A bɛna siran dɔɔnin n’i ye i ɲɛ lajɛ fiɲɛn na don dɔ k’a ye ko i nɛnkun, walima i denmisɛnnin nɛnkun bilennen don kosɛbɛ ka tɛmɛ a cogo kɔrɔ kan, kuru misɛnninw bɛ a la minnu bɛ i n’a fɔ kisɛ minnu bɛ shɔ sanfɛ. Furakɛcogo la, an bɛ min Weele ko ‘Strawberry Tongue’, o de ye. Mɔgɔ dɔw fana b’a Weele ko ‘Raspberry Tongue’ k’a sababu Kɛ a yecogo ye. Hali ni nin tɔgɔ in bɛ se k’aw hakili jigin jiriden duman dɔ la, nin cogoya in tɛ ko ɲumanba ye. Nka, i kana i hakili ɲagami. Bi, an bɛna kuma an ka kan ka min kɛ ni aw ye nin ye ani min bɛ se ka kɛ a sababu ye.
‘Fɛsɛkan’ ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, a ka c’a la, kan kɛnɛman bɛ kɛ pinɛ ye, wa a ɲɛda la, kuru misɛnninw (papillae) ka fin kosɛbɛ. Nka ‘sɔgɔsɔgɔninjɛ kan’ ta la, kan bɛ bilen jɛman, o kurukuru finmanw bɛ funu ka bonya, ka kɛ i n’a fɔ shɔ kisɛw.
Min nafa ka bon, o ye ko ‘fiɲɛ kan’ tɛ bana ye. O ye bana wɛrɛ taamasiɲɛ ye . I n’a fɔ farigan bɛ mɔgɔ la cogo min na. Sumaya tɛ bana ye, a ye bana dɔ taamasiɲɛ ye. Wa nin fana bɛ ten.
O la, ni nin taamasiɲɛ ninnu dɔ bɛ aw walima aw den na, a nafa ka bon ka taa dɔgɔtɔrɔso la walasa ka a dɔn tigitigi min bɛ a sababu ye.
‘Fara kan’ sababuba ye jumɛnw ye?
Furakɛcogo kunba saba bɛ yen minnu bɛ se ka kɛ sababu ye ka ‘sɔgɔsɔgɔninjɛ kan’ taamasiɲɛ bila mɔgɔ la. Olu bɛ furakɛli teliya de wajibiya.
1. Sumaya bilenman
2. Toxic Shock Syndrome (TSS) .
3. Kawasaki bana
Ka fara nin sababuba saba ninnu kan, nin taamasiɲɛ in bɛ se ka sɔrɔ sababu wɛrɛw fana fɛ, minnu man ca kosɛbɛ. Misali la, faritanabana dumuni walima fura dɔw la, witamini B12 dɛsɛ, ani banakisɛ dɔw minnu man teli ka sɔrɔ (misali la, Yersinia pseudotuberculosis, sumaya jɛman). Nka, a sababu saba fɔlɔw de ka ca.
Sisan an ka nin furakɛlicogo kunbaba saba in lajɛ ani taamasiɲɛ wɛrɛ minnu bɛ se ka kɛ u la ka fara ‘sɔgɔsɔgɔninjɛ kan’ taamasiɲɛ kan min bɛ nin ja in kɔnɔ. O bɛna a to a ka nɔgɔn aw ma ka danfara minnu bɛ nin bana ninnu ni ɲɔgɔn cɛ, olu faamuya.
| Cogo | Taamasiɲɛ minnu bɛ tali kɛ ɲɔgɔn na |
|---|---|
| Sumaya bilenman |
|
| Sɔgɔsɔgɔninjɛ toxic (TSS) . |
|
| Kawasaki bana |
|
Dɔɔni dɔɔni ka ɲɛsin sumaya bilenman ma
Nin ye bana ye min bɛ sɔrɔ banakisɛ dɔ fɛ min bɛ wele ko kulu A Streptococcus. Nin ye banakisɛ kelen ye min bɛ se ka sɔgɔsɔgɔninjɛ bila mɔgɔ la. Nka sumaya bilenman na, o banakisɛ bɛ baga dɔ bɔ. O baga bɛ kɛ sababu ye ka joginda bilenmanw ni ‘fɛrɛn kan’. Hali ni nin bana in bɛ se ka mɔgɔ o mɔgɔ minɛ, a si hakɛ, a ka ca denmisɛnniw na minnu si bɛ san 5 ni san 15 cɛ.
Sɔgɔsɔgɔninjɛ toxic (TSS) .
Nin ye bana ye min man ca kosɛbɛ nka a ka jugu. A bɛ sɔrɔ Staphylococcus ni Streptococcus banakisɛw falenni fɛ min tɛ se ka kunbɛn ani u bɛ baga minnu bɔ, olu bɛ don farikolo la. Mɔgɔ caman b’a miiri ko nin ye ko ye min bɛ kɛ musow dɔrɔn de la ni u bɛ tampon ta, nka o tɛ tiɲɛ ye. Mɔgɔ o mɔgɔ, cɛya mana kɛ min o min ye, o bɛ se ka nin bana in sɔrɔ. Ikomi TSS taamasiɲɛw bɛ bɔ joona kosɛbɛ, ni o taamasiɲɛw bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la joona dɔgɔtɔrɔso la (ETU).
Kawasaki bana
Nin fana ye bana ye min man teli ka sɔrɔ. A bɛ sɔrɔ joli siraw fununi fɛ farikolo la. Ni a ma furakɛ ka ɲɛ, joli sira minnu bɛ joli lase dusukun ma (koronɛriw) olu bɛ se ka tiɲɛ. O sababu tigitigi ma Dɔn fɔlɔ. Nka, a ka ca denmisɛnniw na minnu si bɛ kalo 6 ni san 5 cɛ. O la, ni denmisɛn fitini dɔ kan bɛ i n’a fɔ shɔni ani a taamasiɲɛ minnu fɔra sanfɛ ka fara sumaya kan, dɔgɔtɔrɔw bɛ sigasiga kɛrɛnkɛrɛnnenya la.
O la sa, i bɛ nin furakɛ cogo di?
Ikomi ‘fɛrɛn kan’ ye taamasiɲɛ ye, furakɛli bɛ ɲɛsin bana basigilen ma min ye a sababu ye. Ni o bana in kɛnɛyara, kan bɛ segin a cogo kɔrɔ la.
- Banakisɛfagalanw : Ni banakisɛfagalanw bɛ u la i n’a fɔ sumaya bilenman ni TSS, aw ka dɔgɔtɔrɔ bɛna banakisɛfagalanw di aw ma. A ka ca a la, furakɛli kɛcogo min bɛ se tile 10 ɲɔgɔn ma, o de ka kan.
- Immune globuline (IVIG): Nin furakɛli in bɛ kɛ jolisira fɛ (IV) denmisɛnni na min bɛ ni Kawasaki bana ye dɔgɔtɔrɔso la. A bɛ funu kunbɛn min bɛ bana taamasiɲɛw bila mɔgɔ la.
- Histaminiw : Ni faritanabana taamasiɲɛ in sababu bɔra faritanabana dɔ la, o fura ninnu bɛ se ka dɔ bɔ funu ni bilenni na.
- Witamini B12 : Nin ye sababu ye min man ca kosɛbɛ. Ni a bɛ sɔrɔ witamini B12 dɛsɛ fɛ, a bɛ se ka kɛ aw ka kan ka dumuni caman dun witamini B12 bɛ minnu na walima ka furakisɛ dɔ ta i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na.
Mun bɛ se ka kɛ ni a ma furakɛ?
An bɛɛ bɛ siran o ɲɛ. Nka, i kana siran. Ni aw taara dɔgɔtɔrɔso la joona ka furakɛli kɛ, o farati si tɛna kɛ. Nka ni aw ma fura sɔrɔ, o bɛ se ka kɛ sababu ye ka faratiba lase kɛnɛya ma.
Misali la, ni a ma furakɛ, Kawasaki bana bɛ se ka den dusukun joli siraw tiɲɛ kudayi, o bɛ na ni dusukunnabana ye a si bɛɛ la. O cogo kelen na, sumaya bilenman ni TSS banakisɛ minnu ma furakɛ, olu bɛ se ka jɛnsɛn farikolo fan bɛɛ la, ka kɔnɔnafɛnw tiɲɛ i n’a fɔ sugunɛ.
O la, ni aw ye ‘sɔgɔsɔgɔninjɛ kan’ taamasiɲɛ ye, aw kana aw hakili ɲagami kun tɛ o kɔlɔlɔ jugu suguw la. Nka, aw hakili to a la ko nin ye taamasiɲɛ jugumanba ye min bɛ se ka jira dɔgɔtɔrɔ la.
Take-Home cikan
- ‘Strawberry Tongue’ tɛ bana ye, a ye bana wɛrɛ taamasyɛn ye.
- O bɛ se ka kɛ bana jugu dɔ taamasiɲɛ ye i n’a fɔ sumaya bilenman, toxic shock syndrome (TSS), walima Kawasaki bana.
- Ni aw ye nin taamasiɲɛ in ye aw walima aw den nɛnkun na, aw kana siran ka taa dɔgɔtɔrɔso la min bɛ se kosɛbɛ.
- Bana basigilen min bɛ nin taamasiɲɛ in bila mɔgɔ la, o furakɛli teliya bɛ se ka gɛlɛya jugumanw bali pewu.
- Nin tɛ bana ye min bɛna kɛnɛya a yɛrɛ ma, o la aw kana aw ɲɛmajɔ abada.
👩🏽 ⚕️ Ɲininkali wɛrɛw (FAQs)
💬 Farikolo wulicogo dɔgɔyali ye mun ye?
Nin tɛ kɔrɔya ye min bɛ kɛ cogo la! ‘Fɔri Turgor dɔgɔyali’ ye waati ye ni fari min bɛ aw bolo kɔfɛ (bolo kɔkanna) walima aw kɔnɔbara kan (pinch test) o tɛ segin a cogo kɔrɔ la joona, nka o nɔ na, a bɛ ‘fanibugu’ kɛ segin/miniti damadɔ kɔnɔ (Fantisi taamasiyɛn / fari fanibugu) wa a ye furakɛli kɔrɔtɔko ye min farati ka bon kosɛbɛ! O kɔrɔ ye ko banabagatɔ fariji bɛ ban 100% (Dɛsɛ jugumanba).
💬 Kunba jumɛnw de b’a to mɔgɔ fari bɛ ban a ka elasticity/sag (Decreased Turgor) la?
O kunba ni a kun kelenpe min bɛ diɲɛ kɔnɔ, o ye ko ji litiri caman minnu bɛ farikolo la, olu bɛ barika fili kɛnɛma, ka ‘Fɛɛrɛbɔ jugumanba’ bɛ kɛ! 1) ‘Kɔnɔboli jugumanba/Kɔnɔboli-ɲɔgɔnna)’ min tɛ muɲu ani fɔɔnɔ min bɛ to sen na (Fɔɔnɔ). 2) Jabɛtibanabagatɔw ka sukaro hakɛ bɛ se 500-600 ma, u bɛ koli kɛ tile bɛɛ (DKA / Hyperosmolar state). 3) Sumaya ka a sababu kɛ funteni jugumanba ye (Heat stroke). 4) Mɔgɔkɔrɔbaw bɛ ɲinɛ/tɛ se ka ji min.
💬 Mun na banabagatɔ min ka farigan dɔgɔyara, n’a ma kɛnɛya a samalen kɔfɛ ka bɔ a la, o ka kan ka taa ni a ye dɔgɔtɔrɔso la joona, sanni ka ORS di a ma so kɔnɔ?
Fari tantili nin cogo la, o kɔrɔ ye ko i mana ji/ji hakɛ min min so kɔnɔ, o tɛ foyi ye! Farati min ka bon ni farati tɔw bɛɛ ye ani min bɛ mɔgɔ faga kosɛbɛ! Ka fara nin taamasiɲɛ ninnu kan, 1) ‘Jɛkabaara/Sɔgɔsɔgɔninjɛ’, 2) Koli tɛ kɛ tile bɛɛ/sugunɛ bɛ kɛ jɛman dibiman ye (Oliguria-kidney failure!), 3) Dusukun tantanni teliya (Dusukun tantanni teliya >120), banabagatɔ bɛ se ka don kɔma la (Hypovolemic shock) lɛrɛ damadɔ kɔnɔ, wa a ka kan ka taa ni i ye dɔgɔtɔrɔso la joona ka IV di i ma jilamaw!











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