraa no sikɔne 20.
• Fa di dwuma wɔ mmeae a nsa hohoro nni hɔ.Fa aduru a wɔde tew nsa a nsa wom kɔ.
• Sɛ woreguare a, hwɛ yiye na nsu a efi aguaree no mu no ankɔ w’anom .
• Fa nsu a wɔde ahyɛ toa mu hohoro wo sẽ. Mfa tap mu nsu nni dwuma da.
• Kwati anonne a wɔde nsukyenee ayɛ, efisɛ ebia wɔde tap mu nsu na ɛyɛɛ nsukyenee no.
• Sɛ wudi nhabannuru ne nnuaba a wɔayɛ no foforo a, paw nea w’ankasa wubetumi atutu nkutoo. Kwati sɛ wobɛtɔ nnuaba a wɔadi kan atwitwa afi sotɔɔ mu.
• Di nnuan a wɔanoa no yiye na ɛyɛ hyew nkutoo. Nkɔ sotɔɔ biara a wubehyia no mu.
• Fa anonne a wɔde ahyɛ toa mu anaa toa mu nkutoo di dwuma. Hwɛ nso sɛ wɔasɔ wɔn ano yiye anaa.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wo anaa wo ba nya akwantufo akisikuru a, nneɛma yi betumi aboa:

• Nom nsu pii: Nsu a wɔde ahyɛ toa mu, agumadi mu anonne bi, ne nnuru a wɔde ma anom nsu te sɛ Jeevani a wubetumi atɔ wɔ nnurutɔnbea no nyinaa boa ma nipadua no mu nsu kɔ so tra hɔ.
• Di, nanso hwɛ yiye: Nea edi kan no , sɔ soup a emu nyɛ duru ne nsukyenee a wɔde ahyɛ mu hwɛ . Afei sɔ BRAT aduan no hwɛ (Bananas, Rice, Applesauce, Toast ). Eyinom yɛ mmerɛw sɛ wobɛyam. Ɛyɛ papa sɛ wobɛkwati nnuan a srade, nnuhwam, ne nufusu wom nna kakraa bi.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn:

• Sɛ mogya anaa nsuo wɔ wo nsuo mu a , anaasɛ sɛ wohu saa nneɛma yi bi wɔ tiafi a woakɔ tiafi na woapopa awie no a.
• Atiridiinini a ano yɛ den (ɛboro digrii Celsius 38.5 / digrii Fahrenheit 101.3).
• Sɛ wo nsu a ɛho ayɛ hare bɛboro mprɛnsa da biara a , sɛ́ ebia bere a woresa wo yare anaa bere a worenom nnuru no.
• Sɛ wo yafunu mu yɛ wo yaw kɛse a .
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nsu ho ayɛ wo hyew (anom a ɛyɛ wo hyew, w’ani a akɔ fam, wo nsu a ɛso tew, wo nsu a ɛyɛ tumm, sukɔm dodo, koma a ɛbɔ ntɛmntɛm, adwenemhaw).
• Sɛ yare no ho sɛnkyerɛnne no ankɔ yiye wɔ nna kakraa bi akyi anaasɛ ɛyɛ kɛse a.

Ade a ɛho hia sen biara (Take-Home Message) .

Ebia akwantufo a wɔyare akisikuru no nyɛ ade a ɛma woyɛ akwantu nhyehyɛe, nanso sɛ wodi aduan anaa anonne a efĩ wom wɔ akwanhyia mu a, ebetumi aba. Wubetumi atew asiane a ɛwɔ mu no so denam wo nsa a wobɛhohoro mpɛn pii, nsu a wɔde ahyɛ toa mu a wobɛnom, ne nnuan a wɔanoa yiye ne anonne a wɔde ahyɛ toa mu a wobɛma ano brɛ ase so .

Sɛ awerɛhosɛm ne sɛ tebea yi aka wo a, mma wo ho nnyɛ wo hu. Gye w’ahome pii na nom nsu pii. Mpɛn pii no wo ho bɛtɔ wo wɔ nna kakraa bi mu. Sɛ ɛnte saa a, kɔ oduruyɛfo nkyɛn ntɛm ara. Nya akwantu a ahobammɔ ne apɔwmuden wom!

` Akwantufoɔ akisikuru, atiridiinini, yafunu mu yareɛ, mmoawa, akwantuo, aduane mu awuduru, nsuo a ɛtɔ