Ðe asrã, ŋutilã vea wò, alo fifia nɔa fu ɖem na wò ɣeaɖewoɣi le susu manɔmeea? Ðe nusiawo nu yina le ŋkeke ʋee aɖewo megbe eye wogatrɔna vaa? Àsusu be esia nye dɔlékui ƒe dzoxɔxɔ si sɔ. Gake ate ŋu axɔe na mí tso lãwo hã me, eye ate ŋu anye dɔléle si ɣla ɖe ŋutilã me hã. Egbea míele nu ƒom tso dɔléle sia tɔgbe ŋu. Emae nye Brucellosis ƒe dɔléle. Togbɔ be ŋkɔ sia nye esi wɔ nuku vie hã la, ele vevie ŋutɔ be nànya nu tso eŋu.
Nuka tututue nye Brucellosis?
Kpuie ko la, brucellosis nye dɔléle si dɔlékui aɖe si woyɔna be `Brucella` hena vɛ. Esia ƒe etɔxɛe nye be lãwo gbɔe wòtsona na mí . Eyata míeyɔnɛ hã be lãwo ƒe dɔléle. Wogayɔa dɔléle sia be Malta asrã kple Mediterranea asrã.
Le dɔléle sia me la, dzesiwo abe asrã, ƒunukpeƒeveame, kple fifia ene ate ŋu ava hedzo, emegbe woagatrɔ ava, eye woate ŋu anɔ anyi ɣleti geɖe, alo ƒe geɖe gɔ̃ hã.
Amekawoe le afɔku gã me be woaxɔ dɔléle sia?
Wokpɔa dɔléle sia le dukɔ geɖe me le xexeame godoo. Ne ènye ame siwo gbɔna la dometɔ ɖeka la, ke dɔléle sia xɔxɔ ƒe afɔku le eme vie.
- Lãwo ƒe dɔdala alo amesi wɔa dɔ kple lãwo.
- Ne èle dɔ wɔm le nyinotsi agble alo lãnyiƒe.
- Ne èwɔa dɔ le lãdzraƒe, lãwuƒe, alo tsɔa lã ƒuƒu wɔa dɔe.
- Ne ame aɖe le ade dam lãwo.
- Ne èwɔa dɔ le dodokpɔxɔ si wɔa dodokpɔwo le `Brucella` dɔlékuiwo ŋu.
- Ne èɖua lã si womeɖa nyuie o alo nèɖua notsi si me dɔlékuiwutike mele o kple nyinotsibabla (e.g. cheese, yogurt).
Togbɔ be womegblɔa dɔléle sia le Sri Lanka zi geɖe o hã la, wokpɔa ame siwo ade 500,000 le xexeame katã ƒe sia ƒe. Eyata ele vevie ŋutɔ be amesiwo le afɔku ƒe ƒuƒoƒowo me nanya esia.
Nukae nye dɔléle sia ƒe dzesiwo?
Brucella dɔlékui ƒe dzesiwo xɔa kwasiɖa eve va ɖo ene alo esi wu nenema hafi dzena. Bu alesi wòate ɖe ame dzii be dzesi siawo nava nɔ dodom ɣleti geɖe. Eyata, nɔ ŋudzɔ ɖe dzesi siawo ŋu.
| Dzesi si dzena | Nyatakaka bubuwo |
|---|---|
| Asrã | Asrãa ate ŋu adzi ɖe edzi alo aɖiɖi tso ŋkeke yi ŋkeke. |
| Fifia ƒe ʋuʋu | Ɣeaɖewoɣi la, fifia ate ŋu aʋẽna abe aŋɔ ene. |
| Ƒunukpeƒewo ƒe vevesese | Vevesese, vevietɔ le akɔta, klo, alo akɔta. |
| Kpekpeme dzi ɖeɖe kpɔtɔ | Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee. |
| Taɖuame | Taɖuame enuenu. |
| Nɔnɔme bubuwo | Dɔgbo ƒe veve, nuɖuɖu megadzroa ame o, blanuiléle, ʋuka siwo vuvu eye wole veve sem, kple gbɔdzɔgbɔdzɔ ƒe seselelãme. |
Aleke brucellosis sia kakana ɖe mía me?
Brucella dɔlékui ƒomevi vovovowo li siwo hea dɔléle sia vɛ. Lãwo ƒe ŋutilã me koŋue dɔlékui sia nɔa. Le kpɔɖeŋu me:
- Nyi
- Gbɔ̃wo
- Hawo
- Sẽ
- Alẽ
- Avuwo
- Tedziwo
Mɔ vevi geɖewo li siwo dzi míato axɔ dɔlélea tso lã siawo gbɔ.
| Mɔnu si dzi woato akakae | Kpuie ko la,... |
|---|---|
| Notsi si me dɔlékui mele o ɖuɖu | To notsi ƒuƒu nono tso lã si ŋu dɔlélea le gbɔ alo cheese, ice cream, kple bubu siwo wotsɔ notsi ma wɔe ɖuɖu me. Pasteurization nye alesi wodoa dzo na notsi be wòawu dɔlékuiwo. Notsi si wotsɔ dɔlékuiwutike wɔe la le dedie be woano. |
| Lã si ŋu dɔlélea le ƒe ŋutilã ƒe akpa aɖewo alo tsiwo ƒe kadodo | Dɔlékuiwo ate ŋu age ɖe wò ŋutilã me to lãɖeɖe alo abi si le wò ŋutigbalẽ ŋu, alo to wò ŋku, ŋɔti, alo nu me. |
| Dɔlékuiwo ƒe gbɔgbɔ | To dɔlékui siwo le ya me gbɔgbɔ tso lãwo ƒe lã alo ʋu si ŋu dɔlélea le me. Ame siwo wɔa dɔ le agblewo dzi kple lãwuƒewo la le afɔku gã aɖe me. |
| Lãgbalẽ siwo womeɖa nyuie o | To lã si womeɖa nyuie o si tso lã si ŋu dɔlélea le gbɔ ɖuɖu me. |
Vevietɔ la, ƒã ŋutɔ be dɔléle sia naxɔ tso ame me ayi ame bubu gbɔ . Gake ƒã ŋutɔ be dɔlélea kaka tso vidada funɔ gbɔ yi via gbɔ, to no nanae alo to gbɔdɔdɔ me. Gake womebua esia be enye gbɔdɔdɔ ƒe dɔléle (STI) o.
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi ɖɔkta gbɔ la, abia wò dzesiwo, nenye be èle dɔ wɔm kple lãwo, alo ɖe nèno notsi ƒuƒu. Esi wònye be brucellosis ƒe dzesiwo sɔ kple dɔléle bubuwo ta la, ehiã be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
- Ʋudodokpɔ: Woɖea wò ʋu be woatsɔ akpɔe ɖa be dɔlékuiwutike siwo tsi tre ɖe Brucella dɔlékuiawo ŋu hã. Woate ŋu ade ʋu si woɖe tso eme hã le dodokpɔxɔ me akpɔe ɖa be dɔlékuiawo le eme hã. Gake esi dɔlékuiawo tsina blewu ta la, ate ŋu axɔ kwasiɖa geɖe hafi woakpɔ emetsonua.
- Ŋutilã me tsi bubuwo dodokpɔ: Nuwo abe aklã me tsi kple ƒunukpeƒetsi ene dodokpɔ ate ŋu adi dɔlékuiawo hã.
- Tissue biopsy: Woɖea lãkusi sue aɖe tso teƒe aɖe abe ƒumeŋuɖui ene me eye wodoa wo kpɔna.
- Nɔnɔmetatawo dodokpɔ: Le wò dzesiwo nu la, woate ŋu awɔ dodokpɔwo abe X-ray, CT scan, kple MRI ene atsɔ akpɔe ɖa be nu gblẽ le ŋutinuwo abe ƒuwo, aklã, kple dzi ene ŋu hã.
Nukawoe nye atike siwo wozãna na esia?
Nya nyuiae nye be woate ŋu atsɔ dɔlékuiwutikewo ada brucellosis keŋkeŋ . Gake vovototo sue aɖe le wo dome.
Àhiã dɔlékuiwutike ƒomevi eve ya teti ɖekae, hena kwasiɖa 6-8 ya teti.Wotsɔe na ɣeyiɣi didi aɖe, abe. Esi dɔlékui sia ɣla eɖokui ɖe ŋutilã ƒe lãmenugbagbeviwo me ta la, ehiã be woawɔ atike nɛ ɣeyiɣi didi hafi ate ŋu atsrɔ̃e keŋkeŋ.
Dɔlékuiwutike siwo wò ɖɔkta ate ŋu aŋlɔ na wò ate ŋu anye:
- ` Doxycycline ( Doxycycline ( Doxycycline) ) `. Nusiwo wotsɔna ƒoa ƒui
- `Rifampin`
- `Streptomycin` alo `Gentamicin`
- `Trimethoprim/sulfamethoxazole (TMP/SMX) ƒe dɔlékuiwutike`
- `Ciprofloxacin` ƒe atike
Vevietɔ ŋutɔ: Ele vevie be woano atike la le ɣeyiɣi si katã ɖɔktaa ŋlɔ nɛ me, eye ŋkeke ɖeka pɛ hã mato ŋuwò o. Ne èdzudzɔ atikeawo nono le afã me, ne èse le ɖokuiwò me be yeƒe lãme sẽ vie gɔ̃ hã la, mɔnukpɔkpɔ si li be dɔlélea nagatrɔ ava la lolo wu sã.
Bia wò ɖɔkta tso atike bubu siwo nàte ŋu ano atsɔ aɖu dzesiwo abe dzoxɔxɔ kple ƒunukpeƒeveame ene dzi.
Nukae dzɔna le atikewɔwɔ vɔ megbe? Ðe kuxi aɖewo li?
Ame akpa gãtɔ hayana keŋkeŋ le atikewɔwɔ vɔ megbe, gake dzesiwo abe ƒunukpeƒetetedɔ (ƒunukpeƒetetedɔ) ene ate ŋu anɔ wo dometɔ aɖewo ŋu ɣeyiɣi didi aɖe.
Ne womeda dɔlélea nyuie o la, kuxi sesẽwo ate ŋu ado mo ɖa le ɣeyiɣi aɖe megbe.
- Ƒunukpeƒetetedɔ si nɔa anyi ɖaa.
- Aklã ƒe vuvu (Hepatomegaly) alo dɔgbo (Splenomegaly).
- Dɔlékuiwo xɔxɔ le dzia ƒe akpa si le eme (endocarditis).
- Dɔlékui siwo le ahɔhɔ̃ alo ahɔhɔ̃ ƒe nutsyɔnu (Encephalitis alo Meningitis).
- Dɔlékui siwo le aklã me (Spondylitis) alo ƒu bubuwo (Osteomyelitis).
- Vidzidɔ kple ʋuka siwo do ƒome kplii ƒe vuvu le ŋutsuwo me (Epididymo-orchitis).
- Vidada si fɔ fu ƒe fuɖeɖe.
Togbɔ be afɔku le kuxi siawo me hã la, woate ŋu axe mɔ ɖe wo nu ne wokpɔ dɔlélea kaba eye wodae nyuie . Dɔléle sia ƒe ku mebɔ kura o.
Nukae wòle be míawɔ atsɔ akpɔ mía ɖokui ta tso dɔléle sia si me?
Nu nyuitɔ si nàwɔe nye be nàƒo asa na brucellosis. Nu bɔbɔe ʋɛ aɖewo li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò.
- Mègano notsi si wometsɔ dɔlékuiwutike o (si womeɖa o) gbeɖe o. Azɔ hã, ƒo asa na nuɖuɖu siwo wotsɔ notsi ƒuƒu wɔe, abe cheese kple yogurt ene.
- Ne èle dɔ wɔm kple lãwo (agbledela, lãwo ƒe dɔdala, lãwula) la, do ametakpɔnu , abe asigɛwo kple ŋkumeɖobolo ene ɣesiaɣi .
- Miɖa lãwo nyuie eye miaɖu wo.
- Klɔ asi nyuie kple adzalẽ ɣesiaɣi ne ètsɔ lã ƒuƒu wɔ dɔe vɔ. Klɔ lãtsoƒe kple hɛwo hã ŋu.
Ɣekaɣie wòle be makpɔ ɖɔkta? Ɣeyiɣi kawoe wòle be woayi ETU?
Ne dzesi siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò, vevietɔ ne ènye amesi wɔa nu kple lãwo la, kpɔ egbɔ be yeyi ɖɔkta gbɔ .
Azɔ hã, ne èkpɔ dzesi sesẽ siwo gbɔna la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Asrã sesẽ si wu Celsius 39.4 (103 Fahrenheit).
- Dɔgbo ƒe vevesese sesẽ ŋutɔ.
- Tɔtɔ alo susu ƒe tɔtrɔ.
Le nɔnɔme sia tɔgbe me la, woate ŋu axe mɔ ɖe kuxi sesẽwo nu ne wobia atikewɔlawo ƒe aɖaŋuɖoɖo kaba tsɔ wu be woanɔ aƒeme.
Gbedasi si Wotsɔ Yi Aƒeme
- Brucellosis nye dɔlékui ƒe dɔléle si woxɔna tso lãwo gbɔ yia amegbetɔwo gbɔ.
- Dzesi vevitɔwoe nye dzoxɔxɔ enuenu, ƒunukpeƒeveame, kple fifia.
- Woate ŋu axɔ dɔléle sia to notsi ƒuƒu nono, lã si womeɖa nyuie o ɖuɖu, kple asikaka lã siwo ŋu dɔlélea le ŋu me.
- Atikewɔwɔ bia be woazã dɔlékuiwutike siwo nɔa anyi didi (kwasiɖa 6-8), eye ele vevie be woano atikeawo hena ɣeyiɣi bliboa si ɖɔktaa ŋlɔ nɛ.
- Woate ŋu aƒo asa na dɔléle sia keŋkeŋ ne wowɔ ɖe dedienɔnɔ ƒe ɖoɖowo dzi (notsi si me dɔlékui mele o nono, lã ɖaɖa nyuie, kple ametakpɔnu dodo ne wole lãwo zãm).
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