So wo nan yɛ nsu na ɛyɛ nwini te sɛ nsukyenee bere nyinaa? Momma yɛnka ‘Trench Foot’ ho asɛm!

So woate biribi a wɔfrɛ no ‘Trench Foot’ ho asɛm pɛn? Ebia saa din yi yɛ ade foforo ma wo. Nanso ɛyɛ tebea a ebetumi aka yɛn nan na ɛhwehwɛ sɛ yɛde yɛn adwene si so kakra. Ɛho hia titiriw sɛ wohwɛ yiye sɛ wo nan kɔ nsu ne awɔw mu bere tenten a. Momma yɛnhwɛ nea ‘Trench Foot’ yɛ, nea enti a ɛba, ne sɛnea yɛbɛkwati.

Dɛn ne Trench Foot? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, ‘Trench Foot’ yɛ tebea a ɛba bere a wo nan akɔhyɛ sɔks anaa mpaboa a ɛyɛ nsu mu bere tenten, nna mpo, na awɔw no. Nnipa binom nso frɛ eyi sɛ ‘Immersion Foot Syndrome’. Susuw ho hwɛ, sɛ yɛtra baabi a ɛhɔ yɛ nwini, awɔw wom, na ebia ɛhɔ yɛ fĩ bere nyinaa a, yɛn nan ho were ne ntini ahorow no fi ase sɛe.

Eyi yɛ awɔw mu opira bi a ɛnyɛ nwini . Eyi kyerɛ sɛ ɛnsɛ sɛ ɔhyew no ba fam te sɛ awɔw na ama tebea yi aba, nanso ebetumi aba wɔ ɔhyew a ɛboro awɔw so kakra mu. Tebea afoforo bi ne `(Chilblains)` (a ɛte sɛ akisikuru), `(Frostnip)` (honam ani nwini), ne `(Raynaud adeyɛ)` (tebea a mogya ntini no twetwe na nsateaa no dan fitaa). Sɛ honam ani ne ntini ahorow no sɛe esiane ‘trench foot’ nti a, asiane kɛse wɔ hɔ sɛ wobenya ɔyare mmoawa . Eyi betumi ayɛ yaw kɛse, nanso asɛmpa no ne sɛ wobetumi asa na wɔasiw ano .

Dɛn nti na wɔfrɛɛ eyi ‘Trench Foot’?

Edin ‘trench foot’ no fi asɛm bi a akyɛ kakra mu. Franse asraafo oprehyɛn ho ɔbenfo bi a na ɔresa asraafo a wɔwɔ Napoleon asraafo mu no na odii kan kaa tebea no ho asɛm wɔ 1812 mu. Nanso egyee din wɔ wiase nyinaa wɔ Wiase Ko I no mu. Saa bere no, na ɛsɛ sɛ asraafo tra amena a nsu ahyɛ mu ma a atɛkyɛ wom mu nna pii, ɛtɔ mmere bi a adapɛn pii. Awɔw, nwini, ne efĩ no maa asraafo dodow bi nyaa saa yare yi. Wɔ 1914 ne 1915 ntam nkutoo no, wɔsaa Britania asraafo bɛboro 20,000 yare wɔ ‘trench foot’ ho. Nea eye ne sɛ, akwan pa wɔ hɔ a wobetumi afa so asiw ano na wɔasa nnɛ. Nanso, tebea no da so ara ba bere ne bere mu .

Hena na ɛda adi kɛse sɛ obenya ‘trench foot’?

Tebea a wɔfrɛ no ‘trench foot’ no, wɔtaa hu wɔ wɔn a wɔwɔ asraafo mu, bere a wɔreyɛ wɔn ntetee ne ɔko dwumadi ahorow no. Nanso, ebetumi aka nnipa a wɔwɔ akuw afoforo mu nso. Nhwɛsoɔ:

• Wɔ wɔn a wonni afie fam no: Mpɛn pii no, ɛsɛ sɛ wɔhyɛ sɔks ne mpaboa koro. Wɔde wɔn ho to nwini ne awɔw mu bere tenten efisɛ wonni baabi a ɛfata a wɔbɛtra.
• Wɔn a wɔkɔ nnwom kɔnsɛt: Eyi nso betumi aba ama wɔn a wɔkɔ nnwom kɔnsɛt akɛse a wɔyɛ wɔ abɔnten nna pii na wɔde wɔn ho hyɛ mmeae a awɔw wom, ɛhɔ yɛ nwini, na ebia ɛhɔ yɛ fĩ no nso.
• Nnipa a wɔyɛ adwuma wɔ nsuo ho: Mpataayifoɔ, hyɛn gyinabea adwumayɛfoɔ, anaa afoforɔ a wɔtena nsuo mu kyɛ ɛnam wɔn nnwuma nti nso tumi nya ‘trench foot’. Wɔ yɛn man yi mu mpo no, ɛsɛ sɛ wɔn a wɔyɛ adwuma wɔ afuw mu wɔ osutɔ bere mu, anaa wɔn a wɔtra nsu mu bere tenten wɔ tebea horow a ɛte sɛ nsuyiri mu no nso hwɛ yiye wɔ eyi ho, titiriw sɛ nneɛma a atwa yɛn ho ahyia no yɛ nwini a.
• Wɔn a wɔde wɔn ho hyɛ abɔnten dwumadi ahorow mu fam no: Wɔn a wɔwɔ anigyede te sɛ mmepɔw so foro ne kwae mu akwantu betumi anya tebea yi ntɛm sɛ wɔansakra wɔn sɔks ne mpaboa a ɛyɛ nsu wɔ bere ano a. Ɛyɛ papa sɛ wobɛma eyi atra w’adwenem bere a wode wo ho hyɛ dwumadi ahorow a ɛtete saa mu wɔ mmeae a mmepɔw wɔ Sri Lanka (te sɛ Nuwara Eliya, Haputale) ne sɛ nneɛma a atwa yɛn ho ahyia no yɛ nwini na ɛyɛ nsu a.

Dɛn ne ‘trench foot’ ho sɛnkyerɛnne?

Bere a trench foot mu yɛ den kɛse no, sɛnea ɛte ne sɛnea ɛte nka no sesa.

Mfiase no, ebia wobɛte nka sɛ wo nan ayɛ wo yaw, wo ho ayɛ wo yaw, anaasɛ wo ho ayɛ wo yaw koraa . Ebia nnipa binom bɛte nka sɛ wɔrepia biribi akɔ wɔn nan mu, anaasɛ wɔn nan betumi ate nka sɛ emu yɛ duru paa, te sɛ dua. Eyi betumi ama ayɛ den ama wo sɛ wobɛnantew. Mfiase no, ebia wo nan bɛyɛ kɔkɔɔ a ɛyɛ hyew . Nanso bere kɔ so no, bere a mogya ntini no mu yɛ den no, wo nan bɛyɛ fitaa, ayɛ mmerɛw, na ayɛ fitaa .

Sɛ wufi awɔw mu pɛ a, wo nan ho were no befi ase asesa kɔla bio. Sɛ wo honam ani yɛ fitaa a, wo nan betumi adan bruu anaa kɔkɔɔ esiane mogya a ɛkɔ fam nti . Sɛ wo honam ani yɛ tuntum a, ebia kɔla a ɛsakra yi renhu saa. Honam ani nso betumi ayɛ nwini na ayɛ nsensanee wɔ mmeae bi . Nea ɛka ho no, ebia ɛbɛhonhon . Wɔ tebea horow bi a emu yɛ den mu no, wo nan betumi ayɛ mmɔho abien mpo!

Bere a wo nan mu yɛ hyew bio no, ebia ɛbɛyɛ kɔkɔɔ a ɛhyerɛn bio . Ebia wobɛte ɛyaw a emu yɛ den anaa nkate soronko bi nka bere a mogya san kɔ wo nan so no. Wubetumi nso anya akisikuru, akuru, anaa akuru a abue wɔ wo nan so. Eyinom betumi ama woanya fungal ne mmoawa a wɔde nyarewa ba ntɛmntɛm. Ebia wo honam ani bɛyɛ nea ɛyɛ mmerɛw kɛse wɔ nsakrae a ɛba wo hyew mu anaasɛ mpo sɛ wode wo nsa ka kɛkɛ no ho.

Dɛn na ɛde trench foot ba?

Trench foot nyin bere a wo nan akɔ tebea a ɛyɛ nwini na ɛyɛ nsu mu bere tenten no. Kae sɛ ɛho nhia sɛ ɔhyew no yɛ awɔw kɛse. Trench foot betumi ayɛ kɛse wɔ ɔhyew a ɛba fam te sɛ digrii Celsius 16 (digrii Fahrenheit 60) mpo mu .

Sɛ awɔw ne ɔhyew ka bom a, mogya ntini nketenkete (capillaries) a ɛwɔ wo nan mu no fi ase yɛ mmerɛw . Eyi betumi asɛe ntini a atwa ho ahyia no. Bio nso, mogya a ɛmma ɛnkɔ yiye no betumi aka wo mogya a ɛkɔ nipadua no mu ne wo ntini ahorow no dwumadi.

Sɛ obi nya nan a fifiri ayɛ no dodo (Hyperhidrosis) a, ɛno nso betumi ayɛ nea ɛde ‘trench feet’ ba.

Bere tenten ahe na ɛtaa gye ansa na trench foot anyin?

Mpɛn pii no, trench foot hwehwɛ sɛ wɔde wɔn ho to tebea horow a awɔw wom na ɛyɛ nwini mu nna biako kosi abiɛsa. Nanso ɛtɔ mmere bi a tebea no betumi aba wɔ nnɔnhwerew 10 kosi 14 pɛ mu . Enti ɛho hia sɛ yɛma yɛn ani da hɔ.

Ɔkwan bɛn so na oduruyɛfo hu eyi sɛ ‘trench foot’?

Wo duruyɛfo bedi kan ayɛ nipadua mu nhwehwɛmu de ahu sɛ trench foot wɔ hɔ. Ɔbɛhwɛ wo nan mu na wabisa wo yareɛ no ho sɛnkyerɛnne. Obebisa nneɛma a atwa wo ho ahyia nnansa yi nso ho asɛm. Sɛ woakɔ tebea a awɔw wom na ɛyɛ nwini mu nnɔnhwerew kakraa bi mpo a, ebia wo duruyɛfo besusuw sɛ trench foot.

Wo duruyɛfo bɛpɛ sɛ ɔhwɛ hu sɛ ɛnyɛ ɔyare mmoawa anaa tebea foforo bi te sɛ awɔw a ɛba wo yare no mu na ɛde wo sɛnkyerɛnne ahorow no ba. Obetumi ahyɛ sɛ wɔnyɛ mogya mu nkwammoaa fitaa dodow anaa ESR (Erythrocyte Sedimentation Rate) nhwehwɛmu. ESR sɔhwɛ no hwɛ sɛ ɔfe wɔ wo nipadua mu anaa. Ebia wɔbɛka akyerɛ wo nso sɛ wobɛyɛ X-ray anaa nnompe mu nhwehwɛmu sɛ wosusuw sɛ wowɔ nnompe mu yare (osteomyelitis) a.

So ayaresa bi wɔ hɔ a wɔde sa ‘trench foot’? So wobetumi asa no yare?

Yiw, koraa! Sɛ wohu ntɛm a, wobetumi asa trench foot no yare koraa . Ayaresa a wɔde sa trench foot no bi ne:

• Anan a wobɛsan ayɛ no hyew brɛoo: Sɛ woma ɛyɛ hyew ntɛmntɛm dodo a, ebetumi ama woayɛ yaw kɛse na woahohoro. Enti, ɛsɛ sɛ woma wɔn ho yɛ hyew nkakrankakra.
• Wo nan a wobɛma ho atew, ayɛ nwunu, na ayɛ hyew: Wo duruyɛfo bɛtu wo fo sɛ tew wo nan ho na ma ɛnyɛ nwunu na ɛnyɛ hyew.
• Ahomegye ne wo nan a wobɛma akɔ soro sen wo koma: Eyi boa ma akuru ne akisikuru foforo ntumi nyɛ.
• Nnuru a ekum ɔyare mmoawa: Oduruyɛfo no betumi akyerɛw nnuru a ekum ɔyare mmoawa ama obi de asiw ɔyare mmoawa ano.
• Tetanus booster shot: Sɛ ɛho hia a, wɔbɛma eyi nso.
• Nnuru a wɔde kum ɛyaw: Wubetumi anom nnuru a wɔde kum ɛyaw te sɛ ``NSAIDs`` (nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) anaa ``Acetaminophen`` (paracetamol). Nanso, ɛtɔ da bi a oduruyɛfo no nso betumi akyerɛw aduru bi a wɔfrɛ no ``Amitriptyline``.

Meyɛ dɛn hwɛ me ho bere a wɔasa me yare awie no?

Sɛ wɔsa wo trench foot wie a, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woyɛ na ama woahwɛ ahu sɛ wo nan bɛkɔ so ayɛ yiye. Eyinom ne:

• Hyɛ sɔks a ɛho tew na ɛyɛ nwunu da biara.
• Mfa sɔks nhyɛ bere a woada no. Saa kwan no so no wubetumi ama wo nan ayow.
• Hwɛ wo nan mu da biara da.Hwɛ sɛnea sɛnkyerɛnne ahorow a ɛkyerɛ sɛ yare no mu yɛ den anaasɛ ɔyare no ho sɛnkyerɛnne biara.
• Kwati sigaretnom ne nneɛma afoforo a nicotine wom a wode bedi dwuma. Nicotine betumi atew mogya a ɛkɔ wo nan so no so.
• Di aduan a protein pii wom. Eyi bɛboa ayaresa nhyehyɛe no.

Ɔkwan bɛn so na wobetumi asiw ‘trench foot’ a ɛbɛba no ano?

Trench foot yɛ tebea a wobetumi asiw ano ankasa . Ahwɛyiye a edidi so yi betumi aboa wo ma woakwati sɛ wubenya saa tebea yi:

• Sesa sɔks ne mpaboa/mpaboa a ɛyɛ nsu ntɛm ara sɛnea wubetumi.
• Ma wo nan nwo denam mframa a wode bɛto mu no so. Hwɛ hu sɛ wobɛma wo nan ayow bere nyinaa.
• Ma wo nan so nkɔ soro bere biara a ɛbɛyɛ yiye.
• Anyɛ yiye koraa no, sesa kɔ sɔks foforo pɛnkoro da biara.
• Hyɛ mpaboa anaa mpaboa a ɛfata wo yiye na ɛnyɛ den dodo.

Kae sɛ, asɛm a wɔka sɛ "asiw ano ye sen ayaresa" no fa saa 'trench foot' yi nso ho.

Sɛ wunya ‘trench foot’ a, dɛn na ɛba? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Bere bi a atwam no, na trench foot yɛ tebea a emu yɛ den a ebetumi ama obi awu mpo. Nanso, ɛnnɛ, sɛ wohu na wɔsa no ntɛm a, wobetumi asa trench foot dodow no ara koraa . Wubetumi ahwɛ kwan sɛ wo ho bɛtɔ wo koraa afi tebea yi mu. Nanso, ebia ɛyaw bi bɛba bere tiaa bi bere a nan no mu nkate a edi mũ san ba no.

So ‘trench foot’ betumi de nsɛnnennen a asiane wom aba?

Yiw, sɛ wɔansa a, nsɛnnennen a emu yɛ den betumi aba. Tebea horow te sɛ `(Cellulitis)` (ɔyare mmoawa a ɛde ɔyare mmoawa ba honam ani) anaa `(Gangrene)` (ntini a ewu) betumi aba. Wɔ tebea horow a emu yɛ den mu no, ebia ɛho behia sɛ wotwa nan no fã bi na amma `(Gangrene)` tebea no antrɛw akɔ akyiri. Nsɛnnennen afoforo bi ne `(Sepsis)` (mogya mu awuduru) ne owu mpo.

‘Trench foot’ yɛ tebea a ɛyɛ yaw a enyaa ne din fii amena a na ɛsɛ sɛ asraafo gyina ano wɔ Wiase Ko I. Asraafo pii hweree wɔn akwaa na ebinom wuwui wɔ mu. Nanso ɛnnɛ, yenim sɛnea yesiw ano na yɛsa ho nsɛm pii.

Awiei koraa no, kae eyi !

Ayaresa a eye sen biara a wɔde sa trench foot ne sɛ wobesiw ano ankasa . Sɛ wunim sɛ wobɛtra baabi a awɔw wom na ɛhɔ yɛ nwini bere tenten a, akyinnye biara nni ho sɛ yɛ ahwɛyiye . Fa sɔks foforo bere nyinaa, na hwɛ hu sɛ wo mpaboa no hyɛ mu yiye. Sɛ wode nneɛma a ɛnyɛ den te sɛ eyinom di dwuma a, ɛho renhia sɛ wohaw wo ho wɔ trench foot ho. Hwɛ wo nan so yiye, na ma ɛntra apɔwmuden!

` trench foot, immersion foot syndrome, anan a ɛyɛ nsu, nan a ɛyɛ nwini, nan mu yaw, nan a ɛyɛ mmerɛw, nan hwɛ, nan, awɔw, nsu