Asrã wɔnuku aɖe si lãwo tsɔna naa? Mina míaƒo nu tso Brucellosis ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yegbɔdzɔ le susu aɖeke manɔmeea? Wò ƒunukpeƒewo le veve sem, dzoxɔxɔ le ŋuwò, fifia le ƒowòm, gake edzona le ŋkeke ʋɛ aɖewo megbe eye wògatrɔna vaa? Ne dzesi siawo gakpɔtɔ li la, ate ŋu anye dɔléle si ŋu míeƒoa nu tsoe fũ o, gake enyo be míanya nu tso eŋu. Dɔléle mawo dometɔ ɖekae nye Brucellosis.

Nukae nye Brucellosis?

Kpuie ko la, brucellosis nye dɔléle si dɔlékui ƒomevi aɖe si woyɔna be Brucella hena vɛ. Dzesiawo dometɔ aɖewoe nye asrã, ƒunukpeƒeveame, kple fifia. Ke hã, dzesi siawo mevana zi ɖeka o, eye ɣeaɖewoɣi la , wovana hedzona le ɣeyiɣi aɖe megbe.

Brucellosis nye lãwo ƒe dɔléle, si fia be lãwo mee wòdzɔna tso . Wotsɔ ŋkɔ bubuwo hã yɔnɛ, abe ‘undulant fever’, ‘Malta fever’, kple ‘Mediterranea fever’ ene.

Amekae ate ŋu axɔ brucellosis wu?

Dɔléle sia si woyɔna be brucellosis le dukɔ geɖe me le xexeame godoo. Afɔku gã aɖe le asiwò be nàxɔ `Brucella` dɔlékui sia ne è:

• Ame aɖe si wɔa dɔ kple lãwo , abe lãwo ƒe dɔdala ene.
• Ne èle dɔ wɔm le nyinotsi agble alo lãnyiƒe.
• Ne èle dɔ wɔm le lãdzraƒe, lãwuƒe, alo ame aɖe si kpɔa lã ƒuƒu gbɔ.
• Ne adelae nènye alo nèdzraa lã siwo woda la ƒe lã ɖo.
• Ne èwɔa dɔ le dodokpɔxɔ si doa `Brucella` dɔlékuiwo kpɔna.
• Ne èɖua lã si womeɖa nyuie o alo nèzãa nyinotsi siwo me dɔlékuiwutike mele o (e.g. notsi, cheese, yogurt).

Aleke gbegbee esia bɔe?

Ne èlé ŋku ɖe xexeame godoo la, wogblɔna be ame siwo ade 500,000 ye xɔa brucellosis ƒe sia ƒe. Ke hã, le dukɔwo abe Amerika ene me la, esia le sue vie, ame siwo ade 100-200 koe wokpɔna ƒe sia ƒe. Togbɔ be akɔntabubu aɖeke meli si ku ɖe alesi wòle le míaƒe dukɔa me ŋu tututu o hã la, afɔku sia ate ŋu anɔ amesiwo wɔa nu kple lãwo dome.

Nukae brucellosis wɔna na amewo?

Bu eŋu kpɔ, dɔlékui sia si woyɔna be `Brucella` nye ayetɔ ŋutɔ. Etoa wò nu, ŋɔti, ŋku, alo abi sue aɖe si le wò ŋutigbalẽ ŋu gɔ̃ hã dzi gena ɖe wò ŋutilã me . Emegbe, eyia wò ʋukawo alo lãkusi bubuwo me eye vivivi la, edzea dzidziɖedzi gɔme. Tso afima la, dɔlékui sia ate ŋu akaka ɖe wò ŋutilã ƒe akpa ɖesiaɖe kloe. Ate ŋu ayi teƒewo abe wò dzi, aklã, ahɔhɔ̃, kple ƒuwo ene gɔ̃ hã , afisi woate ŋu avuvu ahadze gbegblẽ gɔme le.

Nukae nye esia ƒe dzesiwo?

Ate ŋu axɔ kwasiɖa eve va ɖo ene, alo wòadidi wu gɔ̃ hã, hafi dzesiawo nadze le Brucella dɔlékuiawo zazã vɔ megbe.Dzesi siawo ate ŋu ava eye woadzo ɣleti geɖe, ƒe geɖe gɔ̃ hã. Nusiwo wonye enye si:

• Asrã.
• Fifia (ɣeaɖewoɣi ate ŋu aʋẽ abe aŋɔ ene).
• Ƒunukpeƒewo ƒe vevesese, vevietɔ le wò akɔta, klowo, alo akɔta ƒe akpa si le anyime.
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o.
• Taɖuame .
• Ƒodo ƒe vevesese.
• Sese le ɖokuiwò me be nuɖuɖu megadzroa ye o alo yeƒe dɔgbo le fu ɖem na ye.
• Susu me nɔnɔmewo abe blanuiléle ene.
• Lãmetsiŋusẽ ƒe ʋukawo va lolona eye wosea veve.
• Seselelãme si bɔ be yemele dedie o eye yeƒe lãme mekɔ o.

Nuka tae wòle alea ɖo?

Brucellosis tso `Brucella` dɔlékui ƒomevi vovovowo gbɔ. Wo dometɔ vevitɔwoe nye `B. fuɖeɖe`, `B. canis`, `B. 1999 me. melitensis` (ƒomevi si dzea amegbetɔwo dzi wu) kple `B. suis`. Lãwo tsɔa `Brucella` dɔlékui sia. Ema fia be lã siawoe nye dɔlékui sia tsɔlawo. Na míakpɔ amesiwo nye lã mawo ɖa:

• Nyiwo
• Gbɔ̃wo
• Hawo
• Sẽ
• Moose, Elk - Togbɔ be lã siawo mele Sri Lanka o hã la, wole xexeame ƒe akpa bubuwo.
• Alẽ
• Avuwo - Ẽ, avuwo hã ateŋu akaka dɔléle sia, vevietɔ ƒomevi si nye `B. canis`.
• Tedziwo

Aleke woxɔa brucellosis?

Brucellosis kakana to kadodo kple lã siwo ŋu dɔlélea le alo to nyinotsi siwo wometsɔ dɔlékuiwutike me o me . Mɔ vovovowo li siwo dzi nàto axɔ dɔlélea:

• To notsi si me dɔlékui mele o (si womeɖa o) nono alo nyinotsi siwo me dɔlékui mele o abe cheese kple ice cream ene ɖuɖu me. Dɔlékui sia ate ŋu anɔ lã siwo ŋu dɔlélea le ƒe notsi me. Gake mɔnu aɖe si woyɔna be pasteurization ye tsrɔ̃a dɔlékuiawo. Eyata ne brucellosis le lãa ŋu gɔ̃ hã la, ele dedie be woano gbɔ̃, nyi, alẽ, alo tedzi ƒe notsi si wotsɔ dɔlékuiwutike wɔe.
• To asikaka lã si ŋu dɔlélea le ƒe lãkusi alo ŋutilã me tsiwo ŋu me. Brucella dɔlékuia ate ŋu age ɖe wò ŋutilã me to ʋuʋudedi sue aɖe alo lãɖeɖe le wò ŋutigbalẽ ŋu, alo to wò ŋku, ŋɔti, alo nu me.
• To Brucella dɔlékuiawo gbɔgbɔ me. Àte ŋu agbɔ Brucella ƒe akpa siwo do ɖe yame tso lãmenugbagbevi siwo woɖe ɖe go alo lã si ŋu dɔlélea le ƒe ʋu me. Afɔku sia lolo wu ne èwɔ dɔ kple Brucella le dodokpɔxɔ me, nèdzra gbemelãwo ƒe lã ɖo, nèwɔ dɔ le agble dzi, le lãwuƒe, alo le lãgbalẽdzraɖoƒe.
• To lã si womeɖa nyuie o ɖuɖu me.

Brucellosis kaka tso amegbetɔ gbɔ mebɔ kura o, gake wogblɔ be exɔe zi geɖe:

• Tso vidada funɔ dzi va ɖo ɖevi si le vidzidɔ me dzi.
• To no nana me.
• Tso gbɔdɔdɔ me (gake esia mebɔ kura o).

Ðe esia nye gbɔdɔdɔ ƒe dɔléle (STI)a?

Ao, womebua brucellosis be enye gbɔdɔdɔ ƒe dɔléle (STI) o. Ame ʋɛ aɖewo koe wogblɔ be brucellosis kaka to gbɔdɔdɔ me.

Aleke ɖɔktawo dea dzesi esiae?

Ðɔkta dea dzesi brucellosis to wò dzesiwo biabia me eye emegbe wòdoa wò ʋu, lãkusi, alo ʋu bubuwo kpɔna be Brucella dɔlékuia ƒe dzesiwo le wo ŋu hã. Esi wònye be brucellosis ƒe dzesiwo sɔ kple dɔléle bubuwo tɔ ta la, wò ɖɔkta ate ŋu awɔ dodokpɔwo hã atsɔ aɖe dɔléle bubuwo ɖa.

Mɔ nyuitɔ si dzi woato aɖo kpe Brucella dɔlékui aɖe dzi enye be woade dɔlékuiawo tso ŋutilã me tsi alo lãkusi me. Gake Brucella nye dɔlékui si tsina blewu, eyata ate ŋu axɔ kwasiɖa geɖe hafi woaɖo kpe dɔlélea dzi. Ðewohĩ ahiã be woado wò ʋu kpɔ wu zi ɖeka le kwasiɖa geɖe me be nàkpɔe ɖa be Brucella ƒe dzesiwo le ŋuwò hã.

Dodokpɔ ka ƒomevie wowɔna?

Wò ɖɔkta ate ŋu awɔ dodokpɔ siwo gbɔna atsɔ anya ne brucellosis le ŋuwò:

• Ʋudodokpɔ: Ðɔktaa atsɔ aŋe aɖe ʋu aɖe tso ʋuka aɖe si le wò alɔnu me. Nudokpɔƒea alé ŋku ɖe Brucella dɔlékui (dɔlékuiwutikewo, dɔlékuiwutikewo, alo DNA) ƒe dzesiwo ŋu le ʋu sia me, alo woate ŋu adoe le ɣeyiɣi aɖe megbe (dekɔnu).
• Ŋutilã me tsi bubuwo dodo kpɔ: Woate ŋu atsɔ tsi ƒe kpɔɖeŋu siwo tso wò aklã me tsi, ƒunukpeƒetsi, alo wò ŋutilã ƒe akpa bubuwo me atsɔ adi Brucella ahatsi.
• Lãmetsiŋusẽ ƒe lãmenugbagbeviwo ɖeɖe: Woate ŋu axɔ wò ƒumeŋuɖui alo lãkusi bubu aɖe atsɔ adi Brucella ƒe dzesiwo ahatsi.
• Nɔnɔmetatawo ɖeɖe: Le wò ŋutilã ƒe akpa siwo ŋu wògblẽ nu le nu la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔwo abe X-ray, CT scan, MRI, ƒu ƒe fotoɖeɖe, ultrasound, alo echocardiograms ene. Amesiawo ɖea foto wò ŋutilã ƒe akpa si le eme be yewoakpɔe ɖa be tɔtrɔ aɖewo le wò ƒuwo alo ŋutinuwo ŋu hã.

Aleke wowɔa nu ɖe ​​esia ŋui?

Wò ɖɔkta atsɔ dɔlékuiwutike ƒomevi eve ya teti ada brucellosis . Ahiã be nàno atike siawo kwasiɖa 6 va ɖo 8 ya teti. Le wò nɔnɔmea nu la, atike bubuwo hã ate ŋu ahiã (le kpɔɖeŋu me, be woaɖe ʋuʋudedi ɖa le teƒe siwo dɔlélea le alo be woakpɔ kuxiwo gbɔ).

Atike kawoe wozãna na brucellosis?

Dɔlékuiwutike siwo ɖɔktawo ŋlɔna na ame be woatsɔ ada brucellosise nye:

• `(Streptomycin)` alo `(Gentamicin)`
• `(Rifampin)`
• `( Doxycycline ( Doxycycline) ) `. Nusiwo wotsɔna ƒoa ƒui
• `(Trimethoprim / sulfametoxazole - TMP / SMX)`
• `(Ciprofloxacin)`

Nu vevitɔe nye be nàno atike siawo abe alesi tututu wò ɖɔkta gblɔe ene, le agbɔsɔsɔ nyuitɔ me, le atikewɔwɔa ƒe ɣeyiɣi bliboa katã me. Ne menye nenema o la, dɔlélea ate ŋu agava.

Aleke woawɔ akpɔ dzesiawo gbɔe?

Togbɔ be ènoa dɔlékuiwutike siwo woŋlɔ na wò be woatsɔ awu dɔlékuiawo hã la, àte ŋu akpɔ brucellosis ƒe dzesi aɖewo abe ƒunukpeƒeveame kple dzoxɔxɔ ene hã gbɔ le aƒeme. Bia wò ɖɔkta ne atike alo atike bubu aɖewo li siwo womeƒlena le atikedzraƒe o (OTC) siwo nàte ŋu azã na wò dzesiwo eye nenye be wole dedie na wò.

Aleke woate ŋu axe mɔ ɖe esia nu?

Àte ŋu aɖe afɔku si le brucellosis xɔxɔ me dzi akpɔtɔ ne èwɔ ɖe nuɖuɖu ƒe dedienɔnɔ ŋuti ɖoɖowo dzi eye nèdo ametakpɔnu ne èle dɔ wɔm kple lãwo. Le kpɔɖeŋu me:

• Mègano notsi si me dɔlékui mele o, eye mègaɖu nuɖuɖu siwo wotsɔ notsi si me dɔlékui mele o wɔ o.
• Do dedienɔnɔwu siwo sɔ ne èle dɔ wɔm kple lãwo kple lãwo ƒe lãkusi. Esia ate ŋu anye asigɛwo, apron, alo dedienɔnɔ ƒe ŋkumewu. Ele be amesiwo wɔa dɔ le lãdzraƒewo, lãwo ƒe dɔdalawo, adelawo, agbledelawo, lãwuƒedɔwɔlawo, kple atikewɔƒe dɔwɔlawo naɖɔ ŋu ɖo vevietɔ.
• Miɖa lã ɖe dzoxɔxɔ si le dedie nu. Azɔ hã, klɔ asi, nuzazãwo, kple lãtsonuwo nyuie ɣesiaɣi ne èɖa nuɖuɖu vɔ. Brucella dɔlékui ate ŋu anɔ lãwo ƒe lã me.

Ðo ŋku edzi be le míaƒe dukɔa me gɔ̃ hã la, ame aɖewo siwo le kɔƒenutowo me noa notsi si wokɔ ɖe aƒeme teti koe nye ema dzo manɔmee. Ema menye nu nyui aɖeke kura o. Anyo wu be woazã notsi si wodo dzoe nyuie alo wotsɔ dɔlékuiwutike wɔe ko.

Nukae dzɔna ne èxɔ brucellosis? (Nyagblɔɖi) .

Ame akpa gãtɔ siwo ŋu brucellosis le la hayana keŋkeŋ ne wozã dɔlékuiwutikewo. Gake ate ŋu axɔ ɣeyiɣi aɖe. Ðewohĩ ahiã be nàno dɔlékuiwutikewo kwasiɖa geɖe, alo ɣleti geɖe gɔ̃ hã, be nàkpɔ egbɔ be dɔlékui siwo katã le wò ŋutilã me la megali o.

Ɣeaɖewoɣi la, brucellosis ate ŋu atrɔ ava ne wowu atikewɔwɔ nu. Esia nye nyateƒe vevietɔ ne mèno dɔlékuiwutikeawo abe alesi wogblɔe ene tututu o. Dzesi aɖewo, abe ƒunukpeƒetetedɔ ene, ate ŋu anɔ anyi ne wowu atikewɔwɔ nu. Ne brucellosis he kuxiwo vɛ la, àte ŋu ahiã atike alo atikewɔwɔ bubuwo.

Nukawoe nye kuxi siwo ate ŋu ado tso esia me?

Brucellosis ate ŋu ahe kuxiwo vɛ ne womewɔ atike nɛ ɣeyiɣi didi o. Kuxi siawo dometɔ aɖewoe nye:

• Ƒunukpeƒetetedɔ si yia edzi .
• Aklã si lolo (Hepatomegaly) alo aklã si lolo (Splenomegaly).
• Nɔnɔme aɖe si woyɔna be `(Chronic Hepatosplenic Suppurative Brucellosis - CHSB) . Esiae nye esime ʋuʋudedi (kotoku siwo me ʋuʋudedi le) va le wò dɔgbo kple aklã me. Esia ateŋu adzɔ ƒe geɖe le `Brucella` dɔlékui xɔxɔ vɔ megbe.
• Dɔlékuiwo kple wò dzi ƒe vuvu `(Endocarditis)` , ahɔhɔ̃ me dɔlékuiwo alo ahɔhɔ̃a ƒe nutsyɔnu `(Encephalitis alo Meningitis)` , dɔlékuiwo le akɔta `(Spondylitis)` , dɔlékuiwo le ƒuwo me `(Osteomyelitis)` alo dɔlékui siwo le akɔta ƒe akpa si le ete `(Sacroiliitis)` .
• Epididymo-orchitis nye ŋutsuwo ƒe vidzidɔ kple ʋuka siwo me ʋu sina tona ƒe dɔdzẽ .
• Fuɖeɖe.

Ðe woate ŋu ada Brucella le amegbetɔwo mea?

Ẽ, woate ŋu atsɔ dɔlékuiwutikewo ada Brucella dɔlékui siwo le amegbetɔwo me. Gake kuxi aɖewo ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi.

Ðe brucellosis ate ŋu ana ame nakua?

Ƒã ŋutɔ be ame aɖe naku le brucellosis ta. Brucellosis ƒe ku ƒe agbɔsɔsɔme le 1% va ɖo 2% le dɔléleawo katã dome ko.

Aleke mawɔ akpɔ ɖokuinye dzi abe amesi ŋu brucellosis le ene?

Ne wò ɖɔkta gblɔ na wò be brucellosis le ŋuwò la, ne èse le ɖokuiwò me be yeƒe lãme sẽ gɔ̃ hã la, no atikeawo katã abe alesi wogblɔe na wò ene eye nàno wo katã. Ne èdzudzɔ dɔlékuiwutikewo nono kaba akpa la, brucellosis la ate ŋu atrɔ ava. Ne dzesi yeyewo va dze ŋuwò alo ne wò dzesiawo gagblẽ ɖe edzi la, gblɔe na wò ɖɔkta enumake.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne brucellosis ƒe dzesiwo le ŋuwò, vevietɔ ne wò dɔ alo modzakaɖeɖewo na nèle afɔku me be nàxɔ dɔlékui sia la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne dzesi sesẽ siawo le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake:

• Asrã si nu sẽ ŋutɔ (wu Fahrenheit 103 / Celsius 39.4).
• Dɔgbo ƒe vevesese sesẽ.
• Tɔtɔ alo susu me tɔtrɔ bubuwo.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Ɣeyiɣi didi kae atikewɔwɔ xɔa?
• Aleke wòle be mano atike lae?
• Aleke mawɔ akpɔ nye dzesiwo gbɔ le aƒeme?
• Ɣekaɣie wòle be makplɔ wò ɖo emegbe?
• Dzesi kawoe wòle be mayi ER hena?

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Brucellosis nye dɔlékuiwo ƒe dɔléle si ate ŋu adze egɔme blewu ŋutɔ, anɔ anyi eteƒe nadidi, eye mebɔ boo o. Eƒe dzesiwo sɔ kple dɔléle bubu geɖewo, eyata ele vevie be woayi ɖɔkta gbɔ be woakpɔ dɔlélea nyuie ahadae. Zi geɖe la, brucellosis mesẽna boo o. Gake ate ŋu agblẽ nu le wò ƒuwo kple ememe ŋutinuwo ŋu, eyata ele vevie be nàlé ŋku ɖe wò dzesiwo ŋu nyuie. Ne dzesi yeyewo dze le ŋuwò alo ne ètsi dzi ɖe nane si le ŋuwò xoxo ŋu la, mègahe ɖe megbe le wò ɖɔkta gbɔ yiyi me o.

` Brucellosis, lãwo ƒe dɔlélewo, dɔlékuiwo ƒe dɔléle, dzoxɔxɔ, ƒunukpeƒeveame, notsi si wometsɔ dɔlékuiwutike o