So wo ba ketewa no afi ase refefe te sɛ atiridiinini, afei wafi ase fefe bɔne ankasa, bere nyinaa? So ɛtɔ mmere bi a ɛma ɛyɛ den sɛ wobɛhome bere a worefefe no, na sɛ wohome a, ɛma “wohow” nnyigyei a ɛyɛ nwonwa ba? Eyi nyɛ ɔfe a ɛyɛ daa, ebetumi ayɛ ɔhome mu yare a ɛyɛ hu a wɔfrɛ no “ whooping cough ” wɔ kasa mu, na wɔfrɛ no aduruyɛ mu sɛ `( Pertussis )`. Ɛho hia paa sɛ wuhu eyi, titiriw sɛ wowɔ mmofra nkumaa wɔ wo fie a.
Dɛn ne ɔfe a ɛyɛ hu? Momma yɛnte ase tiawa.
Ɔfe a ɛyɛ hu yɛ ɔyare mmoawa a ɛde ɔyare mmoawa ba kɛse a ɛka yɛn menewa ne yɛn home kwan. Ebetumi aka obiara a wadi mfe biara, nanso asiane wom titiriw ma nkokoaa ne mmofra nkumaa. Efi ase sɛ atiridiinini a ɛtaa ba. Nanso bɛyɛ dapɛn biako anaa abien akyi no, ɛdan ɔfe a emu yɛ den a wontumi nsiw ano.
Saa ɔfe yi mma prɛko pɛ. Ɔfe no ba mpofirim, afei ɛsan ba bere tiaa bi akyi. Nnuruyɛfo frɛ saa ɔfe ntua yi ``paroxysms``. Sɛ ɔfe yi ba a, ɛbɛyɛ den paa sɛ wobɛdidi, anom, ahome, na wada mpo. Sɛ ɔfe no ba awiei na wobɔ mmɔden sɛ wobɛhome a, wote saa “whoop” nnyigyei a ano yɛ den no fi menewam. Nanso, nkokoaa nkumaa betumi ayɛ den sɛ wɔbɛhome a wɔrenfe.
Nnipa binom frɛ eyi “nnafua 100 ɔfe.” Nea enti a ɛte saa ne sɛ ebetumi agye adapɛn pii, asram pii mpo ansa na saa sɛnkyerɛnne ahorow yi agyae koraa.
Dɛn ne ɔfe a ɛyɛ hu ho sɛnkyerɛnne? Afanan biara
Ɔfe a ɛyɛ hu no nsɛe prɛko pɛ. Ɛkɔ so nkakrankakra fa akwan abiɛsa so. Momma yɛnhwɛ nea saa afã abiɛsa no yɛ.
| Prama | Nkyerɛmu |
|---|---|
| Ɔfã a edi kan: Te sɛ atiridii | Eyi akɔ so bɛyɛ dapɛn biako anaa abien ni. Eyi ne bere a yare no tumi kɔ nnipa mu kɛse, nanso yesusuw sɛ ɛyɛ atiridiinini ara kwa. Nsɛnkyerɛnne no ne: – Anom a ɛyɛ den ne hwene a ɛretu - Menemkuro – Nusuo a ɛfiri aniwa mu reba – Ɔfe kakra a ɛkɔ soro nkakrankakra – Nipadua a nkwa nnim – Atiridiinini kakra (ennu 100.4°F / 38°C) . |
| Ɔfã 2: Ɔfe a emu yɛ den | Eyi betumi adi dapɛn biako kosi adapɛn asia, anaasɛ adapɛn 10 mpo. Saa bere yi mu no, nsu a ɛyɛ den hyɛ mframa kwan no ma na ɔfe a emu yɛ den ba. – Ɔbobɔw a onnyae simma pii wɔ bere koro mu. – Sɛ wohome bere a woafe akyi a, wote “whoop” nnyigyei. – Ebia wobɛfe bere a worefefe na wo nipadua betumi abrɛ kɛse. – Ɔfe betumi akɔ soro bere a ɔresu, ɔredidi, anaa ɔreserew no. – Mefefe awia ne anadwo nyinaa, nanso ɛyɛ bɔne kɛse anadwo. |
| Ɔfã a Ɛto so Abiɛsa: Nkakrankakra a Wɔbɛsan Anya | Eyi betumi adi adapɛn 6. Saa bere yi mu no, ɔfe a emu yɛ den no mma te sɛ kan no. Nanso ɔfe ketewaa bi ba na ɛkɔ. Nkakrankakra, ɔfe no so tew. Nanso, saa bere yi mu no, nipadua no da so ara yɛ mmerɛw, enti ɛnyɛ den sɛ ɔhome mu nyarewa afoforo betumi anya. Enti, ɛho hia sɛ yɛhwɛ yiye. |
Hwɛ yiye titiriw wɔ nkokoaa nkumaa ho!
Ebia sɛnkyerɛnne ahorow a ɛwɔ nkokoaa nkumaa mu no bɛyɛ soronko wɔ nea ɛwɔ mpanyimfo ne mmofra a wɔanyinyin mu no ho. Ebia wɔrenfefe koraa, nanso ebia ɛbɛyɛ den ama wɔn sɛ wɔbɛhome.
- So ɛte sɛ nea wo ba no repere sɛ ɔbɛhome?
- So ɛte sɛ nea wo yafunu rekɔ mu bere a worehome no?
- So honam ani anaa anofafa a atwa ano no ho ahyia no dan bruu/fitaa esiane oxygen a enni hɔ nti ? Yɛfrɛ eyi `( cyanosis )`.
- So home gyae kakra? (ahomegyeɛ) .
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ntwentwɛn wo nan ase. Fa wo ba no kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
Ɔkwan bɛn so na saa yare yi nyin na ɛtrɛw?
Ɔyare mmoawa bi a wɔfrɛ no Bordetella pertussis na ɛde ɔfe a ɛyɛ hu ba. Saa mmoawa yi sɛe yɛn mframa kwan a ɛkata so no na ɛma ɛhohoro. Saa ɔfe yi ma nsu a ɛyɛ den ba na ɛma ɔfe a emu yɛ den.
Eyi yɛ yare a ɛde ɔyare mmoawa ba paa. Sɛ obi a ɔwɔ ɔyare no kɔfe , .Ɛnam nsuo nketenkete (ɔhome mu nsuo) a ɛba mframa mu bere a abofra no refefe no so trɛw kɔ afoforo mu. Fa no sɛ abofra bi a ɔwɔ wo ba adesuakuw mu wɔ saa yare yi. Hokwan kɛse wɔ hɔ sɛ wo ba no nso bɛkyere.
Mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ nnafua 5 kosi 10 akyi bere a wɔanya mmoawa no. Nanso, ɛtɔ mmere bi a etumi gye nnafua 21. Nkurɔfo betumi atrɛw yare no mu akɔ afoforo mu fi da a yare no ho sɛnkyerɛnne fi ase kosi adapɛn abiɛsa akyi bere a ɔfe a emu yɛ den afi ase no.
Nsɛnnennen a ebetumi aba esiane ɔfe a ɛyɛ hu nti
Yɛkaa sɛ eyi nyɛ ɔfe a ɛyɛ mmerɛw esiane nsɛnnennen a asiane wom a ebetumi de aba nti. Asiane no yɛ kɛse titiriw ma nkokoaa a wonnii asram 12.
| Nsɛnnennen a ebetumi aba nkokoaa ne mmofra nkumaa so | Nsɛnnennen a ebetumi aba mmerante ne mmabaa ne mpanyimfo mu |
|---|---|
| – Ahurututu mu yare `(Ahurututu mu yare)` – Aso mu yareɛ – Hwene mu mogya a ɛba – Ɔhome a entumi nyɛ adwuma yiye – Aduan pa a wonnya nni – Amemene a ɛsɛe (encephalopathy) – Eyi betumi ama amemene no asɛe daa anaasɛ owu mpo. | – Ahurututu mu yare `(Ahurututu mu yare)` – Wobubu mpampam wɔ kwan so kɔ Kahinā – Nhumu a ɛyera – Atiridiinini – Mu duru a ɛso tew – Nsuo a ɛntumi nkɔ (urinary incontinence) . |
Henanom na wɔwɔ asiane mu titiriw?
- Nkokoaa a wonnyaa nnuru a wɔde bɔ wɔn ho ban a wɔhwehwɛ (anaasɛ wɔn maame annye nnuru a wɔde bɔ wɔn ho ban bere a na wɔyem no) .
- Mmofra a wɔn nipadua mu ahoɔden a ɛko tia nyarewa no sua
- Mmofra a wɔwɔ ayamtu a emu yɛ den
Ɔkwan bɛn so na oduruyɛfo tumi hu yare yi pɛpɛɛpɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ saa nneɛma yi de ahu yare yi yiye:
- Nipadua mu nhwehwɛmu a wɔbɛyɛ: Wɔde afiri a wɔde tie asɛm si abofra no koko so, tie, na wɔyɛ no nyinaa mu nhwehwɛmu.
- Nsɛnkyerɛnne a wubebisa: Wobebisa wo sɛnea wo ɔfe no te, ne nnyigyei, ne bere tenten a atra hɔ.
- Nsuo a ɛyɛ nwini a wɔsɔ hwɛ: Wɔfa dua ketewaa bi a wɔde hyɛ hwene no mu na wɔde kɔ aduruyɛdan mu kɔhwɛ sɛ mmoawa no wɔ hɔ anaa.
Sɛ woka kyerɛ oduruyɛfo no sɛ ebia obi a watwa wo ho ahyia anya ɔfe a ɛyɛ hu anaasɛ ɔfe a ɛkɔ so daa a, ɛbɛboa kɛse ma woahu yare no.
Dɛn ne ayaresa ahorow a wɔde sa ɔfe a ɛyɛ hu?
Nnuruyɛfo kyerɛw nnuru a ekum ɔyare mmoawa de sa ɔfe a ɛyɛ hu. Nnuru a wɔtaa kyerɛw ma ne azithromycin ne clarithromycin.
Biribi a ɛho hia yiye ni: Nnuru a ekum ɔyare mmoawa remma wo ɔfe no nkɔ anaasɛ ɛremma wo ɔfe ntua a ɛtaa ba no so ntew. Nanso wobesiw wo kwan sɛ worentrɛw yare no mu mma afoforo. Afei nso, sɛ wufi ase nom no ntɛm wɔ yare no mu a, ebetumi atew sɛnea wo yare no mu yɛ den no so.
Sɛ wo ba no yare no mu yɛ den a, ebia ebehia sɛ wɔde no kɔ ayaresabea ma wɔsa no yare. Ɛhɔ no, nnuruyɛfo ne ayarehwɛfo betumi ahwɛ sɛnea abofra no home, ma no mframa pa sɛ ɛho hia a, na wɔama no nkyene aduru.
Bere aso sɛ wokɔ oduruyɛfo nkyɛn!
Wɔ nsɛm a edidi so yi mu no, hwɛ hu sɛ wode wo ba bɛkɔ oduruyɛfo nkyɛn.
- Sɛ wɔamma abofra no aduru a ɛfata a ɛko tia ɔfe a ɛyɛ hu a.
- Sɛ woatwa obi a ɔwɔ ɔfe a ɛyɛ hu ho ahyia a.
- Sɛ ɔfe no mu yɛ den, ɛyɛ den da biara da, anaasɛ ɔfe ka ho a.
- Sɛ wowɔ ɔfe ne atiridiinini a.
- Sɛ wuntumi mma nufusu, nufusu, anaa aduan nkɔ fam a.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ ayaresabea ntɛm ara!
Sɛ ɛyɛ den ma wo ba sɛ ɔbɛhome anaasɛ ne honam ani yɛ bruu/fitaa (titiriw anofafa ne nsateaa ano) a, frɛ 1990 ntɛm ara anaa fa no kɔ ayaresabea a ɛbɛn no Emergency Department (ETU)!
Nneɛma a wubetumi ayɛ wɔ fie na ama woanya ahotɔ
Bere a worenom nnuru a oduruyɛfo no akyerɛw ama wo no, wubetumi anya ahotɔ kakra denam saa nneɛma yi a wobɛyɛ wɔ fie no so.
- Ma ɛwo kakra: Ɛwo betumi aboa ma ɔfe no ano abrɛ ase. Nanso mma nkokoaa a wonnii afe biako ɛwo da! (Ebetumi de tebea a ɛyɛ hu a wɔfrɛ no `(botulism)` aba).
- Nya ahomegye pii: Ahomegye ho hia na ama nipadua no asa.
- Nom nsu pii: Sɛ wonom nneɛma te sɛ nsu ne soup a, ɛbɛma nsu a ɛyɛ den no ayɛ mmerɛw na ayɛ mmerɛw sɛ wobɛfefe.
- Fa afiri a ɛma nsuo yɛ nwini a nsuo yɛ nwini di dwuma: Eyi boa ma nsuo a ɛyɛ nwini no yɛ mmerɛw denam nsuo a ɛma nsuo a ɛyɛ nwini wɔ dan no mu no yɛ kɛseɛ so.
- Ma aduan kakraa bi: Sɛ woma no aduan kakraa bi sen sɛ wubedi aduan kɛse biako bere koro mu a, ebetumi aboa ma ɔfe so atew.
- Twe wo ho fi nneɛma a ɛkanyan ɔfe ho:Mfutuma, wusiw, ne nnuru a ano yɛ den (te sɛ nsu bi a wɔde tew nneɛma ho) betumi ama ɔfe ayɛ kɛse.
Wobɛyɛ dɛn atumi abɔ wo ho ban afi ɔfe a ɛyɛ hu ho?
Vaccination ne ɔkwan a eye sen biara ne ɔkwan biako pɛ a wobɛfa so abɔ wo ho ban afi saa yare a ɛyɛ hu yi ho.
- `(DTaP)` vaccine a wɔde ma mmofra nkumaa no.
- Wɔde `(Tdap)` vaccine no ma mmeranteɛ ne mmabaa, ɛnanom a wɔyem, ne mpaninfoɔ.
Saa nnuru yi brɛ asiane a ɛwɔ hɔ sɛ wubenya yare no ase, na sɛ wunya yare no a, ebetumi atew ne mu den ne ne nsɛnnennen so kɛse. Nanso, dodow a wo nsa ka aduru a wɔde bɔ wo ho ban no, dodow no ara na wo nipadua no mu tumi a ɛko tia nyarewa no so tew. Enti wo ne wo ba no nkasa mfa vaccination nhyehyɛe a wɔayɛ ama wo ne wo ba no ho.
Wɔ tebea horow bi mu no, sɛ wo ne obi a ɔwɔ yare no di nkitaho a, ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa a wɔde siw ano sɛ nea wode besiw ano, ansa na sɛnkyerɛnne ahorow mpo ada adi.
Nkrasɛm a Wɔde Kɔ Fie
- Ɔfe a ɛyɛ hu nyɛ atiridii anaa ɔfe a ɛtaa ba ara kwa. Ɛyɛ ɔyare mmoawa a emu yɛ den a ebetumi akum nnipa, titiriw mmofra nkumaa.
- Ɔkwan pa a wobɛfa so abɔ wo ho ban afi eyi ho ne sɛ wobɛbɔ wo ho ban. Wo ne wo duruyɛfo nkasa na ama woahwɛ ahu sɛ wo ba ne wo ankasa nim wo nnuru a wɔde bɔ wo ho ban no.
- Sɛ wususuw sɛ wowɔ ɔfe a ɛyɛ hu a, hwehwɛ aduruyɛfo afotu ntɛm ara. Sɛ wɔsa yare no ntɛm a, ebetumi aboa ma wɔasiw yare no ntrɛwmu ano.
- Sɛ wuhu sɛ ɛyɛ den sɛ abofra bi home anaasɛ ɔbɛyɛ bruu a, ɛyɛ ntɛmpɛ. Kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
- Nnuru a ekum ɔyare mmoawa nsa ɔfe, nanso ɛmma yare no ntrɛw nkɔ afoforo mu. Ɛho hia sɛ wonom nnuru dodow a wo duruyɛfo akyerɛw ama wo no nyinaa.
Ɔfefe, Pertussis wɔ Sinhala kasa mu, nnafua 100 ɔfe, mmofra ɔfe, ɔhome a ɛyɛ den, ɔfe aduru, ɔfe aduru
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