So wo ho nyɛ wo den nna kakraa bi, na wo ho yɛ wo hyew kɛse na wo yafunu yɛ wo yaw? So wote nka sɛ w’ani nnye aduan ho anaasɛ wo ti yɛ wo yaw? Wɔ mmere te sɛ eyinom mu no, yesusuw kɛkɛ sɛ ɛyɛ ɔyare mmoawa atiridiinini a ɛfata. Nanso, eyi nso betumi ayɛ Typhoid Fever mfiase. Nha wo ho. Ɛnnɛ, yɛbɛka nea typhoid yɛ, sɛnea ɛkɔ so, ne nea ɛsɛ sɛ yɛyɛ wɔ ho ho asɛm wɔ ɔkwan a emu da hɔ na ɛnyɛ den so.
Sɛ yɛbɛka no tiawa a, dɛn ne typhoid atiridii?
Typhoid atiridii yɛ ɔyare mmoawa bi a wɔfrɛ no `Salmonella Typhi (S. Typhi)` na ɛde ba. Saa mmoawa yi ka yɛn dwensɔtwaa nketewa (intestines) titiriw. Eyi nti na sɛnkyerɛnne ahorow te sɛ atiridiinini kɛse ne yafunu mu akisikuru ba no. Wɔsan frɛ typhoid atiridii atiridiinini .
Ebia woate paratyphoid atiridii ho asɛm nso. Ɛyɛ yare a ɛte saa ara, nanso ɔyare mmoawa bi a wɔfrɛ no Salmonella Paratyphi (S. Paratyphi) na ɛde ba. Ne sɛnkyerɛnne ahorow no yɛ mmerɛw kakra sen typhoid.
Nanso kae ade biako: Mmoawa a wɔde typhoid ba no yɛ soronko koraa wɔ Salmonella mmoawa a yɛn nyinaa nim wɔn a wɔtaa de aduan mu awuduru ba no ho.
Hena na ɛda adi sɛ obenya saa yare yi?
Typhoid atiridii yɛ yare a abu so wɔ aman a afei na wɔrenya nkɔso mu, titiriw wɔ nkuraase a ahotew nni hɔ no. Ɛtaa ba Asia Kesee Fam (a Sri Lanka, India, Pakistan, ne Bangladesh ka ho), Asia Kesee Fam Apuei, Afrika, ne Amerika Kesee Fam.
Mmofra wɔ asiane mu sɛ wobenya typhoid sen mpanyimfo, enti sɛ wowɔ mmofra nkumaa wɔ wo fie a, ɛsɛ sɛ wohwɛ yiye titiriw.
Dɛn ne typhoid ho sɛnkyerɛnne ahorow?
Typhoid atiridii ho sɛnkyerɛnne titiriw ne sɛnea edin no kyerɛ no, atiridiinini a ano yɛ den. Sɛ wɔansa atiridii yi a, ebetumi atra hɔ adapɛn pii. Ɛde atiridiinini a ɛba fam na efi ase wɔ nna a edi kan no mu, na afei ɛkɔ soro nkakrankakra da biara da. Wɔfrɛ eyi "atiridiinini a ɛkɔ so anammɔn anammɔn."
Wɔ sɛnkyerɛnne titiriw yi akyi no, sɛnkyerɛnne afoforo pii wɔ hɔ. Ma yɛnhwɛ nea wɔyɛ.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Atiridiinini a emu yɛ den | Atiridii a ɛkɔ soro nkakrankakra na ɛtra hɔ nna pii. |
| Tiyɛ ne nipadua mu yaw | Sɛ ɔte nka sɛ wayɛ mmerɛw, ntini mu yaw, na ne ti yɛ no yaw kɛse. |
| Yafunu mu yaw | Yafunu mu yaw, yafunu, akisikuru, anaa akisikuru betumi aba nnipa binom so. |
| Akɔnnɔ | Aduan ho akɔnnɔ a ɛyera. |
| "Rose nsensanee". | Ebia ayarefo binom benya nsensanee nketenkete a ɛyɛ pink wɔ wɔn moma so anaa wɔn yafunu mu, nanso eyi nsi obiara. |
| Nneɛma afoforo a ɛwom | Ɔfe a ɛyɛ dry, akisikuru, ɔfe, ne atiridiinini. |
Ɔkwan bɛn so na saa yare yi trɛw kɔ yɛn so?
Typhoid atiridii no trɛw titiriw denam aduan anaa nsu a mmoawa `S. Typhi`. Sɛ nhwɛso no, sɛ obi a ɔyare typhoid kɔ tiafi kɔsiesie aduan a ɔhohoro ne nsa yiye, anaasɛ woka aduan a wudi a, mmoawa no betumi akɔ wo nipadua mu.
Wɔ mmeae te sɛ yɛn man no, akwan titiriw biako a wobetumi afa so atrɛw eyi mu ne nsu a efĩ wom. Sɛ nsuo a efĩ wom a wɔde afra nsuo mu kɔ nsuo a wɔnom mu, sɛ wonom saa nsuo no, anaa sɛ wode saa nsuo no hohoro nhabannuru ne nnuaba a, ɛnyɛ den sɛ saa yareɛ yi bɛtrɛ.
Nea ɛho hia paa ne ahotew. Sɛ wohohoro wo nsa yiye, wudi nnuan a ɛho tew, na wonom nsu pa a, ebetumi abɔ wo ho ban kɛse afi typhoid ho.
Sɛ yare no ho sɛnkyerɛnne biara nni hɔ mpo a, so wobetumi de yare no akɔ?
Aane. Eyi ne ade a asiane wom sen biara wɔ typhoid ho. Nnipa binom betumi akɔ so anya `S. Typhi` mmoawa a wɔwɔ wɔn nipadua mu mpo bere a wɔn ho atɔ wɔn koraa afi typhoid ho, a wonni sɛnkyerɛnne biara. Yɛfrɛ saa nnipa yi "bere tenten soafo".Saa mmoawa yi nam saa nnipa yi nsu mu na ɛkɔ nneɛma a atwa yɛn ho ahyia no mu. Enti, ɛho hia paa sɛ wobɛhwɛ sɛ worennya ɔyare no bi mma obi foforo bere a woanya yare no ho atɔ wo mpo.
Typhoid atiridii no wɔ akwan anan so.
Sɛ wɔansa a, typhoid atiridii no betumi akɔ so akodu afã anan. Nanso, sɛ wofi nnuru a ekum ɔyare mmoawa ase ntɛm a , wobetumi asiw yare no so a wɔrenkɔ saa mmere yi mu.
- Ɔfã 1: Nsɛnkyerɛnne no fi ase da adi wɔ nnafua 5 kosi 14 akyi bere a ɔyare mmoawa no ahyɛn nipadua no mu no. Nsɛnkyerɛnne a edi kan ne atiridiinini a ɛkɔ soro da biara da. Saa bere yi de, mmoawa no rehyɛn wo mogya mu.
- Ɔfã 2: Bɛyɛ dapɛn a ɛto so abien wɔ atiridiinini no mu no, mmoawa fi ase dɔɔso wɔ Peyer’s patches a ɛyɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no fã no mu wɔ wo dwensɔtwaa mu. Eyi de sɛnkyerɛnne ahorow te sɛ yafunu mu akisikuru, akisikuru, anaa akisikuru ba. Nnipa binom nso nya "rose spots" a yɛadi kan aka ho asɛm no.
- Ɔfã 3: Sɛ wɔansa no yare, wɔ dapɛn a ɛto so abiɛsa akyi bere a sɛnkyerɛnne ahorow no afi ase no, mmoawa no betumi asɛe ade kɛse. Nsɛnnennen a emu yɛ den te sɛ mogya a ɛtɔ fi dwensɔtwaa mu ne amemene no mu ɔfe (amemene mu yare) betumi aba.
- Ɔfã 4: Nnipa dodow no ara fi ase ho tɔ wɔn wɔ saa bere yi mu. Atiridiinini a ano yɛ den no fi ase brɛ ase. Nanso, sɛ wunni sɛnkyerɛnne biara mpo a, S. Typhi mmoawa no da so ara tumi tra wo akisikuru mu. Eyi kyerɛ sɛ woda so ara betumi atrɛw yare no mu akɔ obi foforo so bere a wo ho atɔ wo no.
Ɔkwan bɛn so na oduruyɛfo no hu eyi? Dɛn ne ayaresa no?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne ne akwantu ho abakɔsɛm biara a woanya nnansa yi ho asɛm. Afei ɔbɛhwehwɛ wo mu. Sɛ osusuw sɛ ɔwɔ typhoid a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii de si so dua.
Nhwehwɛmu a wɔyɛ de hu yare no
- Mogya mu nhwehwɛmu: Ɛhwɛ sɛ mmoawa `S. Typhi` wɔ mogya mu.
- Nsuo mu nhwehwɛmu: Wɔsɔ nsuo mu nhwɛsoɔ hwɛ sɛ mmoawa wɔ mu anaa.
- Nsu mu nhwehwɛmu: Wɔhwɛ nsu a wɔde yɛ nhwehwɛmu mu hwɛ sɛ ebia ɔyare mmoawa bi wɔ hɔ anaa.
- Ɛtɔ da bi a, wobetumi nso aka akyerɛ wo sɛ yɛ wo koko X-ray.
Typhoid a wɔde sa yare
Wɔde nnuru a ekum ɔyare mmoawa sa typhoid atiridiinini . Wo duruyɛfo no begyina typhoid mmoawa ko a wowɔ ne baabi a wunyaa yare no so akyerɛ nnuru a ekum ɔyare mmoawa a ɛfata wo.
Sɛ yare no mu yɛ den anaa nsɛnnennen bi ba a, ebia ɛho behia sɛ wɔde wo kɔ ayaresabea ma wɔsa wo yare. Ɛtɔ mmere bi a, nnuru a ekum ɔyare mmoawa akyi no, wobetumi ama steroid te sɛ dexamethasone.
Nea ɛho hia yiye: Fa nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no ma wo ayaresa no nyinaa, a wompa da koro mpo. Mma nnyae aduru no nom esiane sɛ wo ho atɔ wo nti. Saa a wobɛyɛ no betumi ama ɔyare no asan asan aba bio.
Nnuru a ekum ɔyare mmoawa a wɔko tia
Eyi yɛ akwahosan ho haw kɛse nnɛ. Nnomaa ahorow bi a wɔfrɛ no `S. Typhi` mmoawa abɛyɛ nea ɛko tia nnuru a ekum ɔyare mmoawa a yɛde di dwuma no bi. Eyi kyerɛ sɛ, sɛ wonom saa aduru no mpo a, mmoawa no renwuwu. Yɛfrɛ tebea yi sɛ nnuru a ekum ɔyare mmoawa a ɛko tia . Typhoid (XDR typhoid) ahorow bi tumi ko tia nnuru pii. Eyi nti na ɛho hia yiye sɛ wunya nnuru a wɔde bɔ wo ho ban fi typhoid ho no.
Ɔkwan bɛn so na wobɛkwati typhoid?
Ɔkwan a eye sen biara na ɛho hia sen biara a wobɛfa so abɔ wo ho ban afi typhoid atiridii ho ne sɛ wobɛbɔ wo ho ban . Sɛ wote beae a typhoid abu so, anaasɛ worekɔ baabi a, ɛyɛ papa sɛ wobɛbɔ wo ho ban. Nnuru a wɔde bɔ anom ne nea wɔde twitwiw nipadua mu wɔ hɔ.
Nea ɛka ho no, ɛho hia nso sɛ yɛbɛkwati nnuan ne anonne a ɛho ntew.
- Sɛ woyare a, nsiesie aduan mma afoforo .
- Fa samina hohoro wo nsa yiye ansa na woasiesie aduan ne bere a woawie, ansa na woadi, ne bere a woakɔ tiafi awie no.
- Hohoro nkuku ne nkuku a wɔde siesie aduan no yiye na ma ɛho tew.
- Sɛ woredidi wɔ abɔnten a, paw nnuan a wɔanoa no yiye, a ɛyɛ hyew anaa nnuan a wɔahyɛ no ma yiye sɛnea wubetumi biara.
- Mma nnom nsu mfi mmeae a wunnim . Nom nsu a wɔanoa anaa nea wɔde ahyɛ toa mu nkutoo.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Sɛ wote beae a typhoid abu so anaasɛ woatu kwan nnansa yi na wowɔ typhoid ho sɛnkyerɛnne te sɛ atiridiinini ne yafunu mu yaw a, kɔ oduruyɛfo nkyɛn ntɛm ara . Dodow a wufi ayaresa ase ntɛm no, dodow no ara na wubetumi ho atɔ wo ntɛmntɛm na woakwati nsɛnnennen a anibere wom.
Sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi a, kɔ ayaresabea ETU (Emergency Treatment Unit) ntɛm ara.
- Atiridiinini a ano yɛ den yiye.
- Mogya a ɛwɔ nsu a ɛwɔ nsu mu anaasɛ nsu a wɔde tarry tuntum ayɛ mu.
- Yafunu mu yaw a emu yɛ den yiye.
- Mogya a ɛba bere a ɔrefefe anaasɛ ɔrefe.
- Ntini mu sɛnkyerɛnne te sɛ adwene a ɛyɛ basaa, nkae a ɛyera, anaasɛ akisikuru.
Sɛ yɛde rewie a, typhoid nyɛ yare a ɛsɛ sɛ wosuro, nanso ɛnyɛ yare a ɛsɛ sɛ wobu no adewa nso . Wobetumi asa yare yi koraa denam aduruyɛ a ɛfata ne ahotew pa so.
Nkrasɛm a Wɔde Kɔ Fie
- Typhoid atiridii no fi ɔyare mmoawa a wɔfrɛ no Salmonella Typhi a ɛnam aduan anaa nsu a efĩ wom so trɛw.
- Nsɛnkyerɛnne titiriw ne atiridiinini a ɛkɔ soro nkakrankakra a ɛtra hɔ nna pii, tiyɛ, ne yafunu mu yaw.
- Sɛ wowɔ typhoid ho sɛnkyerɛnne a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ayaresa a wɔde ma ntɛm no betumi asiw nsɛnnennen ano.
- Fa nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no bere nyinaa, a wunhuw dodow biara.
- Ankorankoro ahotew, titiriw nsa a wode samina hohoro ne nsu pa a wobɛnom ne akwan a eye sen biara a wobɛfa so abɔ wo ho ban afi typhoid ho.
- Sɛ wo ho tɔ wo wɔ yare no mu mpo a, ebetumi aba sɛ ebia wobɛnya obi foforo, enti di wo duruyɛfo akwankyerɛ akyi na ama woanya awerɛhyem.
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