So wunim nwansena yare yi a ebetumi atra wo yafunu mu mfe pii no ho asɛm? (Ayare a ɛyɛ den) .

Yɛn nyinaa ate nwansena ho asɛm wɔ yɛn mmofraase, ɛnte saa? Sɛ yɛdwen nwansena ho a, yɛtaa dwen biribi a wobetumi de aduru kakra asa ho. Nanso so wunim sɛ nwansena ahorow bi wɔ hɔ a wobetumi atra wo nipadua mu mfe pii, mfe du du mpo, a wɔmfa sɛnkyerɛnne biara mma? Ɛnnɛ yɛreka nwansena yare a emu yɛ den kɛse a ahintaw ho asɛm. Wɔfrɛ eyi sɛ Strongyloidiasis.

Sɛ yɛbɛka no tiawa a, dɛn ne Strongyloidiasis?

Strongyloidiasis yɛ dwensɔtwaa mu yareɛ a ɛnam nwansena kurukuruwa bi a wɔfrɛ no `Strongyloides stercoralis` so na ɛba. Ade titiriw a ɛwɔ eyi ho ne sɛ saa ɔkraman yi to nkesua wɔ wo dwensɔtwaa mu, na nwansena a wofi saa nkesua no mu ba no betumi asan anya wo nipadua no bio. Yɛfrɛ eyi `autoinfection`. Ɛte sɛ ɔdansefo a ɔte ofie bi mu a ontu mfi hɔ, na mmom ɔne abusua no tu kɔtra. Eyi nti na ɔyare mmoawa yi tumi tra hɔ mfe pii a enni sɛnkyerɛnne biara no.

Ɔkwan bɛn so na saa nwansena yi hyɛn nipadua no mu?

Ɔyare mmoawa a ɔde eyi ba, Strongyloides nwansena, te asase a ɛho agu fĩ, nsu, anaa nsu mu. Sɛ woda mpaboa nantew wɔ dɔte a ɛho agu fĩ mu, woyɛ adwuma wɔ afuw mu, anaasɛ wo ne nsu a ɛho ntew di nkitaho a, saa nwansena nwansena yi tumi hyɛn wo honam ani na wɔhyɛn wo nipadua mu. Sɛ wodu mu pɛ a, saa nwansena yi fa wo mogya mu na awiei koraa no wodu wo dwensɔtwaa ketewa no mu. Ɛhɔ na wɔto wɔn nkesua. Ɔbere tumi to nkesua bɛyɛ 40 da biara. Saa nkesua yi bi tu kɔ nsu mu na ɛde efĩ ba asase no so bio. Afei nwansena a efi nkesua afoforo no mu ba no hyɛn honam ani a atwa dwensɔtwaa no fasu anaa akyi berɛmo no ho ahyia no mu na ɛsan hyɛn wo nipadua mu bio, na ɛtoa kyinhyia a wɔfrɛ no autoinfection no so.

Dɛn ne eyi ho sɛnkyerɛnne?

Ade a ɛyɛ nwonwa wɔ eyi ho ne sɛ ɛkame ayɛ sɛ nnipa a wɔwɔ saa ɔyare yi mu fã nkyerɛ yare no ho sɛnkyerɛnne biara. Ɛno nti na wonnim mpo sɛ wɔwɔ saa yare yi. Wɔn a wonya yare no ho sɛnkyerɛnne no taa nya aduan mu haw.

Ɔkwan bɛn so na wobetumi ahu yare no pɛpɛɛpɛ?

Saa yare yi a wobehu no betumi ayɛ den. Efisɛ sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nsu mu nsu mu a, ɛnyɛ bere nyinaa na wohu nwansena no. Enti, sɛ wɔsɔ nsu a wɔde yɛ nneɛma pii hwɛ (anyɛ yiye koraa no 3-5) wɔ nna pii mu a, ebetumi ama wɔanya nea wotumi de ho to so kɛse. Nea ɛka ho no, ɛtɔ mmere bi a wobetumi ayɛ mogya mu nhwehwɛmu de ahwɛ sɛ ebia nnuru a ekum ɔyare mmoawa no wɔ hɔ anaa. Sɛ yare no akɔ anim na aka ahurututu no a, wobetumi asɔ nsu a efi ahurututu mu (ahurututu) anaa nsu a efi dwensɔtwaa ketewa no mu ahwɛ de asi so dua sɛ wɔahu.

Henanom na eyi betumi ayɛ asiane ama wɔn? (Hyperinfection Syndrome) .

Sɛ nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw a, saa nwansena yi a woguan fi nipadua no tumi so no dɔɔso dodo, fi dwensɔtwaa no mu na wofi ase trɛw kɔ nipadua no akwaa afoforo a ɛho hia te sɛ ahurututu, mmerɛbo, koma, ne amemene mu. Yɛfrɛ saa tebea yi `Hyperinfection Syndrome`. Wɔ tebea a ɛte saa mu no, nnipa dodow a wowuwu no betumi akɔ soro akodu 80%.

Nnipa a asiane kɛse wom sɛ wobenya Hyperinfection Syndrome:

• Nnuru a wɔde yɛ steroid `(Nnipa a wɔnom nnuru a wɔde yɛ steroid bere tenten (e.g. nyarewa te sɛ ayamtu ne ntini mu yare) .
• Nnipa a wɔreyɛ kokoram (titiriw mogya mu kokoram) ayaresa .
• Nnipa a wɔayɛ wɔn akwaa foforo na wɔrenom nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano
• Nnipa a wɔwɔ asikreyare
• Nnipa a wɔanya HIV
• Nnipa a wɔwɔ mmoawa a wɔntaa nhu a wɔfrɛ wɔn `HTLV-1`
• Nnipa a wɔnom nsa boro so
• Nnipa a wɔwɔ nyarewa a enni sabea te sɛ asaabo a entumi nyɛ adwuma yiye

Ɔkwan bɛn so na wɔsa? Na ɔkwan bɛn so na wosiw ano?

Ayaresa a etu mpɔn yiye wɔ hɔ a wɔde sa yare yi. Sɛ ɔyare mmoawa a ɛtaa ba a, wobetumi de aduru bi a wɔfrɛ no `Ivermectin` ama nnafua 1-2. Wɔ tebea horow bi mu no, wɔde aduru bi a wɔfrɛ no `Albendazole` ma nnafua 7. Nanso kae sɛ, nnom nnuru yi wɔ nnurutɔnbea sɛnea wopɛ. Akyinnye biara nni ho sɛ ɛsɛ sɛ wuhu oduruyɛfo na wonom dodow a wɔakyerɛw ama wo ne bere tenten a wɔde sa yare no. Titiriw wɔ `Hyperinfection Syndrome` a emu yɛ den mu no, ɛsɛ sɛ wɔde wo kɔ ayaresabea na wɔsa wo adapɛn pii.

Siw a wosiw ano ye sen biara!

Nneɛma nketenkete bi wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi yare yi ho:

• Hyɛ mpaboa: Hwɛ hu sɛ wobɛhyɛ mpaboa anaa mpaboa, titiriw bere a wonam dɔte, atɛkyɛ, anaa asase a ɛyɛ nsu so no. Ɛsɛ sɛ nnipa a wɔyɛ turo anaa kuayɛ no hwɛ yiye wɔ eyi ho.
• Tiafi a wɔde di dwuma ne nwura a wɔde di dwuma: Di ahotew ho nhyehyɛe a ɛfata akyi. Siw nwura a ɛbɛboaboa ano wɔ nneɛma a atwa yɛn ho ahyia no ano.
• Ahotew: Kwati sɛ wobɛka nsu fĩ anaa mmeae a efĩ wɔ.
• Afieboa: Yi afieboa te sɛ akraman nsu fi mu yiye na siesie.

Strongyloidiasis, nwansena nyarewa, dwensɔtwaa mu nwansena, Strongyloides, nyarewa a efi asase mu, ɔyare mmoawa a ɛboro so, Ivermectin