So wo nso wowɔ ɔfe a akɔ so bɛboro adapɛn abien? Ebia wote nka sɛ wo ho nyɛ wo dɛ kakra na woabrɛ bere koro no ara mu? Yɛn werɛ taa fi nneɛma a ɛtete saa, na yesusuw sɛ ɛyɛ atiridii ara kwa. Nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a ehia sɛ wɔde wɔn adwene si so kakra. Ɛnnɛ yɛreka nsamanwaw, anaa TB sɛnea yɛn nyinaa nim no, yare a wɔda so ara hu wɔ yɛn man yi mu, nanso sɛ wɔsa no yiye a, wobetumi asa koraa.
Sɛ yɛbɛka no tiawa a, dɛn ne Nsamanwaw?
Nsamanwaw yɛ yare a ɔyare mmoawa bi na ɛde ba. Ɛyɛ mmoawa bi a wɔfrɛ no `Mycobacterium tuberculosis` na ɛde ba. Saa yare yi ka yɛn ahurututu titiriw. Nanso, wɔ tebea horow bi mu no, saa mmoawa yi tumi trɛw kɔ nipadua no afã afoforo, sɛ nhwɛso no, ɛkɔ yɛn akyi berɛmo, amemene, ne asaabo mu.
Nanso biribi a ɛho hia sɛ wuhu ni. Ɛnyɛ obiara a ɔwɔ TB mmoawa no na ɔbɛyare. Nnipa binom wɔ mmoawa no wɔ wɔn nipadua mu nanso wɔnkyerɛ sɛnkyerɛnne biara, "wɔda" kɛkɛ. Yɛfrɛ tebea yi TB a ahintaw . Nnipa bi wɔ hɔ a wɔwɔ bi wɔn nkwa nna nyinaa a wonni sɛnkyerɛnne biara.
Nanso, sɛ wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw wɔ ɔkwan bi so a, saa mmoawa a wɔada no nya hokwan "sɔre." Eyi ne bere a tebea bi a wɔfrɛ no active TB ba. Ɛyɛ saa bere a ɛyɛ nnam yi mu na sɛnkyerɛnne ahorow no da adi na yare no betumi akɔ afoforo mu.
Dɛn ne TB a ɛyɛ nnam ho sɛnkyerɛnne?
Sɛ wowɔ TB a ahintaw a, worennya sɛnkyerɛnne biara. Nanso, sɛ wowɔ TB a ɛyɛ nnam a, wubetumi anya sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa. Ɛho hia paa sɛ yehu eyinom.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɛwa | Ɔfe a emu yɛ den a ɛtra hɔ bɛboro adapɛn abien na nnuru a wɔde di dwuma daa no nnya ahotɔ. |
| Koko mu yaw | Koko mu yaw bere a ɔrehome anaa ɔfe. |
| Mogya a ɛretu ne nsu a ɛyɛ nwini | Nsuo a mogya kakra anaa nsuo a ɛyɛ mogya kɔla bɛfefe. |
| Mu duru a ɛso tew ne aduan ho akɔnnɔ a ɛso tew | Mu duru a ɛso tew ne aduan ho akɔnnɔ a ɛso tew a ntease pɔtee biara nni ho. |
| Ɔbrɛ ne mmerɛwyɛ | Ɔbrɛ a ɛkɔ so daa ne atenka a ɛte sɛ nea nkwa nnim. |
| Atiridii ne fifiri a ɛba anadwo | Atiridiinini a obi nya na ɔsɔre a ne ho fifiri dɔɔso, titiriw anadwo. |
Nsanyare a Ɛwɔ Ahurututu Akyi
Sɛnea yɛadi kan aka no, ɛnyɛ ahurututu mu nko na TB mmoawa no wɔ. Wotumi tu kwan kɔ nipadua no afã afoforo nso, na ɛde sɛnkyerɛnne ahorow a ɛfa saa akwaa no ho pɔtee ba.
- Sɛ ɛka amemene no a: Meningitis betumi ama ntini a ɛkata amemene no so no anya ɔyare mmoawa.
- Sɛ akyi berɛmo no ka: Tebea bi a wɔfrɛ no ``Pott yare'' betumi aba, na ɛde akyi yaw ne sciatica aba.
- Sɛ ntini a ɛma mogya tu no ka a: Ntini a ɛho ahonhon wɔ mmeae te sɛ kɔn mu.
Ɔkwan bɛn so na nsamanwaw fi onipa biako mu kɔ foforo mu?
Eyi yɛ asɛm a ɛho hia paa. Nsamanwaw nam mframa mu trɛw. Sɛ obi a ɔwɔ ahurututu mu TB a ɛyɛ nnam ɔfe, ɔfefe, ɔkasa, ɔto dwom, anaa ɔserew a, mmoawa no fi hɔ kɔ mframa mu wɔ nsu nketenkete mu. Sɛ obi a ɔwɔ apɔwmuden a ɔbɛn no home saa mframa yi a, mmoawa no tumi hyɛn wɔn nipadua mu.
Fa no sɛ obi a ɔwɔ w’adwumam anya ɔfe asram pii. Wobu wɔn ani gu so. Sɛ mobom yɛ adwuma wɔ dan koro mu da biara a, asiane wɔ hɔ sɛ yare no bɛtrɛw.
Nanso kae sɛ, obi a ɔwɔ ahurututu mu TB a ɛyɛ nnam nkutoo na yare no trɛw. Yare no ntrɛw mfi obi a ɔwɔ TB tebea a ɔda (a ahintaw) mu. Saa ara nso na yare no ntaa ntrɛw mfi obi a ɔwɔ TB a ɔwɔ ahurututu akyi (e.g., asaabo, nnompe).
Hena na asiane kɛse wom sɛ obenya nsamanwaw?
Ɛwom sɛ obiara betumi anya nsamanwaw de, nanso nnipa binom wɔ asiane kɛse mu.
Nnipa a asiane kɛse wom sɛ wobenya yare no:
- Nnipa a wɔatena ɔman bi a nsamanwaw abu so mu anaa wɔatu kwan akɔ mu.
- Nnipa a wɔne obi a ɔwɔ nsamanwaw te anaasɛ ɔne no di nkitaho kɛse.
- Nnipa a wɔyɛ adwuma anaa wɔte mmeae a nnipa ahyɛ hɔ ma te sɛ nneduaban, aguanfo atrae, ne nkwakoraa ne mmerewa afie.
- Wɔn a wɔyɛ adwuma wɔ akwahosan ho adwumayɛbea no.
Nnipa a asiane kɛse wom sɛ wobenya yare a ɛyɛ nnam:
Sɛ mmoawa no hyɛn wɔn nipadua mu a, ɛda adi sɛ saa nkurɔfo yi benya yare a ɛyɛ nnam. Ade titiriw nti a ɛte saa ne nipadua no mu tumi a ɛko tia nyarewa a ayɛ mmerɛw.
- Nnipa a wɔanya HIV
- Mmofra nkumaa ne wɔn a wɔn mfe akɔ anim
- Nnipa a wɔwɔ nyarewa a enni sabea te sɛ asikreyare ne asaabo mu yare
- Nnipa a wɔreyɛ wɔn nnuru a wɔde sa kokoram
- Nnipa a wɔayɛ wɔn akwaa foforo
- Nnipa a wɔde nnubɔne gu nipadua mu
- Nnipa a wɔrehu amane wɔ aduan pa a wonnya nni ho
Ɔkwan bɛn so na oduruyɛfo bi si yare yi so dua?
Sɛ wususuw sɛ wowɔ nsamanwaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn . Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne, ahwehwɛ wo mu, na afei ahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii mfa nkyerɛ sɛ yare no wɔ hɔ.
- Sputum test: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔfa wo nsuo mu nsuo bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ TB mmoawa no wɔ hɔ anaa.
- Chest X-ray: Eyi betumi ahwɛ sɛ nsakrae biara aba ahurututu mu esiane yare no nti anaa.
- Skin test (Mantoux test): Wɔde protein solution kakraa bi gu honam ani na wɔhwɛ sɛ baabi a ɛho ahonhon wɔ nnɔnhwerew 48-72 akyi.
- Mogya mu nhwehwɛmu: Wobetumi nso nam nnɛyi mogya mu nhwehwɛmu bi so ahu yare yi.
Dɛn ne nsamanwaw ano aduru?
Asɛmpa no ni. Nsamanwaw yɛ yare a wotumi sa koraa. Wɔde nnuru pɔtee pii a ekum ɔyare mmoawa a wɔaka abom sa.
Ade a ɛho hia sen biara: Anyɛ yiye koraa no, ɛsɛ sɛ wofa saa ayaresa yi asram 6 bere nyinaa . Ɛtɔ mmere bi a, ebetumi agye bere tenten. Wobɛfi ase ate nka wɔ adapɛn kakraa bi akyi bere a woafi aduru no ase no. Wo ɔfe ne atiridiinini no bɛbrɛ ase. Nanso nnyae aduru no nom saa bere no!Ɛho hia yiye sɛ wobɛkɔ so anom aduru no bere tenten a oduruyɛfo no akyerɛw ama wo no nyinaa. Sɛ woannyɛ saa a, mmoawa a aka wɔ nipadua no mu no betumi ayɛ den, anya nnuru a ɛko tia, na yare no betumi asan aba bio.
Nnuru a wɔtaa kyerɛw ma no bi ne:
- `Isoniazid` na ɛwɔ hɔ
- `Rifampin`
- `Ethambutol`
- `Pyrazinamide a wɔde yɛ adwuma`
Wobetumi anya nnuru yi a wontua hwee afi aban ayaresabea ahorow a wɔhwɛ koko so.
Wobɛyɛ dɛn atumi abɔ wo ho ban afi nsamanwaw ho?
- BCG vaccine: Wɔ yɛn man yi mu no, wɔde BCG vaccine no ma abofra bere a wɔawo no ara pɛ de bɔ ne ho ban fi nsamanwaw ho. Eyi ma ahobammɔ fi nsamanwaw tebea horow a emu yɛ den (titiriw `TB Meningitis`) a ebetumi aba mmofra nkumaa mu no ho.
- Ahotew ho nneyɛe pa: Fa ntini anaa wo nsateaa kata w’ano ne wo hwene so bere a worefefe anaa worefefe no.
- Mframa pa: Ma mframa nkɔ afie ne adwumayɛbea ahorow mu yiye.
- Sɛ woyɛ obi a ɔyare a: Sɛ wowɔ nsamanwaw a ɛyɛ nnam a, kwati sɛ wo ne afoforo bedi nkitaho kɛse wɔ adapɛn kakraa a edi kan bere a woafi ayaresa ase akyi no. Hwehwɛ afotu fi wo duruyɛfo hɔ.
- Aduan a ahoɔden wom: Sɛ wudi aduan a ɛkari pɛ a, ebetumi aboa ma nipadua no mu tumi a ɛko tia nyarewa no akɔ so ayɛ adwuma yiye.
Sɛ wowɔ saa sɛnkyerɛnne yi, anaa sɛ wo ne obi a ɔwɔ TB adi nkitaho a, nsuro anaa nhyɛ wo aniwu sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Dodow a wutumi hu yare no ntɛm na wofi ase sa yare no, dodow no ara na wubetumi ho atɔ wo ntɛmntɛm na woasiw afoforo yare ano.
Nkrasɛm a Wɔde Kɔ Fie
- Nsamanwaw (TB) yɛ yare a mmoawa de ba, nanso wotumi sa koraa .
- Sɛ wowɔ ɔfe a ɛtra hɔ bɛboro adapɛn abien a , akyinnye biara nni ho sɛ ɛsɛ sɛ wohwɛ so yiye na wohwehwɛ aduruyɛfo afotu.
- Sɛ wɔresa nsamanwaw a, ɛho hia yiye sɛ wobɛkɔ so anom aduru no bere tenten a oduruyɛfo no akyerɛw ama wo no nyinaa .
- Sɛ w’adwene mu yɛ wo naa wɔ yare no ho a, wubetumi akɔ Chest Clinic wɔ aban ayaresabea a ɛbɛn wo no.
- Sɛ wohu yare no ntɛm na wɔsa wo yare yiye a, ebetumi abɔ wo ne w’abusua ho ban.
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