Ðe ƒodo me veve ɣeaɖewoɣi si ʋu alo ʋuʋudedi kpena ɖe wò aɖuɖɔ mea? Alo ɖewohĩ ède dzesi dzesi siawo le viwòa ŋu kpɔa? Enye nya si ɖea fu na ame geɖe si doa goe, eye le Nirogi Lanka , míedi be míakpe ɖe ŋuwò nàse egɔme nyuie wu. Egbea, míele ŋku lém ɖe nɔnɔme si woyɔna be ‘Dysentery’ ŋu tsitotsito.
Nukae Nye Dzadzɛnyenye?
Kpuie ko la, aɖuɖɔtoe nye dɔlékui si le wò nuɖuɖumeŋusẽ ŋu . Edzena abe aɖuɖɔtoe sesẽ ene, gake to vovo na dɔgbo me dɔlékui si bɔ la, àte ŋu ade dzesi ʋu alo ʋuʋudedi le wò aɖuɖɔ me . Enye nɔnɔme si ɖea fu na ame eye meɖea dzi ɖi o si bia be eŋutinunyalawo nalé ŋku ɖe eŋu.
Aɖuɖɔtoe ƒomevi vevi eve li siwo ŋu wòle be nànya nu tsoe.
Amoebic Dzadzɛnyenye (Amoebiasis) .
Dɔlékui sue aɖe si woyɔna be Entamoeba histolytica koŋue hea ƒomevi sia vɛ. Ne dɔlékui sia nya ge ɖe wò ŋutilã me ko la, ate ŋu ahe dɔlékui si woyɔna zi geɖe be Amoebiasis la vɛ. Le E. histolytica godo la, dɔlékui bubuwo abe Balantidium coli kple esiwo hea Strongyloidiasis vɛ hã ate ŋu ahe dɔléle sia ƒomevi vɛ.
Bacillary Dysentery ƒe Dɔléle
Dɔlékui ƒe dɔléle aɖee hea nɔnɔme sia vɛ . To vovo na dɔlékui ƒomevi si me dɔlékuiwo le la, dɔlékui tɔxɛ aɖewoe nye fɔɖilawo le afisia. Dɔlékui siwo bɔ wue nye Shigella , Salmonella , Campylobacter , kple Escherichia coli (E. coli) . Le ƒomevi eveawo dome la, bacillary dysentery ye wodoa goe wu .
Ele vevie be míase egɔme be ne womewɔ atike na aɖuɖɔtoedɔ o la, ate ŋu ade ame ƒe agbe afɔku me . Ne èle dzesi siawo kpɔm la, taflatse yi ɖɔkta gbɔ alo yi dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake.
Amekae le afɔku me be wòaxɔ Dysentery?
Le nyateƒe me la, amesiame ate ŋu axɔ aɖuɖɔtoedɔ . Gake ebɔ ɖe teƒe xɔdzo siwo me tsi medzana nyuie o eye yame ƒe dzoxɔxɔ le la me wu. Tsi me dzadzɛnyenye nyuie—si nye tsi ŋuti kɔklɔ kple dɔlékuiwutikewo zazã ƒe mɔnu—le vevie ŋutɔ; nuto siwo me dzidzenu siawo mele o la hea afɔku gã aɖe vɛ.
Gakpe ɖe eŋu la, ame ŋutɔ ƒe dzadzɛnyenye manyomanyo nana wò afɔkua dzina ɖe edzi ŋutɔ. Ne mèklɔ asi nyuie kple adzalẽ le nugododeƒea zazã vɔ megbe o la, àte ŋu akaka dɔlékuiwo ɖe nuɖuɖu, tsi, alo teƒe siwo nèka asi le manyamanya me, si ana wòanɔ bɔbɔe ŋutɔ be dɔlékuia nayi ame bubuwo dzi.
Aleke gbegbe wòbɔe?
Aɖuɖɔtoedɔ bɔ ŋutɔ . Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) gblɔ be amesiwo ade biliɔn 1.7 ye xɔa aɖuɖɔtoedɔlélewo ƒe sia ƒe le xexeame katã. Esia te gbe ɖe edzi be egblẽa nu le ame geɖe ŋu kura wu alesi ame ate ŋu akpɔe le gɔmedzedzea me.
Nukawoe nye Dysentery ƒe dzesiwo?
Dzesiawo ate ŋu ato vovo le aɖuɖɔtoe ƒomevi si le ŋuwò nu. Na míalé ŋku ɖe alesi woto vovoe ŋu.
Amoebic Dysentery ƒe Dzesiwo
Nukutɔe la, amesiwo ŋu amoebic dysentery le dometɔ geɖe meɖea dzesi aɖeke fiana kura o . Gake ame aɖewo ate ŋu akpɔ dzesi siwo mesẽ o, siwo dometɔ aɖewoe nye:
- Dɔmetɔtrɔ
- Asrã sesẽ
- Aɖuɖɔtoe kple ʋuʋudedi
- Kpekpeme dzi ɖeɖe kpɔtɔ
- Dɔgbo ƒe vevesese kple ʋuʋudedi
In very rare cases , dɔlékui sia ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo abe aklã ene, si ana abscess (si nye ʋuʋudedi si ƒo ƒu).
Bacillary Dysentery ƒe Dzesiwo
Zi geɖe la, bacillary dysentery ƒe dzesiwo toa vovo wu eye zi geɖe la, wo dometɔ aɖewoe nye:
- Aɖuɖɔtoe si me ʋu alo ʋuʋudedi yɔ fũ (si nye dzesi vevitɔ si wotsɔ dea dzesi dɔlélea) .
- Asrã sesẽ
- Aɖuɖɔtoe kple ʋuʋudedi
- Ƒodo ƒe ʋuʋu sesẽ (ƒodo me vevesese) .
Ne wò aɖuɖɔtoedɔa nu sẽ la, àte ŋu ado go kuxiwo abe dɔgbo ƒe dɔdzẽ, megacolon (dɔgbo gã ƒe keke), kple ayikudɔ sesẽ gɔ̃ hã ene .
Ðe Dyentery ate ŋu awu amea?
Ẽ, ate ŋu awu ame ne womewɔ atike nɛ nyuie o . Ƒuƒoƒo siwo gbɔnae le afɔku gãtɔ me:
- Ðevi suewo (siwo mexɔ ƒe 5 haɖe o) .
- Ame tsitsi siwo xɔ wu ƒe 50
- Amesiwo tsikuɖiɖi alo nunyuimakpɔɖu le fu ɖem na
Ne èdze hatsotso siawo me la, taflatse nɔ ŋudzɔ geɖe wu le wò lãmesẽ ŋu.
Nukae hea Dysentery vɛ eye aleke wòkakanae?
Dɔlékui siwo tsoa dɔlékuiwo kple dɔlékuiwo gbɔ siwo hea aɖuɖɔtoe vɛ la xɔa ame me ŋutɔ . Dɔlékuiwo (dɔlékuiwo alo dɔlékuiwo) siwo tso ame si ŋu dɔlélea le ƒe aɖuɖɔ me ge ɖe ame bubu ƒe nu me. Esia ate ŋu adzɔ to:
- Asikɔklɔ nyuie alo nuɖuɖu siwo me dzadzɛnyenye mele o dzadzraɖo.
- Tsi si me dɔlékuiwo le zazã .
- Gbɔdɔdɔ ƒe kadodo , vevietɔ nuwɔna siwo ku ɖe nu me kple akɔta ƒe kadodo ŋu.
Bacillary dysentery tsoa dɔlékui siwo tso duta ƒe gege ɖe ŋutilã me si hea dɔlékui sesẽ aɖe vɛ gbɔ. Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye:
- Shigella (si hea Shigellosis vɛ) .
- Salmonella (si hea Salmonella dɔlékui vɛ) .
- Campylobacter (si hea Campylobacteriosis vɛ) .
- Escherichia coli (E. coli) ƒe lãvi .
Amoebic dysentery, alo Amoebiasis, tsoa dɔlékui aɖe koŋ abe Entamoeba histolytica ene gbɔ.
Aleke ɖɔktawo wɔa dea dzesi aɖuɖɔtoe?
Wò ɖɔkta koe ate ŋu aɖo kpe edzi godoo nenye be aɖuɖɔtoedɔ le ŋuwò. Woada wò dzesiwo kpɔ, woado wò ŋutilã kpɔ, eye emegbe woaɖe gbe be woawɔ dodokpɔ siwo hiã be woatsɔ anya dɔlélea.
Dodokpɔ kawoe le eme?
Ne wò ɖɔkta susui be aɖuɖɔtoe le ŋuwò la, anɔ eme be woaɖe gbe be woawɔ aɖuɖɔtoe .
Dɔ sia wɔwɔ le tẽ. Wò ɖɔkta ana nugoe tɔxɛ aɖe kple tsi si me dɔlékui mele o wò. Ne egahiã be nàto aɖuɖɔ me la, ƒo kpɔɖeŋu aɖe nu ƒu to aŋe alo pepa aɖe dada ɖe nugododeƒea dzi, alo to nugoe dzadzɛ aɖe zazã me. Zã scoop si wona nàtsɔ atsɔ akpa sue aɖe ade nugoe tɔxɛa me eye nàtrɔe ayi na wò ɖɔkta alo dodokpɔxɔa.
Emegbe nudokpɔƒea adzro kpɔɖeŋua me akpɔe ɖa be dɔlékuiwo, dɔlékuiwo, alo dɔlékuiwo ƒe aziwo (ova) hã le eme hã.
Le go aɖewo me la, ahiã be nàtsɔ kpɔɖeŋuwo ana ŋkeke geɖe be nàkpɔ egbɔ be wokpɔ dɔlélea nyuie.
Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ sigmoidoscopy . Dɔwɔwɔ sia kpena ɖe ame ŋu wòɖoa kpe dɔlélea dzi alo wòɖea nu bubu siwo gbɔ wò dzesiawo tsona ɖa. Le sigmoidoscopy me la, ɖɔkta zãa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ (nukpɔmɔ̃) le tsɔ léa ŋku ɖe wò dɔgbo ƒe akpa si le ete (sigmoid colon) kple dɔgbo ƒe akpa si le eme ŋu.
Aleke nèwɔna hayana kaba tso aɖuɖɔtoedɔ me eye atike kawoe nàwɔ?
Ne amoebic dysentery (Amoebiasis) le ŋuwò la, afɔɖeɖe vevitɔe nye be nàɖe dɔlékui sia ɖa le wò ŋutilã me . Anɔ eme be wò ɖɔkta aŋlɔ atike aɖe si wua dɔlékuiwo abe Metronidazole (si ƒe ŋkɔe nye Flagyl®) ene. Woate ŋu aŋlɔ dɔlékuiwutikewo alo atike siwo tsia ʋuʋudedi nu hã, abe Bismuth subsalicylate (le kpɔɖeŋu me, Pepto-Bismol®) ene.
Ne bacillary dysentery le ŋuwò la, ame geɖe ƒe lãme sẽna le ŋkeke ʋɛ aɖewo va ɖo kwasiɖa ɖeka me ne womewɔ atike aɖeke na wò o . Gake ne ehiã be woawɔ atike na wò la, atikewɔwɔ ate ŋu anye dɔlékuiwutikewo kple tsi si wodona ɖe ʋuka me (IV) be tsi nanɔ ŋuwò. Le nɔnɔme siwo mebɔ o, siwo nu sẽ me la, ate ŋu ahiã be woado ʋu na ame.
Aleke nàwɔ akpɔ ɖokuiwò dzii?
Ne èle hayahayam tso aɖuɖɔtoedɔ me la, anyo be nàwɔ ɖe aɖaŋuɖoɖo siawo dzi:
- Ƒo asa na atike siwo tsia aɖuɖɔtoetetedɔ nu (abe Loperamide/Imodium Advanced® ene), elabena esiawo ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi ɣeaɖewoɣi.
- Xɔ mɔ ɖe tsikuɖiɖi nu to tsi geɖe nono, atike siwo wotsɔna tsia tsii (ORS), alo akɔɖutsi falɛfalɛ nono me be woatsɔ axɔ ɖe tsi siwo bu to aɖuɖɔtoe me teƒe.
- Le vevesese alo dzoxɔxɔ gome la, àte ŋu azã NSAID -tike siwo womeƒlena le atikedzraƒe oabe Aspirin (Bayer®), Acetaminophen (Tylenol®), alo Ibuprofen (Advil®) ene. Gake taflatse yi wò ɖɔkta gbɔ hafi nàno esiawo, vevietɔ ne lãmesẽkuxi aɖewo le ŋuwò alo ne èle ɖevi sue aɖe dam.
- Woate ŋu azã atike siwo womeƒlena o siwo tsia aɖuɖɔtoedɔ nu abe Bismuth subsalicylate (Pepto-Bismol®) ene, gake anyo wu be nàkpɔ wò ɖɔkta gbã.
Aleke gbegbee nàhaya kaba le atikewɔwɔ vɔ megbe?
Ne amoebic dysentery le ŋuwò la, ame akpa gãtɔ ƒe lãme sẽ ŋutɔ le abe ŋkeke 14 ene me . Ne bacillary dysentery le ŋuwò la, ele be nàse le ɖokuiwò me be yeƒe lãme sẽ bliboe le kwasiɖa ɖeka me .
Aleke nàwɔ axe mɔ ɖe aɖuɖɔtoetetedɔ xɔxɔ nu?
Mɔ nyuitɔ si dzi woato axe mɔ ɖe aɖuɖɔtoedɔ nue nye dzadzɛnyenye sesẽ . Klɔ asi nyuie ɣesiaɣi kple adzalẽ kple tsi si le sisim le nugododeƒe zazã vɔ megbe, kple hafi nàɖa nuɖuɖu alo aɖui. Esiae nye afɔɖeɖe ɖeka kolia si le vevie wu. Tsɔ kpe ɖe eŋu la, bu nya siwo gbɔna ŋu kpɔ:
- Mègatsɔ ame ŋutɔ ƒe nuwo abe aɖututu, ŋkumeɖobolo, alo afɔkpa ene ɖekae o .
- Ƒo asa na tsi zazã ne mèka ɖe eƒe dedienɔnɔ dzi o . Esia ku ɖe ahanono, nuɖaɖa, kple aɖututu ŋu.
- Zã tsi si le aŋetu me alo nàtsɔ chlorine-tikewo awɔ atike na wò tsi .
- Alo, ɖa tsi aɖabaƒoƒo ɖeka ya teti (vaseɖe esime wòaɖo dzoxɔxɔ si le ʋuʋum) eye nàna wòafa hafi azãe.
- Na nànɔ adzɔge tso amesiwo ŋu aɖuɖɔtoedɔ le gbɔ dedie .
- Klɔ atikutsetse kple amagbewo katã nyuie le tsi dzadzɛ si le sisim te. Ne anya wɔ la, ɖe wo ɖa hafi nàɖu nu.
- Kpɔ egbɔ be woɖa nuɖuɖuwo katã nyuie . Kpɔ nyuie geɖe wu le nuɖuɖu ƒuƒuwo abe sabala ene ŋu.
Ne èle mɔ zɔm yina nuto si me aɖuɖɔtoetetedɔ bɔ ɖo la, ɖo ŋku afɔɖeɖe siawo dzi:
- Ƒo asa na aha siwo me tsikpe le ne mèka ɖe afisi wotso dzi o.
- Mègano tsidzɔƒe ƒe aha (soda-nu siwo wotsɔna naa nu) o.
- Ƒo asa na tsi alo aha fafɛ ƒe aŋetu siwo wometre o .
- Ƒo asa na notsi si me dɔlékuiwutike mele o kple nyinotsibabla. Pasteurization nye dɔ vevi aɖe si wua dɔlékui siwo gblẽa nu le ame ŋu.
Ne aɖuɖɔtoedɔ le ŋuwò la, aleke nàwɔ axe mɔ na eƒe kaka ɖe ame bubuwo me?
Ne wokpɔ be aɖuɖɔtoedɔ le ŋuwò la, àte ŋu akpe asi ɖe dɔlékuia ƒe kaka ɖe ame bubuwo ŋu nu ne èwɔ ɖe mɔfiame siawo dzi:
- Wɔ hadome didiƒe nɔnɔ , vevietɔ esime nèle aɖuɖɔtoeme tom.
- Ƒo asa na gbɔdɔdɔ ƒe nuwɔna ɖesiaɖe .
- Mègaɖa nuɖuɖu na ame bubuwo o .
- Ƒo asa na tsiƒuƒu le ta, tɔsisiwo, alo atsiaƒu me.
- Tsɔ dɔlékuiwutikewo ƒu gbe ɖe teƒe siwo woate ŋu aka asi ŋutɔ abe nugododeƒewo, tsiléƒewo, kple ʋɔtrutiwo ene edziedzi.
- Klɔ wò awuwo/aklala le tsi dzodzoe me (60°C / 140°F ya teti).
Nukae dzɔna ne aɖuɖɔtoedɔ le ŋuwò? Ðe nàhayaa?
Ne amoebic dysentery le ŋuwò la, zi geɖe la, wò nɔnɔmea anyo ɖe edzi ne wokpɔ dɔlélea nyuie hedae , eye zi geɖe la, eƒe lãme nu tsona le abe ŋkeke 14 ene me. Gake ne womewɔ atike na amoebic dysentery o la, ate ŋu ade ame ƒe agbe afɔku me.
Ne bacillary dysentery le ŋuwò la, ame akpa gãtɔ hayana le kwasiɖa ɖeka me, ne womewɔ atike nɛ o gɔ̃ hã. Gake kuxi sesẽ siwo ate ŋu anye afɔku ate ŋu adze ame aɖewo dzi. Eya ta ne wò dzesiawo gakpɔtɔ li wu ŋkeke ʋɛ aɖewo la, ele be nàyi ɖɔkta gbɔ.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne wò dzesiwo meva nyo ɖe edzi le ŋkeke ʋɛ aɖewo megbe o, wova le sesẽm ɖe edzi le ɣeyiɣi aɖe megbe, alo mèwɔ nu ɖe beléle na wò le gɔmedzedzea me o la, kpɔ egbɔ be yeƒo nu kple ɖɔkta.
Vevietɔ wu la, di atikewɔlawo ƒe kpekpeɖeŋu kpata enumake ne tsikuɖiɖi ƒe dzesiwo dze le ŋuwò , siwo dometɔ aɖewoe nye:
- Tɔtɔ alo susu ƒe dɔwɔwɔ sesẽ.
- Aɖuɖɔ si ƒe amadede nye viviti .
- Aɖuɖɔtoe dzi ɖeɖe kpɔtɔ alo aɖuɖɔtoe dodo sesẽ.
- Taɖuame alo taɖuame , vevietɔ ne èle tsitrenu.
- Nu ƒuƒu, aɖe, alo kɔdzi ƒuƒu .
- Taɖuame .
- Ŋku siwo nyrɔ alo aɖatsi ƒe anyimanɔmanɔ ne wole avi fam.
- Lãmetsiwo ƒe ʋuʋu .
- Afɔ siwo vuvu .
- Dzi ƒe tsotso kabakaba .
Nya siwo wòle be nàbia wò ɖɔkta
Ne èle wò ɖɔkta gbɔ la, bu nya siawo biabia ŋu kpɔ:
- “Ðɔkta, aleke míawɔ aɖo kpe edzi be aɖuɖɔtoedɔ le ŋunye?”
- “Ðe esia nye amoebic dysentery loo alo bacillary dysenterya?”
- “Tsi nenie wòle be mano be tsi ƒe vɔvɔ maganɔ ŋunye o?”
- “Lãmetsi ƒomevi kawoe wòle be mano (le kpɔɖeŋu me, dze siwo me tsi gbugbɔna le nu me)?”
- “Ðe nuɖuɖu aɖewo li siwo wòle be matsri? Nukae wòle be maɖu ɖe eteƒe?”
- “Atike kawoe nèkafu, eye ɣeyiɣi didi kae wòle be mano wo?”
Vovototo kae le aɖuɖɔtoedɔ kple kolera dome?
Aɖuɖɔtoetetedɔ kple kolera siaa nye dɔgbo ƒe dɔlélewo , gake vovototo vevitɔe nye nusiwo gbɔ wòtsona .
Aɖuɖɔtoe ƒomevi vevi eve li: amoebic aɖuɖɔtoe kple bacillary dysentery. Dɔlékuiwo abe E. histolytica , B. coli , kple Strongyloides ene gbɔe amoebic dysentery tsona. Dɔlékuiwo abe Shigella , Salmonella , Campylobacter , kple E. coli gbɔe bacillary dysentery tsona .
Le go bubu me la, dɔlékui si nye Vibrio cholerae koŋ gbɔe kolera tsona. Togbɔ be dzesiawo ƒoa ƒu hã la, vovototo vevitɔe nye nusi gbɔ wòtsona. Eɖe dzesi ŋutɔ be zi geɖe la, aɖuɖɔtoe si me tsi le si sɔ gbɔ ɖe kolera la dona.
Gbedasi si Wotsɔ Yi Aƒeme
Aɖuɖɔtoe nye dɔlékui si xɔa dɔgboa me. Eƒe dzesi si ɖe dzesi enye aɖuɖɔtoe, si ate ŋu anye ʋu alo ʋuʋudedi. Dɔlékui alo dɔlékui siwo tsoa dɔlékuiwo gbɔe wòtsona. Togbɔ be ame geɖe hayana le ŋkeke ʋɛ aɖewo megbe atikewɔlawo ƒe nudede eme manɔmee hã la, aɖuɖɔtoe ate ŋu awu ame , vevietɔ na ɖevi suewo, ame tsitsiwo, kple amesiwo tsi vɔ le lãme na ame alo nunyuimakpɔɖui le fu ɖem na.
Dzadzɛnyenyee nye nu vevitɔ kekeake! Asidzadza nyui wɔwɔ kple tsi kple nuɖuɖu dzadzɛ siwo le dedie nono ate ŋu awɔ akpa gã aɖe le mɔxexe ɖe dɔléle sia nu me.
Ne dɔlékui aɖe le ŋuwò alo nèle kuxi sesẽwo me tom la, atikewɔla bibiwo didi tso Nirogi Lanka alo dɔwɔƒe si le mia gbɔ le vevie ŋutɔ. Ne dzesiawo gakpɔtɔ li wu ŋkeke ʋɛ aɖewo, dzoxɔxɔ gakpɔtɔ le ŋuwò, alo nèɖe dzesi siwo dze ƒã be tsi vɔ le lãme na wò la, yi ɖɔkta gbɔ enumake. Kpɔ wò lãmesẽ dzi!
Nya veviwo: Aɖuɖɔtoe, aɖuɖɔtoe, dɔlékuiwo, dzadzɛnyenye, tsikuɖiɖi, nuɖuɖu ƒe dedienɔnɔ
