Ðe nèzɔ afɔ ƒuƒlu le anyigba xɔdzo, vevietɔ anyigba ƒoɖi dzi kpɔa? Ðewohĩ esime míenɔ dɔ wɔm le abɔ me alo nɔ fefem. Gake ènya be futɔ sue aɖe si ŋu míebuna gɔ̃ hã o ate ŋu aɣla eɖokui ɖe anyigba sia dzia? Futɔ mae nye ‘hookworm’. Esia nye dɔlékui aɖe si ate ŋu age ɖe míaƒe dɔgbowo me eye wòahe dɔléle geɖe vɛ. Mina míaƒo nu tso nusianu ŋu le nya bɔbɔewo me egbea.
Kpuie ko la, amekae nye Hookworm sia?
Hookworms nye dɔlékui siwo nɔa míaƒe dɔgbowo me. Dɔlékuiwutike nye amesi hiã nu gbagbe bubu (lã alo amegbetɔ) ƒe ŋutilã hafi wòate ŋu anɔ agbe. Hookworms, abe alesi ŋkɔa ɖee fia ene la, nye nudzodzoe sue siwo ƒe ta le abe kɔsɔkɔsɔ ene. Wozãa ta sia tsɔ léa wo ɖokui ɖe míaƒe dɔgbo ƒe gli ŋu. Wonoa míaƒe ʋu.
Hookworm ƒomevi vevi eve li siwo xɔa amegbetɔwo. Woawoe nye `(Ancylostoma duodenale)` kple `(Necator americanus)`. Nudzodzoe siawo ƒe azi (lãvi) gena ɖe míaƒe ŋutigbalẽ me, gena ɖe ŋutilã me, zɔa mɔ to ʋukawo me, eye mlɔeba wova ɖoa dɔgbowo me, afisi wova zua nudzodzoe tsitsiwo le.
Bu alesi esia bɔe ŋu kpɔ, eye ame miliɔn 740 kloe le fu kpem le xexea me godoo. Ebɔ ɖe teƒe xɔdzowo kple teƒe xɔdzowo koŋ, afisi dzadzɛnyenye medea ame dzi le o eye amewo zɔa afɔ ƒuƒlu le anyigba ƒoɖi dzi.
Aleke nudzodzoe sia gena ɖe míaƒe ŋutilã me?
Esia nye tsatsam bɔbɔe ŋutɔ. Mina míase egɔme afɔɖeɖe ɖesiaɖe.
1. Anyigba ƒe ɖiƒoƒo: Woɖea hookworm ƒe aziwo dona ɖe nutoa me to amesi ŋu hookworm dɔlékui le ƒe aɖuɖɔ (poop) me. Azi siawo bɔ ɖe teƒe siwo nugododeƒe aɖeke mele o koŋ, abe aɖuɖɔtoe le gaglãgbe alo amegbetɔ ƒe aɖuɖɔ zazã abe ami ene.
2. Geɖe to ŋutigbalẽa me: Fifia, ne èzɔ afɔ ƒuƒlu le anyigba dzi kple azi siawo tɔgbe la, lãvi siwo dona tso azi mawo me ate ŋu ato ŋutigbalẽ si le wò afɔkpodzi me eye woage ɖe wò ŋutilã me.
3. Mɔzɔzɔ to ŋutilãa me: Ne lãvi siawo ge ɖe eme to ŋutigbalẽa me vɔ la, wotoa ʋukawo me yia wò dzi me eye emegbe wotoa wò lãkusi me.
4. Dɔgboa me yiyi: Ne èɖo lãkusi me vɔ la, èkɔa akɔta eye esiawo dona ɖe wò ŋɔti me. Emegbe, esi mènya o la, èmia wo. Lãvi siwo womi la toa dɔgboa me hegena ɖe dɔgbo suea me, afisi woléna ɖe gliawo ŋu le.
5. Tsitsi kple azidada: Ne lãvi siawo nya ge ɖe dɔgboa me ko la, wova zua nudzodzoe siwo tsi bliboe. Emegbe wodzea aziwo dodo gɔme. Wogaɖea azi siawo ɖe wò aɖuɖɔ me, afisi woate ŋu atsaka kple anyigba eye woaxɔ dɔlékui bubuwo le.
Dɔ sia katã ate ŋu axɔ abe ɣleti eve va ɖo etɔ̃ ene. Nusi wɔ nuku enye be nudzodzoe siawo ate ŋu anɔ wò ŋutilã me ƒe eve alo esi wu nenema gɔ̃ hã .
Aleke mawɔ anya ne hookworm dɔlékui aɖe le ŋunye?
Zi geɖe la, ame akpa gãtɔ siwo ŋu dɔléle sia le la meɖea dzesi aɖeke fiana o. Gake ne dɔlélea le sesẽm ɖe edzi la, dzesiawo dzea egɔme. Gbã la, dzesi suesuesuewo ŋutɔ nɔa eŋu.
| Dzesi ƒomevi | Nuɖᴐɖᴐ |
|---|---|
| Ŋutilã ƒe dzesiwo | Ʋuʋudedi dzĩ ate ŋu adze le teƒe si nudzodzoea gena ɖe ŋutigbalẽa me, zi geɖe le afɔkpodzi. |
| Yagbɔgbɔ ƒe nɔnɔmewo | Ne nudzodzoewo ƒe lãviwo le mɔ zɔm to lãkusiwo me la, dzesiwo abe dzoxɔxɔ, kɔdzi, alo gbɔgbɔtsixe tsia ƒo ene ate ŋu ado mo ɖa. |
| Nuɖuɖumeŋusẽ ƒe nɔnɔmewo | Dɔgbo ƒe vevesese, ʋuʋudedi, aɖuɖɔtoe, nuɖuɖumadzroame, kple lolo dzi ɖeɖe kpɔtɔ ate ŋu adzɔ. |
| Dzesi siwo ʋusɔgbɔdɔ hena vɛ | Esi nudzodzoe siawo yi edzi le ʋu nom la, ʋu buna le ŋutilãa me. Woyɔa esia be ʋusɔgbɔdɔ si me iron mele o . Esia ate ŋu ana ɖeɖi nate ame ŋu, taɖuame, gbɔgbɔ nasesẽ, eye ŋutigbalẽ nazu ɣie. |
Ðe esia ate ŋu anye nu vevi aɖea?
Ɛ̃. Ne womegblẽ dɔlékui sia ɖi ɣeyiɣi didi o la, ate ŋu ava zu nu sesẽ. Esia gblẽa nu le ɖeviwo koŋ ŋu.
- Ŋusẽ si wòkpɔna ɖe ɖeviwo dzi: Ʋu kple protein ƒe bu le ŋutilã me ɣeyiɣi didi ate ŋu ana ɖeviwo ƒe ŋutilã kple susu natsi. Nusɔsrɔ̃ ƒe kuxiwo hã ate ŋu ado mo ɖa.
- Ŋusẽkpɔɖeamedzi ɖe ame tsitsiwo dzi: Ʋusɔgbɔdɔ sesẽ ate ŋu ana ɖeɖi nate ame ŋu, taɖuame, gbɔgbɔtsixetsixe, akɔtave, kple lãmekawo ƒe ʋuʋu.
Ðe míate ŋu akpɔ esia tso aƒemelãwo gbɔa?
Esia nye kuxi na ame geɖe. Hookworm ƒomevi si avuwo kple avuwo xɔna la to vovo na esi ƒomevi amewo xɔna zi geɖe. Togbɔ be lã mawo ƒe lãviwo ate ŋu age ɖe míaƒe ŋutigbalẽ me age ɖe eme hã la, womate ŋu atsi azu nudzodzoe gãwo ahadzi azi ɖe míaƒe dɔgbowo me o.
Gake ne lã siawo ƒe ʋetsuviwo zɔ mɔ le ŋutigbalẽa te la, woɖea abi dzĩ si ʋãna ɖe ŋutigbalẽa ŋu. Woyɔa esia le atikewɔwɔ me be ``cutaneous larva migrans''.
Aleke ɖɔkta wɔa dea dzesi esia ahadae?
Ne dzesi siwo míeyɔ ɖe etame la le ŋuwò la, wò ɖɔkta aɖe wò aɖuɖɔ ƒe kpɔɖeŋu gbã. Woate ŋu akpɔe le nusuekpɔmɔ̃ me akpɔe ɖa be hookworm ƒe aziwo le eme hã.
Ɣeaɖewoɣi la, ne èzɔ mɔ yi nuto aɖe si me dɔlélea bɔ ɖo nyitsɔ laa la, wò ɖɔkta ate ŋu aɖe gbe hã be woado ʋu kpɔ (Complete Blood Count - CBC). Dodokpɔ sia ate ŋu akpɔe ɖa be ʋumenugbagbevi ɣi ƒomevi aɖe (eosinophils) ƒe dzidziɖedzi le wò ʋu me hã, kwasiɖa geɖe hafi woakpɔ azi le wò aɖuɖɔ me gɔ̃ hã.
Dɔdamɔnua le bɔbɔe ŋutɔ eye wòwɔa dɔ nyuie. Ðɔktaa aŋlɔ atike si wua dɔlékuiwo abe Mebendazole alo Albendazole ene na wò, si nàno ŋkeke ɖeka va ɖo adre be wòaɖe dɔlékuiawo ɖa keŋkeŋ.
Ne ʋusɔgbɔdɔ le ŋuwò la, wò ɖɔkta aɖo aɖaŋu na wò hã be nàno iron-tikewo . Ne wono atikeawo vɔ la, dzesiawo katã kloe nu yina.
Aleke míawɔ akpɔ mía ɖokui ta tso kɔsɔkɔsɔdɔ sia me?
Mɔxexe ɖe esia nu le bɔbɔe wu edada. Ðeko wòle be míawɔ nu ʋɛ aɖewo siwo le bɔbɔe ŋutɔ.
| Ametakpɔkpɔ ƒe mɔnu | Nusi woawɔ |
|---|---|
| Afɔkpa dodo | Do afɔkpa alo afɔkpa ɣesiaɣi ne èle zɔzɔm le anyigba si dzi aɖuɖɔ ate ŋu aƒo ɖii dzi, vevietɔ ne èle dɔ wɔm le abɔ me. Esiae nye nu vevitɔ kekeake. |
| Dzadzɛnyenye nyui | Klɔ asi nyuie kple adzalẽ le nugododeƒe zazã vɔ megbe kple hafi nàɖu nu. Numame sia kpɔa mía ta tso dɔléle geɖe me. |
| Gbeɖuɖɔwo tsɔtsɔ ƒu gbe nyuie | Zã nugododeƒe nyuiwo ɣesiaɣi. Ƒo asa na aɖuɖɔɖɔɖɔ le gota. |
| Ami zazã | Mègazã amegbetɔ ƒe aɖuɖɔ abe ami ene na nukuwo gbeɖe o. |
Ne èse veve le wò afɔkpodzi, wò lolo dzi ɖe kpɔtɔ le mɔ si womate ŋu aɖe o nu, nuɖuɖu megadzroa wò o, ɖeɖi tea ŋuwò enuenu, alo taɖuame la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Mègatsi dzodzodzoe o, esia nye dɔléle si woate ŋu ada ŋutɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Hookworm dɔléle nye dɔlékui si tso dɔlékui aɖe si le anyigba ƒoɖi me gbɔ.
- Nudzodzoevi siawo doa do to ŋutigbalẽ si le míaƒe afɔkpodziwo me, gena ɖe ŋutilãa me, eye wozɔa mɔ yia dɔgbowo me be yewoano ʋu.
- Togbɔ be dzesi aɖeke mele ame geɖe ŋu o hã la, woate ŋu ase dɔme veve, woƒe lolo dzi akpɔtɔ, eye ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o.
- Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe ɖeviwo ƒe ŋutilã kple susu ƒe tsitsi dzi.
- Àte ŋu akpɔ ɖokuiwò ta keŋkeŋ tso dɔléle sia me ne èdo afɔkpa ɣesiaɣi ne èle zɔzɔm le anyigba ƒoɖi dzi eye nèwɔ dzadzɛnyenye ƒe nɔnɔme nyuiwo.
- Ne dzesiwo le ŋuwò la, yi ɖɔkta gbɔ. Woate ŋu atsɔ atikewo ada esia bɔbɔe.
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